{"id":2454,"date":"2022-01-17T02:44:20","date_gmt":"2022-01-16T17:44:20","guid":{"rendered":"https:\/\/kokoro-hino.tokyo\/?p=2454"},"modified":"2022-01-31T13:51:30","modified_gmt":"2022-01-31T04:51:30","slug":"%e7%b2%be%e7%a5%9e%e7%97%85","status":"publish","type":"post","link":"https:\/\/kokoro-hino.tokyo\/?p=2454","title":{"rendered":"\u7cbe\u795e\u75c5"},"content":{"rendered":"

ICD\u3084DSM\u306b\u306f\u3001\u969c\u5bb3\u3092\u7279\u5b9a\u3059\u308b\u7528\u8a9e\u3068\u3057\u3066\u300c\u7cbe\u795e\u75c5\u6027<\/span><\/strong>\uff08psychotic\uff09\u300d\u3068\u3044\u3046\u8a00\u8449\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u4f8b\u3048\u3070ICD-10\u306e\u300c\u7cbe\u795e\u75c5\u75c7\u72b6\u3092\u4f34\u3046\u91cd\u75c7\u3046\u3064\u75c5\u30a8\u30d4\u30bd\u30fc\u30c9\u300d\u3067\u306f\u3001\u6b21\u306e\u3088\u3046\u306b\u300c\u7cbe\u795e\u75c5\u6027\u300d\u3092\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u5984\u60f3\u3001\u5e7b\u899a\u3042\u308b\u3044\u306f\u3046\u3064\u75c5\u6027\u660f\u8ff7\u3002\u5984\u60f3\u306f\u901a\u5e38\u3001\u7f6a\u696d\u3001\u8ca7\u56f0\u3001\u5207\u8feb\u3057\u305f\u707d\u96e3\u3001\u81ea\u8cac\u306b\u95a2\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002\u5e7b\u8074\u3084\u5e7b\u55c5\udb40\udd01\u306f\u901a\u5e38\u3001\u4e2d\u50b7\u3084\u975e\u96e3\u306e\u58f0\u3001\u6c5a\u7269\u3084\u8089\u306e\u8150\u3063\u305f\u81ed\u3044\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u3042\u308b\u3002\u91cd\u3044\u7cbe\u795e\u904b\u52d5\u6291\u5236\u306f\u660f\u8ff7\u306b\u81f3\u308b\u3053\u3068\u304c\u3042\u308b\u3002<\/p>\n

DSM-5\u3067\u306f\u3001ICD-10\u306e\u300c\u660f\u8ff7\u300d\u306f\u300c\u7dca\u5f35\u75c5\u3092\u4f34\u3046\u300d\u3068\u3044\u3046\u7279\u5b9a\u7528\u8a9e\u306e\u4e2d\u306b\u542b\u307e\u308c\u3066\u304a\u308a\u3001\u300c\u7cbe\u795e\u75c5\u6027\u300d\u3068\u3044\u3046\u7528\u8a9e\u306f\u3082\u3063\u3071\u3089\u3001\u5984\u60f3\u30fb\u5e7b\u899a\u306e\u5b58\u5728\u3068\u95a2\u9023\u4ed8\u3051\u3066\u8aac\u660e\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u3053\u306e\u3001\u7cbe\u795e\u75c5\u6027\uff08psychotic\uff09\u3068\u3044\u3046\u8a00\u8449\u306e\u5143\u306b\u306a\u308b\u300c\u7cbe\u795e\u75c5<\/span><\/strong>\uff08psychosis\uff09\u300d\u3067\u3059\u304c\u3001\u65e5\u672c\u306e\u6559\u79d1\u66f8\u3067\u306f\u3042\u307e\u308a\u53d6\u308a\u4e0a\u3052\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n

