\u2015\u6587\u732e\u540d\u2015
\n\u30d3\u30eb\u30fb\u30aa\u30cf\u30f3\u30ed\u30f3\u8457\u30fb\u524d\u7530\u6cf0\u5b8f\u76e3\u8a33\uff0e\u53ef\u80fd\u6027\u306e\u3042\u308b\u672a\u6765\u306b\u3064\u306a\u304c\u308b\u65b0\u3057\u30444\u3064\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u3000\u30c8\u30e9\u30a6\u30de\u89e3\u6d88\u306e\u30af\u30a4\u30c3\u30af\uff65\u30b9\u30c6\u30c3\u30d7\uff0c2013<\/p>\n
\u2015\u8981\u7d04\u2015 \u8fd1\u5e74\u306e\u8133\u306e\u53ef\u5851\u6027\u306b\u95a2\u3059\u308b\u7814\u7a76\u3067\u3001\u8133\u306f\u751f\u6daf\u3092\u901a\u3058\u3066\u5909\u5316\u3057\u3001\u9032\u5316\u3057\u7d9a\u3051\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002\u3053\u308c\u306f\u5e74\u9f62\u304c\u305f\u3063\u3066\u3082\u8133\u306f\u5909\u5316\u3057\u9069\u5fdc\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u3067\u3042\u308a\u3001\u8133\u306f\u7d99\u7d9a\u7684\u306b\u7e70\u308a\u8fd4\u3055\u308c\u308b\u30d1\u30bf\u30fc\u30f3\u306b\u9069\u5fdc\u3057\u3001\u3064\u3044\u306b\u306f\u305d\u308c\u3092\u898f\u7bc4\u3068\u3057\u3066\u53d7\u3051\u5165\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u30c8\u30e9\u30a6\u30de\u6cbb\u7642\u306b\u304a\u3044\u3066\u3088\u3044\u9762\u3067\u3082\u3042\u308a\u60aa\u3044\u9762\u3067\u3082\u3042\u308b\u3002\u3064\u307e\u308a\u3001\u30c8\u30e9\u30a6\u30de\u6cbb\u7642\u306b\u3088\u308a\u75c7\u72b6\u304c\u6539\u5584\u3055\u308c\u308b\u53ef\u80fd\u6027\u3092\u793a\u3057\u3066\u3044\u308b\u4e00\u65b9\u3067\u3001\u6cbb\u7642\u306e\u305f\u3081\u306b\u4f55\u5ea6\u3082\u4f55\u5ea6\u3082\u30c8\u30e9\u30a6\u30de\u306b\u6ce8\u610f\u3092\u5411\u3051\u308c\u3070\u3001\u8133\u306e\u56de\u8def\u306e\u306a\u304b\u306b\u3088\u308a\u6df1\u304f\u30c8\u30e9\u30a6\u30de\u3092\u713c\u304d\u4ed8\u3051\u308b\u3053\u3068\u306b\u306a\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3068\u3044\u3046\u53ef\u80fd\u6027\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u306e\u3067\u3042\u308b\u3002<\/p>\n \u30c8\u30e9\u30a6\u30de\u3068\u6cbb\u7642\u306b\u95a2\u3059\u308b\u795e\u8a71\u3068\u8aa4\u8a8d<\/strong> 4\u3064\u306e\u30a2\u30d7\u30ed\u30fc\u30c1 \u2461\u3000\u672a\u6765\u306b\u3088\u308b\u727d\u5f15\uff08Future pull\uff09<\/strong> \u2462\u3000\u30d1\u30bf\u30fc\u30f3\u30c1\u30a7\u30f3\u30b8\uff08Pattern changing \/ breaking\uff09<\/strong> \u2463\u3000\u518d\u7d50\u5408\uff08Reconnecting interventions\uff09<\/strong> \u3010\u958b\u50ac\u65e5\u3011 \u2015\u6587\u732e\u540d\u2015 \u30d3\u30eb\u30fb\u30aa\u30cf\u30f3\u30ed\u30f3\u8457\u30fb\u524d\u7530\u6cf0\u5b8f\u76e3\u8a33\uff0e\u53ef\u80fd\u6027\u306e\u3042\u308b\u672a\u6765\u306b\u3064\u306a\u304c\u308b\u65b0\u3057\u30444\u3064\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u3000\u30c8\u30e9\u30a6\u30de\u89e3\u6d88\u306e\u30af\u30a4\u30c3\u30af\uff65\u30b9\u30c6\u30c3\u30d7\uff0c2013 \u2015\u8981\u7d04\u2015 \u30a4\u30f3\u30c8\u30ed\u30c0\u30af\u30b7\u30e7\u30f3 \u30c8\u30e9\u30a6\u30de\u3092\u6271\u3063\u3066\u3044\u308b\u66f8\u7c4d\u306e\u591a\u304f\u306f\u3001\u4eba\u306b\u4e0e\u3048\u3089\u308c\u305f\u30c0 … \u7d9a\u304d\u3092\u8aad\u3080 \u3068\u3089\u308f\u308c\u305f\u904e\u53bb\u304b\u3089\u958b\u653e\u3055\u305b\u308b\u306b\u306f\u3001\u3069\u306e\u3088\u3046\u306b\u30a2\u30d7\u30ed\u30fc\u30c1\u3057\u305f\u3089\u3088\u3044\u306e\u304b\uff1f<\/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-71","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\/71","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=71"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/71\/revisions"}],"predecessor-version":[{"id":72,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/71\/revisions\/72"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=71"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=71"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=71"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n\u30a4\u30f3\u30c8\u30ed\u30c0\u30af\u30b7\u30e7\u30f3<\/strong>
\n\u30c8\u30e9\u30a6\u30de\u3092\u6271\u3063\u3066\u3044\u308b\u66f8\u7c4d\u306e\u591a\u304f\u306f\u3001\u4eba\u306b\u4e0e\u3048\u3089\u308c\u305f\u30c0\u30e1\u30fc\u30b8\u306b\u7126\u70b9\u3092\u7f6e\u3044\u3066\u3044\u308b\u3002\u305d\u3057\u3066\u3001\u3053\u3046\u3044\u3063\u305f\u300c\u30c0\u30e1\u30fc\u30b8\u3092\u53d7\u3051\u305f\u300d\u4eba\u3005\u306f\u9577\u304f\u3066\u56f0\u96e3\u306a\u56de\u5fa9\u3078\u306e\u9053\u306e\u308a\u306b\u76f4\u9762\u3059\u308b\u3088\u3046\u5c0e\u304b\u308c\u308b\u3002\u3053\u3046\u3044\u3063\u305f\u4f1d\u7d71\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u3057\u3070\u3057\u3070\u6cbb\u7642\u306b\u4f55\u5e74\u3082\u8981\u3059\u308b\u3002<\/p>\n
\n\u300e\u795e\u8a71\uff11\uff1a\u30c8\u30e9\u30a6\u30de\u3092\u7d4c\u9a13\u3057\u305f\u4eba\u306f\u7686\u3001PTSD\u3092\u767a\u75c7\u3059\u308b\u300f
\n\u30a2\u30e1\u30ea\u30ab\u306b\u304a\u3044\u306660.7%\u306e\u7537\u6027\u306851.2%\u306e\u5973\u6027\u304cDSM-\u2163\u306e\u9805\u76ee\u3092\u6e80\u305f\u3059\u5916\u50b7\u7684\u306a\u51fa\u6765\u4e8b\u3092\u5c11\u306a\u304f\u3068\u30821\u56de\u306f\u7d4c\u9a13\u3057\u3066\u3044\u308b\u304c\u3001PTSD\u306e\u4e00\u822c\u7684\u306a\u751f\u6daf\u6709\u75c5\u7387\u306f7.8%\u3060\u3063\u305f\uff08Breslau.1998\uff09
\n\u300e\u795e\u8a71\uff12\uff1aPTSD\u3092\u767a\u75c7\u3057\u305f\u4eba\u306f\u30bb\u30e9\u30d4\u30fc\u3067\u306e\u307f\u305d\u308c\u3092\u89e3\u6d88\u3067\u304d\u308b\u300f
