{"id":293,"date":"2021-05-14T10:06:25","date_gmt":"2021-05-14T01:06:25","guid":{"rendered":"https:\/\/archive.nippku.ac.jp\/faculty\/04\/column\/?p=293"},"modified":"2021-06-22T09:36:03","modified_gmt":"2021-06-22T00:36:03","slug":"ptsd","status":"publish","type":"post","link":"https:\/\/archive.nippku.ac.jp\/faculty\/04\/column\/?p=293","title":{"rendered":"\u6771\u65e5\u672c\u5927\u9707\u707d\u5f8c\u3082\u591a\u304f\u307f\u3089\u308c\u305f\u300cPTSD\u300d\u3068\u306f\uff1f"},"content":{"rendered":"<p>PTSD\uff08\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\uff09\u3092\u3054\u5b58\u77e5\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n<p>\u4eca\u56de\u306f\u3053\u306ePTSD\u306b\u3064\u3044\u3066\u3084\u3001\u305d\u306e\u539f\u56e0\u3001\u4e3b\u306a\u75c7\u72b6\u3001\u8a3a\u65ad\u3001\u6cbb\u7642\u3001\u53d7\u3051\u3089\u308c\u308b\u652f\u63f4\u306b\u3064\u3044\u3066\u8aac\u660e\u3057\u307e\u3059\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-60\" src=\"http:\/\/archive.nippku.ac.jp\/faculty\/04\/column\/wp-content\/uploads\/2020\/04\/e1561040717118.jpg\" alt=\"-e1561040717118\" width=\"500\" height=\"325\" srcset=\"https:\/\/archive.nippku.ac.jp\/faculty\/04\/column\/wp-content\/uploads\/2020\/04\/e1561040717118.jpg 500w, https:\/\/archive.nippku.ac.jp\/faculty\/04\/column\/wp-content\/uploads\/2020\/04\/e1561040717118-300x195.jpg 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<h2><strong>\uff11\u3001PTSD\uff08\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\uff09\u3068\u306f\uff1f<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p>\u707d\u5bb3\u3084\u4e8b\u6545\u3001\u4e8b\u4ef6\u306a\u3069\u975e\u65e5\u5e38\u7684\u306a\u3053\u3068\u306b\u906d\u9047\u3059\u308b\u3068\u3001\u4eba\u306e\u5fc3\u306f\u5f37\u3044\u885d\u6483\u3092\u53d7\u3051\u307e\u3059\u3002<\/p>\n<p>\u962a\u795e\u6de1\u8def\u5927\u9707\u707d\u3084\u6771\u65e5\u672c\u5927\u9707\u707d\u306e\u5f8c\u306b\u306f\u3001PTSD\u3068\u3044\u3046\u8a00\u8449\u3092\u8033\u306b\u3057\u305f\u308a\u3001\u3042\u308b\u3044\u306f\u3054\u81ea\u8eab\u3084\u5468\u56f2\u306e\u65b9\u3067PTSD\u3068\u8a00\u308f\u308c\u305f\u65b9\u3082\u3044\u3089\u3063\u3057\u3083\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u79c1\u305f\u3061\u500b\u4eba\u306e\u529b\u3067\u306f\u3069\u3046\u306b\u3082\u306a\u3089\u306a\u3044\u3088\u3046\u306a\u5727\u5012\u3055\u308c\u308b\u307b\u3069\u306e\u885d\u6483\u7684\u306a\u51fa\u6765\u4e8b\u3092\u7d4c\u9a13\u3057\u305f\u5834\u5408\u3001\u305d\u308c\u304c\u5927\u304d\u306a\u5fc3\u306e\u50b7\uff08\u30c8\u30e9\u30a6\u30de\uff09\u3068\u306a\u308a\u3001\u3055\u307e\u3056\u307e\u306a\u75c7\u72b6\u304c\u73fe\u308c\u308b\u75be\u60a3\u3067\u3059\u3002<\/p>\n<p>\u304d\u3063\u304b\u3051\u3068\u306a\u308b\u51fa\u6765\u4e8b\u304b\u3089\u6642\u9593\u304c\u7d4c\u3063\u3066\u3082\u3001\u5f37\u3044\u6050\u6016\u5fc3\u3084\u4e0d\u5b89\u3092\u611f\u3058\u305f\u308a\u30d5\u30e9\u30c3\u30