{"id":1896,"date":"2021-07-09T00:12:15","date_gmt":"2021-07-08T15:12:15","guid":{"rendered":"https:\/\/kokoro-hino.tokyo\/?p=1896"},"modified":"2021-08-06T05:11:28","modified_gmt":"2021-08-05T20:11:28","slug":"%e8%a4%87%e9%9b%91%e6%80%a7ptsd%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6","status":"publish","type":"post","link":"https:\/\/kokoro-hino.tokyo\/?p=1896","title":{"rendered":"\u8907\u96d1\u6027PTSD\u306b\u3064\u3044\u3066"},"content":{"rendered":"<p class=\"has-background has-very-light-gray-background-color\">\u7c73\u56fd\u7cbe\u795e\u533b\u5b66\u4f1a\u306e\u8a3a\u65ad\u57fa\u6e96\u96c6\u3067\u3042\u308bDSM\u306e\u7b2c3\u7248\uff08DSM-III\uff09\u306b\u521d\u3081\u3066PTSD\u304c\u767b\u5834\u3057\u3066\u4ee5\u6765\u3001\u591a\u304f\u306e\u7814\u7a76\u30fb\u8abf\u67fb\u30fb\u81e8\u5e8a\u7d4c\u9a13\u304c\u7a4d\u307f\u91cd\u306d\u3089\u308c\u3001PTSD\u306b\u95a2\u9023\u3059\u308b\u75c7\u72b6\u306f\u8907\u96d1\u3067\u5e83\u7bc4\u56f2\u306a\u3082\u306e\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3053\u308c\u3089\u306e\u65b0\u3057\u304f\u5f97\u3089\u308c\u305f\u77e5\u898b\u3092\u305d\u306e\u5f8c\u306e\u8a3a\u65ad\u57fa\u6e96\u306b\u3069\u306e\u3088\u3046\u306b\u53d6\u308a\u8fbc\u3080\u304b\u3068\u3044\u3046\u70b9\u306b\u3064\u3044\u3066\u3001\u6700\u65b0\u306e\u8a3a\u65ad\u57fa\u6e96\u96c6\u3067\u3042\u308bDSM-5\u3068ICD-11\u3067\u306f\u7570\u306a\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u53d6\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DSM-5\u3067\u306f\u3001PTSD\u306e\u3088\u308a\u8907\u96d1\u306a\u75c7\u72b6\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306b\u3001PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u62e1\u5927\u3057\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u4e00\u65b9\u3001ICD-11\u3067\u306f\u3001PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u30923\u3064\u306e\u75c7\u72b6\u7fa4\u306e6\u3064\u306e\u75c7\u72b6\u306b\u5236\u9650\u3059\u308b\u3068\u3068\u3082\u306b\u3001\u8907\u96d1\u6027PTSD\uff08CPTSD\uff09\u3068\u3044\u3046\u8a3a\u65ad\u540d\u3092\u8ffd\u52a0\u3057\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u4eca\u56de\u306f\u3001\u3053\u306e\u3088\u3046\u306b\u8907\u96d1\u306b\u306a\u3063\u305fPTSD\u306b\u95a2\u9023\u3059\u308b\u75c7\u72b6\u3068\u8a3a\u65ad\u306b\u3064\u3044\u3066\u3001\u3053\u308c\u30892\u3064\u306e\u8a3a\u65ad\u57fa\u6e96\u96c6\u306b\u306f\u63a1\u7528\u3055\u308c\u306a\u304b\u3063\u305f\u8a3a\u65ad\u3092\u542b\u3081\u3066\u6982\u89b3\u3057\u3066\u307f\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c<span style=\"font-family: 'arial black', sans-serif;\"><strong>\u7834\u5c40\u7684\u4f53\u9a13\u5f8c\u306e\u6301\u7d9a\u7684\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316<\/strong><\/span>\uff1aEPCACE\u300d<br \/>\n\u300c<span style=\"font-family: 'arial black', sans-serif;\"><strong>\u8907\u96d1\u6027PTSD<\/strong><\/span>\uff1aCPTSD\u300d<br \/>\n\u300c<span style=\"font-family: 'arial black', sans-serif;\"><strong>\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3<\/strong><\/span>\uff1aDTD\u300d<br \/>\n\u300c<span style=\"font-family: 'arial black', sans-serif;\"><strong>\u7279\u5b9a\u4e0d\u80fd\u306e\u6975\u5ea6\u306e\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3<\/strong><\/span>\uff1aDESNOS\u300d<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #0000ff;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u7834\u5c40\u7684\u4f53\u9a13\u5f8c\u306e\u6301\u7d9a\u7684\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316<\/span><\/strong><\/span>\uff08EPCACE\uff1aICD-10\u30b3\u30fc\u30c9F62.0\uff09<br \/>\nEPCACE\uff08Enduring Personality Change After Catastrophic Experience\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">ICD-10\u306b\u306f\u3001\u73fe\u5728\u306e\u8907\u96d1\u6027PTSD\u306b\u7e4b\u304c\u308b\u300c\u7834\u5c40\u7684\u4f53\u9a13\u5f8c\u306e\u6301\u7d9a\u7684\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316\u300d\u3068\u3044\u3046\u8a3a\u65ad\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\uff08ICD-10\uff1aWHO\u306e\u56fd\u969b\u75be\u75c5\u5206\u985e\u7b2c10\u7248\u30011990\u5e74\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3053\u306e\u8a3a\u65ad\u306f\u3001\u300c\u5f37\u5236\u53ce\u5bb9\u6240\u75c7\u5019\u7fa4\u300d\u306b\u7531\u6765\u3059\u308b\u3082\u306e\u3067\u3057\u305f\u304c\u3001ICD-10\u3067\u306f\u3088\u308a\u4e00\u822c\u5316\u3055\u308c\u305f\u3082\u306e\u3068\u3057\u3066\u5b9a\u5f0f\u5316\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u305d\u308c\u4ee5\u524d\u306b\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u306e\u306a\u3044\u4eba\u306b\uff0c\u7834\u5c40\u7684\u306a\u3042\u308b\u3044\u306f\u904e\u5ea6\u306b\u6301\u7d9a\u3059\u308b\u30b9\u30c8\u30ec\u30b9\u306b\u7d9a\u3044\u3066\u3001\u3042\u308b\u3044\u306f\u91cd\u75c7\u306e\u7cbe\u795e\u79d1\u7684\u75be\u60a3\u306b\u7d9a\u3044\u3066\u3001\u767a\u5c55\u3057\u305f\u6210\u4eba\u671f\u306e\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u3068\u884c\u52d5\u306e\u969c\u5bb3\u3092\u5305\u542b\u3059\u308b\u3002\u300d<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u3053\u306e\u8a3a\u65ad\u306f\u3001\u3042\u308b\u4eba\u7269\u306e\u74b0\u5883\u3068\u81ea\u5206\u81ea\u8eab\u306b\u95a7\u3059\u308b\u611f\u3058\u65b9\u3001\u95a2\u4fc2\u306e\u4ed5\u65b9\u3001\u3042\u308b\u3044\u306f\u8003\u3048\u65b9\u306e\u30d1\u30bf\u30fc\u30f3\u306b\u3001\u660e\u78ba\u3067\u6301\u7d9a\u7684\u306a\u5909\u5316\u304c\u3042\u308b\u3068\u3044\u3046\u8a3c\u62e0\u3092\u8a8d\u3081\u305f\u3068\u304d\u306b\u306e\u307f\u304f\u3060\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u300d<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316\u306f\u9855\u8457\u3067\u3001\u67d4\u8edf\u6027\u306e\u306a\u3044\u4e0d\u9069\u5fdc\u306a\u884c\u52d5\u3068\u7d50\u3073\u3064\u3044\u3066\u304a\u308a\u3001\u75c5\u56e0\u3068\u306a\u308b\u4f53\u9a13\u306e\u524d\u306b\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\u3082\u306e\u3067\u3042\u308b\u3002\u300d<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u3053\u306e\u3088\u3046\u306a\u6301\u7d9a\u6027\u306e\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316\u306f\u3001\u305f\u3044\u3066\u3044\u7834\u6ec5\u7684\u306a\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u306b\u7d9a\u3044\u3066\u8a8d\u3081\u3089\u308c\u308b\u304b\u3001\u307e\u305f\u91cd\u75c7\u306e\u3001\u53cd\u5fa9\u3059\u308b\u3042\u308b\u3044\u306f\u9077\u5ef6\u3059\u308b\u7cbe\u795e\u969c\u5bb3\u306e\u7d50\u679c\u3001\u767a\u5c55\u3059\u308b\u3053\u3068\u3082\u3042\u308b\u3002\u300d<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u6301\u7d9a\u7684\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316\u306f\u3001\u75c5\u56e0\u8ad6\u7684\u306b\u6df1\u3044\u3001\u5b9f\u5b58\u7684\u306a\u6975\u9650\u4f53\u9a13\u306b\u307e\u3067\u3055\u