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Attention Bias Modification Treatment (ABMT) for Anxiety Disorders in Youth

Primary Purpose

Anxiety Disorders

Status
Completed
Phase
Not Applicable
Locations
Israel
Study Type
Interventional
Intervention
Attention Bias Modification treatment (ABMT)
Exposure only +ABMT
Attention training only +ABMT
Placebo group
Sponsored by
Tel Aviv University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Anxiety Disorders focused on measuring attention bias modification treatment, attention training, anxiety disorders, clinical trials

Eligibility Criteria

10 Years - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Primary diagnosis of GAD, SOP, or SAD.
  • Co-morbid attention deficit hyperactivity disorder (ADHD) or depressive disorders must be treated with medication and stable.
  • Tics or impulse control problems must be treated with medication, stable and cause minimal or no impairment.

Exclusion Criteria: To be excluded youth must:

  • meet diagnostic criteria for Organic Mental Disorders, Psychotic Disorders, Pervasive Developmental Disorders, or Mental Retardation.
  • show high likelihood of hurting themselves or others.
  • have not been living with a primary caregiver who is legally able to give consent for the child's participation.
  • be a victim of previously undisclosed abuse requiring investigation or ongoing supervision.
  • be involved currently in another psycho-social treatment.
  • have a serious vision problem that is not corrected with prescription lenses.
  • have a physical disability that interferes with their ability to click a mouse button rapidly and repeatedly.

Sites / Locations

  • Tel-Aviv University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Active Comparator

Active Comparator

Placebo Comparator

Arm Label

Attention Bias Modification treatment (ABMT)

Exposure only +ABMT

Attention training only +ABMT

Placebo group

Arm Description

Attention training via repeated trials of a dot-probe task intended to direct attention away from threat stimuli using threat and neutral face stimuli.

Identical discrimination task including exposure to a single threat or neutral face stimulus in each trial.

Attention training via repeated trials of a dot-probe task using non-emotional stimuli.

Identical discrimination task including a single non-emotional stimulus in each trial.

Outcomes

Primary Outcome Measures

Change from baseline in anxiety symptoms - the Pediatric Anxiety Rating (PARS)
The PARS assesses global anxiety severity across different anxiety disorders in youth.

Secondary Outcome Measures

Change from baseline in anxiety related emotional disorders symptoms - Child/Parent Version (SCARED-C/P)
The SCARED is a 41-item self and parent-report instrument designed to assess anxiety in children and adolescents.

Full Information

First Posted
May 27, 2015
Last Updated
September 16, 2018
Sponsor
Tel Aviv University
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1. Study Identification

Unique Protocol Identification Number
NCT02460536
Brief Title
Attention Bias Modification Treatment (ABMT) for Anxiety Disorders in Youth
Official Title
Attention Bias Modification Treatment (ABMT) for Anxiety Disorders in Youth
Study Type
Interventional

2. Study Status

Record Verification Date
September 2018
Overall Recruitment Status
Completed
Study Start Date
May 2015 (undefined)
Primary Completion Date
May 2018 (Actual)
Study Completion Date
May 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tel Aviv University

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Attention biases in threat processing have been assigned a prominent role in the etiology and maintenance of anxiety disorders. Attention Bias Modification Treatment (ABMT) utilizes computer-based protocols to implicitly modify biased attentional patterns in anxious patients. This is a double-blind randomized controlled trial of ABMT for clinically anxious 10-18 year-olds. Participants will be assessed using clinical interviews and parent- and self-rated questionnaires before, in the middle and after twelve sessions of ABMT or control groups, and again at ten-week follow-up. Outcome measures will be anxiety symptoms and depression as measured by gold standard questionnaires as well as structured clinical interviews with youth and their parents. Attentional threat bias, Attentional control and interpretation of ambiguous information will also be measured to explore potential mediators of ABMT's effect on anxiety. The investigators expect the findings to inform pathways to treatments for anxious children and to provide initial information on mechanisms of ABMT efficacy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Anxiety Disorders
Keywords
attention bias modification treatment, attention training, anxiety disorders, clinical trials

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Attention Bias Modification treatment (ABMT)
Arm Type
Experimental
Arm Description
Attention training via repeated trials of a dot-probe task intended to direct attention away from threat stimuli using threat and neutral face stimuli.
Arm Title
Exposure only +ABMT
Arm Type
Active Comparator
Arm Description
Identical discrimination task including exposure to a single threat or neutral face stimulus in each trial.
Arm Title
Attention training only +ABMT
Arm Type
Active Comparator
Arm Description
Attention training via repeated trials of a dot-probe task using non-emotional stimuli.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Identical discrimination task including a single non-emotional stimulus in each trial.
Intervention Type
Behavioral
Intervention Name(s)
Attention Bias Modification treatment (ABMT)
Intervention Description
Attention training via repeated trials of a dot-probe task intended to direct attention away from threat stimuli using threat and neutral face stimuli.
Intervention Type
Behavioral
Intervention Name(s)
Exposure only +ABMT
Intervention Description
Identical discrimination task including exposure to a single threat or neutral face stimulus in each trial.
Intervention Type
Behavioral
Intervention Name(s)
Attention training only +ABMT
Intervention Description
Attention training via repeated trials of a dot-probe task using non-emotional stimuli.
Intervention Type
Behavioral
Intervention Name(s)
Placebo group
Intervention Description
Identical discrimination task including a single non-emotional stimulus in each trial.
Primary Outcome Measure Information:
Title
Change from baseline in anxiety symptoms - the Pediatric Anxiety Rating (PARS)
Description
The PARS assesses global anxiety severity across different anxiety disorders in youth.
Time Frame
4 weeks, 8 weeks, and 18 weeks (follow-up)
Secondary Outcome Measure Information:
Title
Change from baseline in anxiety related emotional disorders symptoms - Child/Parent Version (SCARED-C/P)
Description
The SCARED is a 41-item self and parent-report instrument designed to assess anxiety in children and adolescents.
Time Frame
4 weeks, 8 weeks, and 18 weeks (follow-up)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
10 Years
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Primary diagnosis of GAD, SOP, or SAD. Co-morbid attention deficit hyperactivity disorder (ADHD) or depressive disorders must be treated with medication and stable. Tics or impulse control problems must be treated with medication, stable and cause minimal or no impairment. Exclusion Criteria: To be excluded youth must: meet diagnostic criteria for Organic Mental Disorders, Psychotic Disorders, Pervasive Developmental Disorders, or Mental Retardation. show high likelihood of hurting themselves or others. have not been living with a primary caregiver who is legally able to give consent for the child's participation. be a victim of previously undisclosed abuse requiring investigation or ongoing supervision. be involved currently in another psycho-social treatment. have a serious vision problem that is not corrected with prescription lenses. have a physical disability that interferes with their ability to click a mouse button rapidly and repeatedly.
Facility Information:
Facility Name
Tel-Aviv University
City
Tel-Aviv
Country
Israel

12. IPD Sharing Statement

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Attention Bias Modification Treatment (ABMT) for Anxiety Disorders in Youth

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