抄録
メンタルヘルス不調者が増加しているかどうかについて,1.マクロの視点,2.身近な視点から報告するとともに考察を加えた.結果:1.マクロの視点から1)2004年度の厚生労働省(厚生白書)の患者動向調査によれば,1984〜2002年度までの19年間に「うつ病」は4.5倍と,著明に増えている.次にうつ病と関連が深いとされている自殺者は,この9年間にわたり3万人台と高止まりが続いている.さらには抗うつ薬の販売額は増加している.2)職場の現状では2008年度の社会経済生産性本部の上場企業を中心にした調査によれば,「この3年で心の病が増加した」と答えた上場企業は56.1%にのぼり,年代では30歳代に多いと報告している.2.身近な視点1)筆者が精神科医として相談・診療に関与している企業4社では,いずれもメンタルヘルス不調者が増加している.2)2つの「うつ病やうつ状態をめぐる座談会」の参加者である,2名の精神科医や3名の心療内科医,産業医・心理学者のいずれもメンタルヘルス不調者が増加していると答えていた.以上の2視点からの結果より,増加しているといえる.
In order to evaluate whether the number of patients with mental health disorders is increasing or not, the following levels of observation were used: 1. the macroscopic point of view, and 2. the viewpoints of on-site professionals. 1. The macroscopic point of view. 1) According to the patient trend surveys released by Japan's Ministry of Health, Labour, and Welfare (2004 Annual Report on Health and Welfare), the number of depression cases increased 45 times in 19 years, from fiscal 1984 to 2002. In addition, the number of suicides, allegedly related to depression, has been hovering between 30,000 and 35,000 for the past 10 years. Furthermore, the sales volume of antidepressants has been increasing. 2) According to 2008 survey, mainly of publicly held companies registered with Japan Productivity Center for Socio-economic Development, 56.1% of the companies answered, "mental disorders have increased in the past three years," Among the various age groups, the greatest number of patients with mental disorders were reportedly in their thirties of age. 2. Viewpoints of on-site professionals. A. In all four of the companies in which the author participates as a psychiatric advisor or doctor, mental disorders have been increasing. B. Two psychiatrists and three other professionals, a psychosomatic medicine doctor, an industrial physician, and a psychologist, participated in a Discussion Meeting for Depression and Depressed States. All reported that mental disorders have been increasing. According to all two levels of evidence, mental disorders are increasing.
