{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T15:32:04Z","timestamp":1772811124212,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,4,15]],"date-time":"2013-04-15T00:00:00Z","timestamp":1365984000000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p>While randomized evidence appears to have established efficacy of cognitive\u2013behavioral therapy (<jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>) and some pharmacotherapy for social anxiety disorder (<jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content>), their real\u2010world effectiveness has been called into question by long\u2010term naturalistic cohort studies of patients with <jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content> as they show very low probability of recovery and sustained social dysfunctions despite some drug and psychological therapies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The present study examines the effectiveness of group <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content> for <jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content> in real\u2010world settings (<jats:italic>n<\/jats:italic>\u2009=\u200962) by examining the course of patients' symptomatology and social functions through approximately 6 months on the waiting list, through 6 months receiving the manualized group <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content> intervention consisting of 16 2\u2010h sessions, and for 12 months after the treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found: (i) that the patients with <jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content> changed little or possibly worsened through the 6 months on the waiting list, although two in three of them were on antidepressants, benzodiazepines or both; (ii) that both their symptomatology and social function improved significantly and substantively through the group <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content>; and (iii) that this improvement was maintained through the 3\u2010 and 12\u2010month follow ups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We can implement and must disseminate evidence\u2010based, effective <jats:styled-content style=\"fixed-case\">CBT<\/jats:styled-content> for more patients with <jats:styled-content style=\"fixed-case\">SAD<\/jats:styled-content> to lessen their suffering and stop the perpetuation of their symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pcn.12035","type":"journal-article","created":{"date-parts":[[2013,4,15]],"date-time":"2013-04-15T08:31:22Z","timestamp":1366014682000},"page":"139-147","source":"Crossref","is-referenced-by-count":8,"title":["<scp>C<\/scp>ognitive\u2013behavioral therapy modifies the naturalistic course of social anxiety disorder: Findings from an <scp>ABA<\/scp> design study in routine clinical practices"],"prefix":"10.1111","volume":"67","author":[{"given":"Toshi A.","family":"Furukawa","sequence":"first","affiliation":[{"name":"Department of Health Promotion and Human Behavior Kyoto University Graduate School of Medicine\/School of Public Health  Kyoto"},{"name":"Department of Psychiatry and Cognitive\u2013Behavioral Medicine Nagoya City University Graduate School of Medical Sciences  Nagoya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yumi","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Psychiatry 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