{"id":936,"date":"2017-09-30T18:09:33","date_gmt":"2017-09-30T09:09:33","guid":{"rendered":"http:\/\/chienowa.org\/?p=936"},"modified":"2017-09-30T18:09:33","modified_gmt":"2017-09-30T09:09:33","slug":"%e7%95%b0%e8%ad%b0%e3%81%82%e3%82%8a%ef%bc%81%e3%80%8c%e7%b2%be%e7%a5%9e%e7%a7%91%e3%81%ae%e5%90%8d%e5%8c%bb%e3%80%8d%ef%bc%88%e5%be%8c%e7%b7%a8%ef%bc%89","status":"publish","type":"post","link":"https:\/\/chienowa.org\/?p=936","title":{"rendered":"\u7570\u8b70\u3042\u308a\uff01\u300c\u7cbe\u795e\u79d1\u306e\u540d\u533b\u300d\uff08\u5f8c\u7de8\uff09"},"content":{"rendered":"<div style=\"border: 2px solid #cccccc; padding: 10px;\">\n<p>2017\u5e749\u670830\u65e5\u8ffd\u8a18<\/p>\n<p>\u5f8c\u7de8\u3067\u3059\u3002\u30a8\u30f3\u30c8\u30ea\u30fc\u306e\u6700\u5f8c\u306b\u307e\u3068\u3081\u3066\u88dc\u8db3\u3057\u307e\u3059\u3002<\/p>\n<\/div>\n<p><a href=\"https:\/\/dot.asahi.com\/aera\/2015070900049.html\">\u7cbe\u795e\u79d1\u306e\u540d\u533b\u306e\u898b\u6975\u3081\u65b9\u3000\u85ac\u306f\u300c\u25ef\u25ef\u306b\u51fa\u3059\u300d\u304c\u91cd\u8981\u3008\uff21\uff25\uff32\uff21\u3009<\/a><\/p>\n<blockquote><p>\u300c\u85ac\u306b\u983c\u3089\u305a\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3067\u6cbb\u3057\u305f\u3044\u3068\u3044\u3046\u60a3\u8005\u3055\u3093\u3082\u3044\u307e\u3059\u304c\u3001\u4e3b\u4f53\u306f\u85ac\u7269\u6cbb\u7642\u3067\u3042\u308a\u3001\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306f\u3042\u304f\u307e\u3067\u3082\u88dc\u52a9\u3002\u7d71\u5408\u5931\u8abf\u75c7\u3084\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\uff08PTSD\uff09\u306a\u3069\u3001\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u304c\u526f\u4f5c\u7528\u3092\u5f15\u304d\u8d77\u3053\u3059\u75c5\u6c17\u3082\u3042\u308a\u307e\u3059\u3002\u8aa4\u89e3\u3055\u308c\u304c\u3061\u3067\u3059\u304c\u3001\u7cbe\u795e\u79d1\u533b\u306b\u3068\u3063\u3066\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306f\u5c02\u9580\u5916\u3002\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3092\u5e0c\u671b\u3059\u308b\u306a\u3089\u3001\u81e8\u5e8a\u5fc3\u7406\u58eb\u304c\u3044\u308b\u30af\u30ea\u30cb\u30c3\u30af\u3092\u9078\u3076\u3068\u3044\u3044\u3067\u3057\u3087\u3046\u300d\uff08Tomy\u6c0f\uff09<\/p><\/blockquote>\n<p>\u3055\u3066\u3001\u3053\u306e\u7b87\u6240\u3067\u3059\u304c\u3001Tomy\u6c0f\u3092\u542b\u3080\u591a\u304f\u306e\u7cbe\u795e\u79d1\u533b\u306b\u3068\u3063\u3066\u3001\u300c\u4e3b\u4f53\u306f\u85ac\u7269\u7642\u6cd5\u3067\u3042\u308a\u3001\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306f\u3042\u304f\u307e\u3067\u3082\u88dc\u52a9\u300d\u3068\u3044\u3046\u306e\u306f\u305d\u306e\u901a\u308a\u306a\u306e\u3067\u3057\u3087\u3046\u3002\u3067\u3082\u3053\u308c\u306f\u65e5\u672c\u306e\u7cbe\u795e\u533b\u7642\u306e\u73fe\u72b6\u306e\u63cf\u5199\u3067\u306f\u3042\u3063\u3066\u3082\u305