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Development of effect prediction and effect evaluation indices of cognitive behavior therapy

Research Project

Project/Area Number 15K09857
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionChiba University

Principal Investigator

Ohtani Toshiyuki  千葉大学, 総合安全衛生管理機構, 准教授 (60456118)

Project Period (FY) 2015-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2015: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords社交不安症 / 自閉スペクトラム症 / 認知行動療法 / MRI / NIRS / 社交不安障害 / 自閉症スペクトラム障害 / 不安障害
Outline of Final Research Achievements

In order to find out the effect evaluation index and the effect prediction index of cognitive behavior therapy (CBT), we measured the effect of CBT using clinical index and brain images. No significant difference was observed between the patients with social anxiety disorder (SAD) and the healthy controls in the region of interest (ROI) volumes of the prefrontal cortex, which were measured by manual parcellation and Freesurfer analyzation. In addition, no significant ROI volume changes were observed in the patients with SAD who received CBT. On the other hand, the brain activity in the frontal brain areas was less in the patients with autism spectrum disorder (ASD) than in subjects with typical development. Furthermore, the brain activity was positively associated with the improvement of the overall function of subjects with ASD caused by CBT. This might suggest that the frontal brain activity can be the effect prediction index of CBT.

Academic Significance and Societal Importance of the Research Achievements

社交不安症者の脳画像では前頭前皮質関心領域の脳構造がCBTの効果指標となることを示唆する結果を得ることはできなかった。しかしながらその一方で、自閉スペクトラム症の治療目的で開発したCBTの効果を検証し、自閉スペクトラム症者群は定型発達者群よりも語流暢性課題中の前頭部の脳活動が小さく、自閉スペクトラム症者では前頭部の脳活動が大きいほどCBTによる改善効果が大きくなったことから、前頭部の脳活動がCBTの効果予測指標となる可能性があることを見出した。本研究で得られたこれらの成果は、自閉スペクトラム症者にCBTを適用する際に有益な知見になると思われる。

Report

(6 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (7 results)

All 2019 Other

All Int'l Joint Research (1 results) Journal Article (2 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (4 results) (of which Int'l Joint Research: 3 results)

  • [Int'l Joint Research] ハーバード大学/マサチューセッツ大学(米国)

    • Related Report
      2018 Research-status Report
  • [Journal Article] 自閉スペクトラム症に対する治療的介入による効果と効果予測指標の開発についての予備的研究2019

    • Author(s)
      大渓俊幸、須藤千尋、平野好幸、大島郁葉、清水栄司、若林明雄、今関文夫
    • Journal Title

      CAMPUS HEALTH

      Volume: 56 Pages: 85-87

    • Related Report
      2019 Annual Research Report
  • [Journal Article] A pilot and feasibility study of a cognitive behavioural therapy-based anxiety prevention programme for junior high school students in Japan: a quasi-experimental study2019

    • Author(s)
      Ohira I, Urao Y, Sato Y, Ohtani T, Shimizu E
    • Journal Title

      Child and Adolescent Psychiatry and Mental Health

      Volume: 13 Issue: 1 Pages: 40-40

    • DOI

      10.1186/s13034-019-0300-5

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 自閉スペクトラム症に見られる特徴と治療的介入によりもたらされる効果についての予備的研究2019

    • Author(s)
      大渓俊幸、大島郁葉、須藤千尋、平野好幸、若林明雄、清水栄司
    • Organizer
      第7回成人発達障害支援学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] One-Year Follow-Up of Internet-based Cognitive Behavioral Therapy Via Videoconferencing for Patients with Obsessive-Compulsive Disorder, Panic Disorder, and Social Anxiety Disorder.2019

    • Author(s)
      Matsumoto K, Nagai K, Hamatani S, Chihiro S, Otani T, Nakagawa A, Shimizu E.
    • Organizer
      9th WCBCT in Berlin・Bundesrepublik Deutschland.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Feasibility of Schema Therapy for young Adults with high functioning Autism Spectrum Disorder in Japan: A Pilot Study.2019

    • Author(s)
      Oshima F, Murata T, Ohtani T, Ida S, Seto M, Nakagawa A, Shimizu E.
    • Organizer
      nternational Society for Autism Research. Montreal.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Family cognitive behavior therapy for psychoeducation in multicenter,Aware and Care for my AS Traits for high-functioning autism spectrum disorders in adolescence: Study protocol.2019

    • Author(s)
      Iwama Y,Oshima F,Mandy W, Tsuchiyagaito A, Seto M,Takahashi N, Shiina A, Hongo M,Hirano Y,Suto C,Taguchi K, Yoshida T, Masuya J, Sato N, Nakamura S, Kuno M, Takahashi J,Ohtani T,Matsuzawa D,Kuwabare H, Nakagawa A,Shimizu E.
    • Organizer
      International Society for Autism Research. Montreal, Canada.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research

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Published: 2015-04-16   Modified: 2021-02-19  

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