{"id":914,"date":"2015-11-09T12:51:44","date_gmt":"2015-11-09T03:51:44","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=914"},"modified":"2015-11-09T12:51:44","modified_gmt":"2015-11-09T03:51:44","slug":"dsm%e3%81%ae%e5%8a%9f%e7%bd%aa%ef%bc%9a%e6%93%8d%e4%bd%9c%e7%9a%84%e8%a8%ba%e6%96%ad%e3%81%af%e6%ad%a3%e3%81%97%e3%81%84%e3%81%ae%e3%81%8b","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=914","title":{"rendered":"DSM\u306e\u529f\u7f6a\uff1a\u64cd\u4f5c\u7684\u8a3a\u65ad\u306f\u6b63\u3057\u3044\u306e\u304b"},"content":{"rendered":"

\u2015\u6587\u732e\u540d\u2015
\n\u30a2\u30e9\u30f3\u30fbV\u30fb\u30db\u30fc\u30a6\u30a3\u30c3\u30c4\u8457\uff0e\u305d\u308c\u306f\u300c\u3046\u3064\u300d\u3067\u306f\u306a\u3044\u3000\u3069\u3093\u306a\u60b2\u3057\u307f\u3082\u300c\u3046\u3064\u300d\u306b\u3055\u308c\u3066\u3057\u307e\u3046\u7406\u7531
\n\uff08\u539f\u8457\u540d\uff1aThe Loss of Sadness How Psychiatry Transformed Normal Sorrow Into Depressive Disorder\uff09\uff0e2011\u5e74\u3000\u962a\u6025\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u30ba<\/p>\n

\u2015\u3053\u306e\u6587\u732e\u3092\u9078\u3093\u3060\u80cc\u666f\u2015
\n\u30a2\u30ea\u30bb\u30d7\u30c8\u306e\u58f2\u308a\u4e0a\u3052\u3068\u8a8d\u77e5\u75c7\u60a3\u8005\u6570\u306e\u6bd4\u4f8b\u3001\u65b0\u578b\u3046\u3064\u75c5\u3068\u4f11\u8077\u306a\u3069\u7cbe\u795e\u75be\u60a3\u306e\u8a3a\u65adcriteria\u306f\u6642\u306b\u3001\u793e\u4f1a\u554f\u984c\u307e\u3067\u767a\u5c55\u3059\u308b\u3053\u3068\u304c\u3042\u308b\u3002\u79c1\u305f\u3061\u5bb6\u5ead\u533b\u306f\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u3092\u62c5\u3046\u305f\u3081\u3001\u7cbe\u795e\u75be\u60a3\u3068\u95a2\u308f\u308b\u3053\u3068\u304c\u591a\u3044\u304c\u3001\u5927\u5c40\u7684\u306b\u898b\u305f\u7cbe\u795e\u79d1\u696d\u754c\u306e\u6d41\u308c\u3001\u5927\u304d\u306a\u4f4d\u7f6e\u4ed8\u3051\u3092\u3057\u3081\u3066\u3044\u308bDSM\u306b\u3064\u3044\u3066\u6642\u306b\u3001\u6279\u5224\u7684\u306a\u8996\u70b9\u3092\u3082\u3063\u3066\u304a\u304f\u3053\u3068\u3082\u5fc5\u8981\u3067\u3042\u308b\u3002\u3053\u306e\u3088\u3046\u306a\u4e8b\u3092\u6539\u3081\u3066\u8003\u3048\u308b\u5fc5\u8981\u3092\u611f\u3058\u3001\u4e0a\u8a18\u66f8\u7c4d\u3092\u8aad\u3093\u3067\u307f\u305f\u3002<\/p>\n

\u2015\u8981\u7d04\u2015
\n\u7b2c\u4e00\u7ae0\uff1a\u3046\u3064\u306e\u6982\u5ff5<\/strong>
\n1960-1970\u5e74\u4ee3\u306b\u3001\u540c\u3058\u60a3\u8005\u3001\u540c\u3058\u75c7\u72b6\u3067\u3082\u7cbe\u795e\u79d1\u533b\u306b\u3088\u3063\u3066\u8a3a\u65ad\u306b\u30d0\u30e9\u30c4\u30ad\u304c\u3042\u308b\u3053\u3068\u304c\u554f\u984c\u3068\u306a\u308a\u3001DSM\u4f5c\u6210\u30c1\u30fc\u30e0\u306f,1980\u5e74\u4ee3\u304b\u3089\u5404\u75be\u60a3\u306e\u660e\u78ba\u306a\u5b9a\u7fa9\u3092\u78ba\u7acb\u3059\u308b\u305f\u3081\u306b\u3001\u75c7\u72b6\u30ea\u30b9\u30c8\u3092\u63d0\u793a\u3059\u308b\u3053\u3068\u306b\u306a\u3063\u305f\u3002<\/p>\n

