ਜ਼ഛ൴ఱڠ༗࠲ۭࢌڠ໐ȁਜ਼ഛ൴༗࠲ۭࢌࡄݪȁలˍˍےȪijıIJijȫ 11 ࡔȁȁಠ ਜ਼ഛ൴ఱڠ༗࠲ۭࢌڠ໐ȁਜ਼ഛ൴༗࠲ۭࢌࡄ ݪIJ P.11 - 17ġĩ2012ȫ ൺএ͈̲̞̫̤͛ͥͅܢୈ૰છેͅచ̳͈ͥޣג൦ Associations of Bullying Victimization with Psychiatric Symptoms in Child and Adolescent ߦȁாȁجȁଲˍȫȁȁȁȁޯ ȁ ȁ מȁ ඵˍĭijȫ KUBOKURA Kayo KIRINO Eiji ါȁক ࿒എȇ̞̲͉࡛͛యུ̤̫ͥͅఱ̧̈́২ٛ࿚ఴ̜́ͥȃ̞̲͉͛ୈ૰છે͈ည֦͂̈́ͤୈ૰ છેͅਹఱ̈́ͬޣגဓ̢ͥȃ͉ࣽٝͩͦͩͦȂਜ਼ഛ൴ఱؖڠພ֭ιϋΗσ·ςΣΛ·̤̞ͅ ̀Ȃൺএۛܢ৪̤̫̞̲͈ͥ͛ͅୈ૰છેͅచ̳̞ͥ̀̾ͅޣג൦࣐̹͈ͬ̽́༭̳࣬ ͥȃ̹͘యນഎম႕ͬˎ႕া̳ͥȃ ༹༷ȇਜ਼ഛ൴ఱؖڠພ֭ιϋΗσ·ςΣΛ·̱̹ͬ IJĹ पո͈ۛئ৪ͬచય̱͂ȂICD- 10 ౯Ȃ̞̲͈͛ంहশܢȂ՛ৗഽȂછે۾ဓഽͬບ̹̱ثȃထഎ൦̱͂̀ࢃ༷ণഎ൦ ͬऔˍ̱࣐̞͂̀Ȃ̷͈ࢃȂஜ༷ণഎͅऔ ij ࣐̹ͬ̽ȃ ࠫضȇऔ IJ ͉́ൺএۛܢ৪͈ Ĵ ڬȂऔ ij ͉́ ĵ ͈̲̞͛ͅڬంह̦̹̯ͦږȃ औ IJ ͉́Ȃ̞̲͈͛͂শۼഎݻၗ̦߃̞͕̓Ȃ̞̲͈͛՛ৗഽ̦̩͕ࣞ̈́ͥ̓Ȃછે۾ဓഽ ̦̞ࣞ߹̹࢜ͬ͛ȃऔ ij ͉́Ȃంहশ۾ͅږྶ͕̞̓߃̦ܢဓͬঐഊ̧̹́ȃ̹͘՛ৗഽ ̦͕ࣞͥ̓͘Ȃྶ۾ͅږဓ̦̜ͥ͂౯̧́ͥΉȜΑ༷֚ͬ͛ͥȂ՛ৗഽ̦೩̞ાࣣȂ۾ဓ ͈ഽ͉͉̥̹֚́̈́̽ȃ ࠫࢊȇ̞̲͈͛ୈ૰છેͅచ̳̦ͥޣגఱ̧̞̭̦͈͂ࣽٝऔ̥ͣা̯ͦȂ்͈ܢਬಎഎ̈́ చ؊̦ຈါ̜̭̦́ͥ͂ठে̯̹ͦȃ ȁȁ॑ ֨ ဥ ࢊȇ̞̲͛ȂൺএܢȂୈ૰છેȂอోવٺȂুછΑβ·Πρθવٺ ȁȁKey wordsȇbullying, child puberty, spirit symptom, developmental disability, autism spectrum obstacle ԅȅ͉̲͛ͅ ͈͛݅ͬྶ̱اږȂ ȶ൚ڂൺര̦Ȃ͈֚૽ۼ ȁ̞̲͉࡛͛యུ̤̫ͥͅఱ̧̈́২ٛ࿚ఴ̜́ͤȂ ̜͈ͥ߸۾৪̥ͣȂၑഎȆၑഎ̈́ࢲ̫̹ࠢͬ ̷̞̲͛ͦͬ͞ߎ̱̹ͅুफ़͈༭ൽ̦ࢃͬ୲̹̞̈́ȃ ̭͂ͤ͢ͅȂୈ૰എ̈́ߎ̲̞͈ͬۜ̀ͥ͜ȃ̤̈́Ȃ ໐ڠشજ͈ȶൺര͈࿚ఴ࣐൲൝രঐ൵ષ͈ ̭̹ܳ̽ાਫ਼͉͈ࢷڠඤͬٸ࿚̞ͩ̈́ȃȷ̱̹͂݅ȃ ੨࿚ఴ̳ͥͅ۾औȷIJȫ͉́Ȃ଼ IJĹ ාഽ̥̞̲ͣ ଼ ijij ාഽ͈༭࣬ͥ͂͢ȂȆಎȆࣞȆඅ༆ڠ׳ ࢷ̤̫ͥͅȂ̞̲͈͛ତ͉˓ྔˑ୷Ȫஜ ˍȫਜ਼ഛ൴ఱڠ֓ڠ໐້௺ؖພ֭ιϋΗσ·ςΣΛ· ˎȫਜ਼ഛ൴ఱڠୈ૰࣒֓ڠज ˍȫġJuntendo University Shizuoka Hospital Department of