【2.論文】高校中退リスク評価尺度（RAS-HD）の妥当性および高校中退リスクに対するソーシャルサポートの影響の検討

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㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ホ ౯ ᑻ ᗘ 㸦

RAS-HD㸧ࡢጇᙜᛶ࠾ࡼࡧ

㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ࡟ ᑐ ࡍ ࡿ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ᙳ 㡪 ࡢ ᳨ ウ

Validity of Risk Assessment Scale for High School Dropout

and Effects of Social Support on High School Dropout Risk

ᑠ ᰩ ㈗ ᘯ 㸦 స ᪂ Ꮫ 㝔 ኱ Ꮫ ዪ Ꮚ ▷ ᮇ ኱ Ꮫ 㒊㸧

せ ⣙

ᮏ ◊ ✲ ࡢ ┠ ⓗ ࡣ 㸪㧗 ᰯ ୰ ㏥ ࡢ 㧗 ࣜ ࢫ ࢡ ⩌ ࢆ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ ࡍ ࡿ ࡓ ࡵ ࡢ ࢸ ࢫ ࢺ ࡛ ࠶ ࡿ ࠕ 㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ホ ౯ ᑻ ᗘ 㸦RAS-HD㸸 Risk Assessment Scale for High School Dropout 㸧ࠖ ࡟ 㛵 ࡋ ࡚ 㸪 ձ ᶆ ‽ ໬ ࡍ ࡿ ࡇ ࡜ 㸪 ղ ጇ ᙜ ᛶ ࢆ ᳨ ウ ࡍ ࡿ ࡇ ࡜ 㸪 ճ ୗ ఩ ᑻ ᗘ 㛫 ࡢ ศ ᯒ ࠿ ࡽ 㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ࡟ ᑐ ࡍ ࡿ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ᙳ 㡪 ࢆ ᳨ ウ ࡍ ࡿ ࡇ ࡜ ࡛ ࠶ ࡗ ࡓ ࠋࡲ ࡎ 㸪RAS-HD ࢆ 3,304 ྡ ࡢ ⏕ ᚐ ࢆ ᑐ ㇟ ࡟ ᐇ ᪋ ࡋ 㸪 ᶆ ‽ ໬ ࡢ ᡭ ⥆ ࡁ ࢆ ⾜ ࡗ ࡓ ࠋ ḟ ࡟ 㸪 ᖺ ᗘ ᮎ ࡢ Ⓩ ᰯ ≧ ἣ ࡜ ࡢ 㛵㐃 ࠿ ࡽ 㸪RAS-HD ࡀ 㧗 ᰯ ୰ ㏥ ࡟ ࡘ ࠸ ࡚ 㧗 ࠸ ண ⓗ ጇ ᙜ ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ☜ ㄆ ࡉ ࢀ ࡓ ࠋ ᭱ ᚋ ࡟ 㸪㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ࡟ ᑐ ࡍ ࡿ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ᙳ 㡪 ࢆ ᳨ ウ ࡋ 㸪㧗 ᰯ ࡀ ࡝ ࡢ ࡼ ࠺ ࡟ ௓ ධ ࡍ ࡿ ࡇ ࡜ ࡀ ຠ ᯝ ⓗ ࡛ ࠶ ࡿ ࡢ ࠿ ࡟ ࡘ ࠸ ࡚ ⪃ ᐹ ࡋ ࡓ ࠋ ࢟ ࣮ ࣡ ࣮ ࢻ 㸸㧗 ᰯ ୰ ㏥㸪㑅 ᢥ ⓗ ண 㜵㸪 ᑻ ᗘ 㸪 ጇ ᙜ ᛶ 㸪 ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ၥ 㢟 ࡜ ┠ ⓗ 㧗 ➼ Ꮫ ᰯ 㸦 ௨ ୗ 㸪㧗 ᰯ ࡜ ␎ グ㸧 ࡟ ࠾ ࡅ ࡿ ୰ ㏵㏥ Ꮫ 㸦 ௨ ୗ 㸪 ୰ ㏥ ࡜ ␎ グ㸧 ࡀ ♫ ఍ ⓗ ࡞ ၥ 㢟 ࡜ ࡞ ࡗ ࡚ ࡁ ࡚ ࠸ ࡿ ࠋ ᩥ 㒊 ⛉ Ꮫ ┬ 㸦2018㸧 ࡟ ࡼ ࢀ ࡤ 㸪 ᖹ ᡂ 28 ᖺ ᗘ ࡢ 㧗 ᰯ ୰ ㏥ ⪅ ᩘ ࡣ ඲ ᅜ ࡛ ⣙ 4 ୓ 7 ༓ ே ࡟ ୖ ࡾ 㸪㧗 ᰯ ୰ ㏥ ⋡ ࡣ 1.4%࡛ ࠶ ࡗ ࡓ ࠋࡇ ࡢ ࡼ ࠺ ࡞ ୰ ㏥ ࡢ ≧ ἣ ࡟ ࡘ ࠸ ࡚ 㸪ෆ 㛶 ᗓ 㸦2010㸧ࡣ͆ 㧗 ᰯ ୰ ㏥ ࡣ 㸪ࣇ ࣜ ࣮ ࢱ ࣮ ࡸ ⱝ ⪅ ↓ ᴗ ⪅ ࡞ ࡝ ♫ ఍ ⓗ ᙅ ⪅ ࡟ ⮳ ࡿ ࣜ ࢫ ࢡ ࡀ 㧗 ࡃ …㧗 ➼ Ꮫ ᰯ ᅾ Ꮫ ୰ ࡟ ࠾ ࡅ ࡿ ᪩ ࠸ ẁ 㝵 ࠿ ࡽ ィ ⏬ ⓗ ࡟ ᨭ ᥼ ࢆ ⾜ ࡗ ࡚ ࠸ ࡃ ࡇ ࡜ ࡀ ᚲ せ ࡛ ࠶ ࡿ ͇ ࡜ ᣦ ᦬ ࡋ ࡚ ࠸ ࡿ 㸦 ෆ 㛶 ᗓ 㸪2010㸪 p.9㸧ࠋ ᑠ ᰩ 㸦2014㸧 ࡣ 㸪㧗 ᰯ ୰ ㏥ ண 㜵 ࡟ ࠾ ࡅ ࡿ ண 㜵 ⓗ ௓ ධ ࢆ͆ 㸯㸧ᬑ 㐢 ⓗ ண 㜵 ࡜ ࡣ 㸪 ඲ ࡚ ࡢ ⏕ ᚐ ࢆ ᑐ ㇟ ࡜ ࡍ ࡿ ௓ ධ ࡛ ࠶ ࡾ 㸪 Ꮫ ⩦ ࢫ ࢟ ࣝ ࡸ ᑐ ே 㛵 ಀ ࢫ ࢟ ࣝ ࡟ 㛵 ࡍ ࡿ ᤵ ᴗ ࢆ ゝ ࠺ ࠋ 㸰㸧㑅 ᢥ ⓗ ண 㜵 ࡜ ࡣ 㸪Ḟ ᖍ ࡸ ၥ 㢟⾜ ື ࡜ ࠸ ࡗ ࡓ ୰ ㏥ ࡢ ඙ ೃ ࡣ ♧ ࡋ ࡚ ࠸ ࡞ ࠸ ࡶ ࡢ ࡢ 㸪ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ࣭ ࢸ ࢫ ࢺ ࡟ ࠾ ࠸ ࡚ 㧗 ࣜ ࢫ ࢡ ⩌ ࡜ ุ ᩿ ࡉ ࢀ ࡓ ⏕ ᚐ ࡟ ᑐ ࡋ ࡚ ⾜ ࠺ 㸪 ಶ ู ࡢ ᨭ ᥼ ࡸ ᪥ ᖖ ⏕ ά ࡛ ࡢ 㓄 ៖ ࢆ ゝ ࠺ ࠋ 㸱㸧 ᣦ ♧ ⓗ ண 㜵 ࡜ ࡣ 㸪 ୰ ㏥ ࡟ ࡣ ⮳ ࡗ ࡚ ࠸ ࡞ ࠸ ࡶ ࡢ ࡢ 㸪 ୙ Ⓩ ᰯ 㸪 ࠸ ࡌ ࡵ 㸪㞀 ᐖ 㸪㠀⾜ ࡞ ࡝ 㸪୰ ㏥ ࡟ ⮳ ࡿ ඙ ೃ ࢆ ♧ ࡋ ࡚ ࠸ ࡿ ⏕ ᚐ ࡟ ᑐ ࡋ ࡚ ⾜ ࠺ 㸪ಶ ู ࡢ ᨭ ᥼ ࡢ ࡇ ࡜ ࢆ ゝ ࠺ ࠋ͇࡜ 㸪

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ᐃ ⩏ ࡋ ࡚ ࠸ ࡿ㸦 ᑠ ᰩ 㸪2014㸪p.56㸧ࠋࡇ ࡢ ࡼ ࠺ ࡟ 㧗 ᰯ ୰ ㏥ ண 㜵 ࢆ ᐃ ⩏ ࡋ ࡓ ሙ ྜ 㸪ඛ ⾜ ◊ ✲ ࡀ ᬑ 㐢 ⓗ ண 㜵 ࡟ ೫ ࡗ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ࢃ ࠿ ࡿ㸦 ࡓ ࡜ ࠼ ࡤ ῝ ㇂࣭୸ ᒣ 㸪2010㸹Freeman et al.㸪2015㸹 ᑠ ᰩ 㸪2015㸪 2017㸪 2018㸹 ᑠ ᰩ ࣭ ኱ ᶫ 㸪 2018㸹 Thompson㸪 Eggert㸪 Randell㸪 & Pike㸪 2001 ࡞ ࡝ 㸧ࠋ ୍ ᪉ ࡛ 㸪㑅 ᢥ ⓗ ண 㜵 ࡸ ᣦ ♧ ⓗ ண 㜵 ࡟ 㛵 ࡍ ࡿ ◊ ✲ ࡣ ࡯ ࡜ ࢇ ࡝ ぢ ᙜ ࡓ ࡽ ࡞ ࠸ ࡢ ࡀ ⌧ ≧ ࡛ ࠶ ࡿ ࠋ