\u3000DSM-5\u306f\u3001\u3046\u3064\u75c5\u306e\u75c7\u72b6\u30929\u3064\u6319\u3052\u3001\u305d\u308c\u3092\u4e00\u5b9a\u6570\u4ee5\u4e0a\u6e80\u305f\u305b\u3070\u3046\u3064\u75c5\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u6e80\u305f\u3059\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u3046\u3064\u75c5\u306e\u75c7\u72b6\u306b\u3064\u3044\u3066\u306f\u3001\u6b21\u306e\u3088\u3046\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/em>
\n\"\u4f50\u85e4\u5148\u751f\u56f3\"<\/a>
\n\u3053\u308c\u3089\u306e\u3046\u3061\u3001<\/em>
\n \u3000\u30fb5\u3064\u4ee5\u4e0a\u304c2\u9031\u9593\u4ee5\u4e0a\u7d9a\u304f\u3053\u3068<\/em>
\n \u3000\u30fb1\u304b2\u306e\u3069\u3061\u3089\u304b\u306f\u5fc5\u305a\u8a8d\u3081\u308b\u3053\u3068<\/em>
\n \u3000\u30fb\u82e6\u75db\u3092\u611f\u3058\u3066\u3044\u308b\u4e8b\u3001\u751f\u6d3b\u306b\u652f\u969c\u3092\u6765\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u6e80\u305f\u3059\u3068\u300c\u6291\u3046\u3064\u30a8\u30d4\u30bd\u30fc\u30c9\u300d\u3067\u3042\u308b\u3068\u5224\u65ad\u3055\u308c\u3001\u66f4\u306b\u4ed6\u306e\u75be\u60a3\u3092\u9664\u5916\u3057\u3066\u3044\u308b\u4e8b<\/em>
\n \u3000\u3000\uff08\u4f8b\u3048\u3070\u304a\u85ac\u3067\u8a98\u767a\u3055\u308c\u305f\u3046\u3064\u72b6\u614b\u306a\u3069\uff09<\/em>
\n \u3092\u6e80\u305f\u3059\u3068\u3001\u3046\u3064\u75c5\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u6e80\u305f\u3059\u3053\u3068\u3068\u306a\u308a\u307e\u3059\u3002
\n<\/em>
\n\u7b2c\u4e8c\u7ae0\uff1a\u6b63\u5e38\u306a\u60b2\u54c0<\/strong>
\n\u3000\u6b63\u5e38\u306a\u60b2\u54c0\u306f\u4e00\u6642\u7684\u306a\u3082\u306e\u3067\u3042\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u3002\u592b\u5a66\u9593\u306e\u3054\u305f\u3054\u305f\u3001\u30b9\u30c8\u30ec\u30b9\u306e\u591a\u3044\u4ed5\u4e8b\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u8ca7\u56f0\u3001\u6162\u6027\u75c5\u306a\u3069\u304c\u80cc\u666f\u306b\u3042\u308c\u3070\u60b2\u54c0\u3082\u9577\u6642\u9593\u3064\u3065\u304f\u3002
\n\u3000\u4e73\u5e7c\u5150\u306f\u4e3b\u305f\u308b\u990a\u80b2\u8005\u304b\u3089\u5f15\u304d\u96e2\u3055\u308c\u308b\u3068\u3001\u6ce3\u304f\u306a\u3069\u7279\u6709\u306e\u60b2\u54c0\u53cd\u5fdc\u3092\u793a\u3059\u3002\u89aa\u5bc6\u306a\u95a2\u4fc2\u306e\u55aa\u5931\u306b\u5bfe\u3057\u3066\u793e\u4f1a\u5316\u4ee5\u524d\u306e\u4e73\u5e7c\u5150\u304c\u793a\u3059\u60b2\u54c0\u53cd\u5fdc\u306f\u3001\u4eba\u306e\u751f\u5f97\u7684\u306a\u672c\u6027\u306e\u4e00\u90e8\u3067\u3042\u308a\u6b63\u5e38\u306a\u53cd\u5fdc\u3068\u8003\u3048\u308b\u3002
