{"id":1070,"date":"2016-06-24T15:33:47","date_gmt":"2016-06-24T06:33:47","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1070"},"modified":"2016-06-24T15:33:48","modified_gmt":"2016-06-24T06:33:48","slug":"%e7%81%bd%e5%ae%b3%e6%99%82%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e5%ae%b6%e5%ba%ad%e5%8c%bb%e3%81%ae%e5%bd%b9%e5%89%b2","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1070","title":{"rendered":"\u707d\u5bb3\u6642\u306b\u304a\u3051\u308b\u5bb6\u5ead\u533b\u306e\u5f79\u5272"},"content":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d
\nJOHN R. FREEDY, M.D., PH.D., and WILLIAM M. SIMPSON, JR., M.D., Disaster-Related Physical and Mental Health: A Role for the Family Physician, Am Fam Physician. 2007 Mar 15;75(6):841-846.<\/p>\n

\uff0d\u8981\u7d04\u30fc
\nIntroduction<\/strong>
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\n\u3000\uff08\uff11\uff09\u707d\u5bb3\u306f\u7ffc\u3042\u308b\u30a4\u30d9\u30f3\u30c8\u3067\u3042\u308a\u3001\u5e74\u9593100\u4e07\u4eba\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u3066\u3044\u308b
\n\u3000\uff08\uff12\uff09\u707d\u5bb3\u306e\u591a\u3044\u5730\u57df\u3084\u6280\u8853\u7684\u306b\u767a\u5c55\u3057\u305f\u306a\u8907\u96d1\u306a\u5730\u57df\u306b\u4f4f\u3093\u3067\u3044\u308b\u591a\u304f\u306e\u4eba\u306b\u304a\u3044\u3066\u3001\u707d\u5bb3\u306e\u5f71\u97ff\u306f\u4eca\u5f8c\u6570\u5e74\u9593\u3067\u5897\u52a0\u3059\u308b\u3053\u3068\u304c\u4e88\u60f3\u3055\u308c\u308b
\n\u3000\uff08\uff13\uff09\u707d\u5bb3\u306f\u8efd\u5ea6\u3067\u4e00\u904e\u6027\u306e\u3082\u306e\u304b\u3089\u91cd\u5927\u3067\u6162\u6027\u306a\u3082\u306e\u307e\u3067\u69d8\u3005\u306a\u8eab\u4f53\u7684\u3001\u5fc3\u7406\u7684\u60aa\u5f71\u97ff\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u3002
\n\u5bb6\u5ead\u533b\u306f\u88ab\u707d\u8005\u306e\u5fc3\u8eab\u306e\u5065\u5eb7\u30cb\u30fc\u30ba\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306b\u9069\u3057\u3066\u3044\u308b\u3002\u305d\u308c\u306f\u30a4\u30d9\u30f3\u30c8\u5f8c1\u5e74\u4ee5\u5185\u3082\u3057\u304f\u306f1\u5e74\u4ee5\u4e0a\u306e\u671f\u9593\u306b\u304a\u3044\u3066\u3001\u88ab\u707d\u8005\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30d8\u30eb\u30b9\u30b1\u30a2\u306e\u5229\u7528\u304c\u5897\u52a0\u3059\u308b\u304b\u3089\u3067\u3042\u308b\u3002\u3055\u3089\u306b\u91cd\u8981\u306a\u306e\u306f\u3001\u4e00\u822c\u7684\u306b\u707d\u5bb3\u5f8c\u306b\u767a\u751f\u3059\u308b\u6025\u6027\u304a\u3088\u3073\u6162\u6027\u306e\u8eab\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u5065\u5eb7\u554f\u984c\u306f\u3001\u5bb6\u5ead\u533b\u306e\u8a3a\u7642\u306e\u7bc4\u56f2\u5185\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n

