Biobehavioral Markers of Attention Bias Modification in Temperamental Risk for Anxiety: A Randomized Control Trial.

Biobehavioral Markers of Attention Bias Modification in Temperamental Risk for Anxiety: A Randomized Control Trial.
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DOI:
10.1016/j.jaac.2017.11.016
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发表时间:
2018-03
影响因子:
13.3
通讯作者:
Pérez-Edgar KE
Pérez-Edgar KE
中科院分区:
医学1区
文献类型:
--
作者:
Liu P;Taber-Thomas BC;Fu X;Pérez-Edgar KE

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Children with behavioral inhibition, a temperament characterized by biologically based hypervigilance to novelty and social withdrawal, are at high risk for developing anxiety. This study examined the effect of a novel attention training protocol, attention bias modification (ABM), on symptomatic, behavioral, and neural risk markers in children with behavioral inhibition. Nine- to 12-year-old typically developing children identified as having behavioral inhibition (N = 84) were assigned to a 4-session active ABM training (n = 43) or placebo protocol (n = 41) using a double-blinded, randomized, controlled trial approach. Anxiety symptoms (Diagnostic Interview Schedule for Children–Fourth Edition), attention bias (AB; measured by a dot-probe task; AB = incongruent reaction time – congruent reaction time), and AB-related neural activation (measured by functional magnetic resonance imaging activation for the incongruent > congruent contrast in the dot-probe task) were assessed before and after the training sessions. Results showed that active ABM (n = 40) significantly alleviated participants’ symptoms of separation anxiety, but not social anxiety, compared with the placebo task (n = 40); ABM did not modify behavioral AB scores in the dot-probe task; and at the neural level, active ABM (n = 15) significantly decreased amygdala and insula activation and increased activation in the ventrolateral prefrontal cortex compared with placebo (n = 19). These findings provide important evidence for ABM as a potentially effective protective tool for temperamentally at-risk children in a developmental window before the emergence of clinical disorder and open to prevention and intervention. Attention and Social Behavior in Children (BRAINS); https://clinicaltrials.gov/; NCT02401282.
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影响因子: 13.3
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期刊: CHILD DEVELOPMENT
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