ࡑ ࡢ ࡼ ࠺ ࡞ ୰ ࡛ 㸪 ᑠ ᰩ 㸦 ༳ ๅ ୰ 㸧 ࡛ ࡣ 㧗 ᰯ ୰ ㏥ ࡢ 㑅 ᢥ ⓗ ண 㜵 ࡛ ⏝ ࠸ ࡿ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ ࣭ ࢸ ࢫ ࢺ ࡜ ࡋ ࡚ ࠕ 㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ホ ౯ ᑻ ᗘ 㸦RAS-HD㸸 Risk Assessment Scale for High School Dropout 㸧ࠖ ࢆ 㛤 Ⓨ ࡋ 㸪 ಙ 㢗 ᛶ ࡢ ᳨ ウ ࠾ ࡼ ࡧ 㧗 ࣜ ࢫ ࢡ ⩌ ࡢ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ ࢆ ࡍ ࡿ ୖ ࡛ ᭱ 㐺 ࡞ ࢝ ࢵ ࢺ ࢜ ࣇ ್ ࡢ ᳨ ウ ࢆ ⾜ ࡗ ࡚ ࠸ ࡿ ࠋ ࡋ ࠿ ࡋ ࡞ ࡀ ࡽ 㸪 ௒ ᚋ ࡢ ㄢ㢟 ࡜ ࡋ ࡚ ጇ ᙜ ᛶ ࡢ ᳨ ウ ࡀ ᣲ ࡆ ࡽ ࢀ ࡚ ࠸ ࡿ ࠋ≉ ࡟ 㸪ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ࣭ࢸ ࢫ ࢺ ࡛ ࠶ ࡿ ࡜ ࠸ ࠺ RAS-HD ࡢ ┠ ⓗ ࢆ 㚷 ࡳ ࢀ ࡤ 㸪 ᑗ ᮶ ࡢ ୰ ㏥ ࢆ ண ࡋ ࡚ ࠸ ࡿ ࡜ ࠸ ࠺ ண ⓗ ጇ ᙜ ᛶ ࡢ ᳨ ウ ࡀ ୙ ྍ Ḟ ࡛ ࠶ ࢁ ࠺ ࠋ ࡜ ࡇ ࢁ ࡛ 㸪㧗 ᰯ ୰ ㏥ ண 㜵 ࡛ ࡣ 㸪 ᙜ ヱ ⏕ ᚐ ࡢ ᨭ ᥼ య ไ ࢆ ᩚ ࠼ ࡿ ୖ ࡛ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡀ 㔜せ ࡜ ࡞ ࡗ ࡚ ࡃ ࡿ ࠋ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡟ ࡘ ࠸ ࡚ ࡣ 㸪 ࡉ ࡲ ࡊ ࡲ ࡞ ᐃ ⩏ ࡀ ࡞ ࡉ ࢀ ࡚ ࠾ ࡾ 㸪 ⤫ ୍ ⓗ ࡞ ࡶ ࡢ ࡣ Ꮡ ᅾ ࡋ ࡞ ࠸ ࡀ 㸪୹ ⩚㸦2007㸧ࡣ ࡇ ࠺ ࡋ ࡓ ⌧ ≧ ࢆ ㋃ ࡲ ࠼ ࡓ ୖ ࡛ 㸪͆ ⊃ ⩏ ࡟ ࡣ 㸪ᐙ ᪘ ࡸ ཭ ே ࡞ ࡝ ࡢ ࢖ ࣥ ࣇ ࢛ ࣮ ࣐ ࣝ ࡞ ㈨ ※ 㸪 ᗈ ⩏ ࡟ ࡣ 㸪 ᑓ 㛛 ᐙ ࡸ ᑓ 㛛 ᶵ 㛵 ࡜ ࠸ ࡗ ࡓ ࣇ ࢛ ࣮ ࣐ ࣝ ࡞ ㈨ ※ ࡶ ྵ ࢇ ࡔ ከ ᵝ ࡞ ㈨ ※ ࡜ ࡢ ࡘ ࡞ ࡀ ࡾ ͇ ࡜ ᐃ ⩏ ࡋ ࡚ ࠸ ࡿ 㸦 ୹ ⩚ 㸪2007㸪p.205㸧ࠋࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ศ 㢮 ࡟ ࡘ ࠸ ࡚ ኱ ู ࡍ ࡿ ࡜ 㸪ࢧ ࣏ ࣮ ࢺ ࡢ ✀ 㢮 ࡜ ࢧ ࣏ ࣮ ࢺ ※ ࡟ ࡼ ࡿ ࡶ ࡢ ࡀ ࠶ ࡿ ࠋ ࢧ ࣏ ࣮ ࢺ ࡢ ✀ 㢮 ࡟ ࡼ ࡿ ศ 㢮 ࡣ ◊ ✲ ⪅ 㛫 ࡛ ࢥ ࣥ ࢭ ࣥ ࢧ ࢫ ࡀ ᚓ ࡽ ࢀ ࡚ ࠸ ࡞ ࠸ ࡶ ࡢ ࡢ 㸪㐨 ල ⓗ ࢧ ࣏ ࣮ ࢺ ࡸ ᚰ ⌮ ⓗ ࢧ ࣏ ࣮ ࢺ ࡜ ࠸ ࡗ ࡓ 2 ✀ 㢮 ࡟ ศ 㢮 ࡛ ࡁ ࡿ ࡜ ࠸ ࠺ ࡢ ࡣ 㸪ከ ࡃ ࡢ ◊ ✲ ⪅ ࡟ ඹ ㏻ ࡍ ࡿ ࡜ ࡇ ࢁ ࡛ ࠶ ࡿ㸦 ࡓ ࡜ ࠼ ࡤ ᮌ ᓥ 㸪1995㸧ࠋࡋ ࠿ ࡋ ࡞ ࡀ ࡽ 㸪Ꮫ ᰯ 㐺 ᛂ ࡟ 㛵 ࡍ ࡿ ඛ ⾜ ◊ ✲ ࡢ ᑻ ᗘ ࡛ ࡣ 㸪 ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ 㡯 ┠ ࡣ 㸪 ࠸ ࡎ ࢀ ࡶ ᚰ ⌮ ⓗ ࢧ ࣏ ࣮ ࢺ ࡟ ೫ ࡗ ࡚ ࠾ ࡾ 㸪㐨 ල ⓗ ࢧ ࣏ ࣮ ࢺ ࡟ 㛵 ࡍ ࡿ 㡯 ┠ ࡣ ࡯ ࡜ ࢇ ࡝ ྵ ࡲ ࢀ ࡚ ࠸ ࡞ ࠸ 㸦 ࡓ ࡜ ࠼ ࡤ ᪂ ஭ ࣭ ྂ Ἑ ࣭ ὸ ᕝ 㸪2009㸹 ኴ ⏣ 㸪 2002 ࡞ ࡝ 㸧ࠋ ࡇ ࠺ ࡋ ࡓ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡀ 㧗 ᰯ ୰ ㏥ ண 㜵 ࡟ ࡝ ࡢ ࡼ ࠺ ࡟ స ⏝ ࡋ ࡚ ࠸ ࡿ ࡢ ࠿ ࢆ ᫂ ࡽ ࠿ ࡟ ࡋ 㸪 ௓ ධ ࡢ ᡭ ࡀ ࠿ ࡾ ࢆ ᚓ ࡿ ࡇ ࡜ ࡶ 㸪㧗 ᰯ ୰ ㏥ ண 㜵 ࢆ ᐇ ㊶ ࡍ ࡿ ୖ ࡛ 㸪 ႚ ⥭ ࡢ ㄢ㢟 ࡛ ࠶ ࡿ ࡜ ゝ ࠼ ࡿ ࠋ ࡇ ࢀ ࡽ ࡢ ࡇ ࡜ ࢆ 㚷 ࡳ ࡚ 㸪ᮏ ◊ ✲ ࡛ ࡣ RAS-HD ࡟ 㛵 ࡋ ࡚ 㸪ձ ᶆ ‽ ໬ ࡍ ࡿ ࡇ ࡜ 㸪ղ ጇ ᙜ ᛶ ࢆ ᳨ ウ ࡍ ࡿ ࡇ ࡜ 㸪 ճ ୗ ఩ ᑻ ᗘ 㛫 ࡢ ศ ᯒ ࠿ ࡽ 㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ࡟ ᑐ ࡍ ࡿ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ᙳ 㡪 ࢆ ᳨ ウ ࡍ ࡿ ࡇ ࡜ ࢆ ┠ ⓗ ࡜ ࡍ ࡿ ࠋ ᪉ ἲ 㸯㸬ㄪ ᰝ ༠ ຊ ᰯ ࠾ ࡼ ࡧ ㄪ ᰝ ༠ ຊ ⪅ ㄪ ᰝ 㸯 ඲ ᪥ ไ බ ❧ 㧗 ᰯ 6 ᰯ ࡛ 3,304 ྡ ࡢ ⏕ ᚐ ࢆ ᑐ ㇟ ࡟ ㄪ ᰝ ࢆ ᐇ ᪋ ࡋ ࡓ ࠋ ࡇ ࡢ ෆ 㸪 ᅇ ⟅ ࡟ ୙ ഛ ࡢ ࡞ ࠸ 2,882 ྡ 㸦 ⏨ Ꮚ 1370 ྡ 㸪 ዪ Ꮚ 1,512 ྡ 㸧 ࡢ ᅇ ⟅ ࢆ ศ ᯒ ࡢ ᑐ ㇟ ࡜ ࡋ ࡓ ࠋ ㄪ ᰝ ༠ ຊ ᰯ ࡢ 㑅 ᐃ ࡢ 㝿 ࡟ ࡣ 㸪 Ꮫ ຊ ࣞ ࣋ ࣝ ࡸ Ꮫ ᖺ ไ ࡜ ༢ ఩ ไ 㸪 ⏨ ዪ ࡢ ẚ ⋡ ࡞ ࡝ ࡟ ೫ ࡾ ࡀ ฟ ࡞ ࠸ ࡼ ࠺ 㓄 ៖ ࡋ ࡓ ࠋ ࡓ ࡔ ࡋ 㸪ㄪ ᰝ ࢆ ᐇ ᪋ ࡍ ࡿ Ꮫ ᖺ ࡟ ࡘ ࠸ ࡚ ࡣ 㸪ㄪ ᰝ ༠ ຊ ᰯ ࡢ ᕼ ᮃ ࡟ ࡼ ࡾ 1 ᖺ ⏕ ࡢ

