EP-4742258-A1 - COGNITIVE BEHAVIORAL THERAPY SUPPORT METHOD, COGNITIVE BEHAVIORAL THERAPY SUPPORT DEVICE, COGNITIVE BEHAVIORAL THERAPY SUPPORT PROGRAM, AND RECORDING MEDIUM

EP4742258A1EP 4742258 A1EP4742258 A1EP 4742258A1EP-4742258-A1

Abstract

The present disclosure relates to providing cognitive behavioral therapy appropriately while reducing difficulties and distress associated with keeping record of a patient's condition (including, for example, the time and effort required to recall the situation in which symptoms occurred, the possibility of remembering such situations only vaguely or with distorted memory, and the like). The present disclosure provides a computer-implemented method for supporting cognitive behavioral therapy, comprising: keeping record of a symptom or condition of a patient and at least one item of categorical information selected from a trigger, presence/absence and/or detail of medication, a prodromal symptom, date and time, a treatment, influence, and a location for a certain period; generating, based on the record of the symptom or condition and the categorical information, information for recalling a past situation in which the symptom occurred, and providing the patient with the information; providing the patient with information for learning about the symptom or condition of the patient; and providing the patient with information that promotes cognitive behavioral therapy.

Inventors

KAWATA Yumi
ISHIZAKA HIROAKI

Assignees

Hedgehog Medtech, Inc.

Dates

Publication Date: 20260513
Application Date: 20240704

Claims (20)

A computer-implemented method for supporting cognitive behavioral therapy, the method comprising: keeping record of a symptom or condition of a patient and at least one item of categorical information selected from a trigger, presence/absence and/or detail of medication, a prodromal symptom, date and time, a treatment, influence, and a location for a certain period; generating and providing the patient with information for recalling a past situation in which the symptom occurred, based on the record of the symptom or condition and the categorical information; providing the patient with information for learning about the symptom or condition of the patient; and providing the patient with information that promotes the cognitive behavioral therapy.
The method according to claim 1, further comprising keeping record of the symptom or condition and the categorical information by selecting one item of information from options thereof
The method according to claim 2, wherein the options in the record of the symptom or condition and the categorical information are provided with one of the options preselected.
The method according to claim 3, wherein the selection of the preselected option in the record of the symptom or condition and the categorical information is made based on a record of past information of the patient.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 4, further comprising: keeping record of a symptom or condition of a patient by text input into a text field for a certain period; and displaying a text candidate predicted from a few input letters; the text candidate being predicted based on past records of information of the patient.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 5, further comprising: performing statistical processing and/or clustering processing on data in a database made by keeping record of symptoms or conditions of multiple patients and at least one item of categorical information selected from a trigger, presence/absence and/or detail of medication, a prodromal symptom, date and time, a treatment, influence, and a location for a certain period to create multiple patient classifications; and identifying a patient classification to which a patient belongs, based on a symptom or condition of the patient recorded for a certain period and the categorical information selected from a trigger, presence/absence and/or detail of medication, a prodromal symptom, date and time, a treatment, influence, and a location.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 6, further comprising: presenting, to the patient, information on the relationship between a symptom or condition of a patient recorded for a certain period and frequency of occurrence of at least one item of information selected from a trigger, presence/absence and/or detail of medication, effects of medication, a prodromal symptom, date and time, a treatment, influence, and a location.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 7, further comprising r displaying a symptom or condition of a patient recorded for a certain period and frequency of occurrence of at least one item of information selected from a trigger, presence/absence and/or detail of medication, effects of medication, a prodromal symptom, date and time, a treatment, influence, and a location in a ranked order.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 8, further comprising providing the patient with information promoting cognitive restructuring based on the symptom or condition and the categorical information and/or a video explaining content of cognitive restructuring.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 9, further comprising providing the patient with information promoting behavioral activation based on the symptom or condition and the categorical information and/or a video explaining content of behavioral activation.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 10, further comprising providing the patient with information promoting relaxation based on the symptom or condition and the categorical information and/or a video explaining content of relaxation.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 11, further comprising providing the patient with information promoting biofeedback based on the symptom or condition and the categorical information and/or a video explaining contentof biofeedback.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 12, further comprising: keeping record of the patient's condition after the implementation of cognitive behavioral therapy; and comparing the patient's condition before and after the implementation of cognitive behavioral therapy.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 13, further comprising: registering multiple dates/times scheduled for training of cognitive behavioral therapy for a certain period; providing an explanatory video when the patient performs the training; keeping record of whether the training was performed at each scheduled date and time; when the training was conducted, keeping record of the patient's impressions after the training; and presenting, to the patient, relationship between the symptom or condition of the patient and the training implementation status and impressions recorded for a certain period.
The method for supporting cognitive behavioral therapy according to claim 14, further comprising prompting the patient to perform the training a predetermined period before the scheduled training date and time.
A cognitive behavioral therapy support apparatus comprising: a patient state recording means for keeping record of a symptom or condition of a patient and at least one item of categorical information selected from a trigger, presence/absence and/or detail of medication, a prodromal symptom, date and time, a treatment, influence, and a location for a certain period; a recall information providing means for generating, based on the record of the symptom or condition and the categorical information, information for recalling a past situation in which the symptom occurred, and providing the patient with the information; a learning information providing means for providing the patient with information for learning about the symptom or condition of the patient; and a cognitive behavioral therapy information providing means for providing the patient with information promoting cognitive behavioral therapy.
A program for causing a computer to function as each means of the cognitive behavioral therapy support apparatus according to claim 16.
A computer-readable recording medium storing a program for causing a computer to function as each means of the cognitive behavioral therapy support apparatus according to claim 16.
The method for supporting cognitive behavioral therapy according to any one of claims 1 to 14, wherein the symptom or condition is migraine.
The method for supporting cognitive behavioral therapy according to claim 19, wherein the patient is a patient who has shown insufficient response to treatment with an anti-CGRP antibody or an anti-CGRP receptor antibody.

