title: Self-views in social anxiety disorder: The impact of CBT versus MBSR.
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, specifically 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.
authors.affiliation: University of California, Davis, United States. Electronic address: thurstonmattca@gmail.com.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Thurston
authors.affiliation: University of California, Davis, United States.
authors.forename: Philippe
authors.initials: P
authors.lastname: Goldin
authors.affiliation: Temple University, United States.
authors.forename: Richard
authors.initials: R
authors.lastname: Heimberg
authors.affiliation: Stanford University, United States.
authors.forename: James J
authors.initials: JJ
authors.lastname: Gross
mesh_terms: D015928:Cognitive Behavioral Therapy / Q000379:methods*; D006801:Humans; D064866:Mindfulness / Q000379:methods*; D008960:Models, Psychological; D000072861:Phobia, Social / Q000523:psychology* / Q000628:therapy*; D011615:Psychotherapy, Group; D012649:Self Concept; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
keywords: Cognitive-behavioral therapy; Meditation; Mindfulness; Self-view; Social anxiety