JP2014230553A - Stress sensitivity evaluation form and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a stress sensitivity evaluation form in which the presence or absence of various problems and stress sensitivity faced by a subject are holistically and comprehensively evaluated, and can be discovered at a non-illness stage of a mild depression or before emergence a depression state.SOLUTION: A stress sensitivity evaluation form is configured as follows: in a question column 10, multiple questionnaires classified into a first category A about a human body, a second category B about the psychological or behavioral matter of a human, a third category C about the sociality of the human and a fourth category D about the existence of the human are described in a sentence; these questionnaires are to ask living activities of a subject, and have contents in which conditions of the subject can be answered in a range of good or bad state; in an answer column 20, a set 23 comprising multiple options for selecting and answering a degree of feeling to be good or bad of the subject's own conditions to each questionnaire of the question column 10 is provided; and the multiple options included in each set 23 are arranged in a line in a sequential order from a good state to a bad state or in a sequential order from the bad state to the good state, and the scoring different to each other is given to each option according to the arrangement order.

Description

  The present invention relates to a stress sensitivity evaluation sheet that can evaluate a subject's sensitivity to stress by using a score, and in particular, the presence or absence of various problems and stress sensitivity that the subject has, whether physical, psychological or behavioral, social, or actual. The present invention relates to a stress sensitivity evaluation sheet and program capable of comprehensively and comprehensively evaluating the stress level of healthy individuals, the non-disease stage before the appearance of depression, and the mild depression state from the viewpoint of one person.

<About stress>
Human beings are weak among other species, and there have been only a few peaceful periods in human history. Today, the world is constantly changing in globalism. Such stimuli produce great stress for human beings living in that era. In the first place, human beings are conservative creatures and hate change. Stress occurs when it becomes unable to withstand changes. Today, stress issues are becoming more complex and diverse. Counting stressors such as economic recession, global warming, regional disparities, poverty, complex human relationships, imminent time, tight spaces, and various life events can help. In particular, the Great East Japan Earthquake on March 11, 2011 put civilization stress on the entire population. In the United States, the “9.11” New York terrorism caused similar stress for all citizens.

  Considering the ability to adapt to stress and its limitations, Selye H, 1907-1982 general adaptation syndrome was born. Serie was the first person in the world to use the word stress. When Serie was a student, he felt, “Professors give their patients a disease name and describe their characteristics, but all of them can only see the disease.” Serie named it “being sick syndrome”. This is to say that people with illness have a common sign, and this discovery will later lead to the discovery of panadaptation syndrome.

  On the other hand, Toyo said, “Senior doctors cure unillnessed”. It is said that the best doctor finds and treats the disease before it is completed. The same is true in today's stress studies. Stress causes distortion of the homeostasis of the living body. In the first place, stress means “distortion” in engineering terms. Stress creates a functional pathology from the distortion of homeostasis in the living body, and as it progresses, it leads to an organic pathology and further progresses to a lethal pathology. In today's medical care, lifestyle-related diseases are the major targets, but genetic factors, aging, and lifestyle are greatly related to the onset. The stress that affects the lifestyle in particular is the mental and physical stress. Capturing the stress state without illness is a major problem in modern medicine, and it is an object of the present invention to solve this problem.

<Personal health / medical model, body / psychology / society / existence model>
When stress creeps up on an individual, first, the living behavior (living behavior) is distorted. To accurately grasp the stress situation is to grasp the distorted life behavior as a whole (inclusive). Stress can appear in the body or in the psychology. This is because humans have different weaknesses. In any case, however, a person with stress will experience some kind of distortion of living behavior.

  Then what is living behavior (living sphere)? Living behavior is the accumulation of daily activities of human beings. Understanding living behavior means understanding each person comprehensively and wholly. The WHO (World Health Organization) defines health as "complete physical, mental and social well-being, not simply the absence of disease or illness" (from the WHO Charter Preface) . The basic model of this concept was proposed by WHO professor Day SB in 1980 as a body, psychology, and social model (Biopsychosocial health). Behind this theory are Komensky JA's health theory and von Bertalanffy L's system theory. This model was inherited by Engel G, Leigh H, Reiser M, and others, and was generalized as a holistic medical concept commonly used in diseases. In the 1980s international primary care progress, this model spread throughout the world.

  However, since the late 1980s, some pioneering scholars began to point out that this model has no distinction between humans and animals. To make up for this, Ichiro Ikemi devised a “body, psychology, society, and bioethics model”. However, this “bioethics” is a psychoecological idea and unfortunately it was not popular. When Victor Frankl (Frankl VE) came to Japan in 2003 and the 1st International Society for All-Human Medicine was held, between Frankl, Ikemi, and Nagata, “Body / Psychology / Society / Existence Model” Was agreed.

  On the other hand, Hiroshi Nakajima, who served as the secretary general of WHO until 1998, proposed a body, psychology, society, and spiritual model, but did not reach an agreement at WHO. However, the spirit is inherited. Since then, the “body / psychology / society / existence model” has been widely used internationally as a holistic health / medical model.

<QOL and holistic medical model>
In the late 1980s, the quality of health and medical care became a question, and the concept of QOL (Quality of Life) spouted. In Japan, QOL assessment requires the concept of holistic health and medical care, and in 1989, the basic model was introduced into the body, psychology, society, and existence model, and a questionnaire was prepared. WHO has prepared a similar questionnaire (WHO Quality of Life 26). SF-36 (MOS 36-item Short Form Health Survey) is also famous as a QOL evaluation method. However, the basic evaluation viewpoint is similar.

  Later, in 1989, a QOL questionnaire for Japanese based on the body, psychology, society, and existence model was developed, and the present inventors have used it for more than 20 years. I noticed that the distortion of living behavior is well reflected in QOL. The present inventors considered that it is possible to recognize unsickness of stress by knowing the distortion of QOL.

