{"id":5067,"date":"2026-07-06T07:21:49","date_gmt":"2026-07-06T07:21:49","guid":{"rendered":"https:\/\/practicalhealthpsychology.com\/?p=5067"},"modified":"2026-08-26T08:34:55","modified_gmt":"2026-08-26T08:34:55","slug":"the-integrative-model-of-adjustment-to-continuous-challenges-imacc-understanding-and-supporting-biopsychosocial-adjustment","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/ja\/2026\/07\/the-integrative-model-of-adjustment-to-continuous-challenges-imacc-understanding-and-supporting-biopsychosocial-adjustment\/","title":{"rendered":"\u6301\u7d9a\u3059\u308b\u56f0\u96e3\u3078\u306e\u9069\u5fdc\u306b\u95a2\u3059\u308b\u7d71\u5408\u30e2\u30c7\u30eb\uff08Integrative Model of Adjustment to Continuous Challenges : IMACC\uff09\uff1a\u751f\u7269\u5fc3\u7406\u793e\u4f1a\u7684\u306a\u9069\u5fdc\u3092\u7406\u89e3\u3057\u3001\u652f\u63f4\u3059\u308b"},"content":{"rendered":"\n<p><strong>\u30ea\u30b9\u30fb\u30c9\u30e9\u30a4\u30e4\u30fc\u30fb\u30cf\u30e2\u30f3\u30c9\uff08\u30c7\u30f3\u30de\u30fc\u30af\u30fb\u30aa\u30fc\u30eb\u30dc\u30fc\u5927\u5b66\uff09\u3001\u30af\u30ea\u30b9\u30c6\u30a3\u30a2\u30f3\u30fb\u30ab\u30fc\u30eb\u30bb\u30f3\u30fb\u30cf\u30f3\u30bb\u30f3\u3001\u30de\u30eb\u30c6\u30a3\u30f3\u30fb\u30ec\u30fc\u30e0\u30af\u30fc\u30eb\u30fb\u30af\u30ea\u30b9\u30c6\u30f3\u30bb\u30f3\uff08\u30c7\u30f3\u30de\u30fc\u30af\u30fb\u5317\u30e6\u30e9\u30f3\u5730\u57df\u4fdd\u5065\u30b5\u30fc\u30d3\u30b9\u96e3\u6c11\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u30bb\u30f3\u30bf\u30fc\uff09\u3001\u30b7\u30e3\u30ed\u30c3\u30c8\u30fb\u30b0\u30ea\u30f3\u30c8\u30dc\u30fc\uff08\u30c7\u30f3\u30de\u30fc\u30af\u30fb\u30aa\u30fc\u30eb\u30dc\u30fc\u5927\u5b66\uff09<\/strong><\/p>\n\n\n\n<p>\u75c5\u6c17\u3092\u767a\u75c7\u3057\u305f\u308a\u3001\u91cd\u5927\u3067\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u51fa\u6765\u4e8b\u3092\u7d4c\u9a13\u3057\u305f\u5f8c\u306f\u3001\u751f\u6d3b\u304c\u3082\u3068\u306e\u72b6\u614b\u306b\u623b\u3089\u306a\u3044\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u6301\u7d9a\u3059\u308b\u56f0\u96e3\u3092\u62b1\u3048\u308b\u4eba\u3005\u306e\u8ab2\u984c\u3068\u3057\u3066\u306f\u3001\u75c7\u72b6\u3092\u7ba1\u7406\u3059\u308b\u3060\u3051\u3067\u306f\u306a\u304f\u3001<a href=\"https:\/\/www.annualreviews.org\/content\/journals\/10.1146\/annurev-psych-010416-044014;jsessionid=N5r4qZAzsSMU4ZQD7LLAmHH-eAvt63vdFXYAmhdF.annurevlive-10-241-10-103\">\u5909\u5316\u3057\u305f\u751f\u6d3b\u306b\u9069\u5fdc\u3059\u308b<\/a>\u3053\u3068\u3082\u542b\u307e\u308c\u307e\u3059\u3002\u3053\u306e\u9069\u5fdc\u30d7\u30ed\u30bb\u30b9\u304c\u6ede\u308b\u3068<a href=\"https:\/\/karger.com\/pps\/article-pdf\/92\/4\/227\/4001489\/000533263.pdf\">\u3001\u4e0d\u5b89\u3084\u3046\u3064\u3001\u5065\u5eb7\u72b6\u614b\u306e\u60aa\u5316<\/a>\u3001<a