Comparison of the efficacy of cognitive-behavioral therapy and mindfulness therapy on fear the negative of evaluation in individuals with social anxiety disorder
Leila Mirzaei, Hossein Baghooli, Hojjatullah Javidi, Majid Barzegar
روانشناسی و روانپزشکی شناخت October 22, 2023 DOI: 10.32598/shenakht.10.4.83 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Quasi-experimental study with pretest-posttest control group design Peer reviewed |
|---|---|
| Sample size | 45 |
| Population | Individuals with social anxiety symptoms referred to psychological clinics in Shiraz, Iran, in 2019 |
| Intervention | Cognitive-behavioral therapy (CBT) |
| Duration | 12 two-hour sessions |
| Measures | Social Phobia Inventory (SPIN), Fear of Negative Evaluation Scale |
| Topics | Anxiety Meditation |
| Keywords | Cognitive behavioral therapy Mindfulness therapy Social anxiety disorder |
| Key findings | Both CBT and mindfulness therapy significantly reduced fear of negative evaluation compared with a control group (P<0.001), with no significant difference between the two approaches (P>0.05); the authors report mindfulness had a slightly higher effect and suggest combining the two methods. |
Abstract
Introduction: Social anxiety disorder is characterized by the fear of negative evaluation. This psychological construct results in individual’s poor functioning.
Aim: The present research aimed to compare the effects of cognitive-behavioral therapy (CBT) and mindfulness therapy on the fear of negative evaluation in individuals with social anxiety disorder.
Method: This quasi-experimental study, with a pretest-posttest control group design, was conducted on a population of individuals with social anxiety symptoms, who were referred to the psychological clinics of Shiraz, Iran, in 2019. Sampling was performed using the convenience sampling method. After initial evaluations, 45 people were randomly divided into three equal groups (two intervention groups and one control group). The CBT protocol proposed by Hoffman and Otto (2008) and the Acceptance and Mindfulness protocol by Fleming and Kukowski (2007) were used to implement the interventions (12 two-hour sessions). The participants also completed the Social Phobia Inventory (SPIN) by Connor et al. (2000) and the Fear of Negative Evaluation Scale by Leary (1983) before and after the intervention. Data analysis was performed in SPSS-24, using multivariate analysis of covariance (MANCOVA).
Results: The results of MANCOVA test showed a significant difference between the scores of the control and experimental groups (P<0.001). Compared to the control group, the fear of negative evaluation reduced in the experimental groups. Although there was no significant difference between the two treatment approaches (P>0.05), the effect of mindfulness treatment was slightly higher than CBT.
Conclusion: In this study, comparison of the two mindfulness and CBT approaches indicated no significant difference between these two methods in reducing the fear of negative evaluation among individuals with social anxiety. Therefore; it is suggested to use acombination of these two methods to reduce the fear of negative evaluation.
Comparable studies
Other experimental studies on anxiety, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| A PILOT STUDY OF GROUP MINDFULNESS-BASED COGNITIVE THERAPY (MBCT) FOR COMBAT VETERANS WITH POSTTRAUMATIC STRESS DISORDER (PTSD) Veterans with chronic combat posttraumatic stress disorder seeking treatment at a VA... | 2013 | Quasi-experimental with treatment-as-usual comparison group | n = 37 |
| Being present in the face of existential threat: The role of trait mindfulness in reducing defensive responses to mortality salience. | 2010 | Experimental study | |
| Neural correlates of mindfulness meditation-related anxiety relief Healthy adults with no prior meditation experience | 2013 | Within-subjects experimental study | n = 15 |
| Intensive mindfulness training-related changes in cognitive and emotional experience Community adults | 2009 | Quasi-experimental and longitudinal | n = 69 |
| Prospective examination of synthetic 5-methoxy-N,N-dimethyltryptamine inhalation: effects on salivary IL-6, cortisol levels, affect, and non-judgment Volunteers | 2019 | Within-subjects experimental study | n = 11 |