{"id":220,"date":"2025-05-21T09:50:59","date_gmt":"2025-05-21T00:50:59","guid":{"rendered":"https:\/\/dr-kosodate-ns.com\/?p=220"},"modified":"2025-05-21T09:51:00","modified_gmt":"2025-05-21T00:51:00","slug":"%e5%b0%8f%e5%85%90%e6%9c%9f%e9%80%86%e5%a2%83%e4%bd%93%e9%a8%93%ef%bc%88aces%ef%bc%89%e2%91%a0%e7%b2%be%e7%a5%9e%e7%a7%91%e7%9a%84%e8%a6%96%e7%82%b9%e3%81%8b%e3%82%89%e3%81%ae%e7%90%86%e8%a7%a3","status":"publish","type":"post","link":"https:\/\/dr-kosodate-ns.com\/?p=220","title":{"rendered":"\u5c0f\u5150\u671f\u9006\u5883\u4f53\u9a13\uff08ACEs\uff09\u2460\u7cbe\u795e\u79d1\u7684\u8996\u70b9\u304b\u3089\u306e\u7406\u89e3"},"content":{"rendered":"\n<p>\u3053\u3093\u306b\u3061\u306f\u3001Dr.\u6d41\u661f\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u300c\u5c0f\u5150\u671f\u9006\u5883\u4f53\u9a13\uff08ACEs: Adverse Childhood Experiences\uff09\u300d\u3068\u3044\u3046\u8a00\u8449\u306f\u3001\u307e\u3060\u4e00\u822c\u7684\u306b\u306f\u3042\u307e\u308a\u6d78\u900f\u3057\u3066\u3044\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3053\u308c\u306f\u3001\u5b50\u3069\u3082\u304c\u5e7c\u5c11\u671f\u306b\u7d4c\u9a13\u3059\u308b\u8650\u5f85\u3084\u30cd\u30b0\u30ec\u30af\u30c8\u3001\u5bb6\u5ead\u5185\u66b4\u529b\u3001\u89aa\u306e\u7cbe\u795e\u75be\u60a3\u306a\u3069\u3001\u6df1\u523b\u306a\u30b9\u30c8\u30ec\u30b9\u3068\u306a\u308b\u51fa\u6765\u4e8b\u3092\u6307\u3059\u6982\u5ff5\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u5c0f\u5150\u671f\u9006\u5883\u4f53\u9a13\u306f\u3001\u7c73\u56fd\u3092\u4e2d\u5fc3\u306b\u8fd1\u5e74\u6025\u901f\u306b\u7814\u7a76\u304c\u9032\u307f\u3001\u5358\u306b\u5fc3\u306e\u554f\u984c\u306b\u3068\u3069\u307e\u3089\u305a\u3001\u8133\u3084\u795e\u7d4c\u7cfb\u306e\u767a\u9054\u306b\u9577\u671f\u7684\u306a\u5909\u5316\u3092\u3082\u305f\u3089\u3057\u3001\u6210\u4eba\u671f\u306b\u81f3\u308b\u307e\u3067\u5fc3\u8eab\u306e\u5065\u5eb7\u306b\u591a\u5927\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u65e5\u672c\u3067\u306f\u307e\u3060\u4e00\u822c\u7684\u306a\u8a8d\u77e5\u304c\u9032\u3093\u3067\u304a\u3089\u305a\u3001\u5c0f\u5150\u79d1\u533b\u3084\u7cbe\u795e\u79d1\u533b\u306e\u4e2d\u3067\u3082\u5341\u5206\u306b\u7406\u89e3\u3055\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\uff08\u79c1\u3082\u7d76\u8cdb\u52c9\u5f37\u4e2d\u3067\u3059\u3002\u5185\u5bb9\u306f\u4eca\u5f8c\u3082\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3057\u3066\u3044\u304d\u307e\u3059\u306d\uff01\uff09<\/p>\n\n\n\n<p>\u672c\u30b7\u30ea\u30fc\u30ba\u3067\u306f\u3001\u5c0f\u5150\u671f\u9006\u5883\u4f53\u9a13\u304c\u5b50\u3069\u3082\u306e\u767a\u9054\u3084\u7cbe\u795e\u75be\u60a3\u306b\u3069\u306e\u3088\u3046\u306a\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u306e\u304b\u3001\u2460\u7406\u89e3\u3001\u2461\u4e88\u9632\u30fb\u652f\u63f4\u3001\u2462\u5e74\u4ee3\u5225\u306e\u7279\u5fb4\u3001\u306b\u5206\u3051\u3066\u3001\u6700\u65b0\u306e\u6587\u732e\u3084\u79d1\u5b66\u7684\u77e5\u898b\u306b\u57fa\u3065\u3044\u3066\u8a73\u3057\u304f\u89e3\u8aac\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-black-color has-text-color has-link-color