Psychological research into post-event processing in social anxiety disorder.

• Project/Area Number: 15K20910
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Clinical psychology; Social psychology
• Research Institution: University of Miyazaki
• Principal Investigator: Yoshinaga Naoki 宮崎大学, テニュアトラック推進機構, 講師 (80633635)
• Project Period (FY): 2015-04-01 – 2018-03-31
• Project Status: Completed (Fiscal Year 2017)
• Budget Amount: ¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000); Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000); Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
• Keywords: 社交不安 / 反すう / 認知行動療法 / 社交不安症 / 心理学 / 質的分析 / 臨床心理学

Outline of Final Research Achievements

Post-event processing (PEP) is a repetitive negative thinking process following social events. We performed qualitative interview study to know: whether individuals with social anxiety disorder (SAD) actually derive the benefits from post-event processing (PEP) that they expect; if this is not the case, how their positive beliefs are maintained; and if they are aware of the counterproductive effects of PEP, why they still perform PEP. The results suggest that: SADs rarely obtain the benefits from PEP that they expect; their positive metacognitive beliefs are maintained by solutions they sometimes find during PEP; and SADs choose to perform PEP while feeling conflicted; while PEP ironically maintains and exacerbates negative self-beliefs/images, it is the only safe/useful way to improve their social performance. These findings support and expand on the theories of PEP.

Academic Significance and Societal Importance of the Research Achievements

社交不安症を抱える人の中で、反すうを行う人は、行わない人と比べて、認知行動療法の効果が十分に得られないことがこれまで指摘されてきました。この研究の結果は、反すうが維持されるメカニズムを明らかにした研究であり、今後、反すうを軽減するための新たな介入法の開発などに繋がることが期待されます。

