Video Feedback Techniques Used in Social Anxiety Disorders

The effectiveness of video feedback in socially anxious individuals including the improvement of distorted self-perceptions has been reported. However, socially anxious individuals might overestimate their appearance on video as more negative or less positive. Such misjudgments might be caused by excessively high negative interpretations and lack of positive interpretations in patients with social anxiety disorder (SAD). The results of this study suggest that a person’s interpretations of his or her appearance on video interfere with the effectiveness of video feedback. The significance of these findings and techniques for improving cognitive interventions using video feedback are discussed

Cognitive Behavior Therapy and Mindfulness-Based Intervention for Social Anxiety Disorder

Social anxiety disorder (SAD) is a marked, or intense, fear or anxiety of social situations in which the individual may be scrutinized by others. The most well-known and efficacious psychological treatment for individuals with SAD is cognitive behavior therapy (CBT). Previous meta-analysis reported that the most recommended treatment components of CBT programs for SAD are exposure and cognitive restructuring. In recent years, mindfulness-based intervention (MBI) has shown efficacy in improving SAD. In this chapter, exposure treatment and cognitive restructuring for SAD and MBI for SAD are introduced. Additionally, the benefits of using MBI for SAD are discussed. This chapter also discusses the effects on the improvement of trait-mindfulness for social anxiety. Finally, we indicate the possibilities of the combination of mindfulness and exposure for treatment of SAD

Effect of day-to-day variations in adrenal cortex hormone levels on abdominal symptoms

<p>Abstract</p> <p>Introduction</p> <p>The hypothalamic-pituitary-adrenal axis is known to be related to abdominal symptoms, and the relationship between abdominal pain and cortisol secretory patterns has been previously investigated using a cross-sectional approach. Here, we investigated the effect of day-to-day variations in salivary cortisol and dehydroepiandrosterone-sulfate levels on abdominal symptoms in healthy individuals.</p> <p>Methods</p> <p>Eleven college students (4 males and 7 females) participated in this study. The participants were asked to collect their saliva immediately after awakening and before bedtime for eight consecutive days. They also completed a questionnaire about abdominal symptoms before bedtime. The linear mixed model was applied to analyze the effects of the day-by-day variability or the 8-day average adrenal hormone level (at awakening, before bedtime, slope from awakening to bedtime) on abdominal symptoms.</p> <p>Results</p> <p>The day-to-day variability of cortisol levels before bedtime was negatively related with loose stool, while the day-to-day variability of the cortisol slope was positively correlated with loose stool. A low 8-day average dehydroepiandrosterone-sulfate level at awakening was positively related with frequent bowel movements, loose stool, and long bouts of severe abdominal pain. Likewise, a low 8-day average dehydroepiandrosterone-sulfate slope was positively related with long bouts of abdominal pain.</p> <p>Conclusions</p> <p>Low cortisol levels before bedtime and a steeper diurnal cortisol slope during the day may be related to bouts of diarrhea during the day.</p

Internet-Based Cognitive Behavior Therapy for Stress and Anxiety among Young Japanese Adults: A Preliminary Study

In the present study, we examined the effect of an internet cognitive behavior therapy (ICBT) program on anxiety, stress, and depressive symptoms in university students. Data were analyzed for 17 participants undergoing ICBT and 11 control group participants. An ANOVA of intention-to-treat analysis and per protocol (PP) analysis indicated that the interaction between group and measurement time was significant for the state&ndash;trait anxiety inventory (STAI) scores and that idiosyncratic anxiety was significantly improved. Through the results of PP, a moderate effect size for changes in STAI scores in the intervention group was observed (d = 0.62) based on Cohen&rsquo;s (1988) classifications. A large effect was also observed for improvements in idiosyncratic anxiety (d = 0.91). Based on the results of the analyses, a significant interaction was observed for the STAI scores. In the intervention group, STAI scores and individual anxiety were significantly reduced after implementing the ICBT program. It was suggested that the ICBT program may positively influence thinking about anxiety and stress from an objective viewpoint

