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Self-views in social anxiety disorder The impact of CBT versus MBSR.pdf
G Model
ANXDIS-1912; No. of Pages 8
ARTICLE IN PRESS
Journal of Anxiety Disorders xxx (2017) xxx–xxx
Contents lists available at ScienceDirect
Journal of Anxiety Disorders
Self-views in social anxiety disorder: The impact of CBT versus MBSR
Matthew D. Thurston a,?, Philippe Goldin a, Richard Heimberg b, James J. Gross c
a University of California, Davis, United States b Temple University, United States c Stanford University, United States
article info
Article history: Received 5 June 2016 Received in revised form 9 November 2016 Accepted 5 January 2017 Available online xxx
Keywords: Social anxiety Cognitive-behavioral therapy Mindfulness Meditation Self-view
abstract
This study examines the impact of Cognitive-Behavioral Group Therapy (CBGT) versus Mindfulness-Based Stress Reduction (MBSR) versus Waitlist (WL) on self-views in patients with social anxiety disorder (SAD). One hundred eight unmedicated patients with SAD were randomly assigned to 12 weeks of CBGT, MBSR, or WL, and completed a self-referential encoding task (SRET) that assessed self-endorsement of positive and negative self-views pre- and post-treatment. At baseline, 40 healthy controls (HCs) also completed the SRET. At baseline, patients with SAD endorsed greater negative and lesser positive self-views than HCs. Compared to baseline, patients in both CBGT and MBSR decreased negative self-views and increased positive self-views. Improvement in self-views, speci?cally increases in positive (but not decreases in negative) self-views, predicted CBGT- and MBSR-related decreases in social anxiety symptoms. Enhancement of positive self-views may be a shared therapeutic process for both CBGT and MBSR for SAD.
Published by Elsevier Ltd.
1. Introduction
Social anxiety disorder (SAD) is characterized by debilitating fear, humiliation, and embarrassment in social situations (American Psychiatric Association, 2013) and is known to be highly prevalent with an early age of onset (Kessler, Petukhova, Sampson, Zaslavsk
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