ACE\uff08adverse childhood experiences=\u5b50\u3069\u3082\u6642\u4ee3\u306e\u6709\u5bb3\u306a\u4f53\u9a13\uff09\u306e\u5fc3\u8eab\u306e\u5065\u5eb7\u3078\u306e\u5f71\u97ff\u306b\u3064\u3044\u3066\u306f\u3053\u308c\u307e\u3067\u4f55\u5ea6\u304b\u89e6\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n
\u30af\u30ea\u30cb\u30c3\u30af\u3061\u3048\u306e\u308f\u306e\u8a3a\u7642\u3067\u3082ACE\u306b\u95a2\u9023\u3057\u305f\u30e1\u30f3\u30bf\u30eb\u4e0d\u8abf\u304c\u5c11\u306a\u304f\u306a\u3044\u3053\u3068\u306b\u3064\u3044\u3066\u3082\u8ff0\u3079\u307e\u3057\u305f\u3002<\/p>\n
\u7d04\u534a\u6570\u304c\u30c8\u30e9\u30a6\u30de\u306e\u5f71\u97ff\u3092\u660e\u3089\u304b\u306b\u53d7\u3051\u3066\u304a\u308a\u300120%\u3064\u307e\u308a5\u4eba\u306e1\u4eba\u306b\u5b50\u3069\u3082\u6642\u4ee3\u306e\u6709\u5bb3\u306a\u4f53\u9a13\uff08Adverse Childhood Experiences=ACE\uff09\u304c\u3042\u308a\u307e\u3057\u305f<\/strong>\u3002ACE\u306b\u306f\u6027\u8650\u5f85\u306a\u3069\u304c\u3001\u601d\u6625\u671f\u4ee5\u964d\u306e\u30c8\u30e9\u30a6\u30de\u306b\u306fDV\u3084\u8077\u5834\u306e\u30d1\u30ef\u30cf\u30e9\u306a\u3069\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3059<\/strong>\u3002\u305d\u3057\u3066\u6b8b\u308a\u534a\u6570\u306e\u300c\u4e0d\u660e\u300d\u306e\u4e2d\u306b\u3082\u3054\u672c\u4eba\u304c\u660e\u304b\u3057\u3066\u3044\u306a\u3044(\u3042\u308b\u3044\u306f\u6c17\u3065\u3044\u3066\u3044\u306a\u3044)\u30c8\u30e9\u30a6\u30de\u306e\u95a2\u4e0e\u306f\u5426\u5b9a\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n
\u3061\u3048\u306e\u308f\u4e2d\u9593\u5831\u544a2\u2015 \u30c8\u30e9\u30a6\u30de\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30a2\u30d7\u30ed\u30fc\u30c1<\/a><\/p>\n<\/blockquote>\n
ACE\u3068\u306f<\/h2>\n
\u3057\u304b\u3057\u3001ACE\u3068\u306f\u3069\u306e\u3088\u3046\u306a\u4f53\u9a13\u3092\u6307\u3057\u3066\u3044\u308b\u306e\u304b\u3001ACE\u7814\u7a76\u3068\u306f\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u304b\u3001\u306a\u3069\u306b\u3064\u3044\u3066\u306f\u3053\u308c\u307e\u3067\u8ff0\u3079\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n
\u3061\u3087\u3046\u3069\u6700\u8fd1\u8aad\u3093\u3060”Through A Traumatic Lens”\u3068\u3044\u3046\u672c\uff08\u51fa\u7248\u793e\u306e\u30da\u30fc\u30b8<\/a>\uff09\u306b\u3001ACE\u306b\u3064\u3044\u3066\u306e\u77ed\u3044\u307e\u3068\u3081\u304c\u3042\u308a\u307e\u3057\u305f\u306e\u3067\u3001\u305d\u308c\u3092\u3082\u3068\u306b\u5c11\u3057\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n
