Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study

Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study

Issei Shinmei,1,2 Kei Kobayashi,3 Yuki Oe,1 Yuriko Takagishi,1,4 Ayako Kanie,1 Masaya Ito,1 Yoshitake Takebayashi,1,5 Miho Murata,3 Masaru Horikoshi,1 Roseanne D Dobkin6 1National Center for Cognitive Behavioral Therapy and Research, National Center of Neurology and Psychiatry, Tokyo, Japan; 2Depar...

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Autores principales: Shinmei I, Kobayashi K, Oe Y, Takagishi Y, Kanie A, Ito M, Takebayashi Y, Murata M, Horikoshi M, Dobkin RD
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2016
Materias:
Parkinson's disease
cognitive behavioral therapy
depression
Japan
pilot study
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Acceso en línea:https://doaj.org/article/a8d61e896f894f2ba1b966b48bb84f08
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spelling oai:doaj.org-article:a8d61e896f894f2ba1b966b48bb84f082021-12-02T04:11:25ZCognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study1178-2021https://doaj.org/article/a8d61e896f894f2ba1b966b48bb84f082016-06-01T00:00:00Zhttps://www.dovepress.com/cognitive-behavioral-therapy-for-depression-in-japanese-parkinson39s-d-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Issei Shinmei,1,2 Kei Kobayashi,3 Yuki Oe,1 Yuriko Takagishi,1,4 Ayako Kanie,1 Masaya Ito,1 Yoshitake Takebayashi,1,5 Miho Murata,3 Masaru Horikoshi,1 Roseanne D Dobkin6 1National Center for Cognitive Behavioral Therapy and Research, National Center of Neurology and Psychiatry, Tokyo, Japan; 2Department of Neuropsychiatry, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi, Japan; 3Department of Neurology, National Center of Neurology and Psychiatry, Tokyo, Japan; 4Department of Psychology, Surugadai University, Saitama, Japan; 5Risk Analysis Research Center, The Institute of Statistical Mathematics, Tokyo, Japan; 6Department of Psychiatry, Rutgers-Robert Wood Johnson Medical school, NJ, USA Objectives: This study evaluated the feasibility of cognitive behavioral therapy (CBT) for Japanese Parkinson’s disease (PD) patients with depression. To increase cultural acceptability, we developed the CBT program using manga, a type of Japanese comic novel.Methods: Participants included 19 non-demented PD patients who had depressive symptoms (GRID-Hamilton Rating Scale for Depression score ≥8). A CBT program comprising six sessions was individually administered. We evaluated the feasibility and safety of the CBT program in terms of the dropout rate and occurrence of adverse events. The primary outcome was depressive symptom reduction in the GRID-Hamilton Rating Scale for Depression upon completion of CBT. Secondary outcomes included changes in the self-report measures of depression (Beck Depression Inventory-II, Hospital Anxiety and Depression Scale-Depression), anxiety (Hospital Anxiety and Depression Scale-Anxiety, State and Trait Anxiety Inventory, Overall Anxiety Severity and Impairment Scale), functional impairment, and quality of life (Medical Outcomes Study 36-Item Short-Form Health Survey).Results: Of the 19 participants (mean age =63.8 years, standard deviation [SD] =9.9 years; mean Hohen–Yahr score =1.7, SD =0.8), one patient (5%) withdrew. No severe adverse event was observed. The patients reported significant improvements in depression (Hedges’ g =-1.02, 95% confidence interval =-1.62 to -0.39). The effects were maintained over a 3-month follow-up period. Most of the secondary outcome measurements showed a small-to-moderate but nonsignificant effect size from baseline to post-intervention.Conclusion: This study provides preliminary evidence that CBT is feasible among Japanese PD patients with depression. Similar approaches may be effective for people with PD from other cultural backgrounds. The results warrant replication in a randomized controlled trial. Keywords: CBT, anxiety, Japan, dPD, comorbidityShinmei IKobayashi KOe YTakagishi YKanie AIto MTakebayashi YMurata MHorikoshi MDobkin RDDove Medical PressarticleParkinson's diseasecognitive behavioral therapydepressionJapanpilot studyNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2016, Iss Issue 1, Pp 1319-1331 (2016)
