{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T03:05:37Z","timestamp":1779937537785,"version":"3.53.1"},"reference-count":18,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"unspecified","delay-in-days":88,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2026,3]]},"abstract":"Abstract<\/jats:title>\n \n Background:<\/jats:title>\n The United Kingdom\u2019s Talking Therapies for Anxiety and Depression (TTAD) programme provides standardised definitions for recovery-related outcomes, allowing transparent and comparable reporting. This study aimed to descriptively examine recovery-related outcomes following cognitive behavioural therapy (CBT) in a Japanese clinical sample using established TTAD definitions.<\/jats:p>\n <\/jats:sec>\n \n Method:<\/jats:title>\n Data were drawn from patients who received CBT in routine clinical practice. Depressive and anxiety symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7) questionnaire, respectively. Recovery, reliable improvement, and reliable recovery were classified according to the TTAD criteria.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n The sample consisted of 241 participants, of whom 178 (73.9%) met the criteria for caseness at baseline. Among those with baseline caseness, 75 participants (42.1%) met the criteria for recovery at the end of treatment. Across the full sample, 103 participants (47.2%) demonstrated reliable improvement. Reliable recovery, defined as meeting the criteria for both recovery and reliable improvement, was observed in 65 participants (36.5% of those with baseline caseness).<\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n Using standardised TTAD definitions, this study provides a descriptive account of recovery-related outcomes following CBT in routine clinical practice in Japan. The findings show the distribution of recovery and improvement outcomes in this sample and highlight the importance of clearly distinguishing between recovery-related indicators when interpreting outcomes in real-world clinical settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1352465826101301","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T02:51:30Z","timestamp":1779936690000},"page":"62-71","source":"Crossref","is-referenced-by-count":0,"title":["Descriptive analysis of recovery-related outcomes following cognitive behavioural therapy in a Japanese clinical sample using definitions from the Talking Therapies for Anxiety and Depression programme"],"prefix":"10.1017","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0117-7740","authenticated-orcid":false,"given":"Noriko","family":"Numata","sequence":"first","affiliation":[{"name":"Chiba University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chihiro","family":"Sutoh","sequence":"additional","affiliation":[{"name":"Aladea Co."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yijing","family":"Bai","sequence":"additional","affiliation":[{"name":"Chiba University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinnosuke","family":"Okada","sequence":"additional","affiliation":[{"name":"Mito Mental Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumiko","family":"Muramatsu","sequence":"additional","affiliation":[{"name":"Niigata Seiryo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Shimizu","sequence":"additional","affiliation":[{"name":"Chiba University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"key":"S1352465826101301_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291720005395"},{"key":"S1352465826101301_ref7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"S1352465826101301_ref1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"2013"},{"key":"S1352465826101301_ref16","doi-asserted-by":"publisher","DOI":"10.1192\/S0007125000298395"},{"key":"S1352465826101301_ref14","unstructured":"NHS England (2024b). NHS Talking Therapies Monthly Statistics Including Employment Advisors, Performance September 2023 and Quarter 2 2023\/24 data. NHS Digital. https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/nhs-talking-therapies-monthly-statistics-including-employment-advisors\/performance-september-2023-and-quarter-2-2023-24-data"},{"key":"S1352465826101301_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2009.07.010"},{"key":"S1352465826101301_ref6","first-page":"244","article-title":"The comorbidity of major depression and anxiety disorders: recognition and management in primary care","volume":"3","author":"Hirschfeld","year":"2001","journal-title":"Primary Care Companion to the Journal of Clinical Psychiatry"},{"key":"S1352465826101301_ref12","unstructured":"National Institute for Health and Care Excellence (2022). Depression in adults: treatment and management. NICE guideline."},{"key":"S1352465826101301_ref17","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.10.1092"},{"key":"S1352465826101301_ref8","article-title":"Diagnostic performance of the Japanese version of the GAD-7 in primary care and comparing its accuracy with other language versions","volume":"13","author":"Muramatsu","year":"2025","journal-title":"Medical Research Archives"},{"key":"S1352465826101301_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X25000029"},{"key":"S1352465826101301_ref2","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2011.606803"},{"key":"S1352465826101301_ref11","unstructured":"Muramatsu, K. , Muramatsu, Y. , & Miyaoka, H. (2009). Validation and utility of a Japanese version of the GAD-7. PANMINERVA MEDICA 20th World Congress on Psychosomatic Medicine Abstracts Book, 51 (suppl. 1 to no. 3): 79."},{"key":"S1352465826101301_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2018.03.007"},{"key":"S1352465826101301_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32133-5"},{"key":"S1352465826101301_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/da.22765"},{"key":"S1352465826101301_ref13","unstructured":"NHS England (2024a). NHS Talking Therapies for anxiety and depression Manual. https:\/\/www.england.nhs.uk\/publication\/the-improving-access-to-psychological-therapies-manual\/"},{"key":"S1352465826101301_ref9","first-page":"93","article-title":"Prevalence and comorbidity of anxiety and depressive disorders in studies of PRIME-MD and PHQ (Patient Health Questionnaire) in Japan","author":"Muramatsu","year":"2021","journal-title":"Anxiety Disorder - The New Achievment"}],"container-title":["Behavioural and Cognitive Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1352465826101301","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T02:53:46Z","timestamp":1779936826000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1352465826101301\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S1352465826101301"],"URL":"https:\/\/doi.org\/10.1017\/s1352465826101301","relation":{},"ISSN":["1352-4658","1469-1833"],"issn-type":[{"value":"1352-4658","type":"print"},{"value":"1469-1833","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]}}}