Low-Intensity Mindfulness and Cognitive Behavioral Therapy for Social Anxiety Disorder: Pilot Study
Shota Noda, Yumi Honda, Chika Komatsu, Yosuke Hasegawa, Asuka Hasegawa, Fusaka Minami, Kentaro Shirotsuki, Mutsuhiro Nakao, Hisanobu Kaiya
International Journal of Cognitive Therapy June 30, 2023 DOI: 10.1007/s41811-023-00173-1 (opens in new tab)
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Study at a glance
AI-extracted from the abstract| Characteristics | Uncontrolled pre-post intervention study with repeated measures Pilot study Peer reviewed |
|---|---|
| Sample size | 23 |
| Population | Patients with social anxiety disorder |
| Intervention | Mindfulness and cognitive behavioral therapy (M-CBT) |
| Duration | Four sessions; assessments at pretreatment, before each session, post-treatment, and follow-up |
| Topics | Anxiety Meditation |
| Citations | 14 |
| Key points | A four-session mindfulness plus cognitive behavioral therapy program produced significant improvements in social anxiety symptoms and cost bias, with high effect sizes (social anxiety symptoms: d = 1.04–1.06; cost bias: d = 0.82–1.02), and also improved fear of negative evaluation, self-focused attention, trait mindfulness, depressive symptoms, and cognitive reappraisal. The authors suggest the program is effective, feasible, and acceptable for social anxiety disorder and may serve as a treatment module for those not responding to traditional cognitive behavioral therapy. |
Abstract
Abstract A four-session program of mindfulness and cognitive behavioral therapy (M-CBT) is a low-intensity treatment module for individuals with high cost/probability bias and social anxiety symptoms. We tested its effectiveness with 23 patients with social anxiety disorder. The patients completed a set of questionnaires that evaluated social anxiety symptoms, cost/probability bias, fear of negative evaluation from others, self-focused attention, trait mindfulness, depressive symptoms, cognitive reappraisal, and suppression at pretreatment, the time before each session of treatment, post-treatment, and follow-up. Linear mixed-effects models showed that the M-CBT was effective for social anxiety symptoms, cost/probability bias, fear of negative evaluation from others, self-focused attention, trait mindfulness, depressive symptoms, and cognitive reappraisal. The M-CBT also produced significant pre-post-improvements in social anxiety symptoms and cost bias with high effect sizes (social anxiety symptoms: d = 1.04–1.06, cost bias: d = 0.82–1.02). These results suggest that M-CBT is effective for treating social anxiety symptoms and cost bias. This study demonstrates that M-CBT is feasible and acceptable for social anxiety disorder. It may comprise a treatment module for those who do not respond to traditional cognitive behavioral therapy. Trial registration number: University Hospital Medical Information Network (UMIN CTR) UMIN000043720, Registered 23 Mar 2021.
Comparable studies
Other non-randomized and open-label trials on anxiety, most cited first.
Citations in the library
Cited by 2
- Low-intensity mindfulness and cognitive-behavioral therapy for social anxiety: a pilot randomized controlled trial. BMC Psychiatry March 7, 2024
- The association between mindfulness and social anxiety in university students: the chain mediation role of rumination and self-compassion. Frontiers in Psychology April 23, 2026
Cites 9
- An empirical study of the mechanisms of mindfulness in a mindfulness‐based stress reduction program Journal of Clinical Psychology March 6, 2009
- Self-Focused Attention and Mechanisms of Change in Mindfulness-Based Treatment Cognitive Behaviour Therapy 2009
- Mindfulness-based cognitive therapy for depression. Industrial Psychiatry Journal October 29, 2024
- Self-focused attention, cost/probability bias, and avoidance behavior mediate the relationship between trait mindfulness and social anxiety: A cross-sectional study. Frontiers in Psychology August 8, 2022
- Mindfulness-based interventions for social anxiety disorder: A systematic review and meta-analysis. Psychiatry Research April 20, 2021
and 4 more in the library