\u4e00\u822c\u7684\u306a\u707d\u5bb3\u5f8c\u306e\u5065\u5eb7\u30a2\u30a6\u30c8\u30ab\u30e0<\/strong>
\n\u3000\u8eab\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u5065\u5eb7\u72b6\u614b\u306f\u3001\u707d\u5bb3\u767a\u751f\u304b\u3089\u306e\u6642\u9593\u306b\u5fdc\u3058\u3066\u5909\u5316\u3059\u308b\uff1a\u6025\u6027\u671f\uff081\u30f6\u6708\u4ee5\u5185\uff09\u3001\u4e9c\u6025\u6027\u671f\uff081-12\u30f6\u6708\uff09\u3001\u6162\u6027\u671f\uff0812\u30f6\u6708\u4ee5\u4e0a\uff09\u3002\u307e\u305f\u3001\u707d\u5bb3\u306b\u3088\u308b\u8eab\u4f53\u7684\u30fb\u7cbe\u795e\u7684\u5065\u5eb7\u3078\u306e\u5f71\u97ff\u306f\u3057\u3070\u3057\u3070\u5171\u5b58\u3059\u308b\u3002\u3044\u304f\u3064\u304b\u306e\u4f8b\u3067\u306f\u8eab\u4f53\u7684\u306a\u554f\u984c\u306f\u7cbe\u795e\u7684\u554f\u984c\u3092\u5897\u5927\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u4f8b\u3048\u3070\u707d\u5bb3\u306f\u9b31\u75c5\u306e\u767a\u75c7\u3084\u5897\u60aa\u306b\u5bc4\u4e0e\u3057\u3001\u7cd6\u5c3f\u75c5\u3084\u3046\u3063\u8840\u6027\u5fc3\u4e0d\u5168\u306e\u3088\u3046\u306a\u6162\u6027\u306e\u8eab\u4f53\u75be\u60a3\u3092\u60aa\u5316\u3055\u305b\u308b\u3002
\n\u30fb\u8eab\u4f53\u7684\u5065\u5eb7\u30a2\u30a6\u30c8\u30ab\u30e0<\/strong>
\n\u3000\u8eab\u4f53\u7684\u5065\u5eb7\u554f\u984c\u306f4\u3064\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u306b\u5206\u3051\u3089\u308c\u308b\uff1a\u2460\u6025\u6027\u5916\u50b7\u3001\u2461\u6025\u6027\u75be\u60a3\u3001\u2462\u6162\u6027\u75be\u60a3\u3001\u2463\u533b\u5b66\u7684\u306b\u539f\u56e0\u4e0d\u660e\u306e\u8eab\u4f53\u75be\u60a3\uff08\u8868\uff09
\n\u707d\u5bb3\u5f8c\u6025\u6027\u671f\u306e\u5065\u5eb7\u554f\u984c\u306e\u534a\u5206\u4ee5\u4e0a\u306f\u3001\u6025\u6027\u4e0a\u6c17\u9053\u708e\u3084\u80c3\u8178\u708e\u306a\u3069\u306e\u75c5\u6c17\u3067\u3042\u308a\u3001\u307e\u305f4\u5206\u306e1\u304c\u5207\u308a\u50b7\u3084\u64e6\u308a\u50b7\u3001\u637b\u632b\u3001\u9aa8\u6298\u306a\u3069\u306e\u5916\u50b7\u3067\u3042\u308b\u3002\u305d\u306e\u307b\u304b\u306e\u5065\u5eb7\u554f\u984c\u306f\u51e6\u65b9\u3084\u7dcf\u79f0\u30c1\u30a7\u30c3\u30af\u3001\u526f\u5b50\u306a\u3069\u306e\u65e5\u5e38\u306e\u51e6\u7f6e\u304c\u542b\u307e\u308c\u308b\u3002
\n\u88ab\u707d\u8005\u306f\u6162\u6027\u7684\u306a\u5065\u5eb7\u554f\u984c\uff08\u4f8b\u3048\u3070\u7cd6\u5c3f\u75c5\u3001\u9ad8\u8840\u5727\u3001\u5fc3\u4e0d\u5168\uff09\u306e\u7ba1\u7406\u306b\u652f\u63f4\u3092\u5fc5\u8981\u3068\u3059\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3042\u308b\u3002\u7279\u306b\u707d\u5bb3\u5f8c\u306e\u4e9c\u6025\u6027\u671f\u304b\u3089\u6162\u6027\u671f\u306b\u3001\u707d\u5bb3\u304c\u793e\u4f1a\u30a4\u30f3\u30d5\u30e9\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u305f\u5ea6\u5408\u3044\u306b\u5fdc\u3058\u3066\u3001\u305d\u306e\u3088\u3046\u306a\u652f\u63f4\u304c\u90e8\u5206\u7684\u306b\u5fc5\u8981\u306b\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002
