{"id":316,"date":"2025-11-20T01:47:14","date_gmt":"2025-11-20T01:47:14","guid":{"rendered":"https:\/\/afterdeathstudy.org\/?p=316"},"modified":"2025-11-20T01:47:16","modified_gmt":"2025-11-20T01:47:16","slug":"grief-emotional-healing","status":"publish","type":"post","link":"https:\/\/afterdeathstudy.org\/ja\/grief-emotional-healing\/","title":{"rendered":"\u60b2\u3057\u307f\u3068\u611f\u60c5\u306e\u7652\u3057"},"content":{"rendered":"<h1 class=\"wp-block-heading\">\u6b7b\u6050\u6016\u75c7\u3001\u8907\u96d1\u6027\u60b2\u5606\u3001\u305d\u3057\u3066\u55aa\u5931\u5f8c\u306e\u5e0c\u671b\u3092\u898b\u51fa\u3059\u305f\u3081\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u6226\u7565<\/h1>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c1\u7ae0\uff1a\u6df1\u3044\u55aa\u5931\u611f\u3068\u5b9f\u5b58\u7684\u4e0d\u5b89\u306e\u81e8\u5e8a\u7684\u63a5\u70b9<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1.1 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class=\"wp-block-paragraph\">\u55aa\u5931\u306b\u4f34\u3046\u82e6\u75db\u3084\u60b2\u3057\u307f\u306f\u666e\u904d\u7684\u306a\u4eba\u9593\u306e\u53cd\u5fdc\u3067\u3059\u304c\u3001\u81e8\u5e8a\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u306f\u3001\u5178\u578b\u7684\u306a\u6025\u6027\u60b2\u5606\u3068\u3001\u5c02\u9580\u7684\u306a\u4ecb\u5165\u3092\u5fc5\u8981\u3068\u3059\u308b\u91cd\u5ea6\u3067\u6301\u7d9a\u7684\u306a\u75c5\u7406\u7684\u5f62\u614b\u3092\u533a\u5225\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3059\u3079\u3066\u306e\u4eba\u306f\u3001\u672c\u6765\u7684\u306b\u6b7b\u3078\u306e\u4e0d\u5b89\u3092\u62b1\u3048\u3066\u304a\u308a\u3001\u305d\u308c\u304c\u5236\u5fa1\u3055\u308c\u306a\u3044\u3068\u3001\u6b7b\u6050\u6016\u75c7\uff08\u6b7b\u3078\u306e\u6050\u6016\uff09\u306e\u3088\u3046\u306a\u81e8\u5e8a\u75c7\u72b6\u3068\u3057\u3066\u73fe\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u5b9f\u5b58\u7684\u306a\u8105\u5a01\u306f\u3001\u5358\u306a\u308b\u5fc3\u7406\u7684\u306a\u4e0d\u5feb\u611f\u3092\u8d85\u3048\u3001\u500b\u4eba\u306e\u5168\u4f53\u7684\u306a\u6a5f\u80fd\u306b\u5927\u304d\u306a\u8ca0\u62c5\u3092\u304b\u3051\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u304c\u9ad8\u3044\u307b\u3069\u3001\u5fc3\u7406\u7684\u82e6\u75db\u304c\u5897\u3057\u3001\u751f\u6d3b\u6e80\u8db3\u5ea6\u304c\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u9032\u884c\u304c\u3093\u60a3\u8005\u306a\u3069\u306e\u533b\u5b66\u7684\u306b\u8106\u5f31\u306a\u96c6\u56e3\u3067\u306f\u3001\u5065\u5eb7\u95a2\u9023QOL\uff08HRQoL\uff09\u306e\u6e2c\u5b9a\u53ef\u80fd\u306a\u4f4e\u4e0b\u3068\u5f37\u304f\u76f8\u95a2\u3059\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\u3002.<sup>1<\/sup><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">1.2 \u81e8\u5e8a\u4e0a\u306e\u660e\u78ba\u306a\u6307\u91dd\uff1a\u9077\u5ef6\u6027\u60b2\u5606\u969c\u5bb3\uff08PGD\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6570\u5341\u5e74\u306b\u308f\u305f\u308b\u7814\u7a76\u3092\u7d4c\u3066\u3001\u30a2\u30e1\u30ea\u30ab\u7cbe\u795e\u533b\u5b66\u4f1a\uff08APA\uff09\u306f\u3001\u9077\u5ef6\u6027\u60b2\u5606\u969c\u5bb3\uff08PGD\uff09\u3092\u6b63\u5f0f\u306b\u72ec\u7acb\u3057\u305f\u8a3a\u65ad\u3068\u3057\u3066\u5206\u985e\u3057\u307e\u3057\u305f\u3002 <em>DSM-5-TR<\/em> \uff082022\u5e74\u51fa\u7248\uff09.<sup>2<\/sup> \u3053\u306e\u5206\u985e\u306f\u3001PGD\u304c\u91cd\u5ea6\u3046\u3064\u75c5\u3084\u305d\u306e\u4ed6\u306e\u4e0d\u5b89\u969c\u5bb3\u3068\u306f\u533a\u5225\u3055\u308c\u308b\u72ec\u81ea\u306e\u81e8\u5e8a\u72b6\u614b\u3067\u3042\u308a\u3001\u5c02\u9580\u7684\u304b\u3064\u7684\u3092\u7d5e\u3063\u305f\u6cbb\u7642\u304c\u5fc5\u8981\u3067\u3042\u308b\u3053\u3068\u3092\u88cf\u4ed8\u3051\u3066\u3044\u307e\u3059\u3002PGD\u306f\u3001\u55aa\u5931\u304b\u3089\u5c11\u306a\u304f\u3068\u308212\u304b\u6708\u5f8c\u306b\u767a\u75c7\u3057\u3001\u4e2d\u6838\u75c7\u72b6\u304c\u307b\u307c\u6bce\u65e5\u3001\u5c11\u306a\u304f\u3068\u30821\u304b\u6708\u9593\u7d9a\u304f\u3053\u3068\u3092\u7279\u5fb4\u3068\u3057\u307e\u3059\u3002.<sup>3<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PGD\u306e\u4e2d\u6838\u75c7\u72b6\u7fa4\u306f\u3001\u55aa\u5931\u306e\u73fe\u5b9f\u3092\u81ea\u5206\u306e\u4e16\u754c\u89b3\u306b\u7d71\u5408\u3067\u304d\u306a\u3044\u3053\u3068\u3092\u53cd\u6620\u3057\u3066\u304a\u308a\u3001\u8a8d\u77e5\u304a\u3088\u3073\u884c\u52d5\u306e\u75c5\u7406\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u306f\u3001\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u3068\u73fe\u5b9f\u8a8d\u8b58\u306e\u6df7\u4e71\u306a\u3069\u304c\u542b\u307e\u308c\u307e\u3059\u3002 <strong>\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5d29\u58ca<\/strong> \uff08\u300c\u81ea\u5206\u306e\u4e00\u90e8\u304c\u6b7b\u3093\u3067\u3057\u307e\u3063\u305f\u3088\u3046\u306a\u611f\u899a\u300d\uff09\u305d\u3057\u3066 <strong>\u5f37\u3044\u4e0d\u4fe1\u611f<\/strong> \u305d\u306e\u6b7b\u306b\u3064\u3044\u3066\u3002.<sup>2<\/sup> \u3055\u3089\u306b\u3001\u6b21\u306e\u3088\u3046\u306a\u75c7\u72b6\u3082\u3042\u308a\u307e\u3059\u3002 <strong>\u30ea\u30de\u30a4\u30f3\u30c0\u30fc\u306e\u56de\u907f<\/strong> \u6b7b\u3068 <strong>\u793e\u4f1a\u5fa9\u5e30\u306e\u96e3\u3057\u3055<\/strong> \uff08\u4f8b\u3048\u3070\u3001\u53cb\u4eba\u3068\u306e\u4ea4\u6d41\u3084\u5c06\u6765\u306e\u8a08\u753b\u306b\u95a2\u3059\u308b\u554f\u984c\uff09\u306f\u3001\u56de\u907f\u884c\u52d5\u304c\u3069\u306e\u3088\u3046\u306b\u75c5\u7406\u3092\u7dad\u6301\u3057\u3066\u3044\u308b\u304b\u3092\u6d6e\u304d\u5f6b\u308a\u306b\u3057\u307e\u3059\u3002.<sup>2<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u3089\u306e\u8a3a\u65ad\u57fa\u6e96\u306f\u3001\u5fc5\u8981\u306a\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u5f37\u304f\u793a\u5506\u3057\u3066\u3044\u308b\u3002PGD\u306f\u672c\u8cea\u7684\u306b\u610f\u5473\u3065\u3051\u306e\u5931\u6557\u3068\u6050\u6016\u306b\u57fa\u3065\u304f\u56de\u907f\u884c\u52d5\u306e\u7d44\u307f\u5408\u308f\u305b\u3067\u3042\u308b\u305f\u3081\u3001\u52b9\u679c\u7684\u306a\u4ecb\u5165\u306f\u8a8d\u77e5\u7684\u30fb\u5b9f\u5b58\u7684\u306a\u5bfe\u5cd9\uff08\u610f\u5473\u306e\u518d\u69cb\u7bc9\uff09\u3068\u884c\u52d5\u7684\u306a\u5bfe\u5cd9\uff08\u66dd\u9732\uff09\u306e\u4e21\u65b9\u306b\u540c\u6642\u306b\u53d6\u308a\u7d44\u3080\u5fc5\u8981\u304c\u3042\u308b\u3002.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>\u75c7\u72b6\u9818\u57df<\/strong><\/td><td><strong>PGD\u306e\u4e3b\u306a\u75c7\u72b6\uff08\u4f8b\uff09<\/strong><\/td><td><strong>\u30bd\u30fc\u30b9<\/strong><\/td><\/tr><\/thead><tbody><tr><td><strong>\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\uff0f\u4e0d\u4fe1<\/strong><\/td><td>\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5d29\u58ca\uff08\u81ea\u5206\u306e\u4e00\u90e8\u304c\u6b7b\u3093\u3067\u3057\u307e\u3063\u305f\u3088\u3046\u306a\u611f\u899a\uff09\uff1b\u6b7b\u306b\u5bfe\u3059\u308b\u5f37\u3044\u4e0d\u4fe1\u611f\u3002.