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大学院医学系研究科（保健学専攻） 作業療法学講座 |
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Akita |
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2022年04月-継続中
秋田大学 大学院医学系研究科（保健学専攻） 作業療法学講座 教授
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2019年08月-2022年03月
秋田大学 大学院医学系研究科（医学専攻等） 医学専攻 病態制御医学系 精神科学講座 准教授
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Preterm toddlers have low nighttime sleep quality and high daytime activity.
Yoko Asaka, Yusuke Mitani, Hidenobu Ohta, Takayo Nakazawa, Rika Fukutomi, Kyoko Kobayashi, Mayuko Kumagai, Hitomi Shinohara, Michiko Yoshida, Akiko Ando, Yuko Yoshimura, Machiko Nakagawa, Yoshihisa Oishi, Masato Mizushima, Hiroyuki Adachi, Yosuke Kaneshi, Keita Morioka, Yoshitaka Seto, Rinshu Shimabukuro, Michio Hirata, Takashi Ikeda, Miwa Ozawa, Masahiro Takeshima, Atsushi Manabe, Tsutomu Takahashi, Kazuo Mishima, Mitsuru Kikuchi, Hitoshi Yoda, Isao Kusakawa, Kazutoshi Cho
Scientific reports ( Scientific Reports ) 12 ( 1 ) 20032 - 20032 2022年11月
研究論文（学術雑誌）
A number of studies have been made on the sleep characteristics of children born preterm in an attempt to develop methods to address the sleep problems commonly observed among such children. However, the reported sleep characteristics from these studies vary depending on the observation methods used, i.e., actigraphy, polysomnography and questionnaire. In the current study, to obtain reliable data on the sleep characteristics of preterm-born children, we investigated the difference in sleep properties between 97 preterm and 97 term toddlers of approximately 1.5 years of age using actigraphy. Actigraphy units were attached to the toddlers' waists with an adjustable elastic belt for 7 consecutive days, and a child sleep diary was completed by their parents. In the study, we found that preterm toddlers had more nocturnal awakenings and more daytime activity, suggesting that preterm-born children may have a different process of sleep development in their early development.
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Pregabalin withdrawal in patients without psychiatric disorders taking a regular dose of pregabalin: A case series and literature review.
Hayahito Ishikawa, Masahiro Takeshima, Hiroyasu Ishikawa, Naoko Ayabe, Hidenobu Ohta, Kazuo Mishima
Neuropsychopharmacology reports 2021年08月
研究論文（学術雑誌）
Pregabalin is a drug that can cause psychiatric symptoms via pregabalin withdrawal. Prior reports on pregabalin withdrawal have mainly focused on cases with pregabalin dependence or abuse, and little attention has been paid to patients who are prescribed regular doses of pregabalin. Herein, we report three cases of pregabalin withdrawal in patients without psychiatric disorders, taking regular doses of pregabalin, who developed psychiatric symptoms such as insomnia and anxiety after abrupt discontinuation of pregabalin. In addition, we conducted a systematic review of six case reports (previous studies) of pregabalin withdrawal under regular doses of pregabalin. Among the six cases, three patients had no comorbid mental or substance use disorders, the dose of pregabalin ranged from 150 to 600 mg/d, and the duration of pregabalin use ranged from a few weeks to many years. Of these six cases of pregabalin withdrawal, five had psychopathological symptoms, three had vegetative symptoms, and three had neurologic and physical complications. We concluded that since pregabalin withdrawal can occur even with regular doses and short-term use, clinicians must carefully reduce pregabalin doses when reducing or discontinuing treatment, paying close attention to withdrawal symptoms. Our case series sheds light on the scant evidence from previous research on physical dependence in patients who are taking regular doses of pregabalin. Furthermore, our cases were also valuable in demonstrating that pregabalin withdrawal can occur even after a relatively short period of 2 months.
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Sleep maturation influences cognitive development of preterm toddlers.
