{"id":1990,"date":"2020-11-13T11:18:54","date_gmt":"2020-11-13T02:18:54","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1990"},"modified":"2020-11-13T11:18:54","modified_gmt":"2020-11-13T02:18:54","slug":"2%e6%ae%b5%e9%9a%8e%e3%81%86%e3%81%a4%e7%97%85%e3%82%b9%e3%82%af%e3%83%aa%e3%83%bc%e3%83%8b%e3%83%b3%e3%82%b0%e6%88%a6%e7%95%a5-2020%e5%b9%b46%e6%9c%88","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1990","title":{"rendered":"2\u6bb5\u968e\u3046\u3064\u75c5\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u6226\u7565 (2020\u5e746\u6708)"},"content":{"rendered":"

\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002<\/p>\n

\u2015\u6587\u732e\u540d\uff0d
\nLevis B, Sun Y, He C, et al. Accuracy of the PHQ-2 Alone and in Combination With the PHQ-9 for Screening to Detect Major Depression: Systematic Review and Meta-analysis. JAMA. 2020;323(22):2290. <\/p>\n

\u2015\u8981\u7d04\uff0d
\n\u91cd\u8981\u6027\uff1a
\nPatient Health Questionnaire depression module\uff08PHQ-9\uff09\u306f\u3001\u3046\u3064\u75c5\u306e\u691c\u51fa\u3068\u91cd\u75c7\u5ea6\u306e\u8a55\u4fa1\u306b\u4f7f\u7528\u3055\u308c\u308b9\u9805\u76ee\u306e\u81ea\u5df1\u8a18\u5165\u5f0f\u691c\u67fb\u3067\u3042\u308b\u3002Patient Health Questionnaire-2\uff08PHQ-2\uff09\u306fPHQ-9\u306e\u6700\u521d\u306e2\u9805\u76ee\uff08\u6291\u3046\u3064\u6c17\u5206\u3068\u7121\u6c17\u529b\u306e\u983b\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\uff09\u3067\u69cb\u6210\u3055\u308c\u3066\u304a\u308a\u3001PHQ-9\u306e\u8a55\u4fa1\u3092\u53d7\u3051\u308b\u60a3\u8005\u3092\u7279\u5b9a\u3059\u308b\u6700\u521d\u306e\u30b9\u30c6\u30c3\u30d7\u3068\u3057\u3066\u4f7f\u7528\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\uff08Table1\uff09\u3002<\/p>\n

\"JC202009\u9ed2\u6728\uff11\"<\/a><\/p>\n

\u76ee\u7684\uff1a
\n\u5927\u3046\u3064\u75c5\u3092\u691c\u51fa\u3059\u308b\u305f\u3081\u306ePHQ-2\u5358\u72ec\u304a\u3088\u3073PHQ-9\u3068\u306e\u4f75\u7528\u306e\u7cbe\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u3002DATA SOURCES MEDLINE\u3001MEDLINE In-Process & Other Non-Indexed Citations\u3001PsycINFO\u3001Web of Science\uff082000\u5e741\u6708\uff5e2018\u5e745\u6708\uff09\u3002DATA SOURCES MEDLINE\u3001MEDLINE In-Process & Other Non-Indexed Citations\u3001PsycINFO\u3001Web of Science\uff082000\u5e741\u6708\uff5e2018\u5e745\u6708\uff09\u3002<\/p>\n

\u7814\u7a76\u9078\u629e\uff1a
\n\u5bfe\u8c61\u3068\u306a\u308b\u30c7\u30fc\u30bf\u30bb\u30c3\u30c8\u306f\u3001PHQ-2\u30b9\u30b3\u30a2\u3068\u6709\u52b9\u306a\u8a3a\u65ad\u9762\u63a5\u306b\u3088\u308b\u5927\u3046\u3064\u75c5\u8a3a\u65ad\u3068\u3092\u6bd4\u8f03\u3057\u305f\u3002<\/p>\n