href=\"https:\/\/qualitysafety.bmj.com\/content\/qhc\/27\/12\/989.full.pdf\">\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u306e\u5229\u7528\u5897\u52a0<\/a>\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u6301\u7d9a\u3059\u308b\u56f0\u96e3\u3078\u306e\u9069\u5fdc\u304c\u3069\u306e\u7a0b\u5ea6\u3046\u307e\u304f\u3044\u304f\u304b\u306b\u3064\u3044\u3066\u306e\u63a8\u8a08\u306f\u3001\u6e2c\u5b9a\u65b9\u6cd5\u306b\u3088\u308a\u5927\u304d\u304f\u5e45\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u9069\u5fdc\u304c\u4e0d\u5341\u5206\u306a\u4eba\u306e\u5272\u5408\u306f<a href=\"https:\/\/dergipark.org.tr\/en\/download\/article-file\/1226414\">16.9<\/a>\u301c<a href=\"https:\/\/www.mdpi.com\/2227-9059\/10\/12\/3231\">62%<\/a>\u3001\u9069\u5fdc\u304c\u826f\u597d\u306a\u4eba\u306e\u5272\u5408\u306f<a href=\"https:\/\/qualitysafety.bmj.com\/content\/qhc\/27\/12\/989.full.pdf\">13<\/a>\u301c<a href=\"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40359-025-03115-y.pdf\">36.3%<\/a>\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u73fe\u5728\u3001<a href=\"https:\/\/www.thelancet.com\/action\/showPdf?pii=S2589-5370%2823%2900037-8\">\u4e16\u754c\u3067\u306f10\u5104\u4eba\u4ee5\u4e0a\u304c\u8907\u6570\u306e\u6301\u7d9a\u3059\u308b\u56f0\u96e3\u3092\u62b1\u3048\u306a\u304c\u3089\u751f\u6d3b\u3057\u3066\u3044\u307e\u3059<\/a>\u3002\u305d\u306e\u3046\u3061\u6700\u59273\u5206\u306e2\u304c\u9069\u5fdc\u306b\u56f0\u96e3\u3092\u62b1\u3048\u3066\u3044\u308b\u3068\u3059\u308c\u3070\u3001\u6301\u7d9a\u3059\u308b\u56f0\u96e3\u3078\u306e\u9069\u5fdc\u652f\u63f4\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u306f\u55ab\u7dca\u306e\u8ab2\u984c\u3068\u8a00\u3048\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u9069\u5fdc\u3068\u306f\u3001\u533b\u7642\u4e0a\u306e\u6307\u793a\u3092\u5b88\u308b\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u307e\u305f\u5065\u5eb7\u884c\u52d5\u3092\u884c\u3046\u3060\u3051\u3067\u3082\u3042\u308a\u307e\u305b\u3093\u3002<a href=\"https:\/\/tidsskrift.dk\/psyke\/article\/view\/131116\/176717\">\u6301\u7d9a\u3059\u308b\u56f0\u96e3\u3078\u306e\u9069\u5fdc\u306b\u95a2\u3059\u308b\u7d71\u5408\u30e2\u30c7\u30eb\uff08The Integrative Model of Adjustment to Continuous Challenges\uff3b\u65e7\u79f0\u3000\u6162\u6027\u75be\u60a3\u3078\u306e\u9069\u5fdc\uff3d\uff1aIMACC\uff09<\/a>\u306f\u3001\u4eba\u304c\u7d4c\u9a13\u3059\u308b\u751f\u7269\u5fc3\u7406\u793e\u4f1a\u7684\u306a\u9069\u5fdc\u30d7\u30ed\u30bb\u30b9\u3092\u8aac\u660e\u3059\u308b\u7406\u8ad6\u30e2\u30c7\u30eb\u3067\u3059\u3002IMACC\u306f<a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1359105316664131?casa_token=LLPf18ZAce8AAAAA:ccMmLiXCDQj7ncUmEanGjCKpDFRZek7Iu6ZfR_-WtJDWnJzsqwoDO_uAZE5kzLvwF0Vg7RKTLCKN\">2\u578b\u7cd6\u5c3f\u75c5\u306b\u95a2\u3059\u308b\u7814\u7a76<\/a>\u3092\u3082\u3068\u306b\u958b\u767a\u3055\u308c\u3001\u305d\u306e\u5f8c\u3001<a