Cognitive-behavioral therapy modifies the naturalistic course of social anxiety disorder: Findings from an ABA design study in routine clinical practices

Autor: Yumiko Noda, Tadashi Funayama, Tetsuji Ietsugu, Yumi Nakano, Norio Watanabe, Junwen Chen, Tatsuo Akechi, Sei Ogawa, Toshi A. Furukawa
Rok vydání: 2013
Předmět:
Zdroj: Psychiatry and Clinical Neurosciences. 67:139-147
ISSN: 1323-1316
DOI: 10.1111/pcn.12035
Popis: Aims: While randomized evidence appears to have established efficacy of cognitive–behavioral therapy (CBT) and some pharmacotherapy for social anxiety disorder (SAD), their real-world effectiveness has been called into question by long-term naturalistic cohort studies of patients with SAD as they show very low probability of recovery and sustained social dysfunctions despite some drug and psychological therapies. Method: The present study examines the effectiveness of group CBT for SAD in real-world settings (n = 62) by examining the course of patients’ symptomatology and social functions through approximately 6 months on the waiting list, through 6 months receiving the manualized group CBT intervention consisting of 16 2-h sessions, and for 12 months after the treatment. Results: We found: (i) that the patients with SAD changed little or possibly worsened through the 6 months on the waiting list, although two in three of them were on antidepressants, benzodiazepines or both; (ii) that both their symptomatology and social function improved significantly and substantively through the group CBT; and (iii) that this improvement was maintained through the 3- and 12-month follow ups. Conclusions: We can implement and must disseminate evidence-based, effective CBT for more patients with SAD to lessen their suffering and stop the perpetuation of their symptoms.
Databáze: OpenAIRE
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