Cited by 1,242Mindfulness and Compassion InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychosomatic Disorders and Their Treatments

Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder.

Open access
Goldin, Philippe R., Gross, James J.·2010·Emotion

Abstract

Mindfulness-based stress reduction (MBSR) is an established program shown to reduce symptoms of stress, anxiety, and depression. MBSR is believed to alter emotional responding by modifying cognitive-affective processes. Given that social anxiety disorder (SAD) is characterized by emotional and attentional biases as well as distorted negative self-beliefs, we examined MBSR-related changes in the brain-behavior indices of emotional reactivity and regulation of negative self-beliefs in patients with SAD. Sixteen patients underwent functional MRI while reacting to negative self-beliefs and while regulating negative emotions using 2 types of attention deployment emotion regulation-breath-focused attention and distraction-focused attention. Post-MBSR, 14 patients completed neuroimaging assessments. Compared with baseline, MBSR completers showed improvement in anxiety and depression symptoms and self-esteem. During the breath-focused attention task (but not the distraction-focused attention task), they also showed (a) decreased negative emotion experience, (b) reduced amygdala activity, and (c) increased activity in brain regions implicated in attentional deployment. MBSR training in patients with SAD may reduce emotional reactivity while enhancing emotion regulation. These changes might facilitate reduction in SAD-related avoidance behaviors, clinical symptoms, and automatic emotional reactivity to negative self-beliefs in adults with SAD.

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Crossref · 10.1037/a0018441

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  • In patients with SAD, MBSR has been shown to increase mindfulness skills, attention regulation, self-esteem, functioning, and quality of life, and to decrease negative self-views, trait anxiety, negative emotional reactivity, and depression.

    “More specifically, in patients with SAD, MBSR has been shown to increase mindfulness skills, attention regulation, self-esteem, functioning and quality of life, as well as decrease negative self-views, trait anxiety, negative emotional reactivity, and depression (Goldin & Gross, 2010; Goldin, Ramel, & Gross, 2009; Goldin, Ziv, Jazaieri, & Gross, 2012a; Goldin, Ziv, Jazaieri, Hahn, & Gross, 2013b;”

    From Trajectories of social anxiety, cognitive reappraisal, and mindfulness during an RCT of CBGT versus MBSR for social anxiety disorder (2017) · cites this paper as Goldin & Gross, 2010

    The Results (Clinical Results and Behavioral Results; page numbers unavailable) report increased self-esteem, decreased depression and reduced negative emotion during breath-focused attention, but no reduction in negative emotion when simply reacting to negative self-beliefs. The paper also reports earlier SAD studies finding improvements in functioning, quality of life and negative self-view. It does not establish increased mindfulness skills, and its measured reduction was in state anxiety, not trait anxiety. (LLM, conf=0.87)

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  • Two prior studies found increases in the ability to implement attention deployment emotion regulation strategies after MBSR for SAD.

    “Two studies have found increases in the ability to implement attention deployment emotion regulation strategies following MBSR for SAD, specifically, for participant-generated negative self-beliefs embedded in autobiographical social anxiety related situations (Goldin & Gross, 2010; Goldin, Ziv, Jazaieri, Hahn, & Gross, 2013a).”

    From Trajectories of social anxiety, cognitive reappraisal, and mindfulness during an RCT of CBGT versus MBSR for social anxiety disorder (2017) · cites this paper as Goldin & Gross, 2010

    The Abstract and Discussion (Behavioral Measures) report improved breath-focused attention regulation after MBSR in patients with SAD, but no improvement with distraction-focused attention. The Method (Regulation of Negative Self-Beliefs Task) says the beliefs were experimenter-selected, not participant-generated; the study therefore does not support that specific description of the stimuli. Page numbers are unavailable in our copy. (LLM, conf=0.91)

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  • Several studies have previously reported meditation-induced long-term changes in emotional processing.

