{"id":227,"date":"2013-04-05T00:00:00","date_gmt":"2013-04-04T15:00:00","guid":{"rendered":"https:\/\/l.tsukisame.wafflecell.com\/cbrain\/index.php\/2013\/04\/05\/2-1-3-%e3%81%86%e3%81%a4%e7%97%85%e3%81%ae%e5%bf%83%e7%90%86%e7%9a%84%e7%97%87%e7%8a%b6\/"},"modified":"2020-06-30T12:07:02","modified_gmt":"2020-06-30T03:07:02","slug":"depression03","status":"publish","type":"post","link":"\/cbrain\/index.php\/2013\/04\/depression03\/","title":{"rendered":"\u9b31\u306e\u6570\u5e7403\uff5c\u3046\u3064\u75c5\u306e\u5fc3\u7406\u7684\u75c7\u72b6"},"content":{"rendered":"

\u7d9a\u3044\u3066\u5fc3\u7406\u7684\u306a\u75c7\u72b6\u306b\u3064\u3044\u3066\u3067\u3059\u3002\u6700\u521d\u306f\u8eab\u4f53\u7684\u75c7\u72b6\u304c\u51fa\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u3046\u3061\u305f\u3060\u306e\u300c\u75b2\u308c\u300d\u3068\u306f\u9055\u3046\u306a\u3001\u3068\u6c17\u3065\u304d\u59cb\u3081\u307e\u3059\u304c\u3001\u4ee5\u4e0b\u305d\u3046\u3057\u305f\u300c\u9055\u548c\u611f\u300d\u304c\u306a\u3093\u3060\u3063\u305f\u306e\u304b\u306b\u3064\u3044\u3066\u8a18\u9332\u3057\u307e\u3059\u3002<\/p>\n

\uff1c\uff1e\uff1c\uff1e\uff1c\uff1e\uff1c\uff1e\uff1c\uff1e\uff1c\uff1e<\/p>\n

\u30a2\u30e1\u30ea\u30ab\u7cbe\u795e\u533b\u5b66\u4f1a\u306e\u5b9a\u3081\u305f\u300c\u7cbe\u795e\u969c\u5bb3\u306e\u8a3a\u65ad\u3068\u7d71\u8a08\u306e\u624b\u5f15\u304d\u300d(DSM-IV)\u306e\u8a3a\u65ad\u57fa\u6e96\u3084\u3001\u4e16\u754c\u4fdd\u5065\u6a5f\u95a2(WHO) \u306b\u3088\u308b\u300c\u75be\u75c5\u53ca\u3073\u95a2\u9023\u4fdd\u5065\u554f\u984c\u306e\u56fd\u969b\u7d71\u8a08\u5206\u985e\u300d(ICD-10)\u306e\u8a3a\u65ad\u57fa\u6e96\u306f\u3072\u3068\u3064\u306e\u76ee\u5b89\u306b\u306f\u306a\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u3042\u307e\u308a\u6559\u79d1\u66f8\u7684\u306b\u5224\u65ad\u3067\u304d\u306a\u3044\u3082\u306e\u3067\u3059\u3002
\n\u3067\u3059\u304c\u304a\u305d\u3089\u304f\u305f\u3044\u304c\u3044\u306e\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3053\u308c\u3089\u3092\u57fa\u306b\u5224\u65ad\u3057\u3066\u3044\u308b\u6a21\u69d8\u3067\u3059\u3002<\/p>\n

\u5927\u304d\u306a\u30dd\u30a4\u30f3\u30c8\u306e\u3072\u3068\u3064\u306f\u3001
\n\u300c\u307b\u307c\u6bce\u65e5\uff11\u65e5\u3058\u3085\u3046\u6c17\u5206\u304c\u6c88\u3093\u3067\u3044\u308b\u3001\u307b\u307c\u6bce\u65e5\u4e00\u65e5\u4e2d\u4f55\u306b\u5bfe\u3057\u3066\u3082\u8208\u5473\u304c\u308f\u304b\u305a\u3001\u697d\u3057\u3081\u306a\u3044\u3001\u3068\u3044\u3046\u72b6\u614b\u304c2\u9031\u9593\u4ee5\u4e0a\u7d9a\u3044\u3066\u3044\u308b\u300d
\n\u3068\u3044\u3046\u3082\u306e\u30022\u9031\u9593\u7a0b\u5ea6\u3001\u3068\u3044\u3046\u306e\u304c\u30de\u30a4\u30eb\u30b9\u30c8\u30fc\u30f3\u306e\u3088\u3046\u306b\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002
\n\u8f9b\u3044\u3053\u3068\u60b2\u3057\u3044\u3053\u3068\u3067\u843d\u3061\u8fbc\u3093\u3060\u308a\u3057\u305f\u5834\u5408\u3001\u305f\u3044\u3066\u3044\u306f\u7d042\u9031\u9593\u3082\u7d4c\u904e\u3059\u308b\u3068\u5c11\u3057\u305a\u3064\u7652\u3048\u3066\u304f\u308b\u3001\u3068\u3044\u3046\u306e\u304c\u666e\u901a\u3067\u30012\u9031\u9593\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\u3082\u6cbb\u3089\u306a\u3044\u306e\u306f\u75c5\u304c\u59cb\u307e\u3063\u3066\u3044\u308b\u60e7\u308c\u304c\u3042\u308b\u304b\u3089\u3001\u3068\u3044\u3046\u5224\u65ad\u3060\u305d\u3046\u3067\u3059\u3002<\/p>\n

