{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:38:57Z","timestamp":1767339537613,"version":"build-2065373602"},"reference-count":20,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T00:00:00Z","timestamp":1733097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>This report presents the follow-up treatment course of a previously published case that demonstrated the effectiveness of prolonged exposure (PE) therapy for a disaster relief worker. The patient, a municipal employee in Fukushima Prefecture, developed post-traumatic stress disorder (PTSD) and mood disorders after the 2011 Great East Japan Earthquake and subsequent disasters. This follow-up focuses on the period from 2021 to early 2024, during which the patient experienced symptom recurrence after his father\u2019s death. This event revealed psychological patterns similar to his disaster-related responses. Schema therapy was introduced to address over-adaptive work behaviors and vulnerabilities in relationships, identified as relapse risk factors. Combined with antidepressants, schema therapy achieved sustained improvement. This longitudinal perspective demonstrates schema therapy\u2019s effectiveness in addressing underlying vulnerabilities when symptoms re-emerge after trauma-focused treatment. The findings underscore how initial trauma responses may interact with subsequent life events and suggest schema therapy\u2019s potential as a secondary intervention for disaster relief workers facing complex challenges.<\/jats:p>","DOI":"10.3390\/bs14121156","type":"journal-article","created":{"date-parts":[[2024,12,2]],"date-time":"2024-12-02T06:58:58Z","timestamp":1733122738000},"page":"1156","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility of Schema Therapy for Recurrent Depression in a Disaster Relief Worker with Prior Post-Traumatic Stress Disorder Treatment Using Prolonged Exposure Therapy"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7216-0255","authenticated-orcid":false,"given":"Arinobu","family":"Hori","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Hori Mental Clinic, 106 Gozen-no-uchi, Kashima, Kashima-ku, Minamisoma 979-2335, Fukushima, Japan"},{"name":"Department of Neuropsychiatry, Fukushima Medical University School of Medicine, 1Hikariga-oka, Fukushima 960-1295, Fukushima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5557-9801","authenticated-orcid":false,"given":"Michio","family":"Murakami","sequence":"additional","affiliation":[{"name":"Center for Infectious Disease Education and Research (CiDER), Osaka University, Techno Alliance C209, 2-8 Yamadaoka, Suita 565-0871, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4996-9667","authenticated-orcid":false,"given":"Fumiyo","family":"Oshima","sequence":"additional","affiliation":[{"name":"Research Center for Child Mental Development, Chiba University, 1-8-1 Inohana, Chuouku 260-8670, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Remco","family":"van der Wijngaart","sequence":"additional","affiliation":[{"name":"Dutch Institute for Schema Therapy, Van Genderen Opleidingen BV, Burgemeester Ceulenstraat 102, 6212 CV Maastricht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1017\/S1049023X16000832","article-title":"A systematic review of health outcomes among disaster and humanitarian responders","volume":"31","author":"Garbern","year":"2016","journal-title":"Prehospital Disaster Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1017\/S1049023X19004874","article-title":"A systematic review of the impact of disaster on the mental health of medical responders","volume":"34","author":"Naushad","year":"2019","journal-title":"Prehospital Disaster Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1111\/pcn.12414","article-title":"Diagnostic interview study of the prevalence of depression among public employees engaged in long-term relief work in Fukushima","volume":"70","author":"Maeda","year":"2016","journal-title":"Psychiatry Clin. 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