{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282763134730880.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.20615/jscap.58.2_254"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"028328906"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/028328906"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I028328906"}},{"identifier":{"@type":"NAID","@value":"130007691870"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2017320575"}}],"dc:title":[{"@language":"en","@value":"SUCCESSFUL COGNITIVE BEHAVIORAL INTERVENTION IN A CASE OF PSYCHOGENIC HEARING LOSS"},{"@language":"ja","@value":"認知行動療法的介入が有効であった心因性難聴の事例"},{"@value":"症例研究 認知行動療法的介入が有効であった心因性難聴の事例"},{"@language":"ja-Kana","@value":"ショウレイ ケンキュウ ニンチ コウドウ リョウホウテキ カイニュウ ガ ユウコウ デ アッタ シンインセイ ナンチョウ ノ ジレイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"<p>There are few reports on cognitive behavior therapy for psychological hearing loss. The purpose of this report was to examine how cognitive behavioral intervention contributed to improvement in one such case of psychogenic hearing loss.</p><p>The patient was a male in his late teens with no history of developmental problems. He first expressed difficulty with hearing in junior high. Entering high school, marked reduction in spontaneous speech was noted both at school and in the home, for which he was diagnosed with psychological hearing loss by an otolaryngologist. His hearing loss involved difficulty understanding what people were saying when he felt tense, such as in meeting new people, or during a conversation. Therefore, intervention was designed to help circumvent avoidance of tense situations, through reinforcement of asking behavior as an alternative to responding with equivocal perplexed expressions when experiencing difficulties hearing. After this cognitive behavioral intervention, his cognition changed from “What should I do if I can't hear?” to “I can ask the person to say it again even if I can't hear”, reducing anticipatory anxiety and increasing asking behavior in tense situations. This in turn led to improvement in subjective hearing ability, and subsequent significant increase in social activity level.</p><p>The outcome of this case was taken to suggest possible efficacy of cognitive behavior therapy in patients with psychogenic hearing loss due to anxiety and tension.</p>"},{"@language":"ja","@value":"<p>心因性難聴に対する認知行動療法的介入の報告は少ない。本報告では，認知行動療法的介入が心因性難聴の改善にどのように寄与したかを検討することを目的とする。</p><p>患者は10代後半の男性。出生発育に異常を指摘されたことは無い。中学校入学頃より難聴が目立つようになった。高校入学後，家庭と学校の両方で自発的な発語が減少していった。その後耳鼻科を受診し，心因性難聴と診断された。患者の難聴は，音は聞こえるが途中でことばがぼやけて何を言っているか分からなくなることであり，初対面で不安・緊張が喚起され難聴になる場合と会話の最中に不安・緊張から難聴が生じる場合の2つの状況が認められた。そこで緊張場面からの回避を防ぎ，難聴時の困惑表情の代替行動として聞き返しを強化することとした。認知行動療法的介入の結果，聞こえなかったらどうしようという認知が，分からなくても聞き返せばいいんだという適応的な認知に変容したことにより，緊張場面に対する予期不安が減少し，緊張場面での聞き返しが増加した。それに伴って，主観的な聞こえの改善とともに友人と遊びに出かけるなどの社会的活動が増加した。</p><p>本事例より，不安・緊張に伴い難聴が生じている場合には，認知行動療法的介入が有効である可能性が示唆された。</p>"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1420564276184437120","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"30771414"},{"@type":"NRID","@value":"1000030771414"},{"@type":"NRID","@value":"9000405867459"},{"@type":"NRID","@value":"9000408587097"},{"@type":"NRID","@value":"9000351206113"},{"@type":"NRID","@value":"9000408592042"},{"@type":"NRID","@value":"9000412252692"},{"@type":"NRID","@value":"9000404521333"},{"@type":"NRID","@value":"9000411119288"},{"@type":"NRID","@value":"9000403978074"},{"@type":"NRID","@value":"9000412274857"},{"@type":"NRID","@value":"9000412006357"},{"@type":"NRID","@value":"9000412413470"},{"@type":"NRID","@value":"9000403989654"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/sayohamatani"}],"foaf:name":[{"@language":"en","@value":"HAMATANI Sayo"},{"@language":"ja","@value":"濱谷 沙世"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"徳島大学病院"},{"@language":"en","@value":"Tokushima University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282763134730880","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000403978075"}],"foaf:name":[{"@language":"en","@value":"TAMARU Mai"},{"@language":"ja","@value":"田丸 麻衣"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"徳島大学病院"},{"@language":"en","@value":"Tokushima University Hospital"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282763134730883","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000403978077"}],"foaf:name":[{"@language":"en","@value":"TOMOTAKE Masahito"},{"@language":"ja","@value":"友竹 正人"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Departments of Mental Health, Institute of Biomedical Sciences, Tokushima University Graduate