\u3010\u6587\u732e\u3011
\n\u30c7\u30f4\u30a3\u30c3\u30c9\u30fbL\u30fb\u30b5\u30a4\u30e1\u30eb\u3001\u30c9\u30eb\u30e2\u30f3\u30c9\u30fb\u30ec\u30cb\u30fc\/\u7de8\uff1a\u7b2c19\u7ae0\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3046\u3064\u75c5. JAMA\u7248 \u8ad6\u7406\u7684\u8a3a\u5bdf\u306e\u6280\u8853 \u65e5\u7d4cBP\u793e\uff1a263-268\u30012010\u5e745\u670824\u65e5<\/p>\n
\u3010\u8981\u7d04\u3011
\n\u30fb\u6210\u4eba\u306b\u304a\u3044\u3066\u30012-9\u9805\u76ee\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u624b\u6cd5\u306f\u3001\u3088\u308a\u9577\u3044\u3046\u3064\u75c5\u8cea\u554f\u8868\u306b\u5339\u6575\u3059\u308b\u6027\u80fd\u3092\u6709\u3059\u308b\u3002
\n\u30fb\u77ed\u30449\u9805\u76ee\u306ePatient Health Questionnaire(PHQ-9)\u306f\u3001\u6700\u3082\u8b58\u5225\u529b\u306b\u512a\u308c\u3001\u304b\u3064\u3046\u3064\u75c5\u306e\u8a3a\u65ad\u306b\u5bfe\u3057\u3066\u3088\u308a\u8a3a\u65ad\u7684\u306a\u60c5\u5831\u3092\u4e0e\u3048\u308b\u3002PHQ-9\u306f\u307e\u305f\u3001\u6cbb\u7642\u53cd\u5fdc\u6027\u3082\u5b9a\u91cf\u5316\u3067\u304d\u308b\u3002
\n\u300a\u6587\u732e\u541f\u5473\u306e\u7d50\u679c\u300b
\n\u3000\uff15\u3064\u306e\u7814\u7a76\u306f\u5408\u8a085652\u4eba\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u3053\u308c\u3089\u306e\u624b\u6cd5\u3092\u8a55\u4fa1\u3057\u3001\u3046\u30611653\u4eba\u304c\u53c2\u7167\u57fa\u6e96\u3068\u306a\u308b\u9762\u63a5\u3092\u53d7\u3051\u305f\u3002\u305d\u308c\u305e\u308c\u306e\u7814\u7a76\u306f\u3001\u7c73\u56fd(\u7814\u7a76\u6570\uff1d2)\u3001\u30c9\u30a4\u30c4(\u7814\u7a76\u6570\uff1d2)\u3001\u30cb\u30e5\u30fc\u30b8\u30fc\u30e9\u30f3\u30c9(\u7814\u7a76\u6570\uff1d1)\u3067\u884c\u308f\u308c\u305f\u3002
\n\u3000\u3053\u308c\u3089\u306e\u7814\u7a76\u306f\u3001\u77ed\u30442-9\u9805\u76ee\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u624b\u6cd5\u304c\u3088\u308a\u9577\u3044\u8cea\u554f\u8868\u306b\u5339\u6575\u3059\u308b\u3042\u308b\u3044\u306f\u305d\u308c\u3092\u4e0a\u56de\u308b\u6027\u80fd\u3092\u6301\u3064\u3001\u3068\u3044\u3046\u3053\u3068\u3092\u3053\u308c\u307e\u3067\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u4ed8\u3051\u52a0\u3048\u308b(\u886819-6)\u3002
\n\u3042 \u308b\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u3067\u306f\u3001Henkel\u3089\u304cPHQ-9\u304a\u3088\u3073WHO-5\u3092\u3001\u5fc3\u7406\u5b66\u7684\u306a\u5065\u5168\u6027\u306b\u95a2\u3059\u308b\u4e00\u822c\u7684\u306a\u6e2c\u5b9a\u6cd5\u3067\u3042\u308bGeneral Health Questionnaire(GHQ-12)\u3068\u6bd4\u8f03\u3057\u305f\u3002PHQ-9\u306e\u967d\u6027\u5c24\u5ea6\u6bd4(LR+5.2\u300195\uff05\u4fe1\u983c\u533a\u9593[CI]=3.9-6.8)\u306f\u3001WHO- 5(LR+2.6\u300195\uff05CI=2.2-3.0)\u3042\u308b\u3044\u306fGHQ-12(LR+2.2\u300195%CI=1.9-2.6)\u3088\u308a\u3082\u6709\u610f\u306b\u9ad8\u304b\u3063\u305f\u3002PHQ-9\u306e \u9670\u6027\u5c24\u5ea6\u6bd4(LR-0.26\u300195\uff05CI0.17-0.4)\u306fWHO-5(LR-0.11\u300195\uff05CI=0.05-0.25)\u304a\u3088\u3073GHQ-12(LR- 0.24\u300195%CI=0.14-0.42)\u306b\u5339\u6575\u3057\u305f\u3002
\n\u4ed6\u306e3\u3064\u306e\u7814\u7a76\u3082\u3053\u3046\u3057\u305f\u6240\u898b\u3092\u652f\u6301\u3057\u3066\u3044\u308b\u3002Lowe\u3089\u306f\u5927\u5b66\u95a2\u9023\u306e\u5bb6\u5ead\u533b\u7642\u90e8\u9580\u304b\u3089\u62bd\u51fa\u3055\u308c\u305f1619\u4eba\u306e\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u3001PHQ-9\u3092HADS\u304a\u3088\u3073WHO-5\u3068\u6bd4\u8f03\u3057\u305f\u3002PHQ-9\u306f\u4ed6\u306e\u624b\u6cd5\u3068\u6bd4\u3079\u6709\u610f\u306b\u9ad8\u3044LR+\u3092\u6709\u3057\u3001LR-\u306f\u305d\u308c\u3089\u306b\u5339\u6575\u3057\u305f\u3002