304b\u306e\u307c\u308a\u3046\u308b\u3001\u6c38\u7d9a\u7684\u3067\u7570\u306a\u3063\u305f\u5b58\u5728\u69d8\u5f0f\u3092\u8868\u3059\u5834\u5408\u306e\u307f\u3001\u8a3a\u65ad\u3059\u3079\u304d\u3067\u3042\u308b\u3002\u300d<\/p>\n<p>\u307e\u305f\u3001ICD-10\u306e\u8a3a\u65ad\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u3053\u306e\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316\u306f\u6301\u7d9a\u7684\u3067\u3042\u308a\u3001\u67d4\u8edf\u6027\u3092\u6b20\u304f\u9069\u5fdc\u969c\u5bb3\u306e\u7279\u5fb4\u3092\u793a\u3057\u3001\u5bfe\u4eba\u7684\u3001\u793e\u4f1a\u7684\u3001\u304a\u3088\u3073\u8077\u696d\u7684\u306a\u6a5f\u80fd\u306e\u969c\u5bb3\u306b\u3044\u305f\u308b\u3082\u306e\u3067\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u300d<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u901a\u5e38\u3001\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316\u306f\u9375\u3068\u306a\u308b\u60c5\u5831\u63d0\u4f9b\u8005\u306b\u3088\u3063\u3066\u78ba\u8a8d\u3055\u308c\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u3002\u300d<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u8a3a\u65ad\u3059\u308b\u305f\u3081\u306b\u306f\u3001\u4ee5\u524d\u306b\u306f\u307f\u3089\u308c\u306a\u304b\u3063\u305f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u7279\u5fb4\u306e\u5b58\u5728\u3092\u78ba\u304b\u3081\u308b\u3053\u3068\u304c\u4e0d\u53ef\u6b20\u3067\u3042\u308b\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\uff08a\uff09\u4e16\u9593\u306b\u5bfe\u3059\u308b\u6575\u5bfe\u7684\u306a\u3042\u308b\u3044\u306f\u7591\u3044\u6df1\u3044\u614b\u5ea6.<br \/>\n\uff08b\uff09\u793e\u4f1a\u7684\u306a\u5f15\u304d\u3053\u3082\u308a.<br \/>\n\uff08c\uff09\u7a7a\u865a\u611f\u3042\u308b\u3044\u306f\u7121\u529b\u611f.<br \/>\n\uff08d\uff09\u3042\u305f\u304b\u3082\u7d76\u3048\u305a\u8105\u304b\u3055\u308c\u3066\u3044\u308b\u3088\u3046\u306a\u3001\u300c\u5371\u6a5f\u306b\u7015\u3057\u3066\u3044\u308b\u300d\u3068\u3044\u3046\u6162\u6027\u7684\u306a\u611f\u60c5.<br \/>\n\uff08e\uff09\u3088\u305d\u3088\u305d\u3057\u3055\uff0e<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u300c\u3053\u306e\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u5909\u5316\u306f\u5c11\u306a\u304f\u3068\u3082\uff12\u5e74\u9593\u5b58\u5728\u3057\u3066\u3044\u306a\u3051\u308c\u3070\u306a\u3089\u305a\uff0c\u305d\u308c\u4ee5\u524d\u306e\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u3001\u3042\u308b\u3044\u306f\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\u4ee5\u5916\u306e\u7cbe\u795e\u969c\u5bb3\u306b\u8d77\u56e0\u3059\u308b\u3082\u306e\u3067\u3042\u3063\u3066\u306f\u306a\u3089\u306a\u3044(F43.1)\u3002\u300d<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u4e0a\u306b\u793a\u3057\u305f\u8a3a\u65ad\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u306f\u3001(a)\u4e16\u754c\u306b\u5bfe\u3059\u308b\u6575\u5bfe\u7684\u307e\u305f\u306f\u4e0d\u4fe1\u7684\u306a\u614b\u5ea6\u3001(b)\u793e\u4f1a\u7684\u5f15\u304d\u3053\u3082\u308a\u3001(c)\u7a7a\u865a\u611f\u3084\u7d76\u671b\u611f\u3001(d)\u5e38\u306b\u8105\u304b\u3055\u308c\u3066\u3044\u308b\u304b\u306e\u3088\u3046\u306a\u300e\u30cf\u30e9\u30cf\u30e9\u3059\u308b\u300f\u6162\u6027\u7684\u306a\u611f\u899a\u3001(e)\u758e\u5916\u611f\u3068\u3044\u3046\u91cd\u8981\u306a\u5c5e\u6027\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3053\u308c\u306b\u52a0\u3048\u3066\u3001\u73fe\u5834\u306e\u81e8\u5e8a\u5bb6\u304b\u3089\u306f\u3001EPCACE\u306e\u91cd\u8981\u306a\u7279\u5fb4\u3068\u3057\u3066\u300c\u8eab\u4f53\u5316\u3001\u81ea\u50b7\u884c\u70ba\u3001\u6027\u7684\u6a5f\u80fd\u969c\u5bb3\u3001\u6c38\u7d9a\u7684\u306a\u7f6a\u60aa\u611f\u300d\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u307e\u305f\u3001EPCACE\u3068\u3001\u3046\u3064\u75c5\u3084\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u306e\u9593\u306b\u3001\u75c7\u72b6\u306e\u91cd\u8907\u304c\u3042\u308b\u3068\u6307\u6458\u3055\u308c\u308b\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3057\u304b\u3057\u3001EPCACE\u3067\u306f\u4eba\u683c\u306e\u5b89\u5b9a\u3057\u305f\u5909\u5316\u304c\u7279\u5fb4\u3067\u3042\u308b\u306e\u306b\u5bfe\u3057\u3001\u3046\u3064\u75c5\u3084\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u3067\u306f\u6c17\u5206\u3084\u611f\u60c5\u306e\u4e0d\u5b89\u5b9a\u3055\u304c\u7279\u5fb4\u7684\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">EPCACE\u306f\u3001\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u3068\u30c8\u30e9\u30a6\u30de\u95a2\u9023\u969c\u5bb3\u306e\u6a4b\u6e21\u3057\u3092\u3059\u308b\u7d71\u5408\u7684\u306a\u8a3a\u65ad\u3067\u3001\u60a3\u8005\u306b\u5bfe\u3059\u308b\u7d71\u5408\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u884c\u3046\u80fd\u529b\u3092\u81e8\u5e8a\u5bb6\u306b\u63d0\u4f9b\u3057\u307e\u3059\u3002\u305d\u308c\u6545\u3001\u6b21\u671fDSM\u306b\u63a1\u7528\u3055\u308c\u308b\u3079\u304d\u8a3a\u65ad\u540d\u3067\u3042\u308b\u3068\u8a34\u3048\u308b\u7814\u7a76\u8005\u9054\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #0000ff;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u8907\u96d1\u6027PTSD<\/span><\/strong><\/span>\uff08Complex Posttraumatic Stress Disorder: CPTSD\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u8907\u96d1\u6027PTSD\u306f\u3001ICD-11 \u306b\u767b\u5834\u3057\u305f\u65b0\u3057\u3044\u8a3a\u65ad\u540d\u3067\u3059\u3002\u5e7c\u5c11\u671f\u306e\u8650\u5f85\u3084\u62f7\u554f\u306a\u3069\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u53cd\u5fa9\u7684\u306a\u30c8\u30e9\u30a6\u30de\u4f53\u9a13\u3092\u3057\u305f\u6210\u4eba\u3001\u9752\u5e74\u3001\u5b50\u3069\u3082\u306b\u9069\u7528\u3055\u308c\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u8907\u96d1\u6027PTSD\u306b\u3064\u3044\u3066\u3001ICD-11\u3068DSM-5\u306f\u7570\u306a\u3063\u305f\u5bfe\u5fdc\u3092\u53d6\u308a\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DSM-5\u306ePTSD\u30ef\u30fc\u30af\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u8907\u96d1\u6027PTSD\u306b\u95a2\u3059\u308b\u6587\u732e\u3092\u691c\u8a0e\u3057\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u59a5\u5f53\u6027\u306e\u6b20\u5982\u3092\u7406\u7531\u306b\u3001\u8907\u96d1\u6027PTSD\u3092\u72ec\u7acb\u3057\u305f\u8a3a\u65ad\u3068\u3057\u3066\u542b\u3081\u306a\u3044\u3053\u3068\u3092\u6c7a\u5b9a\u3057\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u305d\u3057\u3066\u3001\u81ea\u5df1\u7d44\u7e54\u5316\u306e\u4e71\u308c\uff08DSO\uff09\u306b\u95a2\u3059\u308b\u75c7\u72b6\u306e\u591a\u304f\u306f\u3001PTSD\u306e\u3088\u308a\u5e83\u3044\u8a3a\u65ad\u57fa\u6e96\u306b\u7d44\u307f\u8fbc\u307e\u308c\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3064\u307e\u308a\u3001DSM-5\u3067\u306f\uff08\u8907\u96d1\u6027PTSD\u3067\u898b\u3089\u308c\u308b\u3088\u3046\u306a\uff09PTSD\u306e\u8907\u96d1\u306a\u75c7\u72b6\u306b\u5bfe\u5fdc\u3059\u308b\u305f\u3