Evidence map›Paper›PMID 24342386›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2014

Attention bias modification treatment augmenting effects on cognitive behavioral therapy in children with anxiety: randomized controlled trial.

Tomer Shechner, Adi Rimon-Chakir, Jennifer C Britton, Danny Lotan, Alan Apter, Paul D Bliese, Daniel S Pine, Yair Bar-Haim

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
13.5field-weighted citation impact, top 1% of its field
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.

NCT01730625 nacompletednot on this map

Augmenting Effects of Attention Bias Modification Treatment on Cognitive Behavioral Therapy in Anxious Children: A Randomized Clinical Trial

TypeinterventionalSponsorTel Aviv UniversityRan2010 to 2012Enrolled119ConditionsAnxiety DisorderArmsCognitive behavioral therapy for anxiety, Attention Bias Modification Treatment
NCT02338453 nacompletednot on this mapstarted 2015, after this paper: background citation

Examining the Effects of a Combined Attention Bias Modification Treatment (ABMT) and Cognitive-Behavioral Group Therapy (CBGT) for Social Anxiety Disorder

TypeinterventionalSponsorYair Bar-HaimRan2015 to 2017Enrolled50ConditionsSocial Anxiety DisorderArmsActive Attention Bias Modification Treatment, Placebo Attention Bias Modification Treatment
3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

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  11. Fear conditioning and extinction in pediatric obsessive-compulsive disorder.Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists · 2017
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  12. Gaze-Contingent Music Reward Therapy for Clinically Anxious 7- to 10-Year-Olds: An Open Multiple Baseline Feasibility Study.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
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  13. Article
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  16. Novel mechanism-based treatments for pediatric anxiety and depressive disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  17. Attentional biases in human anxiety.Neuroscience and biobehavioral reviews · 2022
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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

8 authors at 5 institutions in 2 countries.

Tomer ShechnerUniversity of Haifa. Electronic address: tshechner@psy.haifa.ac.il.
Adi Rimon-ChakirTel-Aviv University.
Jennifer C BrittonUniversity of Miami.
Danny LotanSchneider Children Medical Center in Israel.
Alan ApterSchneider Children Medical Center in Israel.
Paul D BlieseWalter Reed Army Institute of Research.
Daniel S PineNational Institute of Mental Health.
Yair Bar-HaimTel-Aviv University.
Schneider Children's Medical Center · ILTel Aviv University · ILUniversity of Haifa · ILUniversity of Miami · USWalter Reed Army Institute of Research · US

Funding

fMRI Studies Of Pediatric Mood And Anxiety DisordersZIAMH002781 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$41.5M
Intramural NIH HHS Z99 MH999999
6 · The paper itself

Abstract

objectiveAttention bias modification treatment (ABMT) is a promising novel treatment for anxiety disorders, but clinical trials have focused largely on stand-alone formats among adults. This randomized controlled trial examined the augmenting effects of threat-based ABMT on cognitive behavioral therapy (CBT) in clinically anxious youth.

methodSixty-three treatment-seeking children with anxiety disorder were randomly assigned to 1 of the following 3 treatment groups: ABMT + CBT; ABMT placebo + CBT; and CBT-alone. Participants in the 2 ABMT conditions received repeated training on dot-probe tasks either designed to shift attention away from threats (active) or designed to induce no changes in attention patterns (placebo). Primary outcome measures were frequency and severity of anxiety symptoms as determined by a clinician using a semi-structured interview. Self- and parent-rated anxiety measures and threat-related attention bias scores were also measured before and after treatment.

resultsBoth the active and placebo ABMT groups showed greater reductions in clinician-rated anxiety symptoms than the CBT-alone group. Furthermore, only the active ABMT group showed significant reduction in self- or parent-rated anxiety symptoms. Finally, all groups showed a shift in attention patterns across the study, starting with a bias toward threat at baseline and shifting attention away from threat after treatment.

conclusionsActive and placebo ABMT might augment the clinical response to CBT for anxiety. This effect could arise from benefits associated with performing computer-based paradigms such as the dot-probe task. Given the absence of group differences in attention-bias changes during treatment, possible mechanisms and methodological issues underlying the observed findings are discussed. Clinical trial registration information-Augmenting Effects of ABMT on CBT in Anxious Children: A Randomized Clinical Trial; http://clinicaltrials.gov/; NCT01730625.

Indexed as

AdolescentAnxiety DisordersAttentionBehavior TherapyChildCognitive Behavioral TherapyFemaleHumansMaleTreatment Outcomeanxietyattention biasattention bias modification treatment (ABMT)cognitive behavioral therapy (CBT)

Identifiers

PMID24342386
PMCPMC4629236
OpenAlexW2169102626

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.