Group cognitive behavior therapy for Japanese patients with social anxiety disorder: preliminary outcomes and their predictors
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Background: A number of studies have provided strong evidence for the use of cognitive behavior therapy (CBT) in the treatment of social anxiety disorder (SAD). However, all of the previous reports were from Europe and North America and it is unknown whether Western psychological therapies are effective for SAD in non-Western cultures. The present pilot study aimed to evaluate CBT program for SAD which was originally developed for Western patients, among Japanese patients. Methods: Fifty-seven outpatients who participated in group CBT for SAD were evaluated using eight self-reported and one clinician-administered questionnaires to measure various aspects of SAD symptomatology at the beginning and at the end of the program. Pre- and post-treatment scores were compared and the magnitude of treatment effect was quantified as well based once on the intention-to-treat (ITT) and once among the completers only. We also examined baseline predictors of the CBT outcomes. Results: Seven patients (12%) did not complete the program. For the ITT sample, the percentage of reduction was 20% to 30% and the pre to post treatment effect sizes ranged from 0.37 to 1.01. Among the completers, the respective figures were 20% to 33% and 0.41 to 1.19. We found no significant pretreatment predictor of the outcomes. Conclusion: Group CBT for SAD is acceptable and can bring about a similar degree of symptom reduction among Japanese patients with SAD as among Western patients.
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In the current study, ACT and CBT produced similar rates of clinically significant improvement, comparable to published mean response rates for CBT for social phobia: 46% at post-treatment and 52.9% at follow-up.
“In the current study, ACT and CBT produced similar rates of clinically significant improvement, that were comparable to published mean response rates for CBT for social phobia: 46% at post-treatment (12 studies, 29 data points) and 52.9% at follow-up (3 studies, 10 data points)”
From Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: Outcomes and moderators (2014) · cites this paper as Chen et al., 2007
The Discussion says the group CBT outcomes were comparable to Western reports, which supports the general comparison. But the Results report this study’s post-treatment response rates as 33.3% (intention-to-treat) and 38.0% (completers); our copy does not report published mean response rates of 46% at post-treatment or 52.9% at follow-up, or the stated study and data-point counts. The paper did not compare ACT with CBT; that comparison appears to be the citing authors’ own result. (LLM, conf=0.82)
Experimental — accuracy not yet measuredTo our knowledge, only one other study examined extraversion as a predictor of behavioral treatment in a social phobia sample, with null results.
“To our knowledge, only one other study examined extraversion as a predictor of behavioral treatment in a social phobia sample, with null results (Chen et al., 2007).”
From Randomized controlled trial of cognitive behavioral therapy and acceptance and commitment therapy for social phobia: Outcomes and moderators (2014) · cites this paper as Chen et al., 2007
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Cites
A cognitive-behavioral model of anxiety in social phobia
Rapee, R. M., & Heimberg, R. G. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)00022-3 · Cited by 2,987 · see citing works
The Work and Social Adjustment Scale: a simple measure of impairment in functioning
Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. M. (2002) · British Journal of Psychiatry · doi:10.1192/bjp.180.5.461 · Cited by 2,515 · see citing works
Stein, M. B., & Stein, D. J. (2008) · The Lancet · doi:10.1016/s0140-6736(08)60488-2 · Cited by 1,137 · see citing works
Clark, D. M., Ehlers, A., Hackmann, A., McManus, F., Fennell, M., Grey, N., Waddington, L., & Wild, J. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.3.568 · Cited by 603 · see citing works
Cognitive Behavioral Group Therapy vs Phenelzine Therapy for Social Phobia: 12-Week Outcome
Heimberg, R. G., Liebowitz, M. R., Hope, D. A., Schneier, F. R., Holt, C. S., Welkowitz, L. A., Juster, H. R., Campeas, R., Bruch, M. A., Cloitre, M., et al. (1998) · Archives of General Psychiatry · doi:10.1001/archpsyc.55.12.1133 · Cited by 585 · see citing works
Clark, D. M., Ehlers, A., McManus, F., Hackmann, A., Fennell, M., Campbell, H., Flower, T., Davenport, C., & Louis, B. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.6.1058 · Cited by 561 · see citing works
The treatment of social anxiety disorder
Rodebaugh, T. L., Holaway, R. M., & Heimberg, R. G. (2004) · Clinical Psychology Review · doi:10.1016/j.cpr.2004.07.007 · Cited by 424 · see citing works
Fluoxetine, Comprehensive Cognitive Behavioral Therapy, and Placeboin Generalized Social Phobia
Davidson, J. R. T., Foa, E. B., Huppert, J. D., Keefe, F. J., Franklin, M. E., Compton, J. S., Zhao, N., Connor, K. M., Lynch, T. R., & Gadde, K. M. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.10.1005 · Cited by 415 · see citing works
Psychological and Pharmacological Treatments of Social Phobia: A Meta-Analysis
Fedoroff, I. C., & Taylor, S. (2001) · Journal of Clinical Psychopharmacology · doi:10.1097/00004714-200106000-00011 · Cited by 396 · cited 1× · see citing works
“07 for the reduction of social anxiety symptoms [5-8].”