Research Products

• [Int'l Joint Research] University of Oxford/Swansea University(英国)
• [Int'l Joint Research] Swansea University(United Kingdom)
• [Int'l Joint Research] University of British Clombia(Canada)
• [Int'l Joint Research] Swansea University(英国)
• [Int'l Joint Research] University of Blitish Colombia(Canada)
• [Journal Article] 完全主義は心理的援助へのアクセスを妨げるか：大学生アスリートの援助希求を妨げる心理的要因 (2018)
  • Author(s): 小堀修，吉永尚紀，沢宮容子.
  • Journal Title: 認知療法研究 Volume: 11 Pages: 23-31
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Randomised controlled trial on the effect of internet-delivered computerised cognitive ;behavioural therapy on patients with insomnia who remain symptomatic following hypnotics: a study protocol (2018)
  • Author(s): Sato D, Yoshinaga N, Nagai E, Hanaoka H, Sato Y, Shimizu E
  • Journal Title: BMJ Open Volume: 8(1): Issue: 1 Pages: e018220-e018220
  • DOI: 10.1136/bmjopen-2017-018220
  • Peer Reviewed / Open Access
• [Journal Article] Does cognitive behavioral therapy alter mental defeat and cognitive flexibility in patients with panic disorder? (2018)
  • Author(s): Nagata S , Seki Y, Shibuya T, Yokoo M, Murata T, Hiramatsu Y, Yamada F, Ibuki H, Minamitani N, Yoshinaga N, Kusunoki M, Inada Y, Kawasoe N, Adachi S, Oshiro K, Matsuzawa D, Hirano Y, Yoshimura K, Nakazato M, Iyo M, Nakagawa A, Shimizu E.
  • Journal Title: BMC Res Notes. Volume: 11 Issue: 1 Pages: 23-23
  • DOI: 10.1186/s13104-018-3130-2
  • Peer Reviewed / Open Access
• [Journal Article] Is modified brief assertiveness training for nurses effective? A single-group study with long-term follow-up (2017)
  • Author(s): Yoshinaga Naoki、Nakamura Yohei、Tanoue Hiroki、MacLiam Fionnula、Aoishi Keiko、Shiraishi Yuko
  • Journal Title: Journal of Nursing Management Volume: 26 Issue: 1 Pages: 59-65
  • DOI: 10.1111/jonm.12521
  • Peer Reviewed / Open Access
• [Journal Article] Development and evaluation of a modified brief assertiveness training for nurses in the workplace: a single-group feasibility study (2017)
  • Author(s): Nakamura Yohei、Yoshinaga Naoki、Tanoue Hiroki、Kato Sayaka、Nakamura Sayoko、Aoishi Keiko、Shiraishi Yuko
  • Journal Title: BMC Nursing Volume: 16 Issue: 1
  • DOI: 10.1186/s12912-017-0224-4
  • Peer Reviewed / Open Access
• [Journal Article] The Effect of Cognitive Behavioral Group Therapy for Recovery of Self-Esteem on Community-Living Individuals with Mental Illness: Non-Randomized Controlled Trial. (2016)
  • Author(s): Kunikata H, Yoshinaga N, Nakajima K.
  • Journal Title: Psychiatry and Clinical Neurosciences Volume: 70 Issue: 10 Pages: 457-468
  • DOI: 10.1111/pcn.12418
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Treating antidepressant-resistant social anxiety disorder with cognitive behavioral therapy: a randomized clinical trial (2016)
  • Author(s): 43.Yoshinaga N, Matsuki S, Niitsu T, Sato Y, Tanaka M, Ibuki H, Takanashi R, Ohshiro K, Ohshima F, Asano K, Kobori O, Yoshimura K, Hirano Y, Sawaguchi K, Koshizaka M, Hanaoka H, Nakagawa A, Nakazato M, Iyo M, Shimizu E
  • Journal Title: Psychother Psychosom Volume: 85 Issue: 4 Pages: 208-217
  • DOI: 10.1159/000444221
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] A feasibility study of the clinical effectiveness and cost-effectiveness of individual cognitive behavioral therapy for panic disorder in a Japanese clinical setting: an uncontrolled pilot study (2016)
  • Author(s): Yoichi Seki
  • Journal Title: BMC Rserch Notes Volume: 9(1) Issue: 1 Pages: 2262-2265
  • DOI: 10.1186/s13104-016-2262-5
  • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] Effectiveness of a Cognitive Behavioural Therapy-Based Anxiety Prevention Programme for Children: A Preliminary Quasi-Experimental Study in Japan (2016)
