{"created":"2023-05-15T12:11:39.486963+00:00","id":200,"links":{},"metadata":{"_buckets":{"deposit":"29be7ffe-ff3b-44f3-b553-aa8280c8b535"},"_deposit":{"created_by":4,"id":"200","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"200"},"status":"published"},"_oai":{"id":"oai:morinomiya.repo.nii.ac.jp:00000200","sets":["1:42"]},"author_link":["566","565"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-04-25","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"74","bibliographicPageStart":"67","bibliographicVolumeNumber":"16","bibliographic_titles":[{"bibliographic_title":"森ノ宮医療大学紀要"},{"bibliographic_title":"Bulletin of Morinomiya University of Medical Sciences","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"　不眠症とは、睡眠の機会や環境が適切であるにもかかわらず、満足のいく睡眠をとることができず、日中の活動に支障をきたしている状態である。不眠症には、睡眠衛生指導を行いながら補助的に薬物療法が行われることが一般的である。薬物療法の中心は長らくベンゾジアゼピン受容体作動薬であり、不眠に効果的であるが長期使用する場合は、耐性や筋弛緩作用に注意が必要である。近年、新規睡眠薬として、オレキシン受容体拮抗薬とメラトニン受容体作動薬が使用されるようになり、副作用の少ない薬として期待されている。海外では、睡眠認知行動療法が第一選択であり、安全で効果的とされる。","subitem_description_type":"Abstract"},{"subitem_description":"  Insomnia disorder is characterized by inadequate sleep despite adequate sleep opportunity and daytime dysfunction. Sleep hygiene education and subsequent pharmacotherapy are common management for insomnia disorder. Benzodiazepine receptor agonists constitute the most important class of pharmacotherapy. They are effective against insomnia. It is important to be careful with tolerance and muscle relaxant when prescribing long-term usage. A new class of pharmacotherapy is comprised of dual orexin receptor antagonists and agonist at melatonin receptor recent years. They are expected to cause few side effects. In foreign countries, cognitive behavior therapy for insomnia remains the first-line therapy for insomnia disorder. Cognitive behavior therapy for insomnia may result in improvements with fewer associated adverse effects.","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"森ノ宮医療大学 紀要編集部会"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"北内, 京子"},{"creatorName":"キタウチ, キョウコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"565","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kitauchi, Kyoko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"566","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-04-19"}],"displaytype":"detail","filename":"bmumss_16_67-74.pdf","filesize":[{"value":"652.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"bmumss_16_67-74.pdf","url":"https://morinomiya.repo.nii.ac.jp/record/200/files/bmumss_16_67-74.pdf"},"version_id":"9334207c-78d6-4463-9b9d-3cdd33d9162b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"不眠症","subitem_subject_scheme":"Other"},{"subitem_subject":"睡眠衛生指導","subitem_subject_scheme":"Other"},{"subitem_subject":"薬物療法","subitem_subject_scheme":"Other"},{"subitem_subject":"睡眠認知行動療法","subitem_subject_scheme":"Other"},{"subitem_subject":"insomnia disorder","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"sleep hygiene education","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pharmacotherapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cognitive behavioral therapy for insomnia","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"不眠症","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"不眠症"},{"subitem_title":"Insomnia","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"4","path":["42"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-04-25"},"publish_date":"2022-04-25","publish_status":"0","recid":"200","relation_version_is_last":true,"title":["不眠症"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-05-15T12:15:22.388447+00:00"}