Development and Evaluation of the Training Program toFoster Interview Skills among Healthcare Professional: From Medical Interview to Cognitive-Behavior Therapy

• Project/Area Number: 22590596
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Public health/Health science
• Research Institution: Kyoto University
• Principal Investigator: FURUKAWA Toshiaki 京都大学, 大学院・医学研究科, 教授 (90275123)
• Co-Investigator(Kenkyū-buntansha): WATANABE Norio 名古屋市立大学, 大学院・医学研究科, 講師 (20464563) ; KINOSHITA Yoshihiro 信州大学, 大学院・医学研究科, 助教 (50302667) ; 中野 有美 名古屋市立大学, 大学院・医学研究科, 助教 (60423860) ; 小川 成 名古屋市立大学, 大学院・医学研究科, 助教 (90571688) ; 船山 正 名古屋市立大学, 大学院・医学研究科, 助教 (10551236)
• Project Period (FY): 2010 – 2012
• Project Status: Completed (Fiscal Year 2012)
• Budget Amount: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000); Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2011: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2010: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
• Keywords: 健康教育 / 行動医学 / 認知行動療法 / 専門教育 / 支持的精神療法 / 医療面接

Research Abstract

Scientific studies of healthcare professionals are very important in order to raise the quality of healthcare. This study aims to develop and evaluate the training program for interviewing skills among healthcare professions, staring from medical interviews and culminating in cognitive-behavior therapy. To this end, we:
1) held training workshops for supportive psychotherapy using role plays
2) prepared manuals for cognitive-behavior therapy for depression
3) held workshops to train medical doctors in their use
4) asked the trainees to administer CBT to patients with mood disorders, anxiety disorders and schizophrenia
5) asked the trainees to fill in the Working Alliance Inventory and Empathy Scale.
The trainees administered CBT to 35 patients with mood disorders and/or anxiety disorders. After an average of 13.5 sessions (Range: 10-17), the BDI-II scores decreased from 23.1 (SD=11.2) to 16.6 (SD=11.4). The Working Alliance Inventory (Score range: 0-84) and Empathy Scale (Score range: 0-70) showed that the trainees had a mean score of 69.0 (SD=10.0、Range: 49-82) and 56.4(SD=7.0、Range: 38-65), respectively, demonstrating good working alliance and empathy levels.

