4. 臨床,障害 3AM-051 日心第77回大会（2013） %HKDYLRUDO$FWLYDWLRQIRU'HSUHVVLRQ6FDOH6KRUW)RUP %$'66)᪥ᮏㄒ∧ࡢసᡂ ۑᒣᮏ❳ஓ ࣭㤳⸨♸ ࣭ᆏㄔ 㸦 ୰ிᏛᏛ㝔ᚰ⌮Ꮫ◊✲⛉࣭ す▱ከࡇࡇࢁࡢࢡࣜࢽࢵࢡ࣭ ୰ிᏛᚰ⌮Ꮫ㒊㸧 ࣮࣮࢟࣡ࢻ㸸%$'66)⾜ືάᛶ⒪ἲ࠺ࡘ 'HYHORSPHQWRIWKH-DSDQHVH9HUVLRQRI%HKDYLRUDO$FWLYDWLRQIRU'HSUHVVLRQ6FDOH6KRUW)RUP%$'66) Tatsuya YAMAMOTO1, Yusuke SHUDO2 and Makoto SAKAI3 1 ( Graduate School of Psychology, Chukyo University, 2Nishi-Chita Mental Clinic , 3School of Psychology, Chukyo University) Key Words: BADS-SF, Behavioral Activation, depression ┠ ⓗ ⾜ືάᛶ㛵ࡍࡿᑻᗘࡣ㸪(526ᅜ㔛ࡽࡸ %$'6㧗ᇉࡽ༳ๅ୰ࡀ࠶ࡿࠋࡋࡋ㸪0DQRVHWDO ࡣ㸪%$'6 ࡣ࠸ࡃࡘࡢၥ㢟ⅬࡀᏑᅾࡍࡿࡇࢆᣦࡋ࡚࠸ ࡿࠋᮏ◊✲࡛ࡣ㸪%HKDYLRUDO$FWLYDWLRQIRU'HSUHVVLRQ 6FDOH6KRUW)RUP%$'66)ࡢ᪥ᮏㄒ∧ࢆసᡂࡍࡿࡇࢆ┠ ⓗࡋࡓࠋ࡞࠾㸪ᑻᗘࡢ⩻ヂ࠶ࡓࡾ㸪ཎⴭ⪅チྍࢆᚓ࡚ ࠸ࡿࠋ ᪉ ἲ ㄪᰝᑐ㇟⪅ ㄪᰝᑐ㇟⪅ࡣ㸪Ꮫ⏕ ྡ࡛࠶ࡗࡓ㸦⏨ᛶ ྡ㸪ዪᛶ ྡ㸪᫂ ྡ㸪ᖹᆒᖺ㱋 ṓ 6' 㸧 ࠋ ᗘ (1) BADS-SF ᪥ᮏㄒ∧ 9 㡯┠ࡢ⮬ᕫグධᘧᑻᗘ࡛࠶ࡾ㸪 ࠕάᛶ(Activation)ࠖ ࠕᅇ㑊(Avoidance)ࠖࡢ 2 ᅉᏊࡽ࡞ࡿࠋ᪥ᮏㄒ∧ࡢసᡂ ࠶ࡓࡾࠊࣂࢵࢡࢺࣛࣥࢫ࣮ࣞࢩࣙࣥࡢᡭ⥆ࡁࢆ⾜࠸㸪 ཎⴭ⪅➼౯ᛶࡢ☜ㄆࢆ⾜ࡗࡓࠋ (2)BADS ᪥ᮏㄒ∧㸦㧗ᇉࡽ, ༳ๅ୰㸧25 㡯┠㸪7 ௳ἲࠋ (3)AAQ ᪥ᮏㄒ∧㸦ᯇᮏ࣭Ἑෆ, 2012㸧10 㡯┠㸪7 ௳ἲࠋ (4)ATQ ᪥ᮏㄒ∧㸦ᆏᮏࡽ, 2004㸧30 㡯┠㸪5 ௳ἲࠋ (5)BIS/BAS ᪥ᮏㄒ∧㸦㧗ᶫࡽ, 2007㸧20 㡯┠㸪4 ௳ἲࠋ (6)CBAS ᪥ᮏㄒ∧㸦㧗ᇉࡽ, 2011㸧31 㡯┠㸪5 ௳ἲࠋ (7)CES-D ᪥ᮏㄒ∧㸦ᓥࡽ, 1985㸧20 㡯┠㸪4 ௳ἲࠋ (8)COPE ᪥ᮏㄒ∧㸦Otsuka et al., 2008㸧 ࠕ✚ᴟⓗࢥ࣮ࣆࣥࢢࠖ 4 㡯┠㸪 ࠕ⾜ືⓗㅉࡵࠖ4 㡯┠㸪4 ௳ἲࠋ (9)EROS ᪥ᮏㄒ∧㸦ᅜ㔛ࡽ, 2010㸧10 㡯┠㸪4 ௳ἲࠋ (10)RSQ ᪥ᮏㄒ∧㸦Sakamoto et al., 2001㸧”Ruminative Scale”22 㡯┠㸪4 ௳ἲࠋ ᡭ⥆ࡁ ㄪᰝࡣ㸪୍ᩧ㓄ᕸࡼࡿ㉁ၥ⣬ㄪᰝࡼࡾ⾜ࢃࢀࡓࠋ࡞࠾㸪 ㉁ၥ⣬ࡣ㸪ᅇ⟅⪅ࡢ㈇ᢸࢆ⪃៖ࡋ㸪 ✀㢮ࡢ㉁ၥ⣬ࢆ⏝ពࡋ ࡓࠋ࠸ࡎࢀࡢ㉁ၥ⣬ࡶ㸦㸧ࢆྵࡵ㸪ࡽࡢ ᗘ ࢆ↓సⅭࡾࡅࡓࠋ ⌮ⓗ㓄៖ ᮏ◊✲ࡣ㸪୰ிᏛᚰ⌮Ꮫ㒊࣭ᚰ⌮Ꮫ◊✲⛉◊✲⌮ᑂᰝ ጤဨࡢᢎㄆࢆ⤒࡚⾜ࢃࢀࡓࠋ ⤖ ᯝ Manos et al.