Noguchi Wataru, Morita Satoshi, Ohno Tatsuya, Aihara Okihiko, Tsujii Hirohiko, Shimozuma Kojiro, Matsushima Eisuke
Section of Liaison Psychiatry and Palliative Medicine, Graduate School of Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Support Care Cancer. 2006 Jan;14(1):65-70. doi: 10.1007/s00520-005-0827-2. Epub 2005 Apr 26.
The suitability of Frankl's logotherapy for the spiritual care (psychotherapy) of cancer patients in Japan is suggested. Using Functional Assessment of Chronic Illness Therapy-Spiritual (FACIT-Sp, Japanese version), the Purpose in Life test (PIL test, Japanese version), and WHO-Subjective Inventory (WHO-SUBI, Japanese version), we attempted to elucidate the complicated structure of spirituality in cancer patients in order to identify possible approaches to their spiritual care and means of evaluating such care.
Two hundred and ninety-eight cancer patients participated in the study. All three tests were taken at the same time, and the results were evaluated by principal component analysis.
It was demonstrated that all the subscales employed in the present study could be represented by a two-dimensional structure (two principal components), and that the FACIT-Sp and PIL tests have similar contents.
FACIT-Sp (Japanese version) is very similar in conception to the PIL test, which was prepared in accordance with logotherapy. The results suggest that this test can serve as an adequate evaluation scale for measuring the effectiveness of spiritual care based on Frankl's logotherapy.
有人提出弗兰克的意义疗法适用于日本癌症患者的精神关怀（心理治疗）。我们使用慢性病治疗功能评估-精神量表（FACIT-Sp，日文版）、生活目的测试（PIL测试，日文版）和世界卫生组织主观量表（WHO-SUBI，日文版），试图阐明癌症患者精神性的复杂结构，以便确定对其进行精神关怀的可能方法以及评估此类关怀的手段。
298名癌症患者参与了本研究。所有三项测试同时进行，结果通过主成分分析进行评估。
结果表明，本研究中使用的所有子量表都可以由二维结构（两个主成分）表示，并且FACIT-Sp和PIL测试的内容相似。
FACIT-Sp（日文版）在概念上与根据意义疗法编制的PIL测试非常相似。结果表明，该测试可以作为衡量基于弗兰克意义疗法的精神关怀效果的适当评估量表。
