A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral therapy for young adults with social phobia

PIET, JACOB; HOUGAARD, ESBEN; HECKSHER, MORTEN S.; ROSENBERG, NICOLE K.

doi:10.1111/j.1467-9450.2009.00801.x

Cited by 161Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion InterventionsPsychological Treatments and Assessments

A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral therapy for young adults with social phobia

PIET, JACOB, HOUGAARD, ESBEN, HECKSHER, MORTEN S., ROSENBERG, NICOLE K.·2010·Scandinavian Journal of Psychology

DOI 10.1111/j.1467-9450.2009.00801.x

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Abstract

Piet, J., Hougaard, E., Hecksher, M. S., & Rosenberg, N. K. (2010). A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral therapy for young adults with social phobia. Scandinavian Journal of Psychology, 51, 403–410. Twenty-six young participants, 18–25 years, with social phobia (SP) were randomly assigned to eight 2-hour sessions of group mindfulness-based cognitive therapy (MBCT) and twelve 2-hour sessions of group cognitive-behavioral therapy (CBT) in a crossover design with participants receiving treatments in reversed order. Outcome was assessed after treatments, and at 6- and 12-month follow-ups. MBCT achieved moderate-high pre-post effect sizes (d = 0.78 on a composite SP measure), not significantly different from, although numerical lower than those of CBT (d = 1.15). Participants in both groups further improved in the periods following their first and second treatment until 6-months follow-up (pre-follow-up ds = 1.42 and 1.62). Thus, MBCT might be a useful, low cost treatment for SP, although, probably, less efficacious than CBT.

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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.”
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The rate of adherence to MiCBT was 77% (47/61) receiving four or more sessions, consistent with other studies.
“The rate of adherence to the MiCBT treatment is consistent with other studies [e.g., (66, 67)] with 77% (47/61) of participants receiving four or more sessions.”
From Group Mindfulness-Integrated Cognitive Behavior Therapy (MiCBT) Reduces Depression and Anxiety and Improves Flourishing in a Transdiagnostic Primary Care Sample Compared to Treatment-as-Usual: A Randomized Controlled Trial (2022) · cites this paper as [67]

