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1-1 WPA/PTDうつ病性障害と治療

1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

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Page 1: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-1 WPA/PTDうつ病性障害と治療

Page 2: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-2 気分障害の1ヶ月間有病率

Page 3: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-3 身体疾患併存におけるうつ病性疾患の有病率

Page 4: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-4 自立高齢者のうつ病性障害の有病率

Page 5: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-5 施設ケアにおけるうつ病性障害

Page 6: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-6 日本におけるうつ病の地域調査

Page 7: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-7 精神障害による障害:障害調整生存年数

Page 8: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-8 うつ病性障害による自殺率

Page 9: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-9 90日間のうち就業が障害される日数

Page 10: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

1-10 うつ病性障害の年間費用

Page 11: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-1 うつ病性障害の要約:基本的解釈

Page 12: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-2 うつ病性障害の症状:基本的解釈

Page 13: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-3 身体疾患におけるうつ病性障害の要約

Page 14: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-4 身体疾患におけるうつ病性障害:キーポイント

Page 15: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-5 身体疾患とうつ病性障害の関係

Page 16: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-6 高齢者うつ病性障害の要約

Page 17: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-7 治療できる高齢者のうつ病性障害

Page 18: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

2-8 気分の変調をきたしやすい身体疾患:高齢者

Page 19: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

3-1 うつ病性障害の原因:基本的解釈

Page 20: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

3-2 うつ病性障害と身体疾患:考えられる併発の機序

Page 21: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

3-3 高齢者のうつ病性障害:考えられる原因

Page 22: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-1 診断に対する障害:基本的解釈

Page 23: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-2 診断に対する障害:身体疾患併存

Page 24: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-3 診断に対する障害(医師側の要因):高齢者

Page 25: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-4 診断に対する障害(患者側の要因):高齢者

Page 26: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-5 うつ病性障害の診断:基本的特性

Page 27: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-6 うつ病エピソード:大基準

Page 28: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-7 うつ病エピソード:典型的症状

Page 29: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-8 うつ病エピソード:付加的症状

Page 30: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-9 プライマリ・ケアでみられる愁訴

Page 31: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-10 身体疾患併存のうつ病性障害の診断

Page 32: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-11 高齢者のうつ病エピソード

Page 33: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-12 高齢者うつ病性障害の2大主症状

Page 34: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-13 高齢者うつ病性障害によくみられる症状

Page 35: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

4-14 うつ病性障害のためのスクリーニング法

Page 36: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-1 うつ病性障害の治療目的

Page 37: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-2 治療法:基本的解釈

Page 38: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-3 抗うつ薬の種類

Page 39: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-4 抗うつ薬の選択

Page 40: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-5 精神療法の種類

Page 41: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-6 精神療法の適用

Page 42: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-7 電気けいれん療法(ECT)の適用

Page 43: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-8 高齢者うつ病性障害の治療法

Page 44: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-9 3つの治療期

Page 45: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-10 抗うつ薬治療:急性期

Page 46: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-11 6週目評価:明らかな改善

Page 47: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-12 6週目評価:改善なし

Page 48: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-13 維持治療:その根拠

Page 49: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-14 フルオキセチンの1年間再発予防効果

Page 50: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-15 コンプライアンスに対する障害

Page 51: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-16 臨床管理の必須事項

Page 52: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-17 精神科医への紹介時期:基本的事項

Page 53: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-18 精神科医への紹介時期:身体疾患併存

Page 54: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-19 精神科医への紹介時期:高齢者

Page 55: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-20 うつ病性障害の再発

Page 56: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-21 うつ病性障害の予後:高齢者と若年者

Page 57: 1-1 WPA/PTDうつ病性障害と治療WPA/PTD WPA: World Psychiatric Association P TD :lnternational Committee for Prevention and Treatment of Depression WPA/PTD YFY 7% 4.8% CJstün

5-22 高齢者うつ病性障害の予後不良因子