  • Author(s): Urao Y, Yoshinaga N, Asano K, Ishikawa R, Tano A, Sato Y, Shimizu E
  • Journal Title: Child and Adolescent Psychiatry and Mental Health Volume: 10 Issue: 1
  • DOI: 10.1186/s13034-016-0091-x
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] 赤面を恐れる社交不安症に対する認知行動療法：Clark & Wellsモデルを用いた実践報告 (2016)
  • Author(s): 浦尾悠子*，石川亮太郎，吉永尚紀，清水栄司
  • Journal Title: 認知療法研究 Volume: 9(1) Pages: 66-74
  • NAID: 40020901447
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Cognitive Behavioral Therapy for Patients with Social Anxiety Disorder who Remain Symptomatic following Antidepressant Treatment: A Randomized, Assessor-Blinded, Controlled Trial (2016)
  • Author(s): Yoshinaga N, Matsuki S, Niitsu T, Sato Y, Tanaka M, Ibuki H, Takanashi R, Ohshiro K, Ohshima F, Asano K, Kobori O, Yoshimura K, Hirano Y, Sawaguchi K, Koshizaka M, Hanaoka H, Nakagawa A, Nakazato M, Iyo M, Shimizu E
  • Journal Title: Psychotherapy and Psychosomatics Volume: in press
  • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
• [Journal Article] Nursing Practice and Research Trends Pertaining to Cognitive Behavioral Therapy in Japan: A Systematic Review (2015)
  • Author(s): 吉永尚紀, 野崎章子, 宇野澤輝美枝, 浦尾悠子, 林佑太, 清水栄司
  • Journal Title: Anxiety Disorder Research Volume: 6 Issue: 2 Pages: 100-112
  • DOI: 10.14389/jsad.6.2_100
  • NAID: 130005073980
  • ISSN: 2188-7578, 2188-7586
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Cognitive Behavioral Therapy in Psychiatric Nursing in Japan (2015)
  • Author(s): Naoki Yoshinaga, Akiko Nosaki, Yuta Hayashi, Hiroki Tanoue, Eiji Shimizu, Hiroko Kunikata, Yoshie Okada and Yuko Shiraishi
  • Journal Title: Nursing Research and Practice Volume: 2015 Pages: 529107-529107
  • DOI: 10.1155/2015/529107
  • Peer Reviewed / Open Access
• [Journal Article] Nurse-led cognitive behavioral group therapy for recovery of self-esteem in patients with mental disorders: a pilot study. (2015)
  • Author(s): Hiroko Kunikata, Naoki Yoshinaga, Yuko Shiraishi, Yoshie Okada
  • Journal Title: Japan Journal of Nursing Science Volume: 2015 Issue: 3 Pages: 355-364
  • DOI: 10.1111/jjns.12114
  • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
• [Presentation] 不眠が社会に与える影響（社会的コスト）：系統的レビュー. (2018)
  • Author(s): 相星裕真, 吉永尚紀, 田上博喜, 原田奈穂子
  • Organizer: 第70回九州精神神経学会・第63回九州精神医療学会
• [Presentation] 看護師向け短縮版アサーティブ・トレーニングの短期的・長期的効果の検討. (2018)
  • Author(s): 中村陽平, 田上博喜, Fionnula MacLiam, 青石恵子, 白石裕子, 吉永尚紀.
  • Organizer: 第70回九州精神神経学会・第63回九州精神医療学会
• [Presentation] National Databaseを用いた認知行動療法の普及状況調査：九州地方に着目して. (2018)
  • Author(s): 佑太, 吉永尚紀, 田上博喜, 有村保次, 米澤ゆう子, 柳田俊彦, 青石恵子, 石田康.
  • Organizer: 第70回九州精神神経学会・第63回九州精神医療学会
• [Presentation] パニック症に対するマニュアルに基づく個人認知行動療法の臨床効果と医療経済評価 (2016)
  • Author(s): 関陽一，永田忍，澁谷孝之，横尾瑞恵，伊吹英恵，南谷則子，楠無我，稲田康之，川副暢子，足立總一郎, 吉永尚紀, 中川彰子, 吉村健佑，伊豫雅臣，清水栄司
  • Organizer: 第8回日本不安症学会学術集会
  • Place of Presentation: 千葉大学亥鼻キャンパス（千葉）
  • Year and Date: 2016-02-06
• [Presentation] 社交不安症の認知行動療法前後における心的イメージ：自発的イメージ使用尺度（SUIS）の日本語版の開発と臨床的有用性 (2016)
  • Author(s): 田中康子，吉永尚紀, 石川亮太郎, 須藤千尋，松澤大輔，清水栄司
  • Organizer: 第8回日本不安症学会学術集会
  • Place of Presentation: 千葉大学亥鼻キャンパス（千葉）
  • Year and Date: 2016-02-06
• [Presentation] 社交不安症患者に対する認知行動療法の一事例～電車内行動実験による認知変容過程に関する考察～ (2015)
  • Author(s): 田中康子, 吉永尚紀, 清水栄司
  • Organizer: 第12回 日本うつ病学会総会・第15回 日本認知療法学会
  • Place of Presentation: 京王プラザホテル（東京）
  • Year and Date: 2015-07-17
• [Book] 第16章 不安関連障害：社交不安症（対人恐怖症）. 下山晴彦, 中嶋義文（編） 「精神医療・臨床心理の知識と技法」 (2016)
  • Author(s): 清水栄司, 吉永尚紀
  • Total Pages: 360
  • Publisher: 医学書院
• [Book] 新体系看護学全書 精神看護学② 精神障害をもつ人の看護 (2016)
  • Author(s): 吉永尚紀, 清水栄司
  • Total Pages: 518
  • Publisher: メヂカルフレンド社
• [Remarks] 研究室HP
  • URL: http://www.med.miyazaki-u.ac.jp/home/yoshinaga/