False safety behaviour elimination therapy for social anxiety disorder in Japanese men,Clinical Psychologist

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False safety behaviour elimination therapy for social anxiety disorder in Japanese men
Clinical Psychologist ( IF 1.2 ) Pub Date : 2022-05-12 , DOI: 10.1080/13284207.2022.2057218
Honami Arai ₁ , Yoichi Seki ₂ , Sho Okawa ₃ , Eiji Shimizu ₄ , Kristina Korte ₅ , Norman Schmidt ₆

Affiliation

ABSTRACT

Background

Social anxiety disorder (SAD) is an excessive fear of social situations that can lead to serious functional impairment. The prevalence of SAD has increased over the past four decades, making it one of the most prevalent psychiatric disorders in Japan. Therefore, more effective interventions are needed to treat this disorder. False safety behavior elimination therapy (F-SET), which eliminates safety behavior (i.e., strategies that reduce anxiety), was administered in our study to six Japanese patients with SAD. This is the first adaptation of F-SET into Japanese. Patients were diagnosed using the Mini-International Neuropsychiatric Interview. The Liebowitz Social Anxiety Scale was used as the primary outcome measure to evaluate the change in symptoms. All patients received five weekly 60-minute F-SET sessions.

Results and Conclusions

Participants who completed the treatment exhibited a substantial decrease in SAD symptoms, providing preliminary support for the adapted treatment’s efficacy. We have discussed the cultural differences in SAD and the adaptation of F-SET.

KEY POINTS

What is already known about this topic:

(1) Transdiagnostic group CBT is an effective treatment for anxiety disorders.
(2) Few studies have examined the effectiveness of transdiagnostic group CBT in naturalistic settings.
(3) Few studies have examined the effectiveness of treatments as implemented by clinicians in routine clinical practice.

What this paper adds:

(1) Eight to ten sessions of transdiagnostic group CBT developed by practising clinicians seemed sufficient in improving anxiety and depressive symptoms, daily functioning, and quality of life in patients from an outpatient anxiety disorders clinic in a hospital setting.
(2) Patients that completed treatment reported significantly more impairment in daily functioning before treatment than participants who dropped out.
(3) High attrition rates suggest that organisational factors need to be considered while implementing evidence-based treatments into routine clinical practice.

中文翻译：

日本男性社交焦虑障碍的虚假安全行为消除疗法

摘要

背景

社交焦虑症 (SAD) 是对可能导致严重功能障碍的社交场合的过度恐惧。在过去的四十年里，SAD 的患病率有所增加，使其成为日本最普遍的精神疾病之一。因此，需要更有效的干预措施来治疗这种疾病。在我们的研究中，我们对六名患有 SAD 的日本患者进行了消除安全行为（即减少焦虑的策略）的虚假安全行为消除疗法 (F-SET)。这是第一次将 F-SET 改编成日语。使用迷你国际神经精神病学访谈对患者进行诊断。Liebowitz 社交焦虑量表被用作评估症状变化的主要结果指标。所有患者都接受了五次每周 60 分钟的 F-SET 会议。