\n\u9032\u5316\u3067\u7372\u5f97\u3057\u305f\u30e1\u30ab\u30cb\u30ba\u30e0\u3060\u3068\u3057\u305f\u3089\u3001\u60b2\u54c0\u306f\u4f55\u306e\u305f\u3081\u306b\u3042\u308b\u306e\u304b\uff1f
\n\u3000\u2460\u793e\u4f1a\u7684\u652f\u63f4\u304c\u5f97\u3089\u308c\u308b\uff1a\u3046\u3064\u53cd\u5fdc\u304c\u52a9\u3051\u304c\u5fc5\u8981\u306a\u3053\u3068\u3092\u5468\u56f2\u306e\u4eba\u3005\u3078\u77e5\u3089\u305b\u3001\u793e\u4f1a\u7684\u652f\u63f4\u3092\u5f15\u304d\u51fa\u3059SOS\u306e\u53eb\u3073\u3067\u3042\u308b\u3002
\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u7d46\u306e\u55aa\u5931\u5f8c\u306b\u5f37\u3044\u82e6\u75db\u3092\u4f34\u3046\u60b2\u54c0\u3092\u7d4c\u9a13\u3059\u308b\u3053\u3068\u3067\u3001\u4eba\u3005\u306f\u7d46\u306e\u5927\u5207\u3055\u3092\u5b9f\u611f\u3057\u3001\u7d50\u675f\u306e\u7dad\u6301\u306b\u52aa\u3081\u308b\u3088\u3046\u306b\u306a\u308b\u3002
\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u9060\u3044\u7956\u5148\u306e\u6642\u4ee3\u306b\u306f\u3001\u72e9\u731f\u306a\u3069\u3067\u5bb6\u65cf\u304c\u96e2\u308c\u96e2\u308c\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u3001\u3053\u306e\u3088\u3046\u306a\u74b0\u5883\u3067\u306f\u3001\u55aa\u5931\u306b\u3088\u308b\u60b2\u54c0\u306f
\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u793e\u4f1a\u7684\u306a\u7d46\u3092\u5f37\u3081\u3001\u7dad\u6301\u3059\u308b\u5f37\u3044\u52d5\u6a5f\u4ed8\u3051\u306b\u306a\u3063\u305f\u3002
\n\u3000\u2461\u5730\u4f4d\u55aa\u5931\u5f8c\u306b\u8eab\u3092\u5b88\u308b\u624b\u6bb5\u3068\u306a\u308b\uff1a\u6557\u5317\u3084\u670d\u5f93\u3068\u3044\u3046\u72b6\u6cc1\u306b\u5bfe\u3059\u308b\u9069\u5fdc\u7684\u306a\u53cd\u5fdc\u3068\u3057\u3066\u3001\u8eab\u3092\u5b88\u308b\u3053\u3068\u306b\u5f79\u7acb\u3064\u3002
\n\u3000\u2462\u4e0d\u6bdb\u306a\u52aa\u529b\u3092\u65ad\u5ff5\u3055\u305b\u308b\uff1a\u4eca\u307e\u3067\u306e\u76ee\u6a19\u3092\u3042\u304d\u3089\u3081\u3066\u3001\u65b0\u3057\u3044\u76ee\u6a19\u306b\u30a8\u30cd\u30eb\u30ae\u30fc\u3092\u5411\u3051\u308b\u306e\u306f\u56f0\u96e3\u306a\u4f5c\u696d\u3060\u304c\u3001\u4eca\u884c\u3063\u3066\u3044\u308b\u6d3b\u52d5\u3092
\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u4e2d\u65ad\u3057\u3001\u8003\u3048\u8fbc\u3080\u3053\u3068\u3067\u3001\u3053\u306e\u4f5c\u696d\u3092\u3088\u308a\u3046\u307e\u304f\u9042\u884c\u3067\u304d\u308b\u3002<\/p>\n

\u7b2c\u4e09\u7ae0\uff1a\u7406\u7531\u306e\u6709\u7121\u3068\u3044\u3046\u6307\u6a19-\u53e4\u4ee3\u304b\u308919\u4e16\u7d00\u307e\u3067\u306e\u3046\u3064\u306e\u8a3a\u65ad\u53f2<\/strong>
\n\u30e1\u30e9\u30f3\u30b3\u30ea\u30fc\uff1a\u3053\u308c\u3068\u3044\u3063\u305f\u7406\u7531\u304c\u306a\u3044\u306e\u306b\u6291\u9b31\u72b6\u614b\u306b\u306a\u3063\u305f\u5834\u5408\u3002\u7406\u7531\u306b\u5bfe\u3057\u3066\u6291\u3046\u3064\u306e\u5ea6\u5408\u3044\u304c\u6fc0\u3057\u3044\u5834\u5408\u3002