wp-elements-84182860eced5a3a97e3c1a374663661\">\u5c0f\u5150\u671f\u9006\u5883\u4f53\u9a13\u3000\u5177\u4f53\u4f8b<\/h2>\n\n\n\n<p>\u3067\u306f\u307e\u305a\u3001\u5c0f\u5150\u671f\u9006\u5883\u4f53\u9a13\uff08ACEs\uff09\u3068\u306f\u3069\u306e\u3088\u3046\u306a\u4f53\u9a13\u3092\u8a00\u3046\u306e\u304b\u3001\u5177\u4f53\u4f8b\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<br>\u3053\u308c\u3089\u306e\u4f53\u9a13\u304c\u3044\u304f\u3064\u3042\u308b\u304b\u306b\u3088\u3063\u3066\u5f71\u97ff\u306e\u5ea6\u5408\u3044\u3082\u9055\u3063\u3066\u304d\u307e\u3059\u3002<\/p>\n\n\n\n<div class=\"wp-block-group has-border -border02 has-swl-main-thin-background-color has-background\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<p class=\"is-style-border_left\"><strong>\u8eab\u4f53\u7684\u8650\u5f85\uff08Physical Abuse\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u6bb4\u308b\u3001\u8e74\u308b\u3001\u53e9\u304f\u3001\u62bc\u3057\u5012\u3059\u306a\u3069\u306e\u8eab\u4f53\u7684\u306a\u66b4\u529b<\/li>\n\n\n\n<li>\u7d50\u679c\u3068\u3057\u3066\u8eab\u4f53\u306b\u50b7\u3084\u3042\u3056\u304c\u6b8b\u308b\u884c\u70ba<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong> \u7cbe\u795e\u7684\u8650\u5f85\uff08Emotional Abuse\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8a00\u8449\u3084\u614b\u5ea6\u3067\u5b50\u3069\u3082\u3092\u8105\u3057\u305f\u308a\u3001\u4fae\u8fb1\u3057\u305f\u308a\u3059\u308b\u3053\u3068<\/li>\n\n\n\n<li>\u7f75\u5012\u3001\u5426\u5b9a\u7684\u306a\u8a00\u8449\u3001\u6975\u5ea6\u306e\u6279\u5224\u3084\u8efd\u8996<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u6027\u7684\u8650\u5f85\uff08Sexual Abuse\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u76f4\u63a5\u7684\u306a\u6027\u7684\u66b4\u529b\u3084\u5f37\u5236\u7684\u306a\u6027\u7684\u63a5\u89e6<\/li>\n\n\n\n<li>\u6027\u7684\u306a\u8a71\u984c\u3084\u30a4\u30e1\u30fc\u30b8\u3078\u306e\u7121\u7406\u306a\u66b4\u9732<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u8eab\u4f53\u7684\u30cd\u30b0\u30ec\u30af\u30c8\uff08Physical Neglect\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u57fa\u672c\u7684\u306a\u8863\u98df\u4f4f\u3084\u5b89\u5168\u306a\u74b0\u5883\u3092\u63d0\u4f9b\u3057\u306a\u3044<\/li>\n\n\n\n<li>\u75c5\u6c17\u3084\u30b1\u30ac\u306e\u969b\u306b\u9069\u5207\u306a\u6cbb\u7642\u3092\u53d7\u3051\u3055\u305b\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u60c5\u7dd2\u7684\u30cd\u30b0\u30ec\u30af\u30c8\uff08Emotional Neglect\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5b50\u3069\u3082\u306e\u611f\u60c5\u3084\u7cbe\u795e\u7684\u306a\u30cb\u30fc\u30ba\u306b\u5bfe\u3059\u308b\u7121\u8996<\/li>\n\n\n\n<li>\u611b\u60c5\u3084\u30b5\u30dd\u30fc\u30c8\u304c\u6b20\u5982\u3057\u3066\u3044\u308b\u5bb6\u5ead\u74b0\u5883<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u5bb6\u5ead\u5185\u66b4\u529b\uff08Domestic Violence\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u5bb6\u5ead\u5185\u3067\u306e\u89aa\u3084\u5144\u5f1f\u9593\u306e\u66b4\u529b\u3084\u8650\u5f85\u3092\u76ee\u6483\u3059\u308b\u3053\u3068<\/li>\n\n\n\n<li>\u6016\u308c\u3084\u4e0d\u5b89\u3092\u62b1\u3048\u305f\u307e\u307e\u80b2\u3064\u74b0\u5883<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u89aa\u306e\u7cbe\u795e\u75be\u60a3\uff08Parental Mental