d\u306e\u662f\u975e\u306f\u307e\u305f\u5225\u3067\u3059\u3002<\/p>\n<p>Tomy\u6c0f\u304c\u4f8b\u3068\u3057\u3066\u3044\u308bPTSD\u3067\u691c\u8a0e\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n<p>PTSD\u306b\u3064\u3044\u3066\u306f\u85ac\u7269\u7642\u6cd5\u304c\u300c\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u300d\u3088\u308a\u6709\u52b9\u3060\u3068\u306f\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u305f\u3068\u3048\u3070\u30a4\u30ae\u30ea\u30b9\u306e\u56fd\u7acb\u533b\u7642\u6280\u8853\u8a55\u4fa1\u6a5f\u69cb\uff08National Institute for Health and Clinical Excellence, NICE\uff09\u306f\u5404\u7a2e\u306e\u75be\u60a3\u306b\u3064\u3044\u3066\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u767a\u884c\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u4fe1\u983c\u6027\u306f\u9ad8\u304f\u3001\u79c1\u305f\u3061\u3082\u53c2\u8003\u306b\u3057\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u3067\u3053\u306e\u3088\u3046\u306a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u3067\u304d\u308b\u3068\u3088\u3044\u306e\u3067\u3059\u304c\u3001NICE\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u306f\u76f8\u5f53\u306a\u8cbb\u7528\u304c\u304b\u3051\u3089\u308c\u3066\u304a\u308a\u3001\u65e5\u672c\u306e\u73fe\u72b6\u3067\u306f\u6b8b\u5ff5\u306a\u304c\u3089\u96e3\u3057\u3044\u3067\u3057\u3087\u3046\u3002<\/p>\n<p>\u3055\u3066\u3001\u305d\u306e<strong>NICE\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3(<a href=\"https:\/\/www.nice.org.uk\/guidance\/cg26\/evidence\/cg26-posttraumatic-stress-disorder-ptsd-evidence-update2\">2013\u5e74\u306e\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8<\/a>)\u3067\u306fPTSD\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u3068\u3057\u3066TF-CBT\u3068EMDR\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u4e00\u65b9\u3067\u85ac\u7269\u7642\u6cd5\u306b\u3064\u3044\u3066\u306f\u3054\u304f\u9650\u5b9a\u3055\u308c\u305f\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u306e\u307f\u3001\u3068\u3057\u3066\u3044\u307e\u3059<\/strong>\u3002\u305d\u306e\u9650\u5b9a\u3064\u304d\u3067\u30d1\u30ed\u30ad\u30bb\u30c1\u30f3(\u30d1\u30ad\u30b7\u30eb)\u3001\u30df\u30eb\u30bf\u30b6\u30d4\u30f3(\u30ea\u30d5\u30ec\u30c3\u30af\u30b9)\u306a\u3069\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u78ba\u304b\u306b\u3001\u4e00\u822c\u7684\u306a\u300c\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u300d\u3001\u50be\u8074\u3068\u5171\u611f\u3092\u65e8\u3068\u3059\u308b\u652f\u6301\u7684\u5fc3\u7406\u7642\u6cd5\u306b\u306f\u52b9\u679c\u306f\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002\u3057\u304b\u3057<strong>\u30c8\u30e9\u30a6\u30de\u95a2\u9023\u75be\u60a3\u306b\u7279\u5316\u3055\u308c\u305f\u5fc3\u7406\u7642\u6cd5\u3067\u3042\u308bTF-CBT\u3084EMDR\u306f\u85ac\u7269\u7642\u6cd5\u3088\u308a\