Citation

Tanoue H, Yoshinaga N, Kato S, Naono-Nagatomo K, Ishida Y, Shiraishi Y. Int. J. Nurs. Sci. 2018; 5(3): 218-222.

Copyright

(Copyright © 2018, Chinese Nursing Association, Publisher Elsevier Publishing)

DOI

10.1016/j.ijnss.2018.06.005

PMID

unavailable

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. © 2018 Chinese Nursing Association

Language: en

Keywords

adult; human; suicide; Japan; female; male; quality of life; Depressive disorder; depression; prevalence; mood disorder; nurse; Cognitive therapy; alcohol abuse; personality disorder; brain disease; remission; Beck Depression Inventory; Behavior therapy; Article; outcome assessment; Short Form 36; Nursing care; cognitive behavioral therapy; Group psychotherapy