\u3082\u3046\u3072\u3068\u3064\u306f\u3001ICD-10\u306e\u8a3a\u65ad\u57fa\u6e96\u30fbF32.0\u8efd\u75c7\u3046\u3064\u75c5\u30a8\u30d4\u30bd\u30fc\u30c9\u306b\u304a\u3051\u308b\u3001
\n\u300c2. \u901a\u5e38\u306a\u3089\u697d\u3057\u3044\u306f\u305a\u306e\u6d3b\u52d5\u306b\u304a\u3051\u308b\u8208\u5473\u3084\u559c\u3073\u306e\u55aa\u5931\u300d
\n\u3067\u3057\u3087\u3046\u304b\u3002\u9b31\u304c\u300c\u3084\u307e\u3044\u300d\u3068\u306a\u308b\u4e00\u756a\u9855\u8457\u306a\u6761\u4ef6\u306f\u3001\u3053\u306e\u300c\u597d\u304d\u306a\u3053\u3068\u304c\u3084\u308c\u306a\u304f\u306a\u308b\u300d\u3068\u3044\u3046\u6c17\u5206\u5909\u5316\u3060\u3068\u601d\u3044\u307e\u3059\u3002(\u6628\u4eca\u306e\u65b0\u578b\u3046\u3064\u306f\u3069\u3046\u3082\u3053\u308c\u306b\u306f\u5f53\u305f\u3089\u305a\u3001\u6761\u4ef6\u304c\u9055\u3046\u3088\u3046\u3067\u3059\u304c)
\n\u81ea\u4fe1\u55aa\u5931\u3001\u6291\u3046\u3064\u6c17\u5206\u3001\u4e00\u6642\u7684\u306a\u4e0d\u7720\u3084\u4f53\u8abf\u4e0d\u826f\u304c2\u9031\u9593\u7d9a\u304f\u3001\u306a\u3069\u306f\u300c\u9b31(\u3046\u3064)\u75c5\u300d\u3067\u306a\u304f\u3068\u3082\u8d77\u3053\u308a\u3048\u308b\u300c\u4e00\u6642\u7684\u306a\u72b6\u614b\u300d\u306e\u5834\u5408\u3082\u3042\u308a\u5f97\u307e\u3059\u304c\u3001\u3053\u308c\u3089\u306e\u75c7\u72b6\u306b\u52a0\u3048\u3066\u300c\u597d\u304d\u306a\u3053\u3068\u304c\u3084\u308c\u306a\u304f\u306a\u308b\u300d\u72b6\u614b\u304c\u9b31\u75c5\u3067\u3042\u308b\u3053\u3068\u306e\u5883\u76ee\u306e\u3088\u3046\u306a\u6c17\u304c\u3001\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n