\nPTSD\u306e\u767a\u75c7\u5f8c\u3001\u6700\u521d\u306e12\u30f6\u6708\u3067\u75c7\u72b6\u304c\u5927\u304d\u304f\u6539\u5584\u3057\u3066\u3044\u304d\u3001\u305d\u306e\u5f8c\u306e6\u5e74\u9593\u3067\u306f\u3086\u308b\u3084\u304b\u306b\u6539\u5584\u3057\u3066\u3044\u304f\u3002\u6cbb\u7642\u3057\u305f\u4eba\u3068\u3057\u306a\u304b\u3063\u305f\u4eba\u3092\u6bd4\u8f03\u3057\u305f\u5834\u5408\u306b\u306f\u3001\u6cbb\u7642\u3092\u3057\u305f\u7fa4\u3067\u306fPTSD\u306e\u7f79\u60a3\u671f\u9593\u304c\u7d04\u534a\u5206\u306b\u306a\u3063\u305f\uff08Kessler et al.,1995\uff09\uff09
\n\u300e\u795e\u8a71\uff13\uff1a\u30c8\u30e9\u30a6\u30de\u3092\u8ffd\u4f53\u9a13\u3055\u305b\u3066\u3001\u305d\u308c\u3092\u540c\u5316\u3055\u305b\u308b\u3088\u3046\u306a\u63f4\u52a9\u3092\u884c\u3046\u3001\u9577\u671f\u306e\u9664\u53cd\u5fdc\u30bb\u30e9\u30d4\u30fc\u304c\u6700\u3082\u52b9\u679c\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3042\u308b\u300f
\n\u7814\u7a76\u3067\u306f\u3042\u308b\u4e00\u3064\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u3059\u3079\u3066\u306e\u4eba\u306b\u5bfe\u3057\u3066\u5f79\u306b\u7acb\u3064\u3068\u3044\u3046\u8003\u3048\u306f\u652f\u6301\u3055\u308c\u3066\u3044\u306a\u3044\u3002\u4eca\u56de\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u65b9\u6cd5\u304c\u305d\u306e\u4e00\u3064\u3067\u3042\u308b\u3002
\n\u300e\u795e\u8a71\uff14\uff1a\u30c8\u30e9\u30a6\u30de\u306f\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u7d50\u679c\u3057\u304b\u3082\u305f\u3089\u3055\u306a\u3044\u300f
\nDSM-\u2163\u306e\u8a3a\u65ad\u57fa\u6e96\u306b\u5408\u81f4\u3059\u308b\u5916\u50b7\u7684\u306a\u51fa\u6765\u4e8b\u306e\u7d50\u679c\u3068\u3057\u3066\u3001\u6210\u9577\u4f53\u9a13\u306e\u5831\u544a\u306e\u65b9\u304c\u7cbe\u795e\u969c\u5bb3\u306e\u5831\u544a\u306e\u6570\u3088\u308a\u3082\u306f\u308b\u304b\u306b\u591a\u304f\u3001\u307e\u305f\u5916\u50b7\u7684\u306a\u51fa\u6765\u4e8b\u3092\u4f53\u9a13\u3057\u3066\u3044\u305f\u4eba\u306e\u307b\u3046\u304c\u4f53\u9a13\u3057\u306a\u304b\u3063\u305f\u4eba\u3088\u308a\u3082\u30dd\u30b8\u30c6\u30a3\u30d6\u306a\u5909\u5316\u3092\u5831\u544a\u3057\u3066\u3044\u305f\uff08Tedeschi & Calhoum,2004\uff09<\/p>\n
\n\u2460\u3000\u30a4\u30f3\u30af\u30eb\u30fc\u30b7\u30d6\u30bb\u30e9\u30d4\u30fc\uff08Inclusive interventions\uff09<\/strong>
\n\u6211\u3005\u306f\u7686\u3001\u53ef\u80fd\u6027\u306b\u6e80\u3061\u305f\u672a\u5206\u5316\u306a\u72b6\u614b\u3067\u4eba\u751f\u3092\u59cb\u3081\u3001\u3055\u307e\u3056\u307e\u306a\u7d4c\u9a13\u304b\u3089\u81ea\u5206\u81ea\u8eab\u306e\u4e2d\u3067\u300c\u6b63\u3057\u3044\u3082\u306e\u300d\u300c\u6b63\u3057\u304f\u306a\u3044\u3082\u306e\u300d\u3092\u533a\u5225\u3057\u3001\u300c\u6b63\u3057\u3044\u3082\u306e\u300d\u3092\u53d6\u308a\u5165\u308c\