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Affiliation |
Faculty of Medicine School of Nursing Life and basic nursing study course |
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Professor |
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Related SDGs |
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TANOUE Hiroki
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Degree 【 display / non-display 】
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博士（医学） ( 2021.3 宮崎大学 )
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修士（看護学） ( 2009.3 宮崎大学 )
Research Areas 【 display / non-display 】
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Life Science / Gerontological nursing and community health nursing / 精神看護学
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Life Science / Lifelong developmental nursing / 精神看護学
Professional Memberships 【 display / non-display 】
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日本認知療法・認知行動療法学会
2012.11
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日本精神保健看護学会
2013.3
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日本看護科学学会
2017.4
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日本認知・行動療法学会
2017.4
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日本災害医学会
2018.4 - 2021.3
Papers 【 display / non-display 】
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Translated and culturally adapted internet-delivered cognitive therapy for social anxiety disorder in Japanese clinical settings: study protocol for a randomised controlled trial Reviewed International coauthorship
Yoshinaga N., Thew G.R., Hayashi Y., Tanoue H., Nakai M., Clark D.M.
Trials 25 ( 1 ) 492 2024.12
Language：English Publishing type：Research paper (scientific journal) Publisher：Trials
Background: Cognitive therapy for social anxiety disorder (CT-SAD) has extensive empirical support and is recommended in several national guidelines. However, ensuring access to evidence-based psychological therapies such as CT-SAD remains a global challenge. An internet-delivered version of this treatment protocol (iCT-SAD) has recently been developed in the UK as a way to overcome this challenge, demonstrating comparable outcomes to face-to-face CT-SAD whilst requiring less therapist time per client. Initial findings also suggest its cross-cultural transferability, but the previous studies in other cultural settings used the English language programme and only included English-fluent participants as a second language. It is not yet known what outcomes can be achieved once the programme has been translated and adapted for a different cultural context. Therefore, this trial aims to evaluate the clinical efficacy of Japanese iCT-SAD when combined with treatment as usual (TAU) in clients with SAD. Methods: This two-arm, parallel-group, superiority randomised controlled trial will recruit 60 Japanese participants with SAD, randomly assigning them to either Japanese iCT-SAD + TAU or TAU alone at a ratio of 1:1. The primary outcome measure is the self-report Liebowitz Social Anxiety Scale, and secondary.outcomes include other measures of social anxiety symptoms and processes, general mood and functioning, and response to treatment. We will also assess treatment acceptability and gather participant feedback. Assessments will take place at baseline (week 0), mid-treatment (week 8), and post-treatment (week 15), with a further 3-month follow-up (week 27) for the iCT-SAD + TAU arm. The primary analyses will be conducted on an intent-to-treat basis, comparing the primary and secondary outcome measures between groups using linear mixed-effect models, along with additional mediation analysis. Discussion: Investigating the efficacy of translated and culturally adapted iCT-SAD in different cultural contexts is an important step in evaluating the global reach of internet interventions. This trial will provide valuable insights into the effects of iCT-SAD combined with usual care, and how this treatment could be delivered in routine clinical settings in Japan. Trial registration: International Standard Randomized Controlled Trials (ISRCTN), ISRCTN82859645, registered on January 19, 2024. UMIN Clinical Trials Registry (UMIN-CTR), UMIN000052702, registered on November 6, 2023.
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Kato S., Tanoue H., Fukuzoe J., Ishida Y.