\n\u3000\u554f\u984c\u304c\u89e3\u6c7a\u3057\u305f\u306e\u3061\u3082\u9b31\u304c\u3064\u3065\u304f\u3088\u3046\u306a\u5834\u5408\u2192\u75c5\u7684\u306a\u3046\u3064\u3068\u3055\u308c\u3066\u3044\u305f\u3002\u75c7\u72b6\u3060\u3051\u3067\u306f\u306a\u304b\u3063\u305f\u3002<\/p>\n

\u7b2c\u56db\u7ae0\uff1a20\u4e16\u7d00\u306e\u3046\u3064<\/strong>
\n\u30001950\u5e74\u4ee3\u3001\u30a2\u30e1\u30ea\u30ab\u3067\u306f\u7cbe\u795e\u79d1\u306e\u6cbb\u7642\u306e\u4e2d\u5fc3\u306f\u91cd\u5ea6\u306e\u60a3\u8005\u3092\u6271\u3046\u5dde\u7acb\u75c5\u9662\u304b\u3089\u3001\u6bd4\u8f03\u7684\u8efd\u5ea6\u306a\u5916\u6765\u60a3\u8005\u3092\u6271\u3046\u7cbe\u795e\u5206\u6790\u30bb\u30e9\u30d4\u30fc\u3078\u30b7\u30d5\u30c8\u3057\u305f\u3002\u305d\u306e\u305f\u3081\u4ee5\u524d\u304b\u3089\u3042\u308b\u91cd\u5ea6\u306e\u969c\u5bb3\u3092\u5b9a\u7fa9\u3057\u305f\u7d71\u8a08\u30de\u30cb\u30e5\u30a2\u30eb\u306f\u5f79\u7acb\u305f\u306a\u304f\u306a\u308a\u30011952\u5e74\u3001\u30a2\u30e1\u30ea\u30ab\u7cbe\u795e\u533b\u5b66\u4f1a\u306f\u3001\u65b0\u30de\u30cb\u30e5\u30a2\u30eb\u3092\u4f5c\u6210\u3057\u305f\uff08DSM-\u2160\uff09
\n\u3000\u3053\u306e\u53cd\u5fdc\u306b\u304a\u3044\u3066\u306f\u3001\u3046\u3064\u3068\u81ea\u5df1\u8a55\u4fa1\u306e\u4f4e\u4e0b\u306b\u3088\u3063\u3066\u3001\u4e0d\u5b89\u304c\u8efd\u6e1b\u3055\u308c\u3001\u591a\u5c11\u306a\u308a\u3068\u3082\u7de9\u548c\u3055\u308c\u308b\u3002\u3053\u306e\u53cd\u5fdc\u306f\u73fe\u5728\u306e\u72b6\u6cc1\u304c\u5f15\u304d\u8d77\u3053\u3057\u305f\u3082\u306e\u3067\u3001\u60a3\u8005\u306b\u3068\u3063\u3066\u306e\u4f55\u3089\u304b\u306e\u55aa\u5931\u304c\u5f15\u304d\u91d1\u3068\u306a\u308b\u3053\u3068\u304c\u591a\u304f\u3001\u5f80\u3005\u306b\u3057\u3066\u904e\u53bb\u306e\u884c\u70ba\u306b\u5bfe\u3059\u308b\u5f8c\u6094\u3084\u7f6a\u60aa\u611f\u3092\u4f34\u3046\u3002\u3053\u306e\u3088\u3046\u306a\u30b1\u30fc\u30b9\u3067\u306f\u3001\u55aa\u5931\u306e\u73fe\u5b9f\u7684\u306a\u72b6\u6cc1\u3060\u3051\u3067\u306a\u304f\u3001\u55aa\u5931\u3057\u305f\u3082\u306e\u306b\u5bfe\u3059\u308b\u60a3\u8005\u306e\u611b\u618e\u5165\u308a\u6df7\u3058\u3063\u305f\u611f\u60c5\u306e\u5f37\u3055\u306b\u3088\u3063\u3066\u53cd\u5fdc\u306e\u5f37\u3055\u304c\u5909\u308f\u3063\u3066\u304f\u308b\u3002\u6291\u3046\u3064\u53cd\u5fdc\u306f\u300c\u53cd\u5fdc\u6027\u3046\u3064\u300d\u3068\u540c\u7fa9\u3067\u3042\u308a\u3001\u7cbe\u795e\u75c5\u6027\u53cd\u5fdc\u3068\u306f\u533a\u5225\u3059\u3079\u304d\u3082\u306e\u3067\u3042\u308b\u3002\u3053\u306e\u533a\u5225\u3067\u8003\u616e\u3059\u3079\u304d\u30dd\u30a4\u30f3\u30c8\u306f\uff11\uff09\u60a3\u8005\u306e\u751f\u6d3b\u6b74\u3001\u7279\u306b\u6c17\u5206\u304c\u6fc0\u3057\u304f\u5909\u5316\u3057\u305f\u304b\u3001\u4eba\u683c\u69cb\u9020\