ACE\uff08Adverse Childhood Experiences\uff09\u7814\u7a76\u306f\u30b5\u30f3\u30c7\u30a3\u30a8\u30b4\u306e\u30ab\u30a4\u30b6\u30fc\u30d1\u30fc\u30de\u30cd\u30f3\u30c6\uff08Kaiser Permanente\u3000\u4fdd\u967a\u4f1a\u793e\uff09\u3068\u30a2\u30e1\u30ea\u30ab\u75be\u75c5\u4e88\u9632\u7ba1\u7406\u30bb\u30f3\u30bf\u30fc \uff08CDC\uff09\u306e\u5171\u540c\u4e8b\u696d\u3068\u3057\u30661997\u5e74\u304b\u30891999\u5e74\u306b\u639b\u3051\u3066\u884c\u308f\u308c\u307e\u3057\u305f\u3002
\n\u304d\u3063\u304b\u3051\u306f\u80a5\u6e80\u60a3\u8005\u306e\u81e8\u5e8a\u89b3\u5bdf\u3068\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u306e\u7814\u7a76\u304b\u3089\u5b50\u3069\u3082\u6642\u4ee3\u306e\u4f53\u9a13\u306e\u95a2\u4e0e\u304c\u898b\u51fa\u3055\u308c\u305f\u3053\u3068\u3067\u3057\u305f\u3002\u305d\u308c\u3092\u53d7\u3051\u3066\u3001\u5b50\u3069\u3082\u6642\u4ee3\u306e\u30c8\u30e9\u30a6\u30de\u7684\u51fa\u6765\u4e8b10\u7a2e\u985e\u306e\u9577\u671f\u7684\u306a\u5f71\u97ff\u3092\u8abf\u3079\u308b\u3053\u3068\u304cACE\u7814\u7a76\u306e\u76ee\u7684\u3067\u3057\u305f\u3002
\n\u305d\u306e10\u7a2e\u985e\u3068\u305d\u308c\u3092\u554f\u3046\u8cea\u554f\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\uff08\u8650\u5f85\u306e\u5177\u4f53\u7684\u306a\u5185\u5bb9\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u305f\u3081\u95b2\u89a7\u306b\u6ce8\u610f\u3057\u3066\u4e0b\u3055\u3044\uff09\u3002<\/p>\n<\/p>\n
<\/h3>\n
\n\u7cbe\u795e\u7684\u8650\u5f85<\/h3>\n
<\/i>\u8cea\u554f\uff08\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u958b\u304d\u307e\u3059\uff09<\/div>\u4e21\u89aa\u3084\u5927\u4eba\u306e\u5bb6\u65cf\u304c\u3088\u304f\u3001\u7f75\u3063\u305f\u308a\u3001\u4fae\u8fb1\u3057\u305f\u308a\u3001\u60aa\u53e3\u3092\u8a00\u3063\u305f\u308a\u3001\u6065\u3092\u304b\u304b\u305b\u305f\u308a\u3057\u307e\u3057\u305f\u304b\uff1f\u30b1\u30ac\u3055\u305b\u3089\u308c\u308b\u3093\u3058\u3083\u306a\u3044\u304b\u3068\u6050\u308c\u308b\u3088\u3046\u306a\u632f\u308b\u821e\u3044\u304c\u3088\u304f\u3042\u308a\u307e\u3057\u305f\u304b\uff1f<\/div><\/div>\n\u8eab\u4f53\u7684\u8650\u5f85<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u4e21\u89aa\u3084\u4ed6\u306e\u5927\u4eba\u306e\u5bb6\u65cf\u304c\u3088\u304f\u3001\u62bc\u3057\u305f\u308a\u3001\u3064\u304b\u3093\u3060\u308a\u3001\u5e73\u624b\u6253\u3061\u3057\u305f\u308a\u3001\u3082\u306e\u3092\u6295\u3052\u305f\u308a\u3057\u307e\u3057\u305f\u304b\uff1f\u307e\u305f\u306f\u3001\u3042\u3056\u306b\u306a\u3063\u305f\u308a\u3051\u304c\u3092\u3059\u308b\u307b\u3069\u53e9\u304b\u308c\u307e\u3057\u305f\u304b<\/div><\/div>\n\u6027\u7684\u8650\u5f85<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u5927