人間の記憶と習慣改善に関する研究(In search of a way to improve humans’ faulty memories and bad habits)

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2025-06-16 カリフォルニア大学バークレー校 (UCB)

UCバークレーのハーヴェイ教授は、人間の記憶の不完全さと習慣形成の難しさが治療効果を阻害していると指摘。患者は医師の説明を平均30%しか記憶せず、改善にはテキスト通知などでの記憶補助や、既存習慣と新行動を結びつける工夫が有効とされる。睡眠改善の行動習慣化を促す実験では、リマインダーと内的報酬の組合せが効果的だった。治療支援には明確な指示と継続的サポートが重要と示された。

<関連情報>

エビデンスに基づく心理学的治療による利益の最大化: 記憶支援と習慣形成が重要な戦略である☆,☆☆ Maximizing benefits from evidence-based psychological treatments: Memory support and habit formation as key strategies☆,☆☆

Allison G. Harvey
Behaviour Research and Therapy  Available online: 13 May 2025
DOI:https://doi.org/10.1016/j.brat.2025.104767

人間の記憶と習慣改善に関する研究(In search of a way to improve humans’ faulty memories and bad habits)

Highlights

  • Leveraging basic science can improve EBPT outcomes.
  • Addressing poor patient memory for treatment may improve EBPT outcomes.
  • Integrating the science of habit formation may improve EBPT outcomes.

Abstract

Evidence-based psychological treatments (EBPTs) aim to reverse psychological processes that contribute to the development and/or maintenance of mental illness. Developed and rigorously tested through scientific research, EBPTs effectively address a broad range of mental health challenges, often as front-line treatments. However, there is potential to further improve outcomes. This paper examines two strategies for maximizing the benefits of EBPTs. The first addresses the concerning and well replicated finding that patients accurately recall only about one-third of the treatment points discussed during a session. This poor memory for treatment negatively impacts adherence to the EBPT and outcomes from the EBPT. The process of developing and testing the Memory Support Intervention (MSI), to improve patient memory for treatment, is described. The latter involved leveraging findings from cognitive psychology and education to develop memory support strategies to add to EBPTs, with the goal of improving EBPT outcomes. The second strategy for maximizing the benefits of EBPTs highlights the potential of habit formation principles to enhance EBPTs. While a core goal of EBPTs is to reduce unhelpful habits and encourage adaptive ones, the science of habit formation has not been fully integrated. The Habit-based Intervention (HABITs) was developed to explicitly incorporate habit formation elements into EBPTs. Both the MSI and HABITs are designed as adjunctive interventions, enhancing EBPTs without increasing the number or duration of sessions. This paper concludes by emphasizing the importance of leveraging insights from diverse fields of basic science to uncover new strategies for improving both the short- and long-term outcomes of EBPTs.

医療・健康
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