b7\u30e5\u30d0\u30c3\u30af\u306b\u82e6\u3057\u3093\u3060\u308a\u3068\u65e5\u5e38\u751f\u6d3b\u306b\u652f\u969c\u304c\u51fa\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u4e16\u754c\u4fdd\u5065\u6a5f\u69cb\uff08WHO\uff09\u306e\u4e16\u754c\u7cbe\u795e\u4fdd\u5065\u8abf\u67fb\u306b\u3088\u308b\u3068\u3001\u65e5\u672c\u306b\u4f4f\u3080\u4eba\u306e\u4e2d\u3067\u4e00\u751f\u306e\u3046\u3061\u306bPTSD\u306b\u306a\u308b\u4eba\u306f1.1\uff5e1.6\uff05\u3068\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u60a3\u8005\u306e\u5e74\u9f62\u5c64\u306f\u5e45\u5e83\u304f\u7537\u6027\u3088\u308a\u3082\u5973\u6027\u306b\u591a\u304f\u73fe\u308c\u307e\u3059\u3002\u307e\u305fPTSD\u306b\u306a\u308b\u4eba\u306e\u591a\u304f\u306b\u3001\u3046\u3064\u75c5\u3084\u4e0d\u5b89\u969c\u5bb3\u306a\u3069\u306e\u7cbe\u795e\u75be\u60a3\u304c\u3042\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>\uff12\u3001\uff12\u3064\u306b\u5206\u985e\u3055\u308c\u308bPTSD<\/strong><\/h2>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #993366;\"><strong>\uff08\uff11\uff09\u5358\u7d14\u6027PTSD<\/strong><\/span><\/p>\n<p>\u962a\u795e\u6de1\u8def\u5927\u9707\u707d\u3001\u6771\u65e5\u672c\u5927\u9707\u707d\u3001\u5317\u6d77\u9053\u306e\u707d\u5bb3\u306a\u3069\u306e\u3088\u3046\u306b\u5927\u304d\u306a\u4e8b\u6545\u306e\u3042\u3068\u306b\u5fc3\u306e\u50b7\u3068\u3057\u3066\u8d77\u3053\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #993366;\"><strong>\uff08\uff12\uff09\u8907\u96d1\u6027PTSD<\/strong><\/span><\/p>\n<p>\u53cd\u5fa9\u3059\u308b\u8650\u5f85\u3084\u66b4\u529b\u306a\u3069\u304c\u4e00\u5b9a\u671f\u9593\u7e70\u308a\u8fd4\u3057\u7d4c\u9a13\u3055\u308c\u308b\u3053\u3068\u3067\u3001\u5fc3\u306b\u6df1\u3044\u50b7\uff08\u30c8\u30e9\u30a6\u30de\uff09\u3092\u6b8b\u3059\u3053\u3068\u3067\u8d77\u3053\u308b\u3053\u3068\u304c\u591a\u3044\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #993366;\"><strong>\uff13\u3001PTSD\u306e\u539f\u56e0<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>PTSD\u306f\u707d\u5bb3\u3084\u72af\u7f6a\u88ab\u5bb3\u3001\u4e8b\u6545\u306a\u3069\u306e\u751f\u547d\u3092\u304a\u3073\u3084\u304b\u3055\u308c\u308b\u3088\u3046\u306a\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u306e\u76ee\u6483\u3084\u4f53\u9a13\u304c\u539f\u56e0\u3067\u8d77\u3053\u308a\u307e\u3059\u3002<\/p>\n<p>\u5f37\u3044\u30b7\u30e7\u30c3\u30af\u306b\u3088\u3063\u3066\u8133\u306e\u4e00\u90e8\u304c\u59d4\u7e2e\u3057\u305f\u308a\u8133\u306e\u8840\u6d41\u304c\u4f4e\u4e0b\u3057\u305f\u308a\u3059\u308b\u3053\u3068\u3067\u3001\u3055\u307e\u3056\u307e\u306a\u7cbe\u795e\u7684\u30fb\u8eab\u4f53\u7684\u306a\u75c7\u72b6\u304c\u5f15\u304d\u8d77\u3053\u3055\u308c\u3001\u305d\u306e\u72b6\u614b\u304c\u56de\u5fa9\u3057\u306a\u3044\u307e\u307e\u9577\u304f\u7d9a\u304f\u306e\u3067\u3059\u3002<\/p>\n<p>\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u3092\u3057\u3066\u3082\u3059\u3079\u3066\u306e\u4eba\u304cPTSD\u3