<Specific examples of conventional questionnaires>
As described above, in the field of psychiatry, the physical and mental health of a subject is evaluated using a sheet on which predetermined questions are described. The health status that the conventional questionnaires are subject to assessment is diverse, for example, the health status related to stressors, social health, quality of life, physical and mental health indicators, mental health, sleep, etc. Evaluation was based on the score of answers.

  As a questionnaire for evaluating a stressor, for example, there is a “life event stress table” (Non-Patent Document 1) of Holmes TH and Rahe RH. This “Life Event Stress Table” shows the magnitude of stress for each event such as spouse's death, marriage, or moving. Predicts mental and physical health problems during the year.

  As a questionnaire for evaluating social health, for example, there is “Social Relevance Scale 18 items” (Non-patent Document 2) by Yasue Anmei. This “social relevance scale 18 items” includes 4 items related to “independence of life”, 5 items related to “interest in society”, 3 items related to “relationship with others”, and 4 items related to “close social participation”. Answer the 18 items in total, 2 items related to the item “Reliability of Life”, and evaluate the social health based on the total score of the answers.

  As a questionnaire for evaluating the quality of life, for example, there is the above-mentioned WHO “QOL (Quality of Life)” (Non-patent Document 3). This “QOL” consists of 26 questions, 24 items that ask about the quality of life in the four areas of physical, psychological, social, and environmental, and 2 items that ask about the overall quality of life. Has been. There are five levels: “No”, “Slightly”, “Slightly”, “Quite”, and “Very”. Based on the score of the responses, the subject's subjective well-being, quality of life To evaluate.

  As a questionnaire for evaluating the physical / mental health index, for example, “CMI (Cornell Medical Index)” (Non-patent Document 4) by Brodman, Erdmann, Wolff et al. This “CMI” consists of 144 items on 12 scales related to physical subjective symptoms such as “respiratory system / cardiovascular system / nervous system / fatigue level / disease frequency / previous disease / customs”, “nonadjustment / depression / anxiety / anger” The questionnaire consists of 51 items on 6 scales related to mental symptoms such as "(The Japanese version additionally includes 16 items for men and 18 items for women). The degree of neurosis (I to IV) is determined from the values of the graph using a “neuropathy determination diagram” in which the physical subjective symptoms are on the vertical axis and the mental subjective symptoms are on the horizontal axis.

  Examples of question papers for evaluating mental health include “POMS (registered trademark) shortened version” and “Japanese version GHQ (General Health Questionnaire) 28” (Non-Patent Documents 5 and 6). "POMS (Trademark) shortened version" evaluates the subject's "feeling status" for the past week on six scales: tension-anxiety, depression-depression, anger-hostility, vitality, fatigue, and confusion. It is. By answering questions on six scales, the subject's recent sustained mood / emotion is evaluated. On the other hand, the “Japanese version GHQ28” is a self-recording screening test that is effective for grasping, evaluating, and finding symptoms of neurotic patients. The question item is composed of four factors such as physical symptoms, anxiety and insomnia, social activity disorder, and depression tendency. For a total of 28 questions, the answer that best fits the current state is selected.

  As a questionnaire for evaluating sleep, for example, there is “Pittsburgh Sleep Questionnaire (PSQI)” (Non-Patent Document 7) by Buysse DJ et al. The “Pittsburgh Sleep Questionnaire” answers nine questions about sleep habits and sleep quality in the past month in four stages, and evaluates the subject's sleep by the total number of answers.

  In addition, Japanese Patent Application Laid-Open No. 2004-261406 (Patent Document 1) includes a psychopsychological question item, a physical question item, and an answer column for answering these question items step by step. A question sheet for relaxing degree diagnosis has been proposed. This relaxation degree diagnosis question sheet is configured to digitize and total each answer of the subject, and to diagnose the degree of relaxation of the subject based on the total value.

  Japanese Patent Application Laid-Open Publication No. 2004-357821 (Patent Document 2) displays a question regarding personality and desire satisfaction on a display means, and based on an answer input by the subject, the computer relates to the stress response behavior of the subject. A stress diagnostic system that provides information is disclosed.

JP 2004-261406 A Japanese Patent Laid-Open No. 2004-357821

"Life Event Stress Chart" The Social Readjustment Rating Scale, Holmes TH and Rahe RH, Journal of Psychosomatic Research, Vol. 11, pp. 213 to 218, 1967 Received 12 April 1967 Sabae Anmei, “Health and Welfare Study on the Relationship between Evaluation of Social Relevance of Elderly People and Functional Deterioration after 3 Years,” Japan Public Health Magazine, Vol. 44, 1997, 1005-1008 Published “WHO QOL26 (WHO Quality of Life 26)” Kaneko Shobo Co., Ltd. Published “CMI Cornell Medical Index: Explanations and Materials” Sankyobo Published “POMSTM shortened version” Kaneko Shobo Co., Ltd. Published “Japan Version GHQ28” Nippon Cultural Science Co., Ltd. The Pittsburgh Sleep Quality Index: A New Instrument for Psychiatric Practice and Research, Buysse DJ et al., Psychiatry Research, 28 (1989), pp.193-213.

  In recent years, there has been a rapid increase in the number of cases of employees of large and small businesses suffering from depression, and even if they do not result in depression, they tend to be depressed and have a mild depression tendency that they cannot get out of their feelings of remorse and self-responsibility. There are many employees. For this reason, companies need to take measures to protect employees' mental health and prevent mental illness caused by workplace stress. In order to evaluate the presence or absence and degree of mental illness, it is conceivable to periodically perform a mental health check for all employees using the conventional questionnaire as described above.

