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The effectiveness of cognitive rehabilitation and cognitive behavioral group therapy for bipolar disorder

Research Project

Project/Area Number 16K10238
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

KAKO YUKI  北海道大学, 大学病院, 講師 (70374444)

Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords双極性障害 / 認知行動療法 / 認知リハビリテーション / 集団認知行動療法 / 認知機能障害 / 精神医学 / リハビリテーション
Outline of Final Research Achievements

We investigated the efficacy of cognitive behavioral group therapy (CBGT), cognitive remediation therapy (CRT) and the combination therapy for bipolar disorders. We also investigated the one-year long-term efficacy and effect predictors of CBGT.
In the group of CBGT alone, subjective depressive symptoms and social function were significantly improved, but most domains of the cognitive dysfunction were not improved. Whereas, in the group of CRT alone, the cognitive dysfunction in many cognitive domains was significantly improved, but psychiatric symptoms and social function were not improved. We were not able to confirm the long-term efficacy of CBGT. We suggested that poor attentional functions, slow processing speed, good executive function and good verbal learning were effect predictors of CBGT.

Academic Significance and Societal Importance of the Research Achievements

双極性障害において効果の確かめられていなかったCBGTとCRTについて、その有効性の特徴を明らかにし、CBGTの効果予測因子を調査できたことは新奇性があり学術的意義が大きいものと思われる。認知機能障害の視点と認知行動療法のモデルを組み合わせて、治療効果を最大化するための手掛かりとなるものと思われる。
双極性障害は薬物療法に反応しない症例も多く、その場合の治療戦略は非常に乏しい。双極性障害の社会的損失の大きさや自殺リスクの高さ、介護者の負担の大きさも考慮すると早急な治療技術の向上が求められる。そのような状況の中で、CBGTやCRTの有効性を示すことができたことは大きな意義があるものと思われる。

Report

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

    (11 results)

All 2020 2019 2018 2017 2016

All Journal Article (5 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 3 results,  Open Access: 1 results) Presentation (5 results) (of which Int'l Joint Research: 1 results) Book (1 results)

  • [Journal Article] うつ病におけるリカバリー外来の実際2020

    • Author(s)
      賀古勇輝
    • Journal Title

      Depression Strategy うつ病治療の新たなストラテジー

      Volume: 10 Pages: 12-15

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Evaluation Of Subjective Cognitive Function Using The Cognitive Complaints In Bipolar Disorder Rating Assessment (COBRA) In Japanese Adults2019

    • Author(s)
      Toyoshima Kuniyoshi、Inoue Takeshi、Masuya Jiro、Ichiki Masahiko、Fujimura Yota、Kusumi Ichiro
    • Journal Title

      Neuropsychiatric Disease and Treatment

      Volume: Volume 15 Pages: 2981-2990

    • DOI

      10.2147/ndt.s218382

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 双極性障害と認知機能障害2019

    • Author(s)
      豊島邦義
    • Journal Title

      臨床精神薬理

      Volume: 22 Pages: 23-29

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Associations between cognitive impairment and quality of life in euthymic bipolar patients2019

    • Author(s)
      Toyoshima Kuniyoshi、Kako Yuki、Toyomaki Atsuhito、Shimizu Yusuke、Tanaka Teruaki、Nakagawa Shin、Inoue Takeshi、Martinez-Aran Anabel、Vieta Eduard、Kusumi Ichiro
    • Journal Title

      Psychiatry Research

      Volume: 271 Pages: 510-515

    • DOI

      10.1016/j.psychres.2018.11.061

    • NAID

      120006776820

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Validity and reliability of the Cognitive Complaints in Bipolar Disorder Rating Assessment (COBRA) in Japanese patients with bipolar disorder2017

    • Author(s)
      60)Toyoshima K, Fujii Y, Mitsui N, Kako Y, Asakura S, Martinez-Aran A, Vieta E, Kusumi I
    • Journal Title

      Psychiatry Research

      Volume: 254 Pages: 85-89

    • DOI

      10.1016/j.psychres.2017.04.043

    • NAID

      120006491482

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] 双極性障害患者に対する集団認知行動療法2019

    • Author(s)
      賀古勇輝
    • Organizer
      第10回集団認知行動療法研究会学術総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 双極性障害寛解期における事象関連電位と認知機能障害に関する検討2019

    • Author(s)
      豊島邦義、宮崎茜、豊巻敦人、高信径介、渡辺晋也、三井信幸、賀古勇輝、朝倉聡、久住一郎
    • Organizer
      第19回精神疾患と認知機能研究会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 気分障害に対する集団認知行動療法の効果予測因子についての検討2018

    • Author(s)
      賀古勇輝,渡辺晋也,中谷紫乃,石塚麻伊子,久住一郎
    • Organizer
      第9回集団認知行動療法研究会学術総会
    • Related Report
      2018 Research-status Report
  • [Presentation] Validity and reliability of the“cognitive complaints in bipolar disorder rating assessment”(COBRA) in Japanese bipolar patients.2016

    • Author(s)
      Toyoshima K, Fujii Y, Mitsui N, Kako Y, Asakura S, Kusumi I
    • Organizer
      International Review of Psychosis & Bipolarity
    • Place of Presentation
      Rome(Italy)
    • Year and Date
      2016-05-22
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] COBRAを用いた双極性障害の認知機能障害に関する検討2016

    • Author(s)
      豊島邦義,藤井泰,三井信幸,賀古勇輝,朝倉聡,久住一郎
    • Organizer
      第16回精神疾患と認知機能研究会
    • Place of Presentation
      海運クラブ(東京都千代田区)
    • Related Report
      2016 Research-status Report
  • [Book] 「精神疾患における認知機能障害の矯正法」臨床家マニュアル第2版2019

    • Author(s)
      アリス・メダリア、ティファニー・ハーランズ、アリス・サパースタイン、ナディン・レヴハイム著、中込和幸監修、橋本直樹、池澤聰、最上多美子、豊巻敦人監訳
    • Total Pages
      196
    • Publisher
      星和書店
    • Related Report
      2019 Annual Research Report

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Published: 2016-04-21   Modified: 2021-02-19  

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