神経精神科学講座 神経精神科学分野

講座概要

精神疾患は我が国でも5大疾患の一つとして医学の主要な領域の一つを占めており、精神医学はどの科を専攻する医師にとっても必須の臨床医学です。精神医学の基礎を系統的な講義で学び、臨床実習によって精神科臨床を学びます。

特徴的な臨床の取り組み

臨床面は附属病院の外来診察と閉鎖病棟での入院治療を行っています。また、緩和ケア、周産期精神医学などさまざまなコンサルテーション・リエゾン精神医学におけるメンタルケアにも取り組み、加えて精神科救急医療を実践しています。

被災地のこころのケアとして岩手県こころのケアセンター、岩手県災害派遣精神医療チーム(DPAT)の活動において先導的な役割も担っております。 

自殺対策や災害支援、地域精神保健などの社会精神医学など多岐にわたる精神科領域で活動を行っており、他大学や研究機関との共同研究にも取り組み、成果を県内外のメンタルヘルス対策の社会実装につなげています。精神医学に興味のある人材を求めています。

教授挨拶

大塚耕太郎
大塚 耕太郎 教授

神経精神科学講座神経精神科学分野では、精神医学と医療の発展を目指して、教育、研究、診療を基盤にして、活動に取り組んでいます。臨床は統合失調症、気分障害、不安症、摂食障害、認知症など幅広い領域を対象にして、外来、病棟、精神科救急を基盤として対応を行ってきました。精神科救急から急性期治療、多職種協働によるチーム医療、地域との連携という幅広い診療体制の基盤にたち、医学部生、初期臨床研修医、そして後期研修医の教育にも取り組んでいます。精神科専門医の養成に加えて、さまざまなサブスペシャリティ領域の研修機関にもなっています。時代のニーズに応えて、周産期精神医学や緩和ケア、移植医療、肥満治療、老年期など精神医学と多領域との共同で取り組んでいます。また、岩手県は精神科医療過疎地域で地域の精神科病院と連携し、さまざまな地域課題に対して医療の普及、ネットワーク化に取り組んでいます。さらに地域精神保健との協力により推進していく必要性から、地域の人材養成にも取りんできました。東日本大震災後の中長期のメンタルヘルス対策や災害精神医療チーム(DPAT)をはじめとした、地域精神保健医療への地域貢献活動を行っています。精神医学と精神科医療に関心のある方の参加を心よりお待ちしています。

講座スタッフ

教授大塚 耕太郎おおつか こうたろう
准教授福本 健太郎ふくもと けんたろう
講師三條 克巳さんじょう かつみ
講師三田 俊成みた としなり
助教本多 笑奈ほんた えみな
助教松下 祐まつした ゆう
専門研修医安藤 佑祥あんどう すけよし
専門研修医伊藤 知欣いとう ともよし
専門研修医嶋﨑 駿太郎しまざき しゅんたろう
専門研修医鈴木 章太すずき しょうた
専門研修医鈴木 泉章すずき もとあき
専門研修医寺田 茜てらだ あかね
専門研修医豊原 茂樹とよはら しげき
専門研修医西田 亘にしだ ひろし
専門研修医服部 春花はっとり はるか
専門研修医前多 優賴まえた まさとし
専門研修医横道 瞭よこみち りょう
大学院生小林 由美子こばやし ゆみこ
大学院生松尾 菜津美まつお なつみ
大学院生佐藤 太亮さとう たいすけ
大学院生佐藤 亜貴子さとう あきこ
非常勤医師田中 大也たなか ひろや

講座における主たる研究テーマ

臨床研究
  1. コンサルテーション・リエゾン精神医学
  2. 精神科救急
  3. 周産期精神医学
  4. 緩和ケア
  5. 老年期精神医学
  6. 病院内における精神科領域の医療安全対策
生物学的精神医学研究
  1. 精神科学研究
  2. 神経画像研究
  3. 臨床精神薬理学
精神保健・予防精神医学および精神医学史・医学哲学
  1. 自殺対策
  2. 災害精神医学
  3. 精神保健研究
  4. 医学哲学・生命倫理
  5. 精神医学史