  However, the conventional questionnaires mentioned above are specialized in the evaluation of each questionnaire, such as stressors, social health, quality of life, physical and mental health indicators, mental health, and sleep. There is a problem that the subject's body, psychology, social position, etc. cannot be evaluated by the whole person with a single questionnaire. For this reason, even if it was possible to detect a specific mental illness of an employee using a conventional questionnaire, it was not possible to detect a tendency before suffering from the mental illness.

  Theoretically, it is possible to evaluate the overall health level of a subject by combining multiple questionnaires with different evaluation targets, but in this case, There is a problem that the burden of answers is extremely large, and such a burden affects the attitude, accuracy, and results of responses.

  Thus, as a result of intensive studies by the present inventors, it has been found that mental illness caused by stress can be prevented by evaluating the “sensitivity to stress” of the subject. In order to evaluate such “sensitivity to stress”, it is not enough to evaluate the current “state” of the subject as in the conventional questionnaire, but the “trait” of the subject. Must be added to the evaluation. It is appropriate to comprehensively and comprehensively evaluate “sensitivity to stress” in consideration of various factors surrounding the subject.

  In Japan today, the annual number of suicides exceeds 30,000, and the number of suicides has exceeded 30,000 for 13 consecutive years. As for the cause, “health problem” is the most common, followed by “economic / life problem”, “family problem” and “work problem”, which are almost the same every year. In the background, depression and existential vacuum are latent. Therefore, as the present inventors think, in order to detect stress-free disease at an early stage, comprehensive evaluation is required across all dimensions of body, psychology or behavior, society, and existence.

  The present invention has been made in view of the above-mentioned problems, and the presence / absence of various problems and stress susceptibility of subjects are comprehensively and comprehensively determined from the four categories of body, psychology or behavior, society, and existence. It is an object of the present invention to provide a stress sensitivity evaluation sheet and a program that can evaluate and find a problem at an unaffected stage before the onset of a stress disease and prevent the onset of the stress disease.

  In order to achieve the above object, the stress sensitivity evaluation sheet of the present invention is a stress sensitivity evaluation sheet including a question column and an answer column for evaluating a subject's susceptibility to stress, and the question column includes: Documents multiple questions that fall into the first category for the human body, the second category for human psychology or behavior, the third category for human sociality, and the fourth category for human existence These questions are all questions about the condition of the subject, and can be answered within the range of good or bad, and the answer column is for each question item in the question column, A set consisting of a plurality of options for selecting and replying to the extent that the subject feels his / her condition as good or bad is provided, and the plurality of options included in each set are good or bad Sort the order or defective in a row in order to reach a good reach, each choice is a configuration in which give different dispensing point from each other in accordance with the arrangement order.

  Preferably, the questions regarding the plurality of bodies belonging to the first category of the question column are two or more arbitrarily selected from questions regarding appetite, sleep, defecation, fatigue, physical condition, weight, or pain. Good.

  Preferably, a plurality of psychological or behavioral questions belonging to the second category of the question column are depression, anxiety, irritability, anger, overadjustment, confusion, overcommitment, responsibility, self-esteem, work status, mood, mood change. Or it is good to set it as the structure which is 2 or more arbitrarily selected from the questionnaire regarding sex life.

  Preferably, the plurality of social questions belonging to the third category of the question column are two or more arbitrarily selected from questions regarding work, home, human relations, time management, money, or economy. Good.

  Preferably, the questions regarding a plurality of existence belonging to the fourth category of the question column are questions regarding self-failure, meaning of living, freedom of living, coping attitude of living, belief or faith. It is good to set it as the structure which is 2 or more arbitrarily selected from.

  Preferably, the question items belonging to at least one of the second to fourth categories of the question column may include a question item having contents relating to work or work status.

  Preferably, the answer column is configured such that the best answer is written in text on one end of each set of options and the worst answer is written in text on the other end of each set of options. Good. More preferably, for some of the set of options, the poorest answer is written on one end and the best answer is written on the other end of each set of options. It is recommended to use the reverse item indicated by.

  Preferably, the answer column may have an option or column for selecting not to answer each question item in the question column corresponding to each set of options.

  Preferably, the time range when considering the answer to each question item in the question column may be configured to be described in a place other than the question column and the answer column.

  In order to achieve the above object, a program of the present invention is a program for realizing an evaluation using the above-described stress sensitivity evaluation sheet of the present invention by a computer, and the contents of the stress sensitivity evaluation sheet are stored in an image display device. The total score of each answer input in the answer field via the user interface is totaled, and the total score is compared with a preset threshold value to obtain the evaluation result on the subject's sensitivity to stress. The computer executes control processing to be displayed on the image display device.

  According to the program of the present invention having the above-described configuration, for example, the program is distributed to a terminal device such as a personal computer, a mobile phone, a smartphone, or a portable game machine of the subject via the Internet, and thereby the sensitivity of the subject to stress. Can be easily evaluated. In particular, since the computer performs the evaluation, the third party does not know his answer. As a result, the privacy of the subject can be protected, and answers to questions that are difficult to answer can be answered honestly, and a more accurate evaluation result can be obtained.

  According to the stress sensitivity evaluation sheet and program of the present invention having the above-described configuration, the presence / absence of various problems and stress sensitivity of the subject can be determined from the four categories of body, psychology or behavior, society, and existence. Therefore, it is possible to find a problem at an unaffected stage before the onset of the stress disease, and to prevent the onset of the stress disease.

It is a top view which shows the stress sensitivity evaluation paper which concerns on one Embodiment of this invention. It is a block diagram which shows the stress sensitivity evaluation apparatus which concerns on one Embodiment of this invention. It is a flowchart which shows the flow of the control processing of the said stress sensitivity evaluation apparatus.

<The purpose and philosophy of the stress sensitivity evaluation form>
The stress sensitivity evaluation form of the present embodiment described below, in particular, checks the comprehensive health of the worker's mind and body, and accurately and promptly grasps the stress state without illness. It is aimed. In order to achieve this object, the stress sensitivity evaluation sheet is prepared based on the following philosophies (1) to (6).