\u4eba\u304b\u3042\u306a\u305f\u3088\u308a5\u6b73\u4ee5\u4e0a\u306e\u4eba\u304c\u3001\u6027\u7684\u306a\u3084\u308a\u65b9\u3067\u3001\u304b\u3089\u3060\u306b\u89e6\u3063\u305f\u308a\u3001\u62b1\u304d\u3057\u3081\u305f\u308a\u3001\u81ea\u5206\u306e\u8eab\u4f53\u3092\u89e6\u3089\u305b\u305f\u308a\u3057\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\u3002\u53e3\u3084\u809b\u9580\u3084\u81a3\u3084\u81a3\u306b\u6027\u5668\u3092\u633f\u5165\u3057\u3088\u3046\u3068\u3057\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\u3002<\/div><\/div>\n\u611f\u60c5\u7684\u30cd\u30b0\u30ec\u30af\u30c8<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u5bb6\u65cf\u306e\u8ab0\u304b\u3089\u3082\u611b\u3055\u308c\u3066\u3044\u306a\u3044\u3001\u81ea\u5206\u304c\u91cd\u8981\u3084\u7279\u5225\u306b\u601d\u308f\u308c\u3066\u3044\u306a\u3044\u3068\u611f\u3058\u308b\u3053\u3068\u304c\u3088\u304f\u3042\u308a\u307e\u3057\u305f\u304b\uff1f\u5bb6\u65cf\u306f\u4e92\u3044\u306b\u3001\u6c17\u3065\u304b\u3063\u305f\u308a\u3001\u89aa\u3057\u304f\u611f\u3058\u305f\u308a\u3001\u652f\u3048\u5408\u3063\u305f\u308a\u3057\u3066\u3044\u306a\u3044\u3001\u3068\u3088\u304f\u611f\u3058\u307e\u3057\u305f\u304b\uff1f<\/div><\/div>\n\u8eab\u4f53\u7684\u30cd\u30b0\u30ec\u30af\u30c8<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u5341\u5206\u306b\u98df\u3079\u3066\u3044\u306a\u3044\u3001\u6c5a\u3044\u670d\u3092\u7740\u305b\u3089\u308c\u3066\u3044\u308b\u3001\u8ab0\u3082\u5b88\u3063\u3066\u304f\u308c\u306a\u3044\u3001\u3068\u3088\u304f\u611f\u3058\u3066\u3044\u307e\u3057\u305f\u304b\uff1f\u307e\u305f\u306f\u3001\u89aa\u304c\u30a2\u30eb\u30b3\u30fc\u30eb\u3084\u85ac\u3067\u9154\u3063\u6255\u3063\u3066\u3044\u3066\u4e16\u8a71\u3092\u3057\u3066\u304f\u308c\u306a\u304b\u3063\u305f\u308a\u3001\u533b\u8005\u306b\u9023\u308c\u3066\u884c\u3063\u3066\u304f\u308c\u306a\u3044\u3068\u3088\u304f\u611f\u3058\u307e\u3057\u305f\u304b\uff1f<\/div><\/div>\n\u30a2\u30eb\u30b3\u30fc\u30eb\u3084\u85ac\u7269\u4f9d\u5b58\u306e\u5bb6\u65cf\u304c\u3044\u308b<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u5bb6\u65cf\u306e\u8ab0\u304b\u304c\u3001\u5927\u9152\u5bb6\u3067\u3042\u3063\u305f\u308a\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u4f9d\u5b58\u3067\u3042\u3063\u305f\u308a\u3001\u85ac\u7269\u4f9d\u5b58\u3067\u3042\u3063\u305f\u308a\u3057\u307e\u3057\u305f\u304b\uff1f<\/div><\/div>\n\u5b9f\u306e\u7236\u6bcd\u3068\u306e\u5225\u96e2<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u4e21\u89aa\u304c\u96e2\u5a5a\u3084\u5225\u5c45\u3092\u3057\u307e\u3057\u305f\u304b\uff1f<\/div><\