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ࡳ ࡟ ㄪ ᰝ ࢆ ᐇ ᪋ ࡋ ࡓ 㧗 ᰯ ࡀ 2 ᰯ ࠶ ࡗ ࡓ ࠋ ㄪ ᰝ 㸰 RAS-HD ࡢ ண ⓗ ጇ ᙜ ᛶ ࢆ ᳨ ウ ࡍ ࡿ ࡓ ࡵ ࡟ 㸪ㄪ ᰝ 1 ࡛ ᑐ ㇟ ࡜ ࡋ ࡓ 6 ᰯ ࡢ ෆ ࡛ ஢ ゎ ࢆ ᚓ ࡽ ࢀ ࡓ ㄪ ᰝ ༠ ຊ ᰯ 4 ᰯ ࡢ ᩍ ဨ ࢆ ᑐ ㇟ ࡜ ࡋ ࡓ ࠋࡑ ࡢ ⤖ ᯝ 㸪ㄪ ᰝ 1 ࡛ ᅇ ⟅ ࡟ ୙ ഛ ࡢ ࡞ ࠿ ࡗ ࡓ ⏕ ᚐ ࡢ ෆ 㸪1,544 ྡ ศ 㸦 ⏨ Ꮚ 768 ྡ 㸪 ዪ Ꮚ 776 ྡ 㸧 ࡢ Ⓩ ᰯ ≧ ἣ ࡀ ᚓ ࡽ ࢀ ࡓ ࠋ 㸰㸬ㄪ ᰝ ࡢ ᫬ ᮇ ㄪ ᰝ 㸯 2016 ᖺ 9 ᭶ 㹼 11 ᭶ ࡟ 㸪 ྛ ᢸ ௵ ࡟ ࡼ ࡿ ࢡ ࣛ ࢫ ୍ ᩧ ᪉ ᘧ ࡛ ᐇ ᪋ ࡋ ࡓ ࠋ ㄪ ᰝ 㸰 2017 ᖺ 4 ᭶ ࡟ ྛ ㄪ ᰝ ༠ ຊ ᰯ ࡬ ᅇ ⟅ ࢆ ồ ࡵ ࡓ ࠋ 㸱㸬ㄪ ᰝ ෆ ᐜ ㄪ ᰝ 㸯 ᑠ ᰩ 㸦 ༳ ๅ ୰ 㸧 ࡛ 㛤 Ⓨ ࡉ ࢀ ࡓ RAS-HD ࡛ ࠶ ࡿ ࠋ RAS-HD ࡣ 35 㡯 ┠ ࠿ ࡽ ᵓ ᡂ ࡉ ࢀ ࡿ ᑻ ᗘ ࡛ ࠶ ࡾ 㸪 ಙ 㢗 ᛶ ࡀ ☜ ㄆ ࡉ ࢀ ࡚ ࠸ ࡿ ࠋ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࠖ ࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖ ࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ ࡢ 6 ࡘ ࡢ ୗ ఩ ᑻ ᗘ ࡀ ࠶ ࡿ ࠋ ࡑ ࢀ ࡒ ࢀ ࡢ 㡯 ┠ ෆ ᐜ ࡟ ࡘ ࠸ ࡚ ࡝ ࡢ ⛬ ᗘ ࠶ ࡚ ࡣ ࡲ ࡿ ࠿ ࢆ 5 ௳ ἲ 㸦 ࠕ ࡜ ࡚ ࡶ ࠶ ࡚ ࡣ ࡲ ࡿ 㸦 5 Ⅼ 㸧 ࠖ ࠕ ᑡ ࡋ ࠶ ࡚ ࡣ ࡲ ࡿ㸦4 Ⅼ 㸧ࠖࠕ ࡝ ࡕ ࡽ ࡛ ࡶ ࡞ ࠸㸦 3 Ⅼ 㸧ࠖࠕ ࠶ ࡲ ࡾ ࠶ ࡚ ࡣ ࡲ ࡽ ࡞ ࠸㸦 2 Ⅼ 㸧ࠖࠕ ඲ ࡃ ࠶ ࡚ ࡣ ࡲ ࡽ ࡞ ࠸ 㸦1 Ⅼ 㸧 ࠖ 㸧 ࡛ ᑜ ࡡ 㸪 ࡑ ࡢ ྜ ィ Ⅼ ࢆ RAS-HD ᚓ Ⅼ ࡜ ࡋ ࡓ ࠋ ࡲ ࡓ 㸪 ྛ ୗ ఩ ᑻ ᗘ ࡟ ྵ ࡲ ࢀ ࡿ 㡯 ┠ ࡢ ྜ ィ Ⅼ ࢆ ୗ ఩ ᑻ ᗘ ᚓ Ⅼ ࡜ ࡋ ࡓ ࠋ ㄪ ᰝ 㸰 RAS-HD ࡀ ᑗ ᮶ ࡢ ୰ ㏥ ⪅ ࢆ ண ࡋ ࡚ ࠸ ࡓ ࠿ ࢆ ᳨ ウ ࡍ ࡿ ࡓ ࡵ ࡟ 㸪ࡑ ࡢ ᚋ ࡢ Ⓩ ᰯ ≧ ἣ ࡟ ࡘ ࠸ ࡚ ᑜ ࡡ ࡓ ࠋ ල య ⓗ ࡟ ࡣ 㸪 ࡑ ࢀ ࡒ ࢀ ࡢ ⏕ ᚐ ࡀ 2016 ᖺ ᗘ ୰ ࡟ ୰ ㏥ ࡋ ࡓ ࠿ ྰ ࠿ ࡟ ࡘ ࠸ ࡚ 㸪 ஢ ゎ ࡢ ᚓ ࡽ ࢀ ࡓ ྛ ㄪ ᰝ ༠ ຊ ᰯ ࡢ ᩍ ဨ ࡟ ᅇ ⟅ ࢆ ồ ࡵ ࡓ ࠋ 㸲㸬 ೔ ⌮ ⓗ 㓄 ៖ ㄪ ᰝ 1 ࡣ ᢸ ௵ ࡟ ࡼ ࡿ ࢡ ࣛ ࢫ ୍ ᩧ ᪉ ᘧ ࡛ ᐇ ᪋ ࡍ ࡿ ࡓ ࡵ 㸪ྛ ⏕ ᚐ ࡟ ᑐ ࡋ ࡚ ᢸ ௵ ࡼ ࡾ ᩥ 㠃 ࠾ ࡼ ࡧ ཱྀ 㢌 ࡟ ࡚ 㸪 ձ ㄪ ᰝ ࡬ ࡢ ᅇ ⟅ ࡀ ⮬ ⏤ ព ᛮ ࡟ ࡶ ࡜ ࡙ ࡃ ࡇ ࡜ 㸪 ղ ᅇ ⟅ ⤖ ᯝ ࡣ ᡂ ⦼ ホ ౯ ࡟ ࡣ ඲ ࡃ 㛵 ಀ ࡋ ࡞ ࠸ ࡇ ࡜ 㸪 ճ ◊ ✲ ࡛ ᚓ ࡽ ࢀ ࡓ ࢹ ࣮ ࢱ ࡣ ◊ ✲ ௨ እ ࡢ ┠ ⓗ ࡟ ࡣ ౑ ⏝ ࡋ ࡞ ࠸ ࡇ ࡜ 㸪 մ ಶ ே ྡ ➼ ࡢ ࣉ ࣛ ࢖ ࣂ ࢩ ࣮ ࡣ ಖ ド ࡍ ࡿ ࡇ ࡜ 㸪 յ ᨭ 㞀 ࡀ ⏕ ࡌ ࡓ ሙ ྜ ࡟ ࡣ ㏵ ୰ ࡛ ᣄ ྰ ࡛ ࡁ ࡿ ࡇ ࡜ ࢆ ㄝ ᫂ ࡋ ࡓ ࠋ ࡲ ࡓ 㸪 ྛ ㄪ ᰝ ༠ ຊ ᰯ ࡢ ᰯ 㛗 ࡟ ᑐ ࡋ ࡚ ᮏ ◊ ✲ ࡢ ┠ ⓗ ࡸ Ⓨ ⾲ ᡭ ẁ ➼ ࢆ ㄝ ᫂ ࡋ 㸪 ⏕ ᚐ ࠾ ࡼ ࡧ ᩍ ဨ ࡬ ࡢ ㄪ ᰝ ࡟ ࡘ ࠸ ࡚ 㸪 ◊ ✲ ༠ ຊ ࡢ ᢎ ㅙ ࠾ ࡼ ࡧ ◊ ✲ ౫ 㢗 ᭩ ࡬ ࡢ ⨫ ྡ ࣭ ᤫ ༳ ࢆ ᚓ ࡓ ࠋ ࡞ ࠾ 㸪ㄪ ᰝ ࡟ ࠶ ࡓ ࡗ ࡚ ࡣ 㐃 ⤖ ྍ ⬟ ༏ ྡ ໬ ࢆ ⾜ ࠸ 㸪2 ᅇ ࡢ ㄪ ᰝ ༠ ຊ ⪅ ࡢ ྠ ᐃ ࡣ ฟ ᖍ ␒ ྕ ࢆ ⏝ ࠸ ࡚ ⾜ ࡗ ࡓ ࠋ ࡉ ࡽ ࡟ 㸪 ྛ ⏕ ᚐ ࡢ ㄪ ᰝ ⤖ ᯝ ࡣ ಶ ⚊ ࡜ ࡋ ࡚ ྛ ㄪ ᰝ ༠ ຊ ᰯ ࡟ ࣇ ࢕ ࣮ ࢻ ࣂ ࢵ ࢡ ࡋ 㸪㧗 ࣜ ࢫ ࢡ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ ⏕ ᚐ ࡟ ࡘ ࠸ ࡚ ࡣ ࡑ ࡢ ฟ ᖍ ␒ ྕ ࢆ ㏻ ▱ ࡋ ࡓ ࠋ ⤖ ᯝ 㸯㸬グ㏙ ⤫ ィ RAS-HD ᚓ Ⅼ ࠾ ࡼ ࡧ ྛ ୗ ఩ ᑻ ᗘ ᚓ Ⅼ ࡢ グ㏙ ⤫ ィ ࢆ ⾲ 1 ࡟ ♧ ࡍ ࠋᏛ ᖺ ࡸ ᛶ ู ࡢ 㐪 ࠸ ࡟ ࡼ ࡗ

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࡚ RAS-HD ࡸ ୗ ఩ ᑻ ᗘ ࡢ ᚓ Ⅼ ࡟ ᕪ ࡀ ࠶ ࡿ ࠿ ࡝ ࠺ ࠿ ࢆ ᳨ ウ ࡍ ࡿ ࡓ ࡵ ࡟ 㸪 Ꮫ ᖺ 㸦 1㸪 2㸪 3 ᖺ 㸧 ࡜ ᛶ ู 㸦 ⏨ 㸪 ዪ 㸧 ࢆ ⊂ ❧ ኚ ᩘ 㸪ㄪ ᰝ 1 ࡢ ྛ ᑻ ᗘ ᚓ Ⅼ ࢆ ᚑ ᒓ ኚ ᩘ ࡜ ࡋ ࡓ ஧ ඖ 㓄 ⨨ ศ ᩓ ศ ᯒ ࢆ ⾜ ࡗ ࡓ ࠋ RAS-HD ࡛ ࡣ ᭷ ព ࡞ ᛶ ู 㸦F(1,2876)=5.86,p<.05㸧 ࡢ ୺ ຠ ᯝ ࡀ ㄆ ࡵ ࡽ ࢀ 㸪 ዪ Ꮚ ࡣ ⏨ Ꮚ ࡼ ࡾ ࡶ ᭷ ព ࡟ ᚓ Ⅼ ࡀ 㧗 ࡃ 㸪 ⏨ Ꮚ ࡢ ᪉ ࡀ ୰ ㏥ ࣜ ࢫ ࢡ ࡀ 㧗 ࠸ ࡇ ࡜ ࡀ ♧ ၀ ࡉ ࢀ ࡓ ࠋ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࡛ ࡣ Ꮫ ᖺ㸦F(2,2876)=4.41,p<.05㸧ࡢ ୺ ຠ ᯝ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡓ ࡵ 㸪Tukey ࡢ HSD ἲ ࡟ ࡼ ࡿ ከ 㔜 ẚ ㍑ ࢆ ⾜ ࡗ ࡓ ࠋ ࡑ ࡢ ⤖ ᯝ 㸪3 ᖺ ⏕ ࡢ ᚓ Ⅼ ࡣ 2 ᖺ ⏕ ࡼ ࡾ ࡶ ᭷ ព ࡟ 㧗 ࡃ㸦p<.05㸧㸪1 ᖺ ⏕ ࡼ ࡾ ࡶ ᭷ ព ࡟ 㧗 ࠸ ഴ ྥ ࡟ ࠶ ࡗ ࡓ㸦p<.10㸧ࠋࠕ Ⓩ ᰯ ⩏ ົ ឤ ࡛ࠖ ࡣ Ꮫ ᖺ㸦F(2,2876)=3.07,p<.05㸧 ࠾ ࡼ ࡧ ᛶ ู㸦F(1,2876)=9.88,p<.01㸧ࡢ ୺ ຠ ᯝ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡓ ࡵ 㸪Ꮫ ᖺ ࡟ ࡘ ࠸ ࡚ Tukey ࡢ HSD ἲ ࡟ ࡼ ࡿ ከ 㔜 ẚ ㍑ ࢆ ⾜ ࡗ ࡓ ࠋ ࡑ ࡢ ⤖ ᯝ 㸪 1㸪 2 ᖺ ⏕ ࡣ 3 ᖺ ⏕ ࡼ ࡾ ࡶ ᭷ ព ࡟ ᚓ Ⅼ ࡀ 㧗 ࡃ 㸦p<.05㸧㸪⏨ Ꮚ ࡣ ዪ Ꮚ ࡼ ࡾ ࡶ ᭷ ព ࡟ ᚓ Ⅼ ࡀ 㧗 ࠿ ࡗ ࡓ ࠋࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࡛ࠖ ࡣ Ꮫ ᖺ ࠾ ࡼ ࡧ ᛶ ู ࡢ ୺ ຠ ᯝ ࡣ ㄆ ࡵ ࡽ ࢀ ࡞ ࠿ ࡗ ࡓ ࠋ ࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖ ࡛ ࡣ Ꮫ ᖺ 㸦F(2,2876)=16.60,p<.001㸧 ࠾ ࡼ ࡧ ᛶ ู 㸦F(1,2876)=41.45,p<.001㸧 ࡢ ୺ ຠ ᯝ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡓ ࡵ 㸪 Ꮫ ᖺ ࡟ ࡘ ࠸ ࡚ Tukey ࡢ HSD ἲ ࡟ ࡼ ࡿ ከ 㔜 ẚ ㍑ ࢆ ⾜ ࡗ ࡓ ࠋ ࡑ ࡢ ⤖ ᯝ 㸪 3 ᖺ ࡣ 2 ᖺ 㸦p<.01㸧 ࡸ 1 ᖺ㸦p<.001㸧ࡼ ࡾ ᭷ ព ࡟ 㧗 ࡃ 㸪2 ᖺ ࡣ 1 ᖺ㸦p<.05㸧ࡼ ࡾ ᭷ ព ࡟ 㧗 ࠿ ࡗ ࡓ ࠋࡲ ࡓ 㸪ዪ Ꮚ ࡣ ⏨ Ꮚ ࡼ ࡾ ࡶ ᚓ Ⅼ ࡀ 㧗 ࠿ ࡗ ࡓ ࠋ ࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ ࡛ ࡣ Ꮫ ᖺ 㸦F(2,2876)=17.61,p<.001㸧 ࡢ ୺ ຠ ᯝ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡓ ࡵ 㸪Tukey ࡢ HSD ἲ ࡟ ࡼ ࡿ ከ 㔜 ẚ ㍑ ࢆ ⾜ ࡗ ࡓ ࠋࡑ ࡢ ⤖ ᯝ 㸪 1 ᖺ ⏕ ࡣ 2㸪 3 ᖺ ⏕ ࡼ ࡾ ࡶ ᭷ ព ࡟ ᚓ Ⅼ ࡀ 㧗 ࠿ ࡗ ࡓ 㸦p<.001㸧 ࠋ ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ ࡛ ࡣ ᛶ ู 㸦F(1,2876)=91.39,p<.001㸧 ࡢ ୺ ຠ ᯝ ࡀ ㄆ ࡵ ࡽ ࢀ 㸪 ዪ Ꮚ ࡣ ⏨ Ꮚ ࡼ ࡾ ࡶ ᭷ ព ࡟ ᚓ Ⅼ ࡀ 㧗 ࠿ ࡗ ࡓ ࠋ ஺ ஫ స ⏝ ࡣ ࠸ ࡎ ࢀ ࡢ ኚ ᩘ ࡟ ࠾ ࠸ ࡚ ࡶ ᭷ ព ࡛ ࡣ ࡞ ࠿ ࡗ ࡓ ࠋ ⏨Ꮚ 611 ྡ ዪᏊ 635ྡ ⏨Ꮚ 403ྡ ዪᏊ 445ྡ ⏨Ꮚ 356ྡ ዪᏊ 432ྡ 124.09 127.40 124.60 127.20 126.96 126.66 (21.39) (19.17) (21.46) (18.94) (19.76) (20.50) 21.95 22.02 21.98 21.65 22.96 22.25 (5.90) (5.80) (5.82) (5.45) (5.20) (5.59) 24.94 24.52 24.92 24.61 24.77 23.64 (5.34) (5.33) (5.06) (4.88) (4.72) (5.45) 22.33 22.34 22.89 22.70 23.17 22.14 (6.04) (5.41) (5.31) (5.15) (5.48) (5.53) 18.85 20.20 19.29 20.94 20.43 21.58 (5.89) (5.52) (5.99) (5.26) (5.53) (5.58) 14.19 14.41 13.42 13.49 13.58 13.69 (3.54) (3.22) (3.70) (3.38) (3.46) (3.47) 21.85 23.91 22.10 23.81 22.05 23.37 (4.58) (4.47) (4.84) (4.79) (4.43) (4.90) (䚷)ෆ䛻䛿ᶆ‽೫ᕪ䜢グ㍕䚹 ***:p <.001䚷**:p <.01䚷*:p <.05 ⾲䠍䚷ྛᑻᗘᚓⅬ䛻㛵䛩䜛Ꮫᖺ㽢ᛶู䛾஧せᅉศᩓศᯒ⤖ᯝ䠄㼚㻩㻞㻘㻤㻤㻞䠅 Ꮫᖺ ୺ຠᯝ F ್ ⮬⏤ᗘ (2,2876) ከ㔜ẚ㍑ 5%Ỉ‽ RAS-HDᚓⅬ 0.71 ዪ>⏨ Ꮫ⣭‶㊊ឤᚓⅬ 4.41* 3>2 Ⓩᰯ⩏ົឤᚓⅬ 3.07* ⏨>ዪ 1䞉2>3 ᩍဨࢧ࣏࣮ࢺᚓⅬ 1.90 9.88** 1.53 3.70 2.20 16.60*** ዪ>⏨ 3>2>1 ✚ᴟⓗᏛ⩦ᚓⅬ 17.61*** 1>2䞉3 41.45*** 0.43 1.01 0.16 1ᖺ 2ᖺ 3ᖺ _୺ຠᯝᛶู F ್ ⮬⏤ᗘ (1,2876) ஺஫ స⏝ F ್ ⮬⏤ᗘ (2,2876) 5.86* 1.99 2.23 1.19 ぶࢧ࣏࣮ࢺᚓⅬ 0.60 91.39*** 1.54 ዪ>⏨ ཭㐩ࢧ࣏࣮ࢺᚓⅬ

