Self-Compassion Enhanced CBT vs. Standard CBT for Social Anxiety (SCE-CBT)
- Conditions
- Social Anxiety Disorder
- Interventions
- Behavioral: Self-Compassion Enhanced Cognitive-Behavioral TherapyBehavioral: Cognitive-Behavioral Therapy
- Registration Number
- NCT02646865
- Lead Sponsor
- Babes-Bolyai University
- Brief Summary
This study evaluates the addition of a self-compassion training in the treatment of social anxiety disorder. Half of the participants will receive a self-compassion enhanced group cognitive-behavioral therapy, while the other half will receive standard group cognitive-behavioral therapy.
- Detailed Description
There is growing evidence showing that shame is associated with social anxiety. Also, empirical data shows that individuals with social anxiety have higher levels of shame compared with healthy individuals and that shame might play an important role in the maintenance of social anxiety symptoms. Although cognitive-behavioral therapy for social anxiety seems to reduce the level of shame-proneness, the magnitude of this reduction is a small one.
The purpose of this study is to test whether adding a self-compassion component (which seems to be effective in reducing shame feelings) to a cognitive-behavioral protocol would increase the efficacy of the treatment in reducing both shame-proneness and social anxiety symptoms compared with a standard cognitive-behavioral intervention.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- subjects diagnosed with Social Anxiety Disorders using the DSM-5 criteria
- subjects that have SAD as the primary diagnosis according to DSM-5 criteria
- exceed the cutoff scores on SPIN, SIAS, and LSAS-SR
- subjects that score over 29 points at BDI-II
- display suicidal ideation (i.e., exceed a score of 2 on the suicide item of BDI-II)
- undergo other forms of treatment for SAD
- have a diagnosis of psychosis, bipolar disorder or personality disorders according to DSM-5 criteria
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Self-Compassion Enhanced Cognitive-Behavioral Therapy Self-Compassion Enhanced Cognitive-Behavioral Therapy Group Cognitive-Behavioral Therapy for social anxiety enhanced with exercises targeting self-compassion Cognitive-Behavioral Therapy Cognitive-Behavioral Therapy Standard Group Cognitive-Behavioral Therapy for social anxiety
- Primary Outcome Measures
Name Time Method Changes in social anxiety symptoms using SIAS (Social Interaction Anxiety Scale; Mattick & Clarke, 1998) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of social anxiety symptoms
Changes in shame-proneness using TOSCA-3 (Test of Self-Conscious Affect-3; Tangney, Dearing, Wagner, & Gramzow, 2000) (1) baseline; (2) after 3, 6, 9 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of the treatment Self-reported measure of predisposition to experience shame
Changes in social anxiety symptoms using (Liebowitz Social Anxiety Scale; Leibowitz, 1987) (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment) ; (3) 6 months after the end of treatment Self-reported measure of social anxiety symptoms
Changes in social anxiety disorder clinical status at the end of the therapy DSM-5 semi-structured interview for social anxiety disorder
Changes in social anxiety symptoms using SPIN (Social Phobia Inventory; Connor et al., 2000) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of social anxiety symptoms
- Secondary Outcome Measures
Name Time Method Changes in self-compassion using SCSs (Self-Compassion Scale Short Form; Raes et al., 2011) (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of self-compassion
Changes in irrational and rational thinking using ABS-II (Attitudes and Beliefs Scale- 2; DiGiuseppe, Leaf, Exner, & Robin, 1988) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of rational and irrational beliefs
Changes in emotion regulation using ERQ (Emotion Regulation Questionnaire; Gross & John, 2003) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of the use of suppression and reappraisal
Changes in emotion regulation using DERS (Difficulties in Emotion Regulation Scale; Gratz & Roemer, 2004) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure on emotion regulation strategies
Changes in positive and negative affect using PANAS (Positive and Negative Affect Schedule; Watson & Clark, 1999) (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of positive and negative affect
Changes in self-compassion using SCS (Self-Compassion Scale; Neff, 2003) (1) baseline; (2) after 6 weeks from the start of the treatment; (2)at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of self-compassion
Changes in rational and irrational beliefs using GABS (General Attitudes and Beliefs Scale; Bernard, 1998) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of rational and irrational beliefs
Changes in social phobia related thoughts using BFNE (Brief Fear of Negative Evaluation Scale; Leary, 1983) (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of social phobia relevant negative thoughts
Changes in depressive symptoms using BDI-II (Beck Depression Inventory-II; Beck, 1996) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of depressive symptoms
Changes in positive and negative emotions using PDA (Profile of Affective Distress; OpriČ™ & Macavei, 2005) (1) baseline; (2) after 6 weeks from the start of the treatment; (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of positive and negative emotions
Changes in shame with PFQ-2 (Personal Feelings Questionnaire-2; Harder & Zalma, 1990) (1) baseline; (2) weekly for 11 weeks starting with the second week of treatment (2) at the of end of treatment (12 weeks after the start of the treatment); (3) 6 months after the end of treatment Self-reported measure of shame
Trial Locations
- Locations (1)
Babes-Bolyai University
🇷🇴Cluj-Napoca, Cluj, Romania