Attention Training for Adolescents with Soical Anxiety Disorder

患有社交焦虑症的青少年的注意力训练

• 批准号: 8509339
• 负责人: THOMAS H. OLLENDICK
• 金额: $ 22.77万
• 依托单位: VIRGINIA POLYTECHNIC INST AND ST UNIV
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-05-01 至 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8509339
• 关键词: Address; Adolescent; Adult; Anxiety; Anxiety Disorders; Attention; Child; Clinical; Computers; Data; Development; Enrollment; Goals; Health Services Accessibility; Individual; Knowledge; Link; Literature; Maintenance; Mediating; Mediator of activation protein; Modification; Nature; Neurosciences; Placebo Control; Placebos; Population; Prevention; Procedures; Process; Protocols documentation; Psychopathology; Publishing; Randomized; Research; Research Design; Research Personnel; Sampling; Training; Training Programs; Treatment outcome; Youth; base; design; improved; inclusion criteria; information processing; interest; meetings; programs; public health relevance; social; therapy design; treatment program; young adult

DESCRIPTION (provided by applicant): The primary objective of this study is to develop an Attention Training (AT) protocol for adolescents with social anxiety disorder (SAD). Attentional biases to threat have been shown to be associated with the development and maintenance of anxiety disorders, in both adults and youth (Bar-Haim et al., 2007; Cowart & Ollendick, 2010; Perez-Edgar et al., 2010; Schechner et al., 2011). Given these relations, AT paradigms have been developed to modify these attentional biases. Such paradigms have been shown to be promising in the treatment of adult anxiety (Amir et al, 2009; Buckner & Timpano, 2009; Klumpp & Amir, 2010; MacLeod & Bridle, 2006; Richey & Schmidt, 2006). However, to date, only two small studies have examined the use of AT with children, and no ATT protocol has been developed specifically for use with children or adolescents. This is important, given the complications and possible ineffectiveness of applying adult-designed therapies to youth (Ollendick & Vasey, 2001). Given this gap in the literature, the primary aims of the current study are intended to develop a treatment program to address attentional biases and anxiety in adolescents with SAD, to collect preliminary data regarding the program's short-term efficacy and feasibility, and to explore attention biases as a mediator and moderator of initial treatment outcomes. It is hypothesized that the AT protocol developed in the current project, compared to a placebo control comparator condition, will result in reductions in social anxiety among a sample of adolescents with SAD. Further, the AT protocol is expected to reduce attentional biases to threat among those adolescents who possess such biases prior to treatment (not all adolescents are expected to show this bias yet AT has been shown to be potentially effective with these youth; the presence/absence of attention bias will be explored as a moderator of change). The proposed study will be a pivotal step towards assessing the feasibility of an adolescent-focused AT procedure for the treatment of SAD. Results will contribute to an emerging body of research exploring the ameliorating effects of experimental paradigms that target information processing biases in anxious youth. Given emerging evidence regarding the use of AT in adult populations, findings from this study may have implications for improving the current prevention and treatment options available for anxious adolescents.

描述（由申请人提供）：本研究的主要目的是为患有社交焦虑症（SAD）的青少年制定注意力训练（AT）方案。 对威胁的注意偏差已被证明与成人和青少年焦虑症的发展和维持有关（Bar-Haim 等人，2007 年；Cowart 和 Ollendick，2010 年；Perez-Edgar 等人，2010 年；Schechner等人，2011）。鉴于这些关系，AT 范式已经被开发出来来修正这些注意力偏差。这种范例已被证明在治疗成人焦虑方面很有希望（Amir et al, 2009; Buckner & Timpano, 2009; Klumpp & Amir, 2010; MacLeod & Bridle, 2006; Richey & Schmidt, 2006）。然而，迄今为止，只有两项小型研究考察了 AT 在儿童中的使用，并且尚未开发出专门用于儿童或青少年的 ATT 方案。考虑到对青少年应用成人设计的疗法可能会出现并发症和可能无效（Ollendick & Vasey，2001），这一点很重要。鉴于文献中的这一空白，本研究的主要目的是制定一种治疗方案，以解决患有季节性情感障碍的青少年的注意力偏差和焦虑问题，收集有关该方案的短期疗效和可行性的初步数据，并探索注意力偏见作为初始治疗结果的中介和调节因素。据推测，与安慰剂对照比较条件相比，当前项目中开发的 AT 方案将减少患有 SAD 的青少年样本的社交焦虑。此外，AT 方案预计将减少那些在治疗前具有这种偏见的青少年对威胁的注意偏见（并非所有青少年都应表现出这种偏见，但 AT 已被证明对这些青少年可能有效；存在/不存在将探讨注意力偏差作为变化的调节因素）。拟议的研究将是评估以青少年为中心的 AT 手术治疗 SAD 的可行性的关键一步。结果将有助于新兴的研究机构探索针对焦虑青少年信息处理偏差的实验范式的改善效果。鉴于有关成人使用 AT 的新证据，这项研究的结果可能对改善焦虑青少年当前的预防和治疗方案具有影响。