081\u306b\u3001PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u62e1\u5927\u3057\u305f\u306e\u3067\u3059\u3002\u307e\u305f\u300c\u89e3\u96e2\u75c7\u72b6\u3092\u4f34\u3046\u300d\u30b5\u30d6\u30bf\u30a4\u30d7\u3092\u7279\u5b9a\u3059\u308b\u3068\u3044\u3046\u8ffd\u52a0\u3082\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DSM-5\u3068\u306f\u9006\u306b\u3001ICD-11\u3067\u306fPTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u30926\u3064\u306e\u6f5c\u5728\u7684\u306a\u75c7\u72b6\u306b\u5236\u9650\u3057\u3001\u8907\u96d1\u6027PTSD\u3068\u3044\u3046\u8a3a\u65ad\u540d\u3092\u8ffd\u52a0\u3057\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u65b0\u3057\u304f\u8ffd\u52a0\u3055\u308c\u305f\u8907\u96d1\u6027PTSD\u306e\u8a3a\u65ad\u306f\u3001\u6162\u6027\u7684\u30fb\u53cd\u5fa9\u7684\u306a\u5bfe\u4eba\u95a2\u4fc2\u306e\u30c8\u30e9\u30a6\u30de\u3084\u8650\u5f85\u304c\u3001\u5f93\u6765\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u305fPTSD\u306e\u9650\u754c\u3092\u8d85\u3048\u3066\u3001\u7cbe\u795e\u7684\u306a\u5065\u5eb7\u306b\u5e45\u5e83\u3044\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3068\u3044\u3046\u3001\u9577\u5e74\u306e\u61f8\u5ff5\u306b\u5bfe\u5fdc\u3059\u308b\u3082\u306e\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">ICD-11\u306b\u304a\u3051\u308b\u8907\u96d1\u6027PTSD\u306e\u8a3a\u65ad\u306f\u30016\u3064\u306e\u75c7\u72b6\u30af\u30e9\u30b9\u30bf\u30fc\u304b\u3089\u69cb\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u3064\u307e\u308a\u3001PTSD\u306e3\u3064\u306e\u57fa\u6e96\uff08\u300c<strong><span style=\"font-family: 'arial black', sans-serif;\">\u30c8\u30e9\u30a6\u30de\u306e\u518d\u4f53\u9a13<\/span><\/strong>\u300d\u3001\u300c<strong><span style=\"font-family: 'arial black', sans-serif;\">\u30c8\u30e9\u30a6\u30de\u60f3\u8d77\u306e\u56de\u907f<\/span><\/strong>\u300d\u3001\u300c<strong><span style=\"font-family: 'arial black', sans-serif;\">\u904e\u654f<\/span><\/strong>\uff08\u8105\u5a01\u611f\u306e\u5897\u5927\u3084\u9a5a\u6115\u53cd\u5fdc\uff09\u300d\uff09\u3068\u30013\u3064\u306e\u81ea\u5df1\u7d44\u7e54\u5316\u306e\u969c\u5bb3\uff08\u300c<strong><span style=\"font-family: 'arial black', sans-serif;\">\u60c5\u52d5\u8abf\u7bc0\u969c\u5bb3<\/span><\/strong>\u300d\u3001\u300c<strong><span style=\"font-family: 'arial black', sans-serif;\">\u5bfe\u4eba\u95a2\u4fc2\u969c\u5bb3<\/span><\/strong>\u300d\u3001\u300c<strong><span style=\"font-family: 'arial black', sans-serif;\">\u5426\u5b9a\u7684\u81ea\u5df1\u6982\u5ff5<\/span><\/strong>\u300d\uff09\u306e\u75c7\u72b6\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u8907\u96d1\u6027PTSD\u306e\u8a3a\u65ad\u306b\u306f\u3001PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u304c\u3059\u3079\u3066\u6e80\u305f\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u306b\u52a0\u3048\u3001DSO\u306e3\u3064\u306e\u75c7\u72b6\u7fa4\u304b\u3089\u305d\u308c\u305e\u308c\u5c11\u306a\u304f\u3068\u30821\u3064\u306e\u75c7\u72b6\u304c\u3042\u308a\u3001\u3055\u3089\u306b\u3001<strong><span style=\"font-family: 'arial black', sans-serif;\">\u6a5f\u80fd\u969c\u5bb3\u3092\u4f34\u3063\u3066\u3044\u308b<\/span><\/strong>\u3053\u3068\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u6700\u8fd1\u3001\u8907\u96d1\u6027PTSD\u306e\u5fc3\u7406\u6e2c\u5b9a\u8a55\u4fa1\u5c3a\u5ea6\uff08International Trauma Questionnaire\uff09\u304c\u958b\u767a\u3055\u308c\u3001\u691c\u8a3c\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4e0b\u306b\u56f3\u3067\u793a\u3057\u307e\u3059\u3002P\u306e\u8cea\u554f\u306fPTSD\u3001C\u306e\u8cea\u554f\u306fCPTSD\u306b\u5bfe\u5fdc\u3057\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">ICD-11\u3067\u306e\u8a3a\u65ad\u306f1\u3064\u306e\u307f\u3068\u306a\u308a\u307e\u3059\uff08PTSD\u307e\u305f\u306f\u8907\u96d1\u6027PTSD\uff09\u3002\u8907\u96d1\u6027PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u6e80\u305f\u3057\u3066\u3044\u308b\u5834\u5408\u306f\u3001PTSD\u306e\u8a3a\u65ad\u306b\u512a\u5148\u3057\u3066\u8907\u96d1\u6027PTS\u304c\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p>\u53c2\u8003\u30fb\u30fb\u56fd\u969b\u30c8\u30e9\u30a6\u30de\u8cea\u554f\u7968<\/p>\n<p><img loading=\"lazy\" class=\"alignnone size-full wp-image-1899\" src=\"http:\/\/kokoro-hino.tokyo\/wp-content\/uploads\/2021\/07\/2021-07-09-00_04_18-Window.jpg\" alt=\"\" width=\"\" height=\"\" srcset=\"https:\/\/kokoro-hino.tokyo\/wp-content\/uploads\/2021\/07\/2021-07-09-00_04_18-Window.jpg 712w, https:\/\/kokoro-hino.tokyo\/wp-content\/uploads\/2021\/07\/2021-07-09-00_04_18-Window-300x261.jpg 300w\" sizes=\"(max-width: 712px) 100vw, 712px\" \/><\/p>\n<p><img loading=\"lazy\" class=\"alignnone size-full wp-image-1900\" src=\"http:\/\/kokoro-hino.tokyo\/wp-content\/uploads\/2021\/07\/2021-07-09-00_04_34-Window.jpg\" alt=\"\" width=\"\" height=\"\" srcset=\"https:\/\/kokoro-hino.tokyo\/wp-content\/uploads\/2021\/07\/2021-07-09-00_04_34-Window.jpg 698w, https:\/\/kokoro-hino.tokyo\/wp-content\/uploads\/2021\/07\/2021-07-09-00_04_34-Window-300x292.jpg 300w\" sizes=\"(max-width: 698px) 100vw, 698px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><a id=\"bpd1896\"><\/a>&#8211;<br \/>\n\u25bd<br \/>\n<span style=\"color: #800000;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\uff08BPD\uff09\u3068\u8907\u96d1\u6027PTSD\u306e\u9055\u3044<\/span><\/strong><\/span><\/p>\n<p class=\"has-background has-very-light-gray-background-color\">ICD-11\u3067\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u308b\u8907\u96d1\u6027PTSD\u306e\u75c7\u72b6\u306f\u3001DSM-5\u3067\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u308bPTSD\u304a\u3088\u3073\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\uff08BPD\uff09\u3068\u5927\u304d\u304f\u91cd\u8907\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\uff08BPD\uff09\u306f\u3001\u81ea\u5df1\u7d44\u7e54\u5316\u306e\u969c\u5bb3\uff08DSO\uff09\u306e\u75c7\u72b6\u3068\u985e\u4f3c\u3057\u305f\u7279\u5fb4\u3092\u6301\u3061\u307e\u3059\u3002\u307e\u305f\u3001PTSD\u3068\u95a2\u9023\u3059\u308b\u3053\u3068\u3082\u591a\u3044\u305f\u3081\u3001\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u3068\u8907\u96d1\u6027PTSD\u306e\u533a\u5225\u304c\u8b70\u8ad6\u3055\u308c\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u7d50\u8ad6\u304b\u3089\u8a00\u3048\u3070\u3001\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u306e\u75c7\u72b6\u306f\u8907\u96d1\u6027PTSD\u306e\u75c7\u72b6\u3068\u5927\u304d\u304f\u91cd\u306a\u308b\u3082\u306e\u306e\u3001\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u3068\u8907\u96d1\u6027PTSD\u3068\u306f\u5225\u306e\u3082\u306e\u3067\u3042\u308b\u3068\u3044\u3046\u8003\u3048\u65b9\u304c\u73fe\u5728\u3067\u306f\u652f\u6301\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3064\u307e\u308a\u3001\u611f\u60c5\u306e\u8abf\u7bc0\u304c\u51fa\u6765\u306a\