Evaluation of Cognitive-Behavioral Therapy for Drinking. Outcome of Japanese Alcoholic Patients.

New Study (1)Abstract

This study examined the efficacy of a group-based cognitive-behavioral treatment (CBT) for Japanese alcoholic outpatients. Participants (N = 169) were assigned either to a CBT-based relapse prevention group or a TAU (treatment as usual) group. The CBT group received 12-session CBT treatment with a structured treatment workbook once a week. The TAU group received usual daycare treatment including 12-step meeting, vocational training and leisure activities. Participants in the CBT group demonstrated a significantly low relapse rate at the end of treatment. Moreover, coping skills of the CBT group participants were significantly improved than those of the TAU group at the 6-month follow-up period. However, at the 6-month follow-up, the difference in relapse rates diminished. The effectiveness of CBT for alcoholics was well documented in Western countries but few studies were conducted outside of the West. The results provide support for the use of CBT for Japanese alcoholics.


Harada, T., Yamamura, K., Koshiba, A., Ohishi, H., & Ohishi, M. (2014). Evaluation of

cognitive-behavioral therapy for drinking.  Outcome of Japanese alcoholic patients.

Nihon Arukoru Yakubutsu Igakkai Zasshi. 49(5), 249-258

Current State of Cognitive Behavior Therapy in Japan

A recent report by Yutaka Ono, M.D. and colleagues (2011) described the current status of research on cognitive behavior therapy (CBT) in Japan. CBT ranked first as the treatment method that medical facilities would most like to provide. On the basis of this information, the study group developed an individual CBT program for treating Japanese patients with depression. The program was based on the model developed by Aaron T. Beck, M.D., with some adaptation to address the cultural characteristics of Japanese patients. The Japanese government has made the treatment manual available on the Japanese Ministry of Health, Labor and Welfare’s website.

Since its introduction to Japanese psychiatrists in the late 1980s, CBT has greatly expanded in Japan, including the development of the Japanese Association for Cognitive Therapy (JACT). JACT, an organization of mental health professionals committed to the advancement of CBT, has grown to more than 1500 members. The Japanese government has been a strong proponent of the cognitive therapy movement. In addition to funding studies, the National Center of Neurology and Psychiatry decided to establish a new Center for Cognitive Behavior Therapy. Dr. Ono was named as a founding chief of the Center, which is set to open next month. In an effort to increase clinical expertise and standardize supervision of CBT, Dr. Judith Beck will be conducting workshops in May, 2011, in Tokyo.

Ono, Y., Furukawa T.A., Shimizu, E., Okamoto, Y., Nakagawa, A., Fujisawa, D., Nakagawa, A., Ishii, T., & Nakajima, S. (2011).  Current status of research on cognitive therapy/cognitive behavior therapy in Japan. Psychiatry and Clinical Neurosciences 65, (2): 121–129. doi: 10.1111/j.1440-1819.2010.02182.x.