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Emotional Clarity's Link to Social Anxiety Changes

J Anxiety Disord; ePub 2018 Mar 9; Butler, et al

Changes in emotional clarity (EC) predicted changes in social anxiety, according to a recent study, but EC did not moderate treatment outcome. Participants were patients with social anxiety disorder (SAD; n=108) and healthy controls (n=37) who were assigned to cognitive behavioral group therapy (CBGT), mindfulness-based stress reduction (MBSR), or a wait list (WL) in a randomized controlled trial. Researcher s examined:

  1. Differences between controls and patients with SAD in EC and attention to emotions;
  2. Changes in EC and attention to emotions associated with CBGT, MBSR, or a WL condition; and
  3. Whether EC and attention to emotions moderated changes in social anxiety across treatment.

At pretreatment, post-treatment, and 12-month follow-up, patients with SAD completed measures of social anxiety, EC, and attention to emotions. Controls completed measures at baseline only. They found:

  • At pretreatment, patients with SAD had lower levels of EC than controls.
  • EC increased significantly among patients receiving CBGT, and changes were maintained at 12-month follow-up.
  • EC at post-treatment did not differ between CBGT and MBSR or between MBSR and WL.

Citation:

Butler RM, Boden MT, Olino TM, et al. Emotional clarity and attention to emotions in cognitive behavioral group therapy and mindfulness-based stress reduction for social anxiety disorder. [Published online ahead of print March 9, 2018]. J Anxiety Disord. doi:10.1016/j.janxdis.2018.03.003.