<\/td><td><sup>2<\/sup><\/td><\/tr><tr><td><strong>\u56de\u907f<\/strong><\/td><td>\u305d\u306e\u4eba\u304c\u4ea1\u304f\u306a\u3063\u305f\u3053\u3068\u3092\u601d\u3044\u51fa\u3055\u305b\u308b\u3088\u3046\u306a\u3082\u306e\u3092\u907f\u3051\u308b\u3002.<\/td><td><sup>2<\/sup><\/td><\/tr><tr><td><strong>\u7cbe\u795e\u7684\u82e6\u75db<\/strong><\/td><td>\u6b7b\u306b\u95a2\u9023\u3057\u305f\u6fc0\u3057\u3044\u7cbe\u795e\u7684\u82e6\u75db\uff08\u6012\u308a\u3001\u82e6\u3057\u307f\u3001\u60b2\u3057\u307f\uff09\u3002.<\/td><td><sup>2<\/sup><\/td><\/tr><tr><td><strong>\u6a5f\u80fd\u969c\u5bb3<\/strong><\/td><td>\u793e\u4f1a\u5fa9\u5e30\u306e\u56f0\u96e3\uff08\u53cb\u4eba\u3068\u306e\u4ea4\u6d41\u3001\u5c06\u6765\u306e\u8a08\u753b\u306a\u3069\uff09\uff1b\u611f\u60c5\u306e\u9ebb\u75fa\uff1b\u4eba\u751f\u306b\u610f\u5473\u304c\u306a\u3044\u3068\u611f\u3058\u308b\uff1b\u5f37\u3044\u5b64\u72ec\u611f\u3002.<\/td><td><sup>2<\/sup><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">1.3 \u6b7b\u6050\u6016\u75c7\u3068\u5b9f\u5b58\u7684\u8105\u5a01\uff1a\u75c5\u56e0\u3068\u76f8\u95a2\u95a2\u4fc2<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b7b\u6050\u6016\u75c7\u306e\u6839\u672c\u539f\u56e0\u306f\u3001\u672a\u89e3\u6c7a\u306e\u5b9f\u5b58\u7684\u30b8\u30ec\u30f3\u30de\u306b\u6839\u3056\u3057\u3066\u3044\u308b\u3002\u7814\u7a76\u306b\u3088\u308b\u3068\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u306f\u500b\u4eba\u306e <strong>\u672a\u6765\u306e\u6642\u9593\u7684\u5c55\u671b<\/strong> \u6e1b\u5c11 <strong>\u611f\u60c5\u8abf\u7bc0\u81ea\u5df1\u52b9\u529b\u611f<\/strong>, \u3055\u3089\u306b\u4e0d\u5b89\u30ec\u30d9\u30eb\u3092\u4e0a\u6607\u3055\u305b\u308b\u3002.<sup>4<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b7b\u3078\u306e\u4e0d\u5b89\u3068\u6a5f\u80fd\u969c\u5bb3\u306e\u95a2\u9023\u6027\u306f\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002\u6b7b\u3078\u306e\u4e0d\u5b89\u306f\u5358\u306a\u308b\u5fc3\u7406\u75c7\u72b6\u3068\u3057\u3066\u3067\u306f\u306a\u304f\u3001\u76ee\u6a19\u8a2d\u5b9a\u3092\u5236\u9650\u3057\u3001\u751f\u6d3b\u3078\u306e\u53c2\u52a0\u3092\u59a8\u3052\u308b\u6a5f\u80fd\u969c\u5bb3\u3068\u3057\u3066\u4f5c\u7528\u3057\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u52b9\u679c\u7684\u306a\u6b7b\u6050\u6016\u75c7\u306e\u6cbb\u7642\u306b\u306f\u3001\u4e0d\u5b89\u306e\u8efd\u6e1b\u3060\u3051\u306b\u7126\u70b9\u3092\u5f53\u3066\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u76ee\u6a19\u6307\u5411\u7684\u306a\u884c\u52d5\u7684\u304a\u3088\u3073\u8a8d\u77e5\u7684\u8981\u7d20\u3092\u542b\u3081\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306f\u3001 <strong>\u884c\u52d5\u6d3b\u6027\u5316\u6226\u7565<\/strong> \u300c\u5e0c\u671b\u3092\u898b\u51fa\u3059\u300d\u6bb5\u968e\uff08\u7b2c4\u7ae0\uff09\u306b\u304a\u3044\u3066\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u306f\u3001\u672b\u671f\u60a3\u8005\u306e\u7cbe\u795e\u72b6\u614b\u306e\u60aa\u5316\u3084\u8a00\u8a9e\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u8981\u56e0\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u3092\u5bfe\u8c61\u3068\u3057\u305f\u4ecb\u5165\u304c\u3001\u5065\u5eb7\u95a2\u9023QOL\u306e\u4f4e\u4e0b\u3092\u8efd\u6e1b\u3059\u308b\u4e0a\u3067\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002.<sup>1<\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c2\u7ae0\uff1a\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u4ecb\u5165\u306b\u3088\u308b\u6b7b\u6050\u6016\u75c7\uff08\u30bf\u30ca\u30c8\u30d5\u30a9\u30d3\u30a2\uff09\u306e\u514b\u670d<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">2.1 \u6a19\u6e96\u6cbb\u7642\uff1a\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u306b\u5bfe\u3059\u308b\u78ba\u7acb\u3055\u308c\u305f\u6cbb\u7642\u6cd5\u3067\u3042\u308b\u3002\u30e1\u30f3\u30b8\u30fc\u30ba\u3089\u306b\u3088\u308b\u30e1\u30bf\u5206\u6790\u3067\u306f\u3001CBT\u304c\u6b7b\u3078\u306e\u6050\u6016\u3092\u52b9\u679c\u7684\u306b\u8efd\u6e1b\u3067\u304d\u308b\u3053\u3068\u304c\u5b9f\u8a3c\u3055\u308c\u3066\u304a\u308a\u3001CBT\u306b\u57fa\u3065\u304f\u4ecb\u5165\u3092\u7528\u3044\u3066\u6b7b\u3078\u306e\u4e0d\u5b89\u306b\u5bfe\u51e6\u3059\u308b\u5fc5\u8981\u6027\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u308b\u3002.<sup>5<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306e\u4e3b\u306a\u30e1\u30ab\u30cb\u30ba\u30e0\u306f\u3001\u6b7b\u306b\u95a2\u3059\u308b\u4e0d\u9069\u5fdc\u306a\u4fe1\u5ff5\uff08\u4f8b\u3048\u3070\u3001\u6b7b\u3092\u4e2d\u7acb\u7684\u306b\u53d7\u3051\u5165\u308c\u308b\u3053\u3068\u3068\u77db\u76fe\u3059\u308b\u4fe1\u5ff5\uff09\u3092\u4fee\u6b63\u3057\u3001\u6050\u6016\u3092\u7dad\u6301\u3059\u308b\u56de\u907f\u884c\u52d5\u3092\u4e2d\u65ad\u3059\u308b\u3053\u3068\u306b\u3042\u308b\u3002.<sup>5<\/sup> \u6b7b\u3078\u306e\u6050\u6016\u306b\u5bfe\u3059\u308b\u6700\u3082\u4e00\u822c\u7684\u306a\u4e0d\u9069\u5fdc\u7684\u306a\u5bfe\u51e6\u6226\u7565\u306f\u56de\u907f\u884c\u52d5\u3067\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u308b\u3002\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u3001\u3053\u306e\u56de\u907f\u884c\u52d5\u306e\u60aa\u5faa\u74b0\u3092\u7a4d\u6975\u7684\u306b\u65ad\u3061\u5207\u308a\u3001\u60a3\u8005\u304c\u5b9f\u5b58\u7684\u82e6\u60a9\u306b\u6163\u308c\u308b\u3053\u3068\u3092\u53ef\u80fd\u306b\u3059\u308b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2.2 \u53d7\u5bb9\u3068\u975e\u8a8d\u77e5\u7d4c\u8def\uff1a\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u306b\u57fa\u3065\u304f\u4ecb\u5165\uff08MBI\uff09<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u4e0d\u5b89\u75c7\u72b6\u306e\u6cbb\u7642\u306b\u304a\u3051\u308b\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u306b\u57fa\u3065\u304f\u4ecb\u5165\uff08MBI\uff09\u3068\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306e\u6709\u52b9\u6027\u3092\u6bd4\u8f03\u3057\u305f\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\u3068\u30e1\u30bf\u5206\u6790\u3067\u306f\u3001\u6cbb\u7642\u7d50\u679c\uff08\u4e0d\u5b89\u3001\u6291\u3046\u3064\u3001\u7761\u7720\u306e\u8cea\uff09\u306b\u95a2\u3057\u3066\u3001\u4e21\u65b9\u6cd5\u9593\u306b\u6709\u610f\u306a\u5dee\u306f\u898b\u3089\u308c\u306a\u304b\u3063\u305f\u3002.<sup>7<\/sup> \u3053\u308c\u306f\u3001MBI\u304cCBT\u306e\u4ee3\u66ff\u4ecb\u5165\u3068\u3057\u3066\u52b9\u679c\u7684\u306b\u4f7f\u7528\u3067\u304d\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002 <sup>7<\/sup>, \u3053\u308c\u306f\u3001\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306e\u8a8d\u77e5\u7684\u306a\u5bfe\u6c7a\u30a2\u30d7\u30ed\u30fc\u30c1\u306b\u82e6\u52b4\u3059\u308b\u60a3\u8005\u306b\u3068\u3063\u3066\u3001\u5225\u306e\u9053\u7b4b\u3092\u63d0\u4f9b\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u308c\u30892\u3064\u306e\u7642\u6cd5\u306f\u3001\u7570\u306a\u308b\u7d4c\u8def\u3067\u4e0d\u5b89\u3092\u8efd\u6e1b\u3059\u308b\u3002\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u8a8d\u77e5\u518d\u69cb\u6210\u306b\u3088\u3063\u3066\u4e0d\u5b89\u3092\u89e3\u6d88\u3059\u308b\u4e00\u65b9\u3001\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u306b\u57fa\u3065\u304f\u4ecb\u5165\uff08MBI\uff09\u306f\u53d7\u5bb9\u3068\u611f\u60c5\u8abf\u7bc0\u3092\u4fc3\u9032\u3059\u308b\u3002.