Mindfulness-based Intervention Versus CBT for Social Anxiety Disorder

Hopital Montfort97 enrolled

Overview

To conduct a prospective, randomized trial to compare the efficacy of a group mindfulness-based intervention adapted for social anxiety disorder (MBI-SAD) versus cognitive behavior group therapy (CBGT).

The main aim of this comparative trial is to determine if the MBI-SAD will be noninferior to CBGT in improving core symptoms of social anxiety disorder, depressive symptoms, self, esteem, disability and quality of life. A secondary aim is to examine whether treatment gains are maintained over a 6-month period. Exploratory aims of the study are to: 1) determine if the MBI-SAD enhances self-compassion and mindfulness relative to CBGT; 2) determine if changes in self-compassion and mindfulness mediate the clinical response to the MBI-SAD; and 3) explore moderators of treatment response.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Social Anxiety Disorder

Interventions

Mindfulness-based InterventionBEHAVIORAL

Twelve week group intervention that includes training in mindfulness meditation, self-compassion and mindful exposure.

Cognitive Behavior Group TherapyBEHAVIORAL

Twelve week group intervention that focuses on the interaction between thoughts, feelings, and behaviors.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * DSM-5 diagnosis of social anxiety disorder (SAD) of at least moderate severity * Montgomery Asberg Depression Rating Scale score ≤ 25 * Comorbid depressive disorders, panic disorder, agoraphobia, generalized anxiety disorder, specific phobias, eating disorders are allowed as long as the SAD is primary and predominates the clinical picture. Exclusion Criteria: * Coexisting Axis I disorders excluding those listed in the inclusion criteria * Coexisting medical conditions that can alter the clinical presentation of SAD (e.g. Parkinson's disease) * Lifetime history of bipolar disorder or psychotic symptoms * Substance-related disorders in the last 12 months * Acutely suicidal or history of suicide attempt in the past five years * History of non-suicidal self-injurious behavior in the last 12 months * Currently receiving psychotherapy * Currently engaged in a regular meditation or yoga practice * Unable to attend weekly group sessions

Locations (2)

Hopital Montfort

Ottawa, Ontario, Canada

Montfort Hospital

Ottawa, Ontario, Canada

Outcomes

Primary Outcomes

Liebowitz Social Anxiety Scale

A 24-item clinician-rated scale that assesses fear and avoidance of social performance and social situations.