Illness\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u89aa\u304c\u3046\u3064\u75c5\u3001\u7d71\u5408\u5931\u8abf\u75c7\u3001\u53cc\u6975\u6027\u969c\u5bb3\u3001PTSD\u306a\u3069\u306e\u7cbe\u795e\u75be\u60a3\u3092\u62b1\u3048\u3066\u3044\u308b\u5834\u5408<\/li>\n\n\n\n<li>\u89aa\u81ea\u8eab\u306e\u60c5\u7dd2\u4e0d\u5b89\u5b9a\u304c\u5bb6\u5ead\u5168\u4f53\u306b\u5f71\u97ff\u3059\u308b<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u89aa\u306e\u85ac\u7269\u4e71\u7528\u3084\u30a2\u30eb\u30b3\u30fc\u30eb\u4f9d\u5b58\uff08Substance Abuse\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u89aa\u304c\u85ac\u7269\u3084\u30a2\u30eb\u30b3\u30fc\u30eb\u306b\u4f9d\u5b58\u3057\u3066\u3044\u308b\u72b6\u6cc1<\/li>\n\n\n\n<li>\u305d\u306e\u7d50\u679c\u3068\u3057\u3066\u5bb6\u5ead\u304c\u4e0d\u5b89\u5b9a\u306b\u306a\u308a\u3001\u5b50\u3069\u3082\u304c\u9069\u5207\u306a\u30b1\u30a2\u3092\u53d7\u3051\u3089\u308c\u306a\u3044<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u5bb6\u65cf\u306e\u5d29\u58ca\uff08Divorce or Parental Separation\uff09<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u4e21\u89aa\u306e\u96e2\u5a5a\u3084\u5225\u5c45<\/li>\n\n\n\n<li>\u5bb6\u65cf\u306e\u7a81\u7136\u306e\u5206\u96e2\u3084\u7247\u89aa\u3068\u306e\u65ad\u7d76<\/li>\n<\/ul>\n\n\n\n<p class=\"is-style-border_left\"><strong>\u5bb6\u65cf\u306e\u5211\u52d9\u6240\u53ce\u76e3\uff08Incarceration of a Family Member\uff09<\/strong><\/p>\n\n\n\n<ul 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data-opened=\"false\"><i class=\"__icon--closed icon-caret-down\"><\/i><i class=\"__icon--opened icon-caret-up\"><\/i><\/span><\/summary><div class=\"swell-block-accordion__body\" data-swl-acc=\"body\">\n<h2 class=\"wp-block-heading has-swl-deep-02-color has-text-color has-link-color wp-elements-6f19d71296e3afe544e07a18bec7a936\">\u53c2\u8003\u6587\u732e\u30fb\u60c5\u5831\u6e90<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., &amp; Marks, J. S. (1998). &#8220;Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study.&#8221; <em>American Journal of Preventive Medicine, 14<\/em>(4), 245-258. doi:10.1016\/S0749-3797(98)00017-8<\/li>\n\n\n\n<li>Shonkoff, J. P., &amp; Garner, A. S. (2012). &#8220;The lifelong effects of early childhood adversity and toxic stress.&#8221; <em>Pediatrics, 129<\/em>(1), e232-e246. doi:10.1542\/peds.2011-2663<\/li>\n\n\n\n<li>Teicher, M. H., &amp; Samson, J. A. (2016). &#8220;Annual Research Review: Enduring neurobiological effects of childhood abuse and neglect.&#8221; <em>Journal of Child Psychology and Psychiatry, 57<\/em>(3), 241-266. doi:10.1111\/jcpp.12507<\/li>\n\n\n\n<li>Anda, R. F., Butchart, A., Felitti, V. J., &amp; Brown, D. W. (2010). &#8220;Building a framework for global surveillance of the public health implications of adverse childhood experiences.&#8221; <em>American Journal of Preventive Medicine, 39<\/em>(1), 93-98. doi:10.1016\/j.amepre.2010.03.015<\/li>\n\n\n\n<li>McLaughlin, K. A., Sheridan, M. A., &amp; Lambert, H. K. (2014). &#8220;Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience.&#8221; <em>Neuroscience &amp; Biobehavioral Reviews, 47<\/em>, 578-591. doi:10.1016\/j.neubiorev.2014.10.012<\/li>\n\n\n\n<li>National Scientific Council on the Developing Child. (2014). &#8220;Excessive stress disrupts the architecture of the developing brain.&#8221; <em>Center on the Developing Child at Harvard University.<\/em> Retrieved from <a>https:\/\/developingchild.harvard.edu\/resources\/wp1\/<\/a><\/li>\n\n\n\n<li>Perry, B. D., &amp; Szalavitz, M. 