u3044\u3068\u3044\u3046\u75c7\u72b6\u306b\u3064\u3044\u3066\u306f\u91cd\u8907\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u305d\u308c\u4ee5\u5916\u306e\uff08\u8907\u96d1\u6027PTSD\u306e\uff09\u8a3a\u65ad\u8981\u4ef6\u306b\u3064\u3044\u3066\u306f\u3001\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u3068\u306f\u660e\u3089\u304b\u306b\u7570\u306a\u308b\u3044\u304f\u3064\u304b\u306e\u7279\u5fb4\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u304b\u3089\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u306e\u5178\u578b\u7684\u306a\u7279\u5fb4\u3068\u3057\u3066\u3001\u4ed6\u8005\u306b\u5bfe\u3059\u308b\u7406\u60f3\u7684\u306a\u8a8d\u8b58\u3068\u5426\u5b9a\u7684\u306a\u8a8d\u8b58\u306e\u9593\u3092\u884c\u304d\u6765\u3059\u308b\u3001\u611f\u60c5\u7684\u306b\u6fc0\u3057\u304f\u4e0d\u5b89\u5b9a\u306a\u4eba\u9593\u95a2\u4fc2\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u307e\u305f\u3001\u975e\u5e38\u306b\u80af\u5b9a\u7684\u306a\u81ea\u5df1\u8a55\u4fa1\u3068\u5426\u5b9a\u7684\u306a\u81ea\u5df1\u8a55\u4fa1\u306e\u9593\u3092\u884c\u304d\u6765\u3059\u308b\u4e0d\u5b89\u5b9a\u306a\u81ea\u5df1\u610f\u8b58\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5bfe\u7167\u7684\u306b\u3001\u8907\u96d1\u6027PTSD\u3067\u306f\u3001\u4eba\u9593\u95a2\u4fc2\u304c\u56f0\u96e3\u3067\u907f\u3051\u305f\u65b9\u304c\u3088\u3044\u3068\u8a8d\u8b58\u3057\u3001\u6975\u3081\u3066\u6d88\u6975\u7684\u3067\u306f\u3042\u308b\u304c\u5b89\u5b9a\u3057\u305f\u81ea\u5df1\u610f\u8b58\u3092\u6301\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3055\u3089\u306b\u3001\u8907\u96d1\u6027PTSD\u306e\u8a3a\u65ad\u306b\u306f\u3001\u30c8\u30e9\u30a6\u30de\u3068\u306a\u308b\u3088\u3046\u306a\u51fa\u6765\u4e8b\u3092\u542b\u3080\u30c8\u30e9\u30a6\u30de\u7279\u6709\u306ePTSD\u75c7\u72b6\u306e\u5b58\u5728\u304c\u5fc5\u8981\u3067\u3059\u304c\u3001\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u306b\u306f\u305d\u308c\u304c\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u307e\u305f\u3001\u81ea\u6bba\u672a\u9042\u3084\u305d\u306e\u4ed6\u306e\u81ea\u50b7\u884c\u70ba\u306f\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u306e\u8a3a\u65ad\u57fa\u6e96\u306b\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u8907\u96d1\u6027PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u306b\u306f\u542b\u307e\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #0000ff;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3<\/span><\/strong><\/span>\uff08DTD\u3001Developmental Trauma Disorder\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u30aa\u30e9\u30f3\u30c0\u30fb\u30cf\u30fc\u30b0\u51fa\u8eab\u306e\u7c73\u56fd\u7cbe\u795e\u79d1\u533b\u30f4\u30a1\u30f3 \u30c7\u30a2 \u30b3\u30fc\u30af\u304c\u63d0\u5531\u3057\u305f\u6982\u5ff5\u3067\u3059\u3002\uff08van der Kolk, 2005\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5c0f\u5150\u7cbe\u795e\u79d1\u533b\u3067\u3042\u3063\u305f\u30b3\u30fc\u30af\u306f\u3001\u5b50\u3069\u3082\u304c\u767a\u9054\u7684\u306b\u6709\u5bb3\u306a\u8907\u6570\u307e\u305f\u306f\u9577\u671f\u9593\u306e\u5bfe\u4eba\u7684\u30c8\u30e9\u30a6\u30de\u3092\u53d7\u3051\u305f\u5834\u5408\u306b\u306f\u3001\u305d\u306e\u7cbe\u795e\u75c5\u7406\u306b\u5909\u5316\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u6a5f\u80fd\u969c\u5bb3\u3092\u3082\u305f\u3089\u3059\u3068\u8003\u3048\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u30b3\u30fc\u30af\u306f\u3001\u300c<strong><span style=\"font-family: 'arial black', sans-serif;\">\u5c0f\u5150\u671f\u306e\u30c8\u30e9\u30a6\u30de\u3068PTSD\u306e\u9055\u3044<\/span><\/strong>\uff08How Childhood Trauma is Different from PTSD\uff09\u300d\u306e\u4e2d\u3067\u3001\u5e7c\u5c11\u671f\u306e\u30c8\u30e9\u30a6\u30de\u304c\u4eba\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u306f\u3001\u5927\u4eba\u306ePTSD\u306b\u898b\u3089\u308c\u308b\u3082\u306e\u3068\u306f\u7570\u306a\u3063\u3066\u3044\u308b\u3068\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5e7c\u5c11\u671f\u306e\u30c8\u30e9\u30a6\u30de\u306f\u5b50\u3069\u3082\u306e\u8133\u3092\u5909\u5316\u3055\u305b\u3001\u4eba\u306e\u6210\u9577\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u3001\u5927\u4eba\u306b\u306a\u3063\u3066\u304b\u3089\u85ac\u7269\u3084\u30a2\u30eb\u30b3\u30fc\u30eb\u306e\u4f7f\u7528\u3001\u6442\u98df\u969c\u5bb3\u3001\u81ea\u50b7\u884c\u70ba\u306a\u3069\u306b\u9665\u308a\u3084\u3059\u3044\u3082\u306e\u306b\u5909\u5316\u3055\u305b\u308b\u3068\u3001\u30b3\u30fc\u30af\u306f\u8a00\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u8907\u6570\u306e\u30c8\u30e9\u30a6\u30de\u3092\u7d4c\u9a13\u3057\u305f\u5b50\u3069\u3082\u306e\u591a\u304f\u306f\u3001\u91cd\u5ea6\u306e\u5185\u5411\u7684\u304a\u3088\u3073\u5916\u5411\u7684\u554f\u984c\uff08\u5185\u5728\u5316\u969c\u5bb3\u3001\u5916\u5728\u5316\u969c\u5bb3\uff09\u3092\u62b1\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u3001\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\uff08PTSD\uff09\u3060\u3051\u3067\u306a\u304f\u3001\u8907\u6570\u306e\u7cbe\u795e\u75be\u60a3\u306e\u30ea\u30b9\u30af\u3092\u6301\u3064\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\uff08DTD\uff09\u3068PTSD\u306f\u3068\u3082\u306b\u8eab\u4f53\u7684\u66b4\u529b\u30fb\u8650\u5f85\u3001\u5bb6\u5ead\u5185\u66b4\u529b\u3001\u611f\u60c5\u7684\u8650\u5f85\u3001\u30cd\u30b0\u30ec\u30af\u30c8\u3001\u990a\u80b2\u8005\u306e\u969c\u5bb3\u3068\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u308c\u3089\u306e\u3046\u3061\u3001\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\u3067\u306f\u7279\u306b\u3001\u5bfe\u4eba\uff08\u5bb6\u65cf\u3084\u5730\u57df\uff09\u66b4\u529b\u304a\u3088\u3073\u4e3b\u305f\u308b\u990a\u80b2\u8005\u306e\u969c\u5bb3\u3068\u306e\u95a2\u9023\u304c\u5f37\u3044\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u305d\u306e\u305f\u3081\u3001\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\u306e\u8a3a\u65ad\u57fa\u6e96\u3067\u306f\u3001\u5916\u50b7\u6027\u66b4\u529b\u3078\u306e\u66dd\u9732\u6b74\u3068\u4e3b\u306a\u990a\u80b2\u8005\u306e\u969c\u5bb3\u304c\u5fc5\u8981\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\uff08\u57fa\u6e96A\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3055\u3089\u306b\u3001\u60c5\u52d5\u3068\u8eab\u4f53\u306e\u8abf\u7bc0\u969c\u5bb3\u75c7\u72b6\u304c3\u3064\uff08\u57fa\u6e96B\uff09\u3001\u8a8d\u77e5\u304a\u3088\u3073\u884c\u52d5\u306e\u8abf\u7bc0\u969c\u5bb3\u75c7\u72b6\u304c2\u3064\uff08\u57fa\u6e96C\uff09\u3001\u81ea\u5df1\u304a\u3088\u3073\u95a2\u4fc2\u6027\u306e\u8abf\u7bc0\u969c\u5bb3\u75c7\u72b6\u304c2\u3064\uff08\u57fa\u6e96D\uff09\u5fc5\u8981\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\u306e\u57fa\u6e96\u3092\u6e80\u305f\u3059\u5b50\u3069\u3082\u305f\u3061\u306f\u3001\u4f55\u3089\u304b\u306e\u7cbe\u795e\u75be\u60a3\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3067