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A preliminary study of individual cognitive behavior therapy for social anxiety disorder in Japanese clinical settings: a single-arm, uncontrolled trial
- Source :
- BMC Research Notes
- Publication Year :
- 2013
- Publisher :
- Springer Science and Business Media LLC, 2013.
-
Abstract
- Background Cognitive behavior therapy (CBT) is regarded as an effective treatment for social anxiety disorder (SAD) in Europe and North America. Individual CBT might be acceptable and effective for patients with SAD even in non-Western cultures; therefore, we conducted a feasibility study of individual CBT for SAD in Japanese clinical settings. We also examined the baseline predictors of outcomes associated with receiving CBT. Methods This single-arm trial employed a 14-week individual CBT intervention. The primary outcome was the self-rated Liebowitz Social Anxiety Scale, with secondary measurements of other social anxiety and depressive severity. Assessments were conducted at baseline, after a waiting period before CBT, during CBT, and after CBT. Results Of the 19 subjects screened, 15 were eligible for the study and completed the outcome measures at all assessment points. Receiving CBT led to significant improvements in primary and secondary SAD severity (ps < .001). The mean total score on the Liebowitz Social Anxiety Scale improved from 91.8 to 51.7 (before CBT to after CBT), and the within-group effect size at the end-point assessment was large (Cohen’s d = 1.71). After CBT, 73% of participants were judged to be treatment responders, and 40% met the criteria for remission. We found no significant baseline predictors of those outcomes. Conclusion Despite several limitations, our treatment—which comprises a 14-week, individual CBT program—seems feasible and may achieve favorable treatment outcomes for SAD in Japanese clinical settings. Further controlled trials are required in order to address the limitations of this study. Trial registration UMIN-CTR UMIN000005897
- Subjects :
- Adult
Male
medicine.medical_specialty
medicine.medical_treatment
CBT
Liebowitz social anxiety scale
behavioral disciplines and activities
General Biochemistry, Genetics and Molecular Biology
Young Adult
Japan
Intervention (counseling)
mental disorders
medicine
Humans
Young adult
Psychiatry
Social anxiety disorder
Medicine(all)
Cognitive Behavioral Therapy
Biochemistry, Genetics and Molecular Biology(all)
business.industry
Social anxiety
SAD
Cognition
General Medicine
Anxiety Disorders
Cognitive behavioral therapy
Clinical trial
Treatment Outcome
Japanese
Cognitive therapy
Feasibility Studies
Female
Social phobia
business
Research Article
Clinical psychology
Subjects
Details
- ISSN :
- 17560500
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- BMC Research Notes
- Accession number :
- edsair.doi.dedup.....a666bba6a0dda6553479b122f8ac7219