Effectiveness of group cognitive-behavioral therapy in reducing self-stigma in Japanese psychiatric patients

Autor: Naoshi Horikawa, Sakie Shimotsu, Jun Hosomi, Ayako Nagao, Akiko Ogata, Shin-ichi Ishikawa, Shigeto Hiejima, Rina Emura
Rok vydání: 2014
Předmět:
Zdroj: Asian Journal of Psychiatry. 10:39-44
ISSN: 1876-2018
DOI: 10.1016/j.ajp.2014.02.006
Popis: Objective There is evidence that the stigma surrounding mental illness may be greater in Japan than elsewhere. However, few Japanese studies have focused on self-stigma (the internalization of social stigma), and few interventions to reduce self-stigma exist. To remedy this deficiency, we evaluated the efficacy of group cognitive-behavioral therapy (CBT) in reducing self-stigma and examined the relationship between cognitive restructuring and self-stigma. Methods We administered a 10-session group CBT program to 46 Japanese outpatients with anxiety and depressive symptoms (36 men, 10 women; mean age = 38.57 years, SD = 8.33; 20 diagnosed with mood disorders; 24 with neurotic, stress-related, or somatoform disorders; and 2 with other disorders). A pretest–posttest design was used to examine the relationship between cognitive restructuring and self-stigma. Outcomes were measured using the Japanese versions of the Devaluation–Discrimination Scale, Dysfunctional Attitude Scale, Beck Depression Inventory-II, State-Trait Anxiety Inventory State-Form, and Rosenberg's Self Esteem Scale. Results Participants exhibited significant improvements in depression, anxiety, and maladjusted cognitive bias and reductions in self-stigma. Cognitive bias was significantly correlated with self-stigma. Conclusions Group CBT is effective in improving both emotional symptoms and self-stigma in outpatients with anxiety and depressive symptoms. Reduction in self-stigma plays a mediating role in alleviating emotional symptoms and improving cognition.
Databáze: OpenAIRE
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