SAGE Open Nursing 10 23779608241290717 2024.10
Language：English Publishing type：Research paper (scientific journal) Publisher：SAGE Open Nursing
Introduction: Behavioral Activation (BA) is a short-term cognitive behavioral therapy modality that stimulates activities that increase patients’ reinforcement experiences. Recent research verified the effect of brief BA. However, despite the short intervention time per session, BA is difficult to implement during hospitalization due to its long implementation period. Objectives: To evaluate the clinical effectiveness of a brief BA program for people with depression in an inpatient setting. Methods: This study employed a single-group pre-post design. Fifteen patients who met the inclusion criteria participated in the trial after providing oral and written informed consent. In addition to their usual care, participants received four weekly sessions administered by a nurse. The primary outcome measures included the Beck Depression Inventory (BDI-II), which indicated patients’ subjective depression severity. Clinical outcomes were measured at preintervention, immediate postintervention, and one-month postintervention. Results: Fourteen participants completed the BA program and were receptive to treatment. For the primary endpoint, BDI-II, there was an improvement in scores (25.60 to 22.73 to 22.06) between the baseline, postintervention, and 1-month postassessment, but not a significant change. For EQ VAS score, there was no significant change, but there was an improvement in EQ VAS score (51.53 to 52.20 to 55.13) between the baseline, postintervention, and 1-month postassessment. The mean total Global Assessment of Functioning score increased from 40.20 to 57.00 across the pre- and postassessment points (p <.0001). Conclusion: The study comprised a brief BA intervention, with results suggesting that participants could complete the program without feeling burdened. Although there was no significant improvement in the general outcome, depression levels, and other outcomes improved. Thus, while there is a need to rethink BA intervention, this program may be a practical approach to improving depression and other outcomes.
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Yoshinaga N., Obara Y., Kawano N., Kondo K., Hayashi Y., Nakai M., Takeda R., Tanoue H.
Behavioral Sciences 14 ( 7 ) 2024.7
Authorship：Corresponding author Language：English Publishing type：Research paper (scientific journal) Publisher：Behavioral Sciences
The importance of nurses integrating effective psychological techniques into their clinical practice is widely recognized. Nevertheless, further evidence from real-world settings is needed to establish nurse-led cognitive behavioural therapy (CBT) as an effective approach in clinical practice. This study aimed to examine the clinical effectiveness and predictors of individual CBT for mental disorders delivered by nurses in various routine clinical settings. This pragmatic retrospective cohort study collected data from participants who received nurse-led individual CBT at four institutions from different prefectures in Japan between April 2015 and March 2023. During the study period, 280 clients were referred to nurses for CBT, 240 of whom received nurse-led individual CBT of at least one session. The common primary diagnoses among participants were major depressive disorder (33.8%), social phobia (12.9%), and obsessive–compulsive disorder (10.0%). Of these, 23 participants were ongoing cases at the end of the observation period, and 217 who had completed the course of therapy or discontinued/dropped out from the therapy were included in the analysis (173 completed and 44 discontinued/dropped out (i.e., dropout rate = 20.3%)). Based on the clinical significance definition (primary outcome), 62.4% of the participants who completed the therapy were judged to demonstrate positive clinical significance (recovered or improved), with only a few participants (6.9%) demonstrating deterioration. Significant improvements were observed before and after nurse-led individual CBT across all secondary outcomes, including depression and anxiety symptoms, health-related quality of life, and functional disability (all ps ≤ 0.001). Univariate logistic regression revealed that clients with higher baseline severity of depression and anxiety symptoms were less likely to achieve positive clinical significance following nurse-led individual CBT. The real-world evidence gained through this study will encourage frontline nurses and motivate institutional/organizational leaders and policymakers to employ nurse-led individual CBT, especially for depression and anxiety-related disorders.
DOI： 10.3390/bs14070604
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Research and Future Challenges for Disseminating Strengths-Based Nursing and Healthcare in Japan Reviewed
Shiraishi Y., Saito Y., Kuroki T., Yoshinaga N., Tanoue H., Hayashi Y.
Nursing Leadership 36 ( 4 ) 52 - 56 2024.4
Language：English Publishing type：Research paper (scientific journal) Publisher：Nursing Leadership
Strengths-Based Nursing and Healthcare (SBNH) has garnered attention in the field of psychiatric nursing in Japan, yet its adoption in other nursing sectors remains limited. Japan is currently facing the formidable challenge of a rapidly aging population and growing demand for healthcare and welfare services. To address these issues, a shift from hospital-based care to comprehensive community care is underway, underscoring the importance of nurses in community settings, where focusing on client strengths is essential. Therefore, this paper aims to present research and practical examples to advocate for the broader dissemination of SBNH in Japan.
