Brief Shame Intervention Study

Miami University14 enrolled

Overview

The current project will develop and test a brief 2-session shame intervention in individuals diagnosed with social anxiety disorder (SAD). Using a non-concurrent multiple baseline design, the investigators will determine whether the brief shame intervention leads to reductions in trait self-reported shame and state shame in response to an in vivo stressor task. The investigators will also evaluate the effect of changes in shame on trait SAD symptoms.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Shame Social Anxiety Disorder

Interventions

Shame InterventionBEHAVIORAL

In the Shame Intervention, participants will meet with a therapist and learn to: 1) Recognize the experience of shame, 2) Understand the connection between shame and social anxiety, 3) Identify shame triggers and vulnerabilities, 4) Identify the thoughts and behaviors that keep participants stuck in shame, and 5) Learn how to use new, healthier thoughts and behaviors that will help participants move through and decrease shame.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: -≥ 18 years old * fluent in English, in terms of verbal and written competence * meet diagnostic criteria for social anxiety disorder (as assessed by the Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders; Tolin et al., 2016) * have elevated levels of shame (i.e., score 1 SD above the Test of Self-Conscious Affect-3 \[TOSCA-3\] means reported by an unselected undergraduate sample \[M = 33.62, SD = 8.64\]) * endorse a desire to decrease their levels of shame and/or social anxiety. Exclusion Criteria: * currently receiving cognitive-behavioral therapy specifically for social anxiety or shame * have begun taking or had a change in dosage of psychotropic medication in the past six weeks * do not achieve baseline stability

Locations (1)

Anxiety Cognition and Emotion Laboratory

Oxford, Ohio, United States

Outcomes

Primary Outcomes

Change in Test of Self-Conscious Affect-3-Short Form

Self-report of how likely an individual is to react to 11 scenarios with shame responses

Time frame: Participants indicate likelihood of responses to scenarios. Administered at B1-B5 and T1-T5. B1-B5 occur ~1 week apart. T1 occurs ~1 week after the final baseline. T1-T4 each occur within ~2 weeks of each other. T5 occuring ~1 month after T4.

Secondary Outcomes

Change in Liebowitz Social Anxiety-Self-Report

Self-report of social anxiety symptoms

Time frame: Participants report on symptoms during the past week. Administered at T1-T5. T1-T4 each occur within ~2 weeks of each other. T5 occurs ~1 month after T4.

Change in Brief State Anxiety Measure

Self-report of levels of anxiety experienced during the speech task

Time frame: Participants report on symptoms experienced during the speech task. Administered at T1 and T4. T4 occurs within ~6 weeks after T1.

Change in Shame Inventory

Self-report of shame symptoms

Time frame: Participants report on typical experience of symptoms. Administered at T1, T4, and T5. T4 occurs within ~6 weeks after T1. T5 occurs ~1 month after T4.

Change in State Shame and Guilt Measure

Self-report of levels of shame experienced during the speech task

Time frame: Participants report on symptoms experienced during the speech task. Administered at T1 and T4. T4 occurs within ~6 weeks after T1.

Data from ClinicalTrials.gov

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