Transporting Cognitive Behavioral Therapy (CBT) and the Improving Access to Psychological Therapies (IAPT) project to Japan: preliminary observations and service evaluation in Chiba
Abstract
Purpose: – The purpose of this paper is to discuss the implementation and evaluation of a cognitive behavioral therapy (CBT) training course for clinicians in Chiba, the sixth-largest province in Japan. Design/methodology/approach: – Individual CBT for obsessive-compulsive disorder, bulimia nervosa, or social anxiety disorder was delivered by trainees of the Chiba CBT training course in a single study design. Findings: – The results demonstrated that individual CBT delivered by trainees led to statistically significant reductions in symptom severity for all three disorders. Feedback from the trainees indicated that the training course achieved its aims. Research limitations/implications: – Barriers to the dissemination of CBT in Japan such as opportunities for training and possible solutions are discussed. Originality/value: – This paper evaluates the Chiba CBT training course, which is a Japanese adaptation of the UK Improving Access to Psychological Therapies Project and the first post-qualification CBT training course in Japan.
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The therapist had completed a CBT training course and received peer supervision.
“The therapist, a clinical psychologist with a PhD, had completed the CBT training course [45]. After each session, the therapist conducted peer supervision with the third author.”
From Feasibility of Guided Internet-Based Cognitive Behavioral Therapy for Panic Disorder and Social Anxiety Disorder in Japan: Pilot Single-Arm Trial (2024) · cites this paper as [45]
Cites
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
KESSLER, R. C., ANDREWS, G., COLPE, L. J., HIRIPI, E., MROCZEK, D. K., NORMAND, S.-L. T., WALTERS, E. E., & ZASLAVSKY, A. M. (2002) · Psychological Medicine · doi:10.1017/s0033291702006074 · Cited by 10,327 · see citing works
Löwe, B., Decker, O., Müller, S., Brähler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008) · Medical Care · doi:10.1097/mlr.0b013e318160d093 · Cited by 4,527 · see citing works
A cognitive model of social phobia
Adrian Wells, A. (1995) · Research Explorer (The University of Manchester) · Cited by 2,701 · see citing works
Liebowitz, M. R. (2015) · Modern Trends in Pharmacopsychiatry · doi:10.1159/000414022 · Cited by 2,266 · see citing works
A Self-rating Scale for Bulimia the ‘BITE’
Henderson, M., & Freeman, C. P. L. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.150.1.18 · Cited by 823 · see citing works
The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory
Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998) · Psychological Assessment · doi:10.1037/1040-3590.10.3.206 · Cited by 719 · see citing works
Improving access to psychological therapy: initial evaluation of two UK demonstration sites
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R., & Wright, B. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.010 · Cited by 599 · see citing works
Mind the gap: improving the dissemination of CBT
Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., Freeston, M., Garety, P. A., Hollon, S. D., Ost, L. G., et al. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.003 · Cited by 569 · see citing works
The revised cognitive therapy scale (CTS-R): psychometric properties.