u3001\u5f15\u304d\u91d1\u3068\u306a\u308b\u3088\u3046\u306a\u74b0\u5883\u8981\u56e0\u304c\u3042\u3063\u305f\u304b\u3002\uff12\uff09\u60aa\u6027\u306e\u75c7\u72b6\uff08\u81ea\u5206\u306f\u75c5\u6c17\u3067\u306f\u306a\u3044\u304b\u3068\u7570\u5e38\u306b\u5fc3\u914d\u3059\u308b\u3001\u8208\u596e\u3001\u7279\u306b\u8eab\u4f53\u7684\u306a\u5984\u60f3\u3001\u5e7b\u899a\u3001\u6fc0\u3057\u3044\u7f6a\u60aa\u611f\u3001\u3072\u3069\u3044\u4e0d\u7720\u75c7\u3001\u81ea\u6bba\u9858\u671b\u3001\u6975\u7aef\u306a\u7cbe\u795e\u904b\u52d5\u6027\u306e\u9045\u6ede\u3001\u6df1\u523b\u306a\u601d\u8003\u306e\u9045\u6ede\u3001\u9ebb\u75fa\uff09\u304c\u306a\u3044\u3053\u3068\u3067\u3042\u308b\u3002<\/em>
\n\u3000\u3046\u3064\u72b6\u614b\u3092\u610f\u8b58\u5316\u306b\u6f5c\u3080\u4e0d\u5b89\u304b\u3089\u81ea\u5206\u3092\u5b88\u308b\u624b\u6bb5\u3068\u307f\u306a\u3059\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u7f6a\u60aa\u611f\u3068\u611b\u618e\u304c\u7dad\u6301\u6df7\u3058\u308b\u611f\u60c5\u304c\u3046\u3064\u306e\u4e2d\u6838\u306b\u3042\u308b\u3068\u3044\u3046\u7cbe\u795e\u5206\u6790\u6d3e\u306e\u8aac\u3092\u63a1\u7528\u3057\u3066\u3044\u308b\u30021967\u5e74\u3001DSM-\u2161\u306f\u300c\u6291\u3046\u3064\u795e\u7d4c\u75c7\u300d\u306b\u7c21\u6f54\u306a\u5b9a\u7fa9\u3092\u4e0e\u3048\u3066\u3044\u308b\u3002
\n\u3000\u3053\u306e\u75be\u60a3\u306f\u3001\u5185\u7684\u306a\u845b\u85e4\u307e\u305f\u306f\u611b\u3059\u308b\u5bfe\u8c61\u3084\u5927\u5207\u306b\u3057\u3066\u3044\u305f\u6240\u6709\u7269\u3092\u5931\u3046\u306a\u3069\u306e\u51fa\u6765\u4e8b\u306b\u3088\u308b\u3001\u904e\u5270\u306a\u6291\u3046\u3064\u53cd\u5fdc\u3068\u3057\u3066\u73fe\u308c\u308b\u3002\u3053\u308c\u306f\u300c\u9000\u884c\u671f\u3046\u3064\u75c5\u300d\u300c\u8e81\u9b31\u75c5\u300d\u3068\u306f\u533a\u5225\u3055\u308c\u308b\u3079\u304d\u75be\u60a3\u3067\u3042\u308b\u3002\u53cd\u5fdc\u6027\u3046\u3064\u3001\u307e\u305f\u306f\u6291\u3046\u3064\u53cd\u5fdc\u306f\u3053\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u306b\u542b\u307e\u308c\u308b\u3002<\/em>
\n\u3053\u306e\u5b9a\u7fa9\u306f\u3001\u7cbe\u795e\u79d1\u533b\u304c\u3046\u3064\u306e\u8af8\u75c7\u72b6\u3092\u77e5\u3063\u3066\u3044\u308b\u3053\u3068\u3092\u524d\u63d0\u3068\u3057\u3066\u3001\u305d\u306e\u8af8\u75c7\u72b6\u306f\u5217\u6319\u305b\u305a\u3001\u75c5\u56e0\u8ad6\u3092\u571f\u53f0\u3068\u3057\u3066\u3044\u308b\u3002