講座の主な業績

  1. *Ochi, S., *Kodaka, F., *Hasegawa, N., *Tsuboi, T., *Ohi, K., *Igarashi, S., Fukumoto, K., *Iga, J.I., *Muraoka, H., *Iida, H., *Tagata, H., *Kashiwagi, H., *Numata, S., *Yamagata, H., *Takeshima, M., *Ichihashi, K., *Hashimoto, N., *Nagasawa, T., *Nakamura, T., *Matsumoto, J., *Yamada, H., *Hori, H., *Ueno, S.I., *Inada, K., *Hashimoto, R., *Yasui-Furukori, N.: Associations between clozapine availability, the diagnosis of treatment-resistant schizophrenia subgroups, antipsychotic monotherapy, and concomitant psychotropics among patients with Schizophrenia: a real-world nationwide study. International Journal of Neuropsychopharmacology.; 2025 Apr 11;28(4):pyaf011. doi: 10.1093/ijnp/pyaf011.(2025.4)
  2. *Kawamata, Y., *Ohi, K., *Ito, S., *Hasegawa, N., *Yasuda, Y., *Fujimoto, M., *Yamamori, H., Fukumoto, K., *Kodaka, F., *Matsumoto, J., *Yasui-Furukori, N., *Hashimoto, R.: Relationships between clinician adherence to guideline-recommended treatment and memory function in patients with schizophrenia. Journal of Psychiatric Research.; 2025 May:185:169-176. doi: 10.1016/j.jpsychires.2025.03.054. Epub 2025 Mar 27. (2025.5)
  3. Ito, H., Fukumoto, K., Otsuka, K.: Association between the onset timing of suicidal ideation and the means of severe suicide attempts in patients with schizophrenia. PCN Rep. 2025 Jul 6;4(3):e70150. doi: 10.1002/pcn5.70150. eCollection 2025 Sep. (2025.9) 
  4. *Igarashi, S., *Tsuboi, T., *Hasegawa, N., *Ochi, S., *Ohi, K., Fukumoto, K., *Iga, J.I., *Muraoka, H., *Iida, H., *Kodaka, F., *Numata, S., *Ichihashi, K., *Kashiwagi, H., *Nakamura, T., *Yamagata, H., *Takeshima, M., *Nagasawa, T., *Matsumoto, J., *Yamada, H., *Hori, H., *Inada, K., *Yasui-Furukori, N., *Hashimoto, R., *Watanabe, K.: Maintenance pharmacotherapy after electroconvulsive therapy in inpatients with major depressive disorder: 198 prescriptions in a real-world clinical setting. BMC Psychiatry. 2025 Oct 9;25(1):957. doi: 10.1186/s12888-025-07445-4. (2025.10)
  5. *Ishibashi, R., *Yonemoto, N., *Cho, Y., *Sugiyama, N., *Kishi, Y., *Fujita, K., *Morikawa, M., *Tateno, M., *Kawahara, Y., Otsuka, K., *Sano, T., *Komata, K., *Kawanishi, C.: A multicenter, single-arm clinical trial of an assertive case management intervention for preventing suicide reattempts at psychiatric hospitals in Japan: ACTION-JP study. BMC Psychiatry. 2025 Nov 28;25(1):1135. doi: 10.1186/s12888-025-07554-0.(2025.11)
  6. Kotozaki, Y., Tanno, K., Otsuka, K., Sasaki, R., Sasaki, M.: Influence of housing damage caused by the Great East Japan Earthquake on the association between new social isolation and depressive symptoms during the COVID-19 pandemic: findings from the Tohoku Medical Megabank Community-Based Cohort Study. BMC Public Health. 2025 Dec 24;26(1):342. doi: 10.1186/s12889-025-25996-9. (2025.12)
