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Cognitive Behavioural Therapy for Japanese Children and Adolescents with Anxiety Disorders: A Pilot Study

Published online by Cambridge University Press:  04 January 2012

Shin-ichi Ishikawa ,
Naoyasu Motomura ,
Yasuo Kawabata ,
Hidetaka Tanaka ,
Sakie Shimotsu ,
Yoko Sato  and
Thomas H. Ollendick
Shin-ichi Ishikawa*
Affiliation:
Doshisha University, Kyoto, Japan
Naoyasu Motomura
Affiliation:
Osaka Medical College, Japan
Yasuo Kawabata
Affiliation:
Osaka Medical College, Japan
Hidetaka Tanaka
Affiliation:
Osaka Medical College, Japan
Sakie Shimotsu
Affiliation:
Ryukoku University, Kyoto, Japan
Yoko Sato
Affiliation:
University of Miyazaki, Japan
Thomas H. Ollendick
Affiliation:
Child Study Center, Virginia Tech, Blacksburg, USA
*
Reprint requests to Shin-ichi Ishikawa, Faculty of Psychology, Doshisha University, Imadegawa-dori, Karasuma, Higashi-iru, Kamigyo-ku, Kyoto, Japan602-8580. E-mail: ishinn@mail.doshisha.ac.jp
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Abstract

Background: Thirty-three Japanese children and adolescents diagnosed with an anxiety disorder participated in individual or group Cognitive Behaviour Therapy (CBT) that was modelled after evidence-based intervention programs developed in Western countries. Method: The treatment consisted of: (a) building rapport and education; (b) identifying emotions and recognizing cognitive self-talk; (c) challenging anxious self-talk; (d) developing an anxiety hierarchy and in vivo exposures; and (e) planning for future challenges. Results: Three months following treatment, 20 of the 33 children and adolescents (60.91%) no longer met criteria for their principal anxiety disorders and 16 (48.48%) were free from all anxiety disorders. Self-reported anxiety, depression, and cognitive errors also decreased significantly from pre- to post-treatment and these gains were maintained at 3-month follow-up. For the most part, similar outcomes were found in both the group and individual formats of CBT. Conclusions: This study provides preliminary support for the transportability of CBT in both an individual and group format to Japan.

Keywords

Cognitive behavioural therapy (CBT)childrenadolescentsanxiety disorders
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 40 , Issue 3 , May 2012 , pp. 271 - 285
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2012