\n\u30001970\u5e74\u4ee5\u964d\u3001\u3046\u3064\u306f\u4e00\u3064\u306e\u75c5\u6c17\u304b\u8907\u6570\u306e\u30bf\u30a4\u30d7\u306b\u5206\u985e\u3059\u308b\u3079\u304d\u304b\u8abf\u3079\u308b\u305f\u3081\u306b\u3001\u75c7\u72b6\u306b\u5bfe\u3059\u308b\u56e0\u5b50\u5206\u6790\u3092\u7d71\u8a08\u5b66\u7684\u306a\u624b\u6cd5\u3068\u3057\u3066\u63a1\u7528\u3059\u308b\u3088\u3046\u306b\u306a\u3063\u305f\u3002\u307e\u305f1972\u5e74\u3001\u6b63\u78ba\u306a\u5b9a\u7fa9\u306a\u3057\u306b\u69d8\u3005\u306a\u5206\u985e\u304c\u884c\u308f\u308c\u308b\u9650\u308a\u3001\u7cbe\u795e\u533b\u5b66\u304c\u79d1\u5b66\u7684\u306a\u5b66\u554f\u5206\u91ce\u3068\u3057\u3066\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u306f\u671b\u3081\u306a\u3044\u3068\u8003\u3048\u308b\u7814\u7a76\u30c1\u30fc\u30e0\u304c\u73fe\u308c\u305f\u2192\u7570\u306a\u308b\u7814\u7a76\u30b0\u30eb\u30fc\u30d7\u306e\u7d50\u679c\u3092\u6bd4\u8f03\u3057\u3001\u30c7\u30fc\u30bf\u3092\u84c4\u7a4d\u3057\u3001\u7d71\u4e00\u7684\u306a\u57fa\u6e96\u3092\u8a2d\u7f6e\u3059\u308b\u3053\u3068\u3092\u76ee\u6307\u3057\u305f\u30d5\u30a1\u30a4\u30ca\u30fc\u57fa\u6e96\u304c\u4f5c\u3089\u308c\u305f\u3002
\n\u3000\u8a3a\u65ad\u306e\u4fe1\u983c\u6027\u306f\u3042\u304c\u3063\u305f\u304c\u3001\u59a5\u5f53\u6027\uff08\u8a3a\u65ad\u306e\u6709\u52b9\u6027\uff09\u306b\u3064\u3044\u3066\u306f\u4e0d\u78ba\u304b\u3067\u3042\u3063\u305f\u3002\u3067\u306f\u306a\u305c\u75c7\u72b6\u512a\u4f4d\u306e\u57fa\u6e96\u3078\u5909\u5316\u3057\u305f\u306e\u304b\uff1f
\n\u3000\u24601980\u5e74\u4ee3\u3001\u30d5\u30ed\u30a4\u30c8\u6d3e\u306e\u5f71\u97ff\u529b\u306f\u4f4e\u4e0b\u3057\u3001\u3056\u307e\u3056\u307e\u306a\u7406\u8ad6\u306e\u7cbe\u795e\u533b\u5b66\u6d3e\u304c\u4e71\u7acb\u3002\u75c5\u56e0\u306b\u3064\u3044\u3066\u306f\u8ad6\u3058\u306a\u3044DSM-\u2162\u306f\u591a\u5c11\u306a\u8003\u3048\u3092\u3082\u3064\u81e8\u5e8a\u5bb6\u306b
\n\u3000\u3000\u53d7\u3051\u5165\u308c\u3089\u308c\u305f
\n\u3000\u2461\u53cd\u7cbe\u795e\u533b\u5b66\u306e\u904b\u52d5\uff08\u8a3a\u65ad\u306e\u4e0d\u4e00\u81f4\u3001\u5e7b\u8074\u30c0\u30df\u30fc\u306e\u5165\u9662\uff09\u304c\u76db\u308a\u3042\u304c\u308a\u3001\u7cbe\u795e\u533b\u5b66\u306e\u4fe1\u983c\u6027\u306e\u56de\u5fa9\u306e\u5fc5\u8981\u6027
\n\u3000\u2462\u7cbe\u795e\u75be\u60a3\u306b\u533b\u7642\u4fdd\u967a\u304c\u9069\u5fdc\u3055\u308c\u308b\u305f\u3081\u306b\u306f\u3001\u78ba\u56fa\u3068\u3057\u305f\u6839\u62e0\u304c\u5fc5\u8981\u3067\u3001\u8a3a\u65ad\u57fa\u6e96\u304c\u7279\u5b9a\u306e\u75c5\u6c17\u306e\u307f\u3092\u4fdd\u967a\u9069\u7528\u3068\u3059\u308b\u3068\u3044\u3046\u3082\u306e\u3067\u306a\u3051\u308c\u3070
\n\u3000\u3000\u306a\u3089\u306a\u3044\u3002<\/p>\n

\u7b2c\u4e94\u7ae0\uff1aDSM\u2014\u2163\u306e\u5b9a\u7fa9\u3059\u308b\u3046\u3064<\/strong><\/p>\n

\u7b2c\u516d\u7ae0\uff1aDSM\u306e\u57fa\u6e96\u304c\u793e\u4f1a\u306b\u53ca\u307c\u3057\u305f\u5f71\u97ff<\/strong>
