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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Presentation transcript:

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)

History of dissemination of IPT in Japan Original manual translationGroup IPTQuick guide Comprehensive guide research Introduction of IPSRT

First efficacy study ( ) Interpersonal psychotherapy for Japanese bulimic patients : an open pilot study Hiroko Mizushima, M.D. Kathleen M Pike, Ph.D. Haruka Konishi Mirai So, M.D.

EDI-II scores during 16 sessions of IPT (n=10) p=

BDI-II scores during 16 sessions of IPT (n=10) p=

SAS-SR scores during 16 sessions of IPT (n=10) p=

Number of patients with comorbid depressive disorders and anxiety disorders (n=10) Pre- treatment Mid- treatment Post- treatment Mood disorders 653 Anxiety disorders 622

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 ( ) 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 (Tokyo, Nov. and Dec. in 2010) CBTSupportive psychotherapy othersnone Introduction level (N=29) 13 (44%) formal 7 (24%) 10 (34%) formal 7 (24%) 7 (24%) 9 (31%) Attendance in group supervision for more than 6 times (N=13) 4 (31%) formal 1 (8%) 4 (31%) formal 3 (23%) 4 (31%) 3 (23%)

Subjective challenges in providing IPT FormulationMaintaining positive therapeutic attitude Time- limited structure Maintaining therapeutic focus Others Introduction level (N=29) 19 (66%) 3 (10%) 11 (38%) 3 (10%) 2 (medical model ） Attendance in group supervision for more than 6 times (N=13) 10 (77%) 1 (8%) 3 (23%) 6 (21%) 0

PresenterCompanyProductResearchOther: H. MizushimaSogensha, Iwasaki Gakujutsu Shuppansha Royalty (Japanese translation of IPT books) H. MizushimaSogensha, Kongo Shuppan, Kinokunisha shoten Royalty (psychoeducational books including introduction of IPT) Disclosure