RecruitingACTRN12612000933853

Novel Treatments of Phobias in Children and Teenagers

A randomised control trial to evaluate the effectiveness of one session of attention bias modification training in combination with exposure therapy, versus a control condition and exposure therapy, in the treatment of pediatric specific phobia to improve symptoms of anxiety, fear and phobic avoidance.


Sponsor

Dr Allison Waters

Enrollment

60 participants

Start Date

Mar 5, 2012

Study Type

Interventional

Conditions

Summary

The aim of this trial is to examine whether Attention Bias Modification Training can augment a single session of graded exposure therapy in children and adolscents with a specific phobia. Cognitive-experimental studies show that anxious children display biased attention allocation to threat stimuli. This is a robust finding in anxious adults and consistent with cognitive models of anxiety. Attention Bias Modification Training is a promising treatment for anxiety disorders delivered via a computer.


Eligibility

Sex: Both males and femalesMin Age: 7 YearssMax Age: 17 Yearss

Inclusion Criteria2

  • Principal Diagnosis (i.e., most severe) of any Anxiety Disorder according to DSM-IV-TR
  • Must have at least one DSM-IV-TR Specific Phobia Diagnosis

Exclusion Criteria5

  • Organic mental disorder
  • Psychosis
  • Serious suicide risk
  • Concurrent psychotherapy
  • Impaired intelligence (IQ; likely < 70)

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Interventions

Active attention bias modification training and exposure therapy versus a control attention bias modification condition and exposure therapy. Participants recieve one individual session (3 hours) of e

Active attention bias modification training and exposure therapy versus a control attention bias modification condition and exposure therapy. Participants recieve one individual session (3 hours) of exposure therapy. The session involves assisting participants to sytematically and gradually face their fears. Half the participants will complete 1 session of attention bias modification training immediately prior to the exposure therapy session that involves training attention towards positive stimuli (happy faces) and thus away from threat stimuli (angry faces) while the control condition will have their attention trained equally to positive and threat stimuli. The attention bias modification training is delivered via a computer. Children will see happy-angry adult face pairs for 500 ms after which time the face pairs are replaced with an asterisk probe behind one of the faces. In attention training to positive stimuli, the probe always follows the happy face, in the control attention training condition, the probe follows the angry face and happy face equally. Children press one of two keys on the keyboard which side – left or right – the probe appeared on the screen. They will complete 160 trials, lasting approximately 15 min. The exposure therapy is delivered next by trained psychologists.


Locations(1)

Australia

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