\n\u307e\u305f\u533b\u5b66\u7684\u306b\u554f\u984c\u306e\u306a\u3044\u8eab\u4f53\u7684\u75c7\u72b6\u306e\u8a34\u3048\u306f\u707d\u5bb3\u5f8c\u5171\u901a\u3057\u3066\u307f\u3089\u308c\u308b\u3002\u3053\u308c\u3089\u306e\u75c7\u72b6\u306f\u307e\u305f\u3001\u9b31\u75c5\u3084PTSD\u304a\u3088\u3073\u305d\u306e\u4ed6\u306e\u4e0d\u5b89\u969c\u5bb3\u306a\u3069\u7cbe\u795e\u7684\u554f\u984c\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\u3002
\n\u30fb\u7cbe\u795e\u7684\u5065\u5eb7\u30a2\u30a6\u30c8\u30ab\u30e0<\/strong>
\n\u3000\u707d\u5bb3\u5f8c\u306e\u7cbe\u795e\u7684\u554f\u984c\u3092\u3082\u3064\u591a\u304f\u306e\u60a3\u8005\u306f\u3001\u707d\u5bb3\u524d\u306b\u540c\u69d8\u306e\u554f\u984c\u3092\u62b1\u3048\u3066\u3044\u308b\u3002\u305d\u306e\u3088\u3046\u306a\u5834\u5408\u3001\u5bb6\u5ead\u533b\u306e\u5f79\u5272\u306f\u51e6\u65b9\u3059\u308b\u3053\u3068\u3001\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3092\u884c\u3046\u3053\u3068\u3001\u9069\u5207\u306b\u5c02\u9580\u5bb6\u3092\u7d39\u4ecb\u3059\u308b\u3053\u3068\u306a\u3069\u304c\u3042\u308b\u3002
\n\u707d\u5bb3\u5f8c\u6025\u6027\u671f\u306e\u7cbe\u795e\u7684\u82e6\u75db\u306f\u60c5\u7dd2\u4e0d\u5b89\u5b9a\u3092\u542b\u307f\u3001\u5177\u4f53\u7684\u306b\u306f\u5426\u5b9a\u7684\u306a\u611f\u60c5\u3001\u8a8d\u77e5\u306e\u6a5f\u80fd\u969c\u5bb3\u3084\u3086\u304c\u307f\uff08\u4f8b\u3048\u3070\u6df7\u4e71\u3001\u5909\u308f\u3063\u305f\u8a18\u61b6\u306a\u3069\uff09\u3001\u8eab\u4f53\u7684\u75c7\u72b6\uff08\u982d\u75db\u3001\u7dca\u5f35\u3001\u75b2\u52b4\u3001\u80c3\u8178\u969c\u5bb3\u3001\u98df\u6b32\u306e\u5909\u5316\u306a\u3069\uff09\u3001\u5bfe\u4eba\u95a2\u4fc2\u3078\u306e\u5f71\u97ff\uff08\u795e\u7d4c\u904e\u654f\u3001\u9589\u3058\u3053\u3082\u308a\u306a\u3069\uff09\u306a\u3069\u304c\u3042\u308b\u3002\u591a\u304f\u306e\u4eba\u306f\u6025\u6027\u306e\u5fc3\u7406\u7684\u82e6\u75db\u306f\u6570\u30f6\u6708\u306b\u6570\u9031\u9593\u4ee5\u5185\u306b\u89e3\u6c7a\u3059\u308b\u304c\u30011\u5e74\u307b\u3069\u6301\u7d9a\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3002
