Trial reportBehavior therapy2014
Cognitive mediators of treatment for social anxiety disorder: comparing acceptance and commitment therapy and cognitive-behavioral therapy.
Trial report in Behavior therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 112 citations in OpenAlex.
- Research hotspots and frontiers of acceptance and commitment therapy for mental disorders: a bibliometric analysis.Frontiers in psychiatry · 2025Pooled it
- Trial
- Do Immediate Gains Predict Long-Term Symptom Change? Findings from a Randomized Trial of a Single-Session Intervention for Youth Anxiety and Depression.Child psychiatry and human development · 2019Trial
- A randomized controlled trial of emotion regulation therapy for generalized anxiety disorder with and without co-occurring depression.Journal of consulting and clinical psychology · 2018Trial
- Trajectories of social anxiety, cognitive reappraisal, and mindfulness during an RCT of CBGT versus MBSR for social anxiety disorder.Behaviour research and therapy · 2017Trial
- Reductions in experiential avoidance as a mediator of change in symptom outcome and quality of life in acceptance-based behavior therapy and applied relaxation for generalized anxiety disorder.Behaviour research and therapy · 2016Trial
- Oxytocin, but not vasopressin, impairs social cognitive ability among individuals with higher levels of social anxiety: a randomized controlled trial.Social cognitive and affective neuroscience · 2016Trial
- How and for whom does web-based acceptance and commitment therapy work? Mediation and moderation analyses of web-based ACT for depressive symptoms.BMC psychiatry · 2016Trial
- Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial.Journal of consulting and clinical psychology · 2016Trial
- The Relationship Between Perceived Stress and Social Anxiety in Junior High School Students: The Chain Mediating Role of Psychological Inflexibility and Problematic Social Media Use.Behavioral sciences (Basel, Switzerland) · 2026Article
- The Shared and Distinct Mechanisms Underlying Fear of Evaluation in Social Anxiety: The Roles of Negative and Positive Evaluation.Depression and anxiety · 2025Review
- Acceptance and Commitment Therapy Processes and Mediation: Challenges and How to Address Them.Behavior therapy · 2023Article
- Efficacy and mechanisms of mobile application-delivered Acceptance and Commitment Therapy for posttraumatic stress disorder in China: Study protocol for a randomized controlled trial.Internet interventions · 2022Article
- Please Don't Compliment Me! Fear of Positive Evaluation and Emotion Regulation-Implications for Adolescents' Social Anxiety.Journal of clinical medicine · 2022Article
- Potential processes of change in MDMA-Assisted therapy for social anxiety disorder: Enhanced memory reconsolidation, self-transcendence, and therapeutic relationships.Human psychopharmacology · 2022Review
- "Third-wave" cognitive and behavioral therapies and the emergence of a process-based approach to intervention in psychiatry.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021Article
- The Gap Between Cognition and Adaptive Behavior in Students with Autism Spectrum Disorder: Implications for Social Anxiety and the Moderating Effect of Autism Traits.Journal of autism and developmental disorders · 2021Article
- Development and Initial Validation of a Brief Questionnaire on the Patients' View of the In-Session Realization of the Six Core Components of Acceptance and Commitment Therapy.Clinical psychology in Europe · 2020Article
- Change Processes in Cognitive Therapy for Social Anxiety Disorder Delivered in Routine Clinical Practice.Clinical psychology in Europe · 2020Article
- Personal Transformation Process of Mental Health Relief Workers in Sichuan Earthquake.Journal of religion and health · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveTo assess the relationship between session-by-session mediators and treatment outcomes in traditional cognitive-behavioral therapy (CBT) and acceptance and commitment therapy (ACT) for social anxiety disorder.
methodSession-by-session changes in negative cognitions (a theorized mediator of CBT) and experiential avoidance (a theorized mediator of ACT) were assessed in 50 adult outpatients randomized to CBT (n=25) or ACT (n=25) for DSM-IV social anxiety disorder.
resultsMultilevel modeling analyses revealed significant nonlinear decreases in the proposed mediators in both treatments, with ACT showing steeper decline than CBT at the beginning of treatment and CBT showing steeper decline than ACT at the end of treatment. Curvature (or the nonlinear effect) of experiential avoidance during treatment significantly mediated posttreatment social anxiety symptoms and anhedonic depression in ACT, but not in CBT, with steeper decline of the Acceptance and Action Questionnaire at the beginning of treatment predicting fewer symptoms in ACT only. Curvature of negative cognitions during both treatments predicted outcome, with steeper decline of negative cognitions at the beginning of treatment predicting lower posttreatment social anxiety and depressive symptoms.
conclusionsRate of change in negative cognitions at the beginning of treatment is an important predictor of change across both ACT and CBT, whereas rate of change in experiential avoidance at the beginning of treatment is a mechanism specific to ACT.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.