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Approach-Avoidance Conflict-a multi-level predictor for exposure therapy response

接近-回避冲突——暴露疗法反应的多级预测因子

基本信息

批准号：
9109386
负责人：
ROBIN L AUPPERLE
金额：
$ 18.15万
依托单位：
LAUREATE INSTITUTE FOR BRAIN RESEARCH
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-04-12 至 2021-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9109386
关键词：
Achievement Address Aftercare Amygdaloid structure Animal Model Anti-Anxiety Agents Anxiety Anxiety Disorders Applications Grants Arbitration Award Behavior Behavior Therapy Behavioral Chronic Clinical Cognitive Conflict (Psychology)Corpus striatum structure Data Data Set Development Distress Electroencephalography Equilibrium Exposure to Face Failure Fright Functional Magnetic Resonance Imaging Functional disorder Future Generalized Anxiety Disorder Generations Genetic Research Goals Human Image Individual Individual Differences Institutes Insula of Reil Intervention Investigation K-Series Research Career Programs Knowledge Lateral Lead Left Link Mental disorders Mentors Mentorship Methods Modeling Modification Morbidity - disease rate Motivation Neurobiology Neurocognitive Neurosciences Occupations Outcomes Research Patient Self-Report Patients Play Postdoctoral Fellow Primary Health Care Process Questionnaires Refractory Regulation Research Research Personnel Research Training Rest Rewards Robin bird Role Severities Signal Transduction Statistical Methods Stimulus Symptoms System Testing Therapeutic Therapeutic Intervention Training Treatment Effectiveness Treatment outcome Uncertainty United States Work anxiety symptoms anxiety treatment approach avoidance behavior approach behavior base behavior measurement behavioral outcome behavioral response behavioral study brain behavior career effective therapy experience functional improvement improved individual patient neural circuit neurobehavioral neuroimaging neuropsychiatric disorder patient oriented personalized medicine predicting response psychologic public health relevance recreational drug use relating to nervous system response symptomatic improvement treatment of anxiety disorders treatment response

项目摘要

DESCRIPTION (provided by applicant): Dr. Robin Aupperle is applying for the Mentored Patient-Oriented Career Development Award (K23) to support her development as an independent researcher using neuroscientific methods to inform the behavioral treatment of anxiety disorders. Clinicians and patients currently have little knowledge to guide them when deciding whether or not to embark on therapy or how to modify manualized therapy to optimize individual treatment. Dr. Aupperle's long-term career goal is to use knowledge regarding brain-behavior relationships to develop highly targeted behavioral interventions for anxiety disorders. More specifically, the aim would be that an individual patient could be assessed using a neurobehavioral battery to determine which therapy modules to use for optimizing response. The proposed research will accomplish the first steps towards this goal by investigating whether levels of approach (i.e., reward) and avoidance (i.e., threat) motivations, or the ability to arbitate these motivations can be used to identify individuals unlikely to respond to exposure-based therapy for generalized anxiety disorder (GAD). This project will use a task Dr. Aupperle recently developed to probe brain and behavior responses during the arbitration of approach and avoidance motivations in combination with other tasks and questionnaires relevant to approach and avoidance processing. The achievement of Dr. Aupperle's career goals, and the specific research objectives of this application, requires expertise related to current behavioral interventions, treatment outcome research, neuroimaging methods and analyses, and statistical methods for aggregating across multiple levels of analyses and modeling longitudinal datasets. Based on her prior research and clinical training, Dr. Aupperle has demonstrated expertise in functional neuroimaging and current psychological interventions for anxiety. The proposed training plan will provide further mentorship, coursework, and hands-on experience in advanced statistical methods for longitudinal and multilevel analyses, behavioral outcome research, and multimodal EEG/fMRI neuroimaging (increasing the depth and clinical generalizability of her research). Dr. Aupperle has assembled a team of mentors uniquely suited to provide the required diversity of expertise. Drs. Martin Paulus (LIBR Scientific Director and primary mentor) and Jim Abelson will provide expertise for integrating across neurobiological and clinical/behavioral levels of analyses. Dr. Michelle Craske will bring her extensive experience related to the development and investigation of behavioral interventions for anxiety. Dr. Bodurka, LIBR Neuroimaging Core Director, will provide mentorship related to simultaneous EEG/fMRI imaging. The training, and associated research, will take place at LIBR, a state-of-the-art institute dedicated to conducting neuroimaging and genetics research aimed at developing more effective treatments for neuropsychiatric disorders.