scholarly journals The Relationship between Symptoms and Social Functioning over the Course of Cognitive Behavioral Therapy for Social Anxiety Disorder

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sei Ogawa ◽  
Risa Imai ◽  
Masako Suzuki ◽  
Toshi A. Furukawa ◽  
Tatsuo Akechi ◽  
...  

Background. The present study is aimed at investigating the relationship between changes in symptoms and changes in social functioning during cognitive behavioral therapy (CBT) for social anxiety disorder (SAD). Methods. Ninety-six patients with SAD were treated with manualized group CBT. Measures of social anxiety symptoms, depression symptoms, cognition, and social functioning were administered at baseline and endpoint. Using multiple regression analysis, we examined the associations between the changes in four aspects (work, home management, social leisure activities, and private leisure activities) of social functioning as dependent variables and the changes in four factors (social interaction, public speaking, observation by others, and eating and drinking in public) in social anxiety symptoms, depression symptoms, and cognition as independent variables. Results. The changes in work functioning were predicted by the changes in the public speaking factor in social anxiety symptoms. The changes in depression symptoms predicted the changes in home management. The significant predictors of changes in social leisure activities were the changes in the social interaction factor and depression symptoms. The changes in private leisure activities were predicted by the changes in the observation by others factor. The changes in cognition predicted nothing. Conclusion. The present study suggested that the changes in social anxiety or depression symptoms may predict several aspects of social functioning changes in patients with SAD over the course of CBT. In order to improve social functioning, our results may be useful for selecting the fear or feared situation in CBT for SAD. Trial Registration. The clinical study registration number in the Japanese trials registry is UMIN CTR 000031147.

2019 ◽  
Vol 28 (2) ◽  
pp. 419-440
Author(s):  
Mirjana Sučević ◽  
Ana Kurtović

The purpose of the study was to examine the effects of personality, anxiety sensitivity, intolerance of uncertainty and self-esteem on different anxiety symptoms. A total of 436 university students completed measures of personality, anxiety sensitivity, intolerance of uncertainty, self-esteem, and symptoms of panic, worry and social anxiety. Results have shown that neuroticism, conscientiousness and psychological concerns (anxiety sensitivity) predict symptoms of panic and that psychological concerns mediate the relationship between neuroticism and panic. Worry was predicted by neuroticism, prospective and inhibitory intolerance of uncertainty and self-liking, with intolerance of uncertainty mediating between neuroticism and worry. Finally, neuroticism, openness to experiences and extraversion, as well as social concerns (anxiety sensitivity), inhibitory intolerance of uncertainty and self-liking predicted social anxiety. Social concerns, inhibitory intolerance of uncertainty and self-liking mediated the effects of neuroticism and extraversion on social anxiety. Results offer support to neuroticism being a universal risk factor and anxiety sensitivity, intolerance of uncertainty and self-esteem having specific effects on anxiety symptoms.


2018 ◽  
Vol 56 (1) ◽  
pp. 3-23 ◽  
Author(s):  
Dzenana Kartal ◽  
Nathan Alkemade ◽  
Litza Kiropoulos

This study examined the relationship between traumatic exposure, host language acquisition and mental health (posttraumatic stress, depressive and anxiety symptoms) in long-term resettled refugees. Participants included a community sample of Bosnian refugees ( N = 138, 55% male, mean age of 40 years old) that had resettled in Australia and Austria on average 18 years prior. Two mediation models were tested based on two competing theories. Model A examined whether language acquisition mediates the relationship between traumatic exposure and mental health problems experienced by refugees. Model B examined whether mental health symptoms mediate the relationship between exposure to traumatic events and the acquisition of host language. Model A fit the data well (CFI = 1.00, SRMR = .017, RMSEA < .001, χ2 p = .526), while Model B was rejected as an acceptable model for the data (CFI = .556, SRMR = .136, RMSEA = .352). In Model A, the indirect pathway from trauma to mental health via language acquisition was significant for PTSD ( β = .067, p = .028) and anxiety symptoms ( β = .063, p = .026) but not depression symptoms ( β = .048, p = .071). Intervention strategies aimed at improving host language acquisition may be important not only in successful adaptation to daily living in the host country, but also to improve the mental health of traumatized refugees.


2009 ◽  
Vol 15 (3) ◽  
pp. 393-398 ◽  
Author(s):  
K Poder ◽  
K Ghatavi ◽  
JD Fisk ◽  
TL Campbell ◽  
S Kisely ◽  
...  

