è³ç§åŠã¯ä»ããã®åãå¢ãã§é²ãã§ãããã¢ã¡ãªã«ã®èåãªè³ç§åŠè ãçŽ20幎åã«ãè³ç§åŠã¯ç©çåŠã§èšãã°15ïœ16äžçŽããŸã ãŸã åæ©çãªæ®µéããšèšã£ãŠããã®ã«ãããããŸã§ç§åŠã§çããããªãã£ãé åã«ä»ãã©ãã©ãçªã£èŸŒãã§ãããéåžžã«é¢çœã段éããšãžã£ãŒããªã¹ãã®ç«è±éæ°ã¯è奮ãé ããªãã
è³ç§åŠã®äžã§ä»ãã£ãšãããããªåéã§ãããèšæ¶ãã«ã€ããŠã第äžç·ã®ç§åŠè ããææ°ã®ç ç©¶ææãäžè¬åãã«è©±ã第17åèªç¶ç§åŠç ç©¶æ©æ§ã·ã³ããžãŠã ãèšæ¶ã®è³ç§åŠïœç§ãã¡ã¯ã©ã®ããã«ããŠèŠãå¿ããŠããã®ããã9æ23æ¥ãæ±äº¬ã§éå¬ãããããã®å å®¹ãæ°åã«åããŠç޹ä»ãããã
è¡åããªããèšæ¶ãã - ã¯ãŒãã³ã°ã¡ã¢ãªã®å®¹éã¯3ã€!?
å€ãã®äººãæ¥åžžç掻ã§äžäŸ¿ãæãã圹ç«ãŠãããããšãããã®ã§ã¯? ãšæããã®ã倧éªå€§åŠã»è§éª(ããã)æºéåææã®ãã¯ãŒãã³ã°ã¡ã¢ãª:è³ã®ã¡ã¢åž³ãã®è¬æŒã ã
|
|
ã¯ãŒãã³ã°ã¡ã¢ãªã«ã€ããŠè¬æŒãè¡ã£ãè§éªæºéåææã倧éªå€§åŠå€§åŠé¢äººéç§åŠç ç©¶ç§ææã倧éªå€§åŠè³æ å ±éä¿¡ç ç©¶æ©æ§ææ (ç»åæäŸ:èªç¶ç§åŠç ç©¶æ©æ§) |
èšæ¶ãšãããšãæèšèœåããæãæµ®ãã¹ãã¡ã ããæ¥åžžçæŽ»ã§æèšã«éäžããå Žé¢ã¯ããã»ã©å€ããªãããããããã¹ãŒããŒã«è²·ãç©ã«åãããªããå€é£¯ã®ææãèŠããŠããããªã©äœããããªããçæéã ãèšæ¶ããããšã®ã»ãããã£ãšå€ãããšè§éªææã¯ããã
ãã®ããã«è¡åããªããèšæ¶ããããšããã¯ãŒãã³ã°ã¡ã¢ãªããšåŒã¶ãããšãã°æ®æ®µã®äŒè©±ã§ãã¯ãŒãã³ã°ã¡ã¢ãªã䜿ã£ãŠãããçžæã«èããã質åãèŠããŠããããšã§è³ªåã«çãããããèªæžã§ãç»å Žäººç©ããåã®é ã®å Žé¢ãèŠããŠããããšã§ãæèãçè§£ã§ããã®ã ã
ã¯ãŒãã³ã°ã¡ã¢ãªãããŸãåããªãäŸã«ã¯ãã2éã«æ¬ãåãã«è¡ã£ãã®ã«ãã©ã³ãã®æŽæ¿¯ç©ã«æ°ã¥ããŠåã蟌ããã¡ã«ãäœããã«æ¥ããå¿ãããããè²·ãç©ã«è¡ã£ãã®ã«ã»ãŒã«åã«æ°ããšãããŠç®çã®ç©ãè²·ãå¿ããããªã©ãããããããã誰ã§ã䌌ããããªçµéšãããã®ã§ã¯ãªãã ããã?
ã§ã¯ããªãç§ãã¡ã¯é »ç¹ã«ç®çãå¿ããã®ãã
è§éªææã«ããã°ãã¯ãŒãã³ã°ã¡ã¢ãªã«ã¯å¶çŽããããäžåºŠã«äœ¿ããæ å ±åŠçã®éã¯3ã€ãããããšã®ããšã人ã¯åæã«å€ãã®ç©äºãåŠçããããšã¯ã§ããªãã®ã ãã ããã¯ãŒãã³ã°ã¡ã¢ãªãåãããã®ãåŸæãªäººãšããã§ãªã人ããããããããã£ããã©ããéãã®ã?
