Improvement of self-efficacy and stair climbing through occupational therapy using cognitive behavioral therapy:

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  • 認知行動療法を用いた作業療法実践により自己効力感が向上し階段昇降が獲得できた事例
  • ニンチ コウドウ リョウホウ オ モチイタ サギョウ リョウホウ ジッセン ニ ヨリ ジコ コウリョクカン ガ コウジョウ シ カイダン ショウコウ ガ カクトク デキタ ジレイ
  • A case study

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Abstract

The case experienced total knee arthroplasty (TKA) which resulted in anxiety, depression and decreased self-efficacy. The Canadian Occupational Performance Measure (COPM) indicated difficulty moving up and down stairs, resulting in cognitive behavioral therapy to alleviate the anxiety caused by the preoperative fall experience. As a result, the case became experienced cognitive distortion, and began to carry out climbing in stages, leading to a sense of accomplishment, and improved self-efficacy and stair climbing. Furthermore, COPM indices improved from 1 to 6 in both the categories of performance and satisfaction. This indicates that cognitive behavioral therapy in cases where occupational therapy is difficult due to anxiety and distortion can promote goal achievement.

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