@article{ref1,
title="Nurse-led group cognitive behavioral therapy for major depressive disorder among adults in Japan: A preliminary single-group study",
journal="International journal of nursing sciences",
year="2018",
author="Tanoue, H. and Yoshinaga, N. and Kato, S. and Naono-Nagatomo, K. and Ishida, Y. and Shiraishi, Y.",
volume="5",
number="3",
pages="218-222",
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. <br><br>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. <br><br>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. <br><br>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<p /><p>Language: en</p>",
language="en",
issn="2096-6296",
doi="10.1016/j.ijnss.2018.06.005",
url="http://dx.doi.org/10.1016/j.ijnss.2018.06.005"
}