Cognitive Processes Mediate the Relation Between Mindfulness and Social Anxiety Within a Clinical Sample

Journal of Clinical Psychology

Volumn 68, Issue 3, 2012, Pages 362-371

  Schmertz, Stefan K ^a   Masuda, Akihiko ^a   Anderson, Page L ^a  

^a GEORGIA STATE UNIVERSITY   (United States)

Author keywords

Cognitive appraisal; Mediation; Mindfulness; Outcome cost; Outcome probability; Psychopathology; Social phobia

Indexed keywords

ADULT; AGED; ARTICLE; COGNITION; CROSS-SECTIONAL STUDY; FEMALE; HUMAN; MALE; MEDITATION; MIDDLE AGED; PHOBIA; PSYCHOLOGIC TEST; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL RATING SCALE; REGRESSION ANALYSIS;

ADULT; AGED; COGNITION; CROSS-SECTIONAL STUDIES; FEMALE; HUMANS; LEAST-SQUARES ANALYSIS; MALE; MEDITATION; MIDDLE AGED; PHOBIC DISORDERS; PSYCHIATRIC STATUS RATING SCALES; PSYCHOLOGICAL TESTS; YOUNG ADULT;

EID: 84858392362     PISSN: 00219762     EISSN: 10974679     Source Type: Journal    
DOI: 10.1002/jclp.20861     Document Type: Article

References (56)