<sup>5<\/sup> \u3057\u304b\u3057\u3001MBI\uff08\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u306b\u57fa\u3065\u304f\u4ecb\u5165\uff09\u306f\u3001\u6b7b\u5f8c\u306e\u4e16\u754c\u306b\u5bfe\u3059\u308b\u4fe1\u5ff5\u306e\u5909\u5316\u3068\u4e00\u8cab\u3057\u3066\u95a2\u9023\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u75c7\u72b6\u7684\u306a\u53d7\u5bb9\u3092\u4fc3\u3059\u53ef\u80fd\u6027\u306f\u3042\u308b\u3082\u306e\u306e\u3001\u6839\u672c\u7684\u306a\u5b58\u5728\u8ad6\u7684\u524d\u63d0\u3092\u5909\u3048\u308b\u3082\u306e\u3067\u306f\u306a\u3044\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002.<sup>10<\/sup><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2.3 \u9769\u65b0\u7684\u306a\u624b\u6cd5\uff1a\u5b58\u5728\u306e\u5883\u754c\u306b\u6311\u6226\u3059\u308b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5f93\u6765\u306e\u6cbb\u7642\u6cd5\u306b\u52a0\u3048\u3001\u5b9f\u5b58\u7684\u6050\u6016\u306b\u95a2\u3059\u308b\u5b58\u5728\u8ad6\u7684\u306a\u5909\u5316\u3092\u4fc3\u3059\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u9769\u65b0\u7684\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u6a21\u7d22\u3055\u308c\u3066\u3044\u308b\u3002\u3053\u308c\u3089\u306f\u3001\u5358\u306b\u75c7\u72b6\u3092\u7ba1\u7406\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u60a3\u8005\u306e\u4fe1\u5ff5\u4f53\u7cfb\u3092\u5909\u3048\u308b\u53ef\u80fd\u6027\u3092\u79d8\u3081\u3066\u304a\u308a\u3001\u6cbb\u7642\u3078\u306e\u7b2c\u4e09\u306e\u9053\u7b4b\u3092\u793a\u3057\u3066\u3044\u308b\u3002.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">2.3.1 \u5e7b\u899a\u5264\u3092\u7528\u3044\u305f\u7cbe\u795e\u7642\u6cd5<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">LSD\u3084\u30b7\u30ed\u30b7\u30d3\u30f3\u306a\u3069\u306e\u5e7b\u899a\u5264\u306f\u3001\u611f\u899a\u77e5\u899a\u3092\u9ad8\u3081\u3001\u601d\u8003\u3092\u5e83\u3052\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u308b\u3002.<sup>11<\/sup> \u3053\u308c\u3089\u306e\u85ac\u306f\u3001\u5fc3\u3068\u4f53\u3092\u5207\u308a\u96e2\u3059\u52b9\u679c\u304c\u3042\u308a\u3001\u300c\u795e\u79d8\u7684\u306a\u4f53\u9a13\u300d\u3092\u5f15\u304d\u8d77\u3053\u3059\u3068\u3055\u308c\u3066\u304a\u308a\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u3092\u5927\u5e45\u306b\u8efd\u6e1b\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u3002.<sup>11<\/sup> \u751f\u547d\u3092\u8105\u304b\u3059\u75c5\u6c17\u306b\u3088\u308b\u4e0d\u5b89\u3092\u62b1\u3048\u308b\u60a3\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u7814\u7a76\u3067\u306f\u3001\u5e7b\u899a\u5264\u3092\u7528\u3044\u305f\u5fc3\u7406\u7642\u6cd5\u3092\u53d7\u3051\u305f\u60a3\u8005\u306f\u3001\u4e0d\u5b89\u3084\u6b7b\u3078\u306e\u6050\u6016\u304c\u6301\u7d9a\u7684\u306b\u8efd\u6e1b\u3055\u308c\u3001\u751f\u6d3b\u306e\u8cea\uff08QOL\uff09\u3082\u6539\u5584\u3057\u305f\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002.<sup>11<\/sup> \u3053\u308c\u306f\u3001\u3053\u308c\u3089\u306e\u4ecb\u5165\u7b56\u304c\u5358\u306b\u75c7\u72b6\u3092\u7de9\u548c\u3059\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u6839\u672c\u7684\u306a\u751f\u5b58\u306e\u8105\u5a01\u3092\u6c38\u7d9a\u7684\u306b\u8efd\u6e1b\u3059\u308b\u53ef\u80fd\u6027\u3092\u79d8\u3081\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">2.3.2 \u4eee\u60f3\u73fe\u5b9f\uff08VR\uff09\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d0\u30fc\u30c1\u30e3\u30eb\u30ea\u30a2\u30ea\u30c6\u30a3\uff08VR\uff09\u306f\u3001\u4f53\u5916\u96e2\u8131\u4f53\u9a13\uff08OBE\uff09\u3092\u30b7\u30df\u30e5\u30ec\u30fc\u30c8\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u3092\u8efd\u6e1b\u3059\u308b\u53ef\u80fd\u6027\u3092\u79d8\u3081\u3066\u3044\u308b\u3088\u3046\u3060\u3002.<sup>11<\/sup> \u4f53\u5916\u96e2\u8131\u4f53\u9a13\uff08OBE\uff09\u306e\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u306f\u3001\u4e00\u6642\u7684\u306a\u6b7b\u3084\u91cd\u5ea6\u306e\u969c\u5bb3\u306e\u5f8c\u306b\u3088\u304f\u5831\u544a\u3055\u308c\u308b\u4f53\u9a13\u3092\u6a21\u5023\u3057\u3066\u304a\u308a\u3001\u6b7b\u3078\u306e\u6050\u6016\u306e\u8efd\u6e1b\u3068\u95a2\u9023\u3057\u3066\u3044\u308b\uff08\u81e8\u6b7b\u4f53\u9a13\uff08NDE\uff09\u306b\u985e\u4f3c\uff09\u3002.<sup>11<\/sup> VR\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3001\u7279\u306b\u4f53\u5916\u96e2\u8131\u4f53\u9a13\u3092\u30b7\u30df\u30e5\u30ec\u30fc\u30c8\u3057\u305f\u7814\u7a76\u3067\u306f\u3001\u5b9f\u9a13\u7fa4\u306b\u304a\u3044\u3066\u6b7b\u3078\u306e\u6050\u6016\u30b9\u30b3\u30a2\u304c\u4f4e\u4e0b\u3057\u305f\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u3002\u3053\u308c\u306f\u3001VR\u304c\u6b7b\u5f8c\u306e\u4e16\u754c\u3084\u8089\u4f53\u7684\u306a\u6b7b\u3092\u8d85\u3048\u305f\u610f\u8b58\u306e\u5b58\u5728\u3078\u306e\u4fe1\u5ff5\u3092\u5f37\u5316\u3059\u308b\u3053\u3068\u3067\u6050\u6016\u3092\u8efd\u6e1b\u3057\u3001\u5b58\u5728\u8ad6\u7684\u306a\u5909\u5316\u3092\u3082\u305f\u3089\u3059\u53ef\u80fd\u6027\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002.<sup>11<\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c3\u7ae0\uff1a\u9077\u5ef6\u6027\u60b2\u5606\u969c\u5bb3\uff08PGD\uff09\u306e\u6a19\u6e96\u6cbb\u7642<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">3.1 \u5c02\u9580\u7684\u306a\u6cbb\u7642\u306e\u5fc5\u8981\u6027<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PGD\u306f\u4e00\u822c\u7684\u306a\u3046\u3064\u75c5\u3084\u4e0d\u5b89\u75c7\u3068\u306f\u7570\u306a\u308b\u72ec\u81ea\u306e\u75c5\u7406\u5b66\u7684\u7279\u5fb4\u3092\u6301\u3064\u305f\u3081\u3001\u5c02\u9580\u7684\u306a\u6cbb\u7642\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u3067\u306f\u3001\u6a19\u6e96\u7684\u306a\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u3001\u5bfe\u4eba\u95a2\u4fc2\u7642\u6cd5\uff08IPT\uff09\u3001\u30d6\u30d7\u30ed\u30d4\u30aa\u30f3\u306a\u3069\u306e\u6297\u3046\u3064\u85ac\u306f\u3001\u60b2\u5606\u306e\u4e2d\u6838\u75c7\u72b6\u3092\u8efd\u6e1b\u3059\u308b\u4e0a\u3067\u3001\u6a19\u7684\u7642\u6cd5\u3088\u308a\u3082\u512a\u308c\u3066\u3044\u308b\u3068\u306f\u8a00\u3048\u306a\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002.