Effectiveness of group cognitive behavioral therapy for somatoform pain disorder patients in <scp>J</scp>apan: A preliminary non‐case‐control study
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- Atsuo Yoshino
- Department of Psychiatry and Neurosciences Division of Frontier Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan
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- Yasumasa Okamoto
- Department of Psychiatry and Neurosciences Division of Frontier Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan
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- Mitsuru Doi
- Department of Dental Anesthesiology Hiroshima University Hiroshima Japan
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- Masaru Horikoshi
- National Center for Cognitive Behavior Therapy and Research National Center of Neurology and Psychiatry Tokyo Japan
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- Kyoko Oshita
- Department of Anesthesiology and Critical Care Hiroshima University Hiroshima Japan
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- Ryuji Nakamura
- Department of Anesthesiology and Critical Care Hiroshima University Hiroshima Japan
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- Naofumi Otsuru
- Bio‐Environmental Adaptation Sciences Hiroshima University Hiroshima Japan
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- Shinpei Yoshimura
- Department of Psychology Otemon Gakuin University Osaka Japan
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- Keisuke Tanaka
- Graduate School of Integrated Arts and Sciences Hiroshima University Hiroshima Japan
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- Koki Takagaki
- Department of Psychiatry and Neurosciences Division of Frontier Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan
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- Ran Jinnin
- Department of Psychiatry and Neurosciences Division of Frontier Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan
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- Hidehisa Yamashita
- Department of Psychiatry and Neurosciences Division of Frontier Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan
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- Masashi Kawamoto
- Department of Anesthesiology and Critical Care Hiroshima University Hiroshima Japan
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- Shigeto Yamawaki
- Department of Psychiatry and Neurosciences Division of Frontier Graduate School of Biomedical Sciences Hiroshima University Hiroshima Japan
説明
<jats:sec><jats:title>Aims</jats:title><jats:p>Somatoform pain disorder is associated with psychosocial dysfunction, and psychotherapies, such as cognitive behavioral therapy (<jats:styled-content style="fixed-case">CBT</jats:styled-content>), are thought to provide useful interventions to address such dysfunction as well as the pain itself. However, little is known about whether <jats:styled-content style="fixed-case">CBT</jats:styled-content> for somatoform pain disorder is effective, including the long‐term course of the illness, in non‐Western populations. We therefore tailored such a program based on an existing <jats:styled-content style="fixed-case">CBT</jats:styled-content> protocol and examined its effectiveness in <jats:styled-content style="fixed-case">J</jats:styled-content>apan.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Thirty‐four Japanese participants (22 women; mean age = 52.5 years) enrolled in a weekly 12‐session group treatment, with 32 completing both wait‐list and treatment conditions. The primary outcome measure was pain intensity. Secondary outcome measures included pain characteristics, as measured by pain catastrophizing and psychometric evaluations, including depression, anxiety, and quality of life. The patients were followed up for 12 months after treatment.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>We found that pain intensity, anxiety, depressive symptoms, and social functioning all significantly improved after treatment compared with the wait‐list period, and the improvements in pain intensity, depressive symptoms, and social functioning were sustained at 12 months following the completion of <jats:styled-content style="fixed-case">CBT</jats:styled-content>. There were strong positive correlations (<jats:italic>P</jats:italic> < 0.01) among pre‐ and post‐treatment changes in the affective dimension of pain, depression, anxiety, and pain catastrophizing.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>These results show that the present <jats:styled-content style="fixed-case">CBT</jats:styled-content> program was effective for Japanese patients with somatoform pain disorder and that gains were maintained over the long term. More work is needed to further clarify the effects of <jats:styled-content style="fixed-case">CBT</jats:styled-content> interventions on somatoform symptoms, particularly in <jats:styled-content style="fixed-case">J</jats:styled-content>apan.</jats:p></jats:sec>
収録刊行物
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- Psychiatry and Clinical Neurosciences
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Psychiatry and Clinical Neurosciences 69 (12), 763-772, 2015-08-05
Wiley
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詳細情報 詳細情報について
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- CRID
- 1360848660741340288
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- ISSN
- 14401819
- 13231316
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- データソース種別
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- Crossref
- KAKEN