\u30c7\u30fc\u30bf\u306e\u62bd\u51fa\u3068\u89e3\u6790\uff1a
\n \u534a\u69cb\u9020\u5316\u9762\u63a5\u3001\u5b8c\u5168\u69cb\u9020\u5316\u9762\u63a5\u3001\u30df\u30cb\u56fd\u969b\u795e\u7d4c\u7cbe\u795e\u79d1\u9762\u63a5\u3092\u7528\u3044\u305f\u7814\u7a76\u306b\u304a\u3051\u308bPHQ-2\u5358\u72ec\u3001PHQ-9\u3068\u7d44\u307f\u5408\u308f\u305b\u305fPHQ-2\u306b\u5bfe\u3057\u3066\u3001\u534a\u69cb\u9020\u5316\u9762\u63a5\u3092\u7528\u3044\u305f\u7814\u7a76\u306ePHQ-9\u5358\u72ec\u306e\u611f\u5ea6\u3068\u7279\u7570\u5ea6\u3092\u63a8\u5b9a\u3059\u308b\u305f\u3081\u306b\u3001\u4e8c\u5909\u91cf\u30e9\u30f3\u30c0\u30e0\u52b9\u679c\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3092\u884c\u3063\u305f\u3002 PHQ-2\u306e\u30b9\u30b3\u30a2\u306f0\uff5e6\u3001PHQ-9\u306e\u30b9\u30b3\u30a2\u306f0\u301c27\u3067\u3042\u3063\u305f\u3002<\/p>\n

\u7d50\u679c\uff1a
\n\u5bfe\u8c61\u3068\u306a\u308b136\u4ef6\u306e\u7814\u7a76\u306e\u3046\u3061100\u4ef6\uff0844 318\u4eba\u3001\u5927\u3046\u3064\u75c5\u60a3\u80054572\u4eba\uff0810\uff05\uff09\u3001\u5e73\u5747\u5e74\u9f6249 [17]\u6b73\u3001\u5973\u602759\uff05\uff09\u304b\u3089\u53c2\u52a0\u8005\u306e\u500b\u4eba\u30c7\u30fc\u30bf\u3092\u5f97\u305f\uff08Figure1\u3001Table2\uff09\u3002<\/p>\n

\"JC202009\u9ed2\u6728\uff12\"<\/a><\/p>\n

\"JC202009\u9ed2\u6728\uff13\"<\/a><\/p>\n

\u534a\u69cb\u9020\u5316\u9762\u63a5\u3092\u7528\u3044\u305f\u7814\u7a76\u3067\u306f\u3001PHQ-2\u306e\u611f\u5ea6\u3068\u7279\u7570\u5ea6\uff0895\uff05CI\uff09\u306f\u3001\u30ab\u30c3\u30c8\u30aa\u30d5\u30b9\u30b3\u30a2\u304c2\u4ee5\u4e0a\u30670.91\uff080.88-0.94\uff09\u30680.67\uff080.64-0.71\uff09\u30013\u4ee5\u4e0a\u30670.72\uff080.67-0.77\uff09\u30680.85\uff080.83-0.87\uff09\u3067\u3042\u3063\u305f\u3002\u611f\u5ea6\u306f\u3001\u534a\u69cb\u9020\u5316\u9762\u63a5\u3068\u5b8c\u5168\u69cb\u9020\u5316\u9762\u63a5\u3067\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f\u3002\u7279\u7570\u6027\u306f\u9762\u63a5\u306e\u7a2e\u985e\u306b\u3088\u3063\u3066\u6709\u610f\u5dee\u306f\u306a\u304b\u3063\u305f\u3002ROC\u66f2\u7dda\u306e\u4e0b\u9762\u7a4d\uff08AUC\uff09\u306f\u3001\u534a\u69cb\u9020\u5316\u9762\u63a5\u3067\u306f0.88\uff080.0-0.89\uff09\u3001\u5b8c\u5168\u69cb\u9020\u5316\u9762\u63a5\u3067\u306f0.82\uff080.81-0.84\uff09\u3001MINI\u3067\u306f0.87\uff080.85-0.88\uff09\u3067\u3042\u3063\u305f\u3002\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u9593\u306b\u6709\u610f\u5dee\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\uff08Table3\uff09\u3002<\/p>\n

