Cited by 39Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

Cognitive behavioral therapy for depression among adults in Japanese clinical settings: a single-group study

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Fujisawa, Daisuke, Nakagawa, Atsuo, Tajima, Miyuki, Sado, Mitsuhiro, Kikuchi, Toshiaki, Hanaoka, Motomi, Ono, Yutaka·2010·BMC Research Notes

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.

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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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  1. American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) 1994 Washington DC: American Psychiatric Press

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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)
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
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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