Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Jun 27;5(3):218-222.
doi: 10.1016/j.ijnss.2018.06.005. eCollection 2018 Jul 10.

Nurse-led group cognitive behavioral therapy for major depressive disorder among adults in Japan: A preliminary single-group study

Hiroki Tanoue  1 , Naoki Yoshinaga  2 , Sayaka Kato  3 , Keiko Naono-Nagatomo  4 , Yasushi Ishida  4 , Yuko Shiraishi  5
Affiliations

Nurse-led group cognitive behavioral therapy for major depressive disorder among adults in Japan: A preliminary single-group study

Hiroki Tanoue et al. Int J Nurs Sci. .

Erratum in

Abstract

Objectives: The prevalence and burden of disease of depression necessitates effective and accessible treatment options worldwide. Since April 2016, Japanese national health insurance has covered nurse-administered cognitive behavioral therapy (CBT) for mood disorders. However, empirical support for nurse-led CBT for depression in Asian countries, especially in Japan, is still lacking. This preliminary study aimed to examine the feasibility and acceptability of nurse-led group CBT for Japanese patients with depression.

Methods: In this single-arm study, we evaluated the effects of a 6-week group CBT, led by trained nurses, on patients with major depression. The primary outcome was the Beck Depression Inventory-II (BDI-II). Assessments were conducted at the beginning and end of the intervention.

Results: Of 25 participants screened, 23 were eligible for the study (of these, three dropped out during the trial but were included in the analysis). Nurse-led group CBT led to significant improvements in the severity of depression (BDI-II, P < 0.001). The mean total BDI-II score improved from 23.1 (SD = 7.56) to 12.4 (SD = 8.57), and the pre-to post-effect size was large (Cohen's d = 1.33). After CBT, 45% of the participants were judged to be treatment responders, and 34% met the remission criteria.

Conclusions: Our preliminary findings indicate that 6 weeks of nurse-led group CBT produced a favorable treatment outcome for individuals with major depression in a Japanese clinical setting. The results of this study might encourage more Asian nurses to provide CBT as a part of their nursing practice. Further controlled trials that address the limitations of this study are required.

Keywords: Behavior therapy; Cognitive therapy; Depressive disorder; Group psychotherapy; Nursing care.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Participants' flow. CBT: cognitive behavioral therapy; ITT: intention-to-treat.
See this image and copyright information in PMC

References

    1. WHO World Health Organization. The global burden of disease: 2004 update. 2008. http://apps.who.int/iris/bitstream/10665/43942/1/9789241563710_eng.pdf
    1. Hofmann S.G., Asnaani A., Vonk I.J.J., Sawyer A.T., Fang A. The efficacy of cognitive behavioral therapy: a review of meta-analyses. Cognit Ther Res. 2012;36(5):427–440. - PMC - PubMed
    1. Cuijpers P., Andersson G., Donker T., van Straten A. Psychological treatment of depression: results of a series of meta-analyses. Nord J Psychiatr. 2011;65(6):354–364. - PubMed
    1. Butler A.C., Chapman J.E., Forman E.M., Beck A.T. The empirical status of cognitive-behavioral therapy: a review of meta-analyses. Clin Psychol Rev. 2006;26(1):17–31. - PubMed
    1. Dwight-Johnson M., Sherbourne C.D., Liao D., Wells K.B. Treatment preferences among depressed primary care patients. J Gen Intern Med. 2000;15(8):527–534. - PMC - PubMed

LinkOut - more resources