RecruitingNot ApplicableNCT05224414

Interpretation Bias as a Mechanism of Treatment Response in OCD


Sponsor

Mclean Hospital

Enrollment

106 participants

Start Date

Mar 30, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

This study will conduct a randomized controlled trial of Cognitive Bias Modification for Interpretation (CBM-I) as an augmentation to treatment as usual for obsessive compulsive disorder (OCD). CBM-I is a digital intervention designed to directly manipulate interpretation bias through repeated practice on a training task, thereby inducing cognitive changes in a relatively automatic or implicit manner. Specifically, this study will examine the feasibility, acceptability, and clinical outcomes associated with CBM-I. Adults with obsessive compulsive disorder (OCD) will be recruited from a treatment program for this disorder and participants will be randomly assigned to either receive: 1) up to 12 sessions of CBM-I, or or up to 12 sessions of psychoeducation as a control condition.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is exploring how patients with obsessive-compulsive disorder (OCD) interpret ambiguous situations — and whether changing these thought patterns can predict how well they respond to treatment. It involves completing a short computer task as part of an ongoing OCD treatment program. **You may be eligible if...** - You are an adult (18 or older) - You are a patient at the OCD Institute - You have a primary diagnosis of OCD (confirmed by a clinical evaluation) - You can complete a 20-minute computer task - You have consented to the main OCD Institute study protocol **You may NOT be eligible if...** - You do not have a primary diagnosis of OCD - You are unable to complete the computer task - You have not consented to the main study Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALCognitive bias modification for interpretation bias

Sessions of scenario-based CBM-I training for OCD will be administered, based on the widely-used paradigm of ambiguous scenario training developed by Mathews and Mackintosh (2000), in which participants are presented with scenarios that are ambiguous in whether or not they are threatening. Participants will complete a computer task consisting of a series of written scenarios designed to improve interpretation and attributional biases; these scenarios conclude with word fragments, which participants must fill in to resolve the ambiguity.

BEHAVIORALPsychoeducation

Sessions of psychoeducation will be administered, which will describe symptoms of anxiety, the nature of biased thinking in anxiety, and summarize common psychosocial as well as pharmacological treatments for anxiety. The sessions will provide relevant information but will not provide training in changing thinking styles.


Locations(1)

McLean Hospital

Belmont, Massachusetts, United States

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NCT05224414


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