Disseminating Interpersonal Psychotherapy in Japan: Overview and Challenges H Mizushima, M.D. (MIZUSHIMA HIROKO IPT Clinic, Keio University School of Medicine) KM Pike, Ph.D. (Temple University Japan) Y Oyama, M.D. (Tohoku University Graduate School of Medicine) M So, M.D. (King's College London)
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Disseminating Interpersonal Psychotherapy in Japan: Overview and Challenges H Mizushima, M.D. (MIZUSHIMA HIROKO IPT Clinic, Keio University School of Medicine)
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Disseminating Interpersonal Psychotherapy in Japan:
Overview and Challenges
H Mizushima, M.D. (MIZUSHIMA HIROKO IPT Clinic, Keio University School of Medicine)
KM Pike, Ph.D. (Temple University Japan)
Y Oyama, M.D. (Tohoku University Graduate School of Medicine)
review in journalspsychoeducational booklecture in academic society
First efficacy study(2008-2009)
Interpersonal psychotherapy for Japanese bulimic patients :
an open pilot study
Hiroko Mizushima, M.D.Kathleen M Pike, Ph.D.
Haruka KonishiMirai So, M.D.
EDI-II scores during 16 sessions of IPT (n=10)
p=0.015
99.5
75.3
62.9
BDI-II scores during 16 sessions of IPT (n=10)
p=0.011
31.6
21.619.1
SAS-SR scores during 16 sessions of IPT (n=10)
p=0.018
2.59
2.222.09
Number of patients with comorbid depressive disorders and anxiety
disorders (n=10)
Pre-treatment
Mid-treatment
Post-treatment
Mood disorders
6 5 3
Anxiety disorders
6 2 2
Summary
• Among the BN subjects (n=10), four (40%) achieved remission at the termination assessment.
• Scores of EDI-2, BDI-2, and SAS-SR reduced significantly in the course of treatment.
• No one dropped out.• Mean satisfaction rate of the treatment was
91.0%. • One-year follow-up study is now taking place.
Three-year research program to develop dissemination strategies of
IPT (2010-2012)
• Funded by the Japanese Ministry of Health, Labor and Welfare.
• Expected to develop feasible and effective training programs.
Challenges
(1) Psychotherapy training is not included in the mainstream of psychiatric training.
(2) Continuing education and training programs for psychiatrists are not utilized effectively.
(3) Evidence-based psychotherapies are mostly not covered by the National Health Insurance Plan.
(4) Clinical psychology is a relatively new profession in Japan, professional qualifications and standards are not established and clinical practicum training is limited.
Current training program in Tokyo
• Introduction workshop after reading IPT manuals
• Monthly group supervision
• Challenges particularly for IPT training– Shortage of Japanese-speaking supervisors.– Language barrier when trying to learn from
English-speaking specialists.
Previous exposure to psychotherapy training of the participants of IPT workshops