\"JC202009\u9ed2\u6728\uff14\"<\/a><\/p>\n

\u534a\u69cb\u9020\u5316\u9762\u63a5\u3067\u306f\u3001PHQ-2\u304c2\u70b9\u4ee5\u4e0a\u3001PHQ-9\u304c10\u70b9\u4ee5\u4e0a\u306e\u611f\u5ea6\uff080.82 [0.76-0.86]\uff09\u306f\u3001PHQ-9\u304c10\u70b9\u4ee5\u4e0a\u306e\u5358\u72ec\u9762\u63a5\uff080.86 [0.80-0.90]\uff09\u3068\u6bd4\u8f03\u3057\u3066\u6709\u610f\u5dee\u306f\u306a\u304b\u3063\u305f\u304c\u3001\u7279\u7570\u5ea6\u306f\u6709\u610f\u3067\u306f\u3042\u3063\u305f\u304c\u308f\u305a\u304b\u306b\u9ad8\u304b\u3063\u305f\uff080.87 [0.84-0.89] vs 0.85 [0.82-0.87]\uff09\u3002AUC\u306f0.90\uff080.89-0.91\uff09\u3067\u3042\u3063\u305f\u3002\u3053\u306e\u7d44\u307f\u5408\u308f\u305b\u306b\u3088\u308a\u3001PHQ-9\u306e\u5168\u9805\u76ee\u3092\u5b8c\u4e86\u3059\u308b\u5fc5\u8981\u306e\u3042\u308b\u53c2\u52a0\u8005\u6570\u309257\uff05\uff0856\uff05-58\uff05\uff09\u6e1b\u5c11\u3055\u305b\u308b\u3053\u3068\u304c\u63a8\u5b9a\u3055\u308c\u305f\uff08Table4\uff09\u3002<\/p>\n

\"JC202009\u9ed2\u6728\uff15\"<\/a><\/p>\n

\u672c\u7814\u7a76\u306e\u5f37\u307f\u306f\u3001\u30b5\u30f3\u30d7\u30eb\u6570\u304c\u591a\u3044\u3053\u3068\u3001\u3059\u3079\u3066\u306e\u7814\u7a76\uff08\u767a\u8868\u3055\u308c\u305f\u7814\u7a76\u3060\u3051\u3067\u306f\u306a\u304f\uff09\u306e\u3059\u3079\u3066\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u5024\u306e\u7d50\u679c\u304c\u4e00\u81f4\u3057\u3066\u3044\u308b\u3053\u3068\u3001PHQ-2\u306e\u7cbe\u5ea6\u3092\u57fa\u6e96\u5024\u3068\u53c2\u52a0\u8005\u306e\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u5225\u306b\u5206\u3051\u3066\u8a55\u4fa1\u3057\u3066\u3044\u308b\u3053\u3068\u3001\u305d\u3057\u3066\u3001\u3053\u308c\u307e\u3067\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u3067\u306f\u884c\u308f\u308c\u3066\u3044\u306a\u304b\u3063\u305fPHQ-2\u3068PHQ-9\u306e\u7d44\u307f\u5408\u308f\u305b\u306e\u8a55\u4fa1\u306a\u3069\u3067\u3042\u308b\u3002<\/p>\n

