Evidence map›Paper›PMID 29413142›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2018

Biobehavioral Markers of Attention Bias Modification in Temperamental Risk for Anxiety: A Randomized Control Trial.

Pan Liu, Bradley C Taber-Thomas, Xiaoxue Fu, Koraly E Pérez-Edgar

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, 2018. 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 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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.

NCT02401282 nacompletednot on this map

Attention and Social Behavior in Children

TypeinterventionalSponsorPenn State UniversityRan2011 to 2016Enrolled251ConditionsAnxietyArmsAttention Bias Modification, Dot-probe task
NCT03973580 naterminatednot on this mapstarted 2019, after this paper: background citation

Altering High-risk Trajectories in Adolescent Anxiety Via Attention Bias Modification Training: Neural Predictors and Mechanisms (ABM Study)

TypeinterventionalSponsorWestern University, CanadaRan2019 to 2020Enrolled15ConditionsAttentional Bias, AnxietyArmsAttentional Bias Modification (ABM) task, Control task
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Brief, Non-Pharmacological, Interventions for Pediatric Anxiety: Meta-Analysis and Evidence Base Status.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
  2. Trial
  3. Review
  4. Structural Brain Correlates of Childhood Inhibited Temperament: An ENIGMA-Anxiety Mega-Analysis.Journal of the American Academy of Child and Adolescent Psychiatry · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Neurodevelopmental Pathways from Temperamental Fear to Anxiety.Current topics in behavioral neurosciences · 2025
    Review
  9. Article
  10. Article
  11. Novel mechanism-based treatments for pediatric anxiety and depressive disorders.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  12. Attentional biases in human anxiety.Neuroscience and biobehavioral reviews · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Pan LiuChild Study Center, The Pennsylvania State University, University Park, State College. Electronic address: pliu261@gmail.com.
Bradley C Taber-ThomasChild Study Center, The Pennsylvania State University, University Park, State College.
Xiaoxue FuChild Study Center, The Pennsylvania State University, University Park, State College.
Koraly E Pérez-EdgarChild Study Center, The Pennsylvania State University, University Park, State College.
Pennsylvania State University · US

Funding

Attention Training's Impact on Biobehavioral Correlates of Behavioral InhibitionR01MH094633 · NIMH · PENNSYLVANIA STATE UNIVERSITY, THE · PI PEREZ-EDGAR, KORALY E · 2011 to 2015
$2.3M
NIMH NIH HHS R01 MH094633
6 · The paper itself

Abstract

objectiveChildren with behavioral inhibition, a temperament characterized by biologically based hypervigilance to novelty and social withdrawal, are at high risk for developing anxiety. This study examined the effect of a novel attention training protocol, attention bias modification (ABM), on symptomatic, behavioral, and neural risk markers in children with behavioral inhibition.

methodNine- to 12-year-old typically developing children identified as having behavioral inhibition (N = 84) were assigned to a 4-session active ABM training (n = 43) or placebo protocol (n = 41) using a double-blinded, randomized, controlled trial approach. Anxiety symptoms (Diagnostic Interview Schedule for Children-Fourth Edition), attention bias (AB; measured by a dot-probe task; AB = incongruent reaction time - congruent reaction time), and AB-related neural activation (measured by functional magnetic resonance imaging activation for the incongruent > congruent contrast in the dot-probe task) were assessed before and after the training sessions.

resultsResults showed that active ABM (n = 40) significantly alleviated participants' symptoms of separation anxiety, but not social anxiety, compared with the placebo task (n = 40); ABM did not modify behavioral AB scores in the dot-probe task; and at the neural level, active ABM (n = 15) significantly decreased amygdala and insula activation and increased activation in the ventrolateral prefrontal cortex compared with placebo (n = 19).

conclusionThese findings provide important evidence for ABM as a potentially effective protective tool for temperamentally at-risk children in a developmental window before the emergence of clinical disorder and open to prevention and intervention. Clinical trial registration information-Attention and Social Behavior in Children (BRAINS); http://clinicaltrials.gov/; NCT02401282.

Indexed as

AmygdalaAnxietyAttentional BiasChildCognitive Behavioral TherapyDouble-Blind MethodFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological Testsanxietyattention bias modificationbehavioral Inhibitiondot probefronto-limbic activation

Identifiers

PMID29413142
PMCPMC6409187
OpenAlexW2769552164

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.