2007

12 12

2006 1722,709 99,546 59,419 0.32 2.75 1.65 37 11 2.1 3.4 13 2006 13 17 2006

1987

2007 200617 2006 21 281-286 2009 30 150-157 --------------------------------------------------------------

2007 19 11 16 35181 13942 24.6 20.2 5.0 57 78 45 87 94

181 97 2007 9719 9725 SST 9722 9731

2001

2001 2007 10 -------------------------------------------------------------------------------------------

14 A10 14

14 15

15 12 2) AA Alcoholics Anonymous NA Narcotics Anonymous 12 Al Anon Nar Anon 2 12 12 1930

2000 2003 2001 NPO --------------------------------------- ----------------------------------------------------------------------

3) 90 99 80 89 70 10 LD ADHD 3

16 4772 100.0% 528 100.0% 120 213 4.5% 0.6% 110 119 463 9.7% 20 3.8% 100 109 1081 22.7% 77 14.6% 90 99 1366 28.6% 129 24.4% 80 89 867 18.2% 141 26.7% 70 79 503 10.5% 90 17.0% 60 69 134 2.8% 44 8.3% 59 81 1.7% 17 3.2% 64 1.3% 7 1.3% 200517 16 16 20 200921 2006 ACE Adverse Childhood Experiences

ACE 2006 1 ACE A B C 25% 19.5% 19.8% 1% 9.1% 11.9% 8.6% 1% 0% 0.5% 0% 0% 20.5% 22.2% 21.6% 2% 20.5% 14.1% 19.8% 2% 4.5% 8.1% 13.8% 3% 50% 56.8% 44% 7.1% 9.1% 9.7% 9.5% 0% 3.8% 4.9% 4.3% 1% 2006 1 DV 17

17 ACE 2006 1 18 18 2003 28: 39-54.

19 40 76 50 19 20 200921 20 16 54 17 40

20 2009 10

Loeber and Farrington, 2001 Rolf Loeber and David P. Farrington 2001 The Significance of Child Delinquency In Rolf Lorber and David P. Farrington (eds.) Child Delinquents. Sage. risk factor prevention model 10 Nurse-Family Relationship High/Scope Perry Preschool Project

Big Brothers Big Sisters of America Multidimensional Treatment Foster Care 21 21 200921 -------------------------------------------------------------------------------------------------

0.5 1.013 20

17 20

10

a b c

2000 2009 2008 -------

HIV HIV HIV 1981 HIV HIV HIV/AIDS 1992 HIV 1,30012,000 HIV HIV HIV HIV HIV HIV HIV HIVHIV Human Immunodeficiency Virus HIV HIV

HIV HIV 10 20 HIV HIVHIV HIV HIV HIV HIV 25 HIV HIV HIV B C HIV HIV HIVHIV HIV HIV HIV

18 HIVHIV 1980 HIV 20 HIV HIV HIV HIV HIV HIV HIV HIV HIV HIV 2006 SAFE SEX 2006 HIV Q A -----------------------------------------------------------

2 3

ADL 200618 200415

2006 2006 2005 -----------------------------------------------------------------,,

WHO ICD 10DSM DSM TR IQ IQ50 70 IQ35 50 IQ20 35IQ20

IQ71 85 ICD 10 DSM IV TRADHD PDD LD 22 PDD ADHD LD ADHD PDD ADHD 30 ADHD PDD DSM TR ICD 10PDD PDDADHD PDD 22

ADHD ADHD ADHD ADHD ADHD DSM TR PDDPDDADHD ADHD ADHDADHD ICD 10 ADHD ADHD ADHD

23 DSM IV TR 1943 ICD 10 23 PDD ICD 10 PDD ICD 10 PDD PDD PDDNOS ICD 10 PDD PDDNOS 1980 3 DSM TR

PDD PDD DSM TR -------------------------------------------------------------------------

DSM TR American Psychiatric Association 2000 10 20 American Academy of Child & Adolescent Psychiatry 1997

70 American Academy of Child & Adolescent Psychiatry 1998 SSRI SSRI

SSRI EMDR 4) 4

DSM TR 10 10 10

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