Attention Disengagement Training for Social Phobia

社交恐惧症的注意力脱离训练

• 批准号: 7489926
• 负责人: NADER AMIR
• 金额: $ 13.06万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-05 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7489926
• 关键词: Anxiety; Attention; Cognitive Science; Double-Blind Method; Drops; High Prevalence; Individual; Intervention; Interviewer; Measures; Mental disorders; Patient Self-Report; Pilot Projects; Placebos; Prevalence; Procedures; Rate; Research; Social Phobia; Symptoms; Techniques; Testing; Thinking; Training; Treatment Effectiveness; computerized; cost; follow-up; functional disability; placebo controlled study; social

DESCRIPTION (provided by applicant): Generalized Social Phobia (GSP) is characterized by severe social anxiety that leads to functional impairment (Schneider, et al., 1992). The prevalence of GSP is 13.3% (lifetime, Kessler, et al., 1994), ranking third among all psychiatric disorders. Despite its high prevalence, over 30% of individuals with social anxiety who need treatment do not receive treatment for a variety of reasons (e.g., afraid of what others might think, Olfson, et al., 2000). Additionally, 40% of individuals who present for treatment do not respond (39% Heimberg, et al., 1998; 42%, Liebowitz et al., 2005). Thus, there is a clear need to develop highly effective and efficient treatment procedures for social phobia. This three-year proposal aims to test a computerized treatment for social anxiety in a double-blind, placebo-controlled study. Specifically, research suggests that individuals with social phobia direct their attention toward socially-relevant negative information. Therefore, the treatment will focus on changing this attention bias and thereby alleviate symptoms of social anxiety. We present the results of a pilot study (n=26) in treatment seeking socially phobic individuals demonstrating the effectiveness of the treatment. A larger study would allow us to test the treatment and perhaps modify its component to increase its efficacy. The preliminary results of the pilot are encouraging. In brief, our intervention was effective in: a) changing biased attention in socially anxious individuals, b) generalizing this change in disengagement of attention from threat to other measures of attention disengagement, c) reduce symptoms of social anxiety as assessed by an independent rater, d) maintain a high rate of compliance (0% drop out in the pilot study), and e) maintain its effects in follow-up assessment up to one year. This efficient and efficacious techniques for changing attention bias in social phobia can provide a cost-effective and easy to administer treatment that is grounded in basic cognitive science and may help reduce suffering in individuals with GSP. We will test two hypotheses in this proposal. 1) Individuals with GSP completing the Attention Disengagement Training (ADT) will show a larger reduction in their symptoms compared to the placebo group on an interviewer measure of social anxiety (Liebowitz Social Anxiety Scale, LSAS). 2) Individuals with GSP completing ADT will show a larger reduction in their self-report of social anxiety symptoms compared to the placebo group.

描述（由申请人提供）：广义社会恐惧症（GSP）的特征是严重的社交焦虑，导致功能障碍（Schneider等，1992）。 GSP的患病率为13.3％（Lifetime，Kessler等，1994），在所有精神疾病中排名第三。尽管患病率很高，但超过30％的社交焦虑症患者需要治疗并没有出于多种原因接受治疗（例如，害怕别人会想到什么，Olfson等人，2000年）。此外，有40％出席治疗的人不反应（39％Heimberg等，1998; 42％，Liebowitz等，2005）。因此，显然需要为社会恐惧症制定高效有效的治疗程序。这项为期三年的建议旨在在一项双盲，安慰剂对照的研究中测试计算机化治疗的社交焦虑症。具体而言，研究表明，患有社会恐惧症的人将注意力转向与社会相关的负面信息。因此，治疗将集中于改变这种注意力偏见，从而减轻社交焦虑的症状。我们介绍了一项试验研究（n = 26）的结果，以寻求社会恐惧的个体证明治疗的有效性。一项更大的研究将使我们能够测试治疗，并可能修改其成分以提高其功效。飞行员的初步结果令人鼓舞。简而言之，我们的干预措施有效：a）在社交焦虑的个人中改变偏见的关注，b）概括从威胁到威胁到其他注意力脱离引起关注的措施的这种变化，c）减少独立评估者评估的社交焦虑症状，d）保持较高的合规性（0％的合规性（0％），并在启用研究中维持其效果，e在一年中维持其效果。这种有效而有效的技术来改变社会恐惧症的注意力偏见，可以提供一种基本认知科学基础的经济高效且易于管理的治疗方法，并可能有助于减少GSP患者的痛苦。我们将在该提案中检验两个假设。 1）与安慰剂组相比，与安慰剂组相比，患有GSP的个人完成了注意力脱离接触培训（ADT）将显示出更大的症状（Liebowitz社交焦虑量表，LSAS）。 2）与安慰剂组相比，具有GSP完成ADT的个体的社交焦虑症状报告将显示出更大的社交焦虑症状报告。