Psychiatry ˎȫġJuntendo University Department of Psychiatry ȁȁĩFebį 20ĭ 2012 ࡔࣂັȫȪMarch 31, 2012 ࡔࣂႀȫ ාഽ˓ྔˏ୷ȫ̜̹́̽ȃ̹͘Ȃൺര IJııı ૽൚̹͈ͤତ͉ Ķįķ Ȫஜාഽ ĶįIJ ȫ̜́̽ ̹ȃ̹͘Ȇಎ̫̤ͥͅࢷڠȂະഴࢷൺരତ͉ 12 ޯמඵȇൺএ͈̲̞̫̤͛ͥͅܢୈ૰છેͅచ̳ͥޣג IJIJ ྔ Ķ ୷૽Ȫஜාഽġ IJij ྔ ij ୷૽ȫ́Ȃະഴࢷ শܢȂ՛ৗഽȂછે۾ဓഽȃ ൺര͈ ͉ࣣڬIJįIJĵɓȪஜාഽ IJįIJĶɓȫ̜̹́̽ȃ औ༹༷ȇऔˍ͉́ୈ૰֓شȂႉၑআ͈ ij ྴ ̷͈ಎ́ະഴࢷ̧̹̥̫̈́̽̽͂ͅࣉ̢ͣͦͥેޙ ոષ́൦ࣜ࿒̞̾̀ͅশၷͬࢃ༷ণഎͅ Ȫໝତٝ൞ȫ̱͂̀ȶ̞̲͛ȷ̦̜̬̹͈͉ͣͦȂijĭķıĹ ບ̹̱ثȃऔ ij ͉́শͅୈ૰֓شȂႉၑ ૽ȪijįĴɓȫ̜̹́̽ȃ আ͈ ij ྴ̦ஜ༷ণഎͅ൦ࣜ࿒ͬບ̹̱ثȃ ȁ܊୨ˎȫ͉Ȃ̫̤ͥͅࢷڠΠρ;ζ̱͂̀ȂഛबȂغমȂ ȁ̞̲͈͛ంहশܢশ͉Ȃıȶ̞̲̱͛̈́ȷȂంहশ ൺര̹͉͘ޗ͈ঘཌȂ٢ِ͞ඏடঘȂࢷඤཕႁȂ ܢIJȶంह̱̹خෝ๛̴̧́ȷ Ȃంहশ ܢijȶً ͬܕމ̹̽૽͈වȂڠಎ͈ম͞ະૣ ݲIJ ාոષஜͅంहȷȂంहশ ܢĴ ͬȶً ݲIJ ාոඤ ৪͈୪߃Ȃਘڠၫ࣐͈́͞௷ম̢̞̈́̓̀ͅح ȡ࡛ह̞̞̀ͥ͜ȷ̱̹͂݅ȃ ̲͈͛ਹါͬঐഊ̱̞̀ͥȃฒˏȫ͉Ȃࡇၛࢩോພ ȁછે۾ဓഽ̞͉̾̀ͅȂ۾ဓഽ ıȶ۾ဓ̱̈́ȇًݲ ֭ୈ૰૰ࠐ̫̤ͥͅشൺএۛܢ৪͈൲࢜ͅ ͅࠐࡑ̱̞̦࡛̀ͥછ͉ͅ۾ဓ̱͚̈́ͬ܄ȷȂ۾ဓഽ ̞̾̀औ̱Ȃൺএۛܢ৪͈ಎ̞̲́͛Ȇະഴ IJȶ۾ဓ͈خෝ๛̴̧́ȷ Ȃ۾ဓഽ ijȶྶ۾ͅږဓ ࢷ͈̈́̓ࢷڠະഐ؊ͬ৽ஶ̳͂ͥۛ৪̦ IJĴ ȡ IJĹɓ ̜ͤȷ̱̹͂݅ȃ ̹͛ͣͦ͂ͅ༭̱̹࣬ȃ ȁ̞̲͈͛՛ৗഽ̞͉̾̀ͅȂှ ĩIJĺĺķĪ ːȫ͈̞̲ ࡄݪ࿒എȇષܱ͈༭͈̠࣬͢ͅȂ̞̲͉͛ୈ૰છે ͛Αβ·Πρθͬ׳ဥ̱Ȃ՛ৗഽ ıȶম͉̞̦̈́ ͈ည֦͂̈́ͤୈ૰છેͅਹఱ̈́ͬޣגဓ̢ͥȃ̱̥ ٺැၪ̞̱̈́ٺ࿇ேͬ༴̞̞̀ͥાࣣȷ Ȃ՛ৗഽ IJ ̱Ȃ̞̲͛͂ൺএ͈ܢୈ૰͈ۛ͂۾Ⴒͬఱܰ ȶਔսͅୟޭഎ̈́ٺحഎփ࣐̦͞ږȆଔ̯ͦ ࿅ͅऔ̱̹൦͉Ȃ͈ͩͦͩͦͥࡠͤྚ̺ઁ̈́ ̴̞̥̥̈́ͩͣ͜ͅȂࠫضഎͅம́ࠁ̹̯ͦٸٺ ̞ȃ͉̞̲͈ࣽٝͩͦͩͦ͛ୈ૰છેͅచ̳ͥޣג ͈̯̞ۜͬ̾ͣͦ̀ͥાࣣȷȂ՛ৗഽ ijȶ৽̱͂̀ ̞̾̀ͅྶ̥̳̹ͣͥ͛ͅͅȂਜ਼ഛ൴ఱؖڠພ֭ ၑഎ̈́ͤ߫ͬٺ༐̱̫̞̀ͥ͂ଔ௶̯ͦȂٺح ιϋΗσ·ςΣΛ·̤̞̀ͅȂൺএۛܢ৪̤ͅ ম͈͉ࣾږඳ̜́̽̀͜ٺ৪௰ͅݢΑΠτ ̫̞̲͈ͥ͛ୈ૰છેͅచ̳̞ͥ̀̾ͅޣג൦ͬ Α؊̦ນ̯̞ͩͦ̀ͥાࣣȷȂ՛ৗഽ Ĵȶྶ̥ͣ̈́ ࣐̹͈̽́༭̳࣬ͥȃ̹͘యນഎম႕ͬˎ႕া̳ͥȃ ၑഎȆৗഎͤ߫ͬٺ༐̷̱̫̤̦̀ͤͦల २৪̽̀͢ͅخږෝ̈́ાࣣȷ Ȃ՛ৗഽ ĵȶྶ̥ͣ̈́ Ԇȅ༷ȁ༹ ఘഎȆࠐफഎͤ߫ͬٺ༐̱̫̤̀ͤȂٺح৪ ȁထഎ൦̱͂̀ࢃ༷ণഎ൦ͬऔˍ̱࣐͂̀ ௰͈࣐և̦ๆऻါͬྖ̹̳ાࣣȷ̱̹͂݅ȃ ̞Ȃ̷͈ࢃȂஜ༷ণഎͅऔ ij ࣐̹ͬ̽ȃ̞̲͛ͅ ̳ͥ۾࿚͞ࡢ૽ૂ༭͈৾ͤե̞̤̞̈́̓̀ͅȂळ ԇȅࠫȁضȪऔˍȫ ̥͈̾ႃၑഎၪ࣐̹ͬ̽ȃম႕া̤̞̀ͅ చયۛ৪ȇ̱̹ൺএۛܢ৪͉Ȃ଼ IJĹ ාഽ ͉Ȃࡢ૽̦අ̧̞ܱ́̈́श༹༷Ȫř ා̈́̓ȫͬဥ̞̹ȃ IJIJIJ ૽Ȫ ĴĶ ૽Ȃ ੫ ĸķ ૽ȫȂ ଼ IJĺ ාഽ IJıĹ ૽Ȫ చયȇਜ਼ഛ൴ఱؖڠພ֭ιϋΗσ·ςΣΛ·ͬ ĵĴ ૽Ȃ੫ ķĶ ૽ȫ͈ࠗ ijIJĺ ૽Ȫ ĸĹ ૽Ȃ੫ IJĵIJ ૽ȫ ̱̹ IJĹ पո͈ۛئ৪ȃ ̜̹́̽ȃාႢ͉ Ĵ पȡ IJĹ पͅື̱̤̀ͤȂIJij औ ۼ ܢȇ औ ˍȁ ଼ IJĹ ා ĵ ȡ ˤ ijı ා Ĵ ȃ पȡ IJĹ प̦ IJĹij ૽͂ Ĺ ̹̞̀͛ͬڬȃ̞̲̦͛ औ ijȁ଼ ijIJ ා ĵ ȡˤ ijij ා ij ȃ ࣽ́͘ͅంह̯̹̹̯ͦ͂ۛͦږ৪͉ ķĹ ૽́చય ൦ࣜ࿒ȇ༆Ȃා႓ȂICD -10 ౯Ȃ̞̲͈͛ంह ۛ৪͈ Ĵ ̹̜̽́ڬȃ ਜ਼ഛ൴ఱڠ༗࠲ۭࢌڠ໐ȁਜ਼ഛ൴༗࠲ۭࢌࡄݪȁలˍˍےȪijıIJijȫ ంहশܢȇ̞̲̦̜̹̹͛̽͂͛ͣͦۛ৪ ķĹ ૽͈ 13 ȪĵĴɓȫȂంहশ ܢĴ ̦ IJIJ ૽ȪijĹɓȫ̜̹́̽ȃ ̠̻Ȃంहশ ܢIJȪంह̱̹خෝ๛̴̧́ȫ̦ ාႢືȇ̞̲̦͛ంह̱̹ۛ৪͈ාႢື͉ Ĺ प IJĹ ૽ȪijķɓȫȂంहশ ܢijȪً ݲIJ ාոષஜͅంहȫ ȡ IJĹ पͅື̱̤̀ͤȂIJĴ ȡ IJĵ पȪIJĵ ૽ȫ ȂIJķ ̦ IJij ૽ȪIJĹɓȫȂంहশ ܢĴȪ̞̲̦͛ంह̱̞̀ ȡ IJĸ पȪIJij ૽ȫ̦ఉ̩Ȃඵ༰̞̹ͬ͂̽̀ȃ ̹শ ݲً̦ܢIJ ාոඤȡ࡛ह̞̞̀ͥ͜ȫ̦ Ĵķ ૽ ౯ȇICD -10 ႒ ́ ͉Ȃ औ IJ ͂ ൳ အ Ňĵ ̦ ఉ ̩Ȃ ȪĶķɓȫ̜̹́̽ȃ ষ̞́ ŇĹȪၑഎอో͈વٺȫȪ˓૽ȫȂŇijȪː૽ȫ ාႢືȇ̞̲̦͛ంह̱̹ۛ৪͉ ķ पͅ IJ ૽ږ ̜̹́̽ȃ ̯ͦȂ̷ͦո ͉ٸIJIJ ȡ IJĹ पȪķĸ ૽ȫͅື̱̤̀ છે۾ဓഽȇ۾ဓഽ ı ̦ IJı ૽ȪijĶɓȫȂ۾ဓഽ IJ ̦ ͤȂIJij ȡ IJķ पȪĶĹ ૽ȫ̦ఉ̥̹̽ȃ IJĶ ૽ȪĴĹɓȫ Ȃ۾ဓഽ ij ̦ IJĶ ૽ȪĴĹɓȫ̜̹́̽ȃ ౯ȇŊńŅ ĮIJı ႒́ȂŇĵȪ૰ࠐછવٺȄΑΠτ ۾́ࠁ͈̥ͣةဓ̦̜̹͙̯̹͈͉̞̲̽͂̈́ͦ͛ Α۾Ⴒવ͍ݞٺఘນ࡛વٺȫ̦ड͜ఉ̩ Ĵķ ૽́ ͈ంह̱̞̹̀ۛ৪͈ ĸ ̹̜̽́ڬȃ̞̲͈͛ం ̞̲̹͛ͬ͛ۛ৪͈ତոષ̜̹́̽ȃষͅఉ̥̽ हশ͂ܢછે۾ဓഽ̞͉̾̀ͅȂంहশ࡛̦ܢहͅ ̹͈̦ȂŇijȪൡࣣછȄൡࣣછ߿વ͍ݞٺ࿇ ேવٺȆŇĴȪܨ ĩ ۜૂ Ī વٺȫ́ȂĹ ૽̜̹́̽ȃ છે۾ဓഽȇ̞̲͈͛ంह̱̞̹̀చય৪͈̠̻Ȃ۾ ဓ ഽ ı ̦ ĸ ૽ȪIJı ɓȫȂ ۾ဓ ഽ IJ ̦ IJĶ ૽Ȫijij ɓȫ Ȃ ۾ဓഽ ijȪྶ۾ͅږဓ̜ͤȫ̦ ĵķ ૽ȪķĹɓȫ̜̹́̽ȃ ۾́ࠁ͈̥ͣةဓ̦̜̹͙̯̹͈͉̞̲̽͂̈́ͦ͛ ͈ంह̱̞̹̀ۛ৪͈ ĺ ̹̜̽́ڬȃ̞̲͈͛ం हশ͂ܢછે۾ဓഽ̞͉̾̀ͅȂ̞̲͈͛͂শۼഎݻ ၗ̦߃̞͕̓છે۾ဓഽ̦̞̭̦ࣞ͂া̯̹ͦ ĩ IJȫ ȃ ՛ৗഽȇ՛ৗഽ IJ ̦ ijı ૽ȪijĺɓȫȂ՛ৗഽ ij ̦ IJķ ˍ ంहশ۾͂ܢဓഽȪऔˍȫ ૽ȪijĵɓȫȂ՛ৗഽ Ĵ ̦ ijĸ ૽ȪĵıɓȫȂ՛ৗഽ ĵ ̦ ̞̲͈͛͂শۼഎݻၗ̦߃̞͕̓છે۾ဓഽ̦̥̹ࣞ̽ Ķ ૽Ȫĸɓȫ́Ȃ՛ৗഽ Ĵ ̦ड͜ఉ̥̹̽ȃ̞̲͈͛ ՛ৗഽ͂છે۾ဓഽ̞͉̾̀ͅȂ՛ৗഽ̦̩ࣞ̈́ͥ ͕̓છેͅ۾ဓ̱̞̀ͥΉȜΑ̦ఉ̥̹̽Ȫ ijȫȃ ԈȅࠫȁضȪऔ ijȫ చયۛ৪ȇ̱̹ൺএۛܢ৪͉ ȂĺĶ ૽Ȫ ĵı ૽Ȃ੫ ĶĶ ૽ȫ ȂාႢ͉ ĵ पȡ IJĹ पͅື̱̤̀ͤȂ IJĴ पȡ IJĹ प̦ ķij ૽͂ ķĶɓ̞̹ͬ͛̀ȃ̞̲͛ ̦ంह̱̹̹̯͂ۛͦږ৪͉ ĵı ૽́చયۛ৪͈ ĵ ̹̜̽́ڬȃ ంहশܢȇ̞̲̦͙̹͛͂͛ͣͦۛ৪ ĵı ૽͈̠̻Ȃ ం ह শ ܢIJ ̦ IJij ૽ȪĴı ɓȫȂ ం ह শ ܢij ̦ IJĸ ૽ ˎ ՛ৗഽ͂۾ဓഽȪऔˎȫ ՛ৗഽ̦̩͕ࣞ̈́ͥ̓છે۾ဓ̱̞̀ͥΉȜΑ̦ఉ̥̹̽ 14 ޯמඵȇൺএ͈̲̞̫̤͛ͥͅܢୈ૰છેͅచ̳ͥޣג ߃̞͕̓છે۾ဓഽ̦̩ࣞ̈́ͥ߹̹࢜ͬ͛Ȫ Ĵȫȃ ૽̴̾ྫণ̳ͥȷ̞̠̞̲̦̜̹͂͛̽ȃ˴Ƚˍාͅ ՛ৗഽȇ՛ৗഽ IJ ̦ ijĴ ૽ȪĶĺɓȫȂ՛ৗഽ ij ̦ IJij ͉̞̲͈͛എ֦͂ࡔ̦كএͩͦͥऒীඳಶͬ೮ ૽ȪĴIJɓȫȂ՛ৗഽ Ĵ ̦ ĵ ૽ȪĹɓȫȂ՛ৗഽ ĵ ̦ IJ ૽ȪĴɓȫ ̱̹ȃȜΐιΠςȜ̀ͅခփ̈́ਫ਼ࡉ̜ͤݙخ ́՛ৗഽ IJ ̦ड͜ఉ̥̹̽ȃ̞̲͈͛՛ৗഽ͂છે Ȇܕৗ͈ಶႁવ̹̜̽́ٺȃ̷͈ࢃȂಶႁ೩ئ ۾ဓഽ̞͉̾̀ͅȂ՛ৗഽ̦͕ࣞͥ̓͘Ȃྶ۾ͅږ ͅచً̱̀ഽ͈ະհͬ༴̩̠̈́ͤ͢ͅȂř ා൚ش ဓ̦̜ͥ͂౯̧́ͥΉȜΑ༷֚ͬ͛ͥȂ՛ৗഽ ̹͂̈́̽ȃ˒ύ͈ۼഎୈ૰ၷ༹ͤ͢ͅȂະ ̦೩̞ાࣣ͉۾ဓ͈ഽ͉͉̥̹֚́̈́̽Ȫ ĵȫȃ հ͉ࠚ١߹̹࢜ͬ͛ȃ ম႕ˎȇಎ IJ ঊȁഐ؊વٺȄࠚഽুΑβ·Π ρθવٺ ȁဘઁͤ͢ܢȂηνΣΉȜΏοϋෝႁͅࠚഽ͈વٺ ̦̜ͤȂਬ౬͉́ࡧၛ߹̞̹࢜ͬ͛̀ȃࣞࢷڠ ڠා͈̥͉̥̥̞͈ࣼͣͣచય̞̹̈́̽̀ͅȃ˴ා ĵ ȂಎڠවڠশȂ͈֚૽̦ഢࢷ̱̱̹̹̀̽͛͘Ȃ ̳̳͘͘ࡧၛ̱̹ȃ̯ͣͅ࡞ဩ͈̞̲̫̠͛ͬͥ͢ ̹̈́̽ͅȃ̷͈ࢃȂޗͅවͥ͂ഫ̦ܨ̲̠ͥ͢ͅ ̈́ͤȂဳ೩ئȂఘਹࡘઁ̧̹̱̹ͬȃˎͅܢڠවͥ ˏ ంहশ۾͂ܢဓഽȪऔˎȫ ͙͂͞ݝ༗࠲ഴࢷ̦௩̢Ȃ˴ා IJı ͤ͢ະྨ͜ ంहশ࡛̦ܢहͅ߃̞͕̓છે۾ဓഽ̦̩ࣞ̈́ͥ߹̹࢜ͬ͛ ̹̹͛͛Ȃ˴ා IJIJ ൚ش̹͂̈́̽ȃઁၾ͈ࢯະ հȂࢯ̠͈̾ൎဓ̢̀ͅحഎୈ૰ၷ༹ȂΕȜ ΏλσȆΑ΅σΒȆΠτȜΣϋΈͬࠑ̱̀ঔ࣐̱̹ȃ ະഴࢷ߹࢜͞ఘછે͉ষలͅࠚ١̱Ȃಎͬࢷڠ ުࢃȂܛབ͈ࣞࢷͅව̹̱ڠȃ ԉȅࣉȁख़ ȁऔ IJ ͉́ൺএۛܢ৪͈ Ĵ ڬȂऔ ij ͉́ ĵ ͈̲̞͛ͅڬంह̦̹̯ͦږȃฒˏĪ͈औ́ ͉Ȃ̞̲͛Ȇະഴࢷ͈̈́̓ࢷڠະഐ؊ͬ৽ஶ̱̹͂ ː ՛ৗഽ͂۾ဓഽȪऔˎȫ ՛ৗഽ̦͕ࣞͥ̓͘Ȃྶ۾ͅږဓ̦̜ͥ͂౯̧́ͥΉȜ Α༷֚ͬ͛ͥȂ՛ৗഽ̦೩̞ાࣣ͉۾ဓ͈ഽ͉֚́ ͉̥̹̈́̽ ൺএۛܢ৪̦ఘ͈ IJĴ ȡ IJĹɓ͂༭̱̞̹࣬̀ ̦Ȃ̷͉͈ࣽٝऔͬષ͈̜̹ٝͥ́̽͜ȃऔ IJ ͉́Ȃ̞̲̦͛ంह̱̹ۛ৪͈͉ࣣڬఘ͈ Ĵ ́ڬȂ ̷͈ ĺıɓոષ͉છેอ࡛ͅ۾́ࠁ͈̥ͣةဓ̱̞̀ ̹ȃ̞̲͈͛͂শۼഎݻၗ̦߃̞͕̓Ȃ̞̲͈͛՛ యນഎ̈́ম႕ͬˎ႕া̳ͥȃ ৗഽ̦̩͕ࣞ̈́ͥ̓Ȃછે۾ဓഽ̦̞ࣞ߹࢜ͬ͛ ম႕ˍȇಎˍ੫ঊȁਹഽΑΠτΑ؊ ̹ȃऔ ij ͉́Ȃంहশ۾ͅږྶ͕̞̓߃̦ܢဓͬ ȁ˴Ƚˎාਝ̥ࣼͣȶ·ρΑιȜΠ͈ঐা́ਜ਼๔ͅ IJ ঐഊ̧̹́ȃ̹͘՛ৗഽ̦͕ࣞͥ̓͘Ȃྶ۾ͅږဓ ਜ਼ഛ൴ఱڠ༗࠲ۭࢌڠ໐ȁਜ਼ഛ൴༗࠲ۭࢌࡄݪȁలˍˍےȪijıIJijȫ 15 ̦̜ͥ͂౯̧́ͥΉȜΑ༷֚ͬ͛ͥȂ՛ৗഽ̦ ͥȃΨͼΨȜ̹̻͈อࡉ͂ݣफ֓ͅၷȆ֗ޗȆ࣐ ೩̞ાࣣȂ۾ဓ͈ഽ͉͉̥̹֚́̈́̽ȃ ଽ̦ވ൳̱̀ႁ̳ͥຈါ̦̜ͥȃ ȁHawker ͂ Boultonˑȫ͉Ȃ̞̲̠͈͛͂̾̾ͅ߸۾ ̞̀Ȃ̞̲̹͛ͣͦ৪͉̞̲̞̞͛ͣͦ̀̈́৪ͤ͢ Ԋȅࠫȁࢊ ͜Ȃྶ̥̠͈ͣ̾ͅಭ͂ၑഎߎ̹ͬ͛͂༭ ̞̲͈͛ୈ૰છેͅచ̳̦ͥޣגఱ̧̞̭̦͂ࣽٝ ࣬ ̱ ̹ȃFekkes ͣ˒ȫ͉Ȃ̞̲̞͛ͣͦ̀ͥ৪Ȃ̞̲ ͈औ̥ͣা̯ͦȂ்͈ܢਬಎഎ̈́చ؊̦ຈါ̜́ ̞͛̀ͥ৪Ȃ༷̞̠͈ࣞ̾ͅςΑ·̦̹͛ͣͦ ̭̦ͥ͂ठে̯̹ͦȃ ͂ ༭ ࣬ ̱ ̹ȃBrunstein ͣĸȫ͉Ȃ̞̲̭͛ͣͦͥ͂͂ ̞̲̭͉͛ͥ͂Ȃএু̠͈͂̾ܢफ़͈ஆहഎςΑ ȁࡃ ·έ·ΗȜ̜́ͤȂ̞̲࣐͛൲̧̹ࣺͦ͘ͅے ˍȫ໐ڠشજȪijıIJIJįĹįĵȫȇ଼ ijij ාഽȶൺ ര ͈ ̠ ̾ ͂ ু फ़ ͈ ບ ͉ ثਹ ါ ́ ̜ ͥ ͂ ͓ ̹ȃ ȁȁര͈࿚ఴ࣐൲൝രঐ൵ષ͈੨࿚ఴ̳ͥͅ۾ ŇŦŬŬŦŴ ͣ˒ȫ͉Ȃ̧̞̲̹̥ࣺ͛̽̈́ͦ͘ͅےঊ̓͜ ȁȁऔȷ̞̾̀ͅ ͓ͅȂ̧̞̲̹ࣺ͛ͦ͘ͅےঊ͉̓͜Ȃ̠̾̈́̓ ȁȁ Ȳ http://www.mext.go.jp/b_menu/houdou/23/ ͈ୈ૰ેఠ͈࡛ၚ̦ൡࠗڠഎͅခփ̥̹ࣞ̽͂ͅ 08/__icsFiles/afieldfile/2011/08/04/1309304_ ༭̱̹࣬ȃࢵͅȂ̞̲̭͉͛ͣͦͥ͂Ȃঊݘރఞ͂ 01.pdf ȳ ͈ͅك႒য̱̞͓̞̀ͥ͂̀ͥȃ͈ࣽٝऔ́ ˎȫ܊୨ઍࢤȇ̫̤ͥͅࢷڠΠρ;ζΉͺȪ̞̲͛ȫį ͉Ȃ̞̲͈͛ంहອഽ͞ୈ૰છે͈͒۾ဓഽ͉औ IJȆ ȁȁႉୈ૰֓ڠȁ௩ ۏĭġIJĹĶĮIJĺIJĭġijııijį औ ij ͂ ͜ ͅ ࣞ ̞ ߹ ࢜ ͅ ̜ ͤȂ ً ͈ ݲ༭ ࣬ˏȫġĶȫġ ˏȫฒೄঊȇࡇၛࢩോພ֭ୈ૰૰ࠐ̫̤ͥͅشൺȆ ķĪ ĸĪ ĹĪ ĺĪ IJıĪ IJIJĪ IJijĪ ȁȁএۛܢ৪͈൲̞࢜̾̀ͅ įġ ల ĵĸ ུٝ ̳̹̜ͬͥࠫ̽́ضȃ ȁKaltiala-Heino RIJĴȫ͈ͣͬࢷڠαȜᾼ̱̹ৗ࿚ঞ ȁȁൺාୈ૰֓ڠٛઈਬ ĭġIJĵĶĭġijııķį औ͉́Ȃ̞̲̹͛ͣͦ৪Ȃ̞̲̹͛৪༷̠́̾ ːȫှგۘȇ̞̲͛Αβ·Πρθ࡛͂య̽ঊ į ̭̭ ͂ুफ़ැၪ͈௩̦ح൝̱̩͙͂͛ͣͦȂୈ૰֓ڠഎ ȁȁ͈ͧڠشȄĸıĭġĴķĮĵıĭġIJĺĺķįġ ٚව͉̞̲݂͛ͥ͢ͅ৪̥̩̞̲͊ͤ́̈́͛ͥ৪ ˑȫġġHawker DSJ, Boulton MJȇTwenty years’rese- ̞̾̀͜ͅຈါ̜́ͥ͂ა̲̹ȃ͈ࣽٝ൦͉Ȃ̞ arch on peer victimization and psychosocial ̲̫̹͛ͬ௰͈ঊ̹̻͈̓͜အͬऔ̱̹̦Ȃࣽ maladjustment:a meta-analytic review of ࢃ̞̲̱̹͛ͬঊ̹̻͈̓͜൦͜ຈါ͂ࣉ̢ͣͦ cross-sectional studies, Child Psychol Psychi- ͥȃ atry, 41, 441-445, 2000. ȁম႕ˍ͈̠̞̲͉͛͢ͅୈ૰વ͉̹͘ٺఘવٺ ˒ȫ ġġFekkes M, Pijpers FI, Verloove-Vanhorick ̧̭̳ͬ֨ܳੱ࣐ٺև̜́ͤȂๆऻͅഌ̳࣐ͥև SPȇBullying Behavior and associations with ̜̞̠́ͥ͂েͬ২ٛఘ̦ވခ̳ͥຈါ̦̜ͥȃ psychosomatic complaints and depression in ̹͘ম႕ˎ̠͢ͅুછΑβ·Πρθવ͈̓̈́ٺอ victims, J Pediati, 144, 17-22. 2004. ోવ̲̞͉͛ٺ͈ٺςΑ·έ·ΗȜ̜̞́ͥ͂ ˓ȫġġBrunstein Klomek A, Marrocco F, Kleinman ̠̭͂ͬȂਔս̞ͥͅ৪͉ુͅැ൮ͅ౾̩ຈါ̦̜ M et alȇBullying, depression, and suicidality ͥȃ̯ͣͅୈ૰̱ۛ͂̀ম႕̞̱̈́اȶ̞̲֯ͦ in adolescents, J Am Acad Child Adolesc ͛ΨͼΨȜȷ̦ஆहഎͅఉତ̞͈ͥ͂͜ଔख़̯ͦ Psychiatry, 46, 40-49, 2007. 