\n\u3000\u5730\u57df\u306b\u5bfe\u3057\u3066\u306e\u75ab\u5b66\u8abf\u67fb\u3067\u3001\u81e8\u5e8a\u5bb6\u304c\u5f97\u308b\u306e\u306b\u76f8\u5f53\u3059\u308b\u8a3a\u65ad\u3092\u5f97\u308b\u3053\u3068\u304c\u4f53\u578b\u7684\u306a\u8cea\u554f\u7968\u3092\u4f7f\u3048\u3070\u53ef\u80fd\u3067\u3042\u308b\u3068\u3044\u3046\u524d\u63d0\u3067\u3001\u4e00\u822c\u4f4f\u6c11\u306b\u5bfe\u3057\u3066\u8abf\u67fb\u304c\u884c\u308f\u308c\u305f\u3002\u7cbe\u795e\u79d1\u53d7\u8a3a\u3059\u308b\u6bcd\u96c6\u56e3\u3068\u6709\u75c5\u7387\u304c\u9055\u3046\u3068\u3044\u3046\u70b9\u3067\u3082\u7121\u8b00\u3067\u3042\u3063\u305f\u3002<\/p>\n

\u7b2c\u4e03\u7ae0\uff1a\u60b2\u54c0\u306e\u76e3\u8996<\/strong><\/p>\n

\u7b2c\u516b\u7ae0\uff1aDSM\u3068\u3046\u3064\u306e\u751f\u7269\u5b66\u7684\u7814\u7a76<\/strong><\/p>\n

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\n\u3000\u8cbb\u7528\u5bfe\u52b9\u679c\u3092\u91cd\u8996\u3059\u308b\u30de\u30cd\u30b8\u30c9\u30b1\u30a2\u306f\u3001\u5fc3\u7406\u7642\u6cd5\u3088\u308a\u85ac\u7269\u7642\u6cd5\u3092\u512a\u5148\u3059\u308b\u3002\u307e\u305f\u30de\u30cd\u30b8\u30c9\u30b1\u30a2\u306f\u3001\u5fc3\u7406\u7642\u6cd5\u3088\u308a\u3082SSRI\u306b\u5bdb\u5927\u306b\u533b\u7642\u7d66\u4ed8\u3092\u884c\u3046\u5185\u5bb9\u306b\u306a\u3063\u3066\u3044\u308b\u3002\u307e\u305f1997\u5e74\u3000FDA\u304c\u4e00\u822c\u5411\u3051\u30e1\u30c7\u30a3\u30a2\u3092\u901a\u3058\u3066\u76f4\u63a5\u6d88\u8cbb\u8005\u3078\u5411\u3051\u305f\u533b\u85ac\u54c1\u5e83\u544a\uff08DTC\u5e83\u544a\uff09\u3092\u8a8d\u53ef\u3057\u305f\u305f\u3081SSRI\u306e\u4f7f\u7528\u306f\u62e1\u5927\u3002FDA\u306f\u533b\u85ac\u54c1\u5e83\u544a\u3067\u306f\u3001\u75c5\u6c17\u306e\u6cbb\u7642\u306b\u7528\u3044\u308b\u3082\u306e\u3067\u3042\u308b\u3053\u3068\u3092\u660e\u78ba\u306b\u3057\u3001\u65e5\u5e38\u7684\u306a\u82e6\u75db\u3092\u8efd\u6e1b\u3059\u308b\u52b9\u7528\u3092\u3046\u305f\u3063\u3066\u306f\u306a\u3089\u306a\u3044\u3068\u5b9a\u3081\u3066\u3044\u308b\u3002\u3053\u306e\u5834\u5408\u3001DSM\u306e\u5b9a\u7fa9\u306f\u3001\u4e00\u822c\u4eba\u306b\u3082\u308f\u304b\u308a\u3084\u3059\u3044\u75c5\u6c17\u306e\u5b9a\u7fa9\u3092\u793a\u3059\u306e\u306b\u3046\u3063\u3066\u3064\u3051\u3067\u3042\u3063\u305f\u3002DSM\u306e\u5b9a\u7fa9\u3092\u63a1\u7528\u3059\u308c\u3070\u3001\u3042\u308a\u3075\u308c\u305f\u75c7\u72b6\u304c\u75c5\u6c17\u306e\u5146\u5019\u3068\u3055\u308c\u308b\u305f\u3081\u4eba\u3005\u306f\u5408\u6cd5\u7684\u306b\u51e6\u65b9\u7b8b\u3092\u624b\u306b\u5165\u308c\u3089\u308c\u308b\u3057\u3001\u88fd\u85ac\u4f1a\u793e\u306f\u5408\u6cd5\u7684\u306b\u4e00\u822c\u4eba\u5411\u3051\u306b\u88fd\u54c1\u3092\u5ba3\u4f1d\u3067\u304d\u308b\u306e\u3060\u3002\u307e\u305f\u88fd\u85ac\u4f1a\u793e\u304cDTC\u306b\u6295\u305a\u308b\u4e88\u7b97\u306f\u5e74\u959320\u5104\u30c9\u30eb\u306b\u3082\u306a\u308b\u3002\u3057\u304b\u3057\u88fd\u85ac\u696d\u754c\u306f\u60a3\u8005\u3068\u5bb6\u65cf\u306e\u652f\u63f4\u56e3\u4f53\u306b\u591a\u984d\u306e\u5bc4\u4ed8\u3092\u884c\u3063\u305f\u308a