{"id":539,"date":"2011-10-17T10:51:32","date_gmt":"2011-10-17T01:51:32","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=539"},"modified":"2015-08-06T15:53:40","modified_gmt":"2015-08-06T06:53:40","slug":"%e6%b2%88%e9%bb%99%e3%81%ae%e4%b8%ad%e3%81%a7%e3%81%ae%e8%8b%a6%e6%82%a9%ef%bc%9a%e3%83%97%e3%83%a9%e3%82%a4%e3%83%9e%e3%83%aa%e3%83%bb%e3%82%b1%e3%82%a2%e3%81%ae%e7%8f%be%e5%a0%b4%e3%81%a7%e3%81%86","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=539","title":{"rendered":"\u6c88\u9ed9\u306e\u4e2d\u3067\u306e\u82e6\u60a9\uff1a\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u73fe\u5834\u3067\u3046\u3064\u75c5\u60a3\u8005\u304c\u75c7\u72b6\u3092\u6253\u3061\u660e\u3051\u306a\u3044\u7406\u7531"},"content":{"rendered":"

\u3010\u6587\u732e\u540d\u3011
\n\u2028Robert A. Bell, et al. Suffering in Silence: Reasons for Not Disclosing Depression in Primary Care. Ann Fam Med. 2011;9(5):439 -446.\u2028\u2028<\/p>\n

\u3010\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\u3011
\n\u2028\u65e5\u672c\u306e\u91cd\u8981\u306a\u793e\u4f1a\u554f\u984c\u3068\u3057\u3066\u81ea\u6bba\u304c\u3042\u308a\u3001\u305d\u306e\u539f\u56e0\u3068\u306a\u308b\u3046\u3064\u75c5\u306e\u65e9\u671f\u8a3a\u65ad\u30fb\u6cbb\u7642\u304c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u306e\u4ed5\u4e8b\u3068\u3057\u3066\u671f\u5f85\u3055\u308c\u3066\u3044\u308b\u3002\u305f\u3060\u5916\u6765\u306e\u5834\u9762\u3067\u8a3a\u65ad\u3059\u308b\u3053\u3068\u306f\u7c21\u5358\u3067\u306f\u306a\u304f\u3001\u6642\u306b\u306f\u8a3a\u65ad\u304c\u9045\u308c\u305f\u308a\u3001\u8907\u6570\u56de\u306e\u9762\u63a5\u3092\u91cd\u306d\u3066\u3088\u3046\u3084\u304f\u8a3a\u65ad\u306b\u81f3\u308bCase\u3082\u5c11\u306a\u304f\u306a\u3044\u3002\u4eca\u56de\u3046\u3064\u75c5\u60a3\u8005\u304c\u305d\u306e\u75c7\u72b6\u3092\u8a9e\u3089\u306a\u3044\u8981\u56e0\u3092\u5206\u6790\u3057\u305f\u8208\u5473\u6df1\u3044\u8ad6\u6587\u3092\u898b\u3064\u3051\u305f\u3002\u5916\u6765\u306e\u554f\u8a3a\u306e\u6539\u5584\u3084FCG\uff08Finding Common Ground\uff09\u306b\u81f3\u308b\u30d7\u30ed\u30bb\u30b9\u306e\u53c2\u8003\u306b\u306a\u3063\u305f\u305f\u3081\u5171\u6709\u3059\u308b\u3002\u2028\u2028<\/p>\n

\u3010\u8981\u7d04\u3011
\n\u2028\uff1c\u76ee\u7684\uff1e\u2028
\n\u3000\u3046\u3064\u75c5\u306e\u75c7\u72b6\u306f\u60a3\u8005\u304b\u3089\u6253\u3061\u660e\u3051\u3089\u308c\u306a\u3044\u3053\u3068\u304c\u591a\u3044\u3002\u305d\u3053\u3067\u3053\u306e\u7814\u7a76\u3067\u306f\u3046\u3064\u75c5\u304c\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u306b\u660e\u3089\u304b\u306b\u3055\u308c\u306a\u3044\u60a3\u8005\u500b\u4eba\u306e\u7406\u7531\u3092\u8abf\u67fb\u3057\u305f\u3002\u2028\u2028<\/p>\n

