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Behav Res Ther. 2013 Dec;51(12):889-98. doi: 10.1016/j.brat.2013.10.007. Epub 2013 Oct 30.

Mindfulness and acceptance-based group therapy versus traditional cognitive behavioral group therapy for social anxiety disorder: a randomized controlled trial.

Author information

1
Department of Psychology, Wilfrid Laurier University, 75 University Ave., Waterloo, Ontario N2L 3C5, Canada. Electronic address: nkocovski@wlu.ca.

Abstract

Recent research has supported the use of mindfulness and acceptance-based interventions for Social Anxiety Disorder (SAD).

OBJECTIVE:

The purpose of the present study was to compare mindfulness and acceptance-based group therapy (MAGT) with cognitive behavioral group therapy (CBGT) with respect to outcome. It was hypothesized that MAGT and CBGT would both be superior to a control group but not significantly different from one another.

METHOD:

Individuals (N = 137, mean age = 34 years, 54% female, 62% White, 20% Asian) diagnosed with SAD were randomly assigned to MAGT (n = 53), CBGT (n = 53) or a waitlist control group (n = 31). The primary outcome was social anxiety symptom severity assessed at baseline, treatment midpoint, treatment completion, and 3-month follow-up. Secondary outcomes were cognitive reappraisal, mindfulness, acceptance, and rumination. Depression, valued living, and group cohesion were also assessed.

RESULTS:

As hypothesized, MAGT and CBGT were both more effective than the control group but not significantly different from one another on social anxiety reduction and most other variables assessed.

CONCLUSIONS:

The present research provides additional support for the use of mindfulness and acceptance-based treatments for SAD, and future research should examine the processes by which these treatments lead to change.

KEYWORDS:

Acceptance and commitment therapy (ACT); CBT; Mindfulness; Social anxiety disorder; Social phobia

PMID:
24220538
DOI:
10.1016/j.brat.2013.10.007
[Indexed for MEDLINE]

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