Evidence map›Paper›PMID 26206075›Full record

Trial reportThe American journal of psychiatry2015

Effect of Attention Training on Attention Bias Variability and PTSD Symptoms: Randomized Controlled Trials in Israeli and U.S. Combat Veterans.

Amy S Badura-Brack, Reut Naim, Tara J Ryan, Ofir Levy, Rany Abend, Maya M Khanna, Timothy J McDermott, Daniel S Pine, Yair Bar-Haim

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

Trial report in The American journal of psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 70 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 5 pooled it
20.1field-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.

NCT02591485 nacompletednot on this mapstarted 2016, after this paper: background citation

Prevention of Post Traumatic Stress Disorder Following Trauma by Attention Control Training

TypeinterventionalSponsorYair Bar-HaimRan2016 to 2019Enrolled119ConditionsPTSDArmsAttention Control Training
NCT02945709 nacompletednot on this mapstarted 2016, after this paper: background citation

Attention Control Treatment for Post Traumatic Stress Disorder

TypeinterventionalSponsorTel Aviv UniversityRan2016 to 2019Enrolled60ConditionsPTSDArmsPersonalized Attention control training (ACT), Non-personalized Attention control training (ACT), Control training.
NCT03348540 nacompletednot on this mapstarted 2017, after this paper: background citation

Randomized Clinical Trial of Attention Control Training for Symptoms of PTSD in Children

TypeinterventionalSponsorCreighton UniversityRan2017 to 2023Enrolled89ConditionsPTSDArmsAttention Control Training, Comparison Task
NCT03350360 nacompletednot on this mapstarted 2017, after this paper: background citation

Randomized Clinical Trials of Attention Control Training for PTSD Related to Combat or Interpersonal Violence

TypeinterventionalSponsorCreighton UniversityRan2017 to 2020Enrolled73ConditionsPTSDArmsAttention Control Training, Comparison Task
NCT04228133 nacompletednot on this mapstarted 2020, after this paper: background citation

Home-Delivered Attention Control Training for Post Traumatic Stress Disorder: A Randomized Controlled Trial

TypeinterventionalSponsorTel Aviv UniversityRan2020 to 2021Enrolled60ConditionsPTSDArmsAttention Control Training (ACT), Attention Bias Modification (ABM)
NCT05242263 nacompletednot on this mapstarted 2019, after this paper: background citation

Reducing Attention Bias Variability Using Attention Control Training With Feedback Among Individuals With Posttraumatic Stress Disorder

TypeinterventionalSponsorTel Aviv UniversityRan2019 to 2022Enrolled60ConditionsPTSDArmsAttention Control Training (ACT) with ABV feedback, Attention Control Training (ACT) with yoked sham feedback
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 5 syntheses or guidelines pooled it, 188 citations in OpenAlex.

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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Amy S Badura-BrackFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Reut NaimFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Tara J RyanFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Ofir LevyFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Rany AbendFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Maya M KhannaFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Timothy J McDermottFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Daniel S PineFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Yair Bar-HaimFrom the Department of Psychology, Creighton University, Omaha, Neb.; the School of Psychological Sciences and the Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel; the Department of Psychology, Simon Fraser University, Burnaby, B.C., Canada; the Division of Mental Health, Medical Corps, Israel Defense Forces, Israel; and the Intramural Research Program, NIMH, Bethesda, Md.
Tel Aviv University · IL

Funding

fMRI Studies Of Pediatric Mood And Anxiety DisordersZIAMH002781 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$41.5M
Fmri Studies Of Risk For Mood And Anxiety Disorders In ChildrenZIAMH002782 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI PINE, DANIEL · 2009 to 2025
$28.3M
Intramural NIH HHS Z99 MH999999
6 · The paper itself

Abstract

objectiveAttention allocation to threat is perturbed in patients with posttraumatic stress disorder (PTSD), with some studies indicating excess attention to threat and others indicating fluctuations between threat vigilance and threat avoidance. The authors tested the efficacy of two alternative computerized protocols, attention bias modification and attention control training, for rectifying threat attendance patterns and reducing PTSD symptoms.

methodTwo randomized controlled trials compared the efficacy of attention bias modification and attention control training for PTSD: one in Israel Defense Forces veterans and one in U.S. military veterans. Both utilized variants of the dot-probe task, with attention bias modification designed to shift attention away from threat and attention control training balancing attention allocation between threat and neutral stimuli. PTSD symptoms, attention bias, and attention bias variability were measured before and after treatment.

resultsBoth studies indicated significant symptom improvement after treatment, favoring attention control training. Additionally, both studies found that attention control training, but not attention bias modification, significantly reduced attention bias variability. Finally, a combined analysis of the two samples suggested that reductions in attention bias variability partially mediated improvement in PTSD symptoms.

conclusionsAttention control training may address aberrant fluctuations in attention allocation in PTSD, thereby reducing PTSD symptoms. Further study of treatment efficacy and its underlying neurocognitive mechanisms is warranted.

Indexed as

AdultAgedAttentionBehavior TherapyHumansMaleMiddle AgedStress Disorders, Post-TraumaticTreatment OutcomeVeteransYoung Adult

Identifiers

PMID26206075
PMCPMC6343502
OpenAlexW1883359874

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.