<sup>12<\/sup> \u3057\u305f\u304c\u3063\u3066\u3001PGD\u60a3\u8005\u306b\u306f\u500b\u3005\u306e\u30cb\u30fc\u30ba\u306b\u5408\u308f\u305b\u305f\u5fc3\u7406\u7642\u6cd5\u304c\u5fc5\u8981\u3068\u306a\u308b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.2 \u8907\u96d1\u6027\u60b2\u5606\u6cbb\u7642\uff08CGT\uff09\u306e\u4e2d\u6838\u3068\u306a\u308b\u69cb\u6210\u8981\u7d20<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u8907\u96d1\u6027\u60b2\u5606\u6cbb\u7642\uff08CGT\uff09\u306f\u3001\u8907\u6570\u306e\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u306b\u3088\u3063\u3066\u3001\u6301\u7d9a\u6027\u60b2\u5606\u969c\u5bb3\uff08PGD\uff09\u306b\u5bfe\u3059\u308b\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u304b\u3064\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u5fc3\u7406\u7642\u6cd5\u3068\u3057\u3066\u78ba\u7acb\u3055\u308c\u3066\u3044\u308b\u3002.<sup>12<\/sup> CGT\u306f\u3001\u60b2\u5606\u75c7\u72b6\u3068\u305d\u308c\u306b\u4f34\u3046\u6291\u3046\u3064\u75c7\u72b6\u306e\u4e21\u65b9\u3092\u8efd\u6e1b\u3059\u308b\u4e0a\u3067\u3001\u4ed6\u306e\u4ecb\u5165\u65b9\u6cd5\u3088\u308a\u3082\u512a\u308c\u3066\u3044\u308b\u552f\u4e00\u306e\u4ecb\u5165\u65b9\u6cd5\u3067\u3042\u308b\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u3066\u3044\u308b\u3002.<sup>12<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CGT\u306f\u30de\u30cb\u30e5\u30a2\u30eb\u5316\u3055\u308c\u305f\u30d7\u30ed\u30c8\u30b3\u30eb\u3067\u3042\u308a\u3001\u901a\u5e3816\u56de\u306e\u30bb\u30c3\u30b7\u30e7\u30f3\u304b\u3089\u69cb\u6210\u3055\u308c\u30017\u3064\u306e\u4e3b\u8981\u306a\u6cbb\u7642\u30c6\u30fc\u30de\u3092\u4e2d\u5fc3\u306b\u69cb\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002 <sup>12<\/sup>:<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li class=\"\"><strong>\u55aa\u5931\u306b\u5bfe\u51e6\u3057\u3001\u5145\u5b9f\u3057\u305f\u4eba\u751f\u3092\u9001\u308b\u305f\u3081\u306e\u80fd\u529b\u3092\u53d6\u308a\u623b\u3059\uff1a<\/strong> \u60a3\u8005\u304c\u5145\u5b9f\u3057\u305f\u751f\u6d3b\u3092\u53d6\u308a\u623b\u305b\u308b\u3088\u3046\u652f\u63f4\u3059\u308b\u3002.<\/li>\n\n\n\n<li class=\"\"><strong>\u6545\u4eba\u3078\u306e\u611b\u7740\u3092\u4fc3\u3059\uff1a<\/strong> \u4ea1\u304f\u306a\u3063\u305f\u611b\u3059\u308b\u4eba\u306e\u601d\u3044\u51fa\u3068\u3001\u5065\u5168\u3067\u6c38\u7d9a\u7684\u306a\u7e4b\u304c\u308a\u3092\u80b2\u3080\u3002.<\/li>\n\n\n\n<li class=\"\"><strong>\u8a8d\u77e5\u518d\u69cb\u6210\u3068\u611f\u60c5\u7ba1\u7406\uff1a<\/strong> \u4e0d\u9069\u5fdc\u306a\u8a8d\u77e5\u306b\u5bfe\u51e6\u3057\u3001\u6fc0\u3057\u3044\u611f\u60c5\u7684\u82e6\u75db\u3092\u7ba1\u7406\u3059\u308b\u305f\u3081\u306e\u30b9\u30ad\u30eb\u3092\u8eab\u306b\u3064\u3051\u308b\u3002.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">3.3 \u9732\u51fa\u6280\u8853\u306e\u91cd\u8981\u306a\u5f79\u5272<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">PGD\u6cbb\u7642\u306e\u52b9\u679c\u3092\u5de6\u53f3\u3059\u308b\u6700\u3082\u91cd\u8981\u306a\u8981\u7d20\u306f\u3001\u66dd\u9732\u7642\u6cd5\u3092\u53d6\u308a\u5165\u308c\u308b\u3053\u3068\u3067\u3042\u308b\u3002\u66dd\u9732\u7642\u6cd5\u3092\u7d44\u307f\u8fbc\u3093\u3060\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u3001\u66dd\u9732\u7642\u6cd5\u3092\u4f34\u308f\u306a\u3044CBT\u3068\u6bd4\u8f03\u3057\u3066\u3001PGD\u75c7\u72b6\u306e\u8efd\u6e1b\u306b\u304a\u3044\u3066\u3088\u308a\u5927\u304d\u304f\u3001\u3088\u308a\u6301\u7d9a\u7684\u306a\u52b9\u679c\u3092\u793a\u3057\u3066\u3044\u308b\u3002.<sup>14<\/sup> \u3053\u306e\u81e8\u5e8a\u52b9\u679c\u306f\u6cbb\u7642\u5f8c2\u5e74\u9593\u7dad\u6301\u3055\u308c\u3066\u304a\u308a\u3001PGD\u6cbb\u7642\u306b\u304a\u3044\u3066\u66dd\u9732\u304c\u300c\u6709\u52b9\u6210\u5206\u300d\u3067\u3042\u308b\u3053\u3068\u3092\u5f37\u304f\u793a\u5506\u3057\u3066\u3044\u308b\u3002.<sup>14<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u9732\u51fa\u306f2\u3064\u306e\u5f62\u3067\u4e0d\u53ef\u6b20\u3067\u3042\u308b <sup>12<\/sup>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\"><strong>\u60f3\u50cf\u4e0a\u306e\u518d\u8a2a\uff1a<\/strong> \u3053\u306e\u4e2d\u6838\u3068\u306a\u308b\u8981\u7d20\u306f\u3001\u6b7b\u306e\u77ac\u9593\u3084\u305d\u306e\u4ed6\u306e\u30c8\u30e9\u30a6\u30de\u3068\u306a\u308b\u8a18\u61b6\u3092\u4f53\u7cfb\u7684\u304b\u3064\u7e70\u308a\u8fd4\u3057\u8a9e\u308b\u3053\u3068\u3067\u3042\u308a\u3001\u60a3\u8005\u304c\u55aa\u5931\u306b\u4f34\u3046\u82e6\u75db\u306a\u611f\u60c5\u3084\u8a18\u61b6\u306b\u6163\u308c\u308b\u306e\u3092\u52a9\u3051\u308b\u3082\u306e\u3067\u3042\u308b\u3002.<\/li>\n\n\n\n<li class=\"\"><strong>\u72b6\u6cc1\u7684\u66dd\u9732\uff1a<\/strong> \u60a3\u8005\u306f\u3001\u6b7b\u5225\u4ee5\u6765\u907f\u3051\u3066\u304d\u305f\u5834\u6240\u3001\u6d3b\u52d5\u3001\u307e\u305f\u306f\u4eba\u3005\u3068\u5f90\u3005\u306b\u518d\u3073\u95a2\u308f\u308b\u3088\u3046\u306b\u4fc3\u3055\u308c\u3001\u305d\u308c\u306b\u3088\u3063\u3066\u884c\u52d5\u7684\u56de\u907f\u3092\u514b\u670d\u3059\u308b\u3002.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u5f37\u529b\u306a\u8a3c\u62e0\u306f\u3001PGD\u306e\u75c5\u7406\u304c\u30c8\u30e9\u30a6\u30de\u30b9\u30da\u30af\u30c8\u30e9\u30e0\u969c\u5bb3\u3068\u5927\u304d\u306a\u985e\u4f3c\u70b9\u3092\u5171\u6709\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u88cf\u4ed8\u3051\u3066\u3044\u308b\u3002PGD\u306f\u6839\u672c\u7684\u306b\u56de\u907f\u306b\u57fa\u3065\u304f\u969c\u5bb3\u3067\u3042\u308b\u305f\u3081\u3001\u75c5\u7684\u306a\u60b2\u5606\u72b6\u614b\u304b\u3089\u629c\u3051\u51fa\u3059\u306b\u306f\u3001\u6b7b\u306e\u73fe\u5b9f\u3068\u6545\u4eba\u306e\u3044\u306a\u3044\u672a\u6765\u306b\u5411\u304d\u5408\u3046\u3053\u3068\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002.<sup>14<\/sup><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>\u4ecb\u5165<\/strong><\/td><td><strong>\u4e3b\u8981\u69cb\u6210\u8981\u7d20<\/strong><\/td><td><strong>\u6709\u52b9\u6027 vs. \u5bfe\u7167\u7fa4\uff0f\u6bd4\u8f03<\/strong><\/td><td><strong>\u9577\u671f\u7684\u306a\u30e1\u30ea\u30c3\u30c8<\/strong><\/td><\/tr><\/thead><tbody><tr><td><strong>\u8907\u96d1\u6027\u60b2\u5606\u6cbb\u7642\uff08CGT\uff09<\/strong><\/td><td>\u66dd\u9732\u7642\u6cd5\uff08\u60f3\u50cf\u7684\uff0f\u72b6\u6cc1\u7684\uff09\u3001\u611b\u7740\u7126\u70b9\u7642\u6cd5\u3001\u8a8d\u77e5\u518d\u69cb\u6210\u7642\u6cd5\u3001\u56de\u5fa9\u7642\u6cd5\u3002.<\/td><td>IPT\u3001\u652f\u6301\u7684\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3001\u304a\u3088\u3073\u30d6\u30d7\u30ed\u30d4\u30aa\u30f3\u3068\u6bd4\u8f03\u3057\u3066\u3001\u512a\u308c\u305f\u6709\u52b9\u6027\u3092\u793a\u3059\u3002.<\/td><td>\u6570\u5e74\u9593\u6301\u7d9a\u3059\u308b\u52b9\u679c\uff08\u4f8b\uff1a2\u5e74\u9593\u306e\u8ffd\u8de1\u8abf\u67fb\uff09\u3002.<\/td><\/tr><tr><td><strong>\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08\u66dd\u9732\u7642\u6cd5\u3092\u9664\u304f\uff09<\/strong><\/td><td>\u8a8d\u77e5\u518d\u69cb\u6210\u3001\u57fa\u672c\u7684\u306a\u611f\u60c5\u7ba1\u7406\u3002.