Flagged first, then by citations
Research works printed but not linked: 19
- Kessler RC Berglund P Demler O Jin R Walters EE Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication Arch Gen Psychiatry 2005 62 593 602 15939837 10.1001/archpsyc.62.6.593 · DOI · Paper page
- Clark DM Wells A Heimberg RG, Liebowitz M, Hope DA, Schneier FR A cognitive model of social phobia Social Phobia: Diagnosis, assessment and treatment 1995 New York, Guilford Press 69 93
- Feske U Chambless DL Cognitive behavioral versus exposure only treatment for social phobia: a meta-analysis Behavior Therapy 1995 26 695 720 10.1016/S0005-7894(05)80040-1 · DOI · Paper page
- Taylor S Meta-analysis of cognitive-behavioral treatments for social phobia J Behav Ther Exp Psychiatry 1996 27 1 9 8814516 10.1016/0005-7916(95)00058-5 · DOI
- Liebowitz MR Heimberg RG Schneier FR Hope DA Davies S Holt CS Goetz D Juster HR Lin SH Bruch MA Marshall RD Klein DF Cognitive-behavioral group therapy versus phenelzine in social phobia: long-term outcome Depress Anxiety 1999 10 89 98 10604081 10.1002/(SICI)1520-6394(1999)10:3<89::AID-DA1>3.0.CO;2-5 · DOI
- American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders, 4th Edition 1994 Washington, D.C., American Psychiatric Association
- First MB Spitzer RL Gibbon M Williams JB Structured Clinical Interview for DSM-IV Axis I Disorders 1997 Washington, D.C., American Psychiatric Press
- Andrews G Creamer M Crino R Hunt C Lampe L Page A The Treatment of Anxiety Disorders: Clinician Guides and Patient Manuals 2002 2nd Sydney, Cambridge University Press
- Blomhoff S Haug TT Hellstrom K Holme I Humble M Madsbu HP Wold JE Randomised controlled general practice trial of sertraline, exposure therapy and combined treatment in generalised social phobia Br J Psychiatry 2001 179 23 30 11435264 10.1192/bjp.179.1.23 · DOI
- Mattick RP Clarke JC Development and validation of measures of social phobia scrutiny fear and social interaction anxiety Behav Res Ther 1998 36 455 470 9670605 10.1016/S0005-7967(97)10031-6 · DOI · Paper page
- Marks IM Mathews AM Brief standard self-rating for phobic patients Behav Res Ther 1979 17 263 267 526242 10.1016/0005-7967(79)90041-X · DOI · Paper page
- Watson D Friend R Measurement of social-evaluative anxiety J Consult Clin Psychol 1969 33 448 457 5810590 10.1037/h0027806 · DOI · Paper page
- Collins KA Westra HA Dozois DJ Stewart SH The validity of the brief version of the Fear of Negative Evaluation Scale J Anxiety Disord 2005 19 345 359 15686861 10.1016/j.janxdis.2004.02.003 · DOI
- Yoshimura K Ono Y Nakamura K Nathan JH Suzuki K Validation of the Japanese version of the NEO Five-Factor Inventory in a large community sample Psychol Rep 2001 88 443 449 11351886 10.2466/PR0.88.2.443-449 · DOI
- Kleinknecht RA Dinnel DL Kleinknecht EE Hiruma N Harada N Cultural factors in social anxiety: a comparison of social phobia symptoms and Taijin Kyofusho J Anxiety Disord 1997 11 157 177 9168340 10.1016/S0887-6185(97)00004-2 · DOI
- Stangier U Heidenreich T Peitz M Lauterbach W Clark DM Cognitive therapy for social phobia: individual versus group treatment Behav Res Ther 2003 41 991 1007 12914803 10.1016/S0005-7967(02)00176-6 · DOI · Paper page