institution DOAJ
collection DOAJ
language EN
topic Parkinson's disease
cognitive behavioral therapy
depression
Japan
pilot study
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Parkinson's disease
cognitive behavioral therapy
depression
Japan
pilot study
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Shinmei I
Kobayashi K
Oe Y
Takagishi Y
Kanie A
Ito M
Takebayashi Y
Murata M
Horikoshi M
Dobkin RD
Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study
description Issei Shinmei,1,2 Kei Kobayashi,3 Yuki Oe,1 Yuriko Takagishi,1,4 Ayako Kanie,1 Masaya Ito,1 Yoshitake Takebayashi,1,5 Miho Murata,3 Masaru Horikoshi,1 Roseanne D Dobkin6 1National Center for Cognitive Behavioral Therapy and Research, National Center of Neurology and Psychiatry, Tokyo, Japan; 2Department of Neuropsychiatry, Interdisciplinary Graduate School of Medicine and Engineering, University of Yamanashi, Yamanashi, Japan; 3Department of Neurology, National Center of Neurology and Psychiatry, Tokyo, Japan; 4Department of Psychology, Surugadai University, Saitama, Japan; 5Risk Analysis Research Center, The Institute of Statistical Mathematics, Tokyo, Japan; 6Department of Psychiatry, Rutgers-Robert Wood Johnson Medical school, NJ, USA Objectives: This study evaluated the feasibility of cognitive behavioral therapy (CBT) for Japanese Parkinson’s disease (PD) patients with depression. To increase cultural acceptability, we developed the CBT program using manga, a type of Japanese comic novel.Methods: Participants included 19 non-demented PD patients who had depressive symptoms (GRID-Hamilton Rating Scale for Depression score ≥8). A CBT program comprising six sessions was individually administered. We evaluated the feasibility and safety of the CBT program in terms of the dropout rate and occurrence of adverse events. The primary outcome was depressive symptom reduction in the GRID-Hamilton Rating Scale for Depression upon completion of CBT. Secondary outcomes included changes in the self-report measures of depression (Beck Depression Inventory-II, Hospital Anxiety and Depression Scale-Depression), anxiety (Hospital Anxiety and Depression Scale-Anxiety, State and Trait Anxiety Inventory, Overall Anxiety Severity and Impairment Scale), functional impairment, and quality of life (Medical Outcomes Study 36-Item Short-Form Health Survey).Results: Of the 19 participants (mean age =63.8 years, standard deviation [SD] =9.9 years; mean Hohen–Yahr score =1.7, SD =0.8), one patient (5%) withdrew. No severe adverse event was observed. The patients reported significant improvements in depression (Hedges’ g =-1.02, 95% confidence interval =-1.62 to -0.39). The effects were maintained over a 3-month follow-up period. Most of the secondary outcome measurements showed a small-to-moderate but nonsignificant effect size from baseline to post-intervention.Conclusion: This study provides preliminary evidence that CBT is feasible among Japanese PD patients with depression. Similar approaches may be effective for people with PD from other cultural backgrounds. The results warrant replication in a randomized controlled trial. Keywords: CBT, anxiety, Japan, dPD, comorbidity
format article
author Shinmei I
Kobayashi K
Oe Y
Takagishi Y
Kanie A
Ito M
Takebayashi Y
Murata M
Horikoshi M
Dobkin RD
author_facet Shinmei I
Kobayashi K
Oe Y
Takagishi Y
Kanie A
Ito M
Takebayashi Y
Murata M
Horikoshi M
Dobkin RD
author_sort Shinmei I
title Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study
title_short Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study
title_full Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study
title_fullStr Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study
title_full_unstemmed Cognitive behavioral therapy for depression in Japanese Parkinson's disease patients: a pilot study
title_sort cognitive behavioral therapy for depression in japanese parkinson's disease patients: a pilot study
publisher Dove Medical Press
publishDate 2016
url https://doaj.org/article/a8d61e896f894f2ba1b966b48bb84f08
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