(1) Each question should be as objective as possible by the subject. (2) Each question should be able to be analyzed and reproducible and withstand statistical studies. (3) Each question can be easily understood by anyone, can be measured at any time in a short time, and does not cause pain to the subject. (4) Each question is based on the answer of each individual subject. Necessary and sufficient information about comprehensive stress status is obtained, the evaluation method is simple, it can be fed back immediately to the health promotion of the subject, and it is useful for health guidance (5) From the viewpoint of reducing the mental burden of the subject and protecting the privacy, it is necessary not to answer the question that the subject does not want to answer. (6) Economically low cost

<Overall structure of stress sensitivity evaluation form>
Hereinafter, a stress sensitivity evaluation sheet according to an embodiment of the present invention will be described with reference to FIG.

  In the figure, the stress sensitivity evaluation sheet 1 according to the present embodiment includes a question column 10, an answer column 20, a subject information entry column 30, and a blank 40. In the margin 40, an answer entry method 41 is written in sentences, and an entry example 42 is written in sentences and figures. Here, as described in the entry method 41 and the entry example 42, this stress sensitivity evaluation sheet 1 asks the test subject's “state of about one month”, and the “0” portion of the answer column 20 is blacked out. The mark sheet method is used.

<Question column>
In the question column 10, a total of 30 questions are written in a single column in the vertical direction. As described above, the stress state of the subject affects the physical or psychological life behavior. Therefore, all of these 30 questions are questions about the physical or psychological life behavior of the subject, and all the questions answer the subject's condition objectively within the range of good or bad. It has become a content that can. And the content of each question item is classified into the 1st-4th category AD explained below, and asks a human action about a body, psychology or action, society, and existence. Hereinafter, each question will be specifically described.

<< Question items belonging to the first category >>
Questions 1 to 7 in the question column 10 are question items belonging to the first category A relating to the human body, and are written in sentences as follows.

"Can you eat 1 meal deliciously?"
“2 Do you sleep well?”
“3 Are you in trouble with diarrhea and constipation?”
“4 Are you tired?”
“5. Can palpitations and shortness of breath occur?”
“6 Has there been a major change in your weight recently?”
“7 Is there any pain in the body?”

  All of the questions belonging to the first category A are questions about living behaviors related to the subject's body. The first question is "appetite", the second is "sleep", the third is "defecation", the fourth is "fatigue", the fifth is "physical condition", the sixth is "weight", seven The eyes are questions about content related to “pain”. Any of the questions can be answered objectively based on the physical condition of the subject. By such questions belonging to the first category A, the presence / absence and degree of the appearance of stress (living behavior distortion) in stages within a range of good to bad (in this embodiment, five levels). Can be evaluated.

<< Question items belonging to the second category >>
Questions 8 to 19 and 30 in the question column 10 are question items belonging to the second category B relating to human psychology or behavior, and are written in sentences as follows.

“8 Do you feel good?”
“9 Do you feel anxiety?”
“10 Isn't it frustrating?”
“11 Do you feel angry?”
“12. Are you trying to fit around?”
“13 Do you have any problems without thinking?”
“14 Do you care about your work outside of working hours?”
“15 Do you feel responsible?”
“16 Do you think you are a worthless person?”
“17 Has late arrival, absence from work, early departure, etc. increased recently?”
"18 Can I get sick when I go to work?"
“19 Is there a change in your mind even if something is wrong?”
"Are you satisfied with 30 sex life?"

  These questions belonging to the second category B are questions about the subject's personality, identity, ego state, stress state, actual behavior, and life behavior related to sex life. Question 8 is "Depression", Question 9 is "Anxiety", Question 10 is "Iritation", Question 11 is "Anger", Question 12 is "Overadjustment", Question 13 is "Confusion", 14 The question is "overcommitment", the 15th is "responsibility", the 16th is "self-esteem", the 17th is "working status", the 18th is "mood", the 19th is "change of mood" The 30th question is related to “sex life”. Any of the questions can objectively answer the degree to which the subject feels based on the psychological state or behavioral state of the subject. With such questions belonging to the second category B, it is possible to stepwise evaluate the presence / absence and degree of the appearance of stress to the psychology or behavior (distortion of living behavior) within a range of good to poor.

  The 30th question “Do you feel satisfied with your sex life” is a question that is generally difficult to answer, and choose the option “1-5” in the column indicated by reference numeral 23 or indicated by reference numeral 21. Select the option “I do not want to answer” in the column, or the subject takes time to judge. Therefore, questions that are difficult to answer are arranged in the last 30 questions so that questions 1 to 29 can be answered smoothly without worrying about the way.

<< Questions belonging to the third category >>
Questions 20 to 24 in the question column 10 are questions belonging to the third category C relating to human sociality, and are written in sentences as follows.

“20 Is your job going well?”
“21 Is life outside of work fun?”
“22 Do you feel isolated?”
“Have you been chased in 23 hours?”
“24 Can you afford it economically?”

  These questions belonging to the third category C are questions about the role of the subject in the group to which the subject belongs, the regional environment, the economic situation, and the like. The 20th question is related to “work”, the 21st question is related to “family”, the 22nd question is related to “human relations”, the 23rd question is related to “time management”, and the 24th question is related to “money or economy”. Any of the questions can objectively answer the degree to which the subject feels based on the psychological state or behavioral state of the subject. By using the question items belonging to the third category C, the presence or degree of the appearance of stress in behavior in social life (distortion of living behavior) can be evaluated step by step within a range of good or bad. .

<< Question items belonging to the fourth category >>
Questions 25 to 29 in the question column 10 are question items belonging to the fourth category D relating to human existence, and are written in sentences as follows.

“25 Can you still do what you have done so far?”
“26 Do you feel worth living?”
“27 Do you think you are living like yourself?”
“28 Do you try to think positively?”
"29 Do you have faith or belief that will support your heart?"

