Evidence map›Paper›PMID 26950097›Full record

Trial reportJournal of consulting and clinical psychology2016

Group CBT versus MBSR for social anxiety disorder: A randomized controlled trial.

Philippe R Goldin, Amanda Morrison, Hooria Jazaieri, Faith Brozovich, Richard Heimberg, James J Gross

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02036658 (fMRI of Emotion Regulation During RCT of CBT vs. MBSR for Social Anxiety Disorder), which is not on this map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02036658 nacompletednot on this map

fMRI of Emotion Regulation During RCT of CBT vs. MBSR for Social Anxiety Disorder

TypeinterventionalSponsorStanford UniversityRan2011 to 2015Enrolled108ConditionsSocial Anxiety DisorderArmsCognitive Behavioral Group Therapy, Mindfulness-Based Stress Reduction
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Philippe R GoldinBetty Irene Moore School of Nursing, University of California, Davis.ORCID 0000-0001-6861-4752
Amanda MorrisonDepartment of Psychology, Stanford University.
Hooria JazaieriDepartment of Psychology, University of California, Berkeley.
Faith BrozovichDepartment of Psychology, Stanford University.
Richard HeimbergDepartment of Psychology, Temple University.
James J GrossDepartment of Psychology, Stanford University.

Funding

fMRI of Emotion Regulation During RCT of CBT vs. MBSR for Social Anxiety DisorderR01MH092416 · NIMH · STANFORD UNIVERSITY · PI GROSS, JAMES J · 2011 to 2015
$3.0M
fMRI of Emotional Reactivity, Cognitive Regulation, and CBT for Social PhobiaR01MH076074 · NIMH · STANFORD UNIVERSITY · PI GROSS, JAMES J · 2006 to 2010
$2.0M
NIMH NIH HHS R01 MH076074NIMH NIH HHS R01 MH092416
6 · The paper itself

Abstract

objectiveThe goal of this study was to investigate treatment outcome and mediators of cognitive-behavioral group therapy (CBGT) versus mindfulness-based stress reduction (MBSR) versus waitlist (WL) in patients with generalized social anxiety disorder (SAD).

methodOne hundred eight unmedicated patients (55.6% female; mean age = 32.7 years, SD = 8.0; 43.5% Caucasian, 39% Asian, 9.3% Hispanic, 8.3% other) were randomized to CBGT versus MBSR versus WL and completed assessments at baseline, posttreatment/WL, and at 1-year follow-up, including the Liebowitz Social Anxiety Scale-Self-Report (primary outcome; Liebowitz, 1987) as well as measures of treatment-related processes.

resultsLinear mixed model analysis showed that CBGT and MBSR both produced greater improvements on most measures compared with WL. Both treatments yielded similar improvements in social anxiety symptoms, cognitive reappraisal frequency and self-efficacy, cognitive distortions, mindfulness skills, attention focusing, and rumination. There were greater decreases in subtle avoidance behaviors following CBGT than MBSR. Mediation analyses revealed that increases in reappraisal frequency, mindfulness skills, attention focusing, and attention shifting, and decreases in subtle avoidance behaviors and cognitive distortions, mediated the impact of both CBGT and MBSR on social anxiety symptoms. However, increases in reappraisal self-efficacy and decreases in avoidance behaviors mediated the impact of CBGT (vs. MBSR) on social anxiety symptoms.

conclusionsCBGT and MBSR both appear to be efficacious for SAD. However, their effects may be a result of both shared and unique changes in underlying psychological processes.

Indexed as

Cognitive Behavioral TherapyMindfulnessPsychotherapy, GroupSelf EfficacyAdultFemaleHumansMaleMiddle AgedPhobia, SocialTreatment Outcome

Identifiers

PMID26950097
PMCPMC4837056

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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.