\u967d\u6027\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u4ed6\u306e\u5b50\u3069\u3082\u305f\u3061\u306b\u6bd4\u3079\u3066\u7d042\uff5e4\u500d\u9ad8\u3044\u3068\u3055\u308c\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">PTSD\u3082\u307e\u305f\u3001\u591a\u304f\u306e\u7cbe\u795e\u75be\u60a3\u3068\u95a2\u9023\u3059\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\u3068\u306f\u9055\u3063\u3066PTSD\u3067\u306f\u3001\u3059\u3079\u3066\u306e\u5916\u5728\u5316\u969c\u5bb3\uff08ADHD\u3001\u53cd\u6297\u6311\u6226\u6027\u969c\u5bb3\u3001\u7d20\u884c\u969c\u5bb3\uff09\u304a\u3088\u3073\u30d1\u30cb\u30c3\u30af\u969c\u5bb3\u3068\u306f\u7121\u95a2\u4fc2\u3067\u3042\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3053\u306e\u3088\u3046\u306b\u3001\u30c8\u30e9\u30a6\u30de\u3078\u306e\u66dd\u9732\u306f\u591a\u304f\u306e\u5c0f\u5150\u7cbe\u795e\u75be\u60a3\u306e\u5148\u884c\u8981\u56e0\u3067\u3042\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u3055\u308c\u3066\u3044\u307e\u3059\u306e\u3067\u3001PTSD\u3084\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\u4ee5\u5916\u306e\u969c\u5bb3\u3092\u6307\u6458\u3055\u308c\u305f\u5b50\u3069\u3082\u3084\u9752\u5e74\u306e\u8a3a\u7642\u306b\u969b\u3057\u3066\u306f\u3001\u30c8\u30e9\u30a6\u30de\u6b74\u306e\u6f5c\u5728\u7684\u306a\u5f71\u97ff\u3092\u8003\u616e\u3059\u308b\u3053\u3068\u304c\u3068\u3066\u3082\u91cd\u8981\u3067\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #800000;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u60c5\u52d5\u8abf\u7bc0\u306e\u969c\u5bb3\u306b\u3064\u3044\u3066<\/span><\/strong><\/span><\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u60c5\u52d5\u8abf\u7bc0\u306e\u969c\u5bb3\u306f\u3001\u6210\u4eba\u306e\u8907\u96d1\u6027PTSD\uff08\u81ea\u5df1\u7d44\u7e54\u5316\u969c\u5bb3\uff09\u3001\u5c0f\u5150\u306ePTSD\u304a\u3088\u3073\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\u306e\u4e2d\u5fc3\u7684\u306a\u7279\u5fb4\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u767a\u9054\u6bb5\u968e\u3067\u5bfe\u4eba\u95a2\u4fc2\u306e\u30c8\u30e9\u30a6\u30de\u3092\u7d4c\u9a13\u3057\u305f\u5b50\u3069\u3082\u3084\u5927\u4eba\u306f\u3001\u4e00\u8cab\u3057\u3066\u60c5\u52d5\u8abf\u7bc0\u306b\u5927\u304d\u306a\u554f\u984c\u3092\u62b1\u3048\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u60c5\u52d5\u8abf\u7bc0\u969c\u5bb3\u306f\u3001\u82e5\u5e74\u5c64\u306b\u304a\u3044\u3066\u306f\u7279\u5225\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u3066\u3044\u307e\u3059\u3002\u4f8b\u3048\u3070\u3001\u6027\u7684\u30c8\u30e9\u30a6\u30de\u3092\u53d7\u3051\u305f\u5c11\u5973\u9054\u3067\u306f\u3001\u60c5\u52d5\u8abf\u7bc0\u969c\u5bb3\u304c\u305d\u306e\u5f8c\u306e\u3055\u3089\u306a\u308b\u30c8\u30e9\u30a6\u30de\u66dd\u9732\u3068\u95a2\u9023\u3057\u3066\u304a\u308a\u3001\u30c8\u30e9\u30a6\u30de\u3078\u306e\u7e70\u308a\u8fd4\u3057\u306e\u66dd\u9732\u304c\u60c5\u52d5\u8abf\u7bc0\u969c\u5bb3\u306b\u3064\u306a\u304c\u308b\u3068\u3044\u3046\u3053\u308c\u307e\u3067\u306e\u77e5\u898b\u3084\u3001\u60c5\u52d5\u8abf\u7bc0\u969c\u5bb3\u304c\u3055\u3089\u306a\u308b\u66dd\u9732\u306b\u3064\u306a\u304c\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3068\u3044\u3046\u63a8\u6e2c\u3068\u4e00\u81f4\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u60c5\u52d5\u5236\u5fa1\u969c\u5bb3\u306f\u3001PTSD\u306b\u304a\u3051\u308b\u4ee5\u4e0a\u306b\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\uff08DTD\uff09\u306b\u9855\u8457\u3067\u3042\u308a\u3001\u5c0f\u5150\u671f\u306e\u8650\u5f85\u6b74\u3068\u6210\u4eba\u306e\u81ea\u5df1\u7d44\u7e54\u5316\u969c\u5bb3\uff08DSO\uff09\u306e\u75c7\u72b6\u3092\u3064\u306a\u3050\u3082\u306e\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #800000;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u969c\u5bb3\u306e\u8a3a\u65ad\u57fa\u6e96<\/span><\/strong><\/span><br \/>\n<strong><span style=\"font-family: 'arial black', sans-serif;\">\u57fa\u6e96A<\/span><\/strong><br \/>\n\u4ee5\u4e0b\u306e2\u3064\u306e\u30bf\u30a4\u30d7\u306e\u767a\u9054\u6027\u30c8\u30e9\u30a6\u30de\u306b\u3001\u4eba\u751f\u306e\u540c\u6642\u671f\u306b\u66dd\u9732\u3055\u308c\u3066\u3044\u308b\u3053\u3068<\/p>\n<p>A1: \u5bfe\u4eba\u95a2\u4fc2\u306e\u88ab\u5bb3\u8005\uff1a\u8eab\u4f53\u7684\u307e\u305f\u306f\u6027\u7684\u306a\u66b4\u884c\u3084\u8650\u5f85\u306e\u88ab\u5bb3\u8005\u307e\u305f\u306f\u76ee\u6483\u8005\u3002\u3042\u308b\u3044\u306f\u3001\u5bb6\u5ead\u5185\u306e\/\u6210\u4eba\u306e\u3001\u89aa\u5bc6\u306a\u30d1\u30fc\u30c8\u30ca\u30fc\u66b4\u529b\u306e\u76ee\u6483\u8005\u3002<\/p>\n<p>A2: \u4e3b\u305f\u308b\u990a\u80b2\u8005\u306e\u611b\u7740\u306e\u5d29\u58ca\uff1a\u4e3b\u306a\u990a\u80b2\u8005\u3068\u306e\u9577\u671f\u306b\u308f\u305f\u308b\u96e2\u5225\u3001\u30cd\u30b0\u30ec\u30af\u30c8\u3001\u8a00\u8a9e\u7684\u30fb\u611f\u60c5\u7684\u306a\u8650\u5f85\u3002<\/p>\n<p><strong><span style=\"font-family: 'arial black', sans-serif;\">\u57fa\u6e96B<\/span><\/strong><br \/>\n\uff08\u73fe\u5728\u306e\u60c5\u52d5\u307e\u305f\u306f\u8eab\u4f53\u7684\u8abf\u7bc0\u969c\u5bb3\u30014\u9805\u76ee\u3002 \u8a3a\u65ad\u306b\u306f3\u3064\u306e\u75c7\u72b6\u304c\u5fc5\u8981\u3067\u3059\u3002)<\/p>\n<p>B1: \u60c5\u52d5\u8abf\u7bc0\u969c\u5bb3\uff08B1.a.\u6975\u7aef\u306b\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u611f\u60c5\u306e\u72b6\u614b\uff1b\u307e\u305f\u306fB1.b.\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u611f\u60c5\u72b6\u614b\u304b\u3089\u306e\u56de\u5fa9\u529b\u306e\u4f4e\u4e0b\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002\uff09<\/p>\n<p>B2: \u8eab\u4f53\u8abf\u7bc0\u969c\u5bb3\uff08B2.a. \u89e6\u308c\u308b\u3053\u3068\u3092\u5acc\u3046\uff1b\u307e\u305f\u306fB2.b. \u97f3\u306b\u5bfe\u3059\u308b\u5acc\u60aa\u611f\uff1b\u307e\u305f\u306fB2.c. \u533b\u5b66\u7684\u306b\u8aac\u660e\/\u89e3\u6c7a\u3067\u304d\u306a\u3044\u8eab\u4f53\u7684\u82e6\u75db\/\u4e0d\u8abf\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002)<\/p>\n<p>B3: \u611f\u60c5\u3084\u8eab\u4f53\u7684\u611f\u899a\u3078\u306e\u30a2\u30af\u30bb\u30b9\u969c\u5bb3\uff08B3.a. \u611f\u60c5\u306e\u6b20\u5982\uff1b\u307e\u305f\u306fB3.b. \u533b\u5b66\u7684\u306b\u8aac\u660e\/\u89e3\u6c7a\u3067\u304d\u306a\u3044\u8eab\u4f53\u9ebb\u75fa\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002)<\/p>\n<p>B4: \u611f\u60c5\u307e\u305f\u306f\u8eab\u4f53\u8868\u73fe\u306e\u969c\u5bb3\uff08B4.a. \u30a2\u30ec\u30ad\u30b7\u30b5\u30a4\u30df\u30a2\uff08\u5931\u611f\u60c5\u75c7\uff09\uff1b \u307e\u305f\u306fB4.b. \u8eab\u4f53\u306e\u611f\u899a\u30fb\u72b6\u614b\u3092\u8a8d\u8b58\u30fb\u8868\u73fe\u3059\u308b\u80fd\u529b\u306e\u4f4e\u4e0b\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002)<\/p>\n<p><strong><span style=\"font-family: 'arial black', sans-serif;\">\u57fa\u6e96C<\/span><\/strong><br \/>\n\uff08\u73fe\u5728\u306e\u6ce8\u610f\u529b\u307e\u305f\u306f\u884c\u52d5\u306e\u8abf\u7bc0\u969c\u5bb3\u30015\u9805\u76ee\u3002 2\u3064\u306e\u75c7\u72b6\u304c\u5fc5\u8981\u3067\u3059\u3002)<\/p>\n<p>C1: \u8105\u5a01\u306b\u5bfe\u3059\u308b\u6ce8\u610f\u306e\u504f\u308a\uff08C1.a. \u8105\u5a01\u306b\u3064\u3044\u3066\u7e70\u308a\u8fd4\u3057\u4f55\u5ea6\u3082\u8003\u3048\u308b\uff1b \u307e\u305f\u306fC1.b. \u73fe\u5b9f\u306e\u3001\u3082\u3057\u304f\u306f\u6f5c\u5728\u7684\u306a\u5371\u967a\u306b\u5bfe\u3059\u308b\u8b66\u6212\u5fc3\u306e\u5f37\u3055\u3001\u307e\u305f\u306f\u5f31\u3055\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002)<br \/>\nC2: \u81ea\u5df1\u9632\u885b\u6a5f\u80fd\u306e\u4f4e\u4e0b\uff08C2.a. \u6975\u7aef\u306a\u30ea\u30b9\u30af\u30c6\u30a4\u30af\u3084\u7121\u8b00\u306a\u884c\u52d5\uff1b\u307e\u305f\u306f\u3001C2.b. \u610f\u56f3\u7684\u306b\u7d1b\u4e89\u3084\u66b4\u529b\u3092\u8a98\u767a\u3059\u308b\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002)<\/p>\n<p>C3: \u4e0d\u9069\u5fdc\u306a\u81ea\u5df1\u93ae\u9759<\/p>\n<p>C4: \u81ea\u6bba\u3092\u610f\u56f3\u3057\u306a\u3044\u81ea\u50b7\u884c\u70ba<\/p>\n<p>C5: \u76ee\u6a19\u9054\u6210\u306e\u305f\u3081\u306e\u884c\u52d5\u3092\u958b\u59cb\u307e\u305f\u306f\u7d99\u7d9a\u3059\u308b\u80fd\u529b\u306e\u4f4e\u4e0b<\/p>\n<p><strong><span style=\"font-family: 'arial black', sans-serif;\">\u57fa\u6e96D<\/span><\/strong><br \/>\n\uff08\u73fe\u5728\u306e\u95a2\u4fc2\u6027\u307e\u305f\u306f\u81ea\u5df1\u8abf\u6574\u80fd\u529b\u30016\u9805\u76ee\u3002 2\u3064\u306e\u75c7\u72b6\u304c\u5fc5\u8981\u3067\u3059\u3002)<\/p>\n<p>D1: \u53d6\u308a\u8fd4\u3057\u306e\u3064\u304b\u306a\u3044\u307b\u3069\u306e\u30c0\u30e1\u30fc\u30b8\u3092\u53d7\u3051\u305f\u81ea\u5206\u3001\u6b20\u9665\u306e\u3042\u308b\u81ea\u5206\u306a\u3069\u3068\u3044\u3063\u305f\u81ea\u5df1\u5acc\u60aa\u3002<\/p>\n<p>D2: \u611b\u7740\u306e\u4e0d\u5b89\u3068\u6df7\u4e71\uff08D2.a. \u89aa\u306e\u3088\u3046\u306b\u904e\u4fdd\u8b77\u306b\u306a\u3063\u3066\u3057\u307e\u3046\uff1b\u3000\u307e\u305f\u306fD2.b. \u4e3b\u306a\u990a\u80b2\u8005\u304b\u3089\u96e2\u308c\u305f\u5f8c\u306e\u518d\u4f1a\u306b\u5bfe\u3059\u308b\u8010\u6027\u306e\u4f4e\u4e0b\uff09<\/p>\n<p>D3: \u88cf\u5207\u308a\u3092\u57fa\u672c\u3068\u3057\u305f\u95a2\u4fc2\u6027\u306e\u30b9\u30ad\u30fc\u30de\uff08D3.a. \u88cf\u5207\u3089\u308c\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u4e88\u611f\uff1b \u307e\u305f\u306fD3.b. \u53cd\u6297\u6311\u6226\u3092\u57fa\u672c\u3068\u3057\u305f\u5f37\u5236\u3084\u643e\u53d6\u306e\u4e88\u611f\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002)<\/p>\n<p>D4: \u53cd\u5fdc\u6027\u306e\u3001\u8a00\u8a9e\u306b\u3088\u308b\u307e\u305f\u306f\u8eab\u4f53\u7684\u306a\u653b\u6483\uff08\u4e3b\u306b\u5371\u5bb3\/\u50b7\u5bb3\u306e\u9632\u6b62\/\u5bfe\u5fdc\u3092\u52d5\u6a5f\u3068\u3059\u308b\u7a4d\u6975\u7684\u306a\u624b\u6bb5\u306b\u3088\u308b\u653b\u6483\u3092\u542b\u3080\u3002\uff09<\/p>\n<p>D5: \u5fc3\u7406\u7684\u5883\u754c\u7dda\u306e\u969c\u5bb3\uff08D.5a \u500b\u4eba\u306e\u5883\u754c\u306e\u7121\u5dee\u5225\u306a\u62e1\u6563\uff1b \u307e\u305f\u306fD5.b. \u5b89\u5fc3\u611f\u3078\u306e\u6e07\u671b\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002)<\/p>\n<p>D6: \u5bfe\u4eba\u5171\u611f\u80fd\u529b\u306e\u4f4e\u4e0b\uff08D6.a.\u4ed6\u4eba\u306e\u82e6\u75db\u306b\u5bfe\u3059\u308b\u5171\u611f\u3092\u6b20\u3044\u3066\u3044\u308b\u3001\u307e\u305f\u4e0d\u5bdb\u5bb9\u3067\u3042\u308b\uff1b \u307e\u305f\u306fD6.b. \u4ed6\u4eba\u306e\u82e6\u60a9\u306b\u904e\u5270\u306b\u53cd\u5fdc\u3059\u308b\u3002\u4ee5\u4e0a\u306e\u3044\u305a\u308c\u304b\u3002\uff09<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #0000ff;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u7279\u5b9a\u4e0d\u80fd\u306e\u6975\u5ea6\u306e\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3<\/span><\/strong><\/span><br \/>\n<span style=\"color: #0000ff;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">DESNOS<\/span><\/strong><\/span>\uff08Disorders of Extreme Stress Not Otherwise Specified\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DESNOS\u3082\u307e\u305fEPCACE\u540c\u69d8\u3001\u8907\u96d1\u6027PTSD\u306b\u7e4b\u304c\u308b\u6b74\u53f2\u7684\u306a\u6982\u5ff5\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">PTSD\u306b\u95a2\u3059\u308b\u591a\u304f\u306e\u7814\u7a76\u304b\u3089\u3001DSM-\u2162\u306b\u793a\u3055\u308c\u305fPTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u306f\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u8907\u6570\u306e\u30c8\u30e9\u30a6\u30de\u306b\u3055\u3089\u3055\u308c\u305f\u4eba\u9054\u306e\u7cbe\u795e\u75c5\u7406\u3092\u3001\u5b8c\u5168\u306b\u306f\u8868\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u78ba\u7acb\u3059\u308b\u305f\u3081\u306b\u6700\u521d\u306b\u8abf\u67fb\u3055\u308c\u305f\u7c73\u56fd\u306e\u75ab\u5b66\u8abf\u67fb\u306b\u3088\u308b\u3068\u3001\u7537\u6027\u306f\u3001\u4e8b\u6545\u3001\u6226\u4e89\u3001\u66b4\u884c\u3001\u81ea\u7136\u707d\u5bb3\u306b\u3088\u308b\u30c8\u30e9\u30a6\u30de\u304c\u591a\u3044\u306e\u306b\u5bfe\u3057\u3001\u5973\u6027\u306e\u30c8\u30e9\u30a6\u30de\u306e\u539f\u56e0\u306f\u5727\u5012\u7684\u306b\u5e7c\u5c11\u671f\u306e\u8650\u5f85\u304c\u591a\u3044\u3053\u3068\u304c\u308f\u304b\u308a\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u307e\u305f\u3001\u4e00\u822c\u5973\u6027\u306e17\uff5e33\uff05\u304c\u3001\u6027\u7684\u30fb\u8eab\u4f53\u7684\u8650\u5f85\u306e\u7d4c\u9a13\u3092\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002\u5e7c\u5c11\u671f\u306e\u6027\u7684\u8650\u5f85\u306e\u7d4c\u9a13\u3092\u3082\u3064\u5973\u6027\u306f\u3001\u6210\u4eba\u5973\u6027\u306e\u30ec\u30a4\u30d7\u88ab\u5bb3\uff08\u7d0410\uff05\uff09\u306e2\u500d\u4ee5\u4e0a\u3067\u3042\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5973\u6027\u306f\u7537\u6027\u306b\u6bd4\u3079\u3066\u3001\u89aa\u3057\u3044\u95a2\u4fc2\u306b\u3042\u308b\u4eba\u304b\u3089\u30c8\u30e9\u30a6\u30de\u3092\u53d7\u3051\u308b\u53ef\u80fd\u6027\u304c\u975e\u5e38\u306b\u9ad8\u304f\u3001\u88ab\u5bb3\u306e6\u5272\u4ee5\u4e0a\u304c\u77e5\u3063\u3066\u3044\u308b\u4eba\u304b\u3089\u306e\u3082\u306e\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u30ec\u30a4\u30d7\u4e8b\u4ef6\u306e61\uff05\u304c18\u6b73\u306b\u306a\u308b\u524d\u306b\u767a\u751f\u3057\u3066\u3044\u3066\u300129\uff05\u306f11\u6b73\u3088\u308a\u524d\u306b\u8d77\u3053\u308a\u3001\u901a\u5e38\u306f\u5bb6\u65cf\u306b\u3088\u308b\u3082\u306e\u3067\u3059\u3002\uff08\u4ee5\u4e0a\u3001\u7c73\u56fd\u3067\u306e\u8abf\u67fb)<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3053\u306e\u3088\u3046\u306a\u8eab\u4f53\u7684\u30fb\u6027\u7684\u8650\u5f85\u3092\u53d7\u3051\u305f\u5b50\u3069\u3082\u3084\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u5bfe\u4eba\u66b4\u529b\u306b\u3055\u3089\u3055\u308c\u305f\u5973\u6027\u3092\