Trajectories of social anxiety, cognitive reappraisal, and mindfulness during an RCT of CBGT versus MBSR for social anxiety disorder.
Study Goal
The researchers aimed to compare the trajectories of change and underlying mechanisms of Cognitive-Behavioral Group Therapy (CBGT) and Mindfulness-Based Stress Reduction (MBSR) in treating social anxiety disorder (SAD).
Results Summary
Both CBGT and MBSR reduced social anxiety and increased cognitive reappraisal and mindfulness, with CBGT showing greater improvements in disputing anxious thoughts and reappraisal success, while MBSR led to greater acceptance of anxiety. Temporal dynamics revealed distinct predictive pathways for symptom reduction in each intervention.
Population
108 unmedicated adults with generalized social anxiety disorder (SAD).
Effective Dosage
Not specified
Duration
12 weeks
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Cognitive-Behavioral Group Therapy (CBGT) | decrease | social anxiety disorder (SAD) | adults with generalized SAD | - | efficacious in treating | #1 |
Mindfulness-Based Stress Reduction (MBSR) | decrease | social anxiety disorder (SAD) | adults with generalized SAD | - | efficacious in treating | #2 |
CBGT | decrease | social anxiety | 108 unmedicated adults with generalized SAD | - | produced decreases in | #3 |
CBGT | increase | reappraisal (changing the way of thinking) | 108 unmedicated adults with generalized SAD | - | produced increases in | #4 |
CBGT | increase | mindfulness (mindful attitude) | 108 unmedicated adults with generalized SAD | - | produced increases in | #5 |
MBSR | decrease | social anxiety | 108 unmedicated adults with generalized SAD | - | produced decreases in | #6 |
MBSR | increase | reappraisal (changing the way of thinking) | 108 unmedicated adults with generalized SAD | - | produced increases in | #7 |
MBSR | increase | mindfulness (mindful attitude) | 108 unmedicated adults with generalized SAD | - | produced increases in | #8 |
CBGT | increase | disputing anxious thoughts/feelings | 108 unmedicated adults with generalized SAD | - | produced greater increases in | #9 |
CBGT | increase | reappraisal success | 108 unmedicated adults with generalized SAD | - | produced greater increases in | #10 |
MBSR | increase | acceptance of anxiety | 108 unmedicated adults with generalized SAD | - | produced greater increases in | #11 |
MBSR | increase | acceptance success | 108 unmedicated adults with generalized SAD | - | produced greater increases in | #12 |
CBGT | decrease | weekly social anxiety | 108 unmedicated adults with generalized SAD | - | increases in weekly reappraisal predicted subsequent decreases in | #13 |
CBGT | decrease | weekly social anxiety | 108 unmedicated adults with generalized SAD | - | increases in weekly reappraisal success predicted subsequent decreases in | #14 |
MBSR | decrease | weekly social anxiety | 108 unmedicated adults with generalized SAD | - | increases in weekly mindful attitude predicted subsequent decreases in | #15 |
MBSR | decrease | weekly social anxiety | 108 unmedicated adults with generalized SAD | - | increases in weekly disputing anxious thoughts/feelings predicted subsequent decreases in | #16 |
UNLABELLED: Cognitive-Behavioral Group Therapy (CBGT) and Mindfulness-Based Stress Reduction (MBSR) are efficacious in treating social anxiety disorder (SAD). It is not yet clear, however, whether they share similar trajectories of change and underlying mechanisms in the context of SAD. This randomized controlled study of 108 unmedicated adults with generalized SAD investigated the impact of CBGT vs. MBSR on trajectories of social anxiety, cognitive reappraisal, and mindfulness during 12 weeks of treatment. CBGT and MBSR produced similar trajectories showing decreases in social anxiety and increases in reappraisal (changing the way of thinking) and mindfulness (mindful attitude). Compared to MBSR, CBGT produced greater increases in disputing anxious thoughts/feelings and reappraisal success. Compared to CBGT, MBSR produced greater acceptance of anxiety and acceptance success. Granger Causality analyses revealed that increases in weekly reappraisal and reappraisal success predicted subsequent decreases in weekly social anxiety during CBGT (but not MBSR), and that increases in weekly mindful attitude and disputing anxious thoughts/feelings predicted subsequent decreases in weekly social anxiety during MBSR (but not CBGT). This examination of temporal dynamics identified shared and distinct changes during CBGT and MBSR that both support and challenge current conceptualizations of these clinical interventions. CLINICALTRIALS. GOV IDENTIFIER: NCT02036658.