(2011)ࡀᙜึᐃࡋࡓᅉᏊᵓ㐀࡛☜ドⓗᅉᏊ ศᯒࢆ⾜ࡗࡓࡇࢁ㸪㐺ྜᗘࡀᝏࡗࡓȮ GI S*), $*), &), 506($ ࠋ0DQRVHW DOᚑ࠸㸪➨ 㡯┠ᅇ㑊ࡽࣃࢫࢆᘬࡃ㸪㐺ྜᗘ ࡣᨵၿࡉࢀࡓȮ GI S*), $*), &), 506($ ࠋࡋࡋ㸪0DQRVHWDOࡢ⤖ᯝ ࡣ␗࡞ࡾ㸪 ࠕάᛶࠖࡽ➨ 㡯┠ࡢᅉᏊ㈇Ⲵ㔞ࡣᑠ ࡉࡗࡓࠋ ḟ㸪%$'66) ࡢಙ㢗ᛶࢆ᳨ウࡍࡿࡓࡵ㸪Șಀᩘࢆ⟬ฟ ࡋࡓࠋ%$'66) ࡢྜィᚓⅬ࡛ࡣ㸪Ș ࡛࠶ࡗࡓࠋୗᑻᗘ ࡛ࡣ㸪 ࠕάᛶࠖࡀȘ 㸪 ࠕᅇ㑊ࠖࡀȘ ࡛࠶ࡗࡓࠋ ᇶ‽㛵㐃ጇᙜᛶࡘ࠸࡚㸪%$'66) ᪥ᮏㄒ∧ྛ ᗘࡢ ┦㛵ಀᩘࢆ⟬ฟࡋࡓࠋࡑࡢ⤖ᯝࢆ 7DEOH ♧ࡋࡓࠋ Table 1 BADS-SF ᪥ᮏㄒ∧ྛ ᗘࡢ┦㛵ಀᩘ AAQ(n=409) ATQ(n=393) BADS(n=787) BIS/BAS 㥑ື(n=419) ่⃭᥈ồ(n=415) ሗ㓘ᛂᛶ(n=420) BIS(n=421) CBAS(n=389) CES-D(n=406) COPE ✚ᴟⓗࢥ࣮ࣆࣥࢢ(n=388) ⾜ືⓗㅉࡵ(n=393) EROS(n=386) RSQ-RUM(n=393) *p<.05 **p<.01 BADS-SF ྜィ άᛶ ᅇ㑊 -.47** -.54** .56** -.40** -.29** .34** .33** .60** -.57** .22** .08 .09 -.23** -.43** -.34** .24** .18** .16** -.16** -.28** -.24** -.07 .13* .08 .21** .43** .32** .44** -.47** .64** -.41** .46** -.35** .57** -.12* -.15** .37** -.36** .62** ⪃ ᐹ %$'66) ᪥ᮏㄒ∧ࡣ㸪ཎ∧ྠᵝᅉᏊᵓ㐀ୖࡢၥ㢟ࢆᢪ ࠼࡚࠸ࡿࡓࡵ㸪⥲ྜᚓⅬࢆ⏝࠸ࡿࡇࡀᮃࡲࡋ࠸ࠋ➨ 㡯┠ ࡢᅉᏊ㈇Ⲵ㔞ࡀ 0DQRVHWDO␗࡞ࡗ࡚࠸ࡓࡀ㸪ཎ ∧ࡢẚ㍑ࡢࡓࡵ㸪ඛ⾜◊✲࡛ᚓࡽࢀࡓᅉᏊᵓ㐀ᚑ࠺ࡇ ࡋࡓࠋ 㡯┠∧ࡢ %$'66) ᪥ᮏㄒ∧ࡣᅉᏊᵓ㐀ୖࡢၥ㢟௨ እ࡛ࡣ㸪ᇶ‽㛵㐃ጇᙜᛶࡸෆⓗᩚྜᛶࡀ㐺ษ♧ࡉࢀࡓࠋࡋ ࡓࡀࡗ࡚㸪%$'66) ᪥ᮏㄒ∧ࡣ㸪⾜ືάᛶ⒪ἲࡢᑻᗘࡋ ࡚᭷ຠ࡛࠶ࡿ⪃࠼ࡽࢀࡓࠋ ᘬ⏝ᩥ⊩ 0DQRV5&.DQWHU-:/XR:7KH%HKDYLRUDO $FWLYDWLRQIRU'HSUHVVLRQVFDOHVKRUWIRUP 'HYHORSPHQWDQG9DOLGDWLRQ%HKDYLRU7KHUDS\ ― 384 ―
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