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㸰㸬 ጇ ᙜ ᛶ ࡢ ᳨ ウ RAS-HD ࡀ 㧗 ᰯ ୰ ㏥ ࡟ ࠾ ࡅ ࡿ 㧗 ࣜ ࢫ ࢡ ⩌ ࡢ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ ᑻ ᗘ ࡜ ࡋ ࡚ 㸪ᑗ ᮶ ࡢ ୰ ㏥ ⪅ ࢆ ண ࡋ ࡚ ࠸ ࡓ ࠿ ࡜ ࠸ ࠺ ண ⓗ ጇ ᙜ ᛶ ࢆ ᳨ ウ ࡋ ࡓ ࠋ ࡓ ࡔ ࡋ 㸪3 ᖺ ⏕ ࡛ ࡢ ୰ ㏥ ⪅ ࡀ 1 ྡ ࡶ ࠸ ࡞ ࠿ ࡗ ࡓ ࡓ ࡵ 㸪 ண ⓗ ጇ ᙜ ᛶ ࡢ ᳨ ウ ࠿ ࡽ 3 ᖺ ⏕ 356 ྡ ࡢ ࢹ ࣮ ࢱ ࢆ 㝖 እ ࡋ 㸪 1 ᖺ ⏕ ࡜ 2 ᖺ ⏕ 1,188 ྡ 㸦 Ⓩ ᰯ ⩌ 㸸 1,146 ྡ 㸪 ୰ ㏥ ⩌ 㸸 42 ྡ 㸧 ࢆ ศ ᯒ ࡢ ᑐ ㇟ ࡜ ࡋ ࡓ ࠋ ࡲ ࡎ 㸪2017 ᖺ 3 ᭶ ᫬ Ⅼ ࡢ Ⓩ ᰯ ≧ ἣ ࡢ 㐪 ࠸ ࡟ ࡼ ࡗ ࡚ 㸪 2016 ᖺ 9 ᭶ 㹼 11 ᭶ ࡢ RAS-HD ࡸ ୗ ఩ ᑻ ᗘ ࡢ ᚓ Ⅼ ࡟ ᕪ ࡀ ࠶ ࡗ ࡓ ࠿ ࡝ ࠺ ࠿ ࢆ ᳨ ウ ࡍ ࡿ ࡓ ࡵ ࡟ 㸪 Ⓩ ᰯ ≧ ἣ ࢆ ⊂ ❧ ኚ ᩘ 㸪 ྛ ᑻ ᗘ ᚓ Ⅼ ࢆ ᚑ ᒓ ኚ ᩘ ࡜ ࡋ ࡓ ᑐ ᛂ ࡢ ࡞ ࠸ t ᳨ ᐃ ࢆ ⾜ ࡗ ࡓ ࠋ ࡑ ࡢ ⤖ ᯝ 㸪 ඲ ࡚ ࡢ ᑻ ᗘ ࡟ ࠾ ࠸ ࡚ ᭷ ព ᕪ ࡀ ㄆ ࡵ ࡽ ࢀ 㸪ࠕRAS-HDࠖ㸦t(42.87)=4.42,p<.001㸧㸪ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ㸦t(1186)=3.08,p<.01㸧㸪 ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ㸦t(42.50)=4.60,p<.001㸧㸪ࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࠖ㸦t(1186)=3.19,p<.01㸧㸪ࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖ㸦t(1186)=2.21,p<.05㸧㸪ࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ㸦t(42.67)=3.80,p<.001㸧㸪ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ㸦t(1186)=3.07,p<.01㸧ࡢ ࠸ ࡎ ࢀ ࡟ ࠾ ࠸ ࡚ ࡶ 㸪Ⓩ ᰯ ⩌ ࡣ ୰ ㏥ ⩌ ࡼ ࡾ ࡶ ᚓ Ⅼ ࡀ 㧗 ࠿ ࡗ ࡓ ࠋ ⤖ ᯝ ࢆ ⾲ 2 ࡟ ♧ ࡍ ࠋ ࡞ ࠾ 㸪 ᑻ ᗘ ࡟ ࡼ ࡗ ࡚ ⮬ ⏤ ᗘ ࡟ 㐪 ࠸ ࡀ ⏕ ࡌ ࡚ ࠸ ࡿ ࡢ ࡣ 㸪 ➼ ศ ᩓ ᛶ ࡢ ᳨ ᐃ ⤖ ᯝ ࡟ ࡼ ࡿ ࡶ ࡢ ࡛ ࠶ ࡿ ࠋ ḟ ࡟ 㸪RAS-HD ᚓ Ⅼ ࢆ ⏝ ࠸ ࡚ ⏕ ᚐ ࢆ 㧗 ᰯ ୰ ㏥ ࡢ 㧗 ࣜ ࢫ ࢡ ⩌ ࡜ ప ࣜ ࢫ ࢡ ⩌ ࡢ 2 ⩌ ࡟ ศ 㢮 ࡋ ࡓ ࠋᑠ ᰩ㸦 ༳ ๅ ୰ 㸧࡛ ࡣ RAS-HD ᚓ Ⅼ 105.5 ࡀ ࢝ ࢵ ࢺ ࢜ ࣇ ್ ࡜ ࡋ ࡚ ᭱ 㐺 ࡛ ࠶ ࡿ ࡜ ุ ᩿ ࡋ ࡚ ࠾ ࡾ 㸪ᮏ ◊ ✲ ࡛ ࡶ RAS-HD ᚓ Ⅼ 106 Ⅼ ௨ ୖ ࢆ 㧗 ᰯ ୰ ㏥ ࡢ ప ࣜ ࢫ ࢡ ⩌ 㸪105 Ⅼ ௨ ୗ ࢆ 㧗 ࣜ ࢫ ࢡ ⩌ ࡜ ᐃ ⩏ ࡋ ࡓ ⤖ ᯝ 㸪㧗 ࣜ ࢫ ࢡ ⩌ ࡣ 192 ྡ 㸪ప ࣜ ࢫ ࢡ ⩌ ࡣ 996 ྡ ࡛ ࠶ ࡗ ࡓ ࠋࡑ ࡋ ࡚ 㸪2016 ᖺ 9 ᭶ 㹼 11 ᭶ ᫬ Ⅼ ࡢ ୰ ㏥ ࣜ ࢫ ࢡ ࡜ 2017 ᖺ 3 ᭶ ᫬ Ⅼ ࡢ Ⓩ ᰯ ≧ ἣ ࡢ 㛵㐃 ࡟ ࡘ ࠸ ࡚ 㸪2 せ ᅉ㸦 2 t್ ⮬⏤ᗘ 126.53 108.71 4.42*** (20.28) (25.83) 42.87 21.96 19.14 3.08** (5.78) (6.76) 1186 25.05 20.00 4.60*** (4.96) (7.06) 42.50 22.99 20.17 3.19** (5.62) (6.32) 1186 19.53 17.50 2.21* (5.84) (6.50) 1186 14.24 11.50 3.80*** (3.43) (4.62) 42.67 22.75 20.40 3.07** (4.85) (5.56) 1186 (䚷)ෆ䛻䛿ᶆ‽೫ᕪ䜢グ㍕䚹 ***:p<.001䚷**:p<.01䚷*:p<.05 Ꮫ⣭‶㊊ឤᚓⅬ ⾲䠎䚷Ⓩᰯ≧ἣ䛤䛸䛾ྛᑻᗘᚓⅬᖹᆒ್䛾ᕪ䠄

㼚

㻩㻝㻘㻝㻤㻤䠅 Ⓩᰯ⩌ (1,146ྡ) ୰㏥⩌ (42ྡ) RAS-HDᚓⅬ Ⓩᰯ⩏ົឤᚓⅬ ᩍဨࢧ࣏࣮ࢺᚓⅬ ཭㐩ࢧ࣏࣮ࢺᚓⅬ ✚ᴟⓗᏛ⩦ᚓⅬ ぶࢧ࣏࣮ࢺᚓⅬ

(6)

