A efficac
Anffi cyy off a support
pp t program
p gforfpervasive develo
popmental
pdisorder patientspi adinddolescencelTakao Inoue
G d SchGradS h Health
H lth Sci,
S i HokkaidoSci
H kk id Uni
U i
In Japan,theJapan the interest in pervasive developmental disorder (PDDD)has been growing recently.However,thererecently However there is no study thathave examined the efficacy of a support program for PDD pattients in adolescenceadolescence.
Many cases of social withdrawal at Sapporo Mental Health W
Welfare Center have been diagnosed as PDD in adolescenceadolescence.
The Center has established three groups
groups, AA, B
B, and CC, for theese cases,cases and carried out therapeutic intervention throughoccupational therapy and daycare
daycare. Results showed the GAF scales of patients improved and outcome researches alsochanged positively.Therefore,thispositively Therefore this support program appears too be effectiveeffective.

MethodFigure3
Figure3.Outcome
gOutcome researches of 28 patientspWe carried out a clinical study of 30 patients who participated inthe activities from april 2009 to march 2010,2010 and observed their
participation
ti i ti ini theth activities.Patientsti iti P ti t were assessedd via
i SFSF
36 2，GHQ30
36v2，GHQ30，WHO/QOL26，and
Q ，WHO/QOL26
Q， d GAF scalel att baseline
bli andd
endpoint
endpoint.Outcomep
Outcome researches were collected.
collected

Pre support

P t support
Post
pp twokers
k7

Results

non-workers
k6

Table1 .Comparison
Comparisonpwith each groups
g p
GGrouppA

BC

Numberu be oofParticipants
AndDiagnosis
AverageIQ(WAIS R)
(WAIS-R)
WorkExperiencepE l
Employmentt
StatusStaffSaAS 4 HA 5
PDDNOS 5All 14

AS 5 HA 1
PDDNOS 4
All 10AS 3 HA 1
PDDNOS 2
All 6

AbilityAbility ttoCommunicate

Support Activity

FIQ83.4
FIQ83
4
FIQ95 8
FIQ95.8
VIQ111PIQ 85
VIQ 83 PIQ 84
49((90%))((31%))
16（8%）（60%）
Occupational
Occupao a
OTO
Therapist(OT)
Physician
They cancan`tt
They cancommunicate
i t oncommunicate
i tverbal but can work interactively on
verbal,buti groups throuhinthhverbal
b l withithactivitesactivites.
participants
participants.
Groupoccupational
therapy(Leatherworks Ceramic
works,Ceramic
art,Cooking,playingsports)
sports).

FIQ100.7
FIQ1007
VIQ102PIQ 98
4((67%))
3(50%)
Psychiatricsyc a c Social
Soc aWorker
They cancommunicate
i t
passively on
verbalb l with
ith onlyl
staffsstaffs.

Discussion on
Confiding their
their difficulities
worriesand characteristics.
Information
Recognizing theirexchanges about values each other.
remedy fordifficulties.

AS:Asperger s disorder HA:High
AS:Asperger’s
HA:High-functioning
functioning autistic disorder
PDDNOS:Pervasive developmental disorder not otherwise specified

Table2.Mean,standard
Table2
Mean,standard deviation and statisticalsignificancegof 4 scales(n=16)()
Baseline mean（SD） Endpoint mean（SD）p

SF ３６ｖ２
SF－３６ｖ２
GGenerall hhealthlth

43 25 （（21.06）
43.25（21 06））

37 63 （（22.22）
37.63（22 22））

NS

QOL26
Psychological

2 90 （0.74）
2.90（0 74）

2 82 （0.69）
2.82（0 69）

NS

GHQ30
General morbidity

2 01 （1.57）
2.01（1 57）

2 21 （1.63）
2.21（1 63）

NSGAF

51 75 （13.92）
51.75（13 92）56 50 （12.59）
56.50（12 59）

0 001
0.001

Reference
SF-36:Short-Form
SF36:Short Form 3636-Item
Item Health Survey
GHQ30:General Health Questionnaire 30
QOL26:Quality
y of Life 26
GAF:The Global Assessment of Functioningg

non-wokers,
k ,withdrawals
20

jjob seekers
1wokers10

j b
jobseekersk12

Figure2
Figure2.Outcomeg
Outcome researches of 3 groupsg
12non-workers,
nonworkers
withdrawals

10

job seekers

86workers
4

A group：N=12N 12
B group：Ngroup：N＝1010
C group：N=6N 620preA postA

preB postB

preC postCDisc ssion
Discussion
・The
Th changes
Thehoff SF-36v2，GHQ30，WHO/QOL26
SF 36v2，GHQ30，WHO/QOL26
36 2 GHQ30 WHO/QOL26 thatth tpatientsti t reportedt d byb themselves
thlwere nott statisticallyt ti ti llsignificant.
i ifit・GAF
GGAF
is used by mental health clinicians to subjectively
rate the social,social occupational
occupational, and psychological functioning
functioning.
The change of GAF that clinician administered wasstatistically significant.
significant・Outcome
Outcome researches also changed positively and thenumber of withdrawal (hikikomori) and non-worker wasdecreased.
decreased
・Life style of patients changed,andchanged and this support program
appers to be effective
effective.