Research Products

• [Journal Article] Cognitive-behavioral therapy modifies the naturalistic course of social anxiety disorder: Findings from an ABA design study in routine clinical practices (2013)
  • Author(s): Furukawa TA, Nakano Y, Funayama T, Ogawa S, Ietsugu T, Noda Y, Chen J, Watanabe N & Akechi T
  • Journal Title: Psychiatry and Clinical Neurosciences Volume: 67 Issue: 3 Pages: 139-147
  • DOI: 10.1111/pcn.12035
  • Peer Reviewed
• [Journal Article] Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors (2013)
  • Author(s): Kawaguchi A, Watanabe N, Nakano Y, Ogawa S, Suzuki M, Kondo M, Furukawa TA & Akechi T
  • Journal Title: Neuropsychiatric Disease and Treatment Volume: 9 Pages: 267-275
  • DOI: 10.2147/ndt.s41365
  • Peer Reviewed
• [Journal Article] CBT modifies the naturalistic course of social anxiety disorder: Findings from an ABA design study in the routine clinical practices (2013)
  • Author(s): Furukawa TA
  • Journal Title: Psychiatry and Clinical Neurosciences Volume: 印刷中
  • Peer Reviewed
• [Journal Article] Telephone cognitive-behavioral therapy for subthreshold depression and presenteeism in workplace: a randomized controlled trial (2012)
  • Author(s): Furukawa TA, Horikoshi M, Kawakami N, Kadota M, Sasaki M, Sekiya Y, Hosogoshi H, Kashimura M, Asano K, Terashima H, Iwasa K, Nagasaku M & Grothaus LC
  • Journal Title: PLoS ONE Volume: 7 Issue: 4 Pages: e35330-e35330
  • DOI: 10.1371/journal.pone.0035330
• [Journal Article] Telephone cognitive-behavioral therapy for subthreshold depression and presenteeism in workplace : a randomized controlled trial (2012)
  • Author(s): Furukawa TA, Horikoshi M, Kawakami N, Kadota M, Sasaki M
  • Journal Title: PLoS ONE Volume: 7
  • Peer Reviewed
• [Journal Article] Brief behavioral therapy for refractory insomnia in residual depression: an assessor-blind, randomized controlled trial (2011)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C & Perlis ML
  • Journal Title: Journal of Clinical Psychiatry Volume: 72 Issue: 12 Pages: 1651-1658
  • DOI: 10.4088/jcp.10m06130gry
  • Peer Reviewed
• [Journal Article] Fear of negative evaluation is associated with delusional ideation in non-clinical population and patients with schizophrenia (2011)
  • Author(s): Kinoshita Y, Kingdon D, Kinoshita K, Saka K, Arisue Y, Dayson D, Nakaaki S, Fukuda K, Yoshida K, Harris S & Furukawa TA
  • Journal Title: Social Psychiatry and Psychiatric Epidemiology Volume: 46 Issue: 8 Pages: 703-710
  • DOI: 10.1007/s00127-010-0237-8
• [Journal Article] Current status of research on cognitive therapy/cognitive behavior therapy in Japan (2011)
  • Author(s): Ono Y, Furukawa TA, Shimizu E, Okamoto Y, Nakagawa A, Fujisawa
  • Journal Title: Psychiatry and Clinical Neurosciences Volume: 65 Issue: 2 Pages: 121-129
  • DOI: 10.1111/j.1440-1819.2010.02182.x
  • Peer Reviewed
• [Journal Article] Video feedback with peer ratings in naturalistic anxiety-provoking situations for social anxiety disorder: Preliminary report (2010)
  • Author(s): Chen J, Furukawa TA, Nakano Y, Ietsugu T, Ogawa S, Funayama T, Watanabe N, Noda Y & Rapee RM
  • Journal Title: Journal of Behavior Therapy and Experimental Psychiatry Volume: 41 Pages: 6-10
• [Journal Article] Interoceptive hypersensitivity as prognostic factor among patients with panic disorder who have received cognitive behavioral therapy (2010)
  • Author(s): Ogawa S, Furukawa TA, Nakano Y, Funayama T, Watanabe N, Noguchi Y & Sasaki M
  • Journal Title: Journal of Behavior Therapy and Experimental Psychiatry Volume: 41 Pages: 325-329
• [Journal Article] Change in quality of life and their predictors in the long-term follow-up after group cognitive behavioral therapy for social anxiety disorder: a prospective cohort study (2010)
  • Author(s): Watanabe N, Furukawa TA, Chen J, Kinoshita Y, Nakano Y, Ogawa S, Funayama T, Ietsugu T & Noda Y
  • Journal Title: BMC Psychiatry Volume: 10 Issue: 1 Pages: 81-81
  • DOI: 10.1186/1471-244x-10-81
• [Journal Article] Change in quality of life and their predictors in the long-term follow-up after group cognitive behavioral therapy for social anxiety disorder : a prospective cohort study (2010)