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(2014). &#8220;Adverse childhood experiences: Assessing the impact on health and school engagement and the mitigating role of resilience.&#8221; <em>Health Affairs, 33<\/em>(12), 2106-2115. doi:10.1377\/hlthaff.2014.0914<\/li>\n\n\n\n<li>Anda, R. F., Felitti, V. J., Bremner, J. D., Walker, J. D., Whitfield, C., Perry, B. D., Dube, S. R., &amp; Giles, W. H. (2006). &#8220;The enduring effects of abuse and related adverse experiences in childhood: A convergence of evidence from neurobiology and epidemiology.&#8221; <em>European Archives of Psychiatry and Clinical Neuroscience, 256<\/em>(3), 174-186. doi:10.1007\/s00406-005-0624-4<\/li>\n\n\n\n<li>National Child Traumatic Stress Network (NCTSN). (2020). &#8220;Understanding Child Trauma.&#8221; Retrieved from <a>https:\/\/www.nctsn.org\/what-is-child-trauma<\/a><\/li>\n\n\n\n<li>Harvard Center on the Developing Child. (2016). &#8220;Key Concepts: Toxic Stress.&#8221; Retrieved from <a>https:\/\/developingchild.harvard.edu\/science\/key-concepts\/toxic-stress\/<\/a><\/li>\n\n\n\n<li>Siegel, D. J., &amp; Bryson, T. P. (2012). <em>The Whole-Brain Child: 12 Revolutionary Strategies to Nurture Your Child&#8217;s Developing Mind.<\/em> Bantam.<\/li>\n\n\n\n<li>World Health Organization (WHO). (2020). &#8220;Adverse Childhood Experiences International Questionnaire (ACE-IQ).&#8221; Retrieved from <a>https:\/\/www.who.int\/publications\/i\/item\/9789240005301<\/a><\/li>\n\n\n\n<li>United Nations Children&#8217;s Fund (UNICEF). (2017). &#8220;A Familiar Face: Violence in the lives of children and adolescents.&#8221; Retrieved from <a>https:\/\/data.unicef.org\/resources\/a-familiar-face\/<\/a><\/li>\n<\/ul>\n<\/div><\/details>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac\u3011\u5c0f\u5150\u671f\u9006\u5883\u4f53\u9a13\u306f\u3001\u5fc3\u3068\u4f53\u306b\u6df1\u3044\u5f71\u97ff\u3092\u53ca\u307c\u3059\u3060\u3051\u3067\u306a\u304f\u3001\u751f\u6daf\u306b\u308f\u305f\u308b\u5065\u5eb7\u30ea\u30b9\u30af\u306e\u539f\u56e0\u3068\u3082\u306a\u308a\u5f97\u307e\u3059\u3002\u4eca\u56de\u306f\u3001\u305d\u306e\u30e1\u30ab\u30cb\u30ba\u30e0\u3084\u9577\u671f\u7684\u306a\u5f71\u97ff\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n","protected":false},"author":1,"featured_media":223,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"swell_btn_cv_data":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[57,34,55,5,58,56],"class_list":["post-220","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kosodate-mental-health","tag-57","tag-34","tag-55","tag-5","tag-58","tag-56"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/dr-kosodate-ns.com\/wp-content\/uploads\/2025\/05\/ChatGPT-Image-2025\u5e745\u670815\u65e5-05_19_24-e1747254056362.png","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=\/wp\/v2\/posts\/220","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=220"}],"version-history":[{"count":7,"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=\/wp\/v2\/posts\/220\/revisions"}],"predecessor-version":[{"id":236,"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=\/wp\/v2\/posts\/220\/revisions\/236"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=\/wp\/v2\/media\/223"}],"wp:attachment":[{"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-kosodate-ns.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}