Verbal Expression Patterns in Cognitive Behavioral Therapy Sessions for Children and Adolescents with Anxiety Disorders: A Comparative Study Between Australia and Japan.
Saved in:
| Title: | Verbal Expression Patterns in Cognitive Behavioral Therapy Sessions for Children and Adolescents with Anxiety Disorders: A Comparative Study Between Australia and Japan. |
|---|---|
| Authors: | Ishikawa, Shin-ichi (AUTHOR), Songco, Annabel (AUTHOR), Kashihara, Jun (AUTHOR), Sugawara, Daichi (AUTHOR), Hudson, Jennifer (AUTHOR) |
| Source: | Cognitive Therapy & Research. Jun2026, Vol. 50 Issue 3, p612-630. 19p. |
| Subjects: | Anxiety disorders, Cross-cultural studies, Expressive language, Teenagers, Cognitive therapy, Countries |
| Geographic Terms: | Japan, Australia |
| Abstract: | Background: Although the efficacy of cognitive behavioral therapy (CBT) for children and adolescents with anxiety disorders has been supported, empirical data focusing on culturally specific verbal expressions between therapists and clients within CBT sessions across different countries is scarce. This study examined verbalization, cultural expressions of emotional states, across CBT treatment delivered in Australia and Japan. Methods: Our sample included a total of 60 children: 30 from Australia (aged 7–15 years) and 30 from Japan (aged 8–15 years). Using video files and written transcriptions of CBT sessions, negative emotional words including both anxiety and non-anxiety words, positive emotional words, and onomatopoeia expressed from children and their therapists were extracted. Results: Therapists in Australia used anxiety words more frequently, whereas those in Japan used more non-anxiety words than anxiety words. Although the frequency of negative emotional words in total was not significantly different between two countries, Japanese children expressed more non-anxiety-specific words. Moreover, the use of positive emotional words by therapists correlated with remission of anxiety diagnoses in both countries, whereas occurrence of negative emotional words by Japanese therapists and positive emotional words by Australian children predicted to be free from primary anxiety disorders. Although onomatopoeia was only found within Japanese CBT sessions, the frequency did not predict any treatment outcomes. Finally, network analyses indicated that network structures of negative and positive emotional words from children and therapists show different patterns between the two countries and that such patterns change through CBT sessions. Conclusions: This study provides insights into how often emotional words are observed during CBT sessions in Japan and Australia and how these factors predict treatment outcome. [ABSTRACT FROM AUTHOR] |
| Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 194162056 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Verbal Expression Patterns in Cognitive Behavioral Therapy Sessions for Children and Adolescents with Anxiety Disorders: A Comparative Study Between Australia and Japan. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Ishikawa%2C+Shin-ichi%22">Ishikawa, Shin-ichi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Songco%2C+Annabel%22">Songco, Annabel</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kashihara%2C+Jun%22">Kashihara, Jun</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sugawara%2C+Daichi%22">Sugawara, Daichi</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hudson%2C+Jennifer%22">Hudson, Jennifer</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Cognitive+Therapy+%26+Research%22">Cognitive Therapy & Research</searchLink>. Jun2026, Vol. 50 Issue 3, p612-630. 19p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Anxiety+disorders%22">Anxiety disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-cultural+studies%22">Cross-cultural studies</searchLink><br /><searchLink fieldCode="DE" term="%22Expressive+language%22">Expressive language</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers%22">Teenagers</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Countries%22">Countries</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Japan%22">Japan</searchLink><br /><searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Although the efficacy of cognitive behavioral therapy (CBT) for children and adolescents with anxiety disorders has been supported, empirical data focusing on culturally specific verbal expressions between therapists and clients within CBT sessions across different countries is scarce. This study examined verbalization, cultural expressions of emotional states, across CBT treatment delivered in Australia and Japan. Methods: Our sample included a total of 60 children: 30 from Australia (aged 7–15 years) and 30 from Japan (aged 8–15 years). Using video files and written transcriptions of CBT sessions, negative emotional words including both anxiety and non-anxiety words, positive emotional words, and onomatopoeia expressed from children and their therapists were extracted. Results: Therapists in Australia used anxiety words more frequently, whereas those in Japan used more non-anxiety words than anxiety words. Although the frequency of negative emotional words in total was not significantly different between two countries, Japanese children expressed more non-anxiety-specific words. Moreover, the use of positive emotional words by therapists correlated with remission of anxiety diagnoses in both countries, whereas occurrence of negative emotional words by Japanese therapists and positive emotional words by Australian children predicted to be free from primary anxiety disorders. Although onomatopoeia was only found within Japanese CBT sessions, the frequency did not predict any treatment outcomes. Finally, network analyses indicated that network structures of negative and positive emotional words from children and therapists show different patterns between the two countries and that such patterns change through CBT sessions. Conclusions: This study provides insights into how often emotional words are observed during CBT sessions in Japan and Australia and how these factors predict treatment outcome. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194162056 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10608-025-10631-z Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 19 StartPage: 612 Subjects: – SubjectFull: Anxiety disorders Type: general – SubjectFull: Cross-cultural studies Type: general – SubjectFull: Expressive language Type: general – SubjectFull: Teenagers Type: general – SubjectFull: Cognitive therapy Type: general – SubjectFull: Countries Type: general – SubjectFull: Japan Type: general – SubjectFull: Australia Type: general Titles: – TitleFull: Verbal Expression Patterns in Cognitive Behavioral Therapy Sessions for Children and Adolescents with Anxiety Disorders: A Comparative Study Between Australia and Japan. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Ishikawa, Shin-ichi – PersonEntity: Name: NameFull: Songco, Annabel – PersonEntity: Name: NameFull: Kashihara, Jun – PersonEntity: Name: NameFull: Sugawara, Daichi – PersonEntity: Name: NameFull: Hudson, Jennifer IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 01475916 Numbering: – Type: volume Value: 50 – Type: issue Value: 3 Titles: – TitleFull: Cognitive Therapy & Research Type: main |
| ResultId | 1 |