uff08\u4f8b\uff1a\u300e\uff5e\u3067\u3042\u308b\u3079\u304d\u300f\uff09\u3001\u4ed6\u8005\u3068\u81ea\u5206\u3092\u533a\u5225\u3057\u3066\u3044\u304d\u300c\u7d71\u5408\u3055\u308c\u305f\u81ea\u5df1\u300d\uff08\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u30fc\u306e\u5f62\u6210\uff09\u306b\u81f3\u308b\u3002\u305d\u306e\u30d7\u30ed\u30bb\u30b9\u306e\u4e2d\u3067\u3001\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u3092\u3059\u308b\u3068\u81ea\u5206\u81ea\u8eab\u306e\u8af8\u554f\u984c\u3084\u305d\u3046\u3044\u3063\u305f\u30c8\u30e9\u30d6\u30eb\u3092\u4f53\u9a13\u3057\u305f\u90e8\u5206\uff08\u611f\u60c5\u3001\u8a18\u61b6\u3001\u611f\u899a\u7b49\uff09\u3092\u5206\u96e2\u3057\u3066\u3044\u304f\u3053\u3068\u304c\u3042\u308b\uff08\u60b2\u3057\u307f\u3092\u611f\u3058\u306a\u3044\u3001\u306a\u3069\uff09\u3002\u3057\u3070\u3089\u304f\u306f\u305d\u308c\u3067\u554f\u984c\u306a\u3044\u306e\u3060\u304c\u3001\u793e\u4f1a\u306b\u51fa\u305f\u969b\u305d\u306e\u5206\u96e2\u3055\u308c\u305f\u90e8\u5206\u304c\u7a81\u7136\u623b\u3063\u3066\u304f\u308b\u3053\u3068\u304c\u3042\u308b\uff08\u4f8b\uff1a\u30d5\u30e9\u30c3\u30b7\u30e5\u30d0\u30c3\u30af\u3001\u60b2\u3057\u307f\u3092\u611f\u3058\u306a\u3044\u4eba\u304c\u7a81\u7136\u6d99\u304c\u3068\u307e\u3089\u306a\u304f\u306a\u308b\u5f62\u7b49\uff09\u3002\u305d\u3082\u305d\u3082\u5206\u96e2\u3055\u308c\u305f\u90e8\u5206\u306f\u81ea\u5206\u81ea\u8eab\u3067\u3042\u308b\u305f\u3081\u3001\u300c\uff5e\u3067\u3042\u308b\u3079\u304d\u300d\u300c\uff5e\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u300d\u306a\u3069\u306e\u5236\u9650\u7684\u3001\u5f37\u5236\u7684\u306b\u306a\u3063\u3066\u3044\u308b\u90e8\u5206\u3092\u627f\u8a8d\u3057\u3001\u5305\u542b\u3057\u3066\u3044\u304f\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5fc5\u8981\u3068\u306a\u308b\u3002<\/p>\n
\n\u5927\u62b5\u306e\u30c8\u30e9\u30a6\u30de\u6cbb\u7642\u306f\u4eba\u3005\u3092\u904e\u53bb\u306b\u5411\u304b\u308f\u305b\u308b\u3002\u3064\u307e\u308a\u5931\u308f\u308c\u305f\u4f53\u9a13\u3092\u53d6\u308a\u623b\u3059\u305f\u3081\u306b\u4ee5\u524d\u306b\u623b\u308a\u3001\u305d\u308c\u3092\u8ffd\u4f53\u9a13\u3059\u308b\u3053\u3068\u3067\u30c8\u30e9\u30a6\u30de\u3092\u89e3\u6d88\u3057\u3088\u3046\u3068\u3059\u308b\u304c\u3001\u4eba\u306f\u30dd\u30b8\u30c6\u30a3\u30d6\u306a\u672a\u6765\u3068\u81ea\u5206\u306e\u4e2d\u306e\u5909\u5316\u306b\u95a2\u3059\u308b\u9752\u5199\u771f\u3092\u3059\u3067\u306b\u6301\u3063\u3066\u3044\u308b\u3002\u305d\u306e\u305f\u3081\u3001\u904e\u53bb\u3092\u672a\u6765\u306b\u65b9\u5411\u8ee2\u63db\u3055\u305b\u305f\u308a\u3001\u671b\u3093\u3067\u3044\u306a\u3044\u73fe\u72b6\u3092\u671b\u307e\u3057\u3044\u672a\u6765\u306b\u8a00\u3044\u63db\u3048\u308b\uff08\u4f8b\uff1a\u4eca\u307e\u3067\u306f\uff5e\u3060\u3063\u305f\u3093\u3067\u3059\u306d\u3001\u672c\u5f53\u306f\uff5e\u3092\u671b\u3093\u3067\u3044\u308b\u3093\u3067\u3059\u306d\uff09\u3002<\/p>\n
