\u30d1\u30cb\u30c3\u30af\u75c7\uff08\u30d1\u30cb\u30c3\u30af\u969c\u5bb3\uff09\u306f\u3001\u52d5\u60b8\u3084\u606f\u5207\u308c\u3001\u3081\u307e\u3044\u306a\u3069\u306e\u5f37\u3044\u30d1\u30cb\u30c3\u30af\u767a\u4f5c\u3092\u7e70\u308a\u8fd4\u3057\u3001\u65e5\u5e38\u751f\u6d3b\u3084\u793e\u4f1a\u6d3b\u52d5\u306b\u6df1\u523b\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u7cbe\u795e\u75be\u60a3\u3067\u3059\u3002\u65e5\u672c\u3067\u306f\u3053\u308c\u307e\u3067\u3001\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3092\u63d0\u4f9b\u3059\u308b\u5c02\u9580\u5bb6\u304c\u9650\u3089\u308c\u3066\u3044\u305f\u305f\u3081\u3001\u85ac\u7269\u7642\u6cd5\u304c\u4e3b\u8981\u306a\u6cbb\u7642\u6cd5\u3068\u3057\u3066\u5e83\u304f\u884c\u308f\u308c\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
\u3057\u304b\u3057\u3001\u85ac\u7269\u7642\u6cd5\u3092\u884c\u3063\u3066\u3082\u75c7\u72b6\u304c\u6b8b\u308b\u60a3\u8005\u3055\u3093\u306f\u5c11\u306a\u304f\u306a\u304f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\uff08\u79d1\u5b66\u7684\u6839\u62e0\uff09\u306e\u3042\u308b\u65b0\u305f\u306a\u6cbb\u7642\u6cd5\u306e\u78ba\u7acb\u304c\u671b\u307e\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
\u3053\u306e\u5ea6\u3001\u5343\u8449\u5927\u5b66\u306e\u7814\u7a76\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u85ac\u7269\u7642\u6cd5\u3060\u3051\u3067\u306f\u75c7\u72b6\u304c\u5341\u5206\u306b\u6539\u5584\u3057\u306a\u3044\u30d1\u30cb\u30c3\u30af\u75c7\u60a3\u8005\u306b\u5bfe\u3057\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u63d0\u4f9b\u3055\u308c\u308b\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u304c\u3001\u901a\u5e38\u8a3a\u7642\u306e\u307f\u306e\u5834\u5408\u3088\u308a\u3082\u512a\u308c\u305f\u6709\u52b9\u6027\u3092\u6301\u3064\u3053\u3068\u3092\u4e16\u754c\u3067\u521d\u3081\u3066\u660e\u3089\u304b\u306b\u3057\u307e\u3057\u305f\uff082025\u5e749\u670829\u65e5\u767a\u8868\uff09\u3002<\/p>\n\n\n\n
1. <\/strong>\u85ac\u7269\u62b5\u6297\u6027\u306e\u30d1\u30cb\u30c3\u30af\u75c7\u60a3\u8005\u306b\u65b0\u305f\u306a\u9078\u629e\u80a2<\/strong><\/p>\n\n\n\n \u30d1\u30cb\u30c3\u30af\u75c7\u306e\u6cbb\u7642\u6cd5\u306b\u306f\u3001\u85ac\u7269\u7642\u6cd5\u3068\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306a\u3069\u306e\u5fc3\u7406\u7642\u6cd5\u304c\u3042\u308a\u307e\u3059\u3002\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u3001\u81ea\u8eab\u306e\u4e0d\u5b89\u3092\u5f37\u3081\u3066\u3057\u307e\u3046\u8003\u3048\u65b9\u306e\u50be\u5411\u306b\u6c17\u3065\u304d\u3001\u305d\u308c\u3092\u6574\u7406\u3057\u306a\u304c\u3089\u3001\u5c11\u3057\u305a\u3064\u884c\u52d5\u3092\u5e83\u3052\u3066\u3044\u304f\u3053\u3068\u3067\u6c17\u6301\u3061\u3092\u697d\u306b\u3059\u308b\u5fc3\u7406\u7642\u6cd5\u3067\u3059\u3002<\/p>\n\n\n\n \u5343\u8449\u5927\u5b66\u5b50\u3069\u3082\u306e\u3053\u3053\u308d\u306e\u767a\u9054\u6559\u80b2\u7814\u7a76\u30bb\u30f3\u30bf\u30fc\u306e\u95a2\u967d\u4e00\u52a9\u6559\u3001\u5927\u5b66\u9662\u533b\u5b66\u7814\u7a76\u9662\u306e\u6e05\u6c34\u6804\u53f8\u6559\u6388\u3089\u306e\u7814\u7a76\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u9069\u5207\u306a\u85ac\u7269\u7642\u6cd5\u3092\u884c\u3063\u3066\u3082\u5341\u5206\u306b\u6539\u5584\u3057\u306a\u3044\u30d1\u30cb\u30c3\u30af\u75c7\u60a3\u800530\u4eba\u3092\u5bfe\u8c61\u306b\u81e8\u5e8a\u7814\u7a76\u3092\u5b9f\u65bd\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n \u7814\u7a76\u30c7\u30b6\u30a4\u30f3: \u7814\u7a76\u53c2\u52a0\u8005\u306f\u3001\u901a\u5e38\u8a3a\u7642\u306b\u52a0\u3048\u3066\u30aa\u30f3\u30e9\u30a4\u30f3\u500b\u4eba\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3092\u53d7\u3051\u308b\u300c\u4ecb\u5165\u7fa4\u300d\u3068\u3001\u901a\u5e38\u8a3a\u7642\u306e\u307f\u3092\u7d99\u7d9a\u3059\u308b\u300c\u5bfe\u7167\u7fa4\u300d\u306b\u30e9\u30f3\u30c0\u30e0\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n \u4ecb\u5165\u5185\u5bb9: \u4ecb\u5165\u7fa4\u306b\u306f\u3001\u5343\u8449\u5927\u5b66\u533b\u5b66\u90e8\u9644\u5c5e\u75c5\u9662\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u30bb\u30f3\u30bf\u30fc\u306e\u30bb\u30e9\u30d4\u30b9\u30c8\uff08\u516c\u8a8d\u5fc3\u7406\u5e2b\uff09\u304c\u3001\u90311\u56de50\u5206\u3001\u516816\u56de\u306b\u308f\u305f\u308a\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3092\u63d0\u4f9b\u3057\u307e\u3057\u305f\u3002\u60a3\u8005\u306f\u81ea\u5b85\u3067\u30d1\u30bd\u30b3\u30f3\u3084\u30bf\u30d6\u30ec\u30c3\u30c8\u3092\u4f7f\u7528\u3057\u3001\u30d3\u30c7\u30aa\u4f1a\u8b70\u5f62\u5f0f\u3067\u30bb\u30c3\u30b7\u30e7\u30f3\u3092\u53d7\u3051\u307e\u3057\u305f\u3002<\/p>\n\n\n\n 2. <\/strong>\u4e16\u754c\u521d\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\u3067\u793a\u3055\u308c\u305f\u753b\u671f\u7684\u306a\u52b9\u679c<\/strong><\/p>\n\n\n\n \u3053\u306e\u7814\u7a76\u306f\u3001\u85ac\u7269\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3082\u75c7\u72b6\u304c\u6b8b\u308b\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u3001\u6bd4\u8f03\u3059\u308b\u5bfe\u7167\u7fa4\u3092\u7f6e\u3044\u3066\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u3067\u6709\u52b9\u6027\u3092\u8a3c\u660e\u3057\u305f\u4e16\u754c\u521d\u306e\u7814\u7a76\u3067\u3042\u308b\u70b9\u306b\u5927\u304d\u306a\u610f\u7fa9\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n \u7814\u7a76\u7d50\u679c\u306f\u4ee5\u4e0b\u306e\u901a\u308a\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306e\u6709\u52b9\u6027\u3092\u660e\u78ba\u306b\u793a\u3057\u307e\u3057\u305f\u3002<\/p>\n\n\n\n \u75c7\u72b6\u306e\u6709\u610f\u306a\u6539\u5584: \u30d1\u30cb\u30c3\u30af\u75c7\u306e\u91cd\u75c7\u5ea6\u8a55\u4fa1\u5c3a\u5ea6\u300cPDSS\uff08Panic