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\n\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3067\u3082\u8a00\u308f\u308c\u3066\u3044\u308b\u3001\u4e09\u3064\u306e\u30dd\u30a4\u30f3\u30c8\u3002
\n\u2460\u81ea\u5df1\u5426\u5b9a\uff1a\u81ea\u5206\u306b\u5bfe\u3057\u3066\u60b2\u89b3\u7684
\n\u2461\u5b64\u72ec\u611f\uff1a\u5468\u56f2\u306b\u5bfe\u3057\u3066\u60b2\u89b3\u7684\u306b\u306a\u308b\u3053\u3068\u3067\u3001\u5b64\u72ec\u3092\u611f\u3058\u308b
\n\u2462\u5c06\u6765\u60b2\u89b3\uff1a\u8fd1\u304f\u3082\u9060\u304f\u3082\u3001\u60b2\u89b3\u7684\u3002\u5148\u884c\u304d\u4e0d\u5b89\u3002
\n\u3053\u308c\u3089\u306b\u7167\u3089\u3057\u3066\u3082\u601d\u3044\u5f53\u305f\u308b\u70b9\u304c\u3042\u308a\u3001\u305d\u3057\u3066\u305d\u308c\u3092\u308f\u308a\u3068\u660e\u78ba\u306b\u81ea\u899a\u3057\u305f\u3068\u304d\u3001\u305f\u3060\u306e\u75b2\u308c\u3068\u9055\u3046\u3001\u3068\u611f\u3058\u3066\u81ea\u5206\u306e\u9b31\u306b\u6c17\u3065\u3044\u305f\u3068\u8a00\u3048\u307e\u3059\u3002
\n\u3068\u306b\u304b\u304f\u300c\u6c17\u5206\u8ee2\u63db\u304c\u3067\u304d\u305a\u300d\u300c\u8fd1\u3044\u5c06\u6765\u3082\u9060\u3044\u5c06\u6765\u3082\u5168\u304f\u697d\u89b3\u7684\u306b\u306a\u308c\u306a\u3044\u300d\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u3002\u53e3\u306b\u51fa\u3055\u306a\u304f\u3068\u3082\u982d\u3067\u8003\u3048\u3066\u7720\u308c\u306a\u304f\u306a\u308b\u307b\u3069\u3002
\n\u98a8\u5442\u306b\u5165\u3063\u3066\u4e00\u7720\u308a\u3059\u308b\u3001\u3042\u308b\u3044\u306f\u8da3\u5473\u306b\u6ca1\u982d\u3059\u308b\u3001\u826f\u3044\u307b\u3046\u306b\u8003\u3048\u3066\u307f\u308b\u3001\u306a\u3069\u3068\u3044\u3063\u305f\u3053\u3068\u3067\u4e00\u6642\u3067\u3082\u30af\u30ea\u30a2\u3055\u308c\u308b\u3001\u3068\u3044\u3046\u3053\u3068\u304c\u306a\u304f\u306a\u308a\u307e\u3059\u3002\u5c24\u3082\u9b31\u75c5\u306b\u306a\u308b\u3068\u7720\u308c\u306a\u3044\u308f\u8da3\u5473\u306b\u6ca1\u982d\u306a\u3069\u3067\u304d\u306a\u3044\u308f\u3001\u3067\u3001\u30cb\u30ef\u30c8\u30ea\u304c\u5148\u304b\u5375\u304c\u5148\u304b\u308f\u304b\u3089\u306a\u3044\u72b6\u614b\u3067\u3059\u304c\u2026\u3002<\/p>\n

\uff1c\uff1c\u5e38\u6642\u7dca\u5f35\u72b6\u614b\u304c\u7d9a\u304f\uff1e\uff1e
\n\u79c1\u306e\u5834\u5408\u3001\u6c17\u5206\u304c\u6c88\u3080\u306e\u3068\u7dca\u5f35\u72b6\u614b\u306f\u88cf\u8179\u306a\u72b6\u614b\u306b\u3042\u308a\u307e\u3057\u305f\u3002
\n\u98a8\u5442\u306b\u5165\u3063\u3066\u3044\u308b\u9593\u306f\u30ea\u30e9\u30c3\u30af\u30b9\u3001\u3068\u3044\u3046\u308f\u3051\u306b\u306f\u3044\u304b\u305a\u3001\u98a8\u5442\u306b\u5165\u3063\u3066\u3044\u3066\u3082\u4ed5\u4e8b\u306e\u3053\u3068\u3092\u8003\u3048\u305f\u308a\u3001\u7c21\u5358\u306b\u4e00\u7720\u308a\u3059\u3089\u3067\u304d\u306a\u304f\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u5e8a\u306b\u5165\u3063\u3066\u3082\u660e\u65e5\u3069\u3046\u3059\u3079\u304d\u304b\u3001\u306a\u3069\u3068\u8003\u3048\u308b\u3082\u3001\u60aa\u3044\u307b\u3046\u306b\u3057\u304b\u8003\u3048\u3089\u308c\u306a\u3044\u3002
\n\u305d\u306e\u53cd\u9762\u3001\u3072\u3069\u3044\u7121\u529b\u611f\u3068\u7121\u6c17\u529b\u611f\u304c\u3042\u308b\u306e\u3067\u3001\u7121\u6c17\u529b\u306a\u306e\u306b\u660e\u65e5\u306e\u4ed5\u4e8b\u306e\u5bfe\u5fdc\u3092\u8003\u3048\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3001\u3068\u3044\u3046\u77db\u76fe\u3057\u305f\u72b6\u614b\u304c\u7d9a\u3044\u3066\u3044\u307e\u3057\u305f\u3002\u3051\u308c\u3069\u65e2\u306b\u9b31\u72b6\u614b\u306a\u306e\u3067\u3001\u3044\u304f\u3089\u8003\u3048\u305f\u3063\u3066\u3044\u3044\u30a2\u30a4\u30c7\u30a3\u30a2\u304c\u6d6e\u304b\u3076\u308f\u3051\u3067\u3082\u306a\u304f\u3001\u5b9f\u969b\u306e\u4ed5\u4e8b\u5834\u3067\u3082\u4e0a\u624b\u3044\u5bfe\u5fdc\u304c\u3067\u304d\u306a\u3044\u306e\u3067\u3055\u3089\u306b\u6c17\u5206\u304c\u6c88\u3080\u3001\u306e\u7e70\u308a\u8fd4\u3057\u3067\u7e41\u5fd9\u671f\u306f\u5b8c\u5168\u306b\u7a7a\u56de\u308a\u3057\u3066\u3044\u305f\u3068\u601d\u308f\u308c\u307e\u3059\u3002<\/p>\n