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References

American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev). Washington, DC: Author.Google Scholar
Albano, A. M., Chorpita, B. F. and Barlow, D. H. (2003). Childhood anxiety disorders. In Mash, E. J. and Barkley, R. A. (Eds.), Childhood Psychopathology (2nd ed.). New York: Guilford Press.Google Scholar
Barrett, P. M. (1998). Evaluation of cognitive-behavioral group treatment for childhood anxiety disorders. Journal of Clinical Child Psychology, 27, 459–468.CrossRefGoogle ScholarPubMed
Beidel, D. C., Turner, S. M., Sallee, F. R., Ammerman, R. T., Crosby, L. A. and Pathak, S. (2007). SET-C versus fluoxetine in the treatment of childhood social phobia. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1622–1632.CrossRefGoogle ScholarPubMed
Benjamin, R. S., Costello, E. J. and Warren, M. (1990). Anxiety disorders in a pediatric sample. Journal of Anxiety Disorders, 4, 293–316.CrossRefGoogle Scholar
Birleson, P. (1981). The validity of depressive disorder in childhood and the development of self-rating scale. Journal of Child Psychology and Psychiatry, 22, 73–88.CrossRefGoogle ScholarPubMed
Burlingame, G. M., McClendon, D. T. and Alonso, J. (2011). Cohesion in group therapy. Psychotherapy, 48, 34–42.CrossRefGoogle ScholarPubMed
Chen, J., Nakano, Y., Ietzugu, Ogawa, S., Funayama, T., Watanabe, N. et al. (2007). Group cognitive behavior therapy for Japanese patients with social anxiety disorder: preliminary outcome and their predictors. BMC Psychiatry, 7, 69.CrossRefGoogle ScholarPubMed
Costello, E. J., Egger, H. L. and Angold, A. (2004). Developmental epidemiology of anxiety disorders. In Ollendick, T. H. and March, J. S. (Eds.), Phobic and Anxiety Disorders in Children and Adolescents: a clinician's guide to effective psychosocial and pharmacological intervention New York: Oxford University Press.Google Scholar
Essau, C. A., Sakano, Y., Ishikawa, S. and Sasagawa, S. (2004). Anxiety symptoms in Japanese and in German children. Behaviour Research and Therapy, 42, 601–612.CrossRefGoogle ScholarPubMed
Hudson, J. L., Rapee, R. M., Deveney, C., Schniering, C. A., Lyneham, H. J. and Bovopoulos, N. (2008). Cognitive-behavioral treatment versus an active control for children and adolescents with anxiety disorders: a randomized trial. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 533–544.CrossRefGoogle Scholar
Ishikawa, S. (2006). Kodomo no fuan-sho-gai [Anxiety disorders in children]. In Sakano, Y., Tanno, Y. and Sugiura, Y. (Eds.), Fuan-sho-gai no rinsho-shinri-gaku [Clinical Psychology of Anxiety Disorders] (pp. 135–151). Tokyo: University of Tokyo Press.Google Scholar
Ishikawa, S. (in press). Cognitive errors, anxiety, and depression in Japanese children and adolescents. International Journal of Cognitive Therapy.Google Scholar
Ishikawa, S., Okajima, I., Matsuoka, H. and Sakano, Y. (2007). Cognitive behavioural therapy for anxiety disorders in children and adolescents: a meta-analysis. Child and Adolescent Mental Health, 12, 164–172.CrossRefGoogle ScholarPubMed
Ishikawa, S., Ota, R. and Sakano, Y. (2003). The relationship between anxiety disorders tendencies and subjective school maladjustment in childhood. Japanese Journal of Counseling Science, 36, 264–271.Google Scholar
Ishikawa, S. and Sakano, Y. (2003). Cognitive error and trait anxiety in children: development of a Children's Cognitive Error Scale. Japanese Journal of Behavior Therapy, 29, 145–157.Google Scholar
Ishikawa, S., Sato, H. and Sasagawa, S. (2009). Anxiety disorder symptoms in Japanese children and adolescents. Journal of Anxiety Disorders, 23, 104–111.CrossRefGoogle ScholarPubMed
Ishikawa, S., Shimotsu, S. and Sato, Y. (2008). Short-term and group cognitive behavior therapy for children with anxiety disorders. Japanese Journal of Psychiatric Treatment, 23, 1481–1490.Google Scholar
Kawakami, N., Takeshima, T., Ono, Y., Uda, H., Hata, Y., Nakane, Y. et al. (2005). Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002–2003. Psychiatry and Clinical Neurosciences, 59, 441–452.CrossRefGoogle ScholarPubMed
Kendall, P. C. (1994). Treating anxiety disorders in children: results of randomized clinical trial. Journal of Consulting and Clinical Psychology, 62, 100–110.CrossRefGoogle ScholarPubMed
Kendall, P. C., Hudson, J. L., Gosch, E., Flannery-Schroeder, E. and Suveg, C. (2008). Cognitive-behavioral therapy for anxiety disordered youth: a randomized clinical trial evaluating child and family modalities. Journal of Consulting and Clinical Psychology, 76, 282–297.CrossRefGoogle ScholarPubMed
Kendall, P. C., Safford, S., Flannery-Schroeder, E. C. and Webb, A. (2004). Child anxiety treatments: outcomes in adolescence and impact on substance use and depression at 7.4 year follow-up. Journal of Consulting and Clinical Psychology, 72, 276–287.CrossRefGoogle ScholarPubMed
Kendall, P. C. and Treadwell, K. R. H. (2007). The role of self-statements as a mediator in treatment for youth with anxiety disorders. Journal of Consulting and Clinical Psychology, 75, 869–880.CrossRefGoogle ScholarPubMed
