Publications by authors named "Keisuke Nomoto"

Objectives: To investigate the prevalence, associated factors, treatment status and burden of constipation in workers with depression or anxiety.

Study Design: This was a retrospective observational study using a pre-existing database.

Setting: Claims data from October to November 2022 and data from the survey conducted in November 2022 were extracted from the database.

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Purpose: Generalized anxiety disorder (GAD) is among the most prevalent and highly disabling mental health conditions that negatively impacts patient's quality of life (QOL) and disrupts activities of daily living. However, the recognition of GAD is difficult due to substantial overlap with other mental disorders. The purpose of this study was to estimate the prevalence of GAD, assess QOL of probable GAD patients in Japan, and gain insights on the status of visiting medical institutions as well as their recognition/awareness of the disorder.

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Article Synopsis
  • Generalized anxiety disorder (GAD) has a lifetime prevalence of 2.6% in Japan, but it is often under-managed, prompting a study to evaluate the current state of GAD treatment among Japanese psychiatrists.* -
  • Conducted via an anonymous web-based survey with 509 psychiatric specialists, the study found that while nearly all participants were aware of GAD, many did not utilize standardized diagnostic tools, and most relied on antidepressants for treatment, often treating GAD similarly to depression.* -
  • The study concludes that despite high awareness among doctors, the lack of specific Japanese guidelines for diagnosing and treating GAD leads to varied practices, resulting in GAD being less frequently diagnosed accurately.*
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Background And Aims: The Children's Depression Rating Scale-Revised (CDRS-R) score has been widely used to assess the severity of major depression in children and adolescents; however, the clinical implications of changes in the CDRS-R score remain unclear. We evaluated these clinical implications by assessing the relationship between changes in the CDRS-R score and changes in the Clinical Global Impression of Improvement (CGI-I), in clinical research on major depression.

Methods: We used data from four clinical trials involving two antidepressants and evaluated the relationship between CDRS-R score changes and the CGI-I score using the equipercentile linking method.

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We aimed to identify which of the 17 items comprising the Children's Depression Rating Scale-Revised (CDRS-R) can sensitively capture changes in depression severity. We used data from four studies involving two antidepressants. For each of the 17 CDRS-R items, we conducted item response analyses to identify and evaluate those that reflect changes in depression severity.

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