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The current project will develop and test a brief 2-session shame intervention in individuals diagnosed with social anxiety disorder (SAD). Using a non-concurrent multiple baseline design, the investigators will determine whether the brief shame intervention leads to reductions in trait self-reported shame and state shame in response to an in vivo stressor task. The investigators will also evaluate the effect of changes in shame on trait SAD symptoms.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shame Intervention | Experimental | Participants will complete a two shame intervention sessions approximately one week apart. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Shame Intervention | Behavioral | In the Shame Intervention, participants will meet with a therapist and learn to: 1) Recognize the experience of shame, 2) Understand the connection between shame and social anxiety, 3) Identify shame triggers and vulnerabilities, 4) Identify the thoughts and behaviors that keep participants stuck in shame, and 5) Learn how to use new, healthier thoughts and behaviors that will help participants move through and decrease shame. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Test of Self-Conscious Affect-3-Short Form | Self-report of how likely an individual is to react to 11 scenarios with shame responses | Participants indicate likelihood of responses to scenarios. Administered at B1-B5 and T1-T5. B1-B5 occur ~1 week apart. T1 occurs ~1 week after the final baseline. T1-T4 each occur within ~2 weeks of each other. T5 occuring ~1 month after T4. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Liebowitz Social Anxiety-Self-Report | Self-report of social anxiety symptoms | Participants report on symptoms during the past week. Administered at T1-T5. T1-T4 each occur within ~2 weeks of each other. T5 occurs ~1 month after T4. |
| Change in Brief State Anxiety Measure |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Center for Epidemiologic Studies Depression Measure | Self-report measure of depressive symptoms | Participants report on symptoms experienced during the past week. Administered at T1, T4, and T5. T4 occurs within ~6 weeks after T1. T5 occurs ~1 month after T4. |
| Change in Clinical Perfectionism Measure |
Inclusion Criteria:
-≥ 18 years old
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marie Parsons, M.A. | Miami University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anxiety Cognition and Emotion Laboratory | Oxford | Ohio | 45212 | United States |
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| ID | Term |
|---|---|
| D000072861 | Phobia, Social |
| ID | Term |
|---|---|
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
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non-concurrent multiple baseline design
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|
Self-report of levels of anxiety experienced during the speech task |
| Participants report on symptoms experienced during the speech task. Administered at T1 and T4. T4 occurs within ~6 weeks after T1. |
| Change in Shame Inventory | Self-report of shame symptoms | Participants report on typical experience of symptoms. Administered at T1, T4, and T5. T4 occurs within ~6 weeks after T1. T5 occurs ~1 month after T4. |
| Change in State Shame and Guilt Measure | Self-report of levels of shame experienced during the speech task | Participants report on symptoms experienced during the speech task. Administered at T1 and T4. T4 occurs within ~6 weeks after T1. |
Self-report measure of perfectionism |
| Participants report on symptoms experienced during the past month. Administered at T1, T4, and T5. T4 occurs within ~6 weeks after T1. T5 occurs ~1 month after T4. |
| Change in Eating Disorder Inventory - 3rd Version | Self-report measure of eating disorder symptoms | Participants report on typical experience of symptoms. Administered at T1, T4, and T5. T4 occurs within ~6 weeks after T1. T5 occurs ~1 month after T4. |
| Change in Brief Fear of Negative Evaluation Measure-II | Self-report measure of fear of negative evaluation | Participants report on typical experience of symptoms. Administered at T1, T4, and T5. T4 occurs within ~6 weeks after T1. T5 occurs ~1 month after T4. |
| Change in Self Beliefs about Social Anxiety | Self-report measure of social anxiety disorder relevant maladaptive beliefs | Participants report on typical experience of symptoms. Administered at T1, T4, and T5. T4 occurs within ~6 weeks after T1. T5 occurs ~1 month after T4. |