Background Little is known about social anxiety in MS. Objective We estimated the prevalence of social anxiety symptoms and their association with demographic and clinical features in a clinic-attending sample of patients with MS. Methods Patients attending the Dalhousie MS Research Unit for regularly scheduled visits completed the Social Phobia Inventory (SPIN), the Hospital Anxiety and Depression Scale (HADS), and the Health Utilities Index (HUI). Neurological disability was determined by ratings on the Expanded Disability Status Scale (EDSS). Results A total of 251 patients completed self-report scales of anxiety and depression symptoms. In all, 245 (98%) provided sufficient data for analysis. In all, 30.6% ( n = 75) had clinically significant social anxiety symptoms as defined by a SPIN threshold score of 19. Half of those with social anxiety had general anxiety (HADSA ≥ 11) and a quarter had depression (HADSD ≥ 11). Severity of social anxiety symptoms was associated with reduced health-related quality of life and not related to neurological disability. Conclusions Social anxiety symptoms are common in persons with MS, contribute to overall morbidity, but are unrelated to the overall severity of neurologic disability. Greater awareness and routine systematic inquiry of social anxiety symptoms is an important component of comprehensive care for persons with MS.


2021 ◽  
Vol 12 ◽  
Author(s):  
Danfeng Yan ◽  
Jin Liu ◽  
Mei Liao ◽  
Bangshan Liu ◽  
Shibin Wu ◽  
...  

Background: The difficulty in timely evaluating patient response to antidepressants has brought great challenge to the treatment of major depressive disorder (MDD). Some studies found that the electroencephalogram (EEG) microstates might be a reliable marker to evaluate patient response to treatment. The present study aims to evaluate the relationship between EEG microstate parameters and MDD symptoms before and after treatment to identify predictive biological markers for patient response.Methods: Thirty drug-naïve MDD patients (20 females and 10 males) were enrolled in this study. All the patients received effective dosages of selective serotonin reuptake inhibitors, and EEG recordings were collected at baseline and 2 weeks of treatment. Brain activities during the eyes-closed state were recorded using 64-channel electroencephalography, and the patients' microstates were clustered into four maps according to their topography (labeled A, B, C, and D). The differences of EEG microstates before and after treatment were compared using paired t-test. Spearman correlation coefficients were calculated to identify the relationships between the improvement of depression and anxiety symptoms and microstate parameters.Results: The mean duration (69.67 ± 10.33 vs. 64.00 ± 7.70, p &lt; 0.001) and occurrence (4.06 ± 0.69, vs. 3.69 ± 0.70, p = 0.002) of microstate B decreased significantly after treatment. The proportion of microstate B also decreased (27.53 ± 5.81, vs. 23.23 ± 4.61, p &lt; 0.001), while the occurrence of microstate A increased after treatment. A significant negative correlation was found between the change of score of Hamilton Rating Scale for Anxiety and the increase of the occurrence of microstate A (r = −0.431, p &lt; 0.05) after 2 weeks of treatment. The reduction of the duration of microstate B was found to be predictive of patient response to antidepressants after 3 months.Conclusion: This study explored the relationship between changes of EEG microstates and patient response to antidepressants. Depression symptoms might be associated with the duration of microstate B and anxiety symptoms related to the occurrence of microstate A. Therefore, the duration of microstate B and the occurrence of microstate A are potential biological markers for MDD patients' early response and further clinical outcomes.


2014 ◽  
Vol 71 (3) ◽  
pp. 208-218 ◽  
Author(s):  
Faith A. Brozovich ◽  
Philippe Goldin ◽  
Ihno Lee ◽  
Hooria Jazaieri ◽  
Richard G. Heimberg ◽  
...  

2017 ◽  
Vol 41 (S1) ◽  
pp. S440-S440
Author(s):  
G. Sezer ◽  
G. Hızlı Sayar ◽  
H. Gulmez

The aim of this study is to investigate the relationship between childhood traumas and depression and anxiety levels of high school students in Sakarya. The sample of the present study consisted of 145 students 79 are girls and 66 are boys are chosen from five different school. To measure depression levels of students “Beck Depression Inventory” is used. To measure anxiety levels “Beck Anxiety Inventory” is used. To collect data about childhood traumas “Childhood Trauma Questionnaire” is used. Data were analyzed using SPSS 16.00. In result of this study, 86 people had symptoms of depression. And also there is a relationship between depression symptoms and anxiety symptoms. However, there is no relationship between childhood traumas and anxiety symptoms and depression symptoms.Disclosure of interestThe authors have not supplied their declaration of competing interest.


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