Limitation:
\n\u7b2c\u4e00\u306b\u3001\u516c\u8868\u3055\u308c\u3066\u3044\u308b131\u4ef6\u306e\u9069\u683c\u30c7\u30fc\u30bf\u30bb\u30c3\u30c8\u306e\u3046\u306136\u4ef6\uff0827\uff05\uff09\u306e\u4e00\u6b21\u30c7\u30fc\u30bf\u304c\u542b\u307e\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u3067\u3042\u308b\u3002\u7b2c\u4e8c\u306b\u3001\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u3092\u8003\u616e\u3059\u308b\u3068\u307b\u3068\u3093\u3069\u306e\u5834\u5408\u3067\u6539\u5584\u3055\u308c\u305f\u304c\u3001\u7814\u7a76\u9593\u3067\u306f\u4e2d\u7a0b\u5ea6\u306e\u4e0d\u5747\u4e00\u6027\u304c\u3042\u3063\u305f\u3002\u3053\u308c\u306f\u3001\u7cbe\u795e\u79d1\u4ee5\u5916\u306e\u533b\u5b66\u7684\u8a3a\u65ad\u306e\u6709\u7121\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u304c40\uff05\u306e\u53c2\u52a0\u8005\u3067\u306f\u5f97\u3089\u308c\u305a\u3001\u7279\u5b9a\u306e\u8a3a\u65ad\u306b\u3064\u3044\u3066\u306f\u3088\u308a\u9ad8\u3044\u5272\u5408\u3067\u6b20\u843d\u3057\u3066\u3044\u305f\u305f\u3081\u3067\u3042\u308a\u3001\u307e\u305f\u3001\u591a\u304f\u306e\u56fd\u3084\u8a00\u8a9e\u3092\u4ee3\u8868\u3059\u308b\u4e00\u6b21\u7814\u7a76\u304c\u5c11\u306a\u304b\u3063\u305f\u305f\u3081\u3067\u3042\u308b\u3002\u7b2c\u4e09\u306b\u3001\u591a\u304f\u306e\u7814\u7a76\u3067\u306f\u3001\u3059\u3067\u306b\u3046\u3064\u75c5\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3044\u308b\u304b\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u308b\u53ef\u80fd\u6027\u306e\u3042\u308b\u53c2\u52a0\u8005\u3092\u660e\u793a\u7684\u306b\u9664\u5916\u3057\u3066\u3044\u306a\u3044\u304c\u3001\u73fe\u5728\u8a3a\u65ad\u3055\u308c\u3066\u3044\u306a\u3044\u304b\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u305f\u53c2\u52a0\u8005\u306e\u5206\u6790\u3068\u3001\u3053\u308c\u3089\u306e\u60c5\u5831\u304c\u306a\u3044\u53c2\u52a0\u8005\u3092\u542b\u3080\u3059\u3079\u3066\u306e\u53c2\u52a0\u8005\u306e\u5206\u6790\u3067\u306f\u3001\u7d71\u8a08\u7684\u306b\u6709\u610f\u306a\u5dee\u306f\u306a\u304b\u3063\u305f\u3002\u7b2c\u56db\u306b\u3001\u500b\u3005\u306e\u53c2\u52a0\u8005\u30c7\u30fc\u30bf\u306e\u30e1\u30bf\u30a2\u30ca\u30ea\u30b7\u30b9\u306b\u304a\u3051\u308b\u7814\u7a76\u306f\u3001\u5b9f\u65bd\u3055\u308c\u305f\u9762\u63a5\u306b\u57fa\u3065\u3044\u3066\u5206\u985e\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u9762\u63a5\u304c\u5fc5\u305a\u3057\u3082\u610f\u56f3\u3057\u305f\u65b9\u6cd5\u3067\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u534a\u69cb\u9020\u5316\u9762\u63a5\u3092\u4f7f\u7528\u3057\u305f48\u4ef6\u306e\u7814\u7a76\u306e\u3046\u3061\u3001\u5178\u578b\u7684\u306a\u57fa\u6e96\u3092\u6e80\u305f\u3055\u306a\u3044\u9762\u63a5\u5b98\u3092\u4f7f\u7528\u3057\u305f\u7814\u7a76\u304c3\u4ef6\u3001\u4e0d\u660e\u78ba\u3068\u8a55\u4fa1\u3055\u308c\u305f\u7814\u7a76\u304c11\u4ef6\u3067\u3042\u3063\u305f\u3002\u8cc7\u683c\u306e\u306a\u3044\u9762\u63a5\u5b98\u3092\u4f7f\u7528\u3057\u305f\u3053\u3068\u3067\u3001\u57fa\u6e96\u3068\u306a\u308b\u57fa\u6e96\u30ab\u30c6\u30b4\u30ea\u30fc\u9593\u306e\u7cbe\u5ea6\u63a8\u5b9a\u5024\u306e\u5dee\u304c\u6e1b\u5c11\u3057\u305f\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u7b2c5\u306b\u3001QUADAS-2\u306e\u3059\u3079\u3066\u306e\u9818\u57df\u306b\u304a\u3044\u3066\u30d0\u30a4\u30a2\u30b9\u306e\u30ea\u30b9\u30af\u304c\u4f4e\u3044\u3068\u8a55\u4fa1\u3055\u308c\u305f\u7814\u7a76\u306f\u307b\u3068\u3093\u3069\u306a\u304b\u3063\u305f\u305f\u3081\u3001\u3059\u3079\u3066\u306e\u8a55\u4fa1\u304c\u4f4e\u3044\u7814\u7a76\u306e\u307f\u3092\u7528\u3044\u305f\u611f\u5ea6\u5206\u6790\u306f\u5b9f\u65bd\u3055\u308c\u306a\u304b\u3063\u305f\u3002<\/p>\n

