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Effects of CBT Versus MBSR Treatment on Social Stress Reactions in Social Anxiety Disorder

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Abstract

Cognitive behavioral group therapy (CBGT) has been reported to be more effective than a mindfulness-based stress reduction program (MBSR) in reducing symptoms of social anxiety disorder (SAD). The present study determined whether CBGT and MBSR differentially affected subjective anxiety and physiological response to a stressful speaking task. The sample comprised 38 medication-free SAD patients who participated in a previously published trial comparing CBGT and MBSR; an additional 30 participants were healthy control (HC) volunteers. Patients performed a speech task before and after treatment while HC performed it only once. Subjective anxiety and core symptoms of SAD were assessed with visual analog scales (VAS), and physiological responses included salivary cortisol and heart rate variability. Prior to treatment, the speech task induced greater increases in anxiety and SAD symptoms in patients compared to HC. After treatment, VAS ratings during the task decreased in both treatment groups. The most significant improvement overall was observed with CBGT, with their responses being comparable to that of HC. No physiological differences were found as a function of treatment. Although CBGT produced the best results, MBSR was nonetheless associated with a significant decrease in subjective anxiety and symptoms of SAD during the speech task.

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Acknowledgments

This research was supported in part by the University of Ottawa Medical Research Fund. We would like to thank Melodie Benger who conducted the MBSR group and Maria Pizzi, Murray Weeks, and Emilie Chan for research assistance. We also would like to acknowledge Dr. Shlik.

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Authors and Affiliations

  1. University of Ottawa, 145 Jean Jacques Lussier, Ottawa, ON, K1N 6N5, Canada

    Jacinthe Faucher, Diana Koszycki, Jacques Bradwejn, Zul Merali & Catherine Bielajew

  2. Institut de recherche de l’hôpital Montfort, Ottawa, ON, Canada

    Diana Koszycki & Jacques Bradwejn

  3. University of Ottawa Institute of Mental Health Research, Ottawa, ON, Canada

    Zul Merali

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  1. Jacinthe Faucher
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  2. Diana Koszycki
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Correspondence to Diana Koszycki.

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Faucher, J., Koszycki, D., Bradwejn, J. et al. Effects of CBT Versus MBSR Treatment on Social Stress Reactions in Social Anxiety Disorder. Mindfulness 7, 514–526 (2016). https://doi.org/10.1007/s12671-015-0486-4

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