\uff1c\u65b9\u6cd5\uff1e
\nCalifornia Behavioral Risk Factor Survey System\u306e\u4e2d\u304b\u3089\u3001\u30e9\u30f3\u30c0\u30e0\u306b\u9078\u3073\u3060\u3057\u305f\u5bfe\u8c61\u8005\u306e\u3046\u30612008\u5e741\u6708\u304b\u30896\u6708\u306b\u56de\u7b54\u3057\u518d\u8abf\u67fb\u306b\u627f\u8afe\u3092\u5f97\u305f1054\u540d\u306e\u6210\u4eba\u3092\u5bfe\u8c61\u306b\u30012008\u5e74\u306e7\u6708\u304b\u308912\u6708\u306b\u304b\u3051\u3066\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u8abf\u67fb\u3068\u3057\u3066\u96fb\u8a71\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3092\u5b9f\u65bd\u3057\u305f\u3002\u2028\u56de\u7b54\u8005\u306b\u3001\u3046\u3064\u75c5\u306e\u75c7\u72b6\u306e\u975e\u958b\u793a\u7406\u7531\u3001\u3046\u3064\u75c5\u306b\u95a2\u3059\u308b\u4fe1\u5ff5\u3001\u60a3\u8005\u80cc\u666f\u3001\u5065\u5eb7\u72b6\u614b\u3001\u5c06\u6765\u3046\u3064\u75c5\u3092\u8a3a\u65ad\u3055\u308c\u305f\u6642\u306e\u53cd\u5fdc\u306e\u4e88\u60f3\u3092\u8a2a\u306d\u305f\u3002\u6253\u3061\u660e\u3051\u306e\u969c\u58c1\u3068\u306a\u308b\u7279\u5fb4\u306e\u5206\u6790\u306f\u3001\u8a18\u8ff0\u7684\u304b\u3064\u63a8\u8a08\u7d71\u8a08\u5b66\u7684(\u62bd\u51fa\u3055\u308c\u305f\u90e8\u5206\u96c6\u56e3\u304b\u3089\u6bcd\u96c6\u56e3\u306e\u7279\u5fb4\u30fb\u6027\u8cea\u3092\u63a8\u5b9a)\u624b\u6cd5\u3092\u7528\u3044\u305f\u3002<\/p>\n

\u2028\u2028\uff1c\u7d50\u679c\uff1e
\n\u96fb\u8a71\u56de\u7b54\u8005\u306e43%\u306b\u4e00\u3064\u4ee5\u4e0a\u306e\u975e\u958b\u793a\u7406\u7531\u304c\u3042\u3063\u305f\u3002\u3082\u3063\u3068\u3082\u591a\u3044\u7406\u7531\u306f\u3001\u2460\u533b\u5e2b\u304b\u3089\u6297\u3046\u3064\u85ac\u3092\u63a8\u5968\u3055\u308c\u308b\u5fc3\u914d\u306b\u3088\u308b\u3082\u306e(22.9%;95%CI,18.8%-27.5%)\u3067\u3042\u3063\u305f\u3002\u2028
\n\u3000\u305d\u306e\u307b\u304b\u306e\u7406\u7531\u306f\u9806\u306b\u3001\u2461\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u306e\u8a3a\u7642\u7bc4\u56f2\u5916\u3068\u307f\u306a\u3057\u3066\u3044\u308b\u304b\u3089(15.6%)\u3001\u2462\u8a3a\u7642\u9332\u304c\u4ed6\u4eba\u306b\u898b\u3089\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u304b\u3089(15.4%)\u3001\u2463\u30ab\u30a6\u30f3\u30bb\u30e9\u30fc\u3084\u5fc3\u7406\u58eb\u306b\u7d39\u4ecb\u3055\u308c\u308b\u304b\u3089(13.7%)\u3001\u2464\u7cbe\u795e\u79d1\u533b\u306b\u7d39\u4ecb\u3055\u308c\u308b\u304b\u3089(13.4%)\u3001\u2465\u7cbe\u795e\u79d1\u60a3\u8005\u3068\u307f\u306a\u3055\u308c\u305f\u304f\u306a\u3044\u304b\u3089(11.8%)\u3001\u2466\u500b\u4eba\u7684\u306a\u60c5\u5831\u3092\u4f1d\u3048\u305f\u304f\u306a\u3044\u304b\u3089(9.1%)\u3001\u2467\u8a3a\u7642\u4e2d\u306b\u6ce3\u3044\u3066\u3057\u307e\u3046\u30fb\u3082\u3057\u304f\u306f\u611f\u60c5\u7684\u306b\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u304b\u3089(7.6%)\u3001\u2468\u3046\u3064\u306e\u8a71\u984c\u3092\u3069\u3046\u5207\u308a\u51fa\u3057\u3066\u3044\u3044\u304b\u308f\u304b\u3089\u306a\u3044\u304b\u3089(6.4%)\u3001\u2469\u8eab\u4f53\u7684\u306a\u554f\u984c\u304b\u3089\u8a71\u984c\u3092\u305d\u3089\u3057\u305f\u304f\u306a\u3044\u304b\u3089(5.3%)\u3001\u246a\u3046\u3064\u75c5\u306e\u75c7\u72b6\u3092\u4f1d\u3048\u308b\u3053\u3068\u3067\u533b\u5e2b\u304b\u3089\u4f4e\u3044\u8a55\u4fa1\u3092\u3055\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u304b\u3089(3.6%)\u3068\u7d9a\u3044\u305f[Table2]\u3002\u2028
\n\u3046\u3064\u75c5\u306e\u6cbb\u7642\u6b74\u304c\u3042\u308b\u304b\u3069\u3046\u304b\u306f\u3001\u3046\u3064\u75c5\u304c\u6253\u3061\u660e\u3051\u3089\u308c\u306a\u3044\u69d8\u3005\u306a\u7406\u7531\u306e\u80cc\u666f\u3067\u3042\u3063\u305f\u3002\u4f8b\u3048\u3070\u3001\u6cbb\u7642\u6b74\u304c\u306a\u3044\u3046\u3064\u75c5\u60a3\u8005\u306f\u2461\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u304c\u8a3a\u308b\u75c5\u6c17\u3067\u3042\u308b\u3068\u306f\u307f\u306a\u3057\u3066\u3044\u306a\u304b\u3063\u305f(P=.040)\u3002\u305d\u3057\u3066\u2464\u7cbe\u795e\u79d1\u533b\u306b\u7d39\u4ecb\u3055\u308c\u308b\u306e\u3067\u306f\u3068\u306e\u60a9\u307f\u3092\u6301\u3063\u3066\u3044\u305f(P=.036)\u3002\u305d\u308c\u4ee5\u5916\u306b\u3082\u6cbb\u7642\u6b74\u304c\u306a\u3044\u7fa4\u306f\u2460\u3001\u6cbb\u7642\u6b74\u304c\u3042\u308b\u7fa4\u306f\u2462\u2467\u306e\u7406\u7531\u304c\u53cd\u5bfe\u306e\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u591a\u304b\u3063\u305f[Table3]\u3002\u2028
\n\u307e\u305f\u7121\u75c7\u72b6\u30fb\u4f4e\u75c7\u72b6(PHQ-9\u304c0~9)\u306e\u60a3\u8005\u306b\u6bd4\u3079\u3001\u4e2d\u7b49\u75c7\uff5e\u91cd\u75c7(PHQ-9\u304c10~27)\u306e\u60a3\u8005\u306f11\u306e\u969c\u58c1\u306e\u3046\u306110\u3067\u3088\u308a\u591a\u304f\u306e\u969c\u58c1\u3092\u62b1\u3048\u3066\u3044\u305f(all P values=.014)[Table4]\u3002\u2028\u5831\u544a\u3055\u308c\u305f\u975e\u958b\u793a\u7406\u7531\u306e\u6570\u306f\u3001\u60a3\u8005\u80cc\u666f(\u5973\u6027\u3001\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u3001\u4f4e\u3044\u7d4c\u6e08\u72b6\u614b)\u3001\u3046\u3064\u75c5\u306b\u95a2\u3059\u308b\u4fe1\u5ff5(\u30b9\u30c6\u30a3\u30b0\u30de\u3068\u307f\u306a\u3059\u3001\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3067\u304d\u306a\u3044\u3082\u306e\u3068\u307f\u306a\u3059)\u3001\u75c7\u72b6\u306e\u91cd\u75c7\u5ea6\u3001\u3046\u3064\u75c5\u306e\u5bb6\u65cf\u6b74\u304c\u7121\u3044\u3053\u3068\u304b\u3089\u4e88\u6e2c\u3055\u308c\u305f[Table5]\u3002<\/p>\n