    “Besides observing unique changes, which existed during meditation, several studies have previously reported meditation induced long-term changes in brain structure (Lazar et al. 2005), attentional processing (Carter et al. 2005), and emotional processing (Goldin and Gross 2010).”

    From Brain–Heart Interactions Underlying Traditional Tibetan Buddhist Meditation (2019) · cites this paper as Goldin and Gross 2010

    The Results (Behavioral Results; page unavailable) report reduced negative emotion during breath-focused attention after MBSR in patients with social anxiety disorder, supporting a change in emotional processing beyond a single meditation session. The study measured participants before and immediately after MBSR; it did not establish that the change persisted long term. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Prior studies using the autobiographical social situation emotion regulation fMRI task have found similar reductions in negative emotion when reacting and reappraising negative self-beliefs following CBT for SAD and when implementing breath-focused and meta-cognitive attention regulation following MBSR for SAD.

    “Prior studies using the autobiographical social situation emotion regulation fMRI task have found similar reductions in negative emotion when reacting and reappraising negative self-beliefs following CBT for SAD 17 and when implementing breath-focused and meta-cognitive attention regulation following MBSR for SAD.19,22”

    From Evaluation of Cognitive Behavioral Therapy vs Mindfulness Meditation in Brain Changes During Reappraisal and Acceptance Among Patients With Social Anxiety Disorder: A Randomized Clinical Trial (2021) · cites this paper as [19]

    The Results > Behavioral Results report reduced negative emotion during breath-focused attention after MBSR in patients with SAD. The Method > Regulation of Negative Self-Beliefs Task describes breath-focused attention and distraction, not meta-cognitive attention regulation; the results also report no reduction when participants simply reacted to negative self-beliefs. The CBT clause is attached to a different citation and is not judged here. (LLM, conf=0.88)

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  • Mindfulness and meditation practices have been shown to improve the prefrontal cortex's ability to enhance its inhibitory functions, specifically on the amygdala, which may lead to an increased ability to recall positive events.

    “In fact, mindfulness and meditation practices have been shown to improve the prefrontal cortex’s ability to enhance its inhibitory functions, specifically on the amygdala [61–66], which may lead to an increased ability to recall positive events.”

    From Association between time perspective and metacognition among Lebanese adults: the mediating role of mindfulness (2023) · cites this paper as [65]

    The Neural Results report decreased right-amygdala activity after MBSR in patients with social anxiety disorder. They do not establish that mindfulness improved prefrontal-cortex inhibition of the amygdala: prefrontal activity is reported at baseline, while the reported MBSR-related increases were chiefly in visual-attention regions. (LLM, conf=0.86)

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Research works printed but not linked: 1

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

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Authors
Goldin, P. R., & Gross, J. J.
Affiliations
Stanford University (US)
Corresponding author
Goldin, Philippe R.
Venue
Emotion
Published
2010-02
Volume
10
Issue
1
Pages
83-91
ISSN
  • 1528-3542 (ISSN-L)
  • 1931-1516
OpenAlex
W2164348509
Cited by
1,242
References
46
Citations by year
2026: 37 · 2025: 59 · 2024: 74 · 2023: 79 · 2022: 80 · 2021: 106 · 2020: 116 · 2019: 85 · 2018: 90 · 2017: 76 · 2016: 76 · 2015: 95 · 2014: 77 · 2013: 62 · 2012: 63
FWCI
66.24
Type
journal article
Language
en
Open access
Locations
  • Emotion (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Center for Complementary and Alternative Medicine (R21 AT003644-01)
  • National Institute of Mental Health
  • Mind and Life Summer Research Institute
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
mindfulness-based stress reduction, social anxiety disorder, emotion regulation, negative self-beliefs, emotional reactivity, amygdala activity, attentional deployment, self-esteem, avoidance behavior
MeSH terms
Adult, Anxiety Disorders, Brain, Emotions, Female, Humans, Interpersonal Relations, Magnetic Resonance Imaging, Male, Phobic Disorders, Stress, Psychological, Meditation

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