/div>\n\u6bcd\u3078\u306e\u66b4\u529b\uff08\u9762\u524dDV\uff09<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u6bcd\u89aa\u3084\u7d99\u6bcd\u304c\u3088\u304f\u3001\u7a81\u304b\u308c\u305f\u308a\u3001\u3064\u304b\u307e\u308c\u305f\u308a\u3001\u53e9\u304b\u308c\u305f\u308a\u3001\u3082\u306e\u3092\u6295\u3052\u3089\u308c\u305f\u308a\u3057\u305f\u304b\u3002\u3068\u304d\u3069\u304d\u307e\u305f\u306f\u3088\u304f\u3001\u8e74\u3089\u308c\u305f\u308a\u3001\u565b\u307e\u308c\u305f\u308a\u3001\u62f3\u3067\u6bb4\u3089\u308c\u305f\u308a\u3001\u786c\u3044\u3082\u306e\u3067\u53e9\u304b\u308c\u305f\u308a\u3057\u305f\u304b\u3002\u307e\u305f\u306f\u3001\u6570\u5206\u4ee5\u4e0a\u6bb4\u3089\u308c\u7d9a\u3051\u305f\u308a\u3001\u5203\u7269\u3084\u9283\u3067\u8105\u3055\u308c\u305f\u308a\u3057\u305f\u304b\uff1f<\/div><\/div>\n\u5bb6\u65cf\u306e\u7cbe\u795e\u75be\u60a3<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u5bb6\u65cf\u304c\u3046\u3064\u3084\u30e1\u30f3\u30bf\u30eb\u3092\u75c5\u3093\u3067\u3044\u305f\u308a\u81ea\u6bba\u672a\u9042\u3092\u3057\u307e\u3057\u305f\u304b\uff1f<\/div><\/div>\n\u5bb6\u65cf\u306e\u670d\u5f79<\/h3>\n
<\/i>\u8cea\u554f<\/div>\u5bb6\u65cf\u306e\u8ab0\u304b\u304c\u5211\u52d9\u6240\u306b\u5165\u308a\u307e\u3057\u305f\u304b\uff1f<\/div><\/div>\nAdverse Childhood Experience (ACE) Questionnaire\uff08PDF<\/a>\uff09<\/p>\n
<\/p>\n<\/div>\n
<\/p>\n
\u305d\u306e\u7d50\u679c\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3057\u305f\u3002<\/p>\n
<\/p>\n
\n\n
\n ACE\u306e\u7a2e\u985e<\/strong><\/td>\n YES\u306e\u5272\u5408\uff08\uff05\uff09<\/strong><\/td>\n<\/tr>\n \n \u7cbe\u795e\u7684\u8650\u5f85<\/td>\n 11<\/td>\n<\/tr>\n \n \u8eab\u4f53\u7684\u8650\u5f85<\/td>\n 28<\/td>\n<\/tr>\n \n \u6027\u7684\u8650\u5f85<\/td>\n 22\uff08\u597328\u3001\u753716\uff09<\/td>\n<\/tr>\n \n \u611f\u60c5\u7684\u30cd\u30b0\u30ec\u30af\u30c8<\/td>\n 15<\/td>\n<\/tr>\n \n \u8eab\u4f53\u7684\u30cd\u30b0\u30ec\u30af\u30c8<\/td>\n 10<\/td>\n<\/tr>\n \n \u5bb6\u65cf\u306e\u30a2\u30eb\u30b3\u30fc\u30eb\u30fb\u85ac\u7269\u4f9d\u5b58<\/td>\n 27<\/td>\n<\/tr>\n \n \u5b9f\u306e\u7236\u6bcd\u3068\u306e\u5225\u96e2<\/td>\n 23<\/td>\n<\/tr>\n \n \u9762\u524dDV<\/td>\n 17<\/td>\n<\/tr>\n \n \u5bb6\u65cf\u306e\u7cbe\u795e\u75be\u60a3<\/td>\n 13<\/td>\n<\/tr>\n \n \u5bb6\u65cf\u306e\u670d\u5f79<\/td>\n 6<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \u3042\u304f\u307e\u306720\u4e16\u7d00\u7d42\u308f\u308a\u306e\u30a2\u30e1\u30ea\u30ab\u5408\u8846\u56fd\u3067\u306e\u6570\u5b57\u3067\u3042\u308a\u3001\u305d\u306e\u307e\u307e\u73fe\u5728\u306e\u65e5\u672c\u306b\u306f\u5f53\u3066\u306f\u307e\u3089\u306a\u3044\u3068\u306f\u601d\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u79c1\u305f\u3061\uff08\u65e5\u672c\u306e\u5e02\u6c11\uff09\u304c\u601d\u3046\u307b\u3069\u306f\u5dee\u306f\u5c0f\u3055\u3044\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n