Leitenberg, H., Yost, L. W. and Carroll-Wilson, M. (1986). Negative cognitive errors in children questionnaire development, normative data, and comparisons between children with and without self-reported symptoms of depression, low self-esteem, and evaluation anxiety. Journal of Consulting and Clinical Psychology, 54, 528–536.CrossRefGoogle ScholarPubMed
Markus, H. R. and Kitayama, S. (1991). Culture and the self: implications for cognition, emotion, and motivation. Psychological Bulletin, 98, 224–253.Google Scholar
Murata, T., Shimizu, A., Mori, Y. and Oushima, S. (1996). Childhood depressive state in the school situation: consideration from the Birleson's scale. Saishin Seishin Igaku, 1, 131–138.Google Scholar
Ollendick, T. H. and Ishikawa, S. (in press). Interpersonal and social factors in the treatment of child and adolescent anxiety disorders. In Essau, C. A. and Ollendick, T. H. (Eds.), Treatment of Anxiety Disorders in Children and Adolescents. Chichester: Wiley-Blackwell.Google Scholar
Ollendick, T. H. and King, N. J. (1994). Assessment and treatment of internalizing problems: the role of longitudinal data. Journal of Consulting and Clinical Psychology, 62, 918–927.CrossRefGoogle ScholarPubMed
Ollendick, T. H. and King, N. J. (1998). Empirically supported treatments for children with phobic and anxious disorders: current status. Journal of Clinical Child Psychology, 27, 156–167.CrossRefGoogle ScholarPubMed
Ollendick, T. H. and King, N. J. (2000). Empirically supported treatments for children and adolescents. In Kendall, P. C. (Ed), Child and Adolescent Therapy: cognitive-behavioral procedures (2nd ed.). New York: Guilford Press.Google Scholar
Ollendick, T. H. and March, J. S. (2004). Phobic and Anxiety Disorders: a clinician's guide to effective psychosocial and pharmacological interventions. New York: Oxford University Press.Google Scholar
Ollendick, T. H., Öst, L-H., Reuterskiöld, L., Costa, N., Cederlund, R., Sirbu, C. et al. (2009). One-session treatment of specific phobias in youth: a randomized clinical trial in the United States and Sweden. Journal of Clinical Child and Adolescents Psychology, 77, 504–516.Google Scholar
Pine, D. S., Cohen, P., Gurley, D., Brook, J. and Ma, Y. (1998). The risk for early-adulthood anxiety and depressive disorders in adolescents with anxiety and depressive disorders. Archive General Psychiatry, 55, 56–64.CrossRefGoogle ScholarPubMed
Prins, P. J. M. and Ollendick, T. H (2003). Cognitive change and enhanced coping: missing mediational links in cognitive behavior therapy with anxiety-disordered children. Clinical Child and Family Psychology Review, 6, 87–105.CrossRefGoogle ScholarPubMed
Rohde, P., Lewinsohn, P. M. and Seeley, J. R. (1991). Comorbidity of unipolar depression: II. comorbidity with other mental disorders in adolescents and adults. Journal of Abnormal Psychology, 100, 214–222.CrossRefGoogle ScholarPubMed
Rohde, P., Lewinsohn, P. M. and Seeley, J. R. (1996). Psychiatric comorbidity with problematic alcohol use in high school adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 101–109.CrossRefGoogle Scholar
Sato, H., Ishikawa, S. and Arai, K. (2004). The effect of logical thinking error on the symptoms of depression and anxiety disorders in children. Japanese Journal of Behavioral Medicine, 10, 73–80.Google Scholar
Shimotsu, S., Nagao, A., Emura, R., Ogata, A., Ishikawa, S., Hiejima, S. et al. (2011). Effectiveness of group cognitive behavior therapy in a community clinic. Japanese Journal of Cognitive Therapy, 4, 76–85.Google Scholar
Silverman, W. K. and Albano, A. M. (1996). Manual for Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. San Antonio, TX: Graywind Publications.Google Scholar
Silverman, W. K., Kurtines, W. M., Ginsburg, G. S., Weems, C. F., Lumpkin, P. W. and Carmichael, D. H. (1999). Treating anxiety disorders in children with group cognitive-behavioral therapy: a randomized clinical trial. Journal of Consulting and Clinical Psychology, 67, 995–1003.CrossRefGoogle ScholarPubMed
Silverman, W. K., Pina, A. A. and Viswesvaran, C. (2008). Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents. Journal of Clinical Child and Adolescents Psychology, 37, 105–130.CrossRefGoogle ScholarPubMed
Spence, S. H. (1998). A measure of anxiety symptoms among children. Behaviour Research and Therapy, 36, 545–566.CrossRefGoogle ScholarPubMed
Treadwell, K. R. H. and Kendall, P. C. (1996). Self-talk in youth with anxiety disorders: states of mind, content specificity, and treatment outcome. Journal of Consulting and Clinical Psychology, 64, 941–950.CrossRefGoogle ScholarPubMed
Walkup, J. T., Albano, A. M., Piacentini, J., Birmaher, B., Compton, S. N., Sherrill, J. T. et al. (2008). Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. New England Journal of Medicine, 359, 2753–2766.CrossRefGoogle ScholarPubMed
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