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\n\u3053\u308c\u306f\u7121\u95a2\u5fc3\u3001\u7121\u611f\u52d5\u306a\u72b6\u614b\u3067\u3057\u3087\u3046\u3002
\n\u305b\u3081\u3066\u5bb6\u306b\u3044\u308b\u3068\u304d\u3084\u4f11\u307f\u306e\u65e5\u306f\u6c17\u5206\u3092\u5909\u3048\u3066\u97f3\u697d\u3067\u3082\u3001\u3068\u3044\u3046\u3053\u308c\u307e\u3067\u666e\u901a\u3060\u3063\u305f\u3053\u3068\u304c\u3067\u304d\u306a\u304f\u306a\u308a\u307e\u3057\u305f\u3002\u97f3\u697d\u3092\u304b\u3051\u308b\u3068\u3001\u3084\u305f\u3089\u7169\u304f\u611f\u3058\u3066\u8074\u3044\u3066\u3044\u3089\u308c\u306a\u304f\u306a\u308b\u3002\u3082\u3061\u308d\u3093\u30c6\u30ec\u30d3\u3001\u30e9\u30b8\u30aa\u3082\u99c4\u76ee\u3002
\n\u3082\u3068\u3082\u3068\u306f\u97f3\u697d\u597d\u304d\u3067\u30017\u30c1\u30e3\u30f3\u30cd\u30eb\u306e\u30b9\u30d4\u30fc\u30ab\u30fc\u30b7\u30b9\u30c6\u30e0\u30671200\u679a\u307b\u3069\u3042\u308bCD\u3092\u8074\u3044\u305f\u308a\u3001\u30e9\u30a4\u30d6\u30cf\u30a6\u30b9\u306b\u884c\u3063\u3066\u751f\u6f14\u594f\u3092\u8074\u304f\u306e\u304c\u5927\u597d\u304d\u3067\u3059\u304c\u3001\u9b31\u306e\u6570\u5e74\u306e\u9593\u97f3\u697d\u306f\u307b\u3068\u3093\u3069\u8074\u3044\u3066\u3044\u307e\u305b\u3093\u3002\u305d\u308c\u306f\u7169\u308f\u3057\u304f\u3066\u8074\u3051\u306a\u304f\u306a\u3063\u305f\u304b\u3089\u3002
\n\u30c6\u30ec\u30d3\u306f\u304f\u3060\u3089\u306a\u3044\u306e\u3067\u3082\u3068\u3082\u3068\u6b86\u3069\u898b\u306a\u3044\u306e\u3060\u304c\u3001\u6bd4\u8f03\u7684\u6c17\u5206\u304c\u843d\u3061\u7740\u304f\u5915\u65b9\u3042\u305f\u308a\u306bNHK\u306e\u30cb\u30e5\u30fc\u30b9\u306a\u3069\u6de1\u3005\u3068\u3057\u305f\u97f3\u3092\u805e\u304f\u7a0b\u5ea6\u306a\u3089\u5927\u4e08\u592b\u3067\u3057\u305f\u3002
\n\u3053\u308c\u304c\u5065\u5e38\u6642\u3068\u306e\u5927\u304d\u306a\u9055\u3044\u3067\u3001\u306f\u3063\u304d\u308a\u3068\u9b31\u3092\u81ea\u899a\u3057\u305f\u30dd\u30a4\u30f3\u30c8\u306e\u3072\u3068\u3064\u3067\u3059\u3002<\/p>\n

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