è¬æŒã§ã¯ããã§ãæ¥å Žè ã«ã¯ãŒãã³ã°ã¡ã¢ãªã®å®¹éãã¯ãããã¹ããè¡ãããã
è€æ°ã®æç« ãèªã¿ãªãããæç« äžã®1ã€ã®åèªã ããèŠããŠãããã¹ã(ãªãŒãã£ã³ã°ã¹ãã³ãã¹ã:RST)ã ã以äžã®æç« ã1æãã€ã¹ã©ã€ãã§æåœ±ãããæ¥å Žè ã¯å£°ãåºããŠèªã¿ãªããã匷調ãããåèª(ã¿ãŒã²ããèª)ã ããèŠããããä¿ããã(å®éã®ãã¹ãå Žé¢ã§ã¯ãã¿ãŒã²ããèªã«ã¯èµ€ç·ã§ã¢ã³ããŒã©ã€ã³ãã€ããŠãã)
- æ°Žæ³³ãããŠããããããæ¯ã¯æè¿ãšãŠãå æ°ã§ããã
- ãã®è±ã¯ç±åž¯ã®æ€ç©ãªã®ã§ãååœã®å¯ãã«ã¯åŒ±ãã
- é·ã®ãããé»è»ã®å笊ã®è²©å£²æ©ãæ éãã
èªã¿çµããåŸãæç« ãèŠãã«èšæ¶ããŠããã¿ãŒã²ããèª(äžã®æç« ã§ã¯å æ°ãååœãé»è»)ã ããåæãããã€ãŸããåã«åèªãèŠããã ãã§ãªããæç« ãèªã¿ãªããåèªãèŠãããšããäºé課é¡ã課ãããŠããããã ã3ã€ã®æç« ã§ã¯æ£è§£ã§ãã人ãå€ãããã ãã5ã€ã®æç« äžã®5åèªãŸã§å¢ãããšé£ãããªããè§éªææã®ç 究宀ã§ã¯å€§åŠç50åã察象ã«RSTãè¡ããé«åŸç¹è ãšäœåŸç¹è ãæ¯ã¹ããšãããè峿·±ãããšãããã£ããšããã
é«åŸç¹è ã¯ãèªè§£åãã«é·ãããæ³šæããæ£ããåãããæ¹ç¥ãããã€
倧åŠçã«ã¯RSTã®ä»ã«èªè§£åãã¹ã(倧åŠå ¥è©Šã»ã³ã¿ãŒè©Šéšã«æºããé·ã)ãè¡ã£ãŠãããçžé¢ã調ã¹ããšãããé«åŸç¹è ã¯ãé«ãèªè§£åããããããšãããã£ããæäžã«ãã®ãããªåèªãæç« ãåºãŠãããšããèšæ¶åããããæç« å šäœã§äœãæžããŠãã£ãããšãããæèããšãããèœåãã«é·ããŠããããšãããã£ãããã ãã
ãŸãRSTã宿œäžã®çŒçéåãæž¬å®ãããšãããé«åŸç¹è ã¯ã¿ãŒã²ããèªã«èŠç·ãéäžããŠããããäœåŸç¹ã®äººã¯æã®äžã®è²ã ãªãšããã«ç®ããããã€ãŸãäœãèŠããã¹ãããäœãããŒããªããŠããããæ³šæãåããããã¹ãèšèã«åããããŠããªãã
ããã«æã4ã€ã5ã€ãšå¢ããèŠããåèªãå¢ãããšãäœããã®ãæ¹ç¥ãã䜿ããªããšèŠããããªããªããšãããããšãã°ã¿ãŒã²ããèªãæå³çã«ã€ãªããããã€ã¡ãŒãžåãããããŠèŠããã®ãæ¹ç¥ã®äŸã ãé«åŸç¹è ã¯ãæ¹ç¥ãäœçš®é¡ããã£ãŠããŠ1ã€ã®æ¹ç¥ãããŸããããªããšå€æããããéäžã§ä»ã®æ¹ç¥ã«å€ããããšãã§ãããã€ãŸãèªåã§èªåã®ããæ¹ãæ£ãããã©ãããèªå·±ã¢ãã¿ãªã³ã°ãã§ããã®ã ãšããã
ã¯ãŒãã³ã°ã¡ã¢ãªã§åãã®ã¯ãè³ã®ã©ã®éšå?