\n\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u5f8c\u306e\u554f\u984c\u306e\u9855\u8457\u306a\u7279\u5fb4\u306e1\u3064\u3068\u3057\u3066\u300c\u4f53\u9a13\u3084\u884c\u52d5\u306e\u7e70\u308a\u8fd4\u3057\u300d\u304c\u3042\u308b\u3002\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u5f8c\u306e\u7d4c\u9a13\u306e\u4f55\u3089\u304b\u306e\u898f\u5247\u6027\u3092\u898b\u3064\u3051\u3001\u5c0f\u3055\u306a\u30d1\u30bf\u30fc\u30f3\u306e\u5909\u5316\u3092\u8d77\u3053\u3059\uff08\u4f8b\uff1a\u30b9\u30c8\u30ec\u30b9\u304c\u6e9c\u307e\u3063\u305f\u3089\u7d19\u306b\u66f8\u304f\u3001\u30ea\u30b9\u30c8\u30ab\u30c3\u30c8\u3057\u305f\u304f\u306a\u3063\u305f\u3089\u4eba\u5f62\u3092\u50b7\u3064\u3051\u308b\u7b49\uff09<\/p>\n
\n\u5927\u62b5\u306e\u5916\u50b7\u5f8c\u306e\u554f\u984c\u306e\u4e2d\u5fc3\u7684\u306a\u9375\u3068\u306a\u308b\u7279\u5fb4\u306e1\u3064\u306f\u3001\u89e3\u96e2\u3068\u65ad\u7d76\u3067\u3042\u308b\u3002\u30c8\u30e9\u30a6\u30de\u306e\u30b5\u30d0\u30a4\u30d0\u30fc\u306f\u81ea\u5206\u81ea\u8eab\u306e\u611f\u899a\u5168\u822c\u304b\u3089\u89e3\u96e2\u3059\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u3002\u3064\u307e\u308a\u3001\u5f7c\u3089\u306f\u51fa\u6765\u4e8b\u304c\u8d77\u3053\u3063\u3066\u3044\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u982d\u3067\u306f\u7406\u89e3\u3057\u3066\u3044\u308b\u304c\u3001\u9632\u885b\u53cd\u5fdc\u3068\u3057\u3066\u305d\u3046\u3044\u3063\u305f\u51fa\u6765\u4e8b\u3092\u76f4\u63a5\u7684\u306b\u6df1\u304f\u4f53\u9a13\u3057\u305f\u308a\u3001\u3042\u308b\u3044\u306f\u611f\u3058\u305f\u308a\u3059\u308b\u3068\u3044\u3046\u3053\u3068\u304c\u3067\u304d\u306a\u3044\uff08\u4f8b\uff1a\u96e2\u4eba\u75c7\uff09\u3002\u305d\u306e\u305f\u3081\u3001\u500b\u4eba\u3084\u30b3\u30df\u30e5\u30cb\u30c6\u30a3\u3001\u81ea\u7136\u3084\u30a2\u30fc\u30c8\u306a\u3069\u3068\u518d\u3073\u7d50\u3073\u3064\u3051\u308b\u3053\u3068\u304c\u6709\u52b9\u3067\u3042\u308b\u3002
\n\u5730\u9707\u306e\u671f\u9593\u4e2d\u306b\u8ab0\u304b\u3068\u4e00\u7dd2\u306b\u3044\u308b\u3053\u3068\u304cPTSD\u306e\u9632\u6b62\u3068\u306a\u308b\uff08Armenian, H. At.2000\uff09
\nPTSD\u306e\u60a3\u8005\u306e\u4e2d\u3067\u3001\u96c6\u56e3\u7684\u6cbb\u7642\u3092\u3057\u305f\u4eba\u305f\u3061\u306f\u3001\u500b\u4eba\u3067\u6cbb\u7642\u3057\u305f\u4eba\u305f\u3061\uff0831.3%\uff09\u3088\u308a\u3082\u6709\u610f\u306b\u9ad8\u3044\u7387\u3067\u56de\u5fa9\u3057\u305f\uff0888.3%\uff09\u3002<\/p>\n
\n2014\u5e7412\u670810\u65e5(\u6c34)<\/p>\n","protected":false},"excerpt":{"rendered":"