Cognitive-behavioral group therapy (CBGT) and Mindfulness-Based Stress Reduction (MBSR) are frequently used to ease social anxiety. We know little about whether anger—expressing or holding it back—affects how well these therapies work. In this study, 108 adults with social anxiety disorder were randomly assigned to either a CBGT group, an MBSR group, or a waitlist. Their levels of anger expression and social anxiety were assessed before treatment, and social anxiety symptoms were measured following the intervention and every three months for a year’s follow-up. Both MBSR and CBGT sessions ran for 12 weeks in 2.5 hour sessions. CBGT included psycho-education, skills for examining thoughts, and gradual exposure to social situations, while MBSR included standard MBSR instruction. Neither intervention explicitly addressed anger. After treatment, CBGT group members who coped with their anger showed greater reductions in social anxiety than those who managed their anger in the MBSR group. Over the follow-up period, higher anger expression was linked to a smaller reduction in anxiety symptoms in the MBSR group. Further research is needed to explore the effects of expressing or suppressing anger on various therapies.
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