u5bfe\u8c61\u3068\u3057\u305f\u7814\u7a76\u3067\u306f\u3001PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u3067\u306f\u6349\u3048\u3089\u308c\u306a\u3044\u3055\u307e\u3056\u307e\u306a\u7cbe\u795e\u7684\u5f8c\u907a\u75c7\u304c\u4e00\u8cab\u3057\u3066\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5e7c\u5c11\u671f\u306b\u8eab\u4f53\u7684\u30fb\u6027\u7684\u66b4\u884c\u3092\u53d7\u3051\u305f\u7d4c\u9a13\u306f\u3001\u9752\u5e74\u671f\u3084\u6210\u4eba\u671f\u306b\u591a\u304f\u306e\u7cbe\u795e\u7684\u554f\u984c\u3092\u5f15\u304d\u8d77\u3053\u3059\u3068\u3044\u3046\u7814\u7a76\u3082\u3042\u308a\u307e\u3059\u3002\u7269\u8cea\u4e71\u7528\u3001\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u3001\u6442\u98df\u969c\u5bb3\u3001\u89e3\u96e2\u6027\u969c\u5bb3\u3001\u6027\u969c\u5bb3\u306a\u3069\u3067\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3053\u306e\u3088\u3046\u306b\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u8907\u6570\u306e\u30c8\u30e9\u30a6\u30de\u3092\u7d4c\u9a13\u3057\u305f\u4eba\u305f\u3061\u306e\u8abf\u67fb\u3067\u3001PTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u3088\u308a\u3082\u306f\u308b\u304b\u306b\u8907\u96d1\u306a\u7cbe\u795e\u7684\u554f\u984c\u306e\u5b58\u5728\u304c\u5206\u304b\u3063\u305f\u3053\u3068\u304b\u3089\u3001DESNOS\uff08Disorders of Extreme Stress Not Other Specified\uff09\u3068\u3044\u3046\u65b0\u3057\u3044\u8a3a\u65ad\u6982\u5ff5\u304c\u751f\u307e\u308c\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DESNOS\u306e\u81e8\u5e8a\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u306f\u3001\u5bb6\u5ead\u5185\u66b4\u529b\u306b\u3055\u3089\u3055\u308c\u305f\u5973\u6027\u306e\u81e8\u5e8a\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3068\u76f8\u95a2\u3057\u3066\u3044\u308b\u3068\u3055\u308c\u307e\u3059\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DESNOS\u306e\u75c7\u72b6\u5206\u985e\u306f\u3001\u30cb\u30e5\u30fc\u30e8\u30fc\u30af\uff08Spitzer\u3001Kaplan\u3001Pelcovitz\uff09\u3068\u30dc\u30b9\u30c8\u30f3\uff08Herman, van der Kolk\uff09\u306e2\u3064\u306e\u30b0\u30eb\u30fc\u30d7\u304c\u5171\u540c\u3067\u884c\u306a\u3044\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u5f7c\u3089\u306f\u3001\u5b50\u3069\u3082\u3001\u5bb6\u5ead\u5185\u66b4\u529b\u306e\u88ab\u5bb3\u8005\u3067\u3042\u308b\u5973\u6027\u3001\u5f37\u5236\u53ce\u5bb9\u6240\u306e\u751f\u5b58\u8005\u306e\u30c8\u30e9\u30a6\u30de\u306b\u95a2\u3059\u308b\u7814\u7a76\u3092\u8abf\u67fb\u3057\u3001DSM-\u2162R\u306ePTSD\u8a3a\u65ad\u57fa\u6e96\u3067\u306f\u6271\u308f\u308c\u3066\u3044\u306a\u304427\u306e\u75c7\u72b6\u306b\u3064\u3044\u3066\u30ea\u30b9\u30c8\u3092\u4f5c\u6210\u3057\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">Judith Herman \u306f\u3001\u3053\u306e27\u306e\u75c7\u72b6\u30927\u3064\u306e\u30ab\u30c6\u30b4\u30ea\u30fc\u306b\u5206\u985e\u3057\u307e\u3057\u305f\uff081992\uff09\u3002<br \/>\n\uff08a\uff09\u611f\u60c5\u3084\u885d\u52d5<br \/>\n\uff08b\uff09\u6ce8\u610f\u3084\u610f\u8b58<br \/>\n\uff08c\uff09\u81ea\u5df1\u8a8d\u8b58<br \/>\n\uff08d\uff09\u52a0\u5bb3\u8005\u306e\u8a8d\u8b58<br \/>\n\uff08e\uff09\u4ed6\u8005\u3068\u306e\u95a2\u4fc2\u306e\u8abf\u7bc0\u969c\u5bb3<br \/>\n\uff08f\uff09\u8eab\u4f53\u5316<br \/>\n\uff08g\uff09\u610f\u5473\u4f53\u7cfb<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3053\u308c\u30897\u3064\u306e\u5206\u91ce\u306b\u304a\u3051\u308b\u3001\u751f\u6daf\u304a\u3088\u3073\u73fe\u5728\u306e\u5909\u5316\u3092\u6e2c\u5b9a\u3059\u308b48\u9805\u76ee\u306e\u75c7\u72b6\u3067\u69cb\u6210\u3055\u308c\u305f\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u5f62\u5f0f\u306e\u554f\u8a3a\u7968\u304c\u4f5c\u6210\u3055\u308c\u3001\u305d\u308c\u305e\u308c\u306e\u8cea\u554f\u306b\u300c\u306f\u3044\u300d\u304b\u300c\u3044\u3044\u3048\u300d\u3067\u7b54\u3048\u308b\u3068\u3044\u3046\u4e8c\u5206\u6cd5\u306b\u3088\u308b\u63a1\u70b9\u3067DESNOS\u306e\u5b58\u5728\u304c\u8a55\u4fa1\u3055\u308c\u307e\u3057\u305f\u3002\uff08Pelzovitz\u3068Van der Kolk\uff09\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DESNOS\u3092\u5305\u62ec\u7684\u306b\u8a55\u4fa1\u3059\u308b\u5c3a\u5ea6\u3092\u300cSIDES\uff08Structured Interview of Disorders of Extreme Stress\uff09\u300d\u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/p>\n<p><span style=\"color: #800000;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">DESNOS\u306e\u75c7\u72b6<\/span><\/strong><\/span><br \/>\nDESNOS\u306e\u8a3a\u65ad\u57fa\u6e96\u306b\u306f\u4ee5\u4e0b\u304c\u542b\u307e\u308c\u307e\u3059<\/p>\n<p class=\"has-background has-very-light-gray-background-color\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u611f\u60c5\u3068\u885d\u52d5\u306e\u5236\u5fa1\u306e\u5909\u5316<\/span><\/strong><br \/>\n\u30fb\u5834\u306b\u305d\u3050\u308f\u306a\u3044\u6975\u7aef\u306a\u611f\u60c5\u7684\u53cd\u5fdc<br \/>\n\u30fb\u6442\u98df\u969c\u5bb3\u3084\u81ea\u50b7\u884c\u70ba\u3068\u3044\u3063\u305f\u81ea\u5df1\u7834\u58ca\u7684\u306a\u884c\u52d5<br \/>\n\u30fb\u81ea\u6bba\u9858\u671b<br \/>\n\u30fb\u6027\u7684\u885d\u52d5\u3084\u6975\u7aef\u306a\u6027\u7684\u6291\u5236<br \/>\n\u30fb\u6012\u308a\u306e\u8868\u73fe\u3084\u6291\u5236\u306e\u554f\u984c<\/p>\n<p class=\"has-background has-very-light-gray-background-color\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u6ce8\u610f\u3068\u610f\u8b58\u306e\u4e71\u308c<\/span><\/strong><br \/>\n\u30fb\u89e3\u96e2\u6027\u30a8\u30d4\u30bd\u30fc\u30c9\u3068\u96e2\u4eba\u75c7<br \/>\n\u30fb\u30c8\u30e9\u30a6\u30de\u306e\u7d4c\u9a13\u306b\u3088\u308b\u8a18\u61b6\u55aa\u5931\u307e\u305f\u306f\u8a18\u61b6\u904e\u654f<\/p>\n<p class=\"has-background has-very-light-gray-background-color\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u81ea\u5df1\u8a8d\u8b58\u306e\u4e71\u308c<\/span><\/strong><br \/>\n\u30fb\u5426\u5b9a\u7684\u306a\u81ea\u5df1\u8a8d\u8b58<br \/>\n\u30fb\u7121\u99c4\u3067\u3042\u308b\u3001\u7121\u529b\u3067\u3042\u308b\u3068\u3044\u3046\u611f\u899a<br \/>\n\u30fb\u7f9e\u6065\u5fc3\u3001\u5c48\u8fb1\u611f\u3001\u7f6a\u60aa\u611f\u3001\u81ea\u8cac\u306e\u5ff5<br \/>\n\u30fb\u6c5a\u308c\u3066\u3044\u308b\u3001\u8fb1\u3081\u3089\u308c\u3066\u3044\u308b\u3001\u6c5a\u540d\u3092\u7740\u305b\u3089\u308c\u3066\u3044\u308b\uff08\u30b9\u30c6\u30a3\u30b0\u30de\u306e\u70d9\u5370\u3092\u62bc\u3055\u308c\u305f\uff09<\/p>\n<p class=\"has-background has-very-light-gray-background-color\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u4eba\u9593\u95a2\u4fc2\u306e\u4e71\u308c<\/span><\/strong><br \/>\n\u30fb\u4e0d\u4fe1\u306e\u6301\u7d9a<br \/>\n\u30fb\u518d\u3073\u88ab\u5bb3\u3092\u53d7\u3051\u308b<br \/>\n\u30fb\u4ed6\u4eba\u306e\u72a0\u7272\u306b\u306a\u308b<\/p>\n<p class=\"has-background has-very-light-gray-background-color\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u8eab\u4f53\u5316<\/span><\/strong><br \/>\n\u30fb\u6301\u7d9a\u3059\u308b\u75db\u307f<br \/>\n\u30fb\u6d88\u5316\u5668\u7cfb\u3001\u5faa\u74b0\u5668\u7cfb\u3001\u5fc3\u80ba\u7cfb\u306e\u75c7\u72b6<br \/>\n\u30fb\u8ee2\u63db\u6027\u306e\u75c7\u72b6<br \/>\n\u30fb\u6027\u7684\u75c7\u72b6<\/p>\n<p class=\"has-background has-very-light-gray-background-color\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u610f\u5473\u4f53\u7cfb\u306e\u4e71\u308c<\/span><\/strong><br \/>\n\u30fb\u4fe1\u5ff5\u306e\u55aa\u5931<br \/>\n\u30fb\u7121\u529b\u611f\u3068\u82e6\u60a9\u306e\u611f\u899a<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">DESNOS\u3068\u3044\u3046\u8a3a\u65ad\u3092DSM-\u2163\u306b\u63a1\u7528\u3059\u308b\u304b\u3069\u3046\u304b\u3001PTSD\u306eDSM-\u2163\u30d5\u30a3\u30fc\u30eb\u30c9\u30c8\u30e9\u30a4\u30a2\u30eb\uff08\u5b9f\u5730\u8abf\u67fb\uff09\u304c\u30011990\u5e74\u304b\u30891992\u5e74\u306b\u304b\u3051\u3066\u884c\u308f\u308c\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u30d5\u30a3\u30fc\u30eb\u30c9\u30c8\u30e9\u30a4\u30a2\u30eb\u306e\u76ee\u7684\u306f\u3001\u5f93\u6765\u306ePTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u306e\u9069\u6b63\u5316\u3068\u3001\u6162\u6027\u7684\u306a\u5bfe\u4eba\u95a2\u4fc2\u306e\u30c8\u30e9\u30a6\u30de\u3092\u6301\u3064\u88ab\u5bb3\u8005\u304cPTSD\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u6e80\u305f\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u306e\u304b\u3001\u305d\u3057\u3066\u5f7c\u3089\u306e\u7cbe\u795e\u75c5\u7406\u304c\u3001\u5150\u7ae5\u8650\u5f85\u3001\u5f37\u5236\u53ce\u5bb9\u6240\u306e\u88ab\u5bb3\u8005\u3001\u5bb6\u5ead\u5185\u66b4\u529b\u306e\u88ab\u5bb3\u8005\u306a\u3069\u306e\u7814\u7a76\u3067\u3088\u304f\u8a00\u53ca\u3055\u308c\u3066\u3044\u308b\u3001PTSD\u306e\u57fa\u6e96\u3067\u306f\u628a\u63e1\u3067\u304d\u306a\u3044\u5225\u306e\u75c7\u72b6\uff08DESNOS\uff1a\u7279\u5b9a\u4e0d\u80fd\u306e\u6975\u5ea6\u306e\u30b9\u30c8\u30ec\u30b9\u306b\u3088\u308b\u969c\u5bb3\uff09\u306b\u3088\u3063\u3066\u3001\u3088\u308a\u6b63\u78ba\u306b\u628a\u63e1\u3067\u304d\u308b\u306e\u304b\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u3067\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u30d5\u30a3\u30fc\u30eb\u30c9\u30c8\u30e9\u30a4\u30a2\u30eb\u3067\u306f\u3001\u30c8\u30e9\u30a6\u30de\u3001\u7279\u306b\u9577\u671f\u306b\u308f\u305f\u308b\u30c8\u30e9\u30a6\u30de\u3001\u5e7c\u5c11\u671f\u306b\u521d\u3081\u3066\u8d77\u304d\u305f\u30c8\u30e9\u30a6\u30de\u3001\u5bfe\u4eba\u95a2\u4fc2\u306e\u30c8\u30e9\u30a6\u30de\u306f\u3001PTSD\u306e\u75c7\u72b6\u3092\u8d85\u3048\u3066\u3001\u7cbe\u795e\u6a5f\u80fd\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3068\u3044\u3046\u8003\u3048\u65b9\u304c\u652f\u6301\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u307e\u305f\u3001\u30c8\u30e9\u30a6\u30de\u306f\u4eba\u751f\u306e\u6700\u521d\u306e10\u5e74\u9593\u306b\u6700\u3082\u5e83\u7bc4\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3001\u5e74\u9f62\u304c\u4e0a\u304c\u308b\u306b\u3064\u308c\u3066\u3001\u3088\u308a\u7d14\u7c8b\u306aPTSD\u306b\u8fd1\u3044\u72b6\u614b\u306b\u306a\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u3057\u304b\u3057\u3001\u30d5\u30a3\u30fc\u30eb\u30c9\u30c8\u30e9\u30a4\u30a2\u30eb\u53c2\u52a0\u8005\u306eDESNOS\u75c7\u72b6\u306f\u3001\u6700\u521d\u306b\u30c8\u30e9\u30a6\u30de\u3092\u53d7\u3051\u305f\u5e74\u9f62\u3060\u3051\u3067\u306a\u304f\u3001\u305d\u306e\u5f8c\u306b\u53d7\u3051\u305f\u30c8\u30e9\u30a6\u30de\u306e\u6570\u306b\u3082\u5f71\u97ff\u3055\u308c\u3066\u3044\u308b\u3068\u8003\u3048\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n<p class=\"has-background has-very-light-gray-background-color\">\u30d5\u30a3\u30fc\u30eb\u30c9\u30c8\u30e9\u30a4\u30a2\u30eb\u306b\u3088\u308b\u691c\u8a0e\u304c\u306a\u3055\u308c\u305f\u3082\u306e\u306e\u3001DESNOS\u306fDSM-\u2163\u306e\u8a3a\u65ad\u57fa\u6e96\u306b\u7d44\u307f\u8fbc\u307e\u308c\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"color: #800000;\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u53c2\u8003\u8a18\u4e8b<\/span><\/strong><\/span><\/p>\n<p><a href=\"https:\/\/kokoro-hino.tokyo\/?p=56\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u8907\u96d1\u6027PTSD\u3068\u306f<\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/kokoro-hino.tokyo\/?p=370\"><strong><span style=\"font-family: 'arial black', sans-serif;\">ICD-11\u306b\u307f\u308b\u8907\u96d1\u6027PTSD<\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/kokoro-hino.tokyo\/?p=1455\"><strong><span style=\"font-family: 'arial black', sans-serif;\">PTSD\u3068\u60aa\u5922<\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/kokoro-hino.tokyo\/?p=945#ptsd945\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u507d\u308a\u306e\u8a18\u61b6<\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/kokoro-hino.tokyo\/?p=1098#ptsd1098\"><strong><span style=\"font-family: 'arial black', sans-serif;\">PTSD\u3068GAD\u306e\u4f75\u5b58<\/span><\/strong><\/a><\/p>\n<p><a href=\"https:\/\/kokoro-hino.tokyo\/?p=1282\"><strong><span style=\"font-family: 'arial black', sans-serif;\">\u5883\u754c\u6027\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u969c\u5bb3\u306e\u6cbb\u7642<\/span><\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7c73\u56fd\u7cbe\u795e\u533b\u5b66\u4f1a\u306e\u8a3a\u65ad\u57fa\u6e96\u96c6\u3067\u3042\u308bDSM\u306e\u7b2c3\u7248\uff08DSM-III\uff09\u306b\u521d\u3081\u3066PTSD\u304c\u767b\u5834\u3057\u3066\u4ee5\u6765\u3001\u591a\u304f\u306e\u7814\u7a76\u30fb\u8abf\u67fb\u30fb\u81e8\u5e8a\u7d4c\u9a13\u304c\u7a4d\u307f\u91cd\u306d\u3089\u308c\u3001PTSD\u306b\u95a2\u9023\u3059\u308b\u75c7\u72b6\u306f\u8907\u96d1\u3067\u5e83\u7bc4\u56f2\u306a\u3082\u306e\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002 \u3053\u308c\u3089\u306e\u65b0\u3057\u304f\u5f97\u3089\u308c\u305f [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":80,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[9],"tags":[],"jetpack_featured_media_url":"https:\/\/kokoro-hino.tokyo\/wp-content\/uploads\/2019\/05\/3.jpg","_links":{"self":[{"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=\/wp\/v2\/posts\/1896"}],"collection":[{"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1896"}],"version-history":[{"count":10,"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=\/wp\/v2\/posts\/1896\/revisions"}],"predecessor-version":[{"id":2014,"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=\/wp\/v2\/posts\/1896\/revisions\/2014"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=\/wp\/v2\/media\/80"}],"wp:attachment":[{"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1896"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1896"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kokoro-hino.tokyo\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1896"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}