ACE\u30b9\u30b3\u30a2<\/h2>\n
\u3055\u3066\u3001\u5927\u4e8b\u306a\u3053\u3068\u306fACE\u306b\u306f\u91cd\u8907\u304c\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3059\u300210\u306e\u51fa\u6765\u4e8b\u3092\u8907\u6570\u7d4c\u9a13\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u305d\u306e\u6570\u306b\u3088\u3063\u3066\u5f71\u97ff\u304c\u5927\u304d\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n
\u305d\u3053\u3067\u3001ACE\u306e\u6307\u6a19\u3068\u3057\u3066ACE\u30b9\u30b3\u30a2\u304c\u7528\u3044\u3089\u308c\u307e\u3059\u3002
\nACE\u304c\u3044\u304f\u3064\u3042\u308b\u304b\uff08ACE\u306e\u8cea\u554f\u306bYES\u304c\u3044\u304f\u3064\u304b\u3042\u308b\u304b\uff09\u3067ACE\u30b9\u30b3\u30a20\u70b9\u304b\u308910\u70b9\u304c\u4ed8\u3051\u3089\u308c\u307e\u3059\u3002<\/p>\nACE\u30b9\u30b3\u30a2\u3068\u5065\u5eb7\u306e\u76f8\u95a2\u306b\u3064\u3044\u3066\u306f\u6b21\u306e\u3088\u3046\u306a\u3053\u3068\u304c\u5206\u304b\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n
\n
- \u5973\u6027\u306f\u7537\u6027\u3088\u308a1.5\u500d\u4ee5\u4e0a\u306e\u30b9\u30b3\u30a2\u304c\u591a\u3044\u3002<\/li>\n
- ACE\u30b9\u30b3\u30a2\u306f\u7cbe\u795e\u75be\u60a3\u3060\u3051\u3067\u306a\u304f\u8eab\u4f53\u75be\u60a3\u3068\u3082\u95a2\u4fc2\u304c\u3042\u308b<\/li>\n
- \u30b9\u30b3\u30a26\u4ee5\u4e0a\u306e\u4eba\u306f0\u306e\u4eba\u306b\u6bd4\u3079\u306620\u5e74\u8fd1\u304f\u4f59\u547d\u304c\u77ed\u3044<\/li>\n<\/ul>\n
<\/p>\n
ACE\u7814\u7a76\u306f\u653f\u7b56\u306b\u3082\u53d6\u308a\u5165\u308c\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n
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2008\u5e74CDC\u304cBRFSS\uff08\u884c\u52d5\u5371\u967a\u56e0\u5b50\u30b5\u30fc\u30d9\u30a4\u30e9\u30f3\u30b9\u30b7\u30b9\u30c6\u30e0\uff09\u306bACE\u306e\u8cea\u554f\u3092\u5c0e\u5165\u3057\u307e\u3057\u305f\u3002\u73fe\u5728CDC\u3068WHO\u304cACE\u306e\u8cea\u554f\u3092\u4e16\u754c\u4e2d\u306e\u5065\u5eb7\u8abf\u67fb\u306b\u4f7f\u7528\u3059\u308b\u3053\u3068\u3092\u8a66\u9a13\u7684\u306b\u884c\u3063\u3066\u3044\u308b\u305d\u3046\u3067\u3059\u3002<\/p>\n
\u6700\u5f8c\u306b\u3002<\/p>\n
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\n
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\n
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