1. Anderson, Zimand, E., Hodges, L.F., & Rothbaum B.O. (2005). Congitive behavioral therapy for public-speaking anxiety using virtual reality for exposure. Depression and Anxiety, 22, 156-158. doi:10.1002/da.20090
2. Baer, R.A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143. doi:10.1093/clipsy/bpg015
3. Baer, R.A., Smith, G.T., & Allen, K.B. (2004). Assessment of mindfulness by self-report. Assessment, 11, 191-206. doi:10.1177/1073191104268029
4. Baer, R.A., Smith, G.T., Hopkins, H., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27-45. doi:10.1177/1073191105283504
5. Baker, S.L., Heinrichs, N., Kim, H.J., Hofmann, S.G. (2002). The Liebowitz Social Anxiety Scale as a self-report instrument: A preliminary psychometric analysis. Behaviour Research & Therapy. 40, 701-715. doi:10.1016/S0005-7967(01)00060-2
6. Baron, R.M., & Kenny, J.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182. doi:10.1037/0022-3514.51.6.1173
7. Bishop, S.R., Lau, M., Shapiro, S., Carlson, L., Anderson, N.D., Carmody, J., Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230-241. doi:10.1093/clpsy.bph077
8. Bogels, S.M., & Mansell, W. (2004). Attention processes in the maintenance and treatment of social phobia: Hypervigilance, avoidance and self-focused attention. Clinical Psychology Review, 24, 827-856. doi:10.1016/j.cpr.2004.06.005
9. Bogels, S.M., Sijbers, G.F.V.M., & Vocncken, M. (2006). Mindfulness and task concentration training for social phobia: A pilot study. Journal of Cognitive Psychotherapy, 20, 33-44. doi:10.1891/jcop.20.1.33
10. Brown, K.W., & Ryan, R.M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848. doi:10.1037/0022-3514.84.4.822
11. Butler, G., & Mathews, A. (1983). Cognitive processes in anxiety. Advances in Behavior Research and Therapy, 24, 461-470. doi:10.1016/0146-6402(83)90015-2
12. Chen, Y.P., Ehlers, A., Clark, D.M., & Mansell, W. (2002). Patients with generalized social phobia direct their attention away from faces. Behaviour Research and Therapy, 40(6), 677-687. doi:10.1016/S0005-7967(01)00086-9
13. Clark, D.M., & Wells, A. (1995). A cognitive model of social phobia, In R.G. Heimberg, M.R. Liebowitz, D.A. Hope, & F.R. Schneier (Eds.), Social phobia: Diagnosis, assessment and treatment (pp. 69-93. New York: Guilford Press.
14. Collins, K., Westra, H.A., Dozois, D.J.A., & Stewart, S.H. (2005). The validity of the brief form of the Fear of Negative Evaluation Scale. Journal of Anxiety Disorders, 19, 345-359. doi:10.1016/j.janxdis.2004.02.003
15. Creswell, J.D., Way, B.M., Eisenberger, N.I., & Lieberman, M.D. (2007). Neural correlates of dispositional mindfulness during affect labeling. Psychosomatic Medicine, 69, 560-565. doi:10.1097/PSY.0b013e3180f6171f
16. Evan, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., & Haglin, D. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorders, 22, 716-721.
17. Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. (2007). Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Behavioral Assessment, 29, 177-190. doi:10.1007/s10862-006-9035-8
18. nd Ed.). London: Sage.
19. First, M.B., Gibbon, M., Spitzer, R., & Williams, J.B.W. (2002). Structured Clinical Interview for DSM-IV (SCID - I/R). New York: Biometrics Research Department, New York State Psychiatric Institute.
20. Foa, E.B., Franklin, M.E., Perry, K.J., & Herbert, J.D. (1996). Cognitive biases in generalized social phobia. Journal of Abnormal Psychology, 105, 433-439. doi:10.1037/0021-843X.105.3.433
21. Foa, E.B., & Kozak, M.J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20-35. doi:10.1037/0033-2909.99.1.20
22. Fresco, D.M., Coles, M.E., Heimberg, R.G., Liebowitz, M.R., Hami, S., Stein, M.B. & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31, 1025-1035. doi:10.1017/S0033291701004056
23. Goldin, P.R., & Gross, J.J. (2010). Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion, 10, 83-91. doi:10.1037/a0018441
24. Goldin, P., Ramel, W., & Gross, J. (2009). Mindfulness meditation training and self-referential processing in social anxiety disorder: Behavioral and neural effects. Journal of Cognitive Psychotherapy, 23, 242-257. doi:10.1891/0889-8391.23.3.242
25. Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research, 64, 405-408. doi:10.1016/j.jpsychores.2008.02.001
26. Gunaratana, B.H. (2001). Eight mindful steps to happiness. Walking the Buddha's path. Somerville, MA: Wisdom Publications.
27. Hayes, S.C., & Wilson, K.G. (2003). Mindfulness: Method and process. Clinical Psychology: Science and Practice, 10, 161-165. doi:10.1093/clipsy/bpg018
28. Hofmann, S.G. (2004). Cognitive mediation of treatment change in social phobia. Journal of Consulting and Clinical Psychology, 72, 393-399. doi:10.1037/0022-006X.72.3.392
29. Hope, D.A., Gansler, A.D., & Heimberg, R.G. (1989). Attentional focus and causal attributions in social phobia: Implications from social psychology. Clinical Psychology Review, 9, 49-60. doi:10.1016/0272-7358(89)90046-9
30. Iwamasa, G., Sorocco, K., & Koonce, D. (2002). Ethnicity and clinical psychology. A content analysis of the literature. Clinical Psychology Review, 22, 931-944.