\u624b\u5143\u306e5\u30016\u518a\u306e\u6559\u79d1\u66f8\u3092\u898b\u3066\u3082\u3001\u3088\u304f\u8aad\u307e\u308c\u3066\u3044\u308b\u3068\u601d\u308f\u308c\u308b\u300c\u6a19\u6e96\u7cbe\u795e\u533b\u5b66\u300d\u306a\u3069\u3067\u306f\u7d22\u5f15\u3067\u898b\u5f53\u305f\u308a\u307e\u305b\u3093\u3002\u552f\u4e00\u5927\u718a\u5148\u751f\u306e\u6559\u79d1\u66f8\uff08\u73fe\u4ee3\u81e8\u5e8a\u7cbe\u795e\u533b\u5b66\uff09\u3067\u3001\u300c\u7cbe\u795e\u75c5\uff08psychosis\uff09\u300d\u3092\u6b74\u53f2\u7684\u89b3\u70b9\u304b\u3089\u8aac\u660e\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u4ee5\u4e0b
\n\u3053\u306e\u30d6\u30ed\u30b0\u3067\u306f\u3001\u7c73\u56fdNIH\u306e\u6587\u66f8\u3092\u3082\u3068\u306b\u3001\u7cbe\u795e\u75c5\uff08psychosis\uff09\u3092\u8aac\u660e\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n

\u7cbe\u795e\u75c5\u3068\u306f\u3001\u7cbe\u795e\u304c\u4f55\u3089\u304b\u306e\u5f71\u97ff\u3092\u53d7\u3051\u3066\u3001\u73fe\u5b9f\u3068\u306e\u63a5\u89e6\u3092\u4e00\u5b9a\u7a0b\u5ea6\u5931\u3063\u3066\u3044\u308b\u72b6\u614b\u3092\u8868\u73fe\u3059\u308b\u8a00\u8449\u3067\u3059\u3002<\/p>\n

\u7cbe\u795e\u75c5\u306e\u72b6\u614b\u306b\u3042\u308b\u6642\u3001\u305d\u306e\u4eba\u306f\u601d\u8003\u3084\u77e5\u899a\u304c\u4e71\u308c\u3066\u3001\u4f55\u304c\u73fe\u5b9f\u3067\u4f55\u304c\u73fe\u5b9f\u3067\u306a\u3044\u304b\u3092\u7406\u89e3\u51fa\u6765\u306a\u304f\u306a\u308a\u307e\u3059\u3002<\/p>\n

\u7cbe\u795e\u75c5\u306e\u4e3b\u306a\u75c7\u72b6\u306f\u3001\u5984\u60f3\u3068\u5e7b\u899a<\/span><\/strong>\u3067\u3059\u3002\u5984\u60f3\u3068\u306f\u9593\u9055\u3063\u305f\u4fe1\u5ff5\u3067\u3042\u308a\u3001\u5e7b\u899a\u3068\u306f\u5b58\u5728\u3057\u306a\u3044\u3082\u306e\u3092\u898b\u305f\u308a\u805e\u3044\u305f\u308a\u3059\u308b\u3053\u3068\u3067\u3059\u3002<\/p>\n

\u5984\u60f3\u3068\u5e7b\u899a\u4ee5\u5916\u306b\u306f\u3001\u307e\u3068\u307e\u308a\u306e\u306a\u3044\u4f1a\u8a71<\/span><\/strong>\u3084\u72b6\u6cc1\u306b\u305d\u3050\u308f\u306a\u3044\u884c\u52d5\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u7cbe\u795e\u75c5\u306e\u72b6\u614b\u306b\u3042\u308b\u4eba\u306f\u3001\u3046\u3064\u3001\u4e0d\u5b89\u3001\u7761\u7720\u969c\u5bb3\u3001\u5f15\u304d\u3053\u3082\u308a\u3001\u610f\u6b32\u4f4e\u4e0b\u3001\u5168\u4eba\u7684\u306a\u6a5f\u80fd\u4f4e\u4e0b\u3092\u304d\u305f\u3059\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u7cbe\u795e\u75c5\u306e\u539f\u56e0\u306f\u69d8\u3005\u3067\u3059\u3002\u7761\u7720\u4e0d\u8db3\u3001\u4f55\u3089\u304b\u306e\u8eab\u4f53\u75be\u60a3\u3001\u3042\u308b\u7a2e\u306e\u85ac\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u3084\u85ac\u7269\u306e\u4e71\u7528\u304c\u7cbe\u795e\u75c5\u306e\u75c7\u72b6\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u7cbe\u795e\u75c5\u306f\u3001\u7d71\u5408\u5931\u8abf\u75c7\u3084\u53cc\u6975\u6027\u969c\u5bb3\u306a\u3069\u306e\u7cbe\u795e\u75be\u60a3\u306e\u75c7\u72b6\u3067\u3042\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n

