False Safety Behavior Elimination Therapy for Social Anxiety Disorder in Japanese: A Pilot, Single‐Arm Uncontrolled Study

False Safety Behavior Elimination Therapy for Social Anxiety Disorder in Japanese: A Pilot, Single‐Arm Uncontrolled Study
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日本社交焦虑症的错误安全行为消除疗法:一项单臂非对照试点研究

DOI:
10.1111/jpr.12366
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发表时间:
2021
影响因子:
0.8
通讯作者:
Schmidt Norman Brad
Schmidt Norman Brad
中科院分区:
心理学4区
文献类型:
--
作者:
Arai Honami;Seki Yoichi;Okawa Sho;Shimizu Eiji;Takahashi Sho;Ishikawa Shin‐Ichi;Korte Kristina Jo;Schmidt Norman Brad

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社交焦虑症(SAD)的特征是对社交环境过度恐惧,可能导致严重的功能障碍;它对人的自尊和社交互动产生负面影响。在过去的40年里,SAD的患病率有所上升,SAD是日本最普遍的精神疾病之一。因此,需要更精确的干预措施。这项研究对6名患有SAD的日本患者实施了虚假安全行为消除疗法(F-SET),该疗法消除了安全行为(即减少焦虑的策略)。这是F-set首次改编成日语。筛选出7名患者,其中6名(MAGE= 27.83 年,仅男性)符合研究标准。每名患者每周接受五次60分钟的F-SET治疗。在F-SET后,利博维茨社交焦虑量表得分较基线的平均下降为−20.50(95%可信区间:−30.65,−10.35;p= .003)。在完成治疗后,所有参与者的SAD症状都大幅减少,这表明初步支持适应治疗的疗效。
Social anxiety disorder (SAD) is characterized by an excessive fear of social situations that can lead to serious functional impairment; it negatively affects a person’s self‐esteem and social interactions. Its prevalence has increased over the past four decades, and SAD is one of the most prevalent psychiatric disorders in Japan. Therefore, more precise interventions are needed. This study administered false safety behavior elimination therapy (F‐SET), which eliminates safety behavior (i.e., strategies that reduce anxiety), to six Japanese patients with SAD. This is the first adaptation of F‐SET into Japanese. Seven patients were screened and six (Mage= 27.83 years, only males) were eligible for the study criteria. Each patient received five weekly 60‐min F‐SET sessions. At post‐F‐SET, the mean reduction in Liebowitz Social Anxiety Scale score from baseline was −20.50 (95% confidence interval: −30.65, −10.35;p= .003). After completing the treatment, all participants showed substantially decreased SAD symptoms, which indicates preliminary support for the adapted treatment’s efficacy.
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