\u2028\u2028\uff1c\u7d50\u8ad6\uff1e\u2028
\n\u591a\u304f\u306e\u6210\u4eba\u304b\u3089\u3001\u3046\u3064\u75c5\u306e\u30a8\u30d4\u30bd\u30fc\u30c9\u4e2d\u306b\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u533b\u306b\u5bfe\u3057\u3066\u306f\u3063\u304d\u308a\u3068\u52a9\u3051\u3092\u4f1d\u3048\u308b\u3053\u3068\u3092\u59a8\u3052\u3046\u308b\u8003\u3048\u304c\u8a18\u8ff0\u3055\u308c\u305f\u3002\u60a3\u8005\u304c\u75c7\u72b6\u3092\u6253\u3061\u660e\u3051\u3001\u533b\u5e2b\u304c\u3046\u3064\u75c5\u306b\u3064\u3044\u3066\u5c0b\u306d\u308b\u3053\u3068\u3092\u4fc3\u9032\u3059\u308b\u305f\u3081\u306e\u4ecb\u5165\u65b9\u6cd5\u3092\u958b\u767a\u3059\u308b\u3079\u304d\u3067\u3042\u308b\u3002\u2028\u2028<\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n\u20282011\u5e749\u670821\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"

\u3010\u6587\u732e\u540d\u3011 \u2028Robert A. Bell, et al. Suffering in Silence: Reasons for Not Disclosing Depression in Primary Care. Ann … \u7d9a\u304d\u3092\u8aad\u3080 \u6c88\u9ed9\u306e\u4e2d\u3067\u306e\u82e6\u60a9\uff1a\u30d7\u30e9\u30a4\u30de\u30ea\u30fb\u30b1\u30a2\u306e\u73fe\u5834\u3067\u3046\u3064\u75c5\u60a3\u8005\u304c\u75c7\u72b6\u3092\u6253\u3061\u660e\u3051\u306a\u3044\u7406\u7531<\/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":[15],"tags":[],"class_list":["post-539","post","type-post","status-publish","format-standard","hentry","category-15"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/539","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=539"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/539\/revisions"}],"predecessor-version":[{"id":540,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/539\/revisions\/540"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=539"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=539"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=539"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}