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Cognitive Behavioural Therapy for Japanese Children and Adolescents with Anxiety Disorders: A Pilot Study

Published online by Cambridge University Press:  04 January 2012

Shin-ichi Ishikawa ,
Naoyasu Motomura ,
Yasuo Kawabata ,
Hidetaka Tanaka ,
Sakie Shimotsu ,
Yoko Sato  and
Thomas H. Ollendick
Shin-ichi Ishikawa*
Affiliation:
Doshisha University, Kyoto, Japan
Naoyasu Motomura
Affiliation:
Osaka Medical College, Japan
Yasuo Kawabata
Affiliation:
Osaka Medical College, Japan
Hidetaka Tanaka
Affiliation:
Osaka Medical College, Japan
Sakie Shimotsu
Affiliation:
Ryukoku University, Kyoto, Japan
Yoko Sato
Affiliation:
University of Miyazaki, Japan
Thomas H. Ollendick
Affiliation:
Child Study Center, Virginia Tech, Blacksburg, USA
*
Reprint requests to Shin-ichi Ishikawa, Faculty of Psychology, Doshisha University, Imadegawa-dori, Karasuma, Higashi-iru, Kamigyo-ku, Kyoto, Japan602-8580. E-mail: ishinn@mail.doshisha.ac.jp
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Abstract

Background: Thirty-three Japanese children and adolescents diagnosed with an anxiety disorder participated in individual or group Cognitive Behaviour Therapy (CBT) that was modelled after evidence-based intervention programs developed in Western countries. Method: The treatment consisted of: (a) building rapport and education; (b) identifying emotions and recognizing cognitive self-talk; (c) challenging anxious self-talk; (d) developing an anxiety hierarchy and in vivo exposures; and (e) planning for future challenges. Results: Three months following treatment, 20 of the 33 children and adolescents (60.91%) no longer met criteria for their principal anxiety disorders and 16 (48.48%) were free from all anxiety disorders. Self-reported anxiety, depression, and cognitive errors also decreased significantly from pre- to post-treatment and these gains were maintained at 3-month follow-up. For the most part, similar outcomes were found in both the group and individual formats of CBT. Conclusions: This study provides preliminary support for the transportability of CBT in both an individual and group format to Japan.

Keywords

Cognitive behavioural therapy (CBT)childrenadolescentsanxiety disorders
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 40 , Issue 3 , May 2012 , pp. 271 - 285
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

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