Cited by 210Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion InterventionsPsychotherapy Techniques and Applications

A Randomized Trial of MBSR Versus Aerobic Exercise for Social Anxiety Disorder

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Jazaieri, Hooria, Goldin, Philippe R., Werner, Kelly, Ziv, Michal, Gross, James J.·2012·Journal of Clinical Psychology

Abstract

Objective: Effective treatments for social anxiety disorder (SAD) exist, but additional treatment options are needed for nonresponders as well as those who are either unable or unwilling to engage in traditional treatments. Mindfulness‐based stress reduction (MBSR) is one nontraditional treatment that has demonstrated efficacy in treating other mood and anxiety disorders, and preliminary data suggest its efficacy in SAD as well. Method: Fifty‐six adults (52% female; 41% Caucasian; age mean [M] ± standard deviation [SD]: 32.8 ± 8.4) with SAD were randomized to MBSR or an active comparison condition, aerobic exercise (AE). At baseline and post‐intervention, participants completed measures of clinical symptoms (Liebowitz Social Anxiety Scale, Social Interaction Anxiety Scale, Beck Depression Inventory‐II, and Perceived Stress Scale) and subjective well‐being (Rosenberg Self‐Esteem Scale, Satisfaction with Life Scale, Self‐Compassion Scale, and UCLA‐8 Loneliness Scale). At 3 months post‐intervention, a subset of these measures was readministered. For clinical significance analyses, 48 healthy adults (52.1% female; 56.3% Caucasian; age [M ± SD]: 33.9 ± 9.8) were recruited. MBSR and AE participants were also compared with a separate untreated group of 29 adults (44.8% female; 48.3% Caucasian; age [M ± SD]: 32.3 ± 9.4) with generalized SAD who completed assessments over a comparable time period with no intervening treatment. Results: A 2 (Group) x 2 (Time) repeated measures analyses of variance (ANOVAs) on measures of clinical symptoms and well‐being were conducted to examine pre‐intervention to post‐intervention and pre‐intervention to 3‐month follow‐up. Both MBSR and AE were associated with reductions in social anxiety and depression and increases in subjective well‐being, both immediately post‐intervention and at 3 months post‐intervention. When participants in the randomized controlled trial were compared with the untreated SAD group, participants in both interventions exhibited improvements on measures of clinical symptoms and well‐being. Conclusion: Nontraditional interventions such as MBSR and AE merit further exploration as alternative or complementary treatments for SAD. © 2012 Wiley Periodicals, Inc. J. Clin. Psychol. 68:715‐731, 2012

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  1. Di Nardo PA Brown TA Barlow DH Anxiety Disorders Interview Schedule for DSM-IV: Lifetime version (ADIS-IV-L) 1994 New York Oxford University Press

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Authors
Jazaieri, H., Goldin, P. R., Werner, K., Ziv, M., & Gross, J. J.
Affiliations
Stanford University (US)
Corresponding author
Jazaieri, Hooria
Venue
Journal of Clinical Psychology
Publisher
Wiley
Published
2012-05-23
Volume
68
Issue
7
Pages
715-731
ISSN
  • 0021-9762 (ISSN-L)
  • 1097-4679
OpenAlex
W2155083274
Cited by
210
References
78
Citations by year
2026: 4 · 2025: 7 · 2024: 13 · 2023: 11 · 2022: 6 · 2021: 31 · 2020: 14 · 2019: 12 · 2018: 21 · 2017: 10 · 2016: 21 · 2015: 21 · 2014: 23 · 2013: 12 · 2012: 4
FWCI
25.76
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (MH76074, R01MH076074)
  • National Center for Complementary and Integrative Health (R21AT003644, AT003644)
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 stress reduction, aerobic exercise, depression, subjective well-being, self-esteem, loneliness, self-compassion, treatment-resistant anxiety
MeSH terms
Adult, Female, Humans, Male, Phobic Disorders, Psychiatric Status Rating Scales, Exercise, Treatment Outcome, Meditation

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