\nKroenke \u3089\u306f\u3001\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u90e8\u9580\u304a\u3088\u3073\u7523\u5a66\u4eba\u79d1\u90e8\u9580\u306e\u5bfe\u8c61\u8005\u304b\u3089\u5f97\u3089\u308c\u305fPHQ-9\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u3092\u7d71\u5408\u3057\u305f\u3002\u3053\u306e\u8cea\u306e\u9ad8\u3044\u7814\u7a76\u3067\u306f\u3001PHQ-9\u306eLR+\u306f 7.3(95%CI=5.6-9.4)\u3001LR-\u306f0.14 (95%CI=0.06-0.32)\u3067\u3042\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u3002
\n\u307e\u3068\u3081\u308b\u3068\u3001PHQ-9\u306f \u4ed6\u306e\u77ed\u3044\u624b\u6cd5\u3088\u308a\u3082\u76f4\u63a5\u6bd4\u8f03\u306b\u304a\u3044\u3066\u512a\u308c\u305f\u6027\u80fd\u3092\u6709\u3057\u3001\u3088\u308a\u9577\u3044\u3046\u3064\u75c5\u8cea\u554f\u6cd5\u306b\u5339\u6575\u3059\u308b\u3042\u308b\u3044\u306f\u3088\u308a\u512a\u308c\u305fLR\u3092\u6709\u3059\u308b\u3053\u3068\u3092\u3001\u3053\u308c\u3089\u306e\u7814\u7a76\u306f\u793a\u3057\u3066\u3044 \u308b\u3002PHQ-9\u306f\u5927\u3046\u3064\u75c5\u306b\u5bfe\u3059\u308bDSM-\u2163\u306e\u57fa\u6e96\u75c7\u72b6\u306b\u3064\u3044\u3066\u7279\u306b\u5c0b\u306d\u308b\u3068\u3044\u3046\u5229\u70b9\u3092\u6301\u3061\u3001\u81e8\u5e8a\u7684\u306a\u72b6\u614b\u5909\u5316\u306b\u3082\u53cd\u5fdc\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u3002\u305d\u308c\u3086 \u3048\u3001PHQ-9\u306f\u8a3a\u65ad\u9762\u63a5\u6cd5\u306b\u4e0d\u53ef\u6b20\u306e\u75c7\u72b6\u306b\u95a2\u3059\u308b\u30c7\u30fc\u30bf\u3092\u63d0\u793a\u3057\u3001\u52a0\u3048\u3066\u6cbb\u7642\u3078\u306e\u53cd\u5fdc\u6027\u3092\u30e2\u30cb\u30bf\u30fc\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u308b\u3002<\/p>\n
\u3010\u958b\u50ac\u65e5\u3011
\n\uff12\uff10\uff11\uff10\u5e74\uff11\uff10\u6708\uff16\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"
\u3010\u6587\u732e\u3011 \u30c7\u30f4\u30a3\u30c3\u30c9\u30fbL\u30fb\u30b5\u30a4\u30e1\u30eb\u3001\u30c9\u30eb\u30e2\u30f3\u30c9\u30fb\u30ec\u30cb\u30fc\/\u7de8\uff1a\u7b2c19\u7ae0\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3046\u3064\u75c5. JAMA\u7248 \u8ad6\u7406\u7684\u8a3a\u5bdf\u306e\u6280\u8853 \u65e5\u7d4cBP\u793e\uff1a263-268\u30012010\u5e745\u670824\u65e5 \u3010\u8981\u7d04\u3011 \u30fb\u6210\u4eba\u306b\u304a\u3044\u3066\u30012-9\u9805\u76ee\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3 … \u7d9a\u304d\u3092\u8aad\u3080 \uff5e\u3046\u3064\u75c5\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306b\u304a\u3051\u308bPHQ-9\u306e\u6709\u7528\u6027\u306b\u3064\u3044\u3066\uff5e<\/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-720","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\/720","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=720"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/720\/revisions"}],"predecessor-version":[{"id":721,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/720\/revisions\/721"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=720"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=720"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=720"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}