092\u767a\u75c7\u3059\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p>PTSD\u3092\u767a\u75c7\u3059\u308b\u304b\u3069\u3046\u304b\u306f\u3001\u53d7\u3051\u305f\u30b9\u30c8\u30ec\u30b9\u306e\u5f37\u3055\u3084\u7a2e\u985e\u3001\u793e\u4f1a\u7684\u30b5\u30dd\u30fc\u30c8\u306e\u6709\u7121\u3084\u65e5\u5e38\u751f\u6d3b\u306b\u304a\u3051\u308b\u30b9\u30c8\u30ec\u30b9\u306e\u6709\u7121\u306b\u5de6\u53f3\u3055\u308c\u308b\u3068\u8a00\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #993366;\"><strong>\uff14\u3001PTSD\u306e\u304a\u3082\u306a\u75c7\u72b6<\/strong><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>PTSD\u306b\u306f\u304a\u3082\u306b\uff14\u3064\u306e\u75c7\u72b6\u304c\u3042\u308a\u3001\u305d\u308c\u304c\uff11\u30f5\u6708\u4ee5\u4e0a\u7d9a\u304d\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #993366;\"><strong>\u2460\u518d\u4f53\u9a13\uff1a\u30c8\u30e9\u30a6\u30de\u306b\u306a\u3063\u305f\u51fa\u6765\u4e8b\u3092\u304f\u308a\u8fd4\u3057\u601d\u3044\u51fa\u3057\u3066\u3057\u307e\u3046<\/strong><\/span><\/p>\n<p>\u3064\u3089\u3044\u8a18\u61b6\u3092\u7121\u610f\u8b58\u306b\u4f55\u5ea6\u3082\u601d\u3044\u51fa\u3057\u3066\u3057\u307e\u3046\u72b6\u614b\u304c\u7d9a\u304d\u307e\u3059\u3002\u6fc0\u3057\u3044\u75c7\u72b6\u306f\u300c\u30d5\u30e9\u30c3\u30b7\u30e5\u30d0\u30c3\u30af\u300d\u3068\u547c\u3070\u308c\u3001\u982d\u306e\u4e2d\u3067\u72b6\u6cc1\u304c\u518d\u73fe\u3055\u308c\u3066\u3001\u3042\u305f\u304b\u3082\u76ee\u306e\u524d\u3067\u8d77\u3053\u3063\u3066\u3044\u308b\u304b\u306e\u3088\u3046\u306a\u611f\u899a\u306b\u9665\u308a\u307e\u3059\u3002<\/p>\n<p><span style=\"color: #993366;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #993366;\"><strong>\u2461\u56de\u907f\uff1a\u30c8\u30e9\u30a6\u30de\u306b\u95a2\u3059\u308b\u4e8b\u67c4\u3092\u907f\u3051\u308b<\/strong><\/span><\/p>\n<p>\u72af\u7f6a\u88ab\u5bb3\u306b\u906d\u3063\u305f\u73fe\u5834\u306b\u8fd1\u3065\u3051\u306a\u304f\u306a\u308b\u3001\u3064\u3089\u3044\u51fa\u6765\u4e8b\u306b\u95a2\u3059\u308b\u8a71\u3092\u3057\u305f\u304c\u3089\u306a\u3044\u306a\u3069\u306e\u75c7\u72b6\u304c\u307f\u3089\u308c\u307e\u3059\u3002\u884c\u52d5\u3084\u4eba\u3068\u306e\u4ea4\u6d41\u304c\u5236\u9650\u3055\u308c\u308b\u3068\u3001\u793e\u4f1a\u751f\u6d3b\u306b\u3082\u652f\u969c\u304c\u51fa\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002\u3055\u3089\u306b\u306f\u4f53\u9a13\u305d\u306e\u3082\u306e\u306e\u8a18\u61b6\u304c\u629c\u3051\u843d\u3061\u308b\u4eba\u3082\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #993366;\"><strong>\u2462\u5426\u5b9a\u7684\u611f\u60c5\u3068\u8a8d\u77e5\uff1a\u5426\u5b9a\u7684\u306a\u8003\u3048\u3084\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u611f\u60c5\u304c\u6d6e\u304b\u3076<\/strong><\/span><\/p>\n<p>\u300c\u79c1\u304c\u60aa\u3044\u3093\u3060\u300d\u300c\u4fe1\u7528\u3067\u304d\u308b\u4eba\u304c\u3044\u306a\u3044\u300d\u306a\u3069\u81ea\u5206\u3084\u4ed6\u4eba\u306