{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:07:28Z","timestamp":1773101248666,"version":"3.50.1"},"reference-count":7,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T00:00:00Z","timestamp":1604880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Given the lack of clear consensus on effective treatment models for adolescent anorexia nervosa in Japan, treatment programs offered to this population vary widely between treatment facilities with limited testing of outcomes. Importantly, families have traditionally been left out of the core treatment process, as they are commonly viewed as being powerless in renourishing their child. The purpose of this commentary was to report the authors' preliminary efforts to introduce and implement family\u2010based treatment (FBT) in Japan so that, on par with international standards of practice, FBT may become the first\u2010line treatment option for Japanese families. This commentary will describe the systemic and cultural barriers which posed as challenges in introducing FBT to Japan in its manualized standard format and how these were addressed by introducing FBT during the patient's hospital admission and by assigning the father with a role which resembles the traditional gender role within the Japanese family culture. Authors have thus far observed that these adaptations led to increased accessibility of FBT and improved outcomes such as reduced number of hospitalizations and shorter time taken to reach 85\u201390% EBW. Further considerations for the broad dissemination and implementation of FBT in Japan are also presented.<\/jats:p>","DOI":"10.1002\/eat.23405","type":"journal-article","created":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T13:18:55Z","timestamp":1604927935000},"page":"117-119","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Introduction of family\u2010based treatment to Japan with adaptations to optimize the cultural acceptability and advance current traditional treatments of adolescent anorexia nervosa"],"prefix":"10.1002","volume":"54","author":[{"given":"Toshiyuki","family":"Iguchi","sequence":"first","affiliation":[{"name":"Department of Pediatrics Hoshigaoka Maternity Hospital  Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dai","family":"Miyawaki","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Osaka City University Graduate School of Medicine  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8302-8110","authenticated-orcid":false,"given":"Tomoko","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Osaka City University Graduate School of Medicine  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7356-5166","authenticated-orcid":false,"given":"Kaori","family":"Ogiwara","sequence":"additional","affiliation":[{"name":"Tokyo International Psychotherapy Futako\u2010Tamagawa Office  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,11,9]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Survive FBT: Skills manual for parents undertaking family based treatment (FBT) for child and adolescent anorexia nervosa","author":"Ganci M.","year":"2016"},{"key":"e_1_2_5_3_1","volume-title":"Shouni shinshin igakukai gaidorainshu [the clinical guidelines on psychosomatic diseases in childhood]","author":"Japanese Society of Psychosomatic Pediatrics","year":"2015"},{"key":"e_1_2_5_4_1","volume-title":"Sesshoku shougai chiryou gaidorain [the treatment guidelines on eating disorders]","author":"Japanese Society of Eating Disorders","year":"2012"},{"issue":"4","key":"e_1_2_5_5_1","first-page":"296","article-title":"Jidou shishunki no sesshoku shougai [eating disorders in childhood and adolescence]","volume":"28","author":"Miyawaki D.","year":"2016","journal-title":"Seishin\u2010Ka"},{"key":"e_1_2_5_6_1","unstructured":"National Center of Neurology and Psychiatry. (2020).Sesshoku shougai chiryou shien senta secchi unei jigyou houkokusho [business report on the establishment and operation of the Center for Eating Disorder Research and Information]. Japanese Ministry of Health Labour and Welfare. Retrieved fromhttps:\/\/www.ncnp.go.jp\/nimh\/shinshin\/edcenter\/pdf\/business_report_r1.pdf"},{"key":"e_1_2_5_7_1","first-page":"189","volume-title":"The pursuit of gender equality: An uphill battle","author":"Organization for Economic Cooperation and Development","year":"2017"},{"key":"e_1_2_5_8_1","unstructured":"World Economic Forum. (2019).Global gender gap report 2020. Retrieved fromhttp:\/\/www3.weforum.org\/docs\/WEF_GGGR_2020.pdf"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23405","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.23405","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.23405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T13:18:19Z","timestamp":1693747099000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.23405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,9]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/eat.23405"],"URL":"https:\/\/doi.org\/10.1002\/eat.23405","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,9]]},"assertion":[{"value":"2020-07-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}