<\/td><td>\u66dd\u9732\u7642\u6cd5\u3092\u542b\u3080CGT\/CBT\u3088\u308a\u3082\u52a3\u308b\u3002.<\/td><td>\u75c7\u72b6\u8efd\u6e1b\u52b9\u679c\u304c\u4f4e\u304f\u3001\u6301\u7d9a\u6027\u3082\u4f4e\u3044\u3002.<\/td><\/tr><tr><td><strong>\u30a6\u30a7\u30d6\u30d9\u30fc\u30b9\u306e\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5<\/strong><\/td><td>\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306e\u539f\u5247\u3092\u30c7\u30b8\u30bf\u30eb\u3067\u63d0\u4f9b\u3059\u308b\uff08\u5229\u7528\u3057\u3084\u3059\u3044\uff09\u3002.<\/td><td>\u5bfe\u7167\u7fa4\u3068\u6bd4\u8f03\u3057\u3066\u3001\u60b2\u3057\u307f\u3084PTSD\u306e\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u4e2d\u7a0b\u5ea6\uff08$g =.54$\uff09\u304b\u3089\u5927\u304d\u306a\u52b9\u679c\uff08$g =.86$\uff09\u3092\u793a\u3057\u305f\u3002.<\/td><td>\u305d\u306e\u52b9\u679c\u306f\u6642\u9593\u7d4c\u904e\u3068\u3068\u3082\u306b\u5b89\u5b9a\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u305f\u3002.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">3.4 \u30ea\u30fc\u30c1\u306e\u62e1\u5927\uff1a\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u3092\u6d3b\u7528\u3057\u305f\u60b2\u5606\u30b1\u30a2<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u52b9\u679c\u7684\u306aPGD\u6cbb\u7642\uff08CBT\uff09\u306e\u8981\u7d20\u3092\u53d6\u308a\u5165\u308c\u305f\u30a4\u30f3\u30bf\u30fc\u30cd\u30c3\u30c8\u30d9\u30fc\u30b9\u306e\u4ecb\u5165\u306b\u95a2\u3059\u308b\u4f53\u7cfb\u7684\u306a\u30e1\u30bf\u5206\u6790\uff08N=1,257\uff09\u306f\u3001\u305d\u308c\u3089\u304c\u907a\u65cf\u306b\u3068\u3063\u3066\u6709\u671b\u306a\u7d50\u679c\u3092\u3082\u305f\u3089\u3059\u3053\u3068\u3092\u78ba\u8a8d\u3057\u3066\u3044\u308b\u3002.<sup>16<\/sup> \u30a6\u30a7\u30d6\u30d9\u30fc\u30b9\u306e\u4ecb\u5165\u306f\u3001\u60b2\u5606\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u4e2d\u7a0b\u5ea6\u306e\u52b9\u679c\uff08$g =.54$\uff09\u3092\u793a\u3057\u3001PTSD\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u5927\u304d\u306a\u52b9\u679c\uff08$g =.86$\uff09\u3092\u793a\u3057\u3001\u305d\u306e\u52b9\u679c\u306f\u6642\u9593\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u5b89\u5b9a\u3057\u3066\u3044\u305f\u3002.<sup>16<\/sup> \u3053\u308c\u306f\u3001\u30a6\u30a7\u30d6\u30d9\u30fc\u30b9\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u62e1\u5f35\u6027\u306e\u9ad8\u3044\u30bd\u30ea\u30e5\u30fc\u30b7\u30e7\u30f3\u3067\u3042\u308a\u3001\u6cbb\u7642\u3078\u306e\u969c\u58c1\u3092\u6e1b\u3089\u3059\u3053\u3068\u3067PGD\u6cbb\u7642\u3078\u306e\u30a2\u30af\u30bb\u30b9\u3092\u5411\u4e0a\u3055\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002.<sup>2<\/sup> \u7814\u7a76\u306b\u3088\u308b\u3068\u3001\u6cbb\u7642\u30bb\u30c3\u30b7\u30e7\u30f3\u306e\u56de\u6570\u304c\u591a\u3044\u3053\u3068\u3084\u3001\u3088\u308a\u500b\u5225\u5316\u3055\u308c\u305f\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u306f\u3001\u52b9\u679c\u3092\u9ad8\u3081\u308b\u8981\u56e0\u3067\u3042\u308a\u3001\u30c7\u30b8\u30bf\u30eb\u914d\u4fe1\u5f62\u5f0f\u3067\u3042\u3063\u3066\u3082\u3001\u6cbb\u7642\u306e\u5f37\u5ea6\u3068\u500b\u5225\u5316\u306e\u91cd\u8981\u6027\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u308b\u3002.<sup>16<\/sup><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c4\u7ae0\uff1a\u610f\u5473\u306e\u518d\u69cb\u7bc9\u3001\u56de\u5fa9\u529b\u3001\u305d\u3057\u3066\u5fc3\u7684\u5916\u50b7\u5f8c\u6210\u9577\uff08\u5e0c\u671b\u3092\u898b\u51fa\u3059\uff09<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">4.1 \u60b2\u5606\u306e\u69cb\u6210\u4e3b\u7fa9\u7406\u8ad6\uff1a\u610f\u5473\u306e\u3042\u308b\u4e16\u754c\u3092\u518d\u69cb\u7bc9\u3059\u308b<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u30ed\u30d0\u30fc\u30c8\u30fbA\u30fb\u30cb\u30fc\u30de\u30a4\u30e4\u30fc\u306e\u69cb\u6210\u4e3b\u7fa9\u7406\u8ad6\u3067\u6982\u5ff5\u5316\u3055\u308c\u305f\u60b2\u5606\u306e\u30d7\u30ed\u30bb\u30b9\u3068\u306f\u3001\u55aa\u5931\u306b\u3088\u3063\u3066\u6839\u672c\u7684\u306b\u63fa\u308b\u304c\u3055\u308c\u305f\u4e16\u754c\u306b\u304a\u3044\u3066\u3001\u500b\u4eba\u7684\u306a\u610f\u5473\u3092\u518d\u78ba\u8a8d\u307e\u305f\u306f\u518d\u69cb\u7bc9\u3057\u3088\u3046\u3068\u3059\u308b\u8a66\u307f\u3067\u3042\u308b\u3002.<sup>17<\/sup> \u3053\u306e\u30e2\u30c7\u30eb\u3067\u306f\u3001\u60b2\u3057\u307f\u306f\u75c5\u7406\u3067\u306f\u306a\u304f\u3001\u55aa\u5931\u306b\u610f\u5473\u3092\u4e0e\u3048\u308b\u3053\u3068\u3067\u5931\u308f\u308c\u305f\u5747\u8861\u3092\u53d6\u308a\u623b\u3059\u305f\u3081\u306e\u65b0\u305f\u306a\u7269\u8a9e\u3092\u69cb\u7bc9\u3059\u308b\u3001\u5fc5\u8981\u306a\u30d7\u30ed\u30bb\u30b9\u3067\u3042\u308b\u3068\u6349\u3048\u3066\u3044\u308b\u3002.<sup>17<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u518d\u5efa\u306e\u4e2d\u6838\u3068\u306a\u308b\u30e1\u30ab\u30cb\u30ba\u30e0\uff1a<\/strong> \u3053\u306e\u6cbb\u7642\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u3001 <strong>\u610f\u5473\u3065\u3051\u3001\u5229\u70b9\u306e\u767a\u898b\u3001\u305d\u3057\u3066\u6f38\u9032\u7684\u306a\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5909\u5316<\/strong>.<sup>17<\/sup> \u30c8\u30e9\u30a6\u30de\u3068\u306a\u308b\u3088\u3046\u306a\u7d4c\u9a13\u304c\u4eba\u751f\u306e\u76ee\u7684\u3084\u6b63\u7fa9\u306b\u3064\u3044\u3066\u306e\u524d\u63d0\u3092\u6253\u3061\u7815\u3044\u305f\u3068\u304d\u3001\u305d\u306e\u51fa\u6765\u4e8b\u304c\u306a\u305c\u8d77\u3053\u3063\u305f\u306e\u304b\u3092\u8a8d\u77e5\u7684\u306b\u7406\u89e3\u3057\u3088\u3046\u3068\u3059\u308b\u3053\u3068\u3067\u3001\u4e16\u754c\u89b3\u306e\u4e00\u8cab\u6027\u3092\u53d6\u308a\u623b\u3059\u305f\u3081\u306e\u610f\u5473\u3065\u3051\u304c\u4e0d\u53ef\u6b20\u3068\u306a\u308b\u3002.<sup>19<\/sup> \u3055\u3089\u306b\u3001\u6545\u4eba\u3068\u306e\u5065\u5168\u3067\u6c38\u7d9a\u7684\u306a\u7d46\u3092\u7bc9\u304d\u3001\u65b0\u305f\u306a\u751f\u304d\u65b9\uff08\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5909\u5316\uff09\u3092\u5275\u9020\u3059\u308b\u3053\u3068\u306f\u3001\u6210\u9577\u306e\u7d4c\u9a13\u306b\u3064\u306a\u304c\u308b\u3002.<sup>17<\/sup><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4.2 \u5fc3\u7684\u5916\u50b7\u5f8c\u6210\u9577\uff08PTG\uff09\u306e\u9054\u6210<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u60b2\u3057\u307f\u306e\u904e\u7a0b\u3067\u75db\u307f\u3084\u82e6\u75db\u3092\u611f\u3058\u308b\u306e\u306f\u5f53\u7136\u306e\u53cd\u5fdc\u3060\u304c\u3001\u30c6\u30c7\u30b9\u30ad\u3068\u30ab\u30eb\u30d5\u30fc\u30f3\u304c\u63d0\u5531\u3057\u305f\u5fc3\u7684\u5916\u50b7\u5f8c\u6210\u9577\uff08PTG\uff09\u306f\u3001\u55aa\u5931\u5f8c\u306b\u7d4c\u9a13\u3059\u308b\u80af\u5b9a\u7684\u306a\u5fc3\u7406\u7684\u5909\u5316\u3092\u8aac\u660e\u3059\u308b\u3082\u306e\u3067\u3042\u308b\u3002.