16 ޯמඵȇൺএ͈̲̞̫̤͛ͥͅܢୈ૰છેͅచ̳ͥޣג ˔ȫՒ໐ఉਏຳȂ֞ڈసংȂന૾ޕঊȂఈȇോआ IJIJȫఱؖဇ جĭġ ؖ܃ၦ ĭġ ஜനୃহ͕̥ȇࢷڠबٺȽ ȁȁఱڠ֓ڠ໐ୈ૰شএٸܢြે̞̀̾ͅޙ ȁȁőŕŔŅ ۛ৪ͅచ̳ͥࢃ༷ণഎࡄݪȽ ĭġ ୈ૰شহၷ ȁȁģ ల ĵĶ ུٝൺාୈ૰֓ڠٛٛઈਬ ģȁ ȁȁ ڠĭġijĴļġĹķĶĮĹĸĶĭġijııĹįġ ȁȁIJķĺĭġijııĵį IJijȫाୌਜ ĭġ ུؖဈঊȇ̞̲͛Ȇ̞̲͛ͣͦͥઁ ˕ȫ૧֚֔Ȃࢩా֘ঊȂଫ༠Ȃఈȇൺා ȁȁා͈Ƚอోႉၑڠഎࣉख़Ƚ ĭġ ཤఱႹཔ ĭġ ȁȁܢୈ૰شြ֭৪͈൲࢜ȝIJı ා͈ۼസၛώݚພ ȁȁ ނĭġijııĵįġ ȁȁ֭ٸြൡࠗͬ ͅܖĭġ ల ĵĴ ུٝൺාୈ૰֓ IJĴȫ ġġKaltiala-Heino R, Rimpelä M, Marttunen ȁȁڠٛٛઈਬ ĭġIJĴıĭġijııijį M et al.ȇBullying, depression, and suicidal IJıȫཱඤঃখȂઐུ؇Ȃ२૰ୃȂఈȇՔຎఱڠ ideation in Finnish adolescents: school ȁȁ֓ڠ໐ັ௺ພ֭ୈ૰ش૰ࠐ̫̤ͥͅشൺා survey, BMJ. Aug 7; 319 (7206), 348-51, ȁȁۛܢ৪͈ٸြൡࠗ ĭġՔຎ֓ ڠĭġijĴĭġĶIJĭġijııĵį 1999. ਜ਼ഛ൴ఱڠ༗࠲ۭࢌڠ໐ȁਜ਼ഛ൴༗࠲ۭࢌࡄݪȁలˍˍےȪijıIJijȫ 17 Original Article Summary Associations of Bullying Victimization with Psychiatric Symptoms in Child and Adolescent. KUBOKURA Kayo IJĪ KIRINO Eiji 1) , ijĪ ȁȁȁȁȁȁȁȁIJĪ Juntendo University Shizuoka Hospital Department of Psychiatry ȁȁȁȁȁȁȁȁijĪ Juntendo University Department of Psychiatry Objectives: Recently bullying has become large social issues in Japan. Bullying induces various psychiatric symptoms or gives them serious influences. We conducted a survey examining the influence for psychiatric symptoms of bullying in the child and adolescent patient in Juntendo University Shizuoka Hospital. In addition, we present 2 representative cases. Methods: Subjects were the patient less than 18 years old who consulted the Department of Psychiatry in Juntendo University Shizuoka Hospital. We evaluated ICD-10 diagnosis and, distance of time of bullying, malice degree, and degree of responsibility for symptoms. We conducted survey retrospectively for Investigation 1 as preliminary survey, and afterwards did prospectively for investigation 2. Results: Presence of bullying was confirmed in about 30% of the patients in Investigation 1 and about 40% in Investigation 2. In investigation 1, when distance of time of bullying was nearer or a malice degree of bullying became higher, degrees of responsibility for symptoms were recognized higher. In Investigation 2, we recognized association with the symptoms definitely when the bullying was closest. In addition, in some cases there were definite involvements when a malice degree was definitively high. Conclusion: It was clearly shown that influence for psychiatric symptoms of bullying was salient from this investigation, and that early intensive interventions was necessary. Key wordsȇbullying, child puberty, spirit symptom, developmental disability, autism spectrum obstacle
© Copyright 2024 ExpyDoc
