Peer-Reviewed Publication
Psychiatry Clin Neurosci2026;80(4):308-316.April 1, 2026Journal Article
Barriers to evidence-based psychotherapy implementation: An international survey of workload, training, and clinical practice.
Naoki Takamatsu1, Ekachaeryanti Zain2,3, Ka Ying Heidi Lo4, Polona Rus Prelog5,6, Roxanne C Keynejad7, Cedar Andress8, Mahtab Motamed9, Marjan Shamspour10,11, Anna Sharmie C Quezon-Santos12,13, Joanna Smolarczyk14, Joseph Truett15, Kuan Lun Huang16, Kateryna Shyliuk17, Kenny Wai Kwong Lim18, Tomohiro Shirasaka19
1Department of Neuropsychiatry, University of Tokyo Hospital, Tokyo, Japan.
2Department of Psychiatry, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
3Department of Psychiatry, Faculty of Medicine, Mulawarman University, Samarinda, Indonesia.
4Department of Psychiatry, School of Clinical Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong.
5Centre for Clinical Psychiatry, University Psychiatric Clinic Ljubljana, Ljubljana, Slovenia.
6Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
7Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
8Northern Ireland Medical and Dental Training Agency, Belfast, UK.
9Department of Psychiatry, Tehran University of Medical Sciences, Tehran, Iran.
10Department of Psychiatry, Shahid Beheshti Hospital, Afzalipour Faculty of Medicine, Kerman, Iran.
11Kerman University of Medical Sciences, Kerman, Iran.
12Philippine Psychiatric Association, Quezon City, Philippines.
13College of Medicine, Bataan Peninsula State University, Balanga City, Philippines.
14Department of Psychiatry, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, Zabrze, Poland.
15Lyra Health, Burlingame, California, USA.
16Tsaotun Psychiatric Center, Ministry of Health and Welfare, Nantou, Taiwan.
17Main Medical Clinical Center of the Ministry of Internal Affairs of Ukraine, Kyiv, Ukraine.
18Institute of Mental Health, Singapore.
19Department of Psychiatry, Teine Keijinkai Hospital, Sapporo, Japan.
Abstract
AIM: To examine the implementation of evidence-based psychotherapy across international healthcare contexts and identify barriers to clinical delivery.
METHODS: We conducted an international, cross-sectional, web-based survey of psychiatrists from October 2024 to March 2025. The questionnaire assessed familiarity with 10 evidence-based psychotherapy modalities, frequency of use, delivery confiden…
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