School"},{"@language":"ja","@value":"徳島大学大学院医歯薬学研究部メンタルヘルス支援学分野"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282763134730885","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000403978078"}],"foaf:name":[{"@language":"en","@value":"OHMORI Tetsuro"},{"@language":"ja","@value":"大森 哲郎"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"徳島大学大学院医歯薬研究部精神医学分野"},{"@language":"en","@value":"Department of Psychiatry, Institute of Biomedical Sciences, Tokushima University Graduate School"}]},{"@id":"https://cir.nii.ac.jp/crid/1420564276166596736","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"70748061"},{"@type":"NRID","@value":"1000070748061"},{"@type":"NRID","@value":"9000405867457"},{"@type":"NRID","@value":"9000018163433"},{"@type":"NRID","@value":"9000408587098"},{"@type":"NRID","@value":"9000410273796"},{"@type":"NRID","@value":"9000410275325"},{"@type":"NRID","@value":"9000408592043"},{"@type":"NRID","@value":"9000408919272"},{"@type":"NRID","@value":"9000411838244"},{"@type":"NRID","@value":"9000411838238"},{"@type":"NRID","@value":"9000403978073"},{"@type":"NRID","@value":"9000403300085"},{"@type":"NRID","@value":"9000403283390"},{"@type":"NRID","@value":"9000412274854"},{"@type":"NRID","@value":"9000414836857"},{"@type":"NRID","@value":"9000410525254"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/t-takeda"}],"foaf:name":[{"@language":"en","@value":"TAKEDA Tomoya"},{"@language":"ja","@value":"武田 知也"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Tokushima University Hospital"},{"@language":"ja","@value":"徳島大学病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751167277312","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"90399220"},{"@type":"NRID","@value":"1000090399220"},{"@type":"CINII_AUTHOR_ID","@value":"DA17623223"},{"@type":"URI","@value":"https://ci.nii.ac.jp/author/DA17623223#entity"},{"@type":"URI","@value":"https://viaf.org/viaf/NII%7CDA17623223"},{"@type":"NRID","@value":"9000389451276"},{"@type":"NRID","@value":"9000408590973"},{"@type":"NRID","@value":"9000314366221"},{"@type":"NRID","@value":"9000413237023"},{"@type":"NRID","@value":"9000389451274"},{"@type":"NRID","@value":"9000408501104"},{"@type":"NRID","@value":"9000414107331"},{"@type":"NRID","@value":"9000397834867"},{"@type":"NRID","@value":"9000415223113"},{"@type":"NRID","@value":"9000412049566"},{"@type":"NRID","@value":"9000410273611"},{"@type":"NRID","@value":"9000389451265"},{"@type":"NRID","@value":"9000403978076"},{"@type":"NRID","@value":"9000344129723"},{"@type":"NRID","@value":"9000399359555"},{"@type":"NRID","@value":"9000413909275"},{"@type":"NRID","@value":"9000413237432"},{"@type":"NRID","@value":"9000410512760"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/motohiro_sakai"}],"foaf:name":[{"@language":"en","@value":"SAKAI Motohiro"},{"@language":"ja","@value":"境 泉洋"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"徳島大学大学院ソシオ・アーツ・アンド・サイエンス研究部"},{"@language":"en","@value":"Department of Clinical Psychology, Institute of Socio-Arts and Sciences, Tokushima University Graduate School"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"02890968"},{"@type":"EISSN","@value":"24241652"},{"@type":"NDL_BIB_ID","@value":"000000039041"},{"@type":"ISSN","@value":"02890968"},{"@type":"LISSN","@value":"02890968"},{"@type":"NCID","@value":"AN00217101"}],"prism:publicationName":[{"@language":"ja","@value":"児童青年精神医学とその近接領域"},{"@language":"en","@value":"Japanese Journal of Child and Adolescent Psychiatry"},{"@language":"ja","@value":"児精医誌"},{"@language":"en","@value":"Jpn J Child Adolesc Psychiatr"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society for Child and Adolescent Psychiatry"},{"@language":"ja","@value":"一般社団法人 日本児童青年精神医学会"}],"prism:publicationDate":"2017-04-01","prism:volume":"58","prism:number":"2","prism:startingPage":"254","prism:endingPage":"260"},"url":[{"@id":"http://id.ndl.go.jp/bib/028328906"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I028328906"},{"@id":"https://search.jamas.or.jp/link/ui/2017320575"}],"availableAt":"2017-04-01","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=anxiety","dc:title":"anxiety"},{"@id":"https://cir.nii.ac.jp/all?q=cognitive%20behavioral%20intervention","dc:title":"cognitive behavioral intervention"},{"@id":"https://cir.nii.ac.jp/all?q=psychogenic%20hearing%20loss","dc:title":"psychogenic hearing loss"},{"@id":"https://cir.nii.ac.jp/all?q=anxiety","dc:title":"anxiety"},{"@id":"https://cir.nii.ac.jp/all?q=cognitive%20behavioral%20intervention","dc:title":"cognitive behavioral intervention"},{"@id":"https://cir.nii.ac.jp/all?q=psychogenic%20hearing%20loss","dc:title":"psychogenic hearing loss"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2007372207"},{"@type":"NDL_SEARCH","@value":"oai:ndlsearch.ndl.go.jp:R000000004-I028328906"},{"@type":"CIA","@value":"130007691870"}]}