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b<\/strong>\u306e\u3067\u3059\u3002<\/p>\n<p>Tomy\u6c0f\u306f\u300c\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u304c\u526f\u4f5c\u7528\u3092\u5f15\u304d\u8d77\u3053\u3059\u300d\u3068\u8a00\u3063\u3066\u3044\u307e\u3059\u3002\u85ac\u7269\u7642\u6cd5\u3067\u3042\u308c\u5fc3\u7406\u7642\u6cd5\u3067\u3042\u308c\u526f\u4f5c\u7528\u306f\u3042\u308a\u5f97\u308b\u3001\u3068\u3044\u3046\u5f53\u305f\u308a\u524d\u306e\u3053\u3068\u3092\u8a00\u3063\u3066\u3044\u308b\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u5fc3\u7406\u7642\u6cd5\u304c\u52b9\u679c\u3067\u512a\u308b\u3053\u3068\u306b\u306f\u89e6\u308c\u305a\u526f\u4f5c\u7528\u3060\u3051\u3092\u8a00\u3046\u306e\u306f\u30a2\u30f3\u30d5\u30a7\u30a2\u3067\u3057\u3087\u3046\u3002<\/p>\n<p>\u3082\u3057\u304b\u3057\u3066\u5f7c\u306fPTSD\u3078\u306e\u300c\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u300d\u306b\u56fa\u6709\u306e\u526f\u4f5c\u7528\u3092\u8003\u3048\u3066\u3044\u308b\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3082\u3057\u305d\u308c\u304c\u3042\u308b\u3068\u3059\u308c\u3070\u3001<strong>\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u3092\u4e0d\u7528\u610f\u306b\u6839\u6398\u308a\u8449\u6398\u308a\u805e\u304f\u3053\u3068\u306b\u3088\u308b\u3044\u308f\u3086\u308b\u4e8c\u6b21\u88ab\u5bb3<\/strong>\u3067\u3057\u3087\u3046\u3002\u78ba\u304b\u306b\u305d\u308c\u306f\u6b8b\u5ff5\u306a\u304c\u3089\u4e00\u90e8\u3067\u3044\u307e\u3060\u306b\u3042\u308b\u3088\u3046\u3067\u3059\u3002\u3057\u304b\u3057\u3001<strong>TF-CBT\u3084EMDR\u3060\u3051\u3067\u306a\u304f\u3001\u305d\u3082\u305d\u3082\u30b5\u30d0\u30a4\u30d0\u30fc\uff08\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u8005\uff09\u652f\u63f4\u3067\u3057\u3066\u306f\u3044\u3051\u306a\u3044\u3053\u3068\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059<\/strong>\u3002\u533b\u5b66\u7528\u8a9e\u3067\u8a00\u3046\u3068\u300c\u7981\u5fcc\u300d\u3067\u3059\u3002\u5f93\u3063\u3066\u3053\u308c\u3092\u6301\u3061\u51fa\u3059\u306e\u306f\u7684\u5916\u308c\u3067\u3059\u3002<\/p>\n<p>\u4ee5\u4e0a\u304b\u3089\u3001\u3053\u3053\u3067PTSD\u306b\u3064\u3044\u3066Tomy\u6c0f\u304c\u8a00\u3046\u3053\u3068\u306f\u4e0d\u9069\u5207\u3067\u3042\u308b\u3068\u8003\u3048\u307e\u3059\u3002<\/p>\n<p>\u305d\u308c\u306b\u3057\u3066\u3082\u300c\u7cbe\u795e\u79d1\u533b\u306b\u3068\u3063\u3066\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u306f\u5c02\u9580\u5916\u300d\u3060\u3068\u3059\u308c\u3070\u3001\u7cbe\u795e\u79d1\u533b\u306e\u4ed5\u4e8b\u306f\u4f55\u306a\u306e\u3067\u3057\u3087\u3046\uff1f\u6cbb\u7642\u3068\u3057\u3066\u306f\u85ac\u3092\u51fa\u3059\u3060\u3051\uff1f\u3082\u3057\u305d\u3046\u306a\u3089\u3042\u308b\u4eba\u304c\u8a00\u3063\u305f\u3088\u3046\u306b\u300c\u85ac\u306e\u81ea\u52d5\u8ca9\u58f2\u6a5f\u300d\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\u3002<\/p>\n<div