Evidence map›Paper›PMID 23945981›Full record

Trial reportJAMA psychiatry2013

Impact of cognitive behavioral therapy for social anxiety disorder on the neural dynamics of cognitive reappraisal of negative self-beliefs: randomized clinical trial.

Philippe R Goldin, Michal Ziv, Hooria Jazaieri, Kevin Hahn, Richard Heimberg, James J Gross

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JAMA psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00380731 (fMRI of Emotional Reactivity Cognitive Regulation and CBT for Social Phobia), which is not on this map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00380731 nacompletednot on this map

fMRI of Emotional Reactivity Cognitive Regulation and CBT for Social Phobia

TypeinterventionalSponsorStanford UniversityRan2006 to 2011Enrolled124ConditionsSocial PhobiaArmsIndividual Cognitive Behavioral Therapy
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  12. Modulation of resting-state amygdala-frontal functional connectivity by oxytocin in generalized social anxiety disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2014
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18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Philippe R GoldinDepartment of Psychology, Stanford University, Stanford, California.
Michal Ziv
Hooria Jazaieri
Kevin Hahn
Richard Heimberg
James J Gross

Funding

fMRI of Emotional Reactivity, Cognitive Regulation, and CBT for Social PhobiaR01MH076074 · NIMH · STANFORD UNIVERSITY · PI GROSS, JAMES J · 2006 to 2010
$2.0M
NIMH NIH HHS R01 MH076074
6 · The paper itself

Abstract

importanceCognitive behavioral therapy (CBT) for social anxiety disorder (SAD) is thought to enhance cognitive reappraisal in patients with SAD. Such improvements should be evident in cognitive reappraisal-related prefrontal cortex responses.

objectiveTo determine whether CBT for SAD modifies cognitive reappraisal-related prefrontal cortex neural signal magnitude and timing when implementing cognitive reappraisal with negative self-beliefs. DESIGN Randomized clinical trial of CBT for SAD vs wait-list control group during a study that enrolled patients from 2007 to 2010.

settingUniversity psychology department.

participantsSeventy-five patients with generalized SAD randomly assigned to CBT or wait list.

interventionSixteen sessions of individual CBT for SAD.

main outcome measuresNegative emotion ratings and functional magnetic resonance imaging blood oxygen-level dependent signal when reacting to and cognitively reappraising negative self-beliefs embedded in autobiographical social anxiety situations. RESULTS During reactivity trials, compared with wait list, CBT produced (1) greater reduction in negative emotion ratings and (2) greater blood oxygen-level dependent signal magnitude in the medial prefrontal cortex. During cognitive reappraisal trials, compared with wait list, CBT produced (3) greater reduction in negative emotion ratings, (4) greater blood oxygen level-dependent signal magnitude in the dorsolateral and dorsomedial prefrontal cortex, (5) earlier temporal onset of dorsomedial prefrontal cortex activity, and (6) greater dorsomedial prefrontal cortex-amygdala inverse functional connectivity. CONCLUSIONS AND RELEVANCE: Modulation of cognitive reappraisal-related brain responses, timing, and functional connectivity may be important brain changes that contribute to the effectiveness of CBT for social anxiety. This study demonstrates that clinically applied neuroscience investigations can elucidate neurobiological mechanisms of change in psychiatric conditions.

trial registrationclinicaltrials.gov Identifier: NCT00380731.

Indexed as

Cognitive Behavioral TherapyAnxiety DisordersBrain MappingCognitionEmotionsHumansPrefrontal CortexPsychomotor Performance

Identifiers

PMID23945981
PMCPMC4141477

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.