href=\"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2055102919884293\">\u6210\u4eba\u671f\u767a\u75c7\u3066\u3093\u304b\u3093\u3078\u306e\u9069\u7528\u53ef\u80fd\u6027\u304c\u691c\u8a3c\u3055\u308c\u307e\u3057\u305f<\/a>\u3002IMACC\u3092\u672c\u4eba\u3068\u306e\u5bfe\u8a71\u306e\u4e2d\u3067\u6d3b\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u4ee5\u4e0b\u306b\u8ff0\u3079\u308b\u3088\u3046\u306b\u3001\u672c\u4eba\u306e\u9069\u5fdc\u30d7\u30ed\u30bb\u30b9\u3092\u76f4\u63a5\u7406\u89e3\u3059\u308b\u624b\u304c\u304b\u308a\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S2590291125003481\">\u9069\u5fdc\u3068\u306f\u3001\u751f\u6daf\u306b\u308f\u305f\u308b\u65e5\u5e38\u306e\u30d7\u30ed\u30bb\u30b9\u3067\u3059<\/a>\u3002\u751f\u6d3b\u304c\u5909\u308f\u308c\u3070\u3001\u79c1\u305f\u3061\u3082\u305d\u308c\u306b\u5408\u308f\u305b\u3066\u5909\u5316\u3057\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u751f\u6d3b\u306b\u8d77\u304d\u305f\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u5909\u5316\u306b\u9069\u5fdc\u3059\u308b\u3053\u3068\u306f\u56f0\u96e3\u306a\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002IMACC\u3067\u306f\u3001\u65b0\u305f\u306a\u72b6\u6cc1\u306e\u4e2d\u3067\u65e5\u5e38\u751f\u6d3b\u3092\u3067\u304d\u308b\u9650\u308a\u6a5f\u80fd\u3055\u305b\u308b\u306b\u306f\u3001\u3082\u306f\u3084\u5f79\u306b\u7acb\u305f\u306a\u304f\u306a\u3063\u305f\u8003\u3048\u65b9\u3084\u884c\u52d5\u3092\u5909\u3048\u308b\u3053\u3068\u304c\u5fc5\u8981\u306b\u306a\u308b\u5834\u5408\u304c\u3042\u308b\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002\u3053\u3046\u3057\u305f\u5909\u5316\u3092\u300c\u9069\u5fdc\u8ab2\u984c\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u9069\u5fdc\u8ab2\u984c\u304c\u3046\u307e\u304f\u89e3\u6c7a\u3055\u308c\u308b\u3068\u3001\u3088\u308a\u826f\u597d\u306a\u9069\u5fdc\u3001\u3088\u308a\u6a5f\u80fd\u7684\u306a\u65e5\u5e38\u751f\u6d3b\u3001\u305d\u3057\u3066\u80af\u5b9a\u7684\u306a\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5909\u5316\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002\u4e00\u65b9\u3001\u5909\u5316\u3092\u59a8\u3052\u308b\u969c\u58c1\u304c\u3042\u308b\u3068\u3001\u9069\u5fdc\u30d7\u30ed\u30bb\u30b9\u304c\u505c\u6ede\u3057\u3001\u9577\u671f\u7684\u306b\u306f\u4e0d\u5341\u5206\u306a\u9069\u5fdc\u3001\u5fc3\u8eab\u306e\u5065\u5eb7\u60aa\u5316\u3001\u5426\u5b9a\u7684\u306a\u30a2\u30a4\u30c7\u30f3\u30c6\u30a3\u30c6\u30a3\u306e\u5909\u5316\u306b\u3064\u306a\u304c\u308b\u304a\u305d\u308c\