Cognitive behavioral therapy for depression among adults in Japanese clinical settings: a single-group study
Open accessAbstract
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.
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GCBT has been shown to be effective in China, Japan, Malaysia, and Pakistan.
“Beside Indonesia, GCBT has also been shown to be effective in China[53], Japan[54], Malaysia[16], and Pakistan[6].”
From Preliminary Study on the Effectiveness of Short Group Cognitive Behavioral Therapy (GCBT) on Indonesian Older Adults (2013) · cites this paper as [54]
The Findings report improved depression outcomes in Japanese patients, and the Conclusions say the intervention may have favorable outcomes. But the Discussion identifies it as individual CBT, not group CBT (GCBT), and describes the results as preliminary; this source does not establish the cited claim about GCBT in Japan. The other countries are attached to different citations in the citing sentence. (LLM, conf=0.88)
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“Fujisawa et al. (2010) reported the results of a 16- week CBT program for Japanese patients diagnosed with major depression which achieved high rates of clinical improvement and of clinical remission.”
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How does CBT work on recovery from depression through positive affect route?
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“In Stage 6, treatment progress is reviewed and relapse prevention strategies are discussed (Fujisawa et al., 2010).”
心理士による集団認知行動療法がうつ病患者のうつ症状の改善に及ぼす効果 : 対照比較研究( 日本における心理士によるうつ病に対する認知行動療法のエビデンス)
大輔, 伊., 兼子, 唯., 巣山, 晴., 金谷, 順., 田上, 明., 小関, 俊., 貝谷, 久., 熊野, 宏., & 鈴木, 伸. (2012) · 行動療法研究 · doi:10.24468/jjbt.38.3_169
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“…cognitive-behavioral therapy programs have demonstrated feasibility, high completion rates, and substantial symptom reduction in Japanese clinical settings (Fujisawa et al., 2010), supporting the proposition that interventions tailored to local contexts can effectively engage Japanese patients.”
Wezowski, K., & Pierce, K. (2026) · IntechOpen eBooks · doi:10.5772/intechopen.1017610
- Authors
- Fujisawa, D., Nakagawa, A., Tajima, M., Sado, M., Kikuchi, T., Hanaoka, M., & Ono, Y.
- Affiliations
- Keio University (JP)
- Corresponding author
- Fujisawa, Daisuke
- Venue
- BMC Research Notes
- Published
- 2010-06-07
- Volume
- 3
- Issue
- 1
- Pages
- 160-160
- ISSN
- 1756-0500 (ISSN-L)
- PMC
- PMC2887906
- OpenAlex
- W2081092721
- Cited by
- 39
- References
- 27
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 1 · 2016: 1 · 2015: 1 · 2014: 1 · 2013: 4 · 2012: 6
- FWCI
- 5.86
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Research Notes (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, major depressive disorder, Japanese patients, culturally tailored interventions, treatment feasibility, depression severity, dysfunctional attitudes, global functioning, subjective well-being, remission
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