  • Author(s): Watanabe N, Furukawa TA, Chen J, Kinoshita Y, Nakano Y, Ogawa S, Funayama T, Ietsugu T, Noda Y
  • Journal Title: BMC Psychiatry Volume: 10 Pages: 81-81
  • Peer Reviewed
• [Journal Article] In-situation safety behaviors among patients with panic disorder: descriptive and correlational study
  • Author(s): Funayama T, Furukawa TA, Nakano Y, Noda Y, Ogawa S, Watanabe N, Chen J & Noguchi Y
  • Journal Title: Psychiatry and Clinical Neurosciences
• [Journal Article] Fear of negative evaluation is associated with delusional ideation in non-clinical population and patients with schizophrenia
  • Author(s): Kinoshita Y, Kingdon D, Kinoshita K, Saka K, Arisue Y, Dayson D, Nakaaki S, Fukuda K, Yoshida K, Harris S, Furukawa TA
  • Journal Title: Social Psychiatry and Psychiatric Epidemiology Volume: (印刷中)
  • Peer Reviewed
• [Journal Article] Brief behavioral therapy for refractory insomnia in residual depression : Assessor-blind, randomized controlled trial
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML
  • Journal Title: Journal of Clinical Psychiatry Volume: (印刷中)
  • Peer Reviewed
• [Presentation] Quality of life and avoidance in patients with panic disorder with agoraphobia after cognitive behavioral therapy (2012)
  • Author(s): Ogawa S, Watanabe N, Kondo M, Kawaguchi A, Furukawa TA, Akechi T
  • Organizer: Association of Behavioral and Cognitive Therapies
  • Place of Presentation: National Harbor, MD, US
• [Presentation] Group CBT for generalized anxiety disorder patients in Japan: The long term efficacy of treatments and predictors of outcomes (2012)
  • Author(s): Kawaguchi A, Watanabe N, Nakano Y, Ogawa S, Suzuki M, Kondo M, Shiraishi N, Furukawa TA, Akechi T
  • Organizer: Association of Behavioral and Cognitive Therapies
  • Place of Presentation: National Harbor, MD, US
• [Presentation] Quality of life and avoidance in patients with panic disorder with agoraphobia (2011)
  • Author(s): Ogawa S, Nakano Y, Watanabe N, Kondo M, Kawaguchi A, Furukawa TA
  • Organizer: 45th Annual Convention of the Association of Behavioral and Cognitive Therapies
  • Place of Presentation: Toronto, Canada
  • Year and Date: 2011-11-11
• [Presentation] Brief behavioral therapy for refractory insomnia in residual depression: Assessor-blind, randomized controlled trial (2011)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML
  • Organizer: WorldSleep2011
  • Place of Presentation: Kyoto, Japan
  • Year and Date: 2011-10-17
• [Presentation] Telephone CBT for subthreshold depression and presenteeism in workplace: a randomized controlled trial (2011)
  • Author(s): Furukawa TA
  • Organizer: 41st Annual Congress of European Association of Behavioural and Cognitive Therapies
  • Place of Presentation: Reykjavik, Iceland
  • Year and Date: 2011-09-02
• [Presentation] Telephone CBT for subthreshold depression and presenteeism in workplace : randomized controlled trial (2011)
  • Author(s): Furukawa TA
  • Organizer: 41st Annual Congress of European Association of Behavioural and Cognitive Therapies
  • Place of Presentation: Reykjavik, Iceland
  • Year and Date: 2011-09-02
• [Presentation] Change in Quality of Life after Brief Behavioral Therapy for Refractory Insomnia in residual depression: a Randomized Controlled Trial (2011)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML
  • Organizer: 25th Anniversary Meeting of the Associated Professional Sleep Societies
  • Place of Presentation: Minneapolis, USA
• [Presentation] Discussant of symposium: Cultural adaptation of cognitive-behaviour therapy for ethnic/minority patients (2010)
  • Author(s): Furukawa TA
  • Organizer: 163rd Annual Meeting of the American Psychiatric Association
  • Place of Presentation: New Orleans
  • Year and Date: 2010-05-26
• [Presentation] Brief behavioral therapy for insomnia for outpatients with residual depression with comorbid insomnia: assessor-blind, randomized controlled trial (2010)
  • Author(s): Watanabe N, Furukawa TA, Shimodera S, Morokuma I, Katsuki F, Fujita H, Sasaki M, Kawamura C, Perlis ML
  • Organizer: 163rd Annual Meeting of the American Psychiatric Association
  • Place of Presentation: New Orleans
  • Year and Date: 2010-05-23