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class=\"wp-block-heading\"><strong>4-1 \u5c31\u5bdd\u524d\u306e\u30eb\u30fc\u30c6\u30a3\u30f3\uff08\u30ca\u30a4\u30c8\u30eb\u30fc\u30c1\u30f3\uff09<\/strong><\/h3>\n\n\n\n<p>\u5bdd\u308b\u524d\u306e\u884c\u52d5\u3092\u56fa\u5b9a\u5316\u3059\u308b\u3053\u3068\u3067\u3001\u8133\u304c\u300c\u305d\u308d\u305d\u308d\u7720\u308b\u6642\u9593\u300d\u3068\u8a8d\u8b58\u3057\u307e\u3059\u3002<br>\u4f8b\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u7167\u660e\u3092\u843d\u3068\u3059 \u2192 \u6e29\u304b\u3044\u30cf\u30fc\u30d6\u30c6\u30a3\u30fc\u3092\u98f2\u3080<br><\/li>\n\n\n\n<li>\u6df1\u547c\u54383\u5206 \u2192 \u8efd\u3044\u30b9\u30c8\u30ec\u30c3\u30c1<br><\/li>\n\n\n\n<li>\u65e5\u8a18\u3084\u611f\u8b1d\u30e1\u30e2\u3092\u66f8\u304f<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3060\u3051\u3067\u3082\u526f\u4ea4\u611f\u795e\u7d4c\u304c\u512a\u4f4d\u306b\u306a\u308a\u3001\u81ea\u7136\u306a\u7720\u6c17\u304c\u8a98\u767a\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4-2 \u547c\u5438\u6cd5\u30fb\u7791\u60f3\u30fb\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9<\/strong><\/h3>\n\n\n\n<p>\u533b\u5b66\u7684\u306b\u3082\u8a8d\u3081\u3089\u308c\u308b\u7761\u7720\u6539\u5584\u6cd5\u304c<strong>\u547c\u5438\u6cd5<\/strong>\u3068<strong>\u7791\u60f3<\/strong>\u3067\u3059\u3002<br>\u4ee3\u8868\u7684\u306a\u306e\u306f\u300c4-7-8\u547c\u5438\u6cd5\u300d\u2014\u2014<br>4\u79d2\u5438\u3063\u3066\u30017\u79d2\u6b62\u3081\u3066\u30018\u79d2\u304b\u3051\u3066\u5410\u304f\u3002<br>\u3053\u308c\u30923\u301c4\u30bb\u30c3\u30c8\u884c\u3046\u3068\u5fc3\u62cd\u6570\u304c\u4e0b\u304c\u308a\u3001\u5165\u7720\u304c\u4fc3\u9032\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30de\u30a4\u30f3\u30c9\u30d5\u30eb\u30cd\u30b9\u7791\u60f3\u3082\u540c\u69d8\u306b\u3001\u904e\u53bb\u3084\u672a\u6765\u3078\u306e\u601d\u8003\u3092\u624b\u653e\u3057\u300c\u4eca\u3053\u3053\u300d\u306b\u96c6\u4e2d\u3059\u308b\u8a13\u7df4\u3067\u3059\u3002<br>\u30b9\u30c8\u30ec\u30b9\u306b\u3088\u308b\u4e0d\u7720\u3084\u4e2d\u9014\u899a\u9192\u306e\u6539\u5584\u306b\u52b9\u679c\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>4-3 \u30a2\u30ed\u30de\u30fb\u97f3\u30fb\u6e29\u71b1\u306e\u6d3b\u7528<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30e9\u30d9\u30f3\u30c0\u30fc\u30fb\u30d9\u30eb\u30ac\u30e2\u30c3\u30c8\u30fb\u30ab\u30e2\u30df\u30fc\u30eb<\/strong>\u306a\u3069\u93ae\u9759\u7cfb\u30a2\u30ed\u30de\u304c\u6709\u52b9<br><\/li>\n\n\n\n<li>\u9759\u304b\u306a\u97f3\u697d\u3084\u30db\u30ef\u30a4\u30c8\u30ce\u30a4\u30ba\u304c\u5b89\u5fc3\u611f\u3092\u4e0e\u3048\u308b<br><\/li>\n\n\n\n<li>\u5c31\u5bdd1\u6642\u9593\u524d\u306b40\u2103\u524d\u5f8c\u306e\u5165\u6d74\u309215\u5206\u884c\u3046\u3068\u3001\u6df1\u90e8\u4f53\u6e29\u304c\u4e0b\u304c\u308a\u3084\u3059\u304f\u306a\u308a\u5165\u7720\u304c\u30b9\u30e0\u30fc\u30ba\u306b\u306a\u308a\u307e\u3059\u3002<br><\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"640\" height=\"427\" src=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32925140_s.webp\" alt=\"\u30a2\u30ed\u30de\u30aa\u30a4\u30eb\" class=\"wp-image-6820\" srcset=\"https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32925140_s.webp 640w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32925140_s-600x400.webp 600w, https:\/\/www.hiro-clinic.or.jp\/medicine\/wp-content\/uploads\/2025\/10\/32925140_s-300x200.webp 300w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure><\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>5. \u533b\u5b66\u7684\u30a2\u30d7\u30ed\u30fc\u30c1 \u2015 CBT-I\u3068\u85ac\u7269\u7642\u6cd5<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5-1 \u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\uff08CBT-I\uff09\u306e\u57fa\u672c<\/strong><\/h3>\n\n\n\n<p>\u4e0d\u7720\u306b\u5bfe\u3057\u3066\u6700\u3082\u52b9\u679c\u304c\u5b9f\u8a3c\u3055\u308c\u3066\u3044\u308b\u975e\u85ac\u7269\u7642\u6cd5\u304c<strong>CBT-I<\/strong>\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u523a\u6fc0\u5236\u5fa1\u6cd5<\/strong>\uff1a\u7720\u308c\u306a\u3044\u3068\u304d\u306f\u7121\u7406\u306b\u5bdd\u3088\u3046\u3068\u305b\u305a\u4e00\u5ea6\u30d9\u30c3\u30c9\u3092\u96e2\u308c\u308b<br><\/li>\n\n\n\n<li><strong>\u7761\u7720\u5236\u9650\u6cd5<\/strong>\uff1a\u5b9f\u969b\u306b\u7720\u308c\u305f\u6642\u9593\u306b\u5408\u308f\u305b\u3066\u5c31\u5bdd\u6642\u9593\u3092\u8abf\u6574<br><\/li>\n\n\n\n<li><strong>\u8a8d\u77e5\u518d\u69cb\u6210<\/strong>\uff1a\u300c\u7720\u308c\u306a\u3044\u3068\u5927\u5909\u3060\u300d\u3068\u3044\u3046\u601d\u3044\u8fbc\u307f\u3092\u4fee\u6b63<br><\/li>\n\n\n\n<li><strong>\u30ea\u30e9\u30af\u30bc\u30fc\u30b7\u30e7\u30f3\u8a13\u7df4<\/strong>\uff1a\u7b4b\u5f1b\u7de9\u6cd5\u30fb\u7791\u60f3\u30fb\u547c\u5438\u6cd5\u306a\u3069\u3092\u4f75\u7528<br><\/li>\n<\/ul>\n\n\n\n<p>\u7d99\u7d9a\u3059\u308b\u3053\u3068\u3067\u3001\u7761\u7720\u85ac\u306b\u983c\u3089\u305a\u306b\u7761\u7720\u30ea\u30ba\u30e0\u3092\u6574\u3048\u3089\u308c\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>5-2 \u7761\u7720\u85ac\u306e\u6b63\u3057\u3044\u4f7f\u3044\u65b9<\/strong><\/h3>\n\n\n\n<p>\u3069\u3046\u3057\u3066\u3082\u7720\u308c\u306a\u3044\u5834\u5408\u3001\u4e00\u6642\u7684\u306b\u85ac\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<br>\u305f\u3060\u3057\u3001\u85ac\u306f<strong>\u6839\u672c\u6cbb\u7642\u3067\u306f\u306a\u304f\u201c\u6a4b\u6e21\u3057\u201d<\/strong>\u3002<br>\u81ea\u5df1\u5224\u65ad\u3067\u5897\u91cf\u30fb\u4e2d\u65ad\u305b\u305a\u3001\u533b\u5e2b\u3068\u76f8\u8ac7\u306e\u3046\u3048\u77ed\u671f\u7684\u306b\u4f7f\u7528\u3059\u308b\u306e\u304c\u57fa\u672c\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u4ee3\u8868\u7684\u306a\u85ac\u306e\u7a2e\u985e\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u30d9\u30f3\u30be\u30b8\u30a2\u30bc\u30d4\u30f3\u7cfb<\/strong>\uff1a\u5373\u52b9\u6027\u304c\u3042\u308b\u304c\u4f9d\u5b58\u306b\u6ce8\u610f<br><\/li>\n\n\n\n<li><strong>\u975e\u30d9\u30f3\u30be\u7cfb\u30fb\u30e1\u30e9\u30c8\u30cb\u30f3\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac<\/strong>\uff1a\u81ea\u7136\u306a\u7720\u6c17\u3092\u8a98\u5c0e<br><\/li>\n\n\n\n<li><strong>\u30aa\u30ec\u30ad\u30b7\u30f3\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac<\/strong>\uff1a\u8fd1\u5e74\u6ce8\u76ee\u306e\u65b0\u3057\u3044\u30bf\u30a4\u30d7<br><\/li>\n<\/ul>\n\n\n\n<p>\u85ac\u306e\u52b9\u679c\u3092\u9ad8\u3081\u308b\u305f\u3081\u306b\u3082\u3001\u540c\u6642\u306b<strong>\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3068CBT-I<\/strong>\u3092\u884c\u3046\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>6. \u5e74\u4ee3\u5225\u306b\u898b\u308b\u300c\u7761\u7720\u306e\u8cea\u300d\u3078\u306e\u30a2\u30d7\u30ed\u30fc\u30c1<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6-1 \u82e5\u5e74\u5c64\uff0820\u301c40\u4ee3\uff09<\/strong><\/h3>\n\n\n\n<p>\u30b9\u30de\u30db\u4f9d\u5b58\u30fb\u591c\u578b\u751f\u6d3b\u30fb\u4ed5\u4e8b\u30b9\u30c8\u30ec\u30b9\u304c\u4e3b\u306a\u539f\u56e0\u3002<br>\u5c31\u5bdd\u76f4\u524d\u306eSNS\u95b2\u89a7\u3084\u30b2\u30fc\u30e0\u306f\u899a\u9192\u3092\u4fc3\u3057\u3001\u5165\u7720\u969c\u5bb3\u306e\u539f\u56e0\u306b\u306a\u308a\u307e\u3059\u3002<br>\u30d6\u30eb\u30fc\u30e9\u30a4\u30c8\u30ab\u30c3\u30c8\u3084\u30c7\u30b8\u30bf\u30eb\u30c7\u30c8\u30c3\u30af\u30b9\u3092\u610f\u8b58\u7684\u306b\u53d6\u308a\u5165\u308c\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6-2 \u66f4\u5e74\u671f\u4e16\u4ee3\uff0840\u301c60\u4ee3\uff09<\/strong><\/h3>\n\n\n\n<p>\u5973\u6027\u3067\u306f<strong>\u30db\u30eb\u30e2\u30f3\u5909\u5316\u306b\u3088\u308b\u7761\u7720\u306e\u8cea\u4f4e\u4e0b<\/strong>\u304c\u76ee\u7acb\u3061\u307e\u3059\u3002<br>\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u4f4e\u4e0b\u306b\u4f34\u3046\u30db\u30c3\u30c8\u30d5\u30e9\u30c3\u30b7\u30e5\u30fb\u81ea\u5f8b\u795e\u7d4c\u4e0d\u8abf\u304c\u539f\u56e0\u306e\u3053\u3068\u3082\u591a\u304f\u3001<br>\u5a66\u4eba\u79d1\u3084\u5185\u79d1\u3067\u306e\u30db\u30eb\u30e2\u30f3\u88dc\u5145\u7642\u6cd5\uff08HRT\uff09\u3084\u6f22\u65b9\u6cbb\u7642\u3092\u4f75\u7528\u3059\u308b\u30b1\u30fc\u30b9\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>6-3 \u9ad8\u9f62\u8005\uff0860\u4ee3\u4ee5\u964d\uff09<\/strong><\/h3>\n\n\n\n<p>\u52a0\u9f62\u306b\u3088\u308a\u6df1\u3044\u30ce\u30f3\u30ec\u30e0\u7761\u7720\u304c\u6e1b\u5c11\u3057\u3001\u65e9\u671d\u899a\u9192\u304c\u5897\u3048\u308b\u306e\u304c\u7279\u5fb4\u3002<br>\u7121\u7406\u306b\u9577\u6642\u9593\u5bdd\u3088\u3046\u3068\u305b\u305a\u3001<strong>\u663c\u9593\u306e\u6d3b\u52d5\u91cf\u3092\u5897\u3084\u3059<\/strong>\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<br>\u307e\u305f\u3001\u591c\u9593\u983b\u5c3f\u3084\u6301\u75c5\u306e\u85ac\u306e\u526f\u4f5c\u7528\u3082\u7761\u7720\u306b\u5f71\u97ff\u3059\u308b\u305f\u3081\u3001\u533b\u5e2b\u3068\u76f8\u8ac7\u3057\u8abf\u6574\u3092\u884c\u3044\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>7. \u7761\u7720\u306e\u8cea\u304c\u3082\u305f\u3089\u3059\u5065\u5eb7\u52b9\u679c<\/strong><\/h2>\n\n\n\n<p>\u826f\u8cea\u306a\u7761\u7720\u306f\u3001\u5358\u306b\u75b2\u308c\u3092\u53d6\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u5168\u8eab\u306e\u5065\u5eb7\u306b\u76f4\u7d50\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>\u7761\u7720\u306e\u52b9\u679c<\/strong><\/td><td><strong>\u533b\u5b66\u7684\u6839\u62e0\u30fb\u671f\u5f85\u3055\u308c\u308b\u4f5c\u7528<\/strong><\/td><\/tr><tr><td>\u6210\u9577\u30db\u30eb\u30e2\u30f3\u5206\u6ccc<\/td><td>\u7b4b\u8089\u30fb\u76ae\u819a\u30fb\u514d\u75ab\u4fee\u5fa9<\/td><\/tr><tr><td>\u514d\u75ab\u6a5f\u80fd\u5f37\u5316<\/td><td>\u611f\u67d3\u75c7\u3084\u708e\u75c7\u306e\u4e88\u9632<\/td><\/tr><tr><td>\u8a18\u61b6\u306e\u5b9a\u7740<\/td><td>\u5b66\u7fd2\u30fb\u96c6\u4e2d\u529b\u306e\u7dad\u6301<\/td><\/tr><tr><td>\u7cbe\u795e\u5b89\u5b9a<\/td><td>\u3046\u3064\u75c5\u30fb\u4e0d\u5b89\u969c\u5bb3\u306e\u4e88\u9632<\/td><\/tr><tr><td>\u4ee3\u8b1d\u8abf\u6574<\/td><td>\u80a5\u6e80\u30fb\u7cd6\u5c3f\u75c5\u30fb\u9ad8\u8840\u5727\u306e\u30ea\u30b9\u30af\u4f4e\u4e0b<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>\u9006\u306b\u3001\u7761\u7720\u4e0d\u8db3\u304c\u7d9a\u304f\u3068\u30b3\u30eb\u30c1\u30be\u30fc\u30eb\uff08\u30b9\u30c8\u30ec\u30b9\u30db\u30eb\u30e2\u30f3\uff09\u304c\u5897\u3048\u3001\u751f\u6d3b\u7fd2\u6163\u75c5\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3053\u3068\u3082\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>8. \u307e\u3068\u3081 \u2015 \u7761\u7720\u306f\u300c\u6700\u9ad8\u306e\u81ea\u5df1\u6295\u8cc7\u300d<\/strong><\/h2>\n\n\n\n<p>\u826f\u8cea\u306a\u7761\u7720\u306f\u3001**\u85ac\u3084\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3088\u308a\u3082\u52b9\u679c\u7684\u306a\u201c\u81ea\u7136\u6cbb\u7642\u201d**\u3067\u3059\u3002<br>\u5bdd\u5177\u30fb\u7167\u660e\u30fb\u751f\u6d3b\u30ea\u30ba\u30e0\u30fb\u601d\u8003\u30d1\u30bf\u30fc\u30f3\u306a\u3069\u3001\u3069\u308c\u304b\u4e00\u3064\u3092\u5909\u3048\u308b\u3060\u3051\u3067\u3082\u3001\u660e\u65e5\u306e\u4f53\u8abf\u306f\u5927\u304d\u304f\u5909\u308f\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u671d\u65e5\u3092\u6d74\u3073\u308b<br><\/li>\n\n\n\n<li>\u5c31\u5bdd\u30fb\u8d77\u5e8a\u6642\u523b\u3092\u4e00\u5b9a\u306b<br><\/li>\n\n\n\n<li>\u591c\u306f\u7167\u660e\u3092\u843d\u3068\u3059<br><\/li>\n\n\n\n<li>\u5bdd\u308b\u524d\u306e\u30b9\u30de\u30db\u306f\u63a7\u3048\u308b<br><\/li>\n\n\n\n<li>\u4e0d\u7720\u304c\u7d9a\u304f\u306a\u3089\u533b\u5e2b\u3078\u76f8\u8ac7<br><\/li>\n<\/ul>\n\n\n\n<p>\u3053\u308c\u3089\u3092\u7fd2\u6163\u5316\u3059\u308b\u3053\u3068\u304c\u3001\u5065\u5eb7\u3067\u5145\u5b9f\u3057\u305f\u4eba\u751f\u3078\u306e\u7b2c\u4e00\u6b69\u3067\u3059\u3002<br>\u7761\u7720\u3092\u201c\u5f8c\u56de\u3057\u201d\u306b\u305b\u305a\u3001\u4eca\u65e5\u304b\u3089\u201c\u6700\u512a\u5148\u306e\u5065\u5eb7\u7fd2\u6163\u201d\u3068\u3057\u3066\u898b\u76f4\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"\u300c\u5bdd\u3066\u3082\u75b2\u308c\u304c\u53d6\u308c\u306a\u3044\u300d\u300c\u591c\u4e2d\u306b\u4f55\u5ea6\u3082\u76ee\u304c\u899a\u3081\u308b\u300d\u300c\u671d\u306e\u76ee\u899a\u3081\u304c\u60aa\u3044\u300d\u2014\u2014\u305d\u3093\u306a\u60a9\u307f\u3092\u62b1\u3048\u3066\u3044\u307e\u305b\u3093\u304b\uff1f\u73fe\u4ee3\u4eba\u306e\u591a\u304f\u304c\u611f\u3058\u308b\u201c\u7761\u7720\u306e\u8cea\u306e\u4f4e\u4e0b\u201d\u306f\u3001\u5358\u306a\u308b\u75b2\u308c\u3067\u306f\u306a\u304f\u3001\u751f\u6d3b\u7fd2\u6163\u3084\u30db\u30eb\u30e2\u30f3\u30d0\u30e9\u30f3\u30b9\u3001\u81ea\u5f8b\u795e\u7d4c\u306e\u4e71\u308c\u306a\u3069\u304c\u6df1\u304f\u95a2 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