  7. *Yamagata, H., *Ide, K., *Ochi, S., *Iga, J.I., Fukumoto, K., *Ichihashi, K., *Katsumoto, E., *Takeshima, M., *Imai, K., *Shimamura, Y., *Matsumoto, J., *Hasegawa, N., *Kawamata, Y., *Tsuboi, T., *Numata, S., *Ohi, K., *Watanabe, K., *Yamada, H., *Hori, H., *Hashimoto, R., *Yasui-Furukori, N.: Clinical behavior toward outpatients with major depressive disorder based on guideline education for psychiatrists. Psychiatry and Clinical Neurosciences Reports. 2025 Dec 23;4(4):e70275. doi: 10.1002/pcn5.70275. eCollection 2025 Dec. (2025.12)
  8. Mayanagi, T., Yagi, J., Ohmomo, H., Akasaka, M., Fukumoto, K., Chiba, S., Komaki, S., Shimizu, A., Yanbe, T., Uchide, M., Yoshioka, Y., Ogawa, K., Ishikawa, C., Minabe, S., Ito, J., Ono, K., Kaneko, N., Sobue, K.: Inter-individual differentially methylated region-targeted EWAS reveals epigenetic signatures of early childhood adversity. Epigenomics. 2026 Jan;18(1):89-100. doi: 10.1080/17501911.2026.2613008. Epub 2026 Jan7. (2026.1)
  1. Matsushita, Y., Fukumoto, K., Mitsuko, A., Mita, T., Abe, T., Otsuka, K.: Survey on the practice of care for suicide attempters and dissemination of guidelines for psychiatric emergency treatment in psychiatric emergency medical institutions. Journal of Iwate Medical Association. 76(3):87-103(2024.8)
  2. Kakisaka, K., Yambe, T., Chiba, S., Matsuo, N., Yoshioka, Y., Uchide, M., Yagi, J., Otsuka, K.: Mental health of mothers who gave birth immediately after the Great East Japan Earthquake and behavioral problems of their children: a 5-year follow-up study focusing on the pregnancy trimester at the time of the disaster. Journal of Iwate Medical Association. 76(4):121-140(2024.10)
  3. Abe, T., Fukumoto, K., Sanjo, K., Mita, T., Otsuka, K.: Analysis of associated factors in emergency psychiatric visits of patients with sever suicide attempts with schizophrenia spectrum disorders. Journal of Iwate Medical Association. 76(5):161-171(2024.12)
  4. *Narita, K., *Kawanishi, C., *Tsuyama, Y., *Kawamoto, S., *Kashiwagi, T.,  *Ishibashi, R., *Cho, Y., Otsuka, K.: Effectiveness of the 10 Essentials Workshop Program in Changing Attitudes Toward Suicide Among Mental Health Professionals. Cureus. 17(1) e77830(2025.1)
  1. Kotozaki, Y., Tanno, K., Otsuka, K., Sasaki, R., Sasaki, M.: Longitudinal changes in depressive symptoms associated with social isolation after the Great East Japan Earthquake in Iwate Prefecture: findings from the TMM CommCohort study. BMC Public Health. 23(1) 1154(2023.06)
  2. * Ishii, T., *Yonemoto, N., *Otaka, Y., *Okamura, K., *Tsujii, N., Otsuka, K., *Yoshimura, R., *Kinoshita, T., *Fujisawa, D., *Tachikawa, H., *Yamada, M., *Tsuyama, Y., *Hashimoto, S., *Kawanishi, C.: Implementations of an evidence‐based assertive case management intervention for suicide attempters: Post‐ACTION‐J Study (PACS). Psychiatry and Clinical Neurosciences Reports. 2(2) e106 (2023.06)