<sup>20<\/sup> PTG\u306f\u3001\u55aa\u5931\u3092\u65e2\u5b58\u306e\u4e16\u754c\u89b3\u306b\u540c\u5316\u3055\u305b\u308b\u3001\u3042\u308b\u3044\u306f\u65b0\u305f\u306a\u73fe\u5b9f\u306b\u5408\u308f\u305b\u3066\u4e16\u754c\u89b3\u3092\u5909\u3048\u308b\u305f\u3081\u306e\u7a4d\u6975\u7684\u306a\u95d8\u3044\u3092\u901a\u3057\u3066\u8d77\u3053\u308b\u3002.<sup>20<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6210\u9577\u306b\u306f\u3001\u30c8\u30e9\u30a6\u30de\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u305f\u6df7\u4e71\u306b\u7a4d\u6975\u7684\u306b\u5411\u304d\u5408\u3046\u3053\u3068\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u3053\u308c\u306f\u3001\u5358\u306a\u308b\u56de\u5fa9\u529b\uff08\u5143\u306e\u72b6\u614b\u306b\u623b\u308b\u3053\u3068\uff09\u3068\u306f\u7570\u306a\u308a\u3001PTG\uff08\u5fc3\u7684\u5916\u50b7\u5f8c\u6210\u9577\uff09\u306f\u4ee5\u524d\u306e\u72b6\u614b\u3092\u8d85\u3048\u308b\u80af\u5b9a\u7684\u306a\u5909\u5316\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u7d4c\u9a13\u306e\u4e2d\u306b\u610f\u5473\u3092\u898b\u51fa\u3057\u305f\u308a\u3001\u81ea\u8eab\u306e\u6838\u3068\u306a\u308b\u4fe1\u5ff5\u3092\u518d\u69cb\u7bc9\u3057\u305f\u308a\u3059\u308b\u80fd\u529b\u306f\u3001\u9069\u5fdc\u3068\u6210\u9577\u306e\u30d7\u30ed\u30bb\u30b9\u306b\u304a\u3044\u3066\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002.<sup>17<\/sup> \u4eba\u751f\u306e\u610f\u5473\u3092\u898b\u51fa\u305b\u306a\u3044\u3053\u3068\u306f\u3001PGD\uff08\u6301\u7d9a\u6027\u6027\u5668\u6a5f\u80fd\u4e0d\u5168\uff09\u306e\u767a\u75c7\u3092\u5f37\u304f\u4e88\u6e2c\u3059\u308b\u8981\u56e0\u3067\u3042\u308b\u3002.<sup>17<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u3053\u306e\u7406\u8ad6\u7684\u306a\u3064\u306a\u304c\u308a\u306f\u3001PGD\u6cbb\u7642\uff08\u66dd\u9732\u7642\u6cd5\uff09\u3068\u5e0c\u671b\u306e\u767a\u898b\uff08\u518d\u69cb\u7bc9\uff09\u306e\u9593\u306b\u6a5f\u80fd\u7684\u306a\u9023\u7d9a\u6027\u3092\u78ba\u7acb\u3059\u308b\u3002PGD\u306e\u4e2d\u5fc3\u306b\u3042\u308b\u56de\u907f\u884c\u52d5\u3092\u514b\u670d\u3059\u308b\u66dd\u9732\u7642\u6cd5\u306f\u3001\u610f\u5473\u306e\u518d\u69cb\u7bc9\u3078\u306e\u9053\u3092\u958b\u304f\u305f\u3081\u306e\u4e0d\u53ef\u6b20\u306a\u524d\u63d0\u6761\u4ef6\u3067\u3042\u308b\u3002\u56de\u907f\u884c\u52d5\u304c\u514b\u670d\u3055\u308c\u308b\u3068\u3001\u500b\u4eba\u306f\u5fc5\u7136\u7684\u306b\u610f\u5473\u3065\u3051\u3068\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5909\u5316\u3068\u3044\u3046\u4f5c\u696d\u306b\u53d6\u308a\u7d44\u3080\u3053\u3068\u306b\u306a\u308b\u3002.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4.3 \u56de\u5fa9\u529b\u3068\u518d\u95a2\u4e0e\u306e\u305f\u3081\u306e\u6cbb\u7642\u7d4c\u8def<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u5e0c\u671b\u3092\u300c\u898b\u51fa\u3059\u300d\u30d7\u30ed\u30bb\u30b9\u306f\u3001\u53d7\u52d5\u7684\u306a\u53d7\u5bb9\u3067\u306f\u306a\u304f\u3001\u80fd\u52d5\u7684\u306a\u300c\u69cb\u7bc9\u300d\u3067\u3042\u308b\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u6cbb\u7642\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u3001\u55aa\u5931\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u4f5c\u696d\uff08\u6b7b\u3068\u5411\u304d\u5408\u3046\u3053\u3068\uff09\u304b\u3089\u3001\u56de\u5fa9\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u5bfe\u51e6\uff08\u884c\u52d5\u306e\u6d3b\u6027\u5316\uff09\u3078\u3068\u79fb\u884c\u3057\u3001\u518d\u69cb\u7bc9\u3055\u308c\u305f\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u3092\u5b9f\u969b\u306b\u5b9f\u73fe\u3067\u304d\u308b\u3088\u3046\u306b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"\"><strong>\u884c\u52d5\u6d3b\u6027\u5316\u3068\u5bfe\u51e6\u6cd5\uff1a<\/strong> \u56de\u5fa9\u529b\u3068\u5e0c\u671b\u306f\u3001\u4eba\u751f\u3078\u306e\u7a4d\u6975\u7684\u306a\u518d\u95a2\u4e0e\u3092\u901a\u3057\u3066\u80b2\u307e\u308c\u308b\u3002\u7279\u306b\u9ad8\u9f62\u8005\u306e\u3088\u3046\u306a\u8106\u5f31\u306a\u4eba\u3005\u306b\u5bfe\u3059\u308b\u52b9\u679c\u7684\u306a\u60b2\u5606\u4ecb\u5165\u306f\u3001 <strong>\u884c\u52d5\u6d3b\u6027\u5316<\/strong> \u304a\u3088\u3073\u30ac\u30a4\u30c0\u30f3\u30b9 <strong>\u56de\u5fa9\u5fd7\u5411\u306e\u5bfe\u51e6\u6cd5<\/strong>.<sup>24<\/sup> \u3053\u308c\u3089\u306e\u6226\u7565\u306f\u3001\u500b\u4eba\u304c\u5b64\u7acb\u611f\u3092\u514b\u670d\u3057\u3001\u4eba\u751f\u3078\u306e\u95a2\u4e0e\u3068\u7e4b\u304c\u308a\u3092\u6df1\u3081\u308b\u306e\u306b\u5f79\u7acb\u3061\u307e\u3059\u3002.<sup>24<\/sup><\/li>\n\n\n\n<li class=\"\"><strong>\u975e\u81e8\u5e8a\u30b5\u30dd\u30fc\u30c8\uff1a<\/strong> \u8cea\u7684\u306a\u8a3c\u62e0\u306b\u3088\u308b\u3068\u3001\u4e2d\u7a0b\u5ea6\u306e\u652f\u63f4\u3092\u5fc5\u8981\u3068\u3059\u308b\u4eba\u3005\u306b\u3068\u3063\u3066\u3001\u30d4\u30a2\u30b5\u30dd\u30fc\u30c8\u306f\u3001\u5185\u7701\u3001\u611f\u60c5\u8868\u73fe\u3001\u56de\u5fa9\u306b\u7126\u70b9\u3092\u5f53\u3066\u305f\u6d3b\u52d5\u306e\u6a5f\u4f1a\u3068\u4e26\u3093\u3067\u975e\u5e38\u306b\u4fa1\u5024\u304c\u3042\u308b\u3002.<sup>25<\/sup> \u3053\u308c\u306f\u3001\u56de\u5fa9\u529b\u3092\u9ad8\u3081\u308b\u4e0a\u3067\u3001\u516c\u8846\u885b\u751f\u3068\u5730\u57df\u793e\u4f1a\u306b\u57fa\u3065\u3044\u305f\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u91cd\u8981\u3067\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u7b2c5\u7ae0\uff1a\u7d71\u5408\u7684\u306a\u81e8\u5e8a\u30ed\u30fc\u30c9\u30de\u30c3\u30d7\u3068\u4eca\u5f8c\u306e\u65b9\u5411\u6027<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">5.1 \u4ecb\u5165\u306e\u7d71\u5408\uff1a\u9010\u6b21\u30e2\u30c7\u30eb<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u6b7b\u6050\u6016\u75c7\u3001\u6301\u7d9a\u6027\u969c\u5bb3\uff08PGD\uff09\u3001\u305d\u3057\u3066\u5e0c\u671b\u3092\u898b\u51fa\u3059\u3053\u3068\uff08\u3064\u307e\u308a\u3001\u518d\u69cb\u7bc9\uff09\u306e\u305f\u3081\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u3044\u305f\u6226\u7565\u306f\u3001\u4e00\u3064\u306e\u81e8\u5e8a\u7684\u30d7\u30ed\u30bb\u30b9\u3092\u5f62\u6210\u3057\u307e\u3059\u3002\u3053\u308c\u30893\u3064\u306e\u9818\u57df\u306f\u81e8\u5e8a\u7684\u306b\u5bc6\u63a5\u306b\u95a2\u9023\u3057\u3066\u304a\u308a\u3001\u52b9\u679c\u7684\u306a\u6cbb\u7642\u306f\u6bb5\u968e\u7684\u306a\u30e2\u30c7\u30eb\u306b\u5f93\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d5\u30a7\u30fc\u30ba1\uff1a\u75c7\u72b6\u306e\u5b89\u5b9a\u5316\u3068\u5b9f\u5b58\u7684\u7d71\u5408\uff08\u6b7b\u6050\u6016\u75c7\uff09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u6025\u6027\u4e0d\u5b89\u75c7\u72b6\u3092\u5b89\u5b9a\u3055\u305b\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u306b\u3088\u3063\u3066\u640d\u306a\u308f\u308c\u305f\u672a\u6765\u306e\u6642\u9593\u7684\u5c55\u671b\u3092\u56de\u5fa9\u3059\u308b\u305f\u3081\u306e\u8a8d\u77e5\u4f5c\u696d\u3092\u958b\u59cb\u3059\u308b\u306b\u306f\u3001CBT\u307e\u305f\u306fMBI\u3092\u4f7f\u7528\u3059\u308b\u30024 \u3053\u306e\u6bb5\u968e\u3067\u3001\u5b9f\u5b58\u7684\u4fe1\u5ff5\u306b\u7591\u554f\u3092\u6295\u3052\u304b\u3051\u308b\u305f\u3081\u306e\u9769\u65b0\u7684\u306a\u624b\u6cd5\u3092\u5c0e\u5165\u3057\u3066\u3082\u3088\u3044\u300211<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d5\u30a7\u30fc\u30ba2\uff1a\u5bfe\u6c7a\u3068\u30c8\u30e9\u30a6\u30de\u51e6\u7406\uff08PGD\uff09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PGD\u306e\u8a3a\u65ad\u57fa\u6e96\u3092\u6e80\u305f\u3059\u5834\u5408\u306f\u3001\u8907\u96d1\u6027\u60b2\u5606\u6cbb\u7642\uff08CGT\uff09\u3092\u5b9f\u65bd\u3057\u3001\u4e2d\u6838\u7684\u306a\u56de\u907f\u884c\u52d5\u3092\u514b\u670d\u3057\u3001\u30c8\u30e9\u30a6\u30de\u7684\u306a\u8a18\u61b6\u3092\u51e6\u7406\u3057\u3001\u884c\u52d5\u4e0a\u306e\u5236\u7d04\u3092\u89e3\u6d88\u3059\u308b\u305f\u3081\u306b\u3001\u30a4\u30e1\u30fc\u30b8\u518d\u8a2a\u3068\u72b6\u6cc1\u66dd\u9732\u3092\u53b3\u5bc6\u306b\u7d44\u307f\u8fbc\u3080\u300212<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u30d5\u30a7\u30fc\u30ba3\uff1a\u5fa9\u8208\u3068\u6210\u9577\uff08\u5e0c\u671b\uff09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u51e6\u7406\u304c\u6210\u529f\u3057\u305f\u5f8c\u306f\u3001\u55aa\u5931\u3092\u518d\u69cb\u7bc9\u3057\u3001\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5909\u5316\u3092\u7d71\u5408\u3059\u308b\u305f\u3081\u306e\u610f\u5473\u518d\u69cb\u7bc9\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u5c0e\u5165\u3059\u308b\u300217 \u3053\u306e\u6bb5\u968e\u306f\u3001\u884c\u52d5\u6d3b\u6027\u5316\u3068\u56de\u5fa9\u5fd7\u5411\u306e\u5bfe\u51e6\u6cd5\u3092\u901a\u3057\u3066\u6301\u7d9a\u7684\u306a\u56de\u5fa9\u529b\u3092\u56fa\u3081\u3001\u4eba\u751f\u3078\u306e\u518d\u95a2\u4e0e\u3092\u5f37\u5316\u3059\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u308b\u300224<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5.2 \u7814\u7a76\u4e0a\u306e\u8ab2\u984c\u3068\u4eca\u5f8c\u306e\u65b9\u5411\u6027<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">5.2.1 \u30c7\u30b8\u30bf\u30eb\u304a\u3088\u3073\u9769\u65b0\u7684\u306a\u4ecb\u5165\u306e\u6a19\u6e96\u5316<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u30a6\u30a7\u30d6\u30d9\u30fc\u30b9\u306e\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306fPGD\u306b\u3068\u3063\u3066\u91cd\u8981\u306a\u62e1\u5f35\u6027\u3092\u63d0\u4f9b\u3059\u308b\u4e00\u65b9\u3067\u3001\u52b9\u679c\u3092\u6700\u5927\u5316\u3059\u308b\u305f\u3081\u306b\u3001\u66dd\u9732\u306e\u7a2e\u985e\u3084\u500b\u5225\u30d5\u30a3\u30fc\u30c9\u30d0\u30c3\u30af\u306e\u5f37\u5ea6\u306a\u3069\u3001\u7279\u5b9a\u306e\u6cbb\u7642\u8981\u7d20\u306e\u6700\u9069\u5316\u3092\u512a\u5148\u3059\u308b\u53b3\u5bc6\u306a\u30e9\u30f3\u30c0\u30e0\u5316\u6bd4\u8f03\u8a66\u9a13\uff08RCT\uff09\u3092\u4eca\u5f8c\u306e\u7814\u7a76\u306e\u512a\u5148\u4e8b\u9805\u3068\u3059\u3079\u304d\u3067\u3042\u308b\u3002.<sup>16<\/sup> \u3053\u308c\u306f\u3001\u8106\u5f31\u306a\u7acb\u5834\u306b\u3042\u308b\u4eba\u3005\u304c\u6cbb\u7642\u3092\u53d7\u3051\u3084\u3059\u304f\u3059\u308b\u305f\u3081\u306b\u3001\u30c6\u30af\u30ce\u30ed\u30b8\u30fc\u3092\u6d3b\u7528\u3059\u308b\u4e0a\u3067\u4e0d\u53ef\u6b20\u3067\u3059\u3002.<sup>24<\/sup><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">5.2.2 \u5b58\u5728\u8ad6\u7684\u7642\u6cd5\u306e\u502b\u7406\u7684\u8a55\u4fa1<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">\u5e7b\u899a\u5264\u3092\u7528\u3044\u305f\u5fc3\u7406\u7642\u6cd5\u3084VR\u3068\u3044\u3063\u305f\u9769\u65b0\u7684\u306a\u5b9f\u5b58\u7642\u6cd5\u306f\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u3092\u5927\u5e45\u306b\u8efd\u6e1b\u3059\u308b\u53ef\u80fd\u6027\u3092\u793a\u3057\u3066\u3044\u308b\u304c\u3001\u73fe\u5728\u306e\u6587\u732e\u3067\u306f\u300c\u660e\u3089\u304b\u306b\u512a\u308c\u305f\u6cbb\u7642\u6cd5\u3092\u88cf\u4ed8\u3051\u308b\u3082\u306e\u306f\u306a\u3044\u300d\u3002.<sup>11<\/sup> \u3053\u308c\u3089\u306e\u65b9\u6cd5\u304c\u60a3\u8005\u306e\u6839\u5e79\u3068\u306a\u308b\u5b58\u5728\u8ad6\u7684\u4fe1\u5ff5\u3092\u5909\u3048\u308b\u529b\u3092\u6301\u3063\u3066\u3044\u308b\u3053\u3068\u3092\u8003\u3048\u308b\u3068\u3001 <sup>11<\/sup>, \u305d\u306e\u305f\u3081\u3001\u81e8\u5e8a\u73fe\u5834\u3067\u5e83\u304f\u63a1\u7528\u3055\u308c\u308b\u524d\u306b\u3001\u9577\u671f\u7684\u306a\u5b89\u5168\u6027\u3001\u6709\u52b9\u6027\u3001\u304a\u3088\u3073\u8907\u96d1\u306a\u898f\u5236\u4e0a\u304a\u3088\u3073\u502b\u7406\u4e0a\u306e\u8003\u616e\u4e8b\u9805\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u3001\u7d99\u7d9a\u7684\u306a\u524d\u5411\u304d\u7814\u7a76\u304c\u5fc5\u8981\u3067\u3042\u308b\u3002.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u4ed8\u9332\uff1a\u60b2\u5606\u3068\u5b9f\u5b58\u7684\u4e0d\u5b89\u306b\u95a2\u3059\u308b\u4e3b\u8981\u306a\u5b66\u8853\u8ad6\u6587\uff0f\u30ec\u30d3\u30e5\u30fc10\u4ef6\u306e\u8981\u7d04<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>ID<\/strong><\/td><td><strong>\u4e3b\u306a\u7814\u7a76\u30c6\u30fc\u30de<\/strong><\/td><td><strong>\u7814\u7a76\u306e\u7a2e\u985e\uff0f\u81e8\u5e8a\u9818\u57df<\/strong><\/td><td><strong>\u4e3b\u306a\u8abf\u67fb\u7d50\u679c\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u6226\u7565\uff09<\/strong><\/td><td><strong>\u30bd\u30fc\u30b9<\/strong><\/td><\/tr><\/thead><tbody><tr><td><strong>R1<\/strong><\/td><td>\u6b7b\u3078\u306e\u4e0d\u5b89\u306b\u5bfe\u3059\u308b\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u306e\u6709\u52b9\u6027<\/td><td>\u30e1\u30bf\u5206\u6790\uff0f\u6b7b\u6050\u6016\u75c7<\/td><td>\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u3001\u4e0d\u9069\u5fdc\u306a\u4fe1\u5ff5\u3084\u56de\u907f\u884c\u52d5\u306b\u7126\u70b9\u3092\u5f53\u3066\u308b\u3053\u3068\u3067\u3001\u6b7b\u3078\u306e\u6050\u6016\u3092\u52b9\u679c\u7684\u306b\u8efd\u6e1b\u3059\u308b\u3002.<\/td><td><sup>5<\/sup><\/td><\/tr><tr><td><strong>R2<\/strong><\/td><td>\u4e0d\u5b89\u75c7\u6cbb\u7642\u306b\u304a\u3051\u308bMBI\u3068CBT\u306e\u6bd4\u8f03<\/td><td>\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff0f\u30e1\u30bf\u5206\u6790<\/td><td>\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u306b\u57fa\u3065\u304f\u4ecb\u5165\uff08MBI\uff09\u306f\u3001\u4e00\u822c\u7684\u306a\u4e0d\u5b89\u75c7\u72b6\u306e\u8efd\u6e1b\u306b\u304a\u3044\u3066\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u3068\u540c\u7b49\u306e\u52b9\u679c\u304c\u3042\u308a\u3001\u6709\u52b9\u306a\u4ee3\u66ff\u4ecb\u5165\u6cd5\u3068\u306a\u308a\u5f97\u308b\u3002.