b\u5bfe\u3057\u3066\u5426\u5b9a\u7684\u306a\u8003\u3048\u304c\u6301\u7d9a\u3057\u3066\u6d6e\u304b\u3076\u75c7\u72b6\u3067\u3059\u3002\u6050\u6016\u3001\u6012\u308a\u3001\u7f6a\u60aa\u611f\u306a\u3069\u306e\u611f\u60c5\u304c\u7d9a\u304f\u305f\u3081\u3001\u5468\u56f2\u3078\u306e\u8208\u5473\u304c\u5931\u305b\u3066\u3057\u307e\u3044\u3001\u81ea\u5206\u3060\u3051\u5b64\u7acb\u3057\u3066\u3044\u308b\u3088\u3046\u306a\u611f\u899a\u3092\u6301\u3064\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p><span style=\"color: #993366;\">\u00a0<\/span><\/p>\n<p><span style=\"color: #993366;\"><strong>\u2463\u899a\u9192\u4ea2\u9032\uff1a\u795e\u7d4c\u304c\u904e\u654f\u306b\u306a\u308a\u3001\u5e38\u306b\u7cbe\u795e\u304c\u7dca\u5f35\u3057\u305f\u72b6\u614b\u306b\u306a\u308b<\/strong><\/span><\/p>\n<p>\u4eba\u306e\u52d5\u304d\u3084\u4e9b\u7d30\u306a\u7269\u97f3\u306b\u904e\u654f\u306b\u306a\u308a\u3001\u8b66\u6212\u5fc3\u304c\u5f37\u304f\u306a\u308b\u306a\u3069\u306e\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3044\u3064\u3082\u30a4\u30e9\u30a4\u30e9\u30fb\u30d4\u30ea\u30d4\u30ea\u3057\u3066\u3001\u96c6\u4e2d\u3057\u306b\u304f\u304f\u306a\u3063\u305f\u308a\u5fc3\u8eab\u3068\u3082\u306b\u75b2\u308c\u3084\u3059\u304f\u306a\u3063\u305f\u308a\u3057\u307e\u3059\u3002\u4e0d\u7720\u3084\u52d5\u60b8\u3001\u3081\u307e\u3044\u306a\u3069\u8eab\u4f53\u9762\u306e\u75c7\u72b6\u304c\u3042\u3089\u308f\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"color: #993366;\"><strong>\uff15\u3001PTSD\u306e\u304a\u3082\u306a\u6cbb\u7642\u6cd5<\/strong><\/span><\/h2>\n<p>&nbsp;<\/p>\n<p>PTSD\u3068\u8a3a\u65ad\u3055\u308c\u305f\u3089\u533b\u7642\u6a5f\u95a2\u3084\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u65bd\u8a2d\u3067\u5c02\u9580\u5bb6\u304b\u3089\u9069\u5207\u306a\u6cbb\u7642\u3092\u53d7\u3051\u307e\u3057\u3087\u3046\u3002<\/p>\n<p><span style=\"color: #993366;\"><strong>\u2460\u74b0\u5883\u8abf\u6574<\/strong><\/span><\/p>\n<p>\u65e5\u5e38\u306e\u5b89\u5168\u3092\u78ba\u4fdd\u3057\u307e\u3059\u3002\u30c8\u30e9\u30a6\u30de\u306b\u3055\u3089\u3055\u308c\u308b\u66dd\u9732\u3057\u305d\u3046\u306b\u306a\u308b\u75c7\u72b6\u304c\u6301\u7d9a\u3057\u3066\u3044\u308b\u5834\u5408\u3084\u3001\u5b89\u5168\u304c\u4fdd\u969c\u3067\u304d\u306a\u3044\u5834\u6240\u306b\u3044\u308b\u5834\u5408\u306b\u306f\u3001\u793e\u4f1a\u8cc7\u6e90\u3092\u6d3b\u7528\u3057\u3066\u5b89\u5fc3\u3067\u304d\u308b\u5834\u6240\u3092\u78ba\u4fdd\u3059\u308b\u3088\u3046\u306b\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #993366;\"><strong>\u2461\u85ac\u7269\u7642\u6cd5<\/strong><\/span><\/p>\n<p>SSRI\u306a\u3069\u306e\u6297\u3046\u3064\u85ac\u3092\u4e2d\u5fc3\u3068\u3057\u305f\u85ac\u7269\u7642\u6cd5\u306f\u3001PTSD\u306e\u75c7\u72b6\u306b\u52b9\u679c\u304c\u3042\u308b\u3068\u308f\u304b\u3063\u3066\u3044<\/p>\n<p>\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: 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