Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors

Akiko Kawaguchi,1 Norio Watanabe,1 Yumi Nakano,2 Sei Ogawa,1 Masako Suzuki,1 Masaki Kondo,1 Toshi A Furukawa,3 Tatsuo Akechi11Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan; 2Sugiyama Jogakuen University School of...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Kawaguchi A, Watanabe N, Nakano Y, Ogawa S, Suzuki M, Kondo M, Furukawa TA, Akechi T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/fdb3b6980a3148dfb4864094a22002bb
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:fdb3b6980a3148dfb4864094a22002bb
record_format	dspace
spelling	oai:doaj.org-article:fdb3b6980a3148dfb4864094a22002bb2021-12-02T08:37:43ZGroup cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors1176-63281178-2021https://doaj.org/article/fdb3b6980a3148dfb4864094a22002bb2013-02-01T00:00:00Zhttp://www.dovepress.com/group-cognitive-behavioral-therapy-for-patients-with-generalized-socia-a12262https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Akiko Kawaguchi,1 Norio Watanabe,1 Yumi Nakano,2 Sei Ogawa,1 Masako Suzuki,1 Masaki Kondo,1 Toshi A Furukawa,3 Tatsuo Akechi11Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan; 2Sugiyama Jogakuen University School of Human Sciences, Nisshin, Japan; 3Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, JapanBackground: Social anxiety disorder (SAD) is one of the most common psychiatric disorders worldwide. Cognitive behavioral therapy (CBT) is an effective treatment option for patients with SAD. In the present study, we examined the efficacy of group CBT for patients with generalized SAD in Japan at 1-year follow-up and investigated predictors with regard to outcomes.Methods: This study was conducted as a single-arm, naturalistic, follow-up study in a routine Japanese clinical setting. A total of 113 outpatients with generalized SAD participated in group CBT from July 2003 to August 2010 and were assessed at follow-ups for up to 1 year. Primary outcome was the total score on the Social Phobia Scale/Social Interaction Anxiety Scale (SPS/SIAS) at 1 year. Possible baseline predictors were investigated using mixed-model analyses.Results: Among the 113 patients, 70 completed the assessment at the 1-year follow-up. The SPS/SIAS scores showed significant improvement throughout the follow-ups for up to 1 year. The effect sizes of SPS/SIAS at the 1-year follow-up were 0.68 (95% confidence interval 0.41&ndash;0.95)/0.76 (0.49&ndash;1.03) in the intention-to-treat group and 0.77 (0.42&ndash;1.10)/0.84 (0.49&ndash;1.18) in completers. Older age at baseline, late onset, and lower severity of SAD were significantly associated with good outcomes as a result of mixed-model analyses.Conclusions: CBT for patients with generalized SAD in Japan is effective for up to 1 year after treatment. The effect sizes were as large as those in previous studies conducted in Western countries. Older age at baseline, late onset, and lower severity of SAD were predictors for a good outcome from group CBT.Keywords: social phobia, cognitive behavior therapy, psychotherapyKawaguchi AWatanabe NNakano YOgawa SSuzuki MKondo MFurukawa TAAkechi TDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2013, Iss default, Pp 267-275 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Kawaguchi A Watanabe N Nakano Y Ogawa S Suzuki M Kondo M Furukawa TA Akechi T Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors
description	Akiko Kawaguchi,1 Norio Watanabe,1 Yumi Nakano,2 Sei Ogawa,1 Masako Suzuki,1 Masaki Kondo,1 Toshi A Furukawa,3 Tatsuo Akechi11Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan; 2Sugiyama Jogakuen University School of Human Sciences, Nisshin, Japan; 3Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine/School of Public Health, Kyoto, JapanBackground: Social anxiety disorder (SAD) is one of the most common psychiatric disorders worldwide. Cognitive behavioral therapy (CBT) is an effective treatment option for patients with SAD. In the present study, we examined the efficacy of group CBT for patients with generalized SAD in Japan at 1-year follow-up and investigated predictors with regard to outcomes.Methods: This study was conducted as a single-arm, naturalistic, follow-up study in a routine Japanese clinical setting. A total of 113 outpatients with generalized SAD participated in group CBT from July 2003 to August 2010 and were assessed at follow-ups for up to 1 year. Primary outcome was the total score on the Social Phobia Scale/Social Interaction Anxiety Scale (SPS/SIAS) at 1 year. Possible baseline predictors were investigated using mixed-model analyses.Results: Among the 113 patients, 70 completed the assessment at the 1-year follow-up. The SPS/SIAS scores showed significant improvement throughout the follow-ups for up to 1 year. The effect sizes of SPS/SIAS at the 1-year follow-up were 0.68 (95% confidence interval 0.41&ndash;0.95)/0.76 (0.49&ndash;1.03) in the intention-to-treat group and 0.77 (0.42&ndash;1.10)/0.84 (0.49&ndash;1.18) in completers. Older age at baseline, late onset, and lower severity of SAD were significantly associated with good outcomes as a result of mixed-model analyses.Conclusions: CBT for patients with generalized SAD in Japan is effective for up to 1 year after treatment. The effect sizes were as large as those in previous studies conducted in Western countries. Older age at baseline, late onset, and lower severity of SAD were predictors for a good outcome from group CBT.Keywords: social phobia, cognitive behavior therapy, psychotherapy
format	article
author	Kawaguchi A Watanabe N Nakano Y Ogawa S Suzuki M Kondo M Furukawa TA Akechi T
author_facet	Kawaguchi A Watanabe N Nakano Y Ogawa S Suzuki M Kondo M Furukawa TA Akechi T
author_sort	Kawaguchi A
title	Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors
title_short	Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors
title_full	Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors
title_fullStr	Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors
title_full_unstemmed	Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors
title_sort	group cognitive behavioral therapy for patients with generalized social anxiety disorder in japan: outcomes at 1-year follow up and outcome predictors
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/fdb3b6980a3148dfb4864094a22002bb
work_keys_str_mv	AT kawaguchia groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors AT watanaben groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors AT nakanoy groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors AT ogawas groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors AT suzukim groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors AT kondom groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors AT furukawata groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors AT akechit groupcognitivebehavioraltherapyforpatientswithgeneralizedsocialanxietydisorderinjapanoutcomesat1yearfollowupandoutcomepredictors
_version_	1718398442672226304

Group cognitive behavioral therapy for patients with generalized social anxiety disorder in Japan: outcomes at 1-year follow up and outcome predictors

Ejemplares similares