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MBSR vs aerobic exercise in social anxiety: fMRI of emotion regulation of negative self-beliefs.

Philippe R. Goldin, Michal Ziv, Hooria Jazaieri, Kevin Hahn, James J. Gross

Social Cognitive and Affective Neuroscience May 13, 2012 DOI: 10.1093/scan/nss054 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 56
Population Patients with generalized social anxiety disorder
Interventions Mindfulness-based stress reduction (MBSR) aerobic exercise (AE) stress reduction program
Topics Meditation Anxiety
Keywords Brain Humans Magnetic resonance imaging Exercise Analysis of variance Stress, psychological Social behavior Self concept Awareness Attention Anxiety disorders Adult Female Relaxation therapy Functional neuroimaging
Key findings MBSR produced greater reductions in negative emotion during attention regulation of negative self-beliefs and greater increases in attention-related parietal cortical activity than an aerobic exercise program. More meditation practice was associated with larger decreases in negative emotion and social anxiety symptom severity and stronger parietal responses.

Abstract

Mindfulness-based stress reduction (MBSR) is thought to reduce emotional reactivity and enhance emotion regulation in patients with social anxiety disorder (SAD). The goal of this study was to examine the neural correlates of deploying attention to regulate responses to negative self-beliefs using functional magnetic resonance imaging. Participants were 56 patients with generalized SAD in a randomized controlled trial who were assigned to MBSR or a comparison aerobic exercise (AE) stress reduction program. Compared to AE, MBSR yielded greater (i) reductions in negative emotion when implementing regulation and (ii) increases in attention-related parietal cortical regions. Meditation practice was associated with decreases in negative emotion and social anxiety symptom severity, and increases in attention-related parietal cortex neural responses when implementing attention regulation of negative self-beliefs. Changes in attention regulation during MBSR may be an important psychological factor that helps to explain how mindfulness meditation training benefits patients with anxiety disorders.

Comparable studies

Other randomized controlled trials on anxiety, most cited first.

Study Year Design Participants
Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients 2000 Randomized controlled trial n = 145
Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Cancer patients with life-threatening diagnoses and symptoms of depression and/or anxiety 2016 Randomized controlled trial n = 51
Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Patients with cancer-related anxiety and depression 2016 Double-blind, placebo-controlled, crossover trial n = 29
Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance Hallucinogen-naïve adults reporting regular participation in religious or spiritual... 2006 Double-blind study n = 36
Pilot Study of Psilocybin Treatment for Anxiety in Patients With Advanced-Stage Cancer Adults with advanced-stage cancer and anxiety 2010 Double-blind, placebo-controlled study n = 12

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