Psychiatric nurses have played a significant role in disseminating cognitive behavioral therapy (CBT) in Western countries; however,\nin Japan, the application, practice, efficiency, and quality control of CBT in the psychiatric nursing field are unclear. This study\nconducted a literature review to assess the current status of CBT practice and research in psychiatric nursing in Japan. Three\nEnglish databases (MEDLINE, CINAHL, and PsycINFO) and two Japanese databases (Ichushi-Web and CiNii) were searched\nwith predetermined keywords. Fifty-five articles met eligibility criteria: 46 case studies and 9 comparative studies. It was found\nthat CBT took place primarily in inpatient settings and targeted schizophrenia and mood disorders. Although there were only a\nfew comparative studies, each concluded that CBT was effective. However, CBT recipients and outcome measures were diverse,\nand nurses were not the only CBT practitioners in most reports. Only a few articles included the description of CBT training\nand supervision. This literature review clarified the current status of CBT in psychiatric nursing in Japan and identified important\nimplications for future practice and research: performing CBT in a variety of settings and for a wide range of psychiatric disorders,\nconducting randomized controlled trials, and establishing pre- and post qualification training system.
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