Disorder Severity Scale\uff09\u300d\u306b\u3088\u308b\u75c7\u72b6\u30b9\u30b3\u30a2\u306f\u3001\u4ecb\u5165\u7fa4\u306b\u304a\u3044\u3066\u5e73\u574712.8\u70b9\u304b\u30895.4\u70b9\u3078\u3068\u6709\u610f\u306b\u6539\u5584\u3057\u307e\u3057\u305f\u3002\u5bfe\u7167\u7fa4\u3067\u306f\u660e\u3089\u304b\u306a\u5909\u5316\u306f\u898b\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n \u6539\u5584\u7387\u30fb\u5bdb\u89e3\u7387: \u4ecb\u5165\u7fa4\u306e\u60a3\u8005\u306e80\uff05\u304c\u6539\u5584\u3092\u8a8d\u3081\u300167\uff05\u306e\u60a3\u8005\u304c\u5bdb\u89e3\u57fa\u6e96\u306b\u9054\u3057\u305f\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n \u5b89\u5168\u6027: \u3053\u306e\u81e8\u5e8a\u8a66\u9a13\u306b\u304a\u3044\u3066\u3001\u91cd\u7be4\u306a\u6709\u5bb3\u4e8b\u8c61\u306f\u5831\u544a\u3055\u308c\u305a\u3001\u5b89\u5168\u306a\u6cbb\u7642\u6cd5\u3067\u3042\u308b\u3053\u3068\u3082\u78ba\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n \u3053\u306e\u7d50\u679c\u306f\u3001\u85ac\u7269\u7642\u6cd5\u3067\u75c7\u72b6\u304c\u6b8b\u3063\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u30d1\u30cb\u30c3\u30af\u75c7\u60a3\u8005\u306b\u3068\u3063\u3066\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u304c\u65b0\u3057\u3044\u6cbb\u7642\u306e\u9078\u629e\u80a2\u3068\u306a\u308b\u53ef\u80fd\u6027\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n 3. <\/strong>\u770b\u8b77\u5e2b\u30fb\u516c\u8a8d\u5fc3\u7406\u5e2b\u306e\u8996\u70b9\u304b\u3089\uff1a\u30aa\u30f3\u30e9\u30a4\u30f3<\/strong>CBT<\/strong>\u304c\u6301\u3064\u53ef\u80fd\u6027<\/strong><\/p>\n\n\n\n \u79c1\u305f\u3061\u304c\u91cd\u8996\u3059\u308b\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u3001\u3053\u306e\u7814\u7a76\u3067\u6709\u52b9\u6027\u304c\u793a\u3055\u308c\u305f\u3068\u304a\u308a\u3001\u79d1\u5b66\u7684\u306a\u6839\u62e0\u306b\u57fa\u3065\u3044\u305f\u5fc3\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3067\u3059\u3002\u4e0d\u5b89\u306b\u3088\u3063\u3066\u56fa\u307e\u3063\u3066\u3057\u307e\u3063\u305f\u300c\u8003\u3048\u65b9\uff08\u8a8d\u77e5\uff09\u300d\u306e\u30af\u30bb\u3084\u300c\u884c\u52d5\u300d\u30d1\u30bf\u30fc\u30f3\u306b\u5149\u3092\u5f53\u3066\u3001\u5c02\u9580\u5bb6\u3068\u4e00\u7dd2\u306b\u3001\u3088\u308a\u73fe\u5b9f\u7684\u3067\u697d\u306b\u306a\u308c\u308b\u65b9\u6cd5\u3092\u898b\u3064\u3051\u3001\u5b9f\u8df5\u3057\u3066\u3044\u304f\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u3059\u3002\u30d1\u30cb\u30c3\u30af\u75c7\u306b\u304a\u3044\u3066\u306f\u3001\u75c7\u72b6\u306e\u4ed5\u7d44\u307f\u306e\u7406\u89e3\u3001\u5bfe\u51e6\u30b9\u30ad\u30eb\u306e\u7fd2\u5f97\u3001\u305d\u3057\u3066\u884c\u52d5\u5b9f\u9a13\u3068\u3044\u3063\u305fCBT\u306b\u53d6\u308a\u7d44\u307f\u307e\u3059\u3002<\/p>\n\n\n\n \u85ac\u7269\u7642\u6cd5\u306b\u62b5\u6297\u304c\u3042\u308b\u3001\u3042\u308b\u3044\u306f\u6b8b\u308b\u75c7\u72b6\u304c\u3042\u308b\u65b9\u3078<\/strong><\/p>\n\n\n\n \u5f53\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u30eb\u30fc\u30e0\u306f\u3001\u300c\u3044\u304d\u306a\u308a\u304a\u85ac\u3092\u98f2\u3080\u306e\u306f\u62b5\u6297\u304c\u3042\u308b\u300d\u3068\u611f\u3058\u308b\u65b9\u3084\u3001\u300c\u85ac\u3067\u75c7\u72b6\u3092\u6291\u3048\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u6839\u672c\u7684\u306a\u539f\u56e0\u3068\u5411\u304d\u5408\u3044\u305f\u3044\u300d\u3068\u8003\u3048\u308b\u65b9\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u4eca\u56de\u306e\u7814\u7a76\u7d50\u679c\u306f\u3001\u85ac\u7269\u7642\u6cd5\u3092\u7d9a\u3051\u3066\u3082\u75c7\u72b6\u304c\u6b8b\u308b\u300c\u85ac\u5264\u62b5\u6297\u6027\u300d\u306e\u30d1\u30cb\u30c3\u30af\u75c7\u60a3\u8005\u306b\u5bfe\u3057\u3001\u516c\u8a8d\u5fc3\u7406\u5e2b\u306b\u3088\u308b\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u304c\u3001\u6cbb\u7642\u306e\u9375\u3068\u306a\u308b\u3053\u3068\u3092\u88cf\u4ed8\u3051\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u30d1\u30cb\u30c3\u30af\u75c7\u3092\u62b1\u3048\u308b\u65b9\u306f\u3001\u5f37\u3044\u4e0d\u5b89\u306b\u4f34\u3044\u3001\u52d5\u60b8\u3084\u606f\u5207\u308c\u3001\u3081\u307e\u3044\u306a\u3069\u306e\u8eab\u4f53\u7684\u306a\u4e0d\u8abf\u3082\u7d4c\u9a13\u3057\u307e\u3059\u3002\u770b\u8b77\u5e2b\u3068\u3057\u3066\u3001\u4f53\u8abf\u3084\u8eab\u4f53\u7684\u306a\u30b5\u30a4\u30f3\u306b\u3082\u914d\u616e\u3067\u304d\u308b\u8996\u70b9\u3068\u3001\u516c\u8a8d\u5fc3\u7406\u5e2b\u3068\u3057\u3066\u5fc3\u306e\u4ed5\u7d44\u307f\u3092\u6df1\u304f\u7406\u89e3\u3059\u308b\u5fc3\u7406\u306e\u8996\u70b9\u3001\u3053\u306e\u4e8c\u3064\u306e\u5c02\u9580\u6027\u3092\u6301\u3064\u79c1\u305f\u3061\u304c\u3001\u4e3b\u6cbb\u533b\u306b\u3088\u308b\u533b\u7642\u7684\u6cbb\u7642\uff08\u85ac\u7269\u7642\u6cd5\uff09\u3068\u4e26\u884c\u3057\u3066\u3001\u3042\u306a\u305f\u306b\u5408\u3063\u305f\u56de\u5fa9\u3078\u306e\u9053\u3092\u4e00\u7dd2\u306b\u63a2\u308a\u307e\u3059\u3002<\/p>\n\n\n\n \u307e\u305f\u3001\u30aa\u30f3\u30e9\u30a4\u30f3\u5f62\u5f0f\u3067\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3092\u63d0\u4f9b\u3057\u3066\u3044\u308b\u305f\u3081\u3001\u81ea\u5b85\u306a\u3069\u5b89\u5fc3\u3067\u304d\u308b\u5834\u6240\u304b\u3089\u3001\u30ea\u30e9\u30c3\u30af\u30b9\u3057\u3066\u30d1\u30cb\u30c3\u30af\u75c7\u306e\u6cbb\u7642\u306b\u5fc5\u8981\u306a\u5fc3\u7406\u6559\u80b2\u3084\u5177\u4f53\u7684\u306a\u5bfe\u51e6\u6cd5\u306e\u7fd2\u5f97\u306b\u53d6\u308a\u7d44\u3080\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n 4. <\/strong>\u3042\u306a\u305f\u306e\u300c\u7acb\u3061\u76f4\u308b\u529b\u300d\u3092\u5f15\u304d\u51fa\u3059\u305f\u3081\u306b<\/strong><\/p>\n\n\n\n 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