title: Changes in Positive Self-Views Mediate the Effect of Cognitive-Behavioral Therapy for Social Anxiety Disorder.
abstract: Social Anxiety Disorder (SAD) is thought to be characterized by maladaptive self-views. This study investigated whether (1) patients with SAD (n=75) differ at baseline from healthy controls (HC; n=43) in negative and positive self-views, (2) Cognitive-Behavioral Therapy (CBT) for SAD vs. waitlist control (WL) produces statistically and clinically significant changes in negative and positive self-views, (3) changes in self-views mediate the effect of CBT on social anxiety symptoms, and (4) changes in self-views during CBT related to social anxiety symptoms at 1-year post-CBT. As expected, patients endorsedmorenegative andfewerpositive self-views than HC at baseline. Compared to WL, CBT yielded statistically and clinically significant changes, specifically,fewernegative andmorepositive self-views. Mediational analysis indicated that increased positive (but not reduced negative) self-views mediated the effect of CBT on social anxiety reduction. Correlational analyses determined that increased positive self-views were associated with social anxiety symptom reduction at 1-year-post-CBT.
authors.affiliation: Stanford University, Stanford, CA.
authors.forename: Philippe R
authors.initials: PR
authors.lastname: Goldin
authors.affiliation: Stanford University, Stanford, CA.
authors.forename: Hooria
authors.initials: H
authors.lastname: Jazaieri
authors.affiliation: Stanford University, Stanford, CA.
authors.forename: Michal
authors.initials: M
authors.lastname: Ziv
authors.affiliation: Stanford Medical School, Stanford, CA.
authors.forename: Helena
authors.initials: H
authors.lastname: Kraemer
authors.affiliation: Temple University, Philadelphia, PA.
authors.forename: Richard
authors.initials: R
authors.lastname: Heimberg
authors.affiliation: Stanford University, Stanford, CA.
authors.forename: James J
authors.initials: JJ
authors.lastname: Gross
keywords: CBT; meditation; self-referential; self-view; social anxiety