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>IMACC\u306e\u69cb\u9020<\/strong><\/p>\n\n\n\n<p>IMACC\u306f\u76f8\u4e92\u306b\u95a2\u9023\u3059\u308b3\u3064\u306e\u30ec\u30d9\u30eb\u3067\u69cb\u6210\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u30ec\u30d9\u30eb1\uff1a\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u3068\u751f\u6d3b\u4e0a\u306e\u5909\u5316<\/strong> <strong>\u3002<\/strong>\u3053\u308c\u307e\u3067\u306e\u30d1\u30fc\u30bd\u30ca\u30ea\u30c6\u30a3\u3001\u4fe1\u5ff5\u3001\u884c\u52d5\u306b\u7126\u70b9\u3092\u5f53\u3066\u3001\u305d\u308c\u3089\u304c\u9069\u5fdc\u30d7\u30ed\u30bb\u30b9\u3092\u59a8\u3052\u308b\u8981\u56e0\u3068\u306a\u308b\u306e\u304b\u3001\u3042\u308b\u3044\u306f\u9069\u5fdc\u3092\u652f\u3048\u308b\u5f37\u307f\u3068\u306a\u308b\u306e\u304b\u3092\u8003\u3048\u307e\u3059\u3002\u307e\u305f\u3001\u9069\u5fdc\u3092\u5fc5\u8981\u3068\u3059\u308b\u304d\u3063\u304b\u3051\u3068\u306a\u3063\u305f\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u30e9\u30a4\u30d5\u30a4\u30d9\u30f3\u30c8\u306b\u95a2\u9023\u3057\u3066\u7d4c\u9a13\u3057\u305f\u51fa\u6765\u4e8b\u3082\u3001\u9069\u5fdc\u30d7\u30ed\u30bb\u30b9\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u5f71\u97ff\u306b\u306f\u3001\u533b\u7642\u4e0a\u306e\u51fa\u6765\u4e8b\u306a\u3069\u306e\u30cd\u30ac\u30c6\u30a3\u30d6\u306a\u3082\u306e\u3082\u3042\u308c\u3070\u3001\u5468\u56f2\u304b\u3089\u306e\u30b5\u30dd\u30fc\u30c8\u306a\u3069\u306e\u30dd\u30b8\u30c6\u30a3\u30d6\u306a\u3082\u306e\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>\u30ec\u30d9\u30eb2\uff1a\u7d99\u7d9a\u3059\u308b\u9069\u5fdc\u30b5\u30a4\u30af\u30eb\u3002<\/strong> 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href=\"https:\/\/www.tandfonline.com\/doi\/pdf\/10.1080\/09593985.2018.1434578?casa_token=U3mxijFzTCQAAAAA:Ly01NghmTu83gDXguppguI2Bv1qPS_0UgJPHg9AUUwjH_mcSJwnIFDBbQx9lQFDk2z4x5t_cTlKQ\"><strong>\u57fa\u672c\u7684\u306a\u30dc\u30c7\u30a3\u30fb\u30a2\u30a6\u30a7\u30a2\u30cd\u30b9<\/strong><\/a><strong>\u3092\u9ad8\u3081\u308b\uff1a<\/strong> \u8eab\u4f53\u7684\u306a\u75c7\u72b6\u3084\u611f\u899a\u3092\u7406\u89e3\u3057\u3001\u305d\u308c\u304c\u4f55\u3092\u610f\u5473\u3059\u308b\u304b\u3001\u30bb\u30eb\u30d5\u30b1\u30a2\u306e\u30d2\u30f3\u30c8\u3068\u3057\u3066\u6d3b\u7528\u3059\u308b\u65b9\u6cd5\u3092\u5b66\u3076\u652f\u63f4\u3092\u3057\u307e\u3059\u3002\u884c\u52d5\u5909\u5bb9\u306b\u4f34\u3046\u30b9\u30c8\u30ec\u30b9\u3084\u3001\u751f\u6d3b\u306e\u5909\u5316\u304c\u89aa\u5bc6\u306a\u95a2\u4fc2\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u306b\u5bfe\u51e6\u3067\u304d\u308b\u3088\u3046\u52a9\u3051\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>Translated by: Naomi 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