<\/td><td><sup>7<\/sup><\/td><\/tr><tr><td><strong>R3<\/strong><\/td><td>\u6b7b\u3078\u306e\u6050\u6016\u306b\u5bfe\u3059\u308b\u5b9f\u5b58\u7684\u4ecb\u5165<\/td><td>\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff0f\u9769\u65b0\u7684\u6cbb\u7642\u6cd5<\/td><td>\u5e7b\u899a\u5264\u3092\u7528\u3044\u305f\u7642\u6cd5\u3084\u30d0\u30fc\u30c1\u30e3\u30eb\u30ea\u30a2\u30ea\u30c6\u30a3\uff08VR\uff09\u306f\u3001\u5b9f\u5b58\u7684\u306a\u5909\u5316\uff08\u4f8b\u3048\u3070\u3001\u6b7b\u5f8c\u306e\u4e16\u754c\u3078\u306e\u4fe1\u5ff5\u306e\u5f37\u5316\uff09\u3092\u5f15\u304d\u8d77\u3053\u3059\u3053\u3068\u3067\u3001\u6b7b\u3078\u306e\u4e0d\u5b89\u3092\u8efd\u6e1b\u3059\u308b\u53ef\u80fd\u6027\u3092\u793a\u3057\u3066\u3044\u308b\u3002.<\/td><td><sup>11<\/sup><\/td><\/tr><tr><td><strong>R4<\/strong><\/td><td>PGD\u306e\u30b4\u30fc\u30eb\u30c9\u30b9\u30bf\u30f3\u30c0\u30fc\u30c9\u3068\u3057\u3066\u306eCGT<\/td><td>RCT\u306e\u7d71\u5408<\/td><td>\u8907\u96d1\u6027\u60b2\u5606\u6cbb\u7642\uff08CGT\uff09\u306f\u3001\u5bfe\u4eba\u95a2\u4fc2\u7642\u6cd5\uff08IPT\uff09\u3001\u652f\u6301\u7684\u30ab\u30a6\u30f3\u30bb\u30ea\u30f3\u30b0\u3001\u304a\u3088\u3073\u30d6\u30d7\u30ed\u30d4\u30aa\u30f3\u3068\u6bd4\u8f03\u3057\u3066\u3001\u6301\u7d9a\u6027\u60b2\u5606\u969c\u5bb3\uff08PGD\uff09\u306e\u75c7\u72b6\u3092\u8efd\u6e1b\u3059\u308b\u4e0a\u3067\u512a\u308c\u3066\u3044\u308b\u3053\u3068\u304c\u8a3c\u660e\u3055\u308c\u3066\u3044\u308b\u3002.<\/td><td><sup>12<\/sup><\/td><\/tr><tr><td><strong>R5<\/strong><\/td><td>PGD\u306b\u304a\u3051\u308b\u9732\u51fa\u306e\u5fc5\u8981\u6027<\/td><td>RCT\uff082\u5e74\u9593\u306e\u8ffd\u8de1\u8abf\u67fb\uff09<\/td><td>\u66dd\u9732\u7642\u6cd5\uff08\u30a4\u30e1\u30fc\u30b8\u7642\u6cd5\uff0f\u72b6\u6cc1\u66dd\u9732\u7642\u6cd5\uff09\u3092\u7d71\u5408\u3059\u308b\u3053\u3068\u3067\u3001\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u5358\u72ec\u3088\u308a\u3082\u3001\u6301\u7d9a\u6027\u9077\u5ef6\u6027\u60b2\u5606\u969c\u5bb3\uff08PGD\uff09\u306e\u75c7\u72b6\u3092\u3088\u308a\u5927\u304d\u304f\u3001\u3088\u308a\u6301\u7d9a\u7684\u306b\u8efd\u6e1b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u3002.<\/td><td><sup>14<\/sup><\/td><\/tr><tr><td><strong>R6<\/strong><\/td><td>\u30c7\u30b8\u30bf\u30eb\u907a\u65cf\u30b1\u30a2\u306e\u6709\u52b9\u6027<\/td><td>\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff0f\u30e1\u30bf\u5206\u6790<\/td><td>\u30a6\u30a7\u30d6\u30d9\u30fc\u30b9\u306e\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT\uff09\u306f\u3001\u60b2\u5606\u3084\u5fc3\u7684\u5916\u50b7\u5f8c\u30b9\u30c8\u30ec\u30b9\u969c\u5bb3\uff08PTSD\uff09\u306e\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u4e2d\u7a0b\u5ea6\u304b\u3089\u5927\u304d\u306a\u52b9\u679c\u3092\u3082\u305f\u3089\u3057\u3001\u62e1\u5f35\u6027\u304c\u9ad8\u304f\u3001\u5229\u7528\u3057\u3084\u3059\u3044\u6cbb\u7642\u9078\u629e\u80a2\u3068\u306a\u308b\u3002.<\/td><td><sup>16<\/sup><\/td><\/tr><tr><td><strong>R7<\/strong><\/td><td>\u610f\u5473\u518d\u69cb\u7bc9\u7406\u8ad6<\/td><td>\u8a3c\u62e0\u306b\u57fa\u3065\u304f\u7406\u8ad6\uff0f\u7814\u7a76\u30d7\u30ed\u30b0\u30e9\u30e0<\/td><td>\u60b2\u3057\u307f\u3068\u306f\u3001\u55aa\u5931\u306b\u3088\u3063\u3066\u5909\u5bb9\u3057\u305f\u4e16\u754c\u306b\u304a\u3044\u3066\u3001\u500b\u4eba\u7684\u306a\u610f\u5473\uff08\u610f\u5473\u3065\u3051\u3001\u5229\u70b9\u306e\u767a\u898b\u3001\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5909\u5316\uff09\u3092\u80af\u5b9a\u307e\u305f\u306f\u518d\u69cb\u7bc9\u3059\u308b\u3001\u6839\u672c\u7684\u304b\u3064\u5efa\u8a2d\u7684\u306a\u30d7\u30ed\u30bb\u30b9\u3067\u3042\u308b\u3002.<\/td><td><sup>17<\/sup><\/td><\/tr><tr><td><strong>R8<\/strong><\/td><td>\u610f\u5473\u306e\u96e3\u3057\u3055\u3068\u75c5\u7406<\/td><td>\u7406\u8ad6\u7684\u7d71\u5408\/PGD\u4e88\u6e2c<\/td><td>\u55aa\u5931\u5f8c\u306b\u610f\u5473\u3092\u898b\u51fa\u3059\u3053\u3068\u3084\u3001\u4e2d\u6838\u3068\u306a\u308b\u4fe1\u5ff5\u3092\u518d\u69cb\u7bc9\u3059\u308b\u3053\u3068\u304c\u56f0\u96e3\u3067\u3042\u308b\u3053\u3068\u306f\u3001\u6df1\u523b\u3067\u9577\u671f\u306b\u308f\u305f\u308b\u60b2\u5606\uff08PGD\uff09\u306e\u5f37\u3044\u4e88\u6e2c\u56e0\u5b50\u3067\u3042\u308b\u3002.<\/td><td><sup>17<\/sup><\/td><\/tr><tr><td><strong>R9<\/strong><\/td><td>\u6b7b\u3078\u306e\u4e0d\u5b89\u3068\u5065\u5eb7\u95a2\u9023QOL<\/td><td>\u7e26\u65ad\u7814\u7a76\uff0f\u81e8\u5e8a\u76f8\u95a2<\/td><td>\u6b7b\u3078\u306e\u5f37\u3044\u4e0d\u5b89\u306f\u3001\u533b\u5b66\u7684\u306b\u8106\u5f31\u306a\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u5fc3\u7406\u7684\u82e6\u75db\u304a\u3088\u3073\u5065\u5eb7\u95a2\u9023QOL\uff08HRQoL\uff09\u306e\u4f4e\u4e0b\u3068\u5f37\u3044\u76f8\u95a2\u95a2\u4fc2\u304c\u3042\u308b\u3002.<\/td><td><sup>1<\/sup><\/td><\/tr><tr><td><strong>R10<\/strong><\/td><td>\u9ad8\u9f62\u8005\u5411\u3051\u60b2\u5606\u30b1\u30a2<\/td><td>\u7cfb\u7d71\u7684\u30ec\u30d3\u30e5\u30fc\uff0f\u8106\u5f31\u306a\u96c6\u56e3<\/td><td>\u9ad8\u9f62\u8005\u306b\u5bfe\u3059\u308b\u52b9\u679c\u7684\u306a\u60b2\u5606\u4ecb\u5165\u306f\u3001\u884c\u52d5\u6d3b\u6027\u5316\u3068\u56de\u5fa9\u5fd7\u5411\u306e\u5bfe\u51e6\u6cd5\u3092\u7d71\u5408\u3057\u3001\u793e\u4f1a\u3078\u306e\u518d\u53c2\u52a0\u3068\u56de\u5fa9\u529b\u3092\u4fc3\u9032\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002.<\/td><td><sup>24<\/sup><\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>\u6b7b\u6050\u6016\u75c7\u3001\u8907\u96d1\u6027\u60b2\u5606\u3001\u55aa\u5931\u5f8c\u306e\u5e0c\u671b\u306e\u63a2\u6c42\u306e\u305f\u3081\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306b\u57fa\u3065\u304f\u6226\u7565 \u7b2c 1 \u7ae0 \u6df1\u523b\u306a\u55aa\u5931\u3068\u5b9f\u5b58\u7684\u4e0d\u5b89\u306e\u81e8\u5e8a\u7684\u4ea4\u5dee\u70b9 1.1 \u60b2\u5606\u306e\u7bc4\u56f2\u306e\u5b9a\u7fa9: \u6025\u6027\u53cd\u5fdc\u3068\u75c5\u7684\u969c\u5bb3 \u55aa\u5931\u306b\u4f34\u3046\u82e6\u60a9\u3068\u82e6\u3057\u307f\u306f\u666e\u904d\u7684\u306a\u4eba\u9593\u53cd\u5fdc\u3067\u3059\u304c\u3001\u81e8\u5e8a\u7684\u30a2\u30d7\u30ed\u30fc\u30c1\u3067\u306f\u3001\u5178\u578b\u7684\u306a\u6025\u6027\u60b2\u5606\u3068\u91cd\u5ea6\u3067\u6301\u7d9a\u7684\u306a\u60b2\u5606\u3092\u533a\u5225\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u2026<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-316","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Grief &amp; Emotional Healing - AfterDeathStudy.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/afterdeathstudy.org\/ja\/grief-emotional-healing\/\" \/>\n<meta property=\"og:locale\" content=\"ja_JP\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Grief &amp; Emotional Healing - AfterDeathStudy.org\" \/>\n<meta property=\"og:description\" content=\"Evidence-Based Strategies for Thanatophobia, Complex Grief, and Finding Hope After Loss Chapter 1: The Clinical Intersection of Profound Loss and Existential Anxiety 1.1 Defining the Spectrum of Grief: Acute Reaction vs. Pathological Disorder While the distress and suffering following loss are universal human reactions, clinical approaches must 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