  The questions belonging to the fourth category D are questions about the purpose of life, a sense of fulfillment, and whether there is something that takes advantage of personal value. The 25th question is a “sense of self-failure”, the 26th question is a “meaning”, the 27th question is “freedom”, the 28th question is “a coping attitude”, and the 29th question is a “belief or faith” question. Any question item can answer objectively how much the subject feels based on the psychological state or behavioral state of the subject. By such questions belonging to the fourth category D, the existence of the stress itself and the presence or degree of manifestation in the meaning and value of living (distortion of living behavior) are gradually evaluated within the range of good or bad. It can be evaluated objectively.

<< Configuration for employee stress sensitivity assessment >>
As described at the beginning, the stress sensitivity evaluation sheet 1 of the present embodiment is intended to accurately and promptly grasp a worker's stress state without illness. For this reason, the question items belonging to the second and third categories B and C in the question column 10 include the following question items relating to work or work status.

・ Second category B regarding psychology or behavior
“14 Do you care about your work outside of working hours?”
“15 Do you feel responsible?”
“17 Has late arrival, absence from work, early departure, etc. increased recently?”
"18 Can I get sick when I go to work?"
・ Third category C regarding sociality
“20 Is your job going well?”
“21 Is life outside of work fun?”
“22 Do you feel isolated?”
“Have you been chased in 23 hours?”
“24 Can you afford it economically?”

  And the questions other than the above 9 questions related to work or work status are applicable to the stress assessment of ordinary people including workers, and the stress status of workers is the individual questions about 30 questions in total. Is accurately reflected in the answer. Therefore, if the stress sensitivity evaluation sheet 1 of the present embodiment is used, it is possible to evaluate the stress state of the worker, in particular, the stress state at the non-illness stage, and to prevent the onset of the stress disease of the worker. It becomes.

<< Characteristics common to each question >>
Preferably, in the question column 10, a question item having a positive (forward) content and a question item having a negative (backward) content may be described in an appropriate number of combinations. In this embodiment, out of 30 questions in total, 1 question, 2 questions, 8 questions, 19 questions, 20 questions, 21 questions, and 24 to 30 questions in total are set as positive contents, and 3 to 7 questions. , 9-18 questions, 22-23 questions, a total of 17 questions are negative.

  In addition, the endings of the 30 questions in the question column 10 are "... are you?", "... are you?", "... are you?" ... is not? "," ... Is it done? ", Affirmation and denial are mixed, and a unified expression format is not adopted for one. This is because the examinee examines the impression that the subject receives from the question due to the difference in the endings of the question items, and the expression is devised so that the subject can more easily understand the intention of each question item. With such an expression, the burden on the subject who answers each question is reduced and the accuracy of the answer is improved.

<Answer column>
In the stress sensitivity evaluation sheet 1 of the present embodiment, a method is employed in which each question item in the question column 10 is self-rated by a numerical rating scale (NRS). In the present embodiment, the numerical evaluation scale has five levels (1 to 5). Specifically, the answer column 20 shown in FIG. 1 has five options (reference numeral 23) for selecting and replying to each question item in the question column 10 to the extent that the subject feels his / her state good or bad. ... Are provided (see the figure “0” in the area marked with). Five choices included in each set 23 are given 1 to 5 different points according to the arrangement order.

<< Optimization and simplification of response column >>
Here, on one end side (left side in the figure) of each set 23 of five options, the best answers 22, 22, 22... Are written in text for each question item. In addition, on the other end side (right side in the figure) of each set 23 of five options, the most inferior answers 24, 24, 24. By referring to the notation of the answers 22 and 24 as described above, it is possible to make an accurate answer according to the individual specific intention of each question item. For some of the responses 22 and 24, an exception of “reversal item” in which the arrangement of the best answer and the worst answer is reversed is adopted. This “reverse item” will be described later.

The answer fields on the conventional question form are all questions such as, for example, “Not at all”, “Slightly”, “Somewhat”, “Somewhat”, “Very many”. Was seeking a unified answer. And in order to follow such a unified answer, there was a restriction that the contents of each question item had to be simplified ("POMS ^TM shortened version of Non-Patent Document 5").

  On the other hand, in the answer column 20 of the stress sensitivity evaluation sheet 1, the best answer 22 and the worst answer 24 are written on both ends of each set 23 of the five options, so that each It is possible to answer questions accurately. For example, in response to the question “Can you eat a meal deliciously”, you can choose 5 answers from the best “very delicious” to the worst “not delicious” it can. In addition, for the question “Do you feel good?”, You can choose from 5 levels of answers, ranging from the best “very refreshing” to the worst “very depressed”. . In this way, by adding only the best answer 22 and the worst answer 24, it becomes possible to make an accurate answer according to the individual specific intention of each question item.

  Furthermore, the notation of the answers 22 and 24 has the effect of simplifying the arrangement configuration of the answer column 20 and facilitating the evaluation of the answers while improving the degree of freedom of the contents of the question items. That is, as in this embodiment, even when a positive question item and a negative question item are mixed in the question column 10, the notation of the answers 22 and 24 gives the set 23 of five options. It is possible to unify them in any order from good to bad or bad to good.

  For example, the answer field on the conventional question form is “No”, “Slightly”, “Somewhat”, “Sometimes” for both positive and negative questions. It was “in order” and “very much” in order. For this reason, the score for responding “very much” to the positive questionnaire is the same as the score for responding “very much” to the negative questionnaire. It becomes necessary to operate at the evaluation stage.

