Department of Psychology, Palo Alto University, 1791 Arastradero Rd., Palo Alto, CA 94304, United States.
Department of Psychology, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3, Canada.
J Affect Disord. 2021 Apr 15;285:127-135. doi: 10.1016/j.jad.2021.02.022. Epub 2021 Feb 8.
. Cognitive-behavioral therapy and mindfulness-based stress reduction (MBSR) are two prominent evidence-based treatments for social anxiety disorder (SAD). It is not clear, however, whether outcomes of these two treatments are moderated by similar factors. For example, whereas anger suppression and anger expression each predict outcomes in cognitive- behavioral group therapy (CBGT), it is unknown whether they differentially influence outcomes in CBGT versus MBSR.
. One hundred eight participants with SAD were randomized to CBGT, MBSR or Waitlist (WL). WL participants were later randomized to CBGT or MBSR, and their data were combined with data from those originally randomized to CBGT or MBSR. Anger suppression and anger expression were assessed at pre-treatment, and social anxiety was assessed at pre-treatment, post-treatment, and every 3 months throughout a 12-month follow-up period.
. From pre- to post-treatment, higher anger suppression was associated with significantly greater reduction in social anxiety in CBGT compared with MBSR. From post-treatment through follow-up, higher anger expression was associated lesser reduction in social anxiety in MBSR but not in CBGT.
. Data are limited by sole reliance on self-report and it is unclear whether these findings generalize beyond group-based interventions.
. Individuals with SAD who are higher in anger suppression and/or expression might be better suited to CBGT than MBSR.
认知行为疗法和正念减压疗法（MBSR）是两种治疗社交焦虑症（SAD）的重要循证治疗方法。然而，这两种治疗方法的结果是否受到相似因素的调节尚不清楚。例如，在认知行为团体治疗（CBGT）中，愤怒抑制和愤怒表达都可以预测治疗结果，但尚不清楚它们是否会对 CBGT 与 MBSR 的治疗结果产生不同的影响。
108 名 SAD 患者被随机分配到 CBGT、MBSR 或等待名单（WL）组。WL 组的参与者随后被随机分配到 CBGT 或 MBSR 组，他们的数据与最初随机分配到 CBGT 或 MBSR 组的参与者的数据合并。在治疗前、治疗后和 12 个月的随访期间每 3 个月评估一次愤怒抑制和愤怒表达，评估社交焦虑。
从治疗前到治疗后，CBGT 组中愤怒抑制程度较高与社交焦虑的显著降低相关，而 MBSR 组中则没有这种关联。从治疗后到随访期间，MBSR 组中愤怒表达程度较高与社交焦虑的降低较少相关，但在 CBGT 组中则没有这种关联。
数据仅依赖于自我报告，尚不清楚这些发现是否适用于群体干预之外的情况。
愤怒抑制和/或表达程度较高的 SAD 患者可能更适合接受 CBGT 治疗，而不是 MBSR 治疗。