31. Jain, S., Shapiro, S.L., & Swanick, S. (2007). A randomized controlled trial of mindfulness mediation versus relaxation training effects on distress, positive states of mind, rumination, and distraction. Annals of Behavioral Medicine, 33, 11-21.
32. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and Future. Clinical Psychology: Science and Practice, 10, 144-156. doi:10.1093/clipsy/bpg016
33. Keng, S., Smoski, M.J., & Robins, C.J. (in press). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31, 1041-1056. doi:10.1016/j.cpr.2011.04.006
34. Kocovski, N.L., Fleming, J.E., & Rector, N.A. (2009). Mindfulness and acceptance based group therapy for social anxiety disorder: an open trial. Cognitive and Behavioral Practice, 16, 276-289. doi:10.1016/j.cbpra.2008.12.004
35. Kocovski, N.L., Segal, Z.V., & Battista, S.R. (2009). Mindfulness and psychopathology: Problem formulation. In Didonna, F. (Ed.), Clinical handbook of mindfulness (pp. 85-98). New York: Springer Science & Business Media.
36. Koszycki, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a meditation based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder. Behavior Research and Therapy, 45, 2518-2526. doi:10.1016/j.brat.2007.04.011
37. Lau, M., Bishop, S.R., Segal, Z.V., Buis, T., Anderson, N.C., Carlson, L., Devins, G. (2006). The Toronto Mindfulness Scale: development and validation. Journal of Clinical Psychology, 62, 1445-1467. doi:10.1002/jclp.20326
38. Leary, M.R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-375. doi:10.1177/0146167283093007
39. Liebowitz, M.R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141-173.
40. Masuda, A., Anderson, P., & Sheehan, S. (2009). Mindfulness and mental health among African American college students. Contemporary Health Practice Review, 14, 115-127.
41. Mennin D.S., Fresco, D.M., Heimberg R.G., Schneier, F.R., Davies, S.O., Liebowitz, M.R. (2002). Screening for social anxiety disorder in the clinical setting: Using the Liebowitz Social Anxiety Scale. Journal of Anxiety Disorders, 16, 661-673. doi:10.1016/S0887-6185(02)00134-2
42. Nyklíček, I., & Kuijpers, K.F. (2008). Effects of mindfulness-based stress reduction intervention on psychological well-being and quality of life: Is increased mindfulness indeed the mechanism? Annals of Behavioral Medicine, 35, 331-340.
43. Oakman, J., Van Ameringen, M., Mancini, C., & Farvolden, P. (2003). A confirmatory factor analysis of a self-report version of the Liebowitz Social Anxiety Scale. Journal of Clinical Psychology, 59, 149-161. doi:10.1002/jclp.10124
44. Preacher, K.J., & Hayes, A.F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879-891. doi:10.3758/BRM.40.3.879
45. Ramel, W., Goldin, P.R., Carmona, P.E., & McQuaid, J.R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28, 433-455.
46. Rapee, R.M., & Heimberg, R.G. (1997). A cognitive behavioral model of anxiety in social phobia. Behavior Research and Therapy, 35, 741-756. doi:10.1016/S0005-7967(97)00022-3
47. Roemer, L., Lee, J.K., Salters-Pedneault, K., Erisman, S.M., Orsillo, S.M., & Mennin, D.S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions, Behavior Therapy, 40, 142-154. doi:10.1016/j.beth.2008.04.001
48. Rytwinski, N.K., Fresco, D.M., Heimberg, R.G., Coles, M.E., Liebowitz, M.R., Cissell, S., Hofmann, S.G. (2009). Screening for social anxiety disorder with the self-report version of the Liebowitz Social Anxiety Scale. Depression & Anxiety, 26, 34-38. doi:10.1002/da.20503
49. Shapiro, S.L., Brown, K.W., Thoreses, C., & Plante, T.G. (2011). The moderation of mindfulness based stress reduction effects by trait mindfulness: Results from a randomized control trial. Journal of Clinical Psychology, 67, 267-277. doi:10.1002/jclp.20761
50. Shapiro, S.L., Carlson, L.E., Astin, J.A., & Freedman, B, (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373-386. doi:10.1002/jclp.20237
51. Smalley, S.L., Loo, S.K., Hale, T.S., Shrestha, A., McGough, J., Flook, L., et al. (2009). Mindfulness and attention deficit hyperactivity disorder. Journal of Clinical Psychology, 65, 1087-1098. doi:10.1002/jclp.20618
52. Smits, J., A., Rosenfield, D., McDonald, R., & Telch, M.J. (2006). Cognitive mechanisms of social anxiety reduction: An examination of specificity and temporality. Journal of Consulting and Clinical Psychology, 74, 1203-1212. doi:10.1037/0022-006X.74.6.1203
53. Uren, T.H., Szabo, M., & Lovibond, P.F. (2004). Probability and cost estimates for social and physical outcomes in social phobia and panic disorder. Journal of Anxiety Disorders, 18, 481-498. doi:10.1016/S0887-6185(03)00028-8
54. Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457. doi:10.1037/h0027806
55. Weeks, J.W., Heimberg, R.G., Fresco, D.M., Hart, T.A., Turk, C.L., Schneier, F.R., & Liebowitz, M. R. (2005). Empirical evaluation and psychometric evaluation of the Brief Fear of Negative Evaluations Scale in patients with social anxiety disorder. Psychological Assessment, 17, 179-190. doi:10.1037/1040-3590.17.2.179
56. Wupperman, P., Neumann, C.S., Whitman, J.B., & Axelrod, S.R. (2009). The role of mindfulness in borderline personality disorder features. Journal of Nervous and Mental Disease, 197, 766-771. doi:10.1097/NMD.0b013e3181b97343