\u7cbe\u795e\u75c5\u3067\u306f\u3001\u65e9\u671f\u306e\u6cbb\u7642\u958b\u59cb\u304c\u3068\u3066\u3082\u91cd\u8981\u3067\u3059\u3002\u7cbe\u795e\u75c5\u306e\u75c7\u72b6\u304c\u51fa\u59cb\u3081\u3066\u304b\u3089\u6cbb\u7642\u3092\u958b\u59cb\u3059\u308b\u307e\u3067\u306e\u671f\u9593\u3092\u3001\u672a\u6cbb\u7642\u7cbe\u795e\u75c5\u671f\u9593\uff08DUP\uff09\u3068\u8a00\u3044\u307e\u3059\u304c\u3001\u3053\u306e\u671f\u9593\u304c\u77ed\u3044\u307b\u3069\u3001\u3064\u307e\u308a\u3001\u75c7\u72b6\u304c\u6700\u521d\u306b\u73fe\u308c\u3066\u304b\u3089\u6cbb\u7642\u958b\u59cb\u307e\u3067\u304c\u65e9\u3044\u307b\u3069\u3001\u6cbb\u7642\u52b9\u679c\u304c\u9ad8\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\uff08DUP: duration of untreated psychosis\uff09<\/p>\n

\u7cbe\u795e\u75c5\u304c\u767a\u75c7\u3059\u308b\u524d\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u884c\u52d5\u5909\u5316\u304c\u73fe\u308c\u307e\u3059\u3002\u7cbe\u795e\u75c5\u306e\u521d\u671f\u75c7\u72b6\u3068\u8a00\u3048\u307e\u3059\u3002\u3053\u308c\u3089\u4e00\u3064\u4e00\u3064\u306e\u75c7\u72b6\u306f\u305d\u308c\u307b\u3069\u91cd\u8981\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u8907\u6570\u500b\u306e\u75c7\u72b6\u304c\u63c3\u3063\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u8b66\u544a\u30b5\u30a4\u30f3\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n

\u5b66\u696d\u6210\u7e3e\u3084\u4ed5\u4e8b\u306e\u6210\u7e3e\u304c\u5fc3\u914d\u306a\u307b\u3069\u843d\u3061\u308b
\n\u601d\u8003\u529b\u3084\u96c6\u4e2d\u529b\u306b\u652f\u969c\u304c\u751f\u3058\u308b
\n\u4ed6\u4eba\u306b\u5bfe\u3057\u3066\u7591\u3044\u6df1\u304f\u3001\u504f\u57f7\u7684\u3067\u3001\u6c17\u697d\u306b\u63a5\u3059\u308b\u3053\u3068\u304c\u51fa\u6765\u306a\u3044
\n\u793e\u4ea4\u7684\u3067\u306a\u304f\u306a\u308a\u3001\u4e00\u4eba\u3067\u3044\u308b\u6642\u9593\u304c\u9577\u304f\u306a\u308b
\n\u666e\u901a\u3067\u306a\u3044\u3001\u904e\u6fc0\u306b\u65b0\u3057\u3044\u8003\u3048\u3001\u5947\u5999\u306a\u611f\u60c5\u3001\u9006\u306b\u611f\u60c5\u3092\u793a\u3055\u306a\u3044
\n\u30bb\u30eb\u30d5\u30b1\u30a2\u307e\u305f\u306f\u500b\u4eba\u885b\u751f\u306e\u4f4e\u4e0b
\n\u73fe\u5b9f\u3068\u7a7a\u60f3\u306e\u533a\u5225\u304c\u3064\u304d\u306b\u304f\u3044
\n\u8a00\u8449\u304c\u6df7\u4e71\u3057\u3001\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u306b\u554f\u984c\u304c\u751f\u3058\u308b<\/p>\n

–<\/p>\n

–<\/p>\n

\u53c2\u8003\u306b\u3001DSM-\u2163-TR\u306b\u8a18\u8f09\u3055\u308c\u305f\u8aac\u660e\u3092\u5f15\u7528\u8ffd\u52a0\u3057\u3066\u304a\u304d\u307e\u3059\u3002\uff082022.1.31\uff09<\/p>\n