\u3001\u3046\u3064\u75c5\u306e\u81e8\u5e8a\u7814\u7a76\u306b\u3082\u5de8\u984d\u306a\u52a9\u6210\u91d1\u3092\u63d0\u4f9b\u3002\u307e\u305f\u5168\u7c73\u3046\u3064\u5553\u767a\u30c7\u30fc\u306a\u3069\u6559\u80b2\u30ad\u30e3\u30f3\u30da\u30fc\u30f3\u3092\u5927\u3005\u7684\u306b\u5c55\u958b\u3057\u3001\u3046\u3064\u306e\u30b9\u30af\u30ea\u30fc\u4e8c\u30f3\u30b0\u3092\u7121\u6599\u3067\u884c\u3046\u81ea\u52d5\u97f3\u58f0\u96fb\u8a71\u3084\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u3092\u958b\u8a2d\u3057\u3066\u3044\u308b\u3002https:\/\/www.youtube.com\/watch?v=pB6_6DlXFoQ<\/a>(\u30b8\u30a7\u30a4\u30be\u30ed\u30d5\u30c8\uff11\u5206\u9593\u5e83\u544a\u4f8b)
\n\u2192\u8457\u8005\u306e\u610f\u898b\uff1a\u6b63\u5e38\u306a\u60b2\u54c0\u307e\u3067\u3046\u3064\u3068\u8a3a\u65ad\u3057\u3001SSRI\u3092\u51e6\u65b9\u3057\u3066\u3044\u308b\u306e\u306f\u884c\u304d\u904e\u304e\u3067\u306f\uff1f
\n\u3000\u53cd\u5bfe\u6d3e\uff1a\u51fa\u7523\u306b\u4f34\u3046\u6b63\u5e38\u306a\u9663\u75db\u3092\u306a\u304f\u3059\u305f\u3081\u306b\u9ebb\u9154\u85ac\u3092\u4f7f\u3046\u7121\u75db\u5206\u5a29\u306b\u53cd\u5bfe\u3059\u308b\u4eba\u306f\u307b\u3068\u3093\u3069\u3044\u306a\u3044\u3002\u540c\u69d8\u306bSSRI\u306e\u670d\u7528\u3067\u611f\u60c5\u3092\u5236\u5fa1\u3067\u304d\u3001
\n\u3000\u3000\u3000\u3000\u3000\u81ea\u4fe1\u3092\u3082\u3064\u3053\u3068\u304c\u3067\u304d\u3001\u7cbe\u795e\u7684\u306a\u82e6\u75db\u304c\u548c\u3089\u3050\u306a\u3089\u75c5\u6c17\u3067\u306a\u304f\u3066\u3082\u51e6\u65b9\u3059\u3079\u304d\u3067\u306f\uff1f
\n\u3000\u305d\u306e\u53cd\u5bfe\u6d3e\uff1a\u5b64\u72ec\u3067\u8010\u3048\u96e3\u3044\u60b2\u54c0\u306e\u5834\u306b\u4e00\u5b9a\u671f\u9593\u3068\u3069\u307e\u308b\u3053\u3068\u304c\u4eba\u306e\u81ea\u7136\u306a\u59ff\u3067\u3042\u308a\u3001\u305d\u306e\u60b2\u54c0\u306e\u5834\u306b\u3064\u304d\u3082\u306e\u306e\u82e6\u75db\u3092\u85ac\u3067
\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u8efd\u6e1b\u3057\u3066\u3082\u3044\u3044\u306e\u304b\u3068\u3044\u3046\u601d\u3044\u3002<\/p>\n

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\u2015\u8003\u5bdf\u3068\u30c7\u30a3\u30b9\u30ab\u30c3\u30b7\u30e7\u30f3\u2015
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\n\u3000\u3000\uff11\uff09\tDSM\u3092\u3069\u306e\u3088\u3046\u306b\u666e\u6bb5\u306e\u81e8\u5e8a\u3067\u4f4d\u7f6e\u4ed8\u3051\u3066\u3044\u307e\u3057\u305f\u304b\uff1f
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\n\u3000\u3000\uff13\uff09\tDTC(Direct to consumer)\u5e83\u544a\u306b\u3064\u3044\u3066\u3001GERD\u3001\u30ea\u30ea\u30ab\u3001\u30a2\u30ea\u30bb\u30d7\u30c8\u306a\u3069\u60a3\u8005\u3055\u3093\u304c\u5916\u6765\u3067\u8a71\u3092\u3059\u308b\u969b\u306b\u3001
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