Cited by 42Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

Changes in empathy mediate the effects of cognitive-behavioral group therapy but not mindfulness-based stress reduction for social anxiety disorder

Morrison, Amanda S., Mateen, Maria A., Brozovich, Faith A., Zaki, Jamil, Goldin, Philippe R., Heimberg, Richard G., Gross, James J.·2019·Behavior Therapy

Abstract

Social anxiety disorder (SAD) has been shown to be associated with difficulty in the ability to vicariously share others' positive emotions (positive affective empathy). Mixed evidence also suggests potentially impaired recognition of the positive and negative emotions of others (cognitive empathy) and impaired or enhanced sharing of the negative emotions of others (negative affective empathy). Therefore, we examined whether two efficacious treatments for SAD, cognitive-behavioral group therapy (CBGT) and mindfulness-based stress reduction (MBSR), improve empathy in SAD relative to a wait-list condition and whether improvements in empathy mediate improvements in social anxiety. In the context of a randomized controlled trial, participants with SAD completed an empathy task at baseline, posttreatment/wait-list (N = 81), and 1-year follow-up (N = 37). Relative to both MBSR and wait-list, CBGT resulted in significant improvements in positive affective empathy. CBGT-related changes in positive affective empathy also mediated improvements in social anxiety at both posttreatment/wait-list and at 1-year follow-up. Other indices of empathy did not change differentially across the three conditions. Therefore, one way in which CBGT may specifically confer benefits to individuals with SAD is through increasing their ability or willingness to share in the positive emotions of others.

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Crossref · 10.1016/j.beth.2019.05.005

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Authors
Morrison, A. S., Mateen, M. A., Brozovich, F. A., Zaki, J., Goldin, P. R., Heimberg, R. G., & Gross, J. J.
Affiliations
  • California State University, East Bay (US)
  • Stanford University (US)
  • University of California, Davis (US)
  • Temple University (US)
Corresponding author
Morrison, Amanda S.
Venue
Behavior Therapy
Publisher
Elsevier BV
Published
2019-11
Volume
50
Issue
6
Pages
1098-1111
ISSN
0005-7894 (ISSN-L)
OpenAlex
W2944870454
Cited by
42
References
60
Citations by year
2026: 4 · 2025: 2 · 2024: 10 · 2023: 2 · 2022: 4 · 2021: 12 · 2020: 5 · 2019: 2 · 2015: 1
FWCI
6.78
Type
journal article
Language
en
Open access
closed
Locations
  • Behavior Therapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
social anxiety disorder, empathy, cognitive empathy, group cognitive behavioral therapy, mindfulness-based stress reduction, mediation, emotional sharing, treatment effects
MeSH terms
Phobia, Social, Adult, Cognition, Empathy, Female, Humans, Male, Psychotherapy, Group, Stress, Psychological, Waiting Lists, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult, Mindfulness

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