\n\u3088\u308a\u91cd\u5ea6\u3067\u3042\u308b\u65b0\u898f\u767a\u75c7\u306e\u7cbe\u795e\u7684\u554f\u984c\u306f\u3001\u660e\u3089\u304b\u306b\u308f\u304b\u308a\u3084\u3059\u3044\u3082\u306e\u304b\u3089\u308f\u304b\u308a\u306b\u304f\u3044\u3082\u306e\u307e\u3067\u5e45\u3092\u6301\u3063\u3066\u73fe\u308c\u308b\u3002\u6700\u3082\u4e00\u822c\u7684\u306a\u707d\u5bb3\u5f8c\u306e\u7cbe\u795e\u7684\u554f\u984c\u306f\u3001\u3046\u3064\u75c5\u3001PTSD\u3001\u304a\u3088\u3073\u305d\u306e\u4ed6\u306e\u4e0d\u5b89\u969c\u5bb3\u3067\u3042\u308a\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u3084\u85ac\u7269\u4e71\u7528\u3001\u5bb6\u5ead\u7b49\u3078\u306e\u66b4\u529b\u306e\u5897\u52a0\u3082\u6307\u6458\u3055\u308c\u3066\u3044\u308b\u3002\u5bb6\u5ead\u533b\u306f\u3001\u7cbe\u795e\u7684\u554f\u984c\u3001\u751f\u547d\u306e\u8105\u5a01\u3092\u611f\u3058\u3066\u3044\u308b\u3082\u306e\u3001\u91cd\u5ea6\u306e\u50b7\u5bb3\u3092\u3046\u3051\u305f\u3082\u306e\u3001\u6b7b\u3092\u66dd\u9732\u3055\u308c\u305f\u3082\u306e\u306a\u3069\u306e\u707d\u5bb3\u5f31\u8005\u306b\u304a\u3044\u3066\u4e00\u822c\u7684\u306a\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3092\u691c\u8a0e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n

\u707d\u5bb3\u5bfe\u7b56<\/strong>
\n\u7b46\u8005\u306f\u707d\u5bb3\u304c\u767a\u751f\u3057\u305f\u3068\u304d\u306b\u3001\u5bb6\u5ead\u533b\u304c\u67d4\u8edf\u3067\u7740\u5b9f\u306a\u884c\u52d5\u3092\u3068\u308c\u308b\u3088\u3046\u306b4\u6bb5\u968e\u306e\u707d\u5bb3\u6e96\u5099\u8a08\u753b\u3092\u63d0\u6848\u3059\u308b\u3002\u3053\u306e\u8a08\u753b\u306b\u306f\u3001\u2460\u4ed6\u7d44\u7e54\u3068\u306e\u9023\u643a\u3001\u2461\u4e8b\u524d\u306e\u6e96\u5099\u3001\u304a\u3088\u3073\u2462\u500b\u4eba\u306e\u6e96\u5099\u3001\u2463\u6559\u80b2\u304c\u542b\u307e\u308c\u308b\u3002
\n\u2460\u6559\u80b2
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\n\u2461\u9023\u643a
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\uff0d\u6587\u732e\u540d\uff0d JOHN R. FREEDY, M.D., PH.D., and WILLIAM M. SIMPSON, JR., M.D., Disaster-Related Physical and Mental Hea … \u7d9a\u304d\u3092\u8aad\u3080 \u707d\u5bb3\u6642\u306b\u304a\u3051\u308b\u5bb6\u5ead\u533b\u306e\u5f79\u5272<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-1070","post","type-post","status-publish","format-standard","hentry","category-16"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1070","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1070"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1070\/revisions"}],"predecessor-version":[{"id":1071,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1070\/revisions\/1071"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1070"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1070"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1070"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}