Category: Adult Anxiety - Social

PS10- #A5 - Mechanisms Underlying Changes in Broad Dimensions of Psychopathology During CBT for SAD

Saturday, Nov 18
11:00 AM – 12:00 PM
Location: Indigo Ballroom CDGH, Level 2, Indigo Level

Keywords: Social Anxiety | Treatment-CBT | Comorbidity

Objectives: Social anxiety disorder (SAD) patients commonly have broad dimensions of psychopathology and SAD with comorbid psychiatric disorders is thought to be severe condition. The efficacy of cognitive behavioral therapy (CBT) for SAD has been well established. Reductions in self-focused attention and maladaptive cognitions may be associated with improvements in SAD symptoms after CBT. However, whether self-focused attention or maladaptive cognitions is related to a wide range of psychopathology during CBT has not been well studied.This study examined the relationship between broad dimensions of psychopathology and attention or cognitions in the course of CBT for SAD.

Methods:
One hundred ten SAD patients attended the group CBT program. The study was performed in accordance with the Declaration of Helsinki and the study’s protocol was approved by the Ethics Committee of our institute.The program was composed of psychoeducation, behavioural experiments, attention training, cognitive restructuring, and in vivo graded exposures. Two trained therapists conducted two- hour sessions once a week for sixteen weeks. At pre- and post-treatment, all the patients were evaluated using following instruments;Symptom Checklist-90 Revised (SCL-90-R), Brief Fear of Negative Evaluation Scale (BFNE), and Focus of Attention Questionnaire (FAQ).We performed multiple linear regression analysis using the variables about the changes in BFNE and Self-Focused Attention subscale of FAQ as independent variables and the changes in the ten subscales of SCL-90-R as dependent variables.

Results:
In multiple regression analysis, the reduction in Self-Focused Attention subscale of FAQ was associated with the decreases in SCL-90-R subscales including somatization, obsessive-compulsive, interpersonal sensitivity, anxiety, phobic anxiety, and global severity index. The reduction in BFNE was related to decreases in interpersonal sensitivity, depression, and global severity index subscales. 

Conclusion:
The present study showed that the reductions in self-focused attention and maladaptive cognitions predicted broad dimensions of psychopathology reductions in SAD patients over the course of CBT. For the purpose of improving anxiety symptoms with SAD patients in CBT, it may be useful to decrease self-focus attention. Moreover, it may be beneficial for SAD patients with comorbid depression symptoms to reduce maladaptive cognitions.

Sei Ogawa

Assistant Professor
Nagoya City University Graduate School of Medical Sciences
Nagoya, Japan

Risa Imai

Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences

Masako Suzuki

Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences

Toshiaki Furukawa

Department of Health Promotion and Human Behavior, Kyoto University Graduate School of Medicine / School of Public Health

Tatsuo Akechi

Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences