CBM-I + CR for Anxiety Disorders
What You Need to Know Before You Apply
What is the purpose of this trial?
Anxiety is chronic, debilitating, and the most common mental health problem across development, costing the U.S. over $42 billion annually. This phased innovation grant will test a symptom-personalized cognitive bias modification for interpretation bias (CBM-I) as a mechanistic intervention to reduce interpretation bias and, subsequently, anxiety, in clinically anxious youth. In this R33 trial, participants will be youth ages 10 to 17 (N=72) with a primary "big three" anxiety disorder (i.e., Generalized, Separation, Social). Youth will be randomly assigned to receive either 16 sessions of personalized CBM-I (the optimal dose identified in the R61 Phase of this study) or equivalent time (four one-hour sessions) over four weeks of a cognitive restructuring (CR), intervention. Both interventions aim to modify threat-focused thinking. Please note that the first phase of the trial (R61: NCT04245501 under NIMH award R61MH121552) has been completed and currently this record summary only reflects the R33 phase.
Are You a Good Fit for This Trial?
This trial is for youth ages 10 to 17 who have been diagnosed with a main anxiety disorder, such as generalized anxiety, separation anxiety, or social anxiety. Participants should not have other major mental health issues that would interfere with the study.Inclusion Criteria
Exclusion Criteria
What Are the Treatments Tested in This Trial?
Interventions
- Cognitive Bias Modification for Interpretations (CBM-I)
- Cognitive Restructuring (CR)
Trial Overview
The study compares two ways of helping anxious youth change their thinking: one group gets personalized computer-based training (CBM-I) over 16 sessions; the other receives four sessions of talk therapy called cognitive restructuring (CR). Both aim to reduce threat-focused thoughts.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Computerized 16-session intervention aimed at reducing interpretation bias. In this study, CBM-I is personalized to youth anxiety symptoms. During CBM-I sessions, youth indicate whether word-sentence pairs are related, and are provided with feedback aimed to reduce bias.
Four session psychosocial intervention aimed at reducing anxiety. CR is a standard treatment technique (and often full intervention protocol) aimed at modifying anxious cognitions by teaching youth to identify when they make threat attributions, consider alternate non-threatening attributions, and thereby change their anxious thought processes, resultant avoidance, and anxiety symptoms.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Denver
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator
University of California, Los Angeles
Collaborator
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