style=\"border: 2px solid #cccccc; padding: 10px;\">\n<p>2017\u5e749\u670830\u65e5\u8ffd\u8a18<\/p>\n<ul>\n<li>NICE\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u305d\u306e\u5f8c\u306e\u6539\u8a02\u306f\u306a\u304f\u3001\u4e0a\u8a18\u306e2013\u5e74\u304c\u4f9d\u7136\u3068\u3057\u3066\u6700\u65b0\u3067\u3059\u3002<\/li>\n<li>\u3053\u306e\u6642\u70b9\u3067\u306f\u652f\u6301\u7684\u7cbe\u795e\u7642\u6cd5\u3084\u7cbe\u795e\u5206\u6790\u3068\u3044\u3046\u53e4\u304f\u304b\u3089\u3042\u308b\u5fc3\u7406\u7642\u6cd5\u306b\u306f\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u306a\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u5f8c\u3053\u308c\u3089\u306b\u3082\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u73fe\u308c\u3066\u3044\u307e\u3059\u3002\u85ac\u7269\u7642\u6cd5\u306e\u65d7\u8272\u306f\u3055\u3089\u306b\u60aa\u304f\u306a\u3063\u3066\u3044\u308b\u5370\u8c61\u3067\u3059\u3002<\/li>\n<li>Tomy\u6c0f\u304cPTSD\u3068\u3068\u3082\u306b\u8a00\u53ca\u3057\u3066\u3044\u308b\u7d71\u5408\u5931\u8abf\u75c7\u306b\u3064\u3044\u3066\u306f\u672c\u6587\u4e2d\u306b\u89e6\u308c\u3066\u3044\u307e\u305b\u3093\u304c\u3001<a href=\"https:\/\/www.nice.org.uk\/guidance\/cg178\/chapter\/1-Recommendations#first-episode-psychosis-2\">NICE\u306e2014\u5e74\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a>\u3067\u306f\u7d71\u5408\u5931\u8abf\u75c7\u306e\u6025\u6027\u671f\u6cbb\u7642\u3067\u3082\u85ac\u7269\u7642\u6cd5\u3088\u308a\u5fc3\u7406\u7642\u6cd5\u304c\u512a\u5148\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u85ac\u3092\u4f7f\u3046\u5834\u5408\u3067\u3082\u5fc3\u7406\u7642\u6cd5\u3068\u4f75\u7528\u3059\u308b\u3053\u3068\u3092\u52e7\u3081\u3066\u304a\u308a\u3001\u670d\u85ac\u3092\u62d2\u3080\u5834\u5408\u306f\u5fc3\u7406\u7642\u6cd5\u306e\u307f\u884c\u3046\u3053\u3068\u3092\u52e7\u3081\u3066\u3044\u307e\u3059\uff081.3.4 Treatment options\uff09\u3002<\/li>\n<li>\u79c1\u305f\u3061\u304c\u7e70\u308a\u8fd4\u3057\u8a00\u3063\u3066\u3044\u308b\u3088\u3046\u306b\u3001Tomy\u6c0f\u304c\u8a00\u3046\u306e\u3068\u306f\u9006\u306e\u300c\u4e3b\u4f53\u306f\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3067\u3042\u308a\u3001\u85ac\u7269\u6cbb\u7642\u306f\u3042\u304f\u307e\u3067\u3082\u88dc\u52a9\u300d\u304c\u4eca\u65e5\u3067\u306f\u59a5\u5f53\u3067\u3057\u3087\u3046\u3002\uff08\u300c\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u300d\u306b\u3064\u3044\u3066\u306f\u3001<a href=\"http:\/\/chienowa.org\/?p=885\">\u30af\u30ea\u30cb\u30c3\u30af\u3061\u3048\u306e\u308f\u306e\u300c\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u300d<\/a>\u3092\u3054\u3089\u3093\u4e0b\u3055\u3044\uff09<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2017\u5e749\u670830\u65e5\u8ffd\u8a18 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