在日本提供认知行为疗法:使用保险索赔数据进行分析
Keiichiro Mukai1, Yukihiko Hosoi2, Kyosuke Yamanishi2
1Department of Neuropsychiatry, Hyogo Medical University, 1-1 Mukogawa-Cho, Nishinomiya, Hyogo, 663-8501, Japan. k-mukai@hyo-med.ac.jp.
BMC psychiatry
|September 30, 2025
概括
在日本,认知行为疗法 (CBT) 的利用率很低,大多数患者超过每月的会话间隔. 这表明,人们对可获得的心理健康治疗的需求仍未得到满足.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 卫生经济学 卫生经济学
- 精神病学是一个精神病学.
背景情况:
- 认知行为疗法 (CBT) 是各种心理健康状况的主要治疗方法.
- 尽管日本对重度抑郁症 (MDD),社会焦虑症 (SAD),恐慌症 (PD),强迫症 (OCD),创伤后应激障碍 (PTSD) 和神经过食症的保险覆盖,但CBT利用率低于最佳.
- 本研究调查了日本医疗保健系统中针对这些疾病的CBT提供现状.
研究的目的:
- 分析在日本被诊断患有特定心理健康状况的患者中使用CBT的模式.
- 评估根据不同保险计划要求的CBT会话的频率和间隔.
- 识别CBT服务提供中的差距和未满足的医疗需求.
主要方法:
- 分析2015年4月至2022年3月的日本医疗保险索赔数据.
- 包括"Kempo" (雇佣工人保险) 和"Kokuho" (国家医疗保险) 数据集中的数据.
- 对被诊断患有精神疾病的个人进行患者人口统计,CBT会话频率,会话间隔和精神药物药物状态的评估.
主要成果:
- 总体而言,CBT保险索赔很低:Kempo的0.50%和Kokuho客户的0.24%.
- 大型抑郁症 (MDD) 是CBT索赔中最常见的诊断 (89.2%的Kempo,92.0%的Kokuho).
- 在MDD CBT会话之间的平均间隔超过一个月 (Kempo的34.2天,Kokuho的71.9天).
结论:
- 许多被诊断患有目标心理健康状况的患者不使用CBT服务.
- 会议间的长时间间隔表明,对持续的治疗坚持存在潜在障碍.
- 在日本,有必要建立支持性的医疗环境,以促进定期和综合的CBT交付.
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