Why do people get stage fright? Brain functional and morphological study of interpersonal cognitive processing in social anxiety disorder.

• Project/Area Number: 25461749
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Psychiatric science
• Research Institution: Chiba University
• Principal Investigator: Hirano Yoshiyuki 千葉大学, 子どものこころの発達教育研究センター, 特任准教授 (50386843)
• Co-Investigator(Renkei-kenkyūsha): SUTOH Chihiro 千葉大学, 大学院医学研究院, 助教 (30612650) ; MATSUZAWA Daisuke 千葉大学, 大学院医学研究院, 講師 (10447302)
• Research Collaborator: SHIMIZU Eiji 千葉大学, 大学院医学研究院, 教授 (00292699) ; NAKAZATO Michiko 千葉大学, 大学院医学研究院, 特任教授 (10334195) ; YOSHINAGA Naoki 宮崎大学, テニュアトラック推進機構, 講師 (80633635) ; OBATA Takayuki 国立研究開発法人量子科学技術研究開発機構, 放射線医学総合研究所 分子イメージング診断治療研究部, 次長 (00285107) ; NAKAGAWA Akiko 千葉大学, 子どものこころの発達教育研究センター, 特任教授 (70253424)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000); Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2014: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000); Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
• Keywords: 社交不安症 / 対人不安 / 対人恐怖 / fMRI / 拡散テンソル画像 / MRI / 拡散テンソル / 社交不安障害

Outline of Final Research Achievements

We aimed to clarify the neuronal substrates in patients with social anxiety disorder whose main symptoms are strong anxiety and tension in interpersonal relationships and social situations by identifying abnormalities in interpersonal cognitive circuits corresponding to social threats for helping to design a treatment plan of cognitive behavioral therapy. Amygdaloid activities were evaluated by functional MRI (fMRI) when our types of facial expression images (neutral, angry, fear, and smile) were presented. As a result, robust activities were observed only for “anger” facial expression in healthy controls, whereas they were found for all facial expressions, even “smile,” in social anxiety disorder. It is suggested that the interpretation is biased against ambiguous facial expressions such as “neutral.”

