The development, progress, and current status of cognitive behaviour therapy in Japan

This article reviewed the development, progress, current status, and future direction of cognitive behaviour therapy (CBT) in Japan. First, the history of CBT in Japan was briefly reviewed, including a description of the development of two major societies and their respective journals: the Japanese Association for Behaviour Therapy (later renamed as the Japanese Association for Behavioural and Cognitive Therapies) and the Japanese Association for Cognitive Therapy. Second, we reported on the existing evidence relating to CBT in Japan, including randomised control trials for depression, social anxiety disorder, obsessive –compulsive disorder, post‐traumatic stress disorder, and childhood anxiety disorders. Third, two established training systems for psychologists were outlined: (a) the National Training System for Cognitive Therapists, sponsored by the Ministry of Health, Labour and Welfare; and (b) Behavioural Therapy Specialists, qualified by the Japanese Association for Behavioural and Cognitive Therapies. We also reviewed the pathways to qualification as a clinical psychologist in Japan, undertaken through graduate training courses accredited by the Foundation of the Japanese Certification Board for Cl inical Psychologists. Furthermore, we discuss the 2017 launch of the first national qualification standards, which has the potential to instigate dramatic change. Fourth, the impact and role of the national health insurance scheme in relation to psychological qualifi...
Source: Australian Psychologist - Category: Psychiatry & Psychology Authors: Tags: INVITED CONTRIBUTION Source Type: research

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ConclusionReassurance seeking appears to be a common factor across anxiety disorders though the themes of the reassurance may differ. Further, reduction in excessive reassurance seeking may be an important component in treatment outcome.
Source: Journal of Anxiety Disorders - Category: Psychiatry Source Type: research
Conclusions: The findings from this exploratory study are consistent with the possibility that dialogue therapy may lead to improvements in symptoms and functioning compared to standard treatment in psychosis. Introduction Standard treatment (ST) for psychosis consists primarily of antipsychotics, hospitalization, social rehabilitation, and different types of supportive therapy (1–3). Antipsychotic drugs have only moderate effects on positive symptoms and no demonstrable effects on negative symptoms (4–6). Side effects are often prominent and might include a reduction in emotional expression, menstrual ...
Source: Frontiers in Psychiatry - Category: Psychiatry Source Type: research
Conclusions: Compared with waiting list, guided iCBT is effective and likely results in symptom improvement in mild to moderate major depression and social phobia. Guided iCBT may improve the symptoms of generalized anxiety disorder and panic disorder compared with waiting list. However, we are uncertain about the effectiveness of iCBT compared with individual or group face-to-face CBT. Guided iCBT represents good value for money and could be offered for the short-term treatment of adults with mild to moderate major depression or anxiety disorders. Most people with mild to moderate depression or anxiety disorders with whom...
Source: Ontario Health Technology Assessment Series - Category: General Medicine Tags: Ont Health Technol Assess Ser Source Type: research
tos D Abstract Inflammatory bowel disease (Crohn's disease and colitis ulcerosa) is a chronic, long-term condition that causes chronic inflammation in the digestive tract, and shows an increasing incidence and prevalence worldwide. Changes in disease activity over time affect psychological distress which increases the risk of exacerbations. Beside somatic symptoms (such as abdominal pain, diarrhoea and weight loss), psychiatric comorbidity (in particular major depression, anxiety, social phobia) is common in patients with Crohn's disease. This case study illustrates the management and stabilization of a 21-year-ol...
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
AbstractThe prevalence of problematic Internet use (PIU) is reportedly higher in South East Asian adolescent populations. The exacerbation of problematic adolescent behaviors has been found to associate significantly with PIU and is expected to worsen with age. Cognitive Behavioural Therapy (CBT)-integrated therapy has been shown to significantly reduce in the presence of psychological symptoms such as depression and social anxiety. The Psychological Intervention Program-Internet Use for Youth (PIP-IU-Y) is a CBT-based program designed for adolescents and comprises of a series of interpersonal skills to improve their face-...
Source: Journal of Rational-Emotive and Cognitive-Behavior Therapy - Category: Psychiatry & Psychology Source Type: research
Abstract A consistent feature across cognitive-behavioural models of social anxiety disorder (SAD) is the central role of the self in the emergence and maintenance of the disorder. The strong emphasis placed on the self in these models and related empirical research has also been reflected in evidence-based treatments for the disorder. This systematic review provides an overview of the empirical literature investigating the role of self-related constructs (e.g., self-beliefs, self-images, self-focused attention) proposed in cognitive models of SAD, before examining how these constructs are modified during and foll...
Source: Clinical Psychology Review - Category: Psychiatry & Psychology Authors: Tags: Clin Psychol Rev Source Type: research
Publication date: Available online 24 June 2016 Source:The Lancet Author(s): Michelle G Craske, Murray B Stein Anxiety disorders (separation anxiety disorder, selective mutism, specific phobias, social anxiety disorder, panic disorder, agoraphobia, and generalised anxiety disorder) are common and disabling conditions that mostly begin during childhood, adolescence, and early adulthood. They differ from developmentally normative or stress-induced transient anxiety by being marked (ie, out of proportion to the actual threat present) and persistent, and by impairing daily functioning. Most anxiety disorders affect almost ...
Source: The Lancet - Category: Journals (General) Source Type: research
This study shows what we adult ADHD coaches have known for a long time. Only 5% of adults have ADHD. But, 28.4% of referrals to a tertiary-care mood and anxiety clinic had undetected ADHD. ADHD was also diagnosed in 22.6% of patients referred to the clinic for treatment-resistant depression. Chart of study SSRI Treatment Response may Predict Undetected Attention Deficit Hyperactivity Disorder in Depressed Patients. Adults who fail to respond to antidepressant therapy may have underlying attention-deficit/hyperactivity disorder (ADHD) and not treatment-resistant depression, as is often assumed, new...
Source: Adult ADD Strengths - Category: Psychiatry Authors: Tags: ADD / ADHD Medication ADD / ADHD Treatment adult ADHD anxiety depression dysthymia misdiagnosed undiagnosed Source Type: blogs
This study investigated the Mini-SPIN's psychometric properties in a series of trials of Internet-delivered treatment. Participants were 993 people seeking Internet-delivered cognitive behavioural therapy for a range of anxiety and mood disorders. Participants completed the Mini-SPIN, and were diagnosed using the Mini International Neuropsychiatric Interview Version 5.0.0 (MINI). They also completed measures of depression, general anxiety, panic, neuroticism and general impairment. The Mini-SPIN's ability to discriminate between people with and without SAD, within a large sample of people seeking treatment for a range of p...
Source: Cognitive Behaviour Therapy - Category: Psychiatry & Psychology Authors: Tags: Cogn Behav Ther Source Type: research
CONCLUSIONS: Therapist-supported ICBT appears to be an efficacious treatment for anxiety in adults. The evidence comparing therapist-supported ICBT to waiting list, attention, information, or online discussion group only control was low to moderate quality, the evidence comparing therapist-supported ICBT to unguided ICBT was very low quality, and comparisons of therapist-supported ICBT to face-to-face CBT were low quality. Further research is needed to better define and measure any potential harms resulting from treatment. These findings suggest that therapist-supported ICBT is more efficacious than a waiting list, attenti...
Source: Cochrane Database of Systematic Reviews - Category: Journals (General) Authors: Tags: Cochrane Database Syst Rev Source Type: research
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