  3. *Onitsuka, T., *Okada, T., *Hasegawa, N., *Tsuboi, T., *Iga, J., *Yaui-Furukori, N., *Yamada, N., *Hori, H., *Muraoka, H., *Ohi, K., *Ogasawara, K., *Ochi, S., *Takeshima, M., *Ichihashi, K., Fukumoto, K., *Iida, H., *Yamada, H., *Furihata, R., *Makinodan, M., *Takaesu, Y., *Numata, S., *Komatsu, H., *Hishimoto, A., *Kido, M., *Atake, K., *Yamagata, H., *Kikuchi, S., *Hashimoto, N., *Usami, M., *Katsumoto, E., *Asami, T., *Kubota, C., *Matsumoto, J., *Miura, K., *Hirano, Y., *Watanabe, K., *Inada, K., *Hashimoto, R. Combination psychotropic use for schizophrenia with long-acting injectable antipsychotics and oral antipsychotics:A nationwide real-world study in Japan.Combination psychotropic use for schizophrenia with long-acting injectable antipsychotics and oral antipsychotics: A nationwide real-world study in Japan. Journal of Clinical Psychopharmacol. 43(4):365-368(2023.7/8)
  4. *Kodaka, F., *Ohi, K., *Yasuda, Y., *Fujimoto, M., *Yamamori, H., *Hasegawa, N., *Ito, S., Fukumoto, K., *Matsumoto, J., *Miura, K., *Yasui-Furukori, N., *Hashimoto, R. Relationships between Adherence to Guideline Recommendations for Pharmacological Therapy among Clinicians and Psychotic Symptoms in Patients with Schizophrenia. International Journal of Neuropsychopharmacology. 26(8):557-565(2023.8)
  5. *Ito, S., *Ohi, K., *Yasuda, Y., *Fujimoto, J., *Yamamori, H., *Matsumoto, J., Fukumoto, K., *Kodaka, F., *Hasegawa, N., *Ishimaru, K, *Miura, K, *Yasui-Furukori, N, *Hashimoto, R. Better adherence to guidelines among psychiatrists providing pharmacological therapy is associated with longer work hours in patients with schizophrenia. Schizophrenia (Heidelb). 9(1):78(2023.11)
  6. *Hasegawa, N., *Yasuda, Y., *Yasui-Furukori, N., *Yamada, H., *Hori, H., *Ichihashi, K., *Takaesu, Y., *Iida, H., *Muraoka, H., *Kodaka, F., *Iga, J., *Hashimoto, N., *Ogasawara, K., *Ohi, K., Fukumoto, K., *Numata, S., *Tsuboi, T., *Usami, M., *Hishimoto, A., *Furihata, R., *Kishimoto, T., *Nakamura, T., *Katsumoto, E., *Ochi, S., *Nagasawa, T., *Atake, K., *Kubota, C., *Komatsu, H., *Yamagata, H., *Ide, K.., *Takeshima, M., *Kido, M., *Kikuhchi, S., *Okada, T., *Matsumoto, J., *Miura, K., *Shimaza, T., *Inada, K., *Watanabe, K., *Hashimoto, R. Effect of education regarding treatment guidelines for schizophrenia and depression on the treatment behavior of psychiatrists: A multicenter study. Psychiatry Clinical Neurosciences. 77(10):559-568(2023.10)
  7. Kobayashi, Y., Fukumoto, K., Akahira, M., Honta, E., Koizumi, F., Mita, T., Sanjo, K., Endo, J., Otsuka, K.: The Attendance and Effectiveness of Training on Support for Alcohol-Related Disorders or Dependence Among Nurses Working in Psychiatric Medical Facilities in Iwate Prefecture, Japan. 岩手医科大学看護学部紀要.2(1-8) (2024.03)
  1. Kotozaki, Y., Tanno, K., Sakata, K., Otsuka, K., Sasaki, R., Takanashi, N., Satoh, M., Shimizu, A., Sasaki, M.: Association between Social Isolation and Total Mortality after the Great East Japan Earthquake in Iwate Prefecture: Findings from the TMM ComCohort Study. International journal of environmental research and public health 19(7) :4343(2022.04)
