Abstract
Objective: The authors compared early-career psychiatrists' selection of psychological treatments for patients with mild to moderate major depressive disorder (MDD) in the US and Japan. Methods: A total of 120 early-career psychiatrists from two residency programs in the US and Japan participated in web-based surveys. The psychiatrists selected first- and second-line psychological treatments in response to two case vignettes of patients with mild and moderate MDD. Results: Eighty-one psychiatrists (68 %) returned the surveys, of whom 39 (48 %) were American and 42 (52 %) Japanese. In response to the mild MDD case, more US psychiatrists selected high-intensity psychological treatments (P <0.001), whereas more Japanese psychiatrists selected low-intensity psychological treatments (P <0.001). In both countries, more psychiatrists selected psychological treatment than medication. In response to the moderate MDD case, one third of the US psychiatrists selected high-intensity psychological treatments (P <0.001), whereas half of the Japanese psychiatrists selected low-intensity psychological treatments (P = 0.010). Conclusions: Residency training, availability of psychological treatments, and cultural beliefs may shape differences in treatment selections, which in turn may impact the dissemination and implementation of psychological treatment in clinical practice across cultures.
| Original language | English |
|---|---|
| Pages (from-to) | 235-241 |
| Number of pages | 7 |
| Journal | Academic Psychiatry |
| Volume | 40 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2016 Apr 1 |
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Keywords
- Culture
- Major depressive disorder
- Psychotherapy
- Residency
- Treatment selection
ASJC Scopus subject areas
- Psychiatry and Mental health
- Education
Cite this
Comparison of Initial Psychological Treatment Selections by US and Japanese Early-Career Psychiatrists for Patients with Major Depression : A Case Vignette Study. / Williams, Aya; Nakagawa, Atsuo; Sado, Mitsuhiro; Fujisawa, Daisuke; Mischoulon, David; Smith, Felicia; Mimura, Masaru; Sato, Yuji.
In: Academic Psychiatry, Vol. 40, No. 2, 01.04.2016, p. 235-241.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Comparison of Initial Psychological Treatment Selections by US and Japanese Early-Career Psychiatrists for Patients with Major Depression
T2 - A Case Vignette Study
AU - Williams, Aya
AU - Nakagawa, Atsuo
AU - Sado, Mitsuhiro
AU - Fujisawa, Daisuke
AU - Mischoulon, David
AU - Smith, Felicia
AU - Mimura, Masaru
AU - Sato, Yuji
PY - 2016/4/1
Y1 - 2016/4/1
N2 - Objective: The authors compared early-career psychiatrists' selection of psychological treatments for patients with mild to moderate major depressive disorder (MDD) in the US and Japan. Methods: A total of 120 early-career psychiatrists from two residency programs in the US and Japan participated in web-based surveys. The psychiatrists selected first- and second-line psychological treatments in response to two case vignettes of patients with mild and moderate MDD. Results: Eighty-one psychiatrists (68 %) returned the surveys, of whom 39 (48 %) were American and 42 (52 %) Japanese. In response to the mild MDD case, more US psychiatrists selected high-intensity psychological treatments (P <0.001), whereas more Japanese psychiatrists selected low-intensity psychological treatments (P <0.001). In both countries, more psychiatrists selected psychological treatment than medication. In response to the moderate MDD case, one third of the US psychiatrists selected high-intensity psychological treatments (P <0.001), whereas half of the Japanese psychiatrists selected low-intensity psychological treatments (P = 0.010). Conclusions: Residency training, availability of psychological treatments, and cultural beliefs may shape differences in treatment selections, which in turn may impact the dissemination and implementation of psychological treatment in clinical practice across cultures.
AB - Objective: The authors compared early-career psychiatrists' selection of psychological treatments for patients with mild to moderate major depressive disorder (MDD) in the US and Japan. Methods: A total of 120 early-career psychiatrists from two residency programs in the US and Japan participated in web-based surveys. The psychiatrists selected first- and second-line psychological treatments in response to two case vignettes of patients with mild and moderate MDD. Results: Eighty-one psychiatrists (68 %) returned the surveys, of whom 39 (48 %) were American and 42 (52 %) Japanese. In response to the mild MDD case, more US psychiatrists selected high-intensity psychological treatments (P <0.001), whereas more Japanese psychiatrists selected low-intensity psychological treatments (P <0.001). In both countries, more psychiatrists selected psychological treatment than medication. In response to the moderate MDD case, one third of the US psychiatrists selected high-intensity psychological treatments (P <0.001), whereas half of the Japanese psychiatrists selected low-intensity psychological treatments (P = 0.010). Conclusions: Residency training, availability of psychological treatments, and cultural beliefs may shape differences in treatment selections, which in turn may impact the dissemination and implementation of psychological treatment in clinical practice across cultures.
KW - Culture
KW - Major depressive disorder
KW - Psychotherapy
KW - Residency
KW - Treatment selection
UR - http://www.scopus.com/inward/record.url?scp=84959319721&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84959319721&partnerID=8YFLogxK
U2 - 10.1007/s40596-015-0398-6
DO - 10.1007/s40596-015-0398-6
M3 - Article
C2 - 26268880
AN - SCOPUS:84959319721
VL - 40
SP - 235
EP - 241
JO - Academic Psychiatry
JF - Academic Psychiatry
SN - 1042-9670
IS - 2
ER -