Randomized trial of cognitive behaviour group therapy and a mindfulness-based intervention for social anxiety disorder: Preliminary findings
Abstract
Recent studies have evaluated the possible efficacy of mindfulness-based interventions (MBIs) for social anxiety disorder (SAD). However, few trials have compared MBIs with a first-line treatment. This study evaluated the relative efficacy of an MBI adapted for SAD (MBI-SAD) to cognitive behaviour group therapy (CBGT) for SAD. Participants were randomized to 12 weekly group sessions of the MBI-SAD (n = 52) or CBGT (n = 45). Results revealed that CBGT fared better than the MBI-SAD in reducing clinician- and self-rated social anxiety severity. The difference between the MBI-SAD and CBGT exceeded the prespecified noninferiority margin for our primary outcome the Liebowitz Social Anxiety Scale, but findings are inconclusive as the width of the confidence interval extended in both directions surrounding the noninferiority margin. The MBI-SAD compared favourably with CBGT in improving other indices of well-being (depression, self-esteem, satisfaction with life, social adjustment). Contrary to expectation, the MBI-SAD did not produce greater changes in mindfulness and self-compassion than CBGT. Overall, results confirm that CBGT is robust treatment for SAD and should be considered as first-line treatment.
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Mindfulness-based interventions can effectively alleviate anxiety.
“Increasing research has shown that mindfulness-based interventions can effectively alleviate anxiety”
From Anticipatory threat responses mediate the relationship between mindfulness and anxiety: A cross-sectional study (2022) · cites this paper as [14]
Minor adverse events were equally distributed between experimental and control groups.
“Minor AEs were equally distributed between experimental and control groups65,69,73–77,80.”
From A systematic review and meta-analysis of acceptance- and mindfulness-based interventions for DSM-5 anxiety disorders (2021) · cites this paper as [74]
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Extended reality as an assistive technology for mental health and wellbeing: a scoping review
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- Authors
- Koszycki, D., Guérin, E., DiMillo, J., & Bradwejn, J.
- Affiliations
- University of Ottawa (CA)
- Montfort Hospital (CA)
- Venue
- Clinical Psychology & Psychotherapy
- Publisher
- Wiley
- Published
- 2020-08-25
- Volume
- 28
- Issue
- 1
- Pages
- 200-218
- ISSN
- 1063-3995 (ISSN-L)
- 1099-0879
- OpenAlex
- W3080300125
- Cited by
- 24
- References
- 91
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 4 · 2022: 4 · 2021: 5
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Psychology & Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ontario Mental Health Foundation
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- social anxiety disorder, mindfulness-based interventions, non-inferiority, first-line therapy, treatment efficacy comparison, self-compassion, mindfulness, depression, self-esteem, life satisfaction, social adaptation
- MeSH terms
- Phobia, Social, Adult, Cognition, Female, Humans, Male, Psychotherapy, Group, Cognitive Behavioral Therapy, Treatment Outcome, Mindfulness
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