Attention bias modification treatment for pediatric anxiety disorders: a randomized controlled trial.
Attention bias modification treatment for pediatric anxiety disorders: a randomized controlled trial.
复制标题
DOI：
10.1176/appi.ajp.2011.11060886
复制
发表时间：
2012-02
期刊：
影响因子：
--
通讯作者：
Bar-Haim Y
中科院分区：
文献类型：
--
作者：
Eldar S;Apter A;Lotan D;Edgar KP;Naim R;Fox NA;Pine DS;Bar-Haim Y
虽然注意力偏差修正（ABM）是一种很有前途的治疗焦虑症的新方法，但临床试验数据仍仅限于成人。作者研究了ABM是否比多种控制训练干预更能减少儿科焦虑症状和症状严重程度。从186名在医院儿童焦虑诊所寻求治疗的儿童的目标样本中，40名符合所有入选标准的持续焦虑障碍患者入选本研究。孩子们被随机分配到三个条件之一：ABM旨在转移注意力远离威胁;安慰剂注意力训练使用与ABM条件相同的刺激;安慰剂注意力训练只使用中性刺激。所有参与者每周完成480次试验（总共1，920次试验）。在注意力训练前后，通过半结构式访谈和问卷调查确定儿童的临床状态。比较了三组患者焦虑症状数量的减少及其严重程度。焦虑症状的数量和严重程度的变化在三种情况下都不同。这反映了ABM条件下焦虑症状数量和症状严重程度的显着减少，但在安慰剂注意力训练或安慰剂中性条件下则没有。与两种对照条件相比，ABM减少了儿科焦虑症状和严重程度。需要进一步研究疗效和潜在机制。
While attention bias modification (ABM) is a promising novel treatment for anxiety disorders, clinical trial data remain restricted to adults. The authors examined whether ABM induces greater reductions in pediatric anxiety symptoms and symptom severity than multiple control training interventions. From a target sample of 186 treatment-seeking children at a hospital-based child anxiety clinic, 40 patients with an ongoing anxiety disorder who met all inclusion criteria were enrolled in the study. Children were randomly assigned to one of three conditions: ABM designed to shift attention away from threat; placebo attention training using stimuli identical to those in the ABM condition; and placebo attention training using only neutral stimuli. All participants completed four weekly 480-trial sessions (1,920 total trials). Before and after the attention training sessions, children’s clinical status was determined via semistructured interviews and questionnaires. Reduction in the number of anxiety symptoms and their severity was compared across the three groups. Change in the number of anxiety symptoms and their severity differed across the three conditions. This reflected significant reductions in the number of anxiety symptoms and symptom severity in the ABM condition but not in the placebo attention training or placebo-neutral condition. ABM, compared with two control conditions, reduces pediatric anxiety symptoms and severity. Further study of efficacy and underlying mechanisms is warranted.
登录
查看更多内容
影响因子：
7.6
作者：
Pine, Daniel S.;Helfinstein, Sarah M.;Bar-Haim, Yair;Nelson, Eric;Fox, Nathan A.
通讯作者：
Fox, Nathan A.
认知行为疗法、舍曲林或联合疗法治疗儿童焦虑症。
影响因子：
158.5
作者：
Walkup, John T.;Albano, Anne Marie;Piacentini, John;Birmaher, Boris;Compton, Scott N.;Sherrill, Joel T.;Ginsburg, Golda S.;Rynn, Moira A.;McCracken, James;Waslick, Bruce;Iyengar, Satish;March, John S.;Kendall, Philip C.
通讯作者：
Kendall, Philip C.
影响因子：
6.9
作者：
Dalgleish, T;Moradi, AR;Yule, W
通讯作者：
Yule, W
DOI：
10.1073/pnas.172403899
发表时间：
2002-08-20
影响因子：
11.1
作者：
Pessoa, L;McKenna, M;Ungerleider, LG
通讯作者：
Ungerleider, LG
影响因子：
10.6
作者：
Hakamata, Yuko;Lissek, Shmuel;Bar-Haim, Yair;Britton, Jennifer C.;Fox, Nathan A.;Leibenluft, Ellen;Ernst, Monique;Pine, Daniel S.
通讯作者：
Pine, Daniel S.