Research Products

• [Int'l Joint Research] Purdue University/Duke University/National Institutes of Health(米国)
• [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] 社交不安障害の神経基盤と認知行動療法の作用メカニズムの解明（第3報） (2016)
  • Author(s): 2.平野好幸、小畠隆行、中川彰子、吉永尚紀、須藤千尋、松澤大輔、シュデシナ チャクラボルティ、伊藤浩、辻比呂志、清水栄司
  • Journal Title: メンタルヘルス岡本記念財団研究助成報告集 Volume: 27 Pages: 95-100
• [Journal Article] Treating antidepressant-resistant social anxiety disorder with cognitive behavioral therapy: a randomized clinical 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: Psychother Psychosom Volume: 印刷中
  • Peer Reviewed
• [Journal Article] 社交不安障害の神経基盤と認知行動療法の作用メカニズムの解明（第3報） (2016)
  • Author(s): 平野好幸、小畠隆行、中川彰子、吉永尚紀、須藤千尋、松澤大輔、シュデシナ チャクラボルティ、伊藤浩、辻比呂志、清水栄司
  • Journal Title: メンタルヘルス岡本記念財団研究助成報告集 Volume: 印刷中
• [Journal Article] 社交不安症（社交不安障害）と脳画像研究 (2015)
  • Author(s): 平野好幸
  • Journal Title: 認知療法研究 Volume: 8 Pages: 147-157
• [Journal Article] Transient contribution of left posterior parietal cortex to cognitive restructuring (2015)
  • Author(s): Sutoh C, Matsuzawa D, Hirano Y, Yamada M, Nagaoka S, Chakraborty S, Ishii D, Matsuda S, Tomizawa H, Ito H, Tsuji H, Obata T, Shimizu E.
  • Journal Title: Sci Rep Volume: 5 Issue: 1 Pages: 9199-9199
  • DOI: 10.1038/srep09199
  • Peer Reviewed / Open Access
• [Journal Article] Comparison in decision-making between bulimia nervosa, anorexia nervosa, and healthy women: influence of mood status and pathological eating concerns (2015)
  • Author(s): Matsumoto J, Hirano Y, Numata N, Matsuzawa D, Murano S, Yokote K, Iyo M, Shimizu E, Nakazato M.
  • Journal Title: J Eat Disord Volume: 3 Issue: 1 Pages: 14-14
  • DOI: 10.1186/s40337-015-0050-6
  • Peer Reviewed / Open Access
• [Journal Article] Correlation between Morphologic Changes and Autism Spectrum Tendency in Obsessive-Compulsive Disorder (2015)
  • Author(s): Kobayashi T, Hirano Y, Nemoto K, Sutoh C, Ishikawa K, Miyata H, Matsumoto J, Matsumoto K, Masuda Y, Nakazato M, Shimizu E, Nakagawa A.
  • Journal Title: Magn Reson Med Sci Volume: 印刷中
  • NAID: 130005108990
  • Peer Reviewed
• [Journal Article] 社交不安障害の神経基盤と認知行動療法の作用メカニズムの解明（第2報） (2014)
  • Author(s): 平野好幸、小畠隆行、中川彰子、吉永尚紀、須藤千尋、松澤大輔、シュデシナ チャクラボルティ、伊藤浩、辻比呂志、清水栄司
  • Journal Title: メンタルヘルス岡本記念財団研究助成報告集 Volume: 26
• [Journal Article] 認知行動療法と脳画像 (2014)
  • Author(s): 平野好幸、中川彰子、須藤千尋、松澤大輔、小畠隆行、中里道子、清水栄司
  • Journal Title: 子どものこころと脳の発達 Volume: 5 Pages: 45-50
• [Journal Article] 水道周囲灰白質 (2013)
  • Author(s): 平野好幸、須藤千尋、松澤大輔、清水栄司
  • Journal Title: 分子精神医学 Volume: 13 Pages: 40-44
• [Journal Article] 社交不安障害の神経基盤と認知行動療法の作用メカニズムの解明（第1報） (2013)
  • Author(s): 平野好幸、小畠隆行、中川彰子、吉永尚紀、須藤千尋、松澤大輔、シュデシナ チャクラボルティ、伊藤浩、辻比呂志、清水栄司
  • Journal Title: メンタルヘルス岡本記念財団研究助成報告集 Volume: 24
• [Presentation] Decreased BOLD responses to the neutral faces after CBT in social anxiety disorder (2016)
  • Author(s): 7.Hirano Y, Obata T, Sutoh C, Matsuzawa D, Yoshinaga N, Ito H, Tsuji H, Shimizu E
  • Organizer: 124th Annual Convention of the American Psychological Association
  • Place of Presentation: Denver, USA
  • Year and Date: 2016-08-04
  • Int'l Joint Research
• [Presentation] FMRI responses to the facial expression images in amygdala after CBT in social anxiety disorder (2016)
  • Author(s): 8.Hirano Y, Obata T, Sutoh C, Matsuzawa D, Yoshinaga N, Ito H, Tsuji H, Shimizu E
  • Organizer: 22nd annual meeting of the organization for human brain mapping
  • Place of Presentation: Geneva, Switzerland
  • Year and Date: 2016-06-26
  • Int'l Joint Research
• [Presentation] 社交不安症の脳画像研究治療による脳機能の変化 (2015)
  • Author(s): 平野好幸
  • Organizer: 第7回日本不安症学会学術大会
  • Place of Presentation: アステールプラザ（広島県広島市）
  • Year and Date: 2015-02-14 – 2015-02-15
  • Invited
• [Presentation] 社交不安症（社交不安障害）と脳画像研究 (2014)
  • Author(s): 平野好幸
  • Organizer: 第14回日本認知療法学会、第18回日本摂食障害学会学術集会合同大会
  • Place of Presentation: 大阪国際会議場（大阪府大阪市）
  • Year and Date: 2014-09-12 – 2014-09-14
  • Invited
• [Presentation] Functional and structural brain representation of cognitive restructuring. (2014)
  • Author(s): Sutoh C, Matsuzawa D, Hirano Y, Yamada M, Nagaoka S, Ishii D, Matsuda S, Tomizawa H, Ito H, Tsuji H, Obata T, Shimizu E.
  • Organizer: 44th European Association for Behavioural and Cognitive Therapies Congress
  • Place of Presentation: The Hague (Netherlands)
  • Year and Date: 2014-09-10 – 2014-09-13
• [Presentation] Effectiveness of cognitive therapy and neuronal alterations in medication-resistant social anxiety disorder. (2014)
  • Author(s): Yoshinaga N, Hirano Y, Shimizu E.
  • Organizer: 8th International Congress of Cognitive Psychotherapy
  • Place of Presentation: Hong Kong (China)
  • Year and Date: 2014-06-24 – 2014-06-27
• [Presentation] Functional and structural alterations induced by cognitive behavioral therapy in social anxiety disorder. (2014)
  • Author(s): Hirano Y, Obata T, Sutoh C, Matsuzawa D, Yoshinaga N, Liu Z, Ito H, Tsuji H, Shimizu E.
  • Organizer: Joint Annual Meeting ISMRM-ESMRMB 2014
  • Place of Presentation: Milan (Italy)
  • Year and Date: 2014-05-10 – 2014-05-16
• [Presentation] 治療抵抗性社交不安障害に対する認知行動療法の効果と機能的MRIを用いた作用機序の解明 (2014)
  • Author(s): 吉永尚紀, 平野好幸, 清水栄司
  • Organizer: 第6回日本不安障害学会学術大会
  • Place of Presentation: 東京
• [Presentation] Functional and structural alterations induced by cognitive behavioral therapy in social anxiety disorder (2014)
  • Author(s): Hirano Y, Obata T, Sutoh C, Matsuzawa D, Yoshinaga N, Liu Z, Ito H, Tsuji H, Shimizu E
  • Organizer: Joint Annual Meeting ISMRM-ESMRMB 2014
  • Place of Presentation: Milan, Italy
• [Presentation] Effectiveness of Cognitive Therapy and Neuronal Alterations in Medication-Resistant Social Anxiety Disorder (2014)
  • Author(s): Yoshinaga N, Hirano Y, Shimizu E
  • Organizer: 8th International Congress of Cognitive Psychotherapy
  • Place of Presentation: Hong Kong
• [Presentation] Emotional facial processing in SSRI resistant social anxiety disorder (2013)
  • Author(s): Hirano Y, Obata T, Sutoh C, Matsuzawa D, Liu Z, Ito H, Tsuji H, Shimizu E
  • Organizer: 7th World Congress of Behavioural and Cognitive Therapies
  • Place of Presentation: Lima, Peru
• [Remarks] 研究内容 | 研究者の方へ | 千葉大学 子どものこころの発達教育研究センター:
• [Remarks] 研究内容 | 研究者の方へ | 千葉大学 子どものこころの発達教育研究センター:
• [Remarks] 研究内容 | 研究者の方へ | 千葉大学 子どものこころの発達研究センター: