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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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This project seeks to identify neural mechanisms underlying the tendency for anxious individuals to pay more attention to threatening information than to other types of information. A computerized treatment designed to train individuals to reduce their attention towards threat will be tested, with a focus on understanding the aspects of brain function that predict response to the treatment. This work could ultimately lead to the ability to treat anxiety more effectively by directly targeting the aspects of brain function that are altered in a given patient.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Computerized Attention Bias Modification | Experimental |
| |
| Computerized Neutral Training | Sham Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Attention Bias Modification | Behavioral | Excessive attention to threat is theorized to be a critical contributor to chronic anxiety symptoms and related negative health consequences. Attention Bias Modification, which directly targets this mechanism, is a highly cost-effective intervention with growing empirical support for its potential efficacy in clinically anxious populations. |
| Measure | Description | Time Frame |
|---|---|---|
| CAPS--Hypervigilance item | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Mood and Anxiety Symptoms Questionnaire | 1 month | |
| Mini International Neuropsychiatric Interview (MINI) | 1 month | |
| Attentional bias towards threat (Performance-based assessment of attentional bias towards threat based on reaction times and eye tracking) |
| Measure | Description | Time Frame |
|---|---|---|
| Functional Magnetic Resonance Imaging | (collected post-treatment in subsample of active arm only) | 1 month |
| Pupillometry | 1 month |
Inclusion Criteria:
Participants will:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh Department of Psychiatry | Pittsburgh | Pennsylvania | 15213 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30507228 | Derived | Price RB, Cummings L, Gilchrist D, Graur S, Banihashemi L, Kuo SS, Siegle GJ. Towards personalized, brain-based behavioral intervention for transdiagnostic anxiety: Transient neural responses to negative images predict outcomes following a targeted computer-based intervention. J Consult Clin Psychol. 2018 Dec;86(12):1031-1045. doi: 10.1037/ccp0000309. | |
| 30449531 | Derived | Price RB, Brown V, Siegle GJ. Computational Modeling Applied to the Dot-Probe Task Yields Improved Reliability and Mechanistic Insights. Biol Psychiatry. 2019 Apr 1;85(7):606-612. doi: 10.1016/j.biopsych.2018.09.022. Epub 2018 Oct 5. |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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Completer analyses focused on prediction of active ABM outcomes using neural measures. Control arm used for effect size comparisons.
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|
| Neutral Training | Behavioral | A control version of computerized attention training. |
|
Performance-based assessment of attentional bias towards threat based on reaction times and eye tracking |
| immediate |
| Penn State Worry Questionnaire | 1 month |
| Liebowitz Social Anxiety Scale | 1 month |
| World Health Organization Disability Assessment Scale (WHODAS) | 1 month |
| Speilberger State-Trait Anxiety Inventory | 1 month |
| Beck Anxiety Inventory | 1 month |