Safety Behavior Fading for Generalized Anxiety Disorder
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new method to help people with generalized anxiety disorder reduce worry behaviors using text messages. Participants will either receive daily text reminders to decrease worry habits or watch weekly videos on muscle relaxation techniques. The goal is to determine which method more effectively reduces anxiety-related behaviors. This trial may suit those who frequently experience excessive worry that disrupts daily life. As an unphased trial, it offers a unique opportunity to explore innovative treatments for anxiety.
Do I need to stop my current medications to join the trial?
The trial does not specify if you need to stop your current medications, but if your psychiatric medication usage has been unstable in the past 4 weeks, you may not be eligible to participate.
What prior data suggests that this Safety Behavior Fading Intervention is safe for individuals with Generalized Anxiety Disorder?
Research has shown that the Safety Behavior Fading intervention, which reduces behaviors linked to worry, is generally easy for participants to handle. Although detailed safety data for this specific intervention is not available, it uses text message reminders and self-monitoring, suggesting it is a low-risk method. This approach does not involve medication, so it avoids physical side effects.
Studies on similar methods have found that reducing safety behaviors can lessen anxiety symptoms without causing negative effects. Since this trial does not involve testing a new drug or any invasive procedures, the risk of harm remains very low. Overall, this method is considered safe for individuals seeking new ways to manage anxiety.12345Why are researchers excited about this trial?
Researchers are excited about the Safety Behavior Fading technique for generalized anxiety disorder because it offers a fresh approach by directly targeting worry behaviors. Unlike traditional treatments like cognitive-behavioral therapy (CBT) and medication, which often focus on managing symptoms or altering thought patterns, this method encourages participants to actively reduce their reliance on safety behaviors that fuel anxiety. By using daily reminders and progress tracking, it helps individuals build awareness and take control over their anxiety in a tangible way. This hands-on, behavior-focused strategy is what sets it apart from existing treatments.
What evidence suggests that this trial's treatments could be effective for Generalized Anxiety Disorder?
Research has shown that reducing safety behaviors can help alleviate anxiety symptoms. In this trial, participants in the Safety Behavior Fading arm will receive instructions to decrease or eliminate their worry behaviors, with daily reminders and progress tracking. Studies have found that when people with anxiety disorders reduce safety behaviors, they often feel less anxious and worried. For instance, one study discovered that reducing safety behaviors led to greater reductions in anxiety than other methods. Another study found a strong connection between the severity of anxiety symptoms and the use of safety behaviors, suggesting that cutting back on these behaviors could ease symptoms. These findings suggest that focusing on reducing safety behaviors might effectively manage generalized anxiety disorder.26789
Who Is on the Research Team?
Jesse Cougle, Ph.D.
Principal Investigator
Florida State University
Are You a Good Fit for This Trial?
This trial is for individuals with high levels of worry, as indicated by a score of 60 or more on the Penn State Worry Questionnaire (PSWQ). Participants should not be pregnant, must have stable psychiatric medication use in the last month, and pass attention checks during initial data collection.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive either the Safety Behavior Fading Intervention or Progressive Muscle Relaxation over a month
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Safety Behavior Fading for Pathological Worry
Trial Overview
The study is testing a text message-based intervention designed to reduce excessive worrying against Progressive Muscle Relaxation (PMR), which serves as a control condition. The goal is to see if fading safety behaviors through texts can help manage anxiety better than PMR.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Individuals randomly assigned to the safety behavior fading condition will receive instructions to decrease or eliminate their endorsed worry behaviors. In addition, they will receive daily reminders via text message to decrease these behaviors, along with a worry behavior monitoring checklist in which the participant indicates the extent to which they decreased and/or eliminated each safety behavior over the previous day. Participants will also be able to track their progress using daily progress charts that show how their daily total safety behavior use changes throughout treatment.
Individuals randomly assigned to the PMR condition will receive a total of 4 videos over the course of a month (1 video per week, 15 minutes each) wherein participants will be invited to systematically tense and release different muscle groups in the body in order to build awareness of tension and relaxation.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Florida State University
Lead Sponsor
Citations
Safety behavior fading for social anxiety: A randomized ...
The aim of the present study was to test a one-month self-monitoring SB treatment in individuals reporting elevated social anxiety symptoms ...
SAFETY BEHAVIORS IN GENERALIZED ANXIETY ...
The current study examined the role of safety behaviors in GAD; we hypothesized a positive correlation between symp- tom severity and safety behavior usage ...
Reducing safety behaviors to prevent anxious symptoms
These studies have found that reducing safety behaviors enhances treatment outcomes across anxiety dis- orders (Farrell et al., 2019; McManus et ...
Reducing behavioral avoidance with internet-delivered ...
This study examined changes in maladaptive behaviors, symptoms of GAD and depression, and disability across internet-based cognitive behavior therapy (iCBT) ...
5.
researchgate.net
researchgate.net/publication/8229171_The_effect_of_the_decreased_safety_behaviors_on_anxiety_and_negative_thoughts_in_social_phobicsThe effect of the decreased safety behaviors on anxiety ...
Results showed that exposure with decreased safety behaviors under cognitive rationale produced significantly greater reductions in anxiety and ...
Text Message Safety Behavior Fading for Pathological Worry
The safety behavior fading intervention is designed to target a decrease or elimination of worry-related safety behaviors. Individuals randomly ...
Reducing behavioral avoidance with internet-delivered ... - PMC
This study examined changes in maladaptive behaviors, symptoms of GAD and depression, and disability across internet-based cognitive behavior therapy (iCBT) ...
Judgements of safety and anxiety as a function of worry ...
Safety perspectives of generalized anxiety disorder (GAD) propose that safety perception is critical to regulating anxiety.
Safety Behaviors in Generalized Anxiety Disorder
Results: Safety behavior usage was positively correlated with GAD symptom severity controlling for worry (r=.335, p=.020), but did not differ in those with and ...
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