{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:24:23Z","timestamp":1784121863685,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP16dk0307060"],"award-info":[{"award-number":["JP16dk0307060"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP19dk0307083"],"award-info":[{"award-number":["JP19dk0307083"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009619","name":"Japan Agency for Medical Research and Development","doi-asserted-by":"publisher","award":["JP22dk0307112"],"award-info":[{"award-number":["JP22dk0307112"]}],"id":[{"id":"10.13039\/100009619","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP21K17261"],"award-info":[{"award-number":["JP21K17261"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JP23K16273"],"award-info":[{"award-number":["JP23K16273"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009048","name":"Japanese Society of Clinical Neuropsychopharmacology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009048","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neuropsychopharm Rep"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Psychiatrists often perceive their clinical practices as guideline\u2010concordant; however, discrepancies frequently exist between perceived and actual prescribing behaviors. To explore this gap, we examined the association between self\u2010assessed clinical behavior scores (CBs) and prescribing practices objectively evaluated using quality indicators (QIs) within the EGUIDE educational program framework for schizophrenia and major depressive disorder. Identifying such associations is essential for improving care quality and developing interventions fostering evidence\u2010based practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A prospective observational multicenter study was conducted across Japan involving 820 psychiatrists from university, public, and private hospitals participating in EGUIDE, along with patients diagnosed with schizophrenia (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20096714) or major depressive disorder (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093692) treated at these institutions. The outcome measures were associations between psychiatrists' CB scores and quality indicators (QIs) based on discharge prescriptions; these were analyzed using logistic regression adjusted for age, sex, and institution type.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For schizophrenia, CBs were significantly associated with 8 of 11 QIs, including treatment\u2010resistant assessment, antipsychotic monotherapy (with\/without other psychotropics), absence of anxiolytics\/hypnotics, mood stabilizers, anticholinergics, PRN psychotropics, and clozapine use. For major depressive disorder, 3 of 7 QIs showed significant associations: severity assessment, no anxiolytic\/hypnotic prescriptions, and use of modified electroconvulsive therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self\u2010assessed clinical behavior scores partially reflect actual prescribing practices. These findings highlight the value of incorporating subjective evaluations into clinical performance assessment tools to promote guideline adherence. Moreover, our results suggest that collecting self\u2010assessments may offer a feasible and scalable strategy for identifying areas where additional education or system\u2010level support is needed to enhance evidence\u2010based prescribing in diverse clinical settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>University Hospital Medical Information Network registry identifier: UMIN000022645<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/npr2.70110","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T16:39:33Z","timestamp":1774370373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Psychiatrists' Subjective Clinical Behavior Scores and Objective Quality Indicators Based on Discharge Prescriptions: A Nationwide Multicenter Study Based on the\n                    <scp>EGUIDE<\/scp>\n                    Project"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4362-3262","authenticated-orcid":false,"given":"Kazuhiko","family":"Yamamuro","sequence":"first","affiliation":[{"name":"Center for Health Control, Nara Medical University  Kashihara, Nara Japan"},{"name":"Department of Psychiatry Nara Medical University, School of Medicine  Kashihara, Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Pathology of Mental Diseases National Institute of Mental Health, National Center of Neurology and Psychiatry  Kodaira, Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3155-6971","authenticated-orcid":false,"given":"Yusuke","family":"Arai","sequence":"additional","affiliation":[{"name":"Department of Community Mental Health Shinshu University School of Medicine  Matsumoto, Nagano Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8179-3054","authenticated-orcid":false,"given":"Hikaru","family":"Hori","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Faculty of Medicine, Fukuoka University  Fukuoka Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6728-5341","authenticated-orcid":false,"given":"Hiroyuki","family":"Muraoka","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kitasato University, School of Medicine  Sagamihara Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toru","family":"Horinouchi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hokkaido University Graduate School of Medicine  Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Hokkaido University Graduate School of Medicine  Sapporo Hokkaido Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2263-3477","authenticated-orcid":false,"given":"Shinichiro","family":"Ochi","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry, Molecules and Function Ehime University Graduate School of Medicine  Toon Ehime Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Tsuboi","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Kyorin University School of Medicine  Mitaka, Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5783-7237","authenticated-orcid":false,"given":"Hirotaka","family":"Yamagata","sequence":"additional","affiliation":[{"name":"Department of Pathology of Mental Diseases National Institute of Mental Health, National Center of Neurology and Psychiatry  Kodaira, Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junya","family":"Matsumoto","sequence":"additional","affiliation":[{"name":"Department of Pathology of Mental Diseases National Institute of Mental Health, National Center of Neurology and Psychiatry  Kodaira, Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4720-3166","authenticated-orcid":false,"given":"Satsuki","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Pathology of Mental Diseases National Institute of Mental Health, National Center of Neurology and Psychiatry  Kodaira, Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6583-6405","authenticated-orcid":false,"given":"Toshiaki","family":"Onitsuka","sequence":"additional","affiliation":[{"name":"NHO Sakakibara National Hospital  Tsu Mie Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9577-9640","authenticated-orcid":false,"given":"Kazutaka","family":"Ohi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Gifu University Graduate School of Medicine  Gifu Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Hyogo Medical University  Nishinomiya Hyogo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4409-3096","authenticated-orcid":false,"given":"Jun\u2010ichi","family":"Iga","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry, Molecules and Function Ehime University Graduate School of Medicine  Toon Ehime Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Inada","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kitasato University, School of Medicine  Sagamihara Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koichiro","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Neuropsychiatry Kyorin University School of Medicine  Mitaka, Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4414-3770","authenticated-orcid":false,"given":"Norio","family":"Yasui\u2010Furukori","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Dokkyo Medical University School of Medicine  Mibu, Tochigi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryota","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Pathology of Mental Diseases National Institute of Mental Health, National Center of Neurology and Psychiatry  Kodaira, Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.3310\/hta8060"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20107\u201050"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106947\u20108\u201038"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.15.1458"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/chp.149"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10459\u2010005\u20105639\u20100"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010135\u20109\u2010200111060\u201000012"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa022615"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.9.1094"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/01421590701881699"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/chp.155"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.03.018"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.1532"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.107.042737"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/npr2.12122"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbp130"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.v60n0302"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20103588.2010.00574.x"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.13143"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/npr2.70067"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.13579"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psycom.2024.100158"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010024\u201005848\u20103"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40263\u2010021\u201000861\u20106"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2022.44"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991\u2010022\u201000429\u20108"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/YIC.0b013e32835d30ae"},{"key":"e_1_2_13_29_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.202000387"},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(16)31140\u20100"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12911"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20151"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.12973\/eu\u2010jer.12.1.71"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.13.1715"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20102\u201026"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20108\u201010"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00403\u2010009\u20100944\u20108"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/016327878300600309"},{"key":"e_1_2_13_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109343(00)00363\u20106"}],"container-title":["Neuropsychopharmacology Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/npr2.70110","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/npr2.70110","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/npr2.70110","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:23:38Z","timestamp":1782386618000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/npr2.70110"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,24]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1002\/npr2.70110"],"URL":"https:\/\/doi.org\/10.1002\/npr2.70110","archive":["Portico"],"relation":{},"ISSN":["2574-173X","2574-173X"],"issn-type":[{"value":"2574-173X","type":"print"},{"value":"2574-173X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,24]]},"assertion":[{"value":"2025-08-02","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70110"}}