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BackgroundResult
An open trial of mindfulness-based stress reduction for young adults with social anxiety disorder.
Hjeltnes, A., Molde, H., Schanche, E., Vøllestad, J., Lillebostad Svendsen, J., Moltu, C., & Binder, P. (2017) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12342 · Cited by 34 · see citing works
A pilot study of the effects of mindfulness-based cognitive therapy on positive affect and social anxiety symptoms
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“As they are probably less expensive, but equally effective, it seems that, in a cost-beneficial sense, mindfulness interventions may be more practically effective (Piet et al., 2010).”
Background
Of the Soul and Suffering: Mindfulness-Based Interventions and Bereavement
Cacciatore, J., Thieleman, K., Osborn, J., & Orlowski, K. (2013) · Clinical Social Work Journal · doi:10.1007/s10615-013-0465-y · Cited by 31 · see citing works
Effects of CBT Versus MBSR Treatment on Social Stress Reactions in Social Anxiety Disorder
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“…of SAD specifically (Bogels et al. 2006; Craske et al. 2014; Goldin et al. 2013; Kocovski et al. 2013; Kocovski et al. 2009; Koszycki et al. 2007; Piet et al. 2010), and most of these have combined mindfulness approaches with other techniques such as task concentration training (Bogels et al.…”
BackgroundMethodResultInfluential
The relation between mindfulness and fear of negative evaluation over the course of cognitive behavioral therapy for social anxiety disorder
Burton, M., Schmertz, S. K., Price, M., Masuda, A., & Anderson, P. L. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21929 · Cited by 28 · see citing works
What works best for whom? Cognitive Behavior Therapy and Mindfulness-Based Cognitive Therapy for depressive symptoms in patients with diabetes
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Self-Referential Thinking, Suicide, and Function of the Cortical Midline Structures and Striatum in Mood Disorders: Possible Implications for Treatment Studies of Mindfulness-Based Interventions for Bipolar Depression
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“Evidence indicates that MBCT is beneficial for unipolar depression relapse prevention [199–204], generalized anxiety disorder [180], panic disorder [205], hypochondriasis [206], and social phobia [207].”
Background
Both sides of the story: exploring how improved and less-improved participants experience mindfulness-based stress reduction for social anxiety disorder
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“Five randomized clinical trials have currently examined mindfulness and acceptance-based interventions for SAD (Goldin et al., 2016; Jazaieri, Goldin, Werner, Ziv, & Gross, 2012; Kocovski, Fleming, Hawley, Huta, & Antony, 2013; Koszycki, Benger, Shlik, & Bradwejn, 2007; Piet et al., 2010).”
Randomized trial of cognitive behaviour group therapy and a mindfulness-based intervention for social anxiety disorder: Preliminary findings
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“(2002) and has high reliability and validity (Asakura et al., 2002; Okajima et al., 2007).”
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What Brings You Here? Exploring Why Young Adults Seek Help for Social Anxiety
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Mindfulness-based lifestyle programs for the self-management of Parkinson’s disease in Australia
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Treatment Engagement and Outcomes of Mindfulness-Based Cognitive Therapy for Veterans with Psychiatric Disorders
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Correction: Psychological Group-Treatments of Social Anxiety Disorder: A Meta-Analysis
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“Cognitive Behavioural Therapy (CBT) is the most common psychotherapy used for mood and anxiety disorders as it has the largest evidence base.”
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Mindfulness-Based Cognitive Therapy for Unmedicated Obsessive-Compulsive Disorder: A Randomized Controlled Trial With 6-Month Follow-Up
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“The effect size of M-CBT was similar to that of MBIs comprising 8 to 12 sessions [18, 20].”
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Mindfulness-Based Cognitive Therapy vs. Psycho-education for Patients with Anxiety Disorders Who Did Not Achieve Remission Following Adequate Pharmacological Treatment
Giommi, F., Castagner, V., Zaccaro, A., Gemignani, A., Serretti, A., Mandelli, L., Conversano, C., Vincenzi, S., & Chiesa, A. (2021) · Mindfulness · doi:10.1007/s12671-021-01664-y · Cited by 11 · see citing works
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Low-Intensity Mindfulness and Cognitive Behavioral Therapy for Social Anxiety Disorder: Pilot Study
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“These values can be considered higher than the effect size of MBCT (Piet et al., 2010; d = 0.64), and similar to that of MAGT (Kocovski et al., 2009; d = 0.79 to 0.98), on depressive symptoms, as measured by the Beck Depressive Inventory.”
Influential
Promoting helpful attention and interpretation patterns to reduce anxiety and depression in young people: weaving scientific data with young peoples’ lived experiences
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Social Anxiety Disorder among Undergraduate Students
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Mindfulness
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The Effectiveness of Cognitive Behavioral Therapy in Group Counselling
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The effectiveness of mindfulness-based cognitive therapy for social anxiety symptoms in people living with alopecia areata: a single-group case-series design
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The Impact of Brief Mindfulness Training on Postevent Processing Among Individuals With Clinically Elevated Social Anxiety
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Une analyse des effets de la Mindfulness-Based Cognitive Therapy (MBCT) du champ princeps de la dépression à une pluralité de troubles psychiques : une revue de la littérature
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Enhancing Sense of Coherence and Mindfulness in an Ecclesiastical, Intercultural Group Training Context
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Abordagens psicossociais
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Subjective effects and perceived mechanisms of change of cognitive behavioral and mindfulness-based online interventions for low sexual desire in women
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“…(Meyers, Margraf, & Velten, 2020), studies for other mental disorders sometimes show comparable efficacy of CBT and MBT (Cherkin et al., 2017; Kocovski, Fleming, Hawley, Huta, & Antony, 2013) but also superiority of CBT (Piet, Hougaard, Hecksher, & Rosenberg, 2010) or of MBT (Jiménez, 2012).”
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Positive Shifts in Emotion Evaluation Following Mindfulness-Based Cognitive Therapy (MBCT) in Remitted Depressed Participants
Williams, K., Elliott, R., Barnhofer, T., Zahn, R., & Anderson, I. M. (2020) · Mindfulness · doi:10.1007/s12671-020-01521-4 · Cited by 8 · see citing works
“Other studies have shown that mindfulness training improves positivity ratings of life events, promotes social behaviour, and reduces social phobia and loneliness (Beauchemin et al. 2008; Creswell et al. 2012; Nezlek et al. 2016; Piet et al. 2010).”
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Mindfulness-based cognitive therapy in the intervention of psychiatric disorders: A review
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Mindfulness-Based Cognitive Therapy for Treatment-Resistant Depression
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“Furthermore, SAD could be seen as the most severe manifestation of social anxiety (Piet et al. 2010 ), which affect wellbeing in a high portion of adolescents (Jefferies and Ungar 2020).”
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Cognitive Behavior Therapy versus Supportive Therapy in Social Phobia: A Randomized Controlled Trial
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Authors: PIET, J., HOUGAARD, E., HECKSHER, M. S., & ROSENBERG, N. K.
Affiliations: Aarhus University (DK)
Corresponding author: PIET, JACOB
ORCID: PIET, JACOB
HOUGAARD, ESBEN
ROSENBERG, NICOLE K.
Venue: Scandinavian Journal of Psychology
Publisher: Wiley
Published: 2010-02
Volume: 51
Issue: 5
Pages: 403-10
ISSN: 0036-5564 (ISSN-L)
1467-9450
DOI: 10.1111/j.1467-9450.2009.00801.x
OpenAlex: W1997957811
Cited by: 161
References: 52
Citations by year: 2026: 1 · 2025: 2 · 2024: 8 · 2023: 7 · 2022: 9 · 2021: 18 · 2020: 9 · 2019: 7 · 2018: 11 · 2017: 8 · 2016: 18 · 2015: 12 · 2014: 18 · 2013: 13 · 2012: 8
FWCI: 13.78
Type: journal article
Language: en
Open access: closed
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 2038 d)
Locations: Scandinavian Journal of Psychology (publishedVersion)
PubMed (publishedVersion)
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 › Psychological Treatments and Assessments
Keywords: mindfulness-based cognitive therapy, group cognitive behavioral therapy, social anxiety disorder, young adults, psychotherapy efficacy, treatment comparison, follow-up outcomes, low-cost treatment
MeSH terms: Phobia, Social, Adolescent, Adult, Female, Humans, Male, Pilot Projects, Psychotherapy, Group, Young Adult, Mindfulness

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A randomized pilot study of mindfulness-based cognitive therapy and group cognitive-behavioral therapy for young adults with social phobia

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