Evidence map›Paper›PMID 40342334›Full record

ReviewPCN reports : psychiatry and clinical neurosciences2025

Regional disparities in Japanese children's mental health profession shortage areas.

Masahide Usami, Yoshinori Sasaki, Mayuna Ichikawa, Miki Matsudo, Ayaka Hashimoto, Mutsumi Ohashi, Yui Higashino, Yusuke Kono, Haruna Matsudo, Yuki Nomura and 12 more

Abstract readReview
In one paragraph

Review in PCN reports : psychiatry and clinical neurosciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Regional disparities in Japanese children's mental health profession shortage areas.PCN reports : psychiatry and clinical neurosciences · 2025
    Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Masahide UsamiDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.ORCID https://orcid.org/0000-0002-1145-9971
Yoshinori SasakiDepartment of Psychiatry and Behavioral Science Tokyo Medical and Dental University Tokyo Japan.
Mayuna IchikawaDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Miki MatsudoDepartment of Psychiatry and Behavioral Science Tokyo Medical and Dental University Tokyo Japan.
Ayaka HashimotoDepartment of Psychiatry and Behavioral Science Tokyo Medical and Dental University Tokyo Japan.
Mutsumi OhashiDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Yui HigashinoDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Yusuke KonoDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Haruna MatsudoDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Yuki NomuraDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Minjae MaDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Yuuki SakohDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Maiko OdakaDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Kotoe ItagakiDepartment of Clinical Psychology Kohnodai Hospital, National Center for Global Health and Medicine Ichikawa Japan.
Keita Yamamoto MhswDepartment of Social Work Kohnodai Hospital, National Center for Global Health and Medicine Ichikawa Japan.
Momoka Takahashi MhswDepartment of Social Work Kohnodai Hospital, National Center for Global Health and Medicine Ichikawa Japan.
Yuta YoshimuraDepartment of Psychiatry Fukuoka University Fukuoka Japan.
Saori InoueDepartment of Child Psychiatry Ehime University Graduate School of Medicine Toon City Japan.
Masahiro IshidaDepartment of Psychiatry Fukuoka University Fukuoka Japan.
Kumi InazakiDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Yuki HakoshimaDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.
Yuki MizumotoDepartment of Child and Adolescent Psychiatry National Kohnodai Medical Center, Japan Institute for Health Security Ichikawa Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study aims to investigate regional disparities in the distribution of child and adolescent mental health professionals in Japan. It focuses on identifying areas where access to specialists is limited and proposes potential solutions to address these inequalities. Methods: Data were collected from multiple sources, including government statistics and public reports, on population size, number of specialists, mental health facilities, rates of truancy, bullying, suicides, and child abuse. A cluster analysis using the K-means method was conducted to categorize all 47 Japanese prefectures into groups based on access to child and adolescent psychiatric care. Results: Significant regional disparities were found in the distribution of child psychiatry specialists, with a 4.7-fold difference in student-to-specialist ratios across regions. Rural areas exhibited severe shortages of specialists compared to urban areas. Prefectures were classified into three clusters based on their access to mental health resources, with rural areas showing the greatest need for additional support. Conclusion: There are considerable regional disparities in access to child and adolescent psychiatric care in Japan. To address these, policy measures, such as promoting specialist placement in rural areas, enhancing specialist training programs, and introducing telemedicine, are necessary. These steps can help ensure more equitable access to mental health services nationwide.

Indexed as

childJapanmental health

Identifiers

PMID40342334
PMCPMC12059284

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.