2㸧ࡢ ࢡ ࣟ ࢫ ศ ᯒ ࢆ ;2_{᳨ ᐃ ࡛} ⾜ ࡗ ࡓ ࠋࡑ ࡢ ⤖ ᯝ 㸪୰ ㏥ ࣜ ࢫ ࢡ ࡜ Ⓩ ᰯ ≧ ἣ ࡢ 㛵㐃 ࡀ ᭷ ព ࡛ ࠶ ࡗ ࡓ ࠋ ࡝ ࡢ ࢭ ࣝ ࡟ ࠾ ࠸ ࡚ ᭷ ព ࡞ 㛵㐃 ࡀ ㄆ ࡵ ࡽ ࢀ ࡿ ࡢ ࠿ ᳨ ウ ࡍ ࡿ ࡓ ࡵ 㸪 ṧ ᕪ ศ ᯒ ࢆ ⾜ ࡗ ࡓ ࡜ ࡇ ࢁ 㸪 ඲ ࡚ ࡢ ࢭ ࣝ ࡛ ᭷ ព ࡞ 㛵㐃 ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࠋࡘ ࡲ ࡾ 㸪㧗 ࣜ ࢫ ࢡ ⩌ ࡛ ࡣ ୰ ㏥ ⩌ ࡢ ⏕ ᚐ ࡀ ᭷ ព ࡟ ከ ࡃ ࡞ ࡾ 㸪Ⓩ ᰯ ⩌ ࡢ ⏕ ᚐ ࡣ ᭷ ព ࡟ ᑡ ࡞ ࠿ ࡗ ࡓ ࠋ୍ ᪉ ࡛ 㸪 ప ࣜ ࢫ ࢡ ⩌ ࡛ ࡣ Ⓩ ᰯ ⩌ ࡢ ⏕ ᚐ ࡀ ᭷ ព ࡟ ከ ࡃ 㸪 ୰ ㏥ ⩌ ࡢ ⏕ ᚐ ࡣ ᭷ ព ࡟ ᑡ ࡞ ࠿ ࡗ ࡓ ࠋ ⤖ ᯝ ࢆ ⾲ 3 ࡟ ♧ ࡍ ࠋ 㸱㸬㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ࡟ ᑐ ࡍ ࡿ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ᙳ 㡪 ࡢ ᳨ ウ RAS-HD ࡟ ࡣ ୗ ఩ ᑻ ᗘ ࡟ ࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࠖࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖ ࡜ ࠸ ࠺ 3 ࡘ ࡢ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡀ ྵ ࡲ ࢀ ࡚ ࠸ ࡿ ࠋ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࢆ ά ⏝ ࡋ ࡓ ண 㜵 ⓗ ௓ ධ ࡢ ▱ ぢ ࢆ ᚓ ࡿ ࡓ ࡵ ࡟ 㸪 ࡇ ࢀ ࡽ ࡀ ࡝ ࡢ ࡼ ࠺ ࡟ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࡸ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࡟ ᙳ 㡪 ࡋ ࡚ ࠸ ࡿ ࡢ ࠿ ࢆ ඹ ศ ᩓ ᵓ 㐀 ศ ᯒ ࡛ ᳨ ウ ࡋ ࡓ ࠋ ࡲ ࡎ 㸪3 ࡘ ࡢ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ୗ ఩ ᑻ ᗘ ࠿ ࡽ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ࡜ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ࡟ 㸪ࡑ ࢀ ࡒ ࢀ ࣃ ࢫ ࢆ タ ᐃ ࡋ ࡓ ࠋࡲ ࡓ 㸪ࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࠖ࠿ ࡽ ࡣࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ ࢆ ௓ ࡋ ࡚ 㛫 ᥋ ⓗ ࡟ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࡟ ᙳ 㡪 ࡍ ࡿ ࣃ ࢫ ࡶ タ ᐃ ࡋ ࡓ ࠋ ศ ᯒ ࡢ ⤖ ᯝ 㸪 ᭷ ព ࡛ ࡣ ࡞ ࠸ ࣃ ࢫ ࡸ ⴭ ࡋ ࡃ ᙳ 㡪 ࡀ ᙅ ࠸ ࣃ ࢫ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡓ ࡵ 㸪 ࡑ ࢀ ࡽ ࡢ ࣃ ࢫ ࢆ ๐ 㝖 ࡋ ࡞ ࡀ ࡽ 㸪 ྠ ᵝ ࡢ ศ ᯒ ࢆ ⧞ ࡾ ㏉ ࡋ 㸪 ᥈ ⣴ ⓗ ࡟ ࣔ ࢹ ࣝ ࡢ ᳨ ウ ࢆ ⾜ ࡗ ࡓ ࠋ ᭱ ⤊ ⓗ ࡟ ᚓ ࡽ ࢀ ࡓ ᅉ ᯝ ࣔ ࢹ ࣝ ࢆ ᅗ 1 ࡟ ♧ ࡍ ࠋ ࣔ ࢹ ࣝ ࡢ 㐺 ྜ ᗘ ࡣ ;2_{(6)=430.01㸦}_p_{<.001㸧㸪GFI=.96㸪AGFI=.84㸪CFI=.88 ࡛ ࠶ ࡾ 㸪࠶} ࡿ ⛬ ᗘ ࡢ 㐺 ྜ ᗘ ࡀ ☜ ㄆ ࡉ ࢀ ࡓ ࠋ ࡲ ࡎ 㸪 ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ ࡀ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࡟ ᑐ ࡋ ࡚ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ ࡓ ࠋ ྠ ᵝ ࡟ 㸪 ࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖ ࡣ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࡟ ᑐ ࡋ ࡚ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ Ⓩᰯ⩌ ୰㏥⩌ 173ྡ (-5.2) 19ྡ (5.2) 973ྡ (5.2) 23ྡ (-5.2) ࠉෆࡣㄪᩚ῭ࡳṧᕪࢆグ㍕ࠋ ***:

p

<.001 ⾲䠏䚷୰㏥䝸䝇䜽㽢Ⓩᰯ≧ἣ䛾䜹䜲஧஌᳨ᐃ⤖ᯝ䠄

㼚

㻩㻝㻘㻝㻤㻤䠅 ୰㏥ࣜࢫࢡ Ⓩᰯ≧ἣ _;2(1) 㧗ࣜࢫࢡ⩌ 27.17*** పࣜࢫࢡ⩌

(7)

ࡓ ࠋ ࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࠖ ࡣ ࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ ࡟ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ 㸪 ࡑ ࠺ ࡋ ࡚ ಁ 㐍 ࡉ ࢀ ࡓ ࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ ࡣ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࡟ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ ࡓ ࠋ ୍ ᪉ ࡛ 㸪 ࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࠖ ࡣ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࡜ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࡟ ┤ ᥋ ⓗ ࡟ ࡶ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ᫂ ࡽ ࠿ ࡜ ࡞ ࡗ ࡓ ࠋ ⪃ ᐹ 㸯㸬 5$6+' ࡢ ጇ ᙜ ᛶ ࡟ ࡘ ࠸ ࡚ RAS-HD ࡣ ୰ ㏥ ࡢ 㧗 ࣜ ࢫ ࢡ ⩌ ࡢ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ࣭ࢸ ࢫ ࢺ ࡛ ࠶ ࡾ 㸪RAS-HD ࡟ ࡼ ࡗ ࡚ ୰ ㏥ ࡢ ࣜ ࢫ ࢡ ࡀ 㧗 ࠸ ࡜ ุ ᩿ ࡉ ࢀ ࡓ ⏕ ᚐ ࠿ ࡽ ࡣ 㸪 ࣜ ࢫ ࢡ ࡀ ప ࠸ ࡜ ุ ᩿ ࡉ ࢀ ࡓ ⏕ ᚐ ࡜ ẚ ㍑ ࡋ ࡚ 㸪 ከ ࡃ ࡢ ୰ ㏥ ⪅ ࡀ ฟ ࡿ ࡇ ࡜ ࡀ ண ࡉ ࢀ ࡿ ࠋ ࡑ ࡇ ࡛ 㸪 ࢝ ࢵ ࢺ ࢜ ࣇ ್ ࢆ タ ᐃ ࡋ ࡚ ⏕ ᚐ ࢆ ୰ ㏥ ࡢ 㧗 ࣜ ࢫ ࢡ ⩌ ࡜ ప ࣜ ࢫ ࢡ ⩌ ࡟ ศ 㢮 ࡋ 㸪 ᑗ ᮶ ࡢ Ⓩ ᰯ ≧ ἣ ࡜ ࡢ 㛵㐃 ࢆ ᳨ ウ ࡋ ࡓ ⤖ ᯝ 㸪 ୰ ㏥ ࣜ ࢫ ࢡ ࡜ Ⓩ ᰯ ≧ ἣ ࡟ ᭷ ព ࡞ 㛵㐃 ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࠋప ࣜ ࢫ ࢡ ⩌ 996 ྡ ࠿ ࡽ ࡣ ⣙ 2%࡟ ࠶ ࡓ ࡿ 23 ྡ ࡀ ୰ ㏥ ࡋ ࡓ ࡢ ࡟ ᑐ ࡋ ࡚ 㸪㧗 ࣜ ࢫ ࢡ ⩌ 192 ྡ ࠿ ࡽ ࡣ ⣙ 10%࡟ ࠶ ࡓ ࡿ 19 ྡ ࡀ ୰ ㏥ ࡋ ࡚ ࠸ ࡓ ࠋ ࡲ ࡓ 㸪 ᖺ ᗘ ᮎ ࡲ ࡛ ࡟ ୰ ㏥ ࡋ ࡓ ⏕ ᚐ 42 ྡ ࡢ ࠺ ࡕ ⣙ 45%࡟ ࠶ ࡓ ࡿ 19 ྡ ࢆ ୰ ㏥ ࣜ ࢫ ࢡ ࡀ 㧗 ࠸ ࡜ ண ࡋ ࡚ ࠸ ࡓ ࠋ ࡇ ࢀ ࡽ ࡢ ࡇ ࡜ ࠿ ࡽ 㸪RAS-HD ࡣ ༑ ศ ࡞ ண ⓗ ጇ ᙜ ᛶ ࢆ ᭷ ࡋ ࡚ ࠸ ࡿ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ ࠋ ࡉ ࡽ ࡟ 㸪1,188 ྡ ࡢ ୰ ࡛ 㧗 ࣜ ࢫ ࢡ ࡜ ࡋ ࡚ ᢳ ฟ ࡉ ࢀ ࡓ ࡢ ࡣ 192 ྡ ࡛ ࠶ ࡾ 㸪 ඲ య ࡢ ⣙ 16%࡟ ࠶ ࡓ ࡿ ࠋ ࡇ ࡢ ᩘ ್ ࡟ ࡘ ࠸ ࡚ 㸪 Ἑ ᮧ 㸦1999㸧 ࡛ ࡣ ⣙ 31㸣㸪 ୕ ᾆ 㸦 2006㸧 ࡛ ࡣ ⣙ 26㸣 ࢆ ௓ ධ ࡢ ᚲ せ ࡞ ⏕ ᚐ ࡜ ࡋ ࡚ ᢳ ฟ ࡋ ࡚ ࠸ ࡿ ࡇ ࡜ ࠿ ࡽ 㸪RAS-HD ࡣ ࡼ ࡾ ᑡ ࡞ ࠸ ⏕ ᚐ ࢆ 㧗 ࣜ ࢫ ࢡ ⩌ ࡜ ࡋ ࡚ ᢳ ฟ ࡋ 㸪ຠ ⋡ ࡼ ࡃ 㑅 ᢥ ⓗ ண 㜵 ࢆ ᐇ ㊶ ࡛ ࡁ ࡿ ᑻ ᗘ ࡛ ࠶ ࡿ ࡜ ゝ ࠼ ࡿ ࠋࡘ ࡲ ࡾ 㸪ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ࣭ ࢸ ࢫ ࢺ ࡜ ࡋ ࡚ ࡢ 㐺 ᛶ ࡀ 㧗 ࠸ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ ࠋ RAS-HD ࡢ ྛ ୗ ఩ ᑻ ᗘ ࡟ ࡘ ࠸ ࡚ ᛶ ᕪ ࢆ ᳨ ウ ࡋ ࡓ ࡜ ࡇ ࢁ 㸪ࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ ࡟ ࠾ ࠸ ࡚ ዪ Ꮚ ࡢ ࡯ ࠺ ࡀ ᭷ ព ࡟ 㧗 ࡃ 㸪ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࡛ࠖ ࡣ ⏨ Ꮚ ࡀ ᭷ ព ࡟ 㧗 ࠿ ࡗ ࡓ ࠋRAS-HD ඲ య ࡛ ࡣ ዪ Ꮚ ࡢ ᚓ Ⅼ ࡀ ᭷ ព ࡟ 㧗 ࠿ ࡗ ࡓ ࠋ ࡋ ࡓ ࡀ ࡗ ࡚ 㸪 ඲ య ࡜ ࡋ ࡚ ࡣ ⏨ Ꮚ ࡢ ࡯ ࠺ ࡀ ୰ ㏥ ࣜ ࢫ ࢡ ࡣ 㧗 ࠸ ࡇ ࡜ ࡟ ࡞ ࡿ ࠋ ᩥ 㒊 ⛉ Ꮫ ┬ 㸦2018㸧ࡢ ㄪ ᰝ ࡛ ࡣ 㸪㧗 ᰯ ୰ ㏥ ࡟ ࡘ ࠸ ࡚ ⏨ ዪ ู ࡢ ㄪ ᰝ ࡣ ⾜ ࡗ ࡚ ࠸ ࡞ ࠸ ࡀ 㸪 ୰ Ꮫ ⏕ ࡢ ୙ Ⓩ ᰯ ࡟ ࡘ ࠸ ࡚ ࡣ ⏨ ዪ ู ࡢ ㄪ ᰝ ࢆ ⾜ ࡗ ࡚ ࠾ ࡾ 㸪 ⏨ Ꮚ ࡢ ୙ Ⓩ ᰯ ⏕ ᚐ ᩘ ࡣ ዪ Ꮚ ࡼ ࡾ ከ ࠸ ࡜ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ ࠋ ࡲ ࡓ 㸪 Ἑ ᮧ 㸦1999㸧ࡣ 㧗 ᰯ ⏕ ࡟ࠕ Ꮫ ᰯ ⏕ ά ‶ ㊊ ᗘ ᑻ ᗘ ࠖࢆ ᐇ ᪋ ࡋ 㸪⏨ Ꮚ ࡢ ᥼ ຓ ࢽ ࣮ ࢬ ࡣ ዪ Ꮚ ࡼ ࡾ ᭷ ព ࡟ 㧗 ࠸ ࡇ ࡜ ࢆ ᫂ ࡽ ࠿ ࡟ ࡋ ࡚ ࠸ ࡿ ࠋࡉ ࡽ ࡟ 㸪 ኴ ⏣ 㸦2002㸧ࡣ 㧗 ᰯ 1 ᖺ ⏕ ࢆ ᑐ ㇟ ࡟ࠕ 㧗 ➼ Ꮫ ᰯ ᪂ ධ ⏕ ⏝ 㐺 ᛂ ឤ ᑻ ᗘ ࠖࢆ ᐇ ᪋ ࡋ 㸪⏨ Ꮚ ࡢ 㐺 ᛂ ឤ ࡀ ዪ Ꮚ ࡼ ࡾ ᭷ ព ࡟ ప ࠸ ࡇ ࡜ ࢆ ᫂ ࡽ ࠿ ࡟ ࡋ ࡚ ࠸ ࡿ ࠋ ࡲ ࡓ 㸪 ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡟ 㛵 ࡍ ࡿ ඛ ⾜ ◊ ✲ ࡛ ࡣ 㸪 ୍ ㈏ ࡋ ࡚ ዪ Ꮚ ࡢ ࡯ ࠺ ࡀ ⏨ Ꮚ ࡼ ࡾ ࡶ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ᚓ Ⅼ ࡀ 㧗 ࠸ ࡇ ࡜ ࡀ ᫂ ࡽ ࠿ ࡜ ࡞ ࡗ ࡚ ࠸ ࡿ 㸦 ࡓ ࡜ ࠼ ࡤ ᑿ ぢ 1999㸹 ᳃ ୗ 1999㸧ࠋ ࡇ ࡢ ࡼ ࠺ ࡟ 㸪 ᮏ ◊ ✲ ࡢ ⤖ ᯝ ࡣ 㸪 Ⓩ ᰯ ≧ ἣ ࡢ ㄪ ᰝ ࡸ ඛ ⾜ ◊ ✲ ࡢ ⤖ ᯝ ࢆ ᨭ ᣢ ࡍ ࡿ ࡶ ࡢ ࡛ ࠶ ࡿ ࡜ ゝ ࠼ ࡿ ࠋ 㸰㸬㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ࡟ ᑐ ࡍ ࡿ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡢ ᙳ 㡪 ࡜ 㧗 ᰯ ୰ ㏥ ண 㜵 ࡢ ᐇ ㊶㧗 ᰯ ୰ ㏥ ண 㜵 ࡢ ୰ ࡛ 㸪 ࡝ ࡢ ࡼ ࠺ ࡟ ࡋ ࡚ ⏕ ᚐ ࡢ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࢆ ά ᛶ ໬ ࡉ ࡏ 㸪 ௓ ධ ࡋ ࡚ ࠸ ࡃ ࠿ ࡢ ▱ ぢ ࢆ ᚓ ࡿ ࡓ ࡵ ࡟ 㸪 ୗ ఩ ᑻ ᗘ 㛫 ࡢ ᅉ ᯝ 㛵 ಀ ࡟ ࡘ ࠸ ࡚ ᳨ ウ ࡋ ࡓ ࠋ ල య ⓗ ࡟ ࡣ ࠕ ᩍ

