Facing social fears: How do improved participants experience change in mindfulness‐based stress reduction for social anxiety disorder?

Hjeltnes, Aslak; Moltu, Christian; Schanche, Elisabeth; Jansen, Y.; Binder, Per‐Einar

doi:10.1002/capr.12200

Cited by 3 publications

(3 citation statements)

References 33 publications

(48 reference statements)

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“…The findings reveal consistent links with existing studies-for example the report on a patient who found the verbalized feedback from the group on her blushing important [47]. Acceptance of one's own experience, whose relevance becomes clear [47,48], was not explicitly addressed, but we hypothesize that the experience of having feedback from the group resonates with our results. Interestingly, in the case of Category 1 "meeting other patients in group therapy", it is-with one exception-not the deconstructed beliefs that the leading therapist has worked out with each client, but the setting itself which gives rise to meaningful moments.…”

Section: Discussionsupporting

confidence: 91%

“…The findings reveal consistent links with existing studies—for example the report on a patient who found the verbalized feedback from the group on her blushing important [ 47 ]. Acceptance of one’s own experience, whose relevance becomes clear [ 47 , 48 ], was not explicitly addressed, but we hypothesize that the experience of having feedback from the group resonates with our results.…”

Section: Discussionmentioning

confidence: 58%

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Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

et al. 2021

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There is evidence that systemic therapy is effective, but there is little evidence about meaningful moments in systemic therapy in general, and none at all in systemic therapy for social anxiety disorders. Meaningful moments are one of the relevant research objects in change process research, as they contribute to a better understanding of therapeutic change. Objective The objective of this study is to characterize and describe meaningful moments in the context of systemic psychotherapy, from the point of view of patients and their therapists, after the end of therapy. The therapy studied is a manualized, monitored systemic therapy for social anxiety disorder. Method Semi-structured follow-up interviews were conducted separately with five patients and their therapists (N = 10). Methodological triangulation was used: Grounded theory was used to code the transcripts as described by Charmaz. Then the passages of the selected code “meaningful moment” were evaluated using thematic comparison, in line with Meuser & Nagel. Findings Three categories involving meaningful moments were identified: (1) meeting other patients in group therapy session, (2) therapeutic resource orientation and (3) recognizing oneself in a diagnosis or pattern of behaviour. These categories emerged as contexts related to the occurrence of meaningful moments from a subjective perspective. Discussion Meaningful moments seem to be consistently related to the therapist input and to specific interventions or settings, both from the perspective of the patients and the therapists. Two tandems each described a coincident moment. One central aspect of all 14 moments is that the patients and therapists described patients being able to acquire another outlook on themselves.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 58%

Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

et al. 2021

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“…Both these summaries indicate a need for more qualitative studies of MBSR for clients with anxiety disorders. To our knowledge, only two studies have investigated MBSR for this population (A. Hjeltnes et al, 2018a , 2018b ). Hjeltnes ( 2018b ) compared how improved and less-improved participants with social anxiety disorder experienced the MBSR program, and examined how improved participants experienced their own process of change after the intervention.…”

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confidence: 99%

Participant experiences of change in mindfulness-based stress reduction for anxiety disorders

Schanche

Vøllestad

Binder

et al. 2020

International Journal of Qualitative Studies on Health and Well

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Aim: To explore experiences of change among participants in a randomized clinical trial of mindfulness-based stress reduction (MBSR) for anxiety disorders. Method: Semi-structured interviews were conducted to explore the subjective experiences of change for individuals with anxiety disorders after a course in MBSR. Interviews were analysed employing hermeneutic-phenomenological thematic analysis. Results: Five main themes were identified: 1) Something useful to do when anxiety appears, 2) Feeling more at ease, 3) Doing things my anxiety wouldn't let me, 4) Meeting what is there, and 5) Better-but not there yet. Most participants used what they had learned for instrumental purposes, and described relief from anxiety and an increased sense of personal agency. A few reported more radical acceptance of anxiety, as well as increased selfcompassion. Conclusion: Participants of MBSR both describe mindfulness as a tool to "fix" anxiety and as bringing about more fundamental change towards acceptance of their anxiety. The complexity of reported change corresponds with better handling of areas representing known transdiagnostic features of anxiety disorder, such as dysfunctional cognitive processes (including attentional biases), emotional dysregulation, avoidance behaviours, and maladaptive self-relatedness. This supports MBSR as a transdiagnostic approach to the treatment of anxiety disorders.

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Mindfulness-Based Interventions for Clinical Anxiety and Depression

Hazlett-Stevens

2021

Biopsychosocial Factors of Stress, and Mindfulness for Stress Reduction

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Facing social fears: How do improved participants experience change in mindfulness‐based stress reduction for social anxiety disorder?

Cited by 3 publications

References 33 publications

Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

Recognizing oneself in the encounter with others: Meaningful moments in systemic therapy for social anxiety disorder in the eyes of patients and their therapists after the end of therapy

Participant experiences of change in mindfulness-based stress reduction for anxiety disorders

Mindfulness-Based Interventions for Clinical Anxiety and Depression

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