Brief Shame Intervention Study

Study Overview
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Brief Summary
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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.

Official Title
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The Development and Evaluation of a Brief Shame Intervention Module: Proof of Concept in Social Anxiety Disorder

Conditions
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Shame, Social Anxiety Disorder

Intervention / Treatment
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* Behavioral: Shame Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: -≥ 18 years old fluent in English, in terms of verbal and written competence meet diagnostic criteria for social anxiety disorder (as assessed by the Diagnostic Interview for Anxiety, Mood, and OCD and Related Neuropsychiatric Disorders; Tolin et al., 2016) have elevated levels of shame (i.e., score 1 SD above the Test of Self-Conscious Affect-3 [TOSCA-3] means reported by an unselected undergraduate sample [M = 33.62, SD = 8.64]) endorse a desire to decrease their levels of shame and/or social anxiety. Exclusion Criteria: currently receiving cognitive-behavioral therapy specifically for social anxiety or shame have begun taking or had a change in dosage of psychotropic medication in the past six weeks do not achieve baseline stability

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: non-concurrent multiple baseline design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Shame Intervention<br>Participants will complete a two shame intervention sessions approximately one week apart. | Behavioral: Shame Intervention<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | 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. | 

Secondary Outcome Measures

| Outcome Measure | 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 | 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. |