(8)

ဨ ࢧ ࣏ ࣮ ࢺ ࠖࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ࡜ ࠸ ࡗ ࡓ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡀ 㸪ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ ࡟ ᙳ 㡪 ࡋ ࡚ ࠸ ࡿ ࠿ ࢆ ඹ ศ ᩓ ᵓ 㐀 ศ ᯒ ࡟ ࡼ ࡗ ࡚ ᳨ ウ ࡋ ࡓ ࠋ ࠕ ᩍ ဨ ࢧ ࣏ ࣮ ࢺ ࠖ ࡣ ࠕ ✚ ᴟ ⓗ Ꮫ ⩦ ࠖ ࢆ ⤒ ⏤ ࡋ ࡚ 㛫 ᥋ ⓗ ࡟ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࡟ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡿ ࡔ ࡅ ࡛ ࡞ ࡃ 㸪 ┤ ᥋ ⓗ ࡟ ࡶ ᙳ 㡪 ࡋ ࡚ ࠸ ࡓ ࠋ ࡘ ࡲ ࡾ 㸪 ⏕ ᚐ ࡟ ࢃ ࠿ ࡾ ࡸ ࡍ ࡃ ᤵ ᴗ ࢆ ࡋ ࡓ ࡾ 㸪ぶ㌟ ࡟ ┦ ㄯ ࡟ ஌ ࡿ ࡇ ࡜ ࡀ 㸪ࠕ Ꮫ ᰯ ࡣ ⾜ ࠿ ࡞ ࡅ ࢀ ࡤ ࡞ ࡽ ࡞ ࠸ ሙ ᡤ ࡛ ࠶ ࡿ ࠖ࡜ ࠸ ࠺ ព ㆑ ࢆ ᙉ ࡵ ࡿ ⤖ ᯝ ࡟ ࡘ ࡞ ࡀ ࡗ ࡚ ࠸ ࡓ ࠋࠕ Ꮫ ᰯ ࡟ ⾜ ࡃ ࠖ࡜ ࠸ ࠺ ព ㆑ ࡀ ప ࠸ ⏕ ᚐ ࡟ ᑐ ࡋ ࡚ 㸪࡜ ࡶ ࡍ ࡿ ࡜ ኱ ே ࡣ ୍ ᪉ ⓗ ࡟ࠕ Ꮫ ᰯ ࡢ ኱ ษ ࡉ ࠖࢆ ㄝ ࠸ ࡚ ࡋ ࡲ ࠸ ࡀ ࡕ ࡛ ࠶ ࡿ ࠋࡋ ࠿ ࡋ 㸪ࡑ ࡢ ࡼ ࠺ ࡞ ᪉ ἲ ௨ እ ࡟ ࡶ 㸪 ᩍ ⛉ ᣦ ᑟ ࢆ ㏻ ࡋ ࡚ Ⓩ ᰯ ࡟ ᑐ ࡍ ࡿ ព ㆑ ࡙ ࡅ ࡀ ኚ ࠼ ࡽ ࢀ ࡿ ࡜ ࠸ ࠺ ࡇ ࡜ ࡀ ᫂ ࡽ ࠿ ࡟ ࡞ ࡗ ࡓ ࠋ ࡉ ࡽ ࡟ 㸪 ࡇ ࠺ ࡋ ࡓ ᩍ ဨ ࠿ ࡽ ࡢ ࢧ ࣏ ࣮ ࢺ ࡣ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࡟ ࡶ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠾ ࡾ 㸪 ᩍ ဨ ࠿ ࡽ ࡢ ࢧ ࣏ ࣮ ࢺ ࡣ 㧗 ᰯ ⏕ ࡢ ୰ ㏥ ண 㜵 ࡟ ࠾ ࠸ ࡚ ᗈ ⠊ ᅖ ࡟ Ώ ࡗ ࡚ స ⏝ ࡍ ࡿ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ ࠋ ࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖ ࡣ ┤ ᥋ ⓗ ࡟ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࡟ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ ࡿ ࡇ ࡜ ࡀ ᫂ ࡽ ࠿ ࡜ ࡞ ࡗ ࡓ ࠋࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖ ࡢ 㡯 ┠ ෆ ᐜ ࢆ ぢ ࡚ ࡳ ࡿ ࡜ 㸪ࠕ ୍ ⥴ ࡟ ఱ ࠿ ࢆ ࡍ ࡿ ࠖ ࡜ ࠸ ࠺ ࡼ ࠺ ࡞ ࠕ ඹ ⾜ ື ࠖ࡟ 㛵 ࡍ ࡿ ࡶ ࡢ ࡜ 㸪ࠕ ᝎ ࡳ ࢆ ┦ ㄯ ࡍ ࡿ ࠖ࡜ ࠸ ࠺ ࡼ ࠺ ࡞ࠕ ᚰ ⌮ ⓗ ࢧ ࣏ ࣮ ࢺ ࠖࡀ ྵ ࡲ ࢀ ࡚ ࠸ ࡿ ࠋ ࡘ ࡲ ࡾ 㸪㧗 ᰯ ⏕ ࡟ ࡜ ࡗ ࡚ ୍ ⥴ ࡟ ⾜ ື ࡍ ࡿ ཭ 㐩 ࡜ ᝎ ࡳ ࢆ ศ ࠿ ࡕ ྜ ࠺ ཭ 㐩 ࡣ ྠ ࡌ ࡛ ࠶ ࡾ 㸪 ࡑ ࠺ ࠸ ࡗ ࡓ ཭ 㐩 ࡀ ࠸ ࡿ ࠿ ࡜ ࠸ ࠺ ࡇ ࡜ ࡀ 㸪 Ꮫ ⣭ ࡟ ࠾ ࡅ ࡿ ‶ ㊊ ឤ ࡸ ᴦ ࡋ ࡉ ࡟ 㛵 ࢃ ࡗ ࡚ ࡃ ࡿ ࡜ ⪃ ࠼ ࡽ ࢀ ࡿ ࠋ୍ ᪉ ࡛ 㸪ࠕ ཭ 㐩 ࢧ ࣏ ࣮ ࢺ ࠖࡀ ప ࠸ ⏕ ᚐ ࡟ ࡘ ࠸ ࡚ ࡣ 㸪ࡓ ࡜ ࠼ ࡤ ࢡ ࣛ ࢫ ࣓ ࢖ ࢺ ࡜ ࡢ 㛫 ࡟ ࢺ ࣛ ࣈ ࣝ ࢆ ᢪ ࠼ ࡚ ࠸ ࡓ ࡾ 㸪 ࠸ ࡌ ࡵ ࡢ ᑐ ㇟ ࡜ ࡞ ࡗ ࡚ ࠸ ࡿ ࡇ ࡜ ࡶ ⪃ ࠼ ࡽ ࢀ ࡿ ࠋ ࡶ ࡋ ཭ 㐩㛵 ಀ ࡢ ࢺ ࣛ ࣈ ࣝ ࢆ ᢪ ࠼ ࡚ ࠸ ࡿ ࡼ ࠺ ࡛ ࠶ ࢀ ࡤ 㸪ᰯ ෆ 㐃 ᦠ ࢆ ᇶ ᮏ ࡜ ࡋ ࡚ ༶ ᫬ ⓗ ࡞ ᑐ ᛂ ࡀ ồ ࡵ ࡽ ࢀ ࡿ ࠋ ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖࡣࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ࡟ ṇ ࡢ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ ࡿ ࡀ 㸪ẚ ㍑ ⓗ ᙅ ࠸ ᙳ 㡪 ࡛ ࠶ ࡗ ࡓ ࠋ ࡋ ࠿ ࡋ 㸪⾲ 3 ࡟ ♧ ࡋ ࡓ ࡼ ࠺ ࡟ 㸪 Ⓩ ᰯ ⩌ ࡜ ୰ ㏥ ⩌ ࡢ ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ ࡟ ࡣ ᭷ ព ࡞ ᕪ ࡀ ㄆ ࡵ ࡽ ࢀ ࡚ ࠸ ࡿ ࡇ ࡜ ࠿ ࡽ 㸪ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖࡀ ୰ ㏥ ࡢ ண 㜵せ ᅉ ࡟ ࡞ ࡿ ࡇ ࡜ ࡣ ᫂ ࡽ ࠿ ࡛ ࠶ ࡿ ࠋࡘ ࡲ ࡾ 㸪ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖ ࡣ ࠕ Ⓩ ᰯ ⩏ ົ ឤ ࠖ ࡸ ࠕ Ꮫ ⣭ ‶ ㊊ ឤ ࠖ ࡜ ࠸ ࡗ ࡓ Ꮫ ᰯ ⏕ ά ࡟ ᑐ ࡍ ࡿ ᙳ 㡪 ࡣ ᙅ ࠸ ࡀ 㸪 Ꮫ ᰯ ⏕ ά ࡜ ࡣ 㛵 ಀ ࡢ ࡞ ࠸ 㒊 ศ ࠿ ࡽ ୰ ㏥ ࡟ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ ࡿ ࡜ ゝ ࠼ ࡿ ࠋࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖࡢ 㡯 ┠ ෆ ᐜ ࢆ ᳨ ウ ࡍ ࡿ ࡜ 㸪ぶ ࡟ ┦ ㄯ ࡍ ࡿ ࡜ ࠸ ࡗ ࡓ ࠕ ᚰ ⌮ ⓗ ࢧ ࣏ ࣮ ࢺ ࠖ ࡢ ௚ ࡟ 㸪㣗 ஦ ࡸ Ὑ ℆ ࡞ ࡝ ࡢ ᐙ ஦ ࡟ 㛵 ࡍ ࡿ ࠕ 㐨 ල ⓗ ࢧ ࣏ ࣮ ࢺ ࠖ ࡀ ࠶ ࡿ ࠋ ඛ ⾜ ◊ ✲ ࡟ ࡣ ࡞ ࠿ ࡗ ࡓ 㐨 ල ⓗ ࢧ ࣏ ࣮ ࢺ ࡟ 㛵 ࡍ ࡿ 㡯 ┠ ࡀ ྵ ࡲ ࢀ 㸪 ࡑ ࢀ ࡀ ୰ ㏥ ࡢ ண ࡟ ᭷ ព ࡞ ᙳ 㡪 ࢆ ୚ ࠼ ࡚ ࠸ ࡿ ࡜ ࠸ ࠺ ⤖ ᯝ ࡣ 㸪 ᮏ ᑻ ᗘ ࡢ ⊂ ⮬ ᛶ ࡛ ࠶ ࡿ ࡜ ゝ ࠼ ࡿ ࠋ ᐙ ᗞ ࡢ 㐨 ල ⓗ ࢧ ࣏ ࣮ ࢺ ࡀ ప ࠸ ሙ ྜ 㸪 ⏕ ᚐ ࡣ ᐙ ஦ ࢆ ᢸ ᙜ ࡋ ࡓ ࡾ 㸪 ᐙ ィ ࢆ ᨭ ࠼ ࡿ ࡓ ࡵ ࡢ ࢔ ࣝ ࣂ ࢖ ࢺ ࢆ ࡋ ࡓ ࡾ ࡜ 㸪 ຮ Ꮫ ࡜ ࡢ ୧ ❧ ࡜ ࠸ ࠺ Ⅼ ࡛ ௚ ࡢ ⏕ ᚐ ࡼ ࡾ ㈇ ᢸ ࡀ ኱ ࡁ ࡃ ࡞ ࡿ ࡇ ࡜ ࡀ ᝿ ᐃ ࡉ ࢀ ࡿ ࠋ ࡑ ࡢ ⤖ ᯝ ࡜ ࡋ ࡚ 㸪 Ꮫ ᰯ 㐺 ᛂ ࡀ Ⰻ ዲ ࡛ ࠶ ࡗ ࡓ ࡜ ࡋ ࡚ ࡶ 㸪 ୰ ㏥ ࡜ ࠸ ࠺ 㑅 ᢥ ࡟ ࡘ ࡞ ࡀ ࡗ ࡚ ࡋ ࡲ ࠺ ࡢ ࡔ ࡜ ࡍ ࢀ ࡤ 㸪 ᩍ ဨ ഃ ࠿ ࡽ ࡣ ၥ 㢟 ࡀ ぢ ࠼ ࡟ ࡃ ࡃ 㸪 ண 㜵 ⓗ ࡞ ᑐ ฎ ࡀ ྲྀ ࡾ ࡟ ࡃ ࠸ ࠋࡓ ࡜ ࠼ ࡤ 㸪ࠕ ぶ ࢧ ࣏ ࣮ ࢺ ࠖࡢ ᚓ Ⅼ ࡀ ప ࠿ ࡗ ࡓ ⏕ ᚐ ࡓ ࡕ ࡟ ࡘ ࠸ ࡚ ᩍ ဨ ࡸ ࢫ ࢡ ࣮ ࣝ ࢝ ࢘ ࣥ ࢭ ࣛ ࣮ ࡀ 㠃ㄯ ࡋ 㸪 ᐙ ᗞ ࡢ ≧ ἣ ࢆ ᢕ ᥱ ࡍ ࡿ ࡞ ࡝ ࡋ ࡚ 㸪 ୰ ㏥ ࡢ ண ඙ ࡀ ぢ ࠼ ࡚ ࡃ ࡿ ๓ ࡟ ௓ ධ ࢆ ⾜ ࠺ ࡇ ࡜ ࡀ 㸪㑅 ᢥ ⓗ ண 㜵 ࡟ ࡘ ࡞ ࡀ ࡗ ࡚ ࡃ ࡿ ࡜ ゝ ࠼ ࡿ ࠋ 㸱㸬 ௒ ᚋ ࡢ ᒎ ᮃ

(9)

௒ ᚋ ࡢ ㄢ㢟 ࡜ ࡋ ࡚ ࡣ 㸪ᐇ 㝿 ࡟ 㑅 ᢥ ⓗ ண 㜵 ࡢ ௓ ධ ࡟ RAS-HD ࢆ ⏝ ࠸ ࡚ 㸪ࡑ ࡢ ຠ ᯝ ホ ౯ ࢆ ⾜ ࠺ ࡇ ࡜ ࡀ ᣲ ࡆ ࡽ ࢀ ࡿ ࠋ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࡟ 㛵 ࡍ ࡿ ◊ ✲ ࡛ ࡣ 㸪 ⌧ ㇟ ࡢ グ㏙ ࠿ ࡽ ᐇ ㊶ ⓗ ௓ ධ ࡢ ᪉ ἲ ㄽ ࡬ ࡜ ⧅ ࡀ ࡿ ◊ ✲ ࡀ ᑡ ࡞ ࠸ ࡇ ࡜ ࡀ ᣦ ᦬ ࡉ ࢀ ࡚ ࠸ ࡿ㸦 ᐑ ᓮ࣭ᑠ ⋢ 㸪2000㸧ࠋᮏ ◊ ✲ ࡢ ୰ ࡛ ࡶ 㸪 ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࢆ ά ⏝ ࡋ ࡓ ௓ ධ ࡢ ᪉ ἲ ࡟ ࡘ ࠸ ࡚ 㸪 ࠸ ࡃ ࡘ ࠿ ⪃ ᐹ ࡋ ࡚ ࠸ ࡿ ࡀ 㸪 ࢚ ࣅ ࢹ ࣥ ࢫ ࡀ ☜ ㄆ ࡉ ࢀ ࡓ ࡶ ࡢ ࡛ ࡣ ࡞ ࠸ ࠋRAS-HD ࡟ ࡼ ࡗ ࡚ 㧗 ᰯ ୰ ㏥ ࡢ ࣜ ࢫ ࢡ ࡀ 㧗 ࠸ ⏕ ᚐ ࡀ ࢫ ࢡ ࣜ ࣮ ࢽ ࣥ ࢢ ࡉ ࢀ ࡓ ሙ ྜ 㸪 ࡑ ࠺ ࠸ ࡗ ࡓ ⏕ ᚐ ࡟ ᑐ ࡋ ࡚ ࡝ ࡢ ࡼ ࠺ ࡞ ௓ ධ ࡀ ຠ ᯝ ⓗ ࡛ ࠶ ࡿ ࡢ ࠿ 㸪 ࡼ ࡾ ヲ ⣽ ࡞ ᳨ ウ ࡀ ᮃ ࡲ ࢀ ࡿ ࡜ ࡇ ࢁ ࡛ ࠶ ࡿ ࠋ ᘬ ⏝ ᩥ ⊩ ᪂ ஭ ⫕ ࣭ ྂ Ἑ ┿ ⣖ Ꮚ ࣭ ὸ ᕝ ₩ ྖ㸦 2009㸧㸬㧗 ᰯ ⏕ ࡢ Ꮫ ᰯ ⏕ ά 㐺 ᛂ ឤ ࡟ 㛵 ࡍ ࡿ Ꮫ ᰯ ᚰ ⌮ Ꮫ ⓗ ◊ ✲ ර ᗜ ᩍ ⫱ ኱ Ꮫ ◊ ✲ ⣖ せ㸪34㸪 57-62㸬

