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Mindfulness and acceptance-based group therapy versus traditional cognitive behavioral group therapy for social anxiety disorder: a randomized controlled trial.

Behaviour research and therapy
December 1, 2013
Nancy L Kocovski et al. (5 authors)
Comparative StudyJournal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effectiveness of mindfulness and acceptance-based group therapy (MAGT) with cognitive behavioral group therapy (CBGT) for reducing social anxiety symptoms in individuals with Social Anxiety Disorder (SAD).

Results Summary

Both MAGT and CBGT were more effective than the control group in reducing social anxiety symptoms, with no significant differences between the two therapies. Secondary outcomes, such as mindfulness and acceptance, also showed similar improvements in both treatment groups.

Population

Individuals diagnosed with Social Anxiety Disorder (N = 137, mean age = 34 years, 54% female, 62% White, 20% Asian).

Effective Dosage

Not specified

Duration

Treatment duration not explicitly stated, but assessments were conducted at baseline, midpoint, completion, and 3-month follow-up.

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness and acceptance-based group therapy (MAGT)
decrease
social anxiety symptom severity
individuals diagnosed with Social Anxiety Disorder (SAD)
-
more effective than the control group
#1
cognitive behavioral group therapy (CBGT)
decrease
social anxiety symptom severity
individuals diagnosed with Social Anxiety Disorder (SAD)
-
more effective than the control group
#2
mindfulness and acceptance-based group therapy (MAGT)
no change
social anxiety reduction
individuals diagnosed with Social Anxiety Disorder (SAD)
-
not significantly different from one another
#3
cognitive behavioral group therapy (CBGT)
no change
social anxiety reduction
individuals diagnosed with Social Anxiety Disorder (SAD)
-
not significantly different from one another
#4
mindfulness and acceptance-based group therapy (MAGT)
no change
most other variables assessed
individuals diagnosed with Social Anxiety Disorder (SAD)
-
not significantly different from one another
#5
cognitive behavioral group therapy (CBGT)
no change
most other variables assessed
individuals diagnosed with Social Anxiety Disorder (SAD)
-
not significantly different from one another
#6
Abstract

UNLABELLED: Recent research has supported the use of mindfulness and acceptance-based interventions for Social Anxiety Disorder (SAD). OBJECTIVE: The purpose of the present study was to compare mindfulness and acceptance-based group therapy (MAGT) with cognitive behavioral group therapy (CBGT) with respect to outcome. It was hypothesized that MAGT and CBGT would both be superior to a control group but not significantly different from one another. METHOD: Individuals (N = 137, mean age = 34 years, 54% female, 62% White, 20% Asian) diagnosed with SAD were randomly assigned to MAGT (n = 53), CBGT (n = 53) or a waitlist control group (n = 31). The primary outcome was social anxiety symptom severity assessed at baseline, treatment midpoint, treatment completion, and 3-month follow-up. Secondary outcomes were cognitive reappraisal, mindfulness, acceptance, and rumination. Depression, valued living, and group cohesion were also assessed. RESULTS: As hypothesized, MAGT and CBGT were both more effective than the control group but not significantly different from one another on social anxiety reduction and most other variables assessed. CONCLUSIONS: The present research provides additional support for the use of mindfulness and acceptance-based treatments for SAD, and future research should examine the processes by which these treatments lead to change.

Medical Subject Headings (MeSH)
Acceptance and Commitment TherapyAdolescentAdultAnalysis of VarianceAttitude to HealthCombined Modality TherapyFemaleHumansMaleMiddle AgedMindfulnessPhobic DisordersPsychotherapy, GroupTreatment OutcomeYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality90/10
Citation Metrics
Total Citations87
Citations/Year7.3
Relative Citation Ratio4.20
NIH Percentile90.8%
Research Impact Scores
APT Score0.95
Weight Score1.82
Normalized Score0.72
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