Blackburn, I.-M., James, I. A., Milne, D. L., Baker, C., Standart, S., Garland, A., & Reichelt, F. K. (2001) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465801004040 · Cited by 568 · see citing works
Psychological treatment of obsessive–compulsive disorder: A meta-analysis
Rosa-Alcázar, A. I., Sánchez-Meca, J., Gómez-Conesa, A., & Marín-Martínez, F. (2008) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.07.001 · Cited by 444 · see citing works
Gunter, R. W., & Whittal, M. L. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.001 · Cited by 224 · cited 4× · see citing works
“Gunter and Whittal (2010) also identified various barriers to the wide-scale dissemination of CBT for anxiety disorders, including those that are applicable to empirically supported treatments in general (e.g. lack of training opportunities, failure to address practitioner concerns), as well as…”
BackgroundInfluentialRichards, D. A., & Borglin, G. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.03.024 · Cited by 217 · see citing works
Westbrook, D., & Kirk, J. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.09.006 · Cited by 183 · see citing works
Improving access to psychological therapies: Phase IV prospective cohort study
Richards, D. A., & Suckling, R. (2009) · British Journal of Clinical Psychology · doi:10.1348/014466509x405178 · Cited by 154 · see citing works
Nakatani, E., Nakagawa, A., Nakao, T., Yoshizato, C., Nabeyama, M., Kudo, A., Isomura, K., Kato, N., Yoshioka, K., & Kawamoto, M. (2005) · Psychotherapy and Psychosomatics · doi:10.1159/000086317 · Cited by 102 · see citing works
Self-citationSymptom Structure in Japanese Patients With Obsessive-Compulsive Disorder
Matsunaga, H., Maebayashi, K., Hayashida, K., Okino, K., Matsui, T., Iketani, T., Kiriike, N., & Stein, D. J. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2007.07020340 · Cited by 100 · see citing works
Radhakrishnan, M., Hammond, G., Jones, P. B., Watson, A., McMillan-Shields, F., & Lafortune, L. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.10.001 · Cited by 69 · see citing works
Cognitive Behavioral Therapy: A Blueprint for Attaining and Assessing Psychiatry Resident Competency
Sudak, D. M. (2003) · Academic Psychiatry · doi:10.1176/appi.ap.27.3.154 · Cited by 54 · see citing works
OUTCOME EVALUATION OF A BRIEF SHARED LEARNING PROGRAMME IN COGNITIVE BEHAVIOURAL THERAPY
Myles, P. J., & Milne, D. L. (2004) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465804001183 · Cited by 42 · see citing works
Houghton, S., Saxon, D., Bradburn, M., Ricketts, T., & Hardy, G. (2010) · British Journal of Clinical Psychology · doi:10.1348/014466509x475414 · Cited by 36 · see citing works
Schmidt, U. H., Treasure, J. L., & Alexander, J. G. (1993) · Research Portal (King's College London) · doi:10.4324/9781315754017 · Cited by 26 · see citing works
Hit and miss: Innovation and the dissemination of evidence based psychological treatments
Andrews, G., & Titov, N. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.07.007 · Cited by 26 · see citing works
Pilot Evaluation of Brief Training in CBT for Primary Care Practitioners
Maunder, L., Milne, D. L., & Cameron, L. (2008) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465808004220 · Cited by 16 · see citing works
Yoshinaga, N., Niitsu, T., Hanaoka, H., Sato, Y., Oshima, F., Matsuki, S., Kobori, O., Nakazato, M., Nakagawa, A., Iyo, M., et al. (2013) · BMJ Open · doi:10.1136/bmjopen-2012-002242 · Cited by 15 · see citing works
Self-citationThe long-term outcome of cognitive behaviour therapy for adults in routine clinical practice
Westbrook, D., & Hill, L. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(98)00050-3 · Cited by 14 · see citing works
Psychological treatmentof obsessive-compulsive disorder: A meta-analysis☆
Alcázar, A. I. R., Sánchez‐Meca, J., Gómez‐Conesa, A., & Marín‐Martínez, F. (2008) · Cited by 1 · see citing works
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Wakefield, S., Kellett, S., Simmonds‐Buckley, M., Stockton, D., Bradbury, A., & Delgadillo, J. (2021) · British Journal of Clinical Psychology · doi:10.1111/bjc.12259 · Cited by 222 · see citing works
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Tsuchiyagaito, A., Hirano, Y., Asano, K., Oshima, F., Nagaoka, S., Takebayashi, Y., Matsumoto, K., Masuda, Y., Iyo, M., Shimizu, E., et al. (2017) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2017.00143 · Cited by 32 · see citing works
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Lindberg, M. S., Brattmyr, M., Lundqvist, J., Solem, S., Hjemdal, O., Roos, E., Fjeldsæter, A. B., Björgvinsson, Þ., Cornish, P. A., & Havnen, A. (2024) · Psychotherapy Research · doi:10.1080/10503307.2024.2378017 · Cited by 8 · see citing works
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Self-citationYoshinaga, N., Thew, G. R., Hayashi, Y., Matsuoka, J., Tanoue, H., Takanashi, R., Araki, M., Kanai, Y., Smith, A., Grant, S. H. L., et al. (2023) · JMIR Formative Research · doi:10.2196/45136 · Cited by 6 · see citing works
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“The therapist, a clinical psychologist with a PhD, had completed the CBT training course [45].”
