Journal of Anxiety Disorders - The Consciousness Library

Efficacy and mechanisms of internet-delivered mindfulness-based cognitive therapy for Adjustment Disorder: A randomized controlled trial.

Journal of Anxiety Disorders July 1, 2026 Paweł Holas, Jan Wardęszkiewicz, Malgorzata Grochowska et al.

Adjustment Disorder (AjD) is a common stress-related condition, yet evidence-based interventions remain scarce. Mindfulness-Based Cognitive Therapy (MBCT) targets transdiagnostic mechanisms such as cognitive fusion and low self-compassion, which may be particularly relevant for AjD. This randomized controlled trial tested the efficacy of a brief, guided, asynchronous internet-delivered MBCT...

DOI: 10.1016/j.janxdis.2026.103173 Full text Adjustment disorder Covid-19 pandemic Cognitive defusion Internet-delivered intervention +2

Savoring meditation for emotional disorders: Targeting positive emotion regulation deficits.

Journal of Anxiety Disorders July 22, 2025 Tomoko Kishimoto, Ximing Hao, Jianwei Qian

Deficits in positive emotion regulation (PER) contribute to emotional disorders but are less studied than negative emotion regulation (NER). One maladaptive PER strategy, positive emotion contrast-seeking (PEC-seeking), involves sustaining negative affect to enhance later positive emotions, reinforcing anxiety and depression. This study developed and tested a savoring-based, transdiagnostic...

DOI: 10.1016/j.janxdis.2025.103054 Full text Emotional disorders Positive emotion contrast Savoring

The unique autonomic signatures of savoring meditation for anxiety reduction: A pilot randomized controlled trial.

Journal of Anxiety Disorders July 1, 2025 Tomoko Kishimoto, Ximing Hao, Qiyu Bai 3 citations

Anxiety disorders are often characterized by excessive sympathetic activation and dysfunction. While breathing relaxation reliably reduces anxiety by dampening sympathetic activity and enhancing parasympathetic tone, the autonomic signatures underlying positive emotion interventions, such as savoring meditation, remain less understood. In this pilot randomized controlled trial, we recruited 44...

DOI: 10.1016/j.janxdis.2025.103024 Full text Anxiety Autonomic nervous system Breathing relaxation Heart rate variability +1

Find your rhythm and regulate: Breath-synced vibration feedback during breath-focused mindfulness reduces respiration variability in trauma-exposed adults.

Journal of Anxiety Disorders June 1, 2025 Timothy J Mcdermott, Greg J Siegle, Alfonsina Guelfo et al. 2 citations

Stress and anxiety are associated with increased autonomic arousal, including altered respiration. Breath-focused mindfulness meditation can reduce stress and anxiety, but trauma-exposed adults with dissociation have difficulty engaging in this practice. Our ongoing clinical trial examines if vibration-augmented breath-focused mindfulness (VABF) can improve outcomes and increase engagement....

DOI: 10.1016/j.janxdis.2025.103008 Full text Anxiety Autonomic Dissociation Physiology +1

Mindfulness- and acceptance-based programmes for obsessive-compulsive disorder: A systematic review and meta-analysis.

Journal of Anxiety Disorders March 1, 2025 Johannes J Bürkle, Stefan Schmidt, Johannes C Fendel 7 citations

Mindfulness- and acceptance-based programmes (MABPs) in the treatment of obsessive-compulsive disorder (OCD) are increasingly gaining research interest, yet a comprehensive systematic review and meta-analysis is missing. To fill this gap, we analysed 46 trials involving 2221 patients. Two independent reviewers screened records, extracted data, assessed risk of bias, and rated overall quality of...

DOI: 10.1016/j.janxdis.2025.102977 Full text Meta-analysis Mindfulness interventions Mindfulness-based cognitive therapy Obsessive-compulsive disorder +2

Is a brief mindfulness ecological momentary intervention more efficacious than a self-monitoring app for social anxiety disorder? A randomized controlled trial.

Journal of Anxiety Disorders June 1, 2024 Nur Hani Zainal, Hui Han Tan, Ryan Y Hong et al. 13 citations

Despite their proliferation, limited knowledge exists regarding possible benefits of brief mindfulness ecological momentary interventions (MEMIs) for social anxiety disorder (SAD). Propositions that MEMIs could alleviate SAD symptoms and related clinical outcomes remain untested. This trial evaluated a 14-day MEMI for SAD. Participants with self-reported SAD were randomized to MEMI (n = 96) or...

DOI: 10.1016/j.janxdis.2024.102858 Full text Depression Mindfulness Ecological momentary intervention Randomized controlled trial +1

Mindfulness-based cognitive group therapy for treatment-refractory anxiety disorder: A pragmatic randomized controlled trial.

Journal of Anxiety Disorders June 1, 2022 Philip Spinhoven, E. Hoogerwerf, Anne E van Giezen et al.

BACKGROUND This study aimed: (a) to examine the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) for patients with a treatment-refractory anxiety disorders compared to Relapse Prevention-Cognitive Behavioral Therapy (CBT-RP); and (b) to explore candidate mediating variables. METHODS We conducted a pragmatic randomized controlled trial comparing MBCT with CBT-RP in a group format for...

DOI: 10.1016/j.janxdis.2022.102599 Full text

Responding to uncertain threat: A potential mediator for the effect of mindfulness on anxiety.

Journal of Anxiety Disorders 2021 Inka Papenfuss, Miriam J. J. Lommen, Christian Grillon et al.

Mindfulness-based interventions have gained extensive support for their application in the treatment of anxiety. However, their mechanisms remain largely unexplored. Excessive reactivity to uncertainty plays a central role in anxiety, and may represent a mechanism for the effect of mindfulness on anxiety, as mindfulness training fosters an open and accepting stance towards all aspects of...

DOI: 10.1016/j.janxdis.2020.102332 Full text Anxiety Mindfulness Intolerance of uncertainty Mediation +2

Self-Views in Social Anxiety Disorder: The Impact of CBT versus MBSR

Journal of Anxiety Disorders January 10, 2017 Matthew D Thurston, P. Goldin, R. Heimberg et al.

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...

DOI: 10.1016/j.janxdis.2017.01.001 Full text

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