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看護の観察力を高める教育実践例 ―精神科における心理社会的介入プログラムの活用― Reviewed
田上 博喜
教学マネジメント研究 1 11 - 21 2024.3
Authorship：Lead author Publishing type：Research paper (bulletin of university, research institution)
Books 【 display / non-display 】
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Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults
Tanoue H, Yoshinaga N（ Role： Joint author , Schizophrenia in Japan and cognitive-behavioral therapy）
Academic Press, Elsevier 2022.12
Language：English Book type：Scholarly book
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Mood and anxiety disorders in Japan and cognitive-behavioral therapy
Yoshinaga N., Tanoue H.（ Role： Sole author）
Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults 2023.1 （ ISBN:9780323897891 ）
Language：Japanese Book type：Scholarly book
Mood and anxiety disorders are highly prevalent and disabling chronic conditions, and place a substantial economic burden on Japan. Since cognitive-behavioral therapy (CBT) is a global-standard evidence-based psychological treatment for mood and anxiety disorders, disseminating CBT in Japan, where pharmacotherapy has historically been more common, is crucial. Especially since the 2000s, the status of CBT in Japan has dramatically changed. This chapter goes on to cover and review the development of academic societies, gives a current picture of high-quality clinical trials, as well as clinical practice under the national insurance system, training systems, and the future of CBT for mood and anxiety disorders in Japan.
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Schizophrenia in Japan and cognitive behavioral therapy
Tanoue H., Yoshinaga N.（ Role： Sole author）
Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults 2023.1 （ ISBN:9780323897891 ）
Language：Japanese Book type：Scholarly book
Schizophrenia is one of Japan’s most common psychiatric disorders, accounting for more than half of all inpatient psychiatric beds in Japan, and also leads to a significant economic burden. Although medication (especially antipsychotic medication) is the most commonly used treatment for schizophrenia, it is recommended that psychosocial interventions such as cognitive behavioral therapy (CBT) be implemented in parallel with medication. Hence, it is imperative to promote CBT in Japan. Psychosocial interventions for schizophrenia in Japan are diverse, and there are many different places where they are practiced. This chapter reviews the current status of schizophrenia, clinical research on CBT, clinical practice of CBT and related therapies, and the future of CBT for schizophrenia in Japan.
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Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults
Yoshinaga N, Tanoue H（ Role： Sole author , Mood and anxiety disorders in Japan and cognitive-behavioral therapy）
Academic Press, Elsevier 2022.12
Language：English Book type：Scholarly book
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メタ認知トレーニングをはじめよう! : MCTガイドブック
石垣琢麿（ Role： Joint author）
星和書店 2022.4
Book type：Textbook, survey, introduction
MISC 【 display / non-display 】
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簡易型の認知行動療法の看護場面での実践 訪問看護でのメタ認知トレーニングとアプリの活用 Reviewed
田上 博喜
認知療法研究 17 ( 2 ) 179 - 180 2024.8
Language：Japanese Publishing type：Rapid communication, short report, research note, etc. (scientific journal) Publisher：日本認知療法・認知行動療法学会
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看護師による認知行動療法の病院・地域・基礎教育での実践 看護基礎教育における認知行動療法に関する教育の現状と課題 Reviewed
田上 博喜
認知療法研究 13 ( 2 ) 97 - 99 2020.8
