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Cognitive behavioral therapy for depression among adults in Japanese clinical settings
Full Title: Cognitive behavioral therapy for depression among adults in Japanese clinical settings: a single-group study
ABSTRACT: BACKGROUND: Empirical support for cognitive behavioral therapy (CBT) for treating Japanese patients with major depression is lacking, therefore, a feasibility study of CBT for depression in Japanese clinical settings is urgently required. FINDINGS: A culturally adapted, 16-week manualized individual CBT program for Japanese patients with major depressive disorder was developed. A total of 27 patients with major depression were enrolled in a single-group study with the purpose of testing the feasibility of the program. Twenty six patients (96%) completed the study. The mean total score on the Beck Depression Inventory-II (BDI-II) for all patients (Intention-to-treat sample) improved from 32.6 to 11.7, with a mean change of 20.8 (95% confidence interval: 17.0 to 24.8). Within-group effect size at the endpoint assessment was 2.64 (Cohen's d). Twenty-one patients (77.7%) showed treatment response and 17 patients (63.0%) achieved remission at the end of the program. Significant improvement was observed in measurement of subjective and objective depression severity (assessed by BDI-II, Quick Inventory of Depressive Symptomatology-Self Rated, and Hamilton Depression Rating Scale), dysfunctional attitude (assessed by Dysfunctional Attitude Scale), global functioning (assessed by Global Assessment of Functioning of DSM-IV) and subjective well-being (assessed by WHO Subjective Well-being Inventory) (all p values < 0.001). CONCLUSIONS: Our manualized treatment comprised of a 16-week individual CBT program for major depression appears feasible and may achieve favorable treatment outcomes among Japanese patients with major depression. Further research involving a larger sample in a randomized, controlled trial design is warranted. TRIAL REGISTRATION: UMIN-CTR UMIN000002542.
BMC Res Notes. 2010 Jun 7;3:160. Fujisawa D, Nakagawa A, Tajima M, Sado M, Kikuchi T, Hanaoka M, Ono Y. Department of Neuropsychiatry, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, Japan. dai_fujisawa@yahoo.co.jp.
For many people problems with their mental health must be addressed by qualified mental health practitioner. However, all of us have the need in this area. There are most certainly worries, stresses, anxieties and occasionally cause us to be unhappy. Often when this happens it only causes us a brief period of anguish. Because we have a healthy mind it is very easy for us to adapt and cope with life's difficulties. But no matter how easily we can do this, by addressing improving our capabilities in this area we just may be able to lead a happier life.
The number problems with which we must...
If you occasionally have problems such as shortness of breath, wheezing, a frequent cough, or chest tightness, chances are you are suffering from asthma. And, there's over a 50% chance that your asthma is being caused by an allergy. Asthma can involve a tightening of the airwaves, a swelling of the lining of the airways, and increased mucus production in your lungs. In turn, a predominant cause is your body's reaction to an allergen. As such, one must consider the role of the immune system with each to branches: adaptive and innate. Essentially, your mind and body have learned to react to...
It is difficult to live a life without some form of regret. By the time that you reach adolescence, you probably have developed a substantial list of things you wish you hadn’t said, hadn’t done, or failed to say or do. Then by the time you reach your middle age years or even later in life, that list seems to be almost encyclopedic in size. Furthermore, we often have others – who may think that they are well-meaning – who communicate by telling us that the reason that we need to do or say something is to satisfy others. And, if we don’t, we will be sorry later. Yes, parents, teachers, and...
