Cultural Adaptation and Implementation of Cognitive-Behavioral Psychosocial Interventions for Anxiety and Depression in Japanese Youth.

IF 5.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Child and Family Psychology Review Pub Date : 2023-09-01 DOI:10.1007/s10567-023-00446-3

Shin-Ichi Ishikawa, Kohei Kishida, Takahito Takahashi, Hiroko Fujisato, Yuko Urao, Kohei Matsubara, Satoko Sasagawa

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Abstract

The present article reviews the current status of cognitive-behavioral therapy (CBT) interventions for anxiety and depression in Japanese youth. First, a literature review of youth CBT programs for anxiety and depression is provided. Through this process, we identify which program/protocol has been most researched within Japan. Second, through a systematic interview to the authors, the development process of four predominant programs is outlined. The programs included were a family CBT program for anxiety disorders (the Japanese Anxiety Children/Adolescents Cognitive Behavior Therapy program), two school-based prevention programs for anxiety and depression (Journey of the Brave and Phoenix Time), and a transdiagnostic protocol for anxiety and depression (Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents). Third, cultural adaptation and modification of the programs are discussed from the scope of user-centered design principles as described by Lyon and Koerner (Sci Pract 23:180-200, 2016). As a result, changes in program content and material, as represented by the use of culture-friendly program names, acronyms, illustrations, and characters were endorsed in all of the programs. Structured but flexible session formats helped increase learnability and efficiency while keeping the cognitive load of providers and consumers low. A careful selection of providers, as well as quality training and consultation are important factors to maximize competency and ensure appropriate implementation. Application of existing time frames and staff who work in each setting were effective ways to increase scalability. Overall, it was shown that many of the modifications adopted overlap among successful programs; these represent the most basic and essential requirements for a program to be applicable to a wide range of contexts. Implications and further directions are explored.

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日本青少年焦虑和抑郁的认知行为社会心理干预的文化适应和实施。

本文综述了认知行为疗法(CBT)干预日本青少年焦虑和抑郁的现状。首先，本文回顾了青少年CBT治疗焦虑和抑郁的相关文献。通过这个过程，我们确定哪些程序/协议在日本研究最多。其次，通过对作者的系统访谈，概述了四个主要项目的发展过程。这些项目包括一个针对焦虑障碍的家庭CBT项目(日本焦虑儿童/青少年认知行为治疗项目)，两个基于学校的焦虑和抑郁预防项目(《勇者之旅》和《凤凰时光》)，以及一个针对焦虑和抑郁的跨诊断方案(《儿童情绪障碍跨诊断治疗统一方案》和《青少年情绪障碍跨诊断治疗统一方案》)。第三，从Lyon和Koerner (Sci practice 23:180-200, 2016)所描述的以用户为中心的设计原则的范围来讨论程序的文化适应和修改。因此，节目内容和材料的变化，如使用文化友好的节目名称、首字母缩略词、插图和字符所代表的，在所有节目中都得到了认可。结构化但灵活的会话格式有助于提高可学习性和效率，同时降低提供者和消费者的认知负荷。仔细选择提供者，以及高质量的培训和咨询是最大限度地提高能力和确保适当实施的重要因素。应用现有的时间框架和在每种环境中工作的人员是提高可伸缩性的有效方法。总体而言，研究表明，成功的项目中采用的许多修改是重叠的;这些代表了程序适用于广泛环境的最基本和最基本的要求。探讨了影响和进一步的方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Child and Family Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

10.50

自引率

4.30%

发文量

期刊介绍： Editors-in-Chief: Dr. Ronald J. Prinz, University of South Carolina and Dr. Thomas H. Ollendick, Virginia Polytechnic Institute Clinical Child and Family Psychology Review is a quarterly, peer-reviewed journal that provides an international, interdisciplinary forum in which important and new developments in this field are identified and in-depth reviews on current thought and practices are published. The Journal publishes original research reviews, conceptual and theoretical papers, and related work in the broad area of the behavioral sciences that pertains to infants, children, adolescents, and families. Contributions originate from a wide array of disciplines including, but not limited to, psychology (e.g., clinical, community, developmental, family, school), medicine (e.g., family practice, pediatrics, psychiatry), public health, social work, and education. Topical content includes science and application and covers facets of etiology, assessment, description, treatment and intervention, prevention, methodology, and public policy. Submissions are by invitation only and undergo peer review. The Editors, in consultation with the Editorial Board, invite highly qualified experts to contribute original papers on topics of timely interest and significance.