Cited by 202Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion InterventionsPsychotherapy Techniques and Applications

The DOI matches its Crossref record; 57 of the 61 references it cites were found in a registry or an index; 5 of the 36 sources its claims cite were checked for support.

Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial.

Open access

Published version of a preprint

Abstract

OBJECTIVE: The goal of this study was to investigate treatment outcome and mediators of cognitive-behavioral group therapy (CBGT) versus mindfulness-based stress reduction (MBSR) versus waitlist (WL) in patients with generalized social anxiety disorder (SAD). METHOD: One hundred eight unmedicated patients (55.6% female; mean age = 32.7 years, SD = 8.0; 43.5% Caucasian, 39% Asian, 9.3% Hispanic, 8.3% other) were randomized to CBGT versus MBSR versus WL and completed assessments at baseline, posttreatment/WL, and at 1-year follow-up, including the Liebowitz Social Anxiety Scale-Self-Report (primary outcome; Liebowitz, 1987) as well as measures of treatment-related processes. RESULTS: Linear mixed model analysis showed that CBGT and MBSR both produced greater improvements on most measures compared with WL. Both treatments yielded similar improvements in social anxiety symptoms, cognitive reappraisal frequency and self-efficacy, cognitive distortions, mindfulness skills, attention focusing, and rumination. There were greater decreases in subtle avoidance behaviors following CBGT than MBSR. Mediation analyses revealed that increases in reappraisal frequency, mindfulness skills, attention focusing, and attention shifting, and decreases in subtle avoidance behaviors and cognitive distortions, mediated the impact of both CBGT and MBSR on social anxiety symptoms. However, increases in reappraisal self-efficacy and decreases in avoidance behaviors mediated the impact of CBGT (vs. MBSR) on social anxiety symptoms. CONCLUSIONS: CBGT and MBSR both appear to be efficacious for SAD. However, their effects may be a result of both shared and unique changes in underlying psychological processes.

Overview

Integrity signals

Registry

Crossref · 10.1037/ccp0000092

Cites

57 of 57 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

57 Own result · 16 Own method · 16 Own interpretation · 15 No full text of the sources · 5 Sources not found · 4 Supported · 3 Not checked yet · 3 No basis given · 1 Partly supported

  • It may state two separate claims as one. 31
  • Probably not a substantial claim. 30
  • The quote only partly states this claim. 5
53 of 53
  • The paper relies on this without support.

    The CBGT and MBSR treatments were delivered with adequate fidelity to their respective protocols.

    “Cognitive behavioral group therapy (CBGT) was delivered by two Ph.D. clinical psychologists trained by Dr. Richard Heimberg to implement his CBGT for SAD protocol (Heimberg & Becker, 2002).”
  • The paper relies on this without support.

    The sample of patients with generalized SAD is representative of the broader SAD population.

    “108 unmedicated patients (55.6% female; mean age = 32.7, SD = 8.0; 43.5% Caucasian, 39% Asian, 9.3% Hispanic, 8.3% other) were randomized to CBGT vs. MBSR vs. WL”
  • The paper relies on this without support.

    CBT openly addresses avoidance and trains patients to confront feared situations through exposures.

    “CBT explicitly discusses the role of avoidance, as well as trains patients to counter avoidance by engaging in and vicariously learning from multiple exposures to feared situations.”
  • The paper relies on this without support.

    MBSR does not directly target safety behaviors or avoidance behaviors.

    “Unlike CBT, MBSR does not explicitly address safety behaviors and specifically avoidance behaviors.”
  • The paper relies on this without support.

    Community MBSR groups tend to be larger and include people with a wider range of presenting problems.

    “Furthermore, community-based MBSR groups are typically larger and include individuals with a more diverse set of presenting problems.”
  • The paper relies on this without support.

    The demographic diversity of the sample is enough to make the results highly generalizable to adults with SAD.

    “Thus, these results are highly generalizable.”
6 of 6

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Statistics recomputed

Every reported test result, recomputed from its test statistic and degrees of freedom. A result shows as not adding up only once an independent check has confirmed it.

  • Consistentχ²(2) = 1.05reported p = .59 · recomputed p = .592

    “χ2(2, N = 108) = 1.05, p = .59”

  • Consistentt(11) = 0.83reported p = .43 · recomputed p = .424

    “t(11) = 0.83, p = .43”

  • Consistentt(71) = 0.22reported p = .82 · recomputed p = .827

    “t(71) = 0.22, p = .82”

  • Consistentχ²(1) = 9.97reported p = .002 · recomputed p = .002

    “χ2(1, N = 72) = 9.97, p = .002”

  • Consistentχ²(1) = 7.41reported p = .006 · recomputed p = .006

    “χ2(1, N = 72) = 7.41, p = .006”

  • Consistentχ²(1) = 0.23reported p = .63 · recomputed p = .632

    “χ2(1, N = 72) = 0.23, p = .63”

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

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Metadata

Authors
Goldin, P. R., Morrison, A., Jazaieri, H., Brozovich, F., Heimberg, R., & Gross, J. J.
Affiliations
  • University of California, Davis (US)
  • Stanford University (US)
  • University of California, Berkeley (US)
  • Temple University (US)
Corresponding author
Goldin, Philippe R.
Venue
Journal of Consulting and Clinical Psychology
Published
2016-05
Volume
84
Issue
5
Pages
427-437
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2315453641
Cited by
202
References
61
Citations by year
2026: 11 · 2025: 11 · 2024: 21 · 2023: 11 · 2022: 16 · 2021: 30 · 2020: 19 · 2019: 39 · 2018: 20 · 2017: 16 · 2016: 7
FWCI
38.80
Type
journal article
Language
en
Open access
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
  • MindRxiv (OSF Preprints) (submittedVersion)
Funders
National Institute of Mental Health (R01 MH076074)
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, group cognitive behavioral therapy, mindfulness-based stress reduction, treatment outcomes, mediation analysis, cognitive reappraisal, self-efficacy, cognitive distortions, mindfulness skills, attentional focus, rumination, avoidance behavior, unmedicated patients
MeSH terms
Phobia, Social, Adult, Female, Humans, Male, Middle Aged, Psychotherapy, Group, Cognitive Behavioral Therapy, Treatment Outcome, Self Efficacy, Mindfulness

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