<< Reversal Item >>
As described above, most of the answers 22 and 24 shown in FIG. 1 are the best in one end and the poorest in the other, but in this embodiment, the eighth and twentieth questions The notation of answers to matters has been reversed (see the underlined answer notation in the figure). In other words, the answer to the eighth question “8 Are you feeling good?” Is marked with the answer 22 “Very depressed” at one end, and “Very good” at the other end. “Refreshing” answer 24 is written. Similarly, for the 20th question “20 work is going well”, the answer 22 of “bad at all” is written on one end and most on the other end. A good “very good” answer 24 is written.

  If the notation of the answer 22 on the one end side is all good and the notation of the answer 24 on the other end is all bad, a certain regularity occurs in the order from good to bad, and the answer of the subject becomes easy. However, as the answer progresses, the subject becomes accustomed to the regularity of the answer notation, and tends to fall into a tendency to check options without reading the answer notation. Therefore, by reversing the notation of the answers 22 and 24 of the question items that are appropriate delimiters among all 30 questions, the regularity up to that point is once reset, and the subject's thoughts are restored. By adopting such a “reverse item”, it is possible to prevent the subject from checking the options without reading the notation of the answer, and to obtain a more accurate answer.

<< Room for no answer >>
In the answer column 20 of the present embodiment, options 21 for selecting not to answer each question item in the question column 10 are provided corresponding to each set 23 of five options. The subject may have a large or small stress at the time of performing a mental health check using this stress sensitivity assessment sheet 1, out of a total of 30 questions, the subject feels difficult to answer There may be a matter. If such a question is configured so that any one of the options of the set 23 must be selected, there is a risk that the subject's spirit is burdened or a false answer is made. False answers will lead to a reduction in the accuracy of the final stress sensitivity assessment. Therefore, in this embodiment, the option 21 “I do not want to answer” is provided to reduce the mental burden of the subject and avoid false answers. When the test subject selects the option 21 “I do not want to answer”, this is also treated as one of the answers, and is subjected to stress sensitivity evaluation.

<Subject information entry field>
The subject information entry field 30 is composed of a personal ID information entry field 31, an entry date field 32, a sex entry field 33, and an age entry field 34. The personal ID information entry column 31 is provided on the assumption that the mental health check using the stress sensitivity evaluation sheet 1 is performed for employees of a company, and the personal ID such as an employee number is entered. To do.

  Further, in the entry date column 32, the date on which the mental health check using the stress sensitivity evaluation sheet 1 was performed is entered. The stress sensitivity evaluation using this stress sensitivity evaluation sheet 1 should not be completed by a single implementation, but by continuing multiple implementations over a period of time, whether the subject tends to improve over time, This is because it is important to check whether the trend is worsening.

<Stress sensitivity evaluation method>
Hereinafter, a stress sensitivity evaluation method using the above-described stress sensitivity evaluation sheet 1 will be described.

<< Comprehensive stress sensitivity assessment >>
In FIG. 1, the stress sensitivity of the subject can be comprehensively evaluated by summing the scores of the options selected by the subject among the options of each set 23. As described above, the five choices in each set 23 have 1 point for the best answer, 5 points for the worst answer, and 2 to 4 points between them. Therefore, the lower the total score, the lower the stress sensitivity of the subject, and the lower the possibility of suffering from a stress disease such as depression. Conversely, the higher the total score, the higher the stress sensitivity of the subject, and the higher the possibility of suffering from a stress disease such as depression.

Then, a certain threshold is set by clinical trials, and if the subject's stress sensitivity exceeds the threshold, this is regarded as a mild depression or an unaffected stage before the appearance of depression, and counseling is performed on the subject. Take advice and specific stress relief measures.
<< Specific example of evaluation >>
When an evaluation test using the stress sensitivity evaluation sheet 1 shown in FIG. 1 was performed on a clinical group of stress diseases and a general healthy group, the evaluation results of the clinical group were all 100 points or more. On the other hand, the average value of the evaluation results of the healthy group was about 77 points. Therefore, for example, less than 90 points are evaluated as normal, 90 to 99 points are evaluated as an unaffected stage before the onset of stress disease, and 100 points or more are evaluated as an onset stage of stress disease. The subject is given advice or treatment according to each stage.

<<Subject's problems >>
The stress sensitivity evaluation sheet 1 is useful not only for evaluating a subject's stress sensitivity but also for discovering the presence or absence of a problem that the subject has. In other words, this stress sensitivity evaluation sheet 1 answers to 30 questions related to body, psychology or behavior, sociality, and existence with five choices ranging from the best answer to the worst answer. It is the composition to do. Therefore, when a poor or worst answer (in this embodiment, an option in which 4 and 5 points are assigned) is made, the subject is one of those related to physical, psychological or behavioral, social, or existential. There may be problems, and it is possible to find such problems based on the number of options.

<Effect>
According to the stress sensitivity evaluation sheet 1 of the present embodiment described above, the presence / absence of various problems and stress sensitivity of the subject are evaluated comprehensively and comprehensively from the four categories of body, psychology or behavior, society, and existence. In addition, it is possible to find a problem at an unaffected stage before the onset of the stress disease, and to prevent the onset of the stress disease.

  In addition, the stress sensitivity evaluation sheet 1 has the following effects (1) to (6) that match the purpose and philosophy described at the beginning.

(1) Each of the 30 questions in the question column 10 shown in FIG. 1 asks the living behavior of the subject, and all the questions are objectively set within a range of good or bad subjects. It is a content that can be answered. Thereby, a test subject's stress state can be objectively evaluated.

(2) Derived from (1) above, the objective answer obtained from these 30 questions is analyzable, reproducible, and can withstand statistical studies. The 30 questions were the result of repeated trial production and adjustment, and it was confirmed that the five-step evaluation in the answer column 20 has a normal distribution. In addition, the reliability, validity, and reproducibility of each answer to the 30 questions were fully examined and satisfactory results were obtained.

(3) The 30 questions were all questions that asked the living behavior of the subjects, and the daily terms were expressed as simply as possible. As a result, each question can be easily understood by anyone, can be measured at any time in a short time, and does not hurt the subject. When an evaluation test using the stress sensitivity evaluation sheet 1 shown in FIG. 1 was performed, the average entry time of subjects was 12.5 ± 6.2 minutes. If it is this time, the measurement can be performed at any time in the free time without giving a mental burden to the subject. In particular, the evaluation using the stress sensitivity evaluation sheet 1 is preferably repeated for the same subject at different times, and only a few minutes are required if the subject gets used. In a basic study of this evaluation form for healthy volunteers, there was no example of 67 subjects who complained of filling out this evaluation form.

  In addition, since 30 questions were made into daily terms in plain language, for example, for subjects who are blind or those who can only take a lying position, for example, an attachment trusted by the subject reads the questions. It is possible to make the subject select an answer.

(4) Since the 30 questions are classified into four categories: physical, psychological or behavioral, social, and existing, there are many questions about the comprehensive stress status of individual subjects. Information is obtained. In addition, the responses of the subjects can be evaluated easily and clearly with five levels for each question and a total score for a comprehensive stress state. Therefore, if this stress sensitivity evaluation sheet 1 is used, an evaluation result can be obtained immediately after an answer is entered, and feedback can be fed back to the health of the subject on the spot, which is sufficiently useful for the health guidance of the subject.

(5) By newly providing an option 21 for selecting not to answer each question item in the answer column 20 shown in FIG. 1, the subject can answer with his / her freedom. Therefore, there is room for not answering questions that the subject does not want to answer, and the mental burden on the subject can be reduced and privacy can be protected.

(6) Since the stress sensitivity evaluation sheet 1 is realized by a paper medium, it can be easily and quickly mass-produced by printing, and the cost of one copy can be reduced as the mass printing is performed. As a result, for example, even in a large company with over tens of thousands of employees, stress diagnosis using this stress sensitivity evaluation sheet 1 is repeated periodically or irregularly for each employee without worrying about cost. can do. By carrying out continuously, it is possible to check whether the subject has a tendency to improve or aggravate stress sensitivity over time.

<Other changes>
The stress sensitivity evaluation sheet of the present invention is not limited to the above-described embodiment. For example, the Japanese expressions of each question item, best answer, and worst answer are not limited to those shown in FIG. Each question item is not limited to the content of the question item shown in FIG. 1 as long as it belongs to the four categories of body, psychology or behavior, society, and existence.

  Further, as in the stress sensitivity evaluation apparatus described below, the stress sensitivity evaluation sheet of the present invention is not limited to implementation on a paper medium, but display means such as a personal computer, a mobile phone, a smartphone, a game machine, etc. Each question item and answer may be displayed on the screen or on the screen of a display means connected to a personal computer or the like. In this case, a personal computer or the like may evaluate the stress state based on the answer input by the subject.

<Stress sensitivity evaluation device>
Hereinafter, an embodiment of a stress sensitivity evaluation apparatus in which a program of the present invention is installed in a computer will be described with reference to FIGS.

<< Entire configuration of stress sensitivity evaluation device >>
In FIG. 2, the stress sensitivity evaluation apparatus 2 according to the present embodiment includes a personal computer 50, a user interface such as a keyboard 56 and a mouse 57, and an image display apparatus 58 such as a liquid crystal display. The personal computer 50 includes a CPU (Central Processing Unit) 51, a ROM (Read-Only Memory) 52, a RAM (Random-Access Memory) 53, an interface circuit 54, and a display driving device 55. They are connected to each other by an output bus 104. The interface circuit 54 is connected to the keyboard 56 and the mouse 57 described above, and the display driving device 55 is connected to the image display device 58.

  Here, the ROM 52 stores a program for realizing the evaluation using the stress sensitivity evaluation sheet 1 shown in FIG. This program displays the contents of the stress sensitivity evaluation sheet 1 on the image display device 58, totals the total points of each answer input to the answer field 23 or 21 via the keyboard 56 or the mouse 57, and calculates the total score. The CPU 51 is caused to execute a control process for causing the image display device 58 to display an evaluation result on the sensitivity to stress compared with a preset threshold value.

  The above-described program may be downloaded to the personal computer 50 via the Internet, or may be downloaded to the personal computer 50 via a storage medium such as a CD-ROM or DVD-ROM that stores the program.

<< Control processing of stress sensitivity evaluation apparatus >>
Next, the flow of control processing of the stress sensitivity evaluation apparatus 2 described above will be described. The subject answers the questions on the stress sensitivity evaluation sheet 1 displayed on the image display device 58 using the keyboard 56 or the mouse 57 shown in FIG. This answer is input by, for example, clicking one of the options in the answer field 23 or 21.

  Next, for example, the subject presses a return key (not shown) of the keyboard 56 to cause the personal computer 50 to transmit a signal indicating that the input to the answer fields 23 and 21 has been completed. This signal is transmitted to the CPU 51 via the interface circuit 54.

  The CPU 51 that has received the signal from the keyboard 56 executes the control processing of steps S1 to S9 shown in FIG. First, in step S1, the CPU 51 determines that the input in the answer column 23 or 21 is completed (YES), and determines whether there are unfilled answer columns 23 and 21 for the question items of 1 to 30 questions. (Step S2). If the return key of the keyboard 56 is not pressed, the CPU 51 determines that the input in the answer column 23 or 21 is not completed (NO in step S1), and repeats the determination in step S1.

  In step S <b> 2, the CPU 51 determines whether there is an unfilled answer field 23 or 21. If it is determined that there is an unfilled answer field 23 or 21 (YES), the CPU 51 proceeds to step S3 and causes the image display device 58 to display a confirmation message indicating that there is an unfilled answer field. For example, another window is opened on the display of the stress sensitivity evaluation sheet 1 on the image display device 58, and “●● No answer has been entered. After selecting one of the answers, press the return key again. Please display a confirmation message. Thereafter, when the return key is pressed again (YES in step S1), the CPU 51 performs the determination in step S2 again.