BackgroundSelf-citationYoshinaga, N., Nosaki, A., Unozawa, K., Urao, Y., Hayashi, Y., & Shimizu, E. (2015) · Anxiety Disorder Research · doi:10.14389/jsad.6.2_100 · Cited by 1 · see citing works
Self-citation(2018) · Asian Pacific Journal of Health Economics and Policy · doi:10.6011/apj.2018.02 · Cited by 1 · see citing works
Mood and anxiety disorders in Japan and cognitive-behavioral therapy
Yoshinaga, N., & Tanoue, H. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-85726-0.00034-x · Cited by 1 · see citing works
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Yoshinaga, N. (2021) · 日本精神保健看護学会誌 · doi:10.20719/japmhn.29s30.05
Self-citationصبرة, ز. ا. ا., & Daigham, A. I. (2021) · مجلة کلیة الآداب جامعة الفیوم · doi:10.21608/jfafu.2022.188754
صبرة, ز. ا. ا., & Daigham, A. I. (2021) · International Journal of Science Annals · doi:10.26697/ijsa.2021.1.3
Seki, Y., Takemura, R., Sutoh, C., Noguchi, R., Okamoto, Y., Ohira, I., Nagata, S., & Shimizu, E. (2021) · doi:10.2196/preprints.28732
Self-citationHayashi, Y., Yoshinaga, N., Yonezawa, Y., Tanoue, H., Arimura, Y., Yoshimura, K., Yanagita, T., Aoishi, K., & Ishida, Y. (2019) · Asian Pacific Journal of Health Economics and Policy · doi:10.6011/apj.2018.002
Self-citationDiscussing international applications
Ruth, E., & Spiers, J. (2023) · Elsevier eBooks · doi:10.1016/b978-0-323-88492-1.00012-9
Lee, H.-S., Lee, H., Lee, Y. J., Hong, S., Kim, S. H., Park, H. Y., Choi, S., Park, J. E., Rhee, S. J., Lee, J., et al. (2024) · 신경정신의학 · doi:10.4306/jknpa.2024.63.4.207
Kurita, K. (2024) · Anxiety Disorder Research · doi:10.14389/jsad.16.1_31
Sumiyoshi, T., Ikezawa, S., Inaba, K., Marumoto, T., Kusumi, I., & Nakagome, K. (2025) · Schizophrenia Research Cognition · doi:10.1016/j.scog.2025.100375
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Self-citationHastings, K. E., & Jenkins, H. (2025) · Research Square · doi:10.21203/rs.3.rs-8186768/v1
Nakamura, H., Taguchi, K., Katsushima, M., Okawa, S., Miyoshi, M., & Shimizu, E. (2026) · JMIR Formative Research · doi:10.2196/86698
Self-citation
- Authors
- Kobori, O., Nakazato, M., Yoshinaga, N., Shiraishi, T., Takaoka, K., Nakagawa, A., Iyo, M., & Shimizu, E.
- Affiliations
- Chiba University (JP)
- ORCID
- Venue
- The Journal of Mental Health Training, Education and Practice
- Publisher
- Emerald
- Published
- 2014-09-02
- Volume
- 9
- Issue
- 3
- Pages
- 155-166
- ISSN
- 1755-6228 (ISSN-L)
- OpenAlex
- W2037853082
- Cited by
- 47
- References
- 27
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 2 · 2016: 1 · 2015: 3
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Mental Health Training Education and Practice (publishedVersion)
- Funders
- Japan Society for the Promotion of Science (13J00177)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- cognitive behavioral therapy, Improving Access to Psychological Therapies, obsessive-compulsive disorder, bulimia nervosa, social anxiety disorder, symptom severity reduction
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