Description

[Technical Field] The present invention relates to support methods for cognitive behavioral therapy (CBT) for the treatment of diseases or symptoms such as migraine and premenstrual syndrome (PMS), support programs for cognitive behavioral therapy, support systems for cognitive behavioral therapy, and recording media. [Background Art] In recent years, migraine has become a significant social problem. In Japan, the estimated number of migraine patients is 8.4 million, with a prevalence rate of 8.4% (Non-Patent Literature 1). Premenstrual syndrome (PMS) refers to various physical and psychological symptoms that women experience prior to menstruation. Approximately 20% to 40% of all women experience some form of PMS symptoms, and the prevalence of severe PMS (premenstrual dysphoric disorder) is said to be about 3% to 8% (Non-Patent Literature 2). These diseases or symptoms not only interfere with daily life but also exert a significant social effect because many patients are of working age. For migraine, symptomatic treatment using analgesics is currently mainstream; however, the use of analgesics entails problems such as dependence from long-term use, gastrointestinal disorders, drug overuse, and drug interactions. Furthermore, when the cause of headaches lies in lifestyle habits such as stress, fatigue, or irregular lifestyle, analgesics may provide temporary relief but cannot resolve the underlying cause. For PMS, for example, analgesics are used for pain such as abdominal pain or headaches; diuretics are used for swelling (edema); and anxiolytics are used for emotional instability. For moderate or more severe cases, antidepressants and other medications are used depending on the symptoms such as depression. On the other hand, cognitive behavioral therapy has been proven effective in many prior studies and actual clinical practice, but the number of physicians able to provide it has been limited in terms of effort and expertise required. Recently, however, it has become possible to provide simple and highly effective therapy through application programs on information terminals and other means. For example, Patent Literature 1 discloses a system for treating, preventing, or doing self-care for menstrual-related symptoms, the system comprising at least: a memory apparatus that stores a symptom memory which is a record including information related to the user's menstrual cycle and a plurality of items used to diagnose menstrual-related symptoms and a treatment module based on psychotherapy for treating, preventing, or self-caring for menstrual-related symptoms; and a user terminal operated by the user, wherein the system provides the patient with a treatment module, at a predetermined timing in the menstrual cycle, based on psychotherapy for treatment, prevention, or self-care corresponding to the user's menstrual-related symptoms, from the items of menstrual-related symptoms stored in the symptom memory of the user and the data stored in the system showing the correspondence between menstrual-related symptoms and treatment modules. Patent Literature 2 discloses a system comprising a server functioning as a control device and an information processing terminal used by the patient, wherein the system has: a block having a function of assessing to what extent the patient behaves adaptively or maladaptively regarding psychosocial problems, life adaptation, stress, etc.; and/ora block having a function of assessing to what extent the patient behaves adaptively or maladaptively for symptoms characteristic of a specific disease;and wherein the system has a function of analyzing the assessment results of the block, classifying the patients into a plurality of specific groups based on behavior using a combination of statistical processing of multiple indices including mental disorder indicators, and thereby classifying behavioral characteristics related to psychogenic diseases. Patent Literature 3 discloses a mental healthcare support device equipped with contradiction determination means that determines whether there is inconsistency between automatic thought and feeling, based on an automatic thought category made by categorizing an automatic thought expression representing the client's automatic thought or the client's automatic thought into a predetermined category and a feeling category made by categorizing the feeling expression representing the client's feelings when the automatic thought arose or the client's feelings into a predetermined category. Patent Literature 4 discloses that cognitive behavioral therapy includes the "column method" and "behavior and (accompanying) mood diary," in which a user inputs actions that improved their mood and the mood at that time to accumulate data on what actions improve their mood, and the therapy proceeds by analyzing behavioral patterns. [Prior Art References] [Patent Literature] [Patent Literature 1] Japanese Patent No. 7138839[Patent Literature 2] Japanese Unexamined