ã¯ãŒãã³ã°ã¡ã¢ãªãæ¯ããã®ã¯ãè³ã®ã©ã®éšåã®ã©ããªåãã«ããã®ã ããããRSTã宿œäžã®å®éšåå è ã®è³ãfMRI(æ©èœçç£æ°å ±é³Žç»å)ãªã©ã§èª¿ã¹ããšãè³ã®ã©ã®é åãæŽ»çºã«åããŠãããããããã
è§éªææã2003幎ã®å®éšã§ãæå€ã ã£ãããšããã®ã¯ãACC(åéšåž¯ç¶å)ããé«åŸç¹çŸ€ã®äººã«é¡èãªæŽ»åãèŠãããããšã ããã®åŸã®ç ç©¶ã§ããDLPFC(èå€åŽåé åé)ãããSPL(äžéšé é å°è)ãã®3ã«æãã¯ãŒãã³ã°ã¡ã¢ãªã®èŠãšãªãäžå€®å®è¡åœ¢ç³»ã®ãããã¯ãŒã¯ãäœã£ãŠãããšèããããŠããã
SPLã¯æ³šæã®çŠç¹ãç¹å®ã®å¯Ÿè±¡ã«åãããæ³šæã®åãæ¿ãããæ ããDLPFCã¯ã泚æãä¿æãããããããŠACCã¯æ³šæãåããã¹ã察象ãããŸããã£ããããŠããã§ãªã察象ããæå¶ãããåããããã
è§åææã匷調ããã®ã¯ã泚æã®åãæ¹ãã ãã¯ãŒãã³ã°ã¡ã¢ãªã®ç¹æ°ãäœãäººã¯æ±ºããŠèŠããã®ãèŠæãªã®ã§ã¯ãªãããæ³šæã®ç§»åããèŠæã ãšããããšãèŠããªããŠããå¯Ÿè±¡ã«æ³šæãåããããŠãããããŠãèŠããã¹ãå¯Ÿè±¡ã«æ£ããæ³šæãåããããŠããªãããã ã
é«éœ¢è ã®ç¹é· - ã¯ãŒãã³ã°ã¡ã¢ãªãéããæ¹æ³
ã¯ãŒãã³ã°ã¡ã¢ãªã¯20ïœ30代ãããŒã¯ã§å¹Žéœ¢ãäžããã«åŸã£ãŠæ©èœãè¡°ããŠãããšããã
é«éœ¢è ã«RSTãè¡ããšãã¿ãŒã²ããèªãšéãåèªãèŠããŠããŸã£ãããã¿ãŒã²ããèªã ãèŠããã°ããã®ã«æç« å šéšãèŠããããšãããããåŸåãèŠãããããã€ãŸãçŠç¹åãèŠããªããŠããããšã«å¯Ÿããæå¶å¶åŸ¡ãããŸãåããªãã®ã§ãããšè§éªææã¯ææãããè³ã®åãã調ã¹ããšACCãã»ãšãã©æŽ»åãèŠããªãã
ã§ã¯ãäœäžããã¯ãŒãã³ã°ã¡ã¢ãªã®æ©èœã¯éããããšãã§ããã®ã?
è§éªææã¯ãéåžžã®æ¥åžžç掻ãéã£ãŠããã°ãååã«ã¯ãŒãã³ã°ã¡ã¢ãªã¯éããããã®ã§ãããã¿ã«éããå¿ èŠã¯ãããŸããããšãããäŒè©±ããããæçãããããè²·ãç©ã«åºããããããè¡åã®ãã¹ãŠã§ã¯ãŒãã³ã°ã¡ã¢ãªã䜿ã£ãŠããã®ã ãšã
ããããå 霢ã«äŒŽã£ãŠèããäœäžããŠãããšãã«ã¯ãã€ã¡ãŒãžã³ã°ãã广ãããããã ãèŠããã¹ãåèªãã€ã¡ãŒãžããŠäžãããšäŒããçµµã«æããŠããã£ãããã®åŸã§ã¯è³å ã§ACCã®æŽ»åããŠããã®ãèŠãããããã«ãªã£ãã
ã€ã¡ãŒãžã³ã°ãããšããããšã¯ããé ã®äžã«è¡šè±¡ã圢æããèšç·Žãããããšããããšããã®æå³ã§ã¯æ¬ãèªãã®ã广çã ããŸãã¯ãŒãã³ã°ã¡ã¢ãªã§äžåºŠã«æ å ±åŠçã§ããã®ã¯3ã€ãšæžãããããã®ã3ã€ãã¯ã€ã¡ãŒãžåã«ãã£ãŠå å®ãããããšãå¯èœã ãããšãã°ã«ã¬ãŒã®ææãããããããã«ããããçãããš1ã€ãã€èŠããŠã3ã€ãã§ãªããã«ã¬ãŒãã€ã¡ãŒãžåããããšã§ãã¹ãŠã®ææãã1ã€ãã«ãŸãšããŠæãåºããããã«ããã
ãããŠæ¥œããç®çãæã€ãšãããããŒããã³ãåºãŠDSPFCãæŽ»æ§åãããšãããæ¥åžžçæŽ»ã楜ããéããæã ã¯å¥œããªæ¬ãèªã¿ãäœèšãªããšã«æ°ãåãããæ³šæãããã¹ãããšã«éäžããããããã¯ãŒãã³ã°ã¡ã¢ãªãéããæ¹æ³ã®1ã€ãããããªãã
åçåºå ž
è§éªæºéåè ããã®å¿ãã®è³ç§åŠãè¬è«ç€Ÿãã«ãŒããã¯ã¹ã2014.
è§éªæºéåè ãèªæžã«ãããæã®çè§£ãšã¯ãŒãã³ã°ã¡ã¢ãªãŒã
è§éªçŽè¡ç·šããå°èª¬ãæããè³ãæ°æç€Ÿã2014