Freeman, J., Simonsen, B., McCoach, D.B., Sugai, G., Lombardi, A., & Horner, R. (2015). An analysis of the relationship between implementation of school-wide positive behavior interventions and supports and high school dropout rates. The High School Journal, 98, 290-315. ῝ ㇂ ె Ꮚ࣭୸ ᒣ ᗈ ே㸦 2010㸧㸬ᩍ ⫱ ᅔ 㞴 ᰯ ࡟ ࠾ ࡅ ࡿ ࢢ ࣝ ࣮ ࣉ࣭࣡ ࣮ ࢡ ࡟ 㛵 ࡍ ࡿ ࢔ ࢡ ࢩ ࣙ ࣥ ࣜ ࢧ ࣮ ࢳ : ➨ ୍ ḟ ண 㜵 ࡢ ほ Ⅼ ࠿ ࡽ Ⲉ ᇛ ኱ Ꮫ ᩍ ⫱ ᐇ ㊶ ◊ ✲ Ⲉ ᇛ ኱ Ꮫ ᩍ ⫱ Ꮫ 㒊㝃 ᒓ ᩍ ⫱ ᐇ ㊶ ⥲ ྜ ࢭ ࣥ ࢱ ࣮ ⦅ 㸦 29㸧㸪 255-269㸬 Ἑ ᮧ ⱱ 㞝㸦 1999㸧㸬⏕ ᚐ ࡢ ᥼ ຓ ࢽ ࣮ ࢬ ࢆ ᢕ ᥱ ࡍ ࡿ ࡓ ࡵ ࡢ ᑻ ᗘ ࡢ 㛤 Ⓨ : Ꮫ ᰯ ⏕ ά ‶ ㊊ ᗘ ᑻ ᗘ (㧗 ᰯ ⏕ ⏝ )ࡢ స ᡂ ᒾ ᡭ ኱ Ꮫ ᩍ ⫱ Ꮫ 㒊 ◊ ✲ ᖺ ሗ 㸪 59㸦 1㸧㸪 111-120㸬 ᮌ ᓥ ఙ ᙪ 㸦1995㸧 ϩ ࢥ ࣑ ࣗ ࢽ ࢸ ࢕ ᚰ ⌮ Ꮫ ࠾ ࡼ ࡧ ࢥ ࣑ ࣗ ࢽ ࢸ ࢕ ᚰ ⌮ Ꮫ ⓗ ᚰ ⌮ ⮫ ᗋ ࡢ ⫼ ᬒ ϩ-㸱 -㸳 ࢯ ࣮ ࢩ ࣕ ࣝ ࣭ ࢧ ࣏ ࣮ ࢺ ◊ ✲ ᒣ ᮏ ࿴ 㑻㸦 ⦅ ⴭ 㸧 ⮫ ᗋ ࣭ ࢥ ࣑ ࣗ ࢽ ࢸ ࢕ ᚰ ⌮ Ꮫ : ⮫ ᗋ ᚰ ⌮ Ꮫ ⓗ ᆅ ᇦ ᥼ ຓ ࡢ ᇶ ♏ ▱ ㆑ 㸦pp. 84-85㸧 ࣑ ࢿ ࣝ ࣦ ࢓ ᭩ ᡣ ୕ ᾆ ṇ Ụ㸦 2006㸧㸬୰ Ꮫ ᰯ ࡟ ࠾ ࡅ ࡿ ࢫ ࢺ ࣞ ࢫ ࢳ ࢙ ࢵ ࢡ ࣜ ࢫ ࢺ ࡢ ά ⏝ ࡜ ຠ ᯝ ࡢ ᳨ ウ :୙ Ⓩ ᰯ ࡢ ண 㜵 ࡜ ࠸ ࡗ ࡓ ど Ⅼ ࠿ ࡽ ᩍ ⫱ ᚰ ⌮ Ꮫ ◊ ✲ 㸪54㸦 1㸧㸪 124-134㸬 ᐑ ᓮ 㝯 ✑࣭ᑠ ⋢ ṇ ༤㸦 2000㸧㸬ࢃ ࡀ ᅜ ࡢ ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ◊ ✲ ࡜ ࡑ ࡢ ㄢ㢟 --࢝ ࢘ ࣥ ࢭ ࣜ ࣥ ࢢ ࡟ ࠾ ࡅ ࡿ ά ⏝ ࢆ ࡵ ࡊ ࡋ ࡚ ࢝ ࢘ ࣥ ࢭ ࣜ ࣥ ࢢ ◊ ✲ 㸪33㸦 1㸧㸪 95-102㸬 ᩥ 㒊 ⛉ Ꮫ ┬㸦2018㸧㸬ᖹ ᡂ 28 ᖺ ᗘࠕ ඣ ❺ ⏕ ᚐ ࡢ ၥ 㢟⾜ ື ➼ ⏕ ᚐ ᣦ ᑟ ୖ ࡢ ㅖ ၥ 㢟 ࡟ 㛵 ࡍ ࡿ ㄪ ᰝ ࠖ 㸦 ☜ ᐃ ್ 㸧 ࡟ ࡘ ࠸ ࡚ ᩥ 㒊 ⛉ Ꮫ ┬ Retrieved from http://www.mext.go.jp/b_menu/houdou/30/02/1401595.htm㸦 2018 ᖺ 9 ᭶ 24 ᪥ 㸧 ᳃ ୗ ṇ ᗣ㸦 1999㸧㸬ࠕ Ꮫ ᰯ ࢫ ࢺ ࣞ ࢫ ࠖ࡜ࠕ ࠸ ࡌ ࡵ ࠖࡢ ᙳ 㡪 ࡟ ᑐ ࡍ ࡿ ࢯ ࣮ ࢩ ࣕ ࣭ࣝࢧ ࣏ ࣮ ࢺ ࡢ ຠ ᯝ ࿴ ḷ ᒣ ኱ Ꮫ ᩍ ⫱ Ꮫ 㒊 ⣖ せ ᩍ ⫱ ⛉ Ꮫ 㸦 49㸧㸪 27-51㸬 ෆ 㛶 ᗓ 㸦2010㸧㸬 Ꮚ ࡝ ࡶ ࣭ ⱝ ⪅ ᨭ ᥼ ᆅ ᇦ ༠ ㆟ ఍ 㐠 Ⴀ ᪉ ⟇ ࡟ 㛵 ࡍ ࡿ ᳨ ウ ఍ ㆟ ሗ ࿌ ᭩ ෆ 㛶 ᗓ Retrieved from http://www8.cao.go.jp/youth/suisin/shien/pdf/honpen.pdf㸦 2018 ᖺ 9

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᭶ 24 ᪥ 㸧 ୹ ⩚ 㑳 ኵ 㸦2007㸧㸬 ࢯ ࣮ ࢩ ࣕ ࣝ ࢧ ࣏ ࣮ ࢺ ࣭ ࢿ ࢵ ࢺ ࣡ ࣮ ࢟ ࣥ ࢢ ᪥ ᮏ ࢥ ࣑ ࣗ ࢽ ࢸ ࢕ ᚰ ⌮ Ꮫ ఍ 㸦 ⦅ 㸧 ࢥ ࣑ ࣗ ࢽ ࢸ ࢕ ᚰ ⌮ Ꮫ ࣁ ࣥ ࢻ ࣈ ࢵ ࢡ 㸦pp.205-217㸧 ᮾ ி ኱ Ꮫ ฟ ∧ ఍ ᑠ ᰩ ㈗ ᘯ 㸦 2014㸧㸬 ᐃ ᫬ ไ 㧗 ᰯ ࡢ ୰ ㏵㏥ Ꮫ ண 㜵 ࡟ 㛵 ࡍ ࡿ ᐇ ㊶ ◊ ✲ ┠ ⓑ ኱ Ꮫ ᚰ ⌮ Ꮫ ◊ ✲ 㸪 10㸪 55-69㸬 ᑠ ᰩ ㈗ ᘯ㸦 2015㸧㸬ᐃ ᫬ ไ 㧗 ᰯ ࡟ ࠾ ࡅ ࡿ ࢯ ࣮ ࢩ ࣕ ࣝ ࢫ ࢟ ࣝ ࢺ ࣞ ࣮ ࢽ ࣥ ࢢ ࡢ ຠ ᯝ ホ ౯ : ⮬ ᕫ ホ ౯ ࣭ ⮬ ⏤ グ㏙ ࣭ ௚ ⪅ ホ ౯ ࡟ ࡼ ࡿ ᳨ ド స ᪂ Ꮫ 㝔 ኱ Ꮫ ࣭ స ᪂ Ꮫ 㝔 ኱ Ꮫ ዪ Ꮚ ▷ ᮇ ኱ Ꮫ 㒊 ᩍ ⫋ ᐇ ㊶ ࢭ ࣥ ࢱ ࣮ ◊ ✲ ⣖ せ㸦2㸧㸪 30-39㸬 ᑠ ᰩ ㈗ ᘯ㸦 2017㸧㸬㧗 ᰯ ⏕ ࢆ ᑐ ㇟ ࡜ ࡋ ࡓ ࢯ ࣮ ࢩ ࣕ ࣝ ࢫ ࢟ ࣝ ࢺ ࣞ ࣮ ࢽ ࣥ ࢢ ࡢ ホ ౯ ◊ ✲ ̿ ̿ ᑻ ᗘ స ᡂ ࠾ ࡼ ࡧ ຠ ᯝ ホ ౯ ̿ ̿ Journal of Health Psychology Research 㸪 29 㸦Special_issue㸧㸪 139-149㸬 ᑠ ᰩ ㈗ ᘯ 㸦 2018㸧㸬 ₎ Ꮠ Ꮫ ⩦ ࡟ ࠾ ࡅ ࡿ Ꮫ ⩦ ࢫ ࢟ ࣝ ࡢ ࣘ ࢽ ࣂ ࣮ ࢧ ࣝ ࢹ ࢨ ࢖ ࣥ ࡢ ᳨ ウ ࣮ 㧗 ᰯ ୰ ㏥ ࡢ ᬑ 㐢 ⓗ ண 㜵 ࡢ ࡓ ࡵ ࡢ ࢔ ࢼ ࣟ ࢢ ◊ ✲ ࣮ స ኱ ㄽ 㞟㸦8㸧㸪 147-162㸬 ᑠ ᰩ ㈗ ᘯ࣭኱ ᶫ ᬛ㸦 2018㸧㸬㧗 ᰯ ୰ ㏥ ண 㜵 ࡜ ࡋ ࡚ ࡢ Ꮫ ⩦ ࢫ ࢟ ࣝ ⋓ ᚓ ࡢ ຠ ᯝ 㸫 ⱥ ༢ ㄒ Ꮫ ⩦ ࡟ ࠾ ࡅ ࡿ ὶ ᬸ ᛶ ⋓ ᚓ 㸫 ᩍ ⫋ ◊ ✲ 㸪30㸪 35-47㸬 ᑠ ᰩ ㈗ ᘯ 㸦 ༳ ๅ ୰ 㸧㸬㧗 ᰯ ୰ ㏥ ࣜ ࢫ ࢡ ホ ౯ ᑻ ᗘ 㸦 RAS-HD㸧 ࡢ 㛤 Ⓨ ̿ ಙ 㢗 ᛶ ࠾ ࡼ ࡧ ࢝ ࢵ ࢺ ࢜ ࣇ ್ ࡢ ᳨ ウ ̿ స ᪂ Ꮫ 㝔 ኱ Ꮫ ዪ Ꮚ ▷ ᮇ ኱ Ꮫ 㒊 ◊ ✲ ⣖ せ㸦2㸧㸬 ᑿ ぢ ᗣ ༤㸦1999㸧㸬Ꮚ ࡝ ࡶ ࡓ ࡕ ࡢ ࢯ ࣮ ࢩ ࣕ ࣭ࣝࢧ ࣏ ࣮ ࢺ࣭ࢿ ࢵ ࢺ ࣡ ࣮ ࢡ ࡟ 㛵 ࡍ ࡿ ᶓ ᩿ ⓗ ◊ ✲ ᩍ ⫱ ᚰ ⌮ Ꮫ ◊ ✲ 㸪47㸦 1㸧㸪 40-48㸬 ኴ ⏣ ᜤ Ꮚ㸦 2002㸧㸬㧗 ᰯ ⏕ ࡢ 㐺 ᛂ ࡟ 㛵 ࡍ ࡿ ◊ ✲ --㧗 ➼ Ꮫ ᰯ ᪂ ධ ⏕ ⏝ 㐺 ᛂ ឤ ᑻ ᗘ (AEFS)ࡢ 㛤 Ⓨ ࢆ ㏻ ࡋ ࡚ ᩍ ⫱ Ꮫ ◊ ✲ 㸪2㸪 1-16㸬

Thompson, E.A., Eggert, L.L., Randell, B.P., & Pike, K.C. (2001). Evaluation of indicated suicide risk prevention approaches for potential high school dropouts. American Journal of Public Health, 91, 742-752.

⬮ ὀ

1. ᮏ ◊ ✲ ࡣ JSPS ⛉ ◊ ㈝㸦 ⱝ ᡭ ◊ ✲ B㸪ㄢ㢟 ␒ ྕ 㸸 16K17324㸧 ࡢ ຓ ᡂ ࢆ ཷ ࡅ ࡚ ⾜ ࢃ ࢀ ࡓ ◊ ✲ ࡢ ୍ 㒊 ࡛ ࠶ ࡿ ࠋ

2. ᮏ ◊ ✲ ࡟ ࡈ ༠ ຊ ࠸ ࡓ ࡔ ࡁ ࡲ ࡋ ࡓ 㧗 ᰯ ࡢ ⏕ ᚐ ࡢ ࡳ ࡞ ࡉ ࢇ 㸪 ඛ ⏕ ᪉ ࡟ ᚰ ࠿ ࡽ ᚚ ♩ ⏦ ࡋ ୖ ࡆ ࡲ ࡍ ࠋ