Language：Japanese Publishing type：Rapid communication, short report, research note, etc. (scientific journal) Publisher：日本認知療法・認知行動療法学会
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統合失調症のメタ認知トレーニング:参加者の満足度調査 Reviewed
石垣琢磨, 石川亮太郎, 島田岳, 田上博喜, 吉永尚紀, 織部直弥, 森元隆文, 松本武士, 細野正人
日本精神神経学会総会プログラム・抄録集 116th 2020
Publishing type：Rapid communication, short report, research note, etc. (scientific journal)
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不眠の認知行動療法 ―うまくいかないときの“見直し”ポイント― ＜ケースレポート④＞「不眠に加え、日中の活動に達成感を持つことができないうつ病患者への介入」
田上博喜, 吉永尚紀
睡眠医療 2019.4
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (bulletin of university, research institution)
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精神科訪問看護師の認知行動療法を基盤とした研修プログラムの修正と評価
白石 裕子, 石橋 昭子, 上田 智之, 田上 博喜, 齋藤 嘉宏
国際医療福祉大学学会誌 22 ( 抄録号 ) 150 - 150 2018.3
Language：Japanese Publishing type：Article, review, commentary, editorial, etc. (bulletin of university, research institution) Publisher：国際医療福祉大学学会
Presentations 【 display / non-display 】
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日常臨床でのアウトカムから見た看護師による認知行動療法の効果
田上博喜, 吉永尚紀, 林佑太
第41回 日本看護科学学会学術集会 2021.12.5
Event date： 2021.12.4 - 2021.12.5
Presentation type：Oral presentation (general)
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うつ症状により社会参加が難しい方への多職種で関わる認知行動療法 Invited
田上博喜
第21回 日本認知療法・認知行動療法学会 2021.7.8
Event date： 2021.7.8 - 2021.7.10
Presentation type：Symposium, workshop panel (nominated)
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精神科訪問看護師が実践する認知行動療法：治療的看護理論と介入技法を用いたリカバリーワーク
白石裕子, 田上博喜, 齋藤嘉宏, 石川博康, 宇佐美しおり
日本精神保健看護学会第30回学術集会・総会
Event date： 2020.8.20 - 2020.9.19
Language：Japanese Presentation type：Symposium, workshop panel (nominated)
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病棟看護師の睡眠衛生に関する看護ケアの実態調査
相星裕真, 田上博喜, 原田奈穂子
第39回 日本看護科学学会学術集会 (ANAクラウンプラザホテル金沢)
Event date： 2019.12.1
Language：Japanese Presentation type：Oral presentation (general)
Venue：ANAクラウンプラザホテル金沢
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認知行動療法を用いた精神看護学実習の展開 ～講義から実習への体系化：地域支援に至るまで～
齋藤嘉宏, 白石裕子, 吉永尚紀, 田上博喜, 石川博康, 長浜美智子
第39回 日本看護科学学会学術集会 (石川県立音楽堂)
Event date： 2019.11.30
Language：Japanese Presentation type：Symposium, workshop panel (public)
Venue：石川県立音楽堂
Grant-in-Aid for Scientific Research 【 display / non-display 】
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デジタルプラットフォームを用いた幻覚・妄想に対する認知行動技法の開発と効果検証
Grant number：23K24644 2024.04 - 2027.03
独立行政法人日本学術振興会 科学研究費基金 基盤研究(B)
Authorship：Coinvestigator(s)
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精神科訪問看護師を対象としたストレングス活用尺度とプログラムの開発
Grant number：23K21543 2024.04 - 2025.03
独立行政法人日本学術振興会 科学研究費基金 基盤研究(B)
Authorship：Coinvestigator(s)
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直腸がん術後患者のQOLの維持・向上を目指す実装可能なCGA活用型支援モデル構築
Grant number：23H03198 2023.04 - 2027.03
独立行政法人日本学術振興会 科学研究費補助金 基盤研究(B)
Authorship：Coinvestigator(s)
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デジタルプラットフォームを用いた幻覚・妄想に対する認知行動技法の開発と効果検証
Grant number：22H03386 2022.04 - 2027.03
独立行政法人日本学術振興会 科学研究費補助金 基盤研究(B)
Authorship：Coinvestigator(s)
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精神科訪問看護師のストレングスアセスメントと視線との関連性
Grant number：22K10834 2022.03 - 2025.03
独立行政法人日本学術振興会 科学研究費基金 基盤研究(C)
Authorship：Coinvestigator(s)
Committee Memberships 【 display / non-display 】
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日本認知療法・認知行動療法学会 幹事
2024.7
Committee type：学協会
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日本看護科学学会 若手研究者活動推進委員会
2023.7
Committee type：学協会
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看護のための認知行動療法研究会 理事
2021.9
Committee type：学協会
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日本精神保健看護学会 実践の質向上委員会
2019.9
Committee type：学協会