\u7d50\u8ad6\u3068\u95a2\u9023\u6027\uff1a
\nPHQ\u30b9\u30b3\u30a2\u3068\u5927\u3046\u3064\u75c5\u8a3a\u65ad\u3092\u6bd4\u8f03\u3057\u305f\u7814\u7a76\u306e\u53c2\u52a0\u8005\u30c7\u30fc\u30bf\u306e\u30e1\u30bf\u89e3\u6790\u3067\u306f\u3001PHQ-2\uff08\u30ab\u30c3\u30c8\u30aa\u30d52\uff09\u3068PHQ-9\uff08\u30ab\u30c3\u30c8\u30aa\u30d5210\uff09\u306e\u7d44\u307f\u5408\u308f\u305b\u306f\u3001PHQ-9\u306e\u30ab\u30c3\u30c8\u30aa\u30d5\u30b9\u30b3\u30a2\u304c10\u4ee5\u4e0a\u306e\u5358\u72ec\u306e\u5834\u5408\u3068\u6bd4\u8f03\u3057\u3066\u3001\u611f\u5ea6\u306f\u540c\u7b49\u3067\u3042\u3063\u305f\u304c\u7279\u7570\u5ea6\u306f\u9ad8\u304b\u3063\u305f\u3002\u3053\u306e\u7d44\u307f\u5408\u308f\u305b\u306b\u3088\u308b\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306e\u81e8\u5e8a\u7684\u30fb\u7814\u7a76\u7684\u4fa1\u5024\u3092\u7406\u89e3\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u3055\u3089\u306a\u308b\u7814\u7a76\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002
\n\"JC202009\u9ed2\u6728\uff16\"<\/a><\/p>\n

\u3010\u958b\u50ac\u65e5\u30112020\u5e749\u67082\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 \u2015\u6587\u732e\u540d\uff0d Levis B, Sun Y, He C, et al. Accura … \u7d9a\u304d\u3092\u8aad\u3080 2\u6bb5\u968e\u3046\u3064\u75c5\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u6226\u7565 (2020\u5e746\u6708)<\/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":[33,15],"tags":[],"class_list":["post-1990","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-15"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1990","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=1990"}],"version-history":[{"count":3,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1990\/revisions"}],"predecessor-version":[{"id":1999,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1990\/revisions\/1999"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1990"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1990"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1990"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}