27 年 度 精 神 保 健 福 祉 基 礎 研 修 会 1
2
350 300 303 323 250 200 150 100 50 218 218 173 136 119 212 204 258 228 247 237 147 142 152 137 137 127 128 134 107 91 86 81 11 14 17 20 3
4
350 300 250 200 150 4.7 3.8 4.3 6.6 3.6 3.0 11.4 18.6 23.8 2.4 30.1 32.8 22.7 2.3 17.5 33.5 17.8 27.5 16.8 28.8 16.6 13.0 25.9 12.3 214.9 211.5 201.2 196.5 185.3 171.7 100 50 0 19.5 21.3 5.3 22.2 24.4 24.9 25.5 10.2 5.0 8.1 3.7 11.1 8.2 3.6 11.5 7.2 3.7 10.7 11.3 6.9 5.3 11.7 12.1 14.6 13.7 10.3 9.6 7.3 6.6 H8 H11 H14 H17 H20 H23 4.2 5
3000 2500 2000 1500 1000 500 0 309 68 459 13 227 71 417 411 416 504 453 19 251 91 494 685 70 531 558 608 539 43 32 39 43 52 65 55 75 84 91 99 107 266 111 580 896 147 212 208.9 207 150 584 1012 H8 H11 H14 H17 H20 H23 325 162 565 929 6
7 1.7% 0.8% 17.9% 3.1% 14.3% 7.2% 2.6% 4.4% 15.1% 1.6% 1.4% 2.4% 0.2% 4.4% 13.7% 1.1% 0.7% 27.4% 0% 10% 20% 30% (N=3539)
8
IQ 100 9
10
11
DSM Diagnostic and Statistical Manual of Mental Disorders DSM-III-R (1987), DSM-IV(1994), DSM-IV-TR (2000), DSM-5 (2013) ICD International Statistical Classification of Diseases and Related Health Problems 1990 (WHO) 12
13
14
15
16
26 17
30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% 28.3% 25.2% 8.8% 12.8% 209 281277 1.8% 1.8% 18
19
20
NIOSH 21
22
23
24
25
() (1 500ml) (1 180ml) (60ml) (35 ) (1 180ml) (1 120ml) 5% 15% 43% 35% 12% 20g 22g 20g 50g 12g 26
27
41 127 134 2012 28
29
30
31
32
33 DSM- -TR
34
35
36
37
38
39
BDNF: brain derived neurotrophic factor 40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
+++ +++ +++ ++ + + ++ ++ ++ + 93
94
95
2012625NHK 96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
1 5 114
0% 20% 40% 60% 80% 100% (N=557) 16.0% 35.4% 42.2% 6.5% (N=205) 19% 24.4% 46.3% 10.2% (N=307) 12% 40.4% 43.0% 4.2% (N=37) 32% 62.2% 5.4% 0.0% (N=6) 0.0% 0% 66.7% 33.3% FAX (N=2) 0.0% 0% 100.0% 0.0% 115
116
118
119
120
121
122
123
124
JAAD 125
126
127 127
128
129
130
131
GABA 132
133
134
135
136
137
20 40 138
139
140