The effect for Japanese workers of a self-help computerized cognitive behaviour therapy program with a supplement soft drink

Abstract Background Computerized cognitive behaviour therapy (CCBT) programs can provide a useful self-help approach to the treatment of psychological problems. Previous studies have shown that CCBT has moderate effects on depression, insomnia, and anxiety. The present study investigated whether a supplement drink that includes L-carnosine enhances the effect of CCBT on psychological well-being. Methods Eighty-seven participants were randomly allocated to a control group, CCBT, or CCBT with supplement drink. The CCBT and CCBT with supplement drink groups received six weekly self-help CCBT program instalments, which consisted of psycho-education about stress management and coping, behaviour activation, and cognitive restructuring. The CCBT group consumed a bottle of the supplement soft drink every morning through the 6 weeks. This program was delivered by an e-learning system on demand and also included a self-help guidebook. Seventy-two participants completed the program or were assess at the end of the study. Results ANOVA revealed that there were significant interactions (times × groups) for POMS tension-anxiety and fatigue. The CCBT group showed significantly improved tension-anxiety scores, whereas the CCBT with drink group showed significant improvements on fatigue. Conclusion The self-help CCBT program reduced the subjective experience of tension-anxiety in this group of workers. The addition of a supplement drink enhanced the effect of CCBT on fatigue, providing one possible approach to enhancement of such programs. Trial registration This study was registered on September 2, 2016 at UMIN. The registration number is UMIN000023903

Differential Reactivity of Attention Biases in Patients with Social Anxiety Disorder

nformation-processing biases based on cognitive and cognitive behavioral models have been reported in social anxiety disorder (SAD). One such bias is the attention bias, or selectively attending to threat stimuli. This bias has been associated in anxiety with maintenance and worsening of SAD symptoms. The objective of the present study was to examine, compare, and clarify differences in attention biases to language stimuli between SAD patients and healthy people. Results indicated, no differences between the two groups, but differences were seen in the attention bias score among SAD patients. This suggests that there is an increased threat effect among SAD patients triggered by their attention bias toward social threat stimul

Brief internet-based cognitive behavior therapy program with a supplement drink improved anxiety and somatic symptoms in Japanese workers

Abstract Background Self-help cognitive behavior therapy (CBT) is a useful approach for the treatment of psychological problems. Recent research on the effectiveness of self-help internet-based CBT (ICBT) indicates that the paradigm moderately improves psychological problems. Furthermore, previous studies have shown that food and drinks containing supplements improve various health conditions. We investigated the effect of a brief self-help ICBT administered with a supplement drink on psychological well-being and somatic symptoms. Methods In total, 101 healthy workers were enrolled in the 4-week ICBT program, which consisted of psychoeducation on stress management, behavior activation, and cognitive restructuring. The supplement soft drink was taken every day during the program. The participants were instructed to watch on-demand video clips and read the self-help guidebook and supporting comic strip weekly on the Internet or smartphone. The Japanese version of the Profile of Mood States (POMS) was administered before and after completion of the program. Scores on the POMS tension-anxiety (POMS-TA), depression (POMS-D), and fatigue (POMS-F) subscales were used to assess the effect of the program. Somatic symptoms were assessed using the Brief Job Stress Questionnaire. Results In total, 75 participants continued the program for 4 weeks; however, of those, 27 failed to complete all weekly tasks or meet the post-assessment deadlines. Therefore, the data of 48 participants were included in the analysis. Pre-post intervention comparisons using paired t-tests revealed significant improvement on the POMS-TA, but not the POMS-D or POMS-F subscales. Moreover, participants reported a significant reduction in the severity of low back pain. Conclusion Our brief intervention moderately improved anxiety levels and the symptom of low back pain. These findings suggest that the brief ICBT program is effective in non-patient populations. Future directions for brief ICBT are discussed. Trial registration This study was registered on February 10, 2016 at UMIN. The registration number is UMIN000020962