Akiko Ando, Hidenobu Ohta, Yuko Yoshimura, Machiko Nakagawa, Yoko Asaka, Takayo Nakazawa, Yusuke Mitani, Yoshihisa Oishi, Masato Mizushima, Hiroyuki Adachi, Yosuke Kaneshi, Keita Morioka, Rinshu Shimabukuro, Michio Hirata, Takashi Ikeda, Rika Fukutomi, Kyoko Kobayashi, Miwa Ozawa, Masahiro Takeshima, Atsushi Manabe, Tsutomu Takahashi, Kazuo Mishima, Isao Kusakawa, Hitoshi Yoda, Mitsuru Kikuchi, Kazutoshi Cho
Scientific reports 11 ( 1 ) 15921 - 15921 2021年08月
研究論文（学術雑誌）
Our recent study on full-term toddlers demonstrated that daytime nap properties affect the distribution ratio between nap and nighttime sleep duration in total sleep time but does not affect the overall total amount of daily sleep time. However, there is still no clear scientific consensus as to whether the ratio between naps and nighttime sleep or just daily total sleep duration itself is more important for healthy child development. In the current study, to gain an answer to this question, we examined the relationship between the sleep properties and the cognitive development of toddlers born prematurely using actigraphy and the Kyoto scale of psychological development (KSPD) test. 101 premature toddlers of approximately 1.5 years of age were recruited for the study. Actigraphy units were attached to their waist with an adjustable elastic belt for 7 consecutive days and a child sleep diary was completed by their parents. In the study, we found no significant correlation between either nap or nighttime sleep duration and cognitive development of the preterm toddlers. In contrast, we found that stable daily wake time was significantly associated with better cognitive development, suggesting that sleep regulation may contribute to the brain maturation of preterm toddlers.
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Association between sleep habits/disorders and emotional/behavioral problems among Japanese children.
Masahiro Takeshima, Hidenobu Ohta, Tomoko Hosoya, Masakazu Okada, Yukako Iida, Aiko Moriwaki, Hidetoshi Takahashi, Yoko Kamio, Kazuo Mishima
Scientific reports 11 ( 1 ) 11438 - 11438 2021年06月
研究論文（学術雑誌）
Actual sleep status and the association between sleep habits/disorders and emotional/behavioral problems among children in the development stage have not been fully clarified. A questionnaire survey was conducted on the sleep habits/disorders (Brief Child Sleep Questionnaire; BCSQ) and emotional/behavioral problems (Strengths and Difficulties Questionnaire; SDQ) of 87,548 children enrolled in ordinary classes in nine grade levels from the first grade of elementary school to the third grade of junior high school from December 2009 to April 2010. As school grade increased, children's bedtimes were delayed and sleep duration was reduced by 2.0 h over the nine grade levels. Based on the BCSQ, 18.3% of children were judged to have some type of sleep disorder, and about 30% to 40% of children had sleep symptoms at bedtime, during sleep, and at wake time. Multiple regression analysis showed that emotional and behavioral problems were associated with presence of any sleep symptom, longer sleep latency, and longer awake time after sleep onset, whereas total sleep time was not. Sleep symptoms at wake time were most strongly associated with emotional and behavioral problems. Status of sleep habits/disorders should be considered when interpreting emotional/behavioral problems in school-age children.
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Daytime nap and nighttime breastfeeding are associated with toddlers' nighttime sleep.
Machiko Nakagawa, Hidenobu Ohta, Rinshu Shimabukuro, Yoko Asaka, Takayo Nakazawa, Yoshihisa Oishi, Michio Hirata, Akiko Ando, Takashi Ikeda, Yuko Yoshimura, Yusuke Mitani, Yousuke Kaneshi, Keita Morioka, Rika Fukutomi, Kyoko Kobayashi, Miwa Ozawa, Masahiro Takeshima, Kazuo Mishima, Mitsuru Kikuchi, Kazutoshi Cho, Hitoshi Yoda, Isao Kusakawa
Scientific reports 11 ( 1 ) 3028 - 3028 2021年02月
研究論文（学術雑誌）
The purpose of the present study is to examine the association between toddlers' sleep arrangements and their nighttime sleep duration and other sleep variables. For this investigation, we performed a study in which child activity and sleep levels were recorded using actigraphy. The parents of 1.5-year-old toddlers (n = 106) were asked to attach an actigraphy unit to their child's waist with an adjustable elastic belt and complete a sleep diary for 7 consecutive days. Questionnaires were used to assess the sleep arrangements of the toddlers. There was a significant negative correlation between nap duration and nighttime sleep duration, suggesting that longer nap sleep induces shorter nighttime sleep duration. Among the sleep arrangements, such as nighttime breastfeeding or co-sleeping, only nighttime breastfeeding predicted shorter nighttime sleep duration. Our findings indicate that shorter naps induce a longer nighttime sleep in 1.5-year-old toddlers while nighttime breastfeeding decreases their nighttime sleep duration.
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添い寝や授乳が幼児期の夜間睡眠に与える影響について
中川 真智子, 太田 英伸, 大石 芳久, 平田 倫生, 長 和俊, 与田 仁志, 草川 功
日本周産期・新生児医学会雑誌 ( (一社)日本周産期・新生児医学会 ) 58 ( Suppl.1 ) 308 - 308 2022年06月
研究論文（その他学術会議資料等）
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感染症蔓延下における家族のメンタルヘルスに寄り添うには～デベロップメンタルケアからみた早産児出生後の家族支援
太田英伸, 有光威志, 新井浩和, 大城昌平, 仁志田博司
周産期医学 52 902 - 905 2022年06月
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乳幼児の睡眠発達と問題行動について
中川 真智子, 太田 英伸
日本睡眠学会定期学術集会プログラム・抄録集 ( (一社)日本睡眠学会 ) 47回 235 - 235 2022年06月
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夜間の授乳は1歳6ヵ月児の睡眠にどう影響するのか
中川 真智子, 太田 英伸
脳と発達 ( (一社)日本小児神経学会 ) 54 ( Suppl. ) S219 - S219 2022年05月
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【"超"実践!根拠も分かる!ディベロップメンタルケア 基本から痛みのケアまで】感覚機能の発達と統合
儀間 裕貴, 樋口 正勝, 熊谷 真愉子, 太田 英伸
with NEO ( (株)メディカ出版 ) 34 ( 5 ) 789 - 794 2021年10月
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適正使用のための臨床時間治療学～生体リズムと薬物治療効果～
藤村昭夫, 大戸茂弘, 安藤 仁, 牛島健太郎 ( 担当： その他 )
診断と治療社 2022年01月 ISBN: 9784787824844
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お母さんとお父さんへ贈る赤ちゃんの「あたたかい心」を育むヒント
太田英伸 ( 担当： その他 )
atrium 2021年01月
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乳幼児の発達と保育 食べる・眠る・遊ぶ・繋がる
太田 英伸 ( 担当： その他 )
朝倉出版 2019年08月 ISBN: 4254650086
学会等発表 【 表示 ／ 非表示 】
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ママカフェ CARE(Child-Adult Relationship Enhancement 親子関係改善法)勉強会
太田英伸(秋田大学大学院医学系研究科 作業療法学講座)、荒川祐介(秋田県立医療療育センター)、成田好美・工藤直子・熊谷真愉子・ 菊地麻里(秋田大学大学院医学系研究科 看護学講座) [招待有り]
秋田大学ママカフェ (秋田市、web) 2023年02月 - 2023年02月 秋田大学
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胎児・新生児・乳児の発達とディベロプメンタルケア～サーカディアンリズム、睡眠、早期療育の視点から
太田英伸 [招待有り]
第36回 岡山新生児研究会 (岡山市、web) 2023年02月 - 2023年02月 岡山新生児研究会
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新卒社会人のASD/ADHDの診断と治療
太田英伸 [招待有り]
精神科学校医による研修会 (秋田市、由利本荘市、web) 2023年02月 - 2023年02月 秋田県立大学(秋田キャンパス・本庄キャンパス)
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睡眠メカニズムの発達と睡眠障害について
太田英伸 [招待有り]
令和4年度 秋田大学公開講座 (秋田、web) 2023年02月 - 2023年02月 秋田大学
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睡眠障害を背景とする子どもの心の悩み：症例検討から2つの異なるアプローチを考える
太田英伸 [招待有り]
令和４年度秋田市学校保健講演会、第44回秋田市医師会校医の会 (秋田、web講演) 2023年01月 - 2023年01月 秋田市学校保健講演会、秋田市医師会
学会・委員会等活動 【 表示 ／ 非表示 】
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日本児童青年精神医学会
2022年04月-継続中代議員（秋田県）
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日本生理人類学会
2017年04月-継続中代議員
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日本時間生物学会
1999年-継続中評議員