  2. *Yamada, H., *Motoyama, M., *Hasegawa, N., *Miura, K., *Matsumoto, J., *Ohi, K., *Yasui-Furukori, N., *Numata, S., *Takeshima, M., *Sugiyama, N., *Nagasawa, T., *Kubota, C., *Atake, K., *Tsuboi, T., *Ichihashi, K., *Hashimoto, N., *Inagaki, T., *Takaesu, Y., *Iga, JI., *Hori, H., *Onitsuka, T., *Komatsu, H., *Hishimoto, A., Fukumoto, K., *Fujimoto, M., *Nakamura, T., *Nemoto, K., *Furihata, R., *Yamamura, S., *Yamagata, H., *Ogasawara, K., *Katsumoto, E., *Murata, A., *Iida, H., *Ochi, S., *Makinodan, M., *Kido, M., *Kishimoto, T., *Yasuda, Y., *Usami, M., *Suwa, T., *Inada, K., *Watanabe, K., *Hashimoto, R.: A dissemination and education programme to improve the clinical behaviours of psychiatrists in accordance with treatment guidelines for schizophrenia and major depressive disorders: the Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE) project. BJPsych Open. 8(3):e83(2022.05)
  3. *Kunii, Y., *Usukura, H., Otsuka, K., *Maeda, M., *Yabe, H., *Takahashi, S., *Tachikawa, H.,  *Tomita, H.: Lessons learned from psychosocial support and mental health surveys during the 10 years since the Great East Japan Earthquake: Establishing evidence-based disaster psychiatry. Psychiatry and clinical neurosciences 76(6):212-221(2022.06)
  4. *Koyama, Y., *Fujiwara, T., *Doi, S., *Isumi, A., *Morita, A., *Matsuyama, Y., *Tani, Y., *Nawa, N., *Mashiko, H., Yagi, J., the Great East Japan Earthquake Follow-up study for Children (GEJE-FC) team.: Heart rate variability in 2014 predicted delayed onset of internalizing problems in 2015 among children affected by the 2011 Great East Japan Earthquake. Journal of Psychiatric Research. 151:642-648(2022.07)
  5. *Muraoka, H., *Kodaka, F., *Hasegawa, N., *Yasui-Furukori, N., Fukumoto, K., *Kashiwagi, H., *Tagata, H., *Hori, H., *Atake, K., *Iida, H., *Ichihashi, K., *Furihata, R., *Tsuboi, T., *Takeshima, M., *Komatsu, H., *Kubota, C., *Ochi, S., *Takaesu, Y., *Usami, M., *Nagasawa, T., *Makinodan, M., *Nakamura, T., *Kido, M., *Ueda, I., *Yamagata, H., *Onitsuka, T., *Asami, T., *Hishimoto, A., *Ogasawara, K., *Katsumoto, E., *Miura, K., *Matsumoto, J., *Ohi, K., *Yamada, H., *Watanabe, K., *Inada, K., *Nishimura, K., *Hashimoto, R.: Characteristics of the treatments for each severity of major depressive disorder: A real-world multi-site study. Asian Journal of Psychiatry. 74:103174(2022.8)
  6. *Iida, H., *Okada, T., *Nemoto, K., *Hasegawa, N., *Numata, S., *Ogasawara, K., *Miura, K., *Matsumoto, J., *Hori, H., *Iga, J., *Ichihashi, K., *Hashimoto, N., *Yamada, H., *Ohi, K., *Yasui-Furukori, N., Fukumoto, K., *Tsuboi, T., *Usami, M., *Furihata, R., *Takaesu, Y., *Hishimoto, A., *Muraoka, H., *Katsumoto, E., *Nagasawa, T., *Ochi, S., *Komatsu, H., *Kikuchi, S., *Takeshima, M., *Onitsuka, T., *Tamai, S., *Kubota, C., *Inada, K., *Watanabe, K., *Kawasaki, H., *Hashimoto, R.: Satisfaction with web-based courses on clinical practice guidelines for psychiatrists: Findings from the “Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE)” project. Neuropsychopharmacology Reports. 43(1):23-32(2022.11)
