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社交焦虑症（SAD）的青少年开发注意力培训（AT）方案。 人们对威胁的注意偏见已被证明与成人和青年的焦虑症的发展和维持有关（Bar-Haim等，2007； Cowart＆Ollendick，2010； Perez-Edgar等，2010； Schechner等，2011）。鉴于这些关系，在范式上已经开发出来改变这些注意力偏见。这种范例已被证明在治疗成人焦虑方面有希望（Amir等，2009； Buckner＆Timpano，2009； Klumpp＆Amir，2010； MacLeod＆Bridle，2006； Richey＆Schmidt，2006）。但是，迄今为止，只有两项小型研究检查了与儿童的使用，并且没有专门针对儿童或青少年使用ATT方案。考虑到将成人设计的疗法应用于青年的并发症和可能的无效性，这一点很重要（Ollendick＆Vasey，2001）。鉴于文献中的这一差距，本研究的主要目的旨在制定一个治疗计划，以解决患有SAD的青少年的注意力偏见和焦虑，以收集有关该计划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率的调解人和主持人。假设与安慰剂控制比较器状况相比，当前项目中开发的AT协议将导致SAD的青少年样本中的社交焦虑减少。此外，预计AT方案将减少注意力偏见在治疗前具有此类偏见的青少年的注意力偏见（并非所有青少年都表明这种偏见尚未证明对这些年轻人有效；拟议的研究将是评估青少年专注于SAD治疗的青少年的可行性的关键步骤。结果将有助于新兴的研究体系，探讨针对焦虑青年的信息处理偏见的实验范式的改善影响。鉴于有关成人人群使用AT的新兴证据，这项研究的发现可能对改善焦虑青少年可用的预防和治疗方案有影响。