  If it is determined in step S2 described above that there is no uninput answer field 23 or 21 (NO), the CPU 51 proceeds to step S4 and calculates the total score of all answers of 1 to 30 questions. In step S5, the CPU 51 determines whether or not the total score of all responses is less than 90 points. If it is determined that the total score of all responses is less than 90 (YES), the CPU 51 proceeds to step S6 and displays on the image display device 58 that the stress sensitivity evaluation result is “normal”. Thereafter, the control process shown in FIG. 3 ends.

  If it is determined in step S5 described above that the total score of all answers is 90 or more (NO), the CPU 51 proceeds to step S7 and determines whether or not the total score of all answers is less than 100. . When it is determined that the total score of all responses is less than 100 (YES), the CPU 51 proceeds to step S8, and displays an image display indicating that the stress sensitivity evaluation result is “an unaffected stage before the onset of stress disease”. It is displayed on the device 58. Then, the control process regarding evaluation is complete | finished.

  If it is determined in step S7 described above that the total score of all responses is 100 or more (NO), the CPU 51 proceeds to step S9, and the stress sensitivity evaluation result is “there is a risk of developing a stress disease”. That is displayed on the image display device 58. Then, the control process regarding evaluation is complete | finished.

<< Action and effect >>
According to the stress sensitivity evaluation apparatus 2 of the present embodiment configured as described above, the sensitivity of the subject to stress can be easily evaluated using the subject's personal computer 50. In particular, since the personal computer 50 performs the evaluation, a third party does not know his / her answer. As a result, the privacy of the subject can be protected, and answers to questions that are difficult to answer can be answered honestly, and a more accurate evaluation result can be obtained.

  In the above embodiment, the program of the present invention is installed in the personal computer 50 to realize the function of the stress sensitivity evaluation apparatus 2, but the terminal device to which the program of the present invention is applied is limited to the personal computer 50. It is not something. For example, by applying the program of the present invention to a terminal device such as a mobile phone, a smartphone, or a portable game machine, a stress sensitivity evaluation device similar to that in the above embodiment can be realized.

1 Stress Sensitivity Evaluation Form 10 Question Field 20 Answer Field 21 Options for Selecting Not to Answer 22 Notation of Best Answer 23 Set of 5 Choices as Answers 24 Notation of Poor Answer 30 Subject Information Information Field 31 Personal ID information entry field 32 Date of entry field 33 Gender entry field 34 Age entry field 40 Margin 41 Answer entry method 42 Answer entry example 2 Stress sensitivity evaluation device 50 Personal computer 51 CPU
52 ROM
53 RAM
54 Interface Circuit 55 Display Drive Device 56 Keyboard (User Interface)
57 Mouse (user interface)
58 Image display device

Claims (11)

A stress sensitivity evaluation sheet including a question column and an answer column for evaluating a subject's sensitivity to stress with a score,
The question column includes a plurality of categories classified into a first category relating to the human body, a second category relating to human psychology or behavior, a third category relating to human sociality, and a fourth category relating to human existence. The questions are written in text, and these questions are questions about the living behavior of the subject, and the content of the subject can be answered within the range of good or bad,
In the answer column, for each question item in the question column, a set consisting of a plurality of options for selecting and answering the degree that the subject feels good or bad is included in each set. The plurality of options are arranged in a line in the order from good to bad or from bad to good, and each option is given a different score according to the order of the stress sensitivity evaluation, Paper.   2. The questions regarding a plurality of bodies belonging to the first category of the question column are two or more arbitrarily selected from questions regarding appetite, sleep, defecation, fatigue, physical condition, weight, or pain. Stress sensitivity evaluation form.   The question items in the psychology or behavior belonging to the second category of the question column are depression, anxiety, irritability, anger, overadaptation, confusion, overcommitment, responsibility, self-esteem, work status, mood, change of mood or sex life The stress sensitivity evaluation sheet according to claim 1, wherein the stress sensitivity evaluation sheet is two or more arbitrarily selected from the question items regarding.   The questions about a plurality of societies belonging to the third category of the question column are two or more arbitrarily selected from questions about work, home, human relations, time management, money or economy. 4. The stress sensitivity evaluation sheet according to any one of 3 above.   A plurality of questions regarding existence that belong to the fourth category in the question column are arbitrarily selected from among questions regarding self-failure, meaning of living, freedom to live, coping attitude of living, belief or faith. The stress sensitivity evaluation paper according to any one of claims 1 to 4, which is two or more selected.   The stress according to any one of claims 1 to 5, wherein the question item belonging to at least one of the second to fourth categories of the question column includes a question item of contents relating to work or work status. Sensitivity evaluation form.   In the answer column, the best answer is written in text on one end of each set of options, and the worst answer is written in text on the other end of each set of options. 7. The stress sensitivity evaluation sheet according to any one of 6 above.   Reversal of a part of the set of choices, with the poorest answer written in text on one end and the best answer written in text on the other end of each set of options The stress sensitivity evaluation sheet according to claim 7, wherein the item is adopted.   The answer column is provided with an option or a column for selecting not to answer each question item in the question column corresponding to each set of the options. The stress sensitivity evaluation form described.   The stress sensitivity evaluation sheet according to any one of claims 1 to 9, wherein a time range when considering an answer to each question item in the question column is described in a place other than the question column and the answer column. . A program for realizing an evaluation using the stress sensitivity evaluation sheet according to any one of claims 1 to 10 by a computer,
The content of the stress sensitivity evaluation sheet is displayed on the image display device, the total score of each answer input to the answer column via the user interface is totaled, and the total score is compared with a preset threshold value. A program for causing the computer to execute a control process for causing the image display device to display an evaluation result regarding sensitivity to stress.