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Preliminary Investigation of a Mindfulness-Based Intervention for Social Anxiety Disorder That Integrates Compassion Meditation and Mindful Exposure.

Journal of alternative and complementary medicine (New York, N.Y.)
May 1, 2016
Diana Koszycki et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the feasibility and initial efficacy of a 12-week mindfulness-based intervention tailored for individuals with social anxiety disorder, incorporating self-compassion training and mindful exposure.

Results Summary

The intervention was feasible, with 81% attendance, and significantly improved social anxiety, depression, social adjustment, self-compassion, and mindfulness facets, with gains maintained at 3-month follow-up.

Population

Individuals with social anxiety disorder (n=21 in intervention group, n=18 in waitlist control).

Effective Dosage

Not specified (12 weekly group sessions).

Duration

12 weeks.

Interactions

None mentioned.

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD)
increase
feasibility
persons with social anxiety disorder
81% of participants attending at least 75% of sessions
was acceptable and feasible
#1
12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD)
decrease
social anxiety symptom severity
persons with social anxiety disorder
p ≤ 0.0001
fared better than WL in improving
#2
12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD)
decrease
depression
persons with social anxiety disorder
p ≤ 0.05
fared better than WL in improving
#3
12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD)
increase
social adjustment
persons with social anxiety disorder
p ≤ 0.05
fared better than WL in improving
#4
12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD)
increase
self-compassion
persons with social anxiety disorder
p ≤ 0.05
enhanced
#5
12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD)
increase
facets of mindfulness (observe and aware)
persons with social anxiety disorder
p ≤ .05
enhanced
#6
12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD)
no change
treatment gains
persons with social anxiety disorder
at 3-month follow-up
were maintained
#7
Abstract

OBJECTIVES: This study evaluated the feasibility and initial efficacy of a 12-week group mindfulness-based intervention tailored for persons with social anxiety disorder (MBI-SAD). The intervention includes elements of the standard mindfulness-based stress reduction program, explicit training in self-compassion aimed at cultivating a more accepting and kinder stance toward oneself, and use of exposure procedures to help participants practice responding mindfully to internal experiences evoked by feared social situations. METHODS: Participants were randomly assigned to the MBI-SAD (n = 21) or a waitlist (WL) (n = 18) control group. Feasibility was assessed by the number of participants who completed at least 75% of the 12 weekly group sessions. Primary efficacy outcomes were clinician- and self-rated measures of social anxiety. Other outcomes included clinician ratings of illness severity and self-rated depression, social adjustment, mindfulness, and self-compassion. RESULTS: The MBI-SAD was acceptable and feasible, with 81% of participants attending at least 75% of sessions. The MBI-SAD fared better than WL in improving social anxiety symptom severity (p ≤ 0.0001), depression (p ≤ 0.05), and social adjustment (p ≤ 0.05). The intervention also enhanced self-compassion (p ≤ 0.05), and facets of mindfulness (observe and aware; p ≤ .05). MBI-SAD treatment gains were maintained at 3-month follow-up. CONCLUSIONS: These preliminary findings suggest that an MBI that integrates explicit training in self-compassion and mindful exposure is a feasible and promising intervention for social anxiety disorder. The next step is to compare the MBI-SAD to the gold standard of cognitive-behavior therapy to determine equivalence or noninferiority and to explore mediators and moderators of treatment outcome.

Medical Subject Headings (MeSH)
AdolescentAdultAgedAged, 80 and overEmpathyFemaleHumansImplosive TherapyMaleMeditationMiddle AgedMindfulnessPhobia, SocialTreatment OutcomeYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations28
Citations/Year3.1
Relative Citation Ratio1.57
NIH Percentile66.6%
Research Impact Scores
APT Score0.75
Weight Score1.91
Normalized Score0.70
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