  7. *Inada, K., Fukumoto, K., *Hasegawa, N., *Yasuda, Y., *Yamada, H., *Hori, H., *Ichihashi, K., *Iida, H., *Ohi, K., *Muraoka, H., *Kodaka, F., *Ide, K., *Hashimoto, N., *Iga, J., *Ogasawara, K., *Atake, K., *Takaesu, Y., *Nagasawa, T., *Komatsu, H., *Okada, T., *Furihata, R., *Kido, Mikio., *Kikuchi, S., *Kubota, C., *Makinodan, M., *Ochi, S., *Takeshima, M., *Yamagata, H., *Matsumoto, J., *Miura, K., *Usami, M., *Kishimoto, T., *Onitsuka, T., *Katsumoto, E., *Hishimoto, A., *Numata, S., *Yasui-Furukori, N., *Watanabe, K., *Hashimoto, R.: Development of Individual Fitness Score for conformity of prescriptions to the “Guidelines for Pharmacological Therapy of Schizophrenia. Neuropsychopharmacology Reports. 42(4)502-509(2022.12)
  8. *Tsuboi, T., *Takaesu, Y., *Hasegawa, N., *Ochi, S., Fukumoto, K., *Ohi, K., *Muraoka, H., *Okada.,  T., *Kodaka, F., *Igarashi, S., *Iida, H., *Kashiwagi, H., *Hori, H., *Ichihashi, K., *Ogasawara, K., *Hashimoto, N.,  *Iga.,  J., *Nakamura, T., *Usami, M., *Nagasawa, T., *Kido, M., *Komatsu, H., *Yamagata, H., *Atake, K., *Furihata, R., *Kikuchi, S.,  *Horai.,  T., *Takeshima, M., *Hirano, Y., *Makinodan, M., *Matsumoto, J., *Miura, K., *Hishimoto, A., *Numata, S., *Yamada, H., *Yasui-Furukori, N., *Inada, K., *Watanabe, K., *Hashimoto, R.: Effects of electroconvulsive therapy on the use of anxiolytics and sleep medications: a propensity score-matched analysis. Psychiatry and Clinical Neurosciences. 77(1):30-37(2023.01)
  9. Fukumoto, K., *Kodaka, F., *Hasegawa, N., *Muraoka, H., *Hori, H., *Ichihashi, K., *Yasuda, Y., *Iida, H., *Ohi, K., *Ochi, S., *Ide, K., *Naoki, H., *Masahide, U., *Toshinori, N., *Hiroshi., K, *Okada, T., *Nagasawa, T., *Furihata, R., *Atake, K., *Mikio, K., *Kikuchi, S., *Yamagata, H., *Kishimoto, T., *Makinodan, M., *Horai, T., *Takeshima, M., *Kubota, C., *Asami, T., *Katsumoto, E., *Hishimoto, A., *Onitsuka, T., *Matsumoto, J., *Miura, K., *Yamada, H., *Yasui-Furukori, N., *Watanabe, K., *Inada, K., Otsuka, K., *Hashimoto, R.: Development of an individual fitness score (IFS) for based on the depression treatment guidelines of in the Japanese Society of Mood Disorders. Neuropsychopharmacol reports. 43(1):33-39(2023.03)
  1. Kotozaki, Y., Tanno, K., Sakata, K., Takusari, E., Otsuka, K., *Tomita, H., *Sasaki, R., Takanashi, N., Mikami, T., *Hozawa, A., *Nakaya, N., *Tsuchiya, N., *Nakamura, T., *Narita, A., *Taki, Y., Shimizu, A., Hitomi, J., Satoh, M., Sasaki, M.: Association between the social isolation and depressive symptoms after the great East Japan earthquake: findings from the baseline survey of the TMM CommCohort study. BMC public health. 21(1):925(2021.05)
  2. *Kubo, H., *Urata, H., *Sakai, M., *Nonaka, S., *Kishimoto, J., *Saito, K., *Tateno, M., *Kobara, K., *Fujisawa, D., *Hashimoto, N., *Suzuki, Y., *Honda, Y., Otsuka, K., *Kanba, S., *Kuroki, T., *Kato, TA.: Development of a 3‐Day Intervention Program for Family Members of Hikikomori Sufferers. Japanese Psychological Research. https://doi.org/10.1111/jpr.12368 (2021.06)
  3. *Hashimoto, N., *Takeda, H., *Fujii, Y., *Suzuki, Y., *Kato, TA., *Fujisawa, D., Aoyama-Uehara, K., Otsuka, K., Mitsui, N., Asakura, S., Kusumi, I.: Effectiveness of suicide prevention gatekeeper training for university teachers in Japan. Asian journal of psychiatry. doi: 10.1016/j.ajp.2021.102661(2021.06)
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