- Mortberg E Clark DM Sundin O Aberg Wistedt A Intensive group cognitive treatment and individual cognitive therapy vs. treatment as usual in social phobia: a randomized controlled trial Acta Psychiatr Scand 2007 115 142 154 17244178 10.1111/j.1600-0447.2006.00839.x · DOI · Paper page
- Scholing A Emmelkamp PM Prediction of treatment outcome in social phobia: a cross-validation Behav Res Ther 1999 37 659 670 10402691 10.1016/S0005-7967(98)00175-2 · DOI
- Rosser S Erskine A Crino R Pre-existing antidepressants and the outcome of group cognitive behaviour therapy for social phobia Aust N Z J Psychiatry 2004 38 233 239 15038802 10.1111/j.1440-1614.2004.01345.x · DOI
Cited by
Sorted by citations
Response rates for CBT for anxiety disorders: need for standardized criteria
Loerinc, A. G., Meuret, A. E., Twohig, M. P., Rosenfield, D., Bluett, E. J., & Craske, M. G. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.08.004 · Cited by 592 · see citing works
Craske, M. G., Niles, A. N., Burklund, L. J., Wolitzky-Taylor, K. B., Vilardaga, J. C. P., Arch, J. J., Saxbe, D. E., & Lieberman, M. D. (2014) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0037212 · Cited by 206 · see citing works
Hans, E., & Hiller, W. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2013.07.003 · Cited by 158 · see citing works
Pearl, S. B., & Norton, P. J. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.07.004 · Cited by 156 · see citing works
Cognitive-behavioral therapy for social anxiety disorder: the state of the science
Gordon, D., Wong, J., & Heimberg, R. G. (2014) · The Wiley Blackwell Handbook of Social Anxiety Disorder · doi:10.1002/9781118653920.ch22 · Cited by 50 · see citing works
Watanabe, N., Furukawa, T. A., Chen, J., Kinoshita, Y., Nakano, Y., Ogawa, S., Funayama, T., Ietsugu, T., & Noda, Y. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-81 · Cited by 50 · see citing works
Self-citation
- Authors
- Chen, J., Nakano, Y., Ietzugu, T., Ogawa, S., Funayama, T., Watanabe, N., Noda, Y., & Furukawa, T. A.
- Affiliations
- Nagoya City University (JP)
- Corresponding author
- Furukawa, Toshi A
- Venue
- BMC Psychiatry
- Published
- 2007-12
- Volume
- 7
- Issue
- 1
- Pages
- 69-69
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC2241595
- OpenAlex
- W2042611991
- Cited by
- 42
- References
- 9
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2020: 1 · 2019: 3 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 6 · 2013: 6 · 2012: 4
- FWCI
- 3.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Flinders Academic Commons (Flinders University) (submittedVersion)
- ANU Open Research (Australian National University) (submittedVersion)
- Funders
- Ministry of Health, Labour and Welfare
- Nagoya City University
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- social anxiety disorder, group cognitive behavioral therapy, Japanese patients, predictors of treatment outcome, symptom relief, outpatients
- MeSH terms
- Adult, Ambulatory Care, Fear, Female, Humans, Male, Middle Aged, Outcome and Process Assessment, Health Care, Personality Assessment, Personality Inventory, Phobic Disorders, Psychotherapy, Group, Surveys and Questionnaires, Cognitive Behavioral Therapy, Asian People
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