\u7cbe\u795e\u75c5\u6027\u306e\u6700\u3082\u72ed\u3044\u5b9a\u7fa9\u306f\u3001\u5984\u60f3\u307e\u305f\u306f\u9855\u8457\u306a\u5e7b\u899a\u306b\u9650\u5b9a\u3055\u308c\u3001\u5e7b\u899a\u306f\u305d\u306e\u75c5\u7406\u7684\u672c\u8cea\u306b\u5bfe\u3059\u308b\u6d1e\u5bdf\u306a\u3057\u306b\u8d77\u3053\u308b\u3082\u306e\u3067\u3042\u308b\u3002<\/p>\n

\u3084\u3084\u7bc4\u56f2\u3092\u5e83\u3052\u305f\u5b9a\u7fa9\u3068\u3057\u3066\u306f\u3001\u9855\u8457\u306a\u5e7b\u899a\u3067\u672c\u4eba\u304c\u5e7b\u899a\u7684\u4f53\u9a13\u3068\u3057\u3066\u5b9f\u611f\u3059\u308b\u3082\u306e\u3082\u542b\u307e\u308c\u308b\u3002<\/p>\n

\u3055\u3089\u306b\u5e83\u3044\u3082\u306e\u306f\u3001\u7d71\u5408\u5931\u8abf\u75c7\u306b\u304a\u3051\u308b\u305d\u306e\u4ed6\u306e\u967d\u6027\u75c7\u72b6\uff08\u3059\u306a\u308f\u3061\u3001\u307e\u3068\u307e\u308a\u306e\u306a\u3044\u4f1a\u8a71\u3001\u3072\u3069\u304f\u307e\u3068\u307e\u308a\u306e\u306a\u3044\u307e\u305f\u306f\u7dca\u5f35\u75c5\u6027\u306e\u884c\u52d5\uff09\u3082\u542b\u3080\u3068\u3044\u3046\u5b9a\u7fa9\u3067\u3042\u308b\u3002<\/p>\n

\u75c7\u72b6\u306b\u57fa\u3065\u3044\u305f\u3053\u306e\u3088\u3046\u306a\u5b9a\u7fa9\u3068\u306f\u7570\u306a\u308a\u3001\u3053\u308c\u307e\u3067\u306e\u5206\u985e\uff08\u4f8b\uff1aDSM-\u2161\u304a\u3088\u3073ICD-9)\u3067\u7528\u3044\u3089\u308c\u305f\u5b9a\u7fa9\u306f\u3001\u305d\u306e\u307b\u3068\u3093\u3069\u304c\u3042\u307e\u308a\u306b\u3082\u5305\u62ec\u7684\u3067\u3042\u308a\u3001\u6a5f\u80fd\u969c\u5bb3\u306e\u5f37\u3055\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u3082\u306e\u3067\u3042\u3063\u305f\u3002\u305d\u3053\u3067\u306f\u3001\u7cbe\u795e\u75be\u60a3\u304c “\u901a\u5e38\u306e\u65e5\u5e38\u7684\u8981\u6c42\u306b\u5bfe\u5fdc\u3059\u308b\u80fd\u529b\u3092\u3072\u3069\u304f\u59a8\u3052\u308b\u307b\u3069\u306e\u969c\u5bb3” \u3092\u304d\u305f\u3057\u305f\u5834\u5408\u306b “\u7cbe\u795e\u75c5\u6027” \u3068\u547c\u3070\u308c\u3066\u3044\u305f\u3002<\/p>\n

\u3053\u306e\u7528\u8a9e\u306f\u3001\u304b\u3064\u3066\u306f “\u81ea\u6211\u5883\u754c\u306e\u55aa\u5931” \u3082\u3057\u304f\u306f “\u73fe\u5b9f\u691c\u8a0e\u306e\u8457\u3057\u3044\u969c\u5bb3” \u3068\u3057\u3066\u5b9a\u7fa9\u3055\u308c\u3066\u3044\u305f\u3002<\/p>\n","protected":false},"excerpt":{"rendered":"

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