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Internet-based cost-effective visualization and stepped care for depression and anxiety

Research Project

Project/Area Number 17H04091
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionChiba University

Principal Investigator

Shimizu Eiji  千葉大学, 大学院医学研究院, 教授 (00292699)

Co-Investigator(Kenkyū-buntansha) 村松 公美子  新潟青陵大学, 福祉心理学部, 教授 (60339950)
吉永 尚紀  宮崎大学, 医学部, 准教授 (80633635)
Project Period (FY) 2017-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥17,550,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥4,050,000)
Fiscal Year 2020: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2018: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2017: ¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Keywords認知行動療法 / うつ病 / 不安症 / 不眠症 / 薬物療法 / 医療経済 / 不安 / うつ / アプリ / 社交不安症 / 不眠 / 医療社会学 / 医療経済学 / 診療明細書
Outline of Final Research Achievements

Our newly developed patient registration app for depression, anxiety, QOL scale and medical expenses could visualize monthly medical costs of pharmacotherapy and cognitive-behavioral therapy. Our registration site for the medical staff showed improvement of depression and anxiety by cognitive-behavioral therapy. A one-year prognosis study of face-to-face cognitive-behavioral therapy for social anxiety and a one-year prognosis study of online cognitive-behavioral therapy for obsessive-compulsive disorder, social anxiety disorder, and panic disorder showed that it was cost-effective. As a guide to stepped care, we provided 4-week internet cognitive-behavioral therapy to people suffering from insomnia and demonstrated its effectiveness in randomized controlled trials. Approximately half of participants on the online research preferred cognitive-behavioral therapy for insomnia over medication and Internet cognitive-behavioral therapy over face-to-face.

Academic Significance and Societal Importance of the Research Achievements

うつ(PHQ-9)、不安(GAD-7)、QOL(EQ-5D)の尺度スコアと医療費をアプリで収集して、見える化するデータベースを構築していくことは、認知行動療法および薬物療法の医療経済効果を含む科学的根拠に基づいた普及の推進のために有意義であることが示された。また、対面およびオンラインの認知行動療法は費用対効果に優れていることも社会的意義が大きい。うつ病、不安症にまで至らず、不眠のみに症状が留まる場合は、インターネット認知行動療法を提供するStepped Careへ誘導することの重要性が明らかとなった。

Report

(5 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • 2017 Annual Research Report
  • Research Products

    (8 results)

All 2019 2018 Other

All Journal Article (4 results) (of which Peer Reviewed: 4 results,  Open Access: 4 results) Remarks (4 results)

  • [Journal Article] Long-term clinical and cost-effectiveness of cognitive therapy for refractory social anxiety disorder: one-year follow-up of randomised controlled trial2019

    • Author(s)
      Yoshinaga N, Kubota K, Yoshimura K, Takanashi R, Ishida Y, Iyo M, Fukuda T, Shimizu E
    • Journal Title

      Psychother Psychosom

      Volume: 88 Issue: 4 Pages: 244-246

    • DOI

      10.1159/000500108

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Treatment Preferences for Internet-Based Cognitive Behavioral Therapy for Insomnia in Japan: Online Survey2019

    • Author(s)
      Sato D, Sutoh C, Seki Y, Nagai E, Shimizu E.
    • Journal Title

      JMIR Formative Research

      Volume: 3 Issue: 2 Pages: e12635-e12635

    • DOI

      10.2196/12635

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effectiveness of Internet-Delivered Computerized Cognitive Behavioral Therapy for Patients With Insomnia Who Remain Symptomatic Following Pharmacotherapy: Randomized Controlled Exploratory Trial.2019

    • Author(s)
      Sato D, Yoshinaga N, Nagai E, Nagai K, Shimizu E
    • Journal Title

      J Med Internet Res.

      Volume: 21(4) Issue: 4 Pages: e12686-e12686

    • DOI

      10.2196/12686

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Randomised controlled trial on the effect of internet-delivered computerised cognitive ;behavioural therapy on patients with insomnia who remain symptomatic following hypnotics: a study protocol2018

    • Author(s)
      Sato D, Yoshinaga N, Nagai E, Hanaoka H, Sato Y, Shimizu E
    • Journal Title

      BMJ Open

      Volume: 8(1): Issue: 1 Pages: e018220-e018220

    • DOI

      10.1136/bmjopen-2017-018220

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Remarks] うつ不安スコアの医療者登録データベース研究

    • URL

      https://www.cocoro.chiba-u.jp/recruit/tubuanDB/

    • Related Report
      2020 Annual Research Report
  • [Remarks] スマートフォン用アプリ「うつ不安レコード」を公開

    • URL

      https://www.m.chiba-u.ac.jp/class/phys1/links/files/pr_20190611.pdf

    • Related Report
      2020 Annual Research Report
  • [Remarks] うつ不安レコード

    • URL

      https://www.m.chiba-u.ac.jp/class/phys1/application/index.html

    • Related Report
      2019 Annual Research Report
  • [Remarks] 「インターネット・セルフヘルプ(自助)認知行動療法プログラム臨床試験の研究成果」を報道発表

    • URL

      https://www.m.chiba-u.ac.jp/class/phys1/img/newsrelease1.pdf

    • Related Report
      2018 Annual Research Report

URL: 

Published: 2017-04-28   Modified: 2022-01-27  

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