Evidence map›Paper›PMID 29729676›Full record

Trial reportBehavioural and cognitive psychotherapy2019

Attentional Bias Modification for Social Anxiety Disorder: What do Patients Think and Why does it Matter?

Jennie M Kuckertz, Casey A Schofield, Elise M Clerkin, Jennifer Primack, Hannah Boettcher, Risa B Weisberg, Nader Amir, Courtney Beard

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Behavioural and cognitive psychotherapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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.

Jennie M KuckertzSan Diego State University/University of California,San Diego,Joint Doctoral Program in Clinical Psychology,San Diego,CA,USA.ORCID http://orcid.org/0000-0002-3929-2683
Casey A SchofieldSkidmore College,Saratoga Springs,NY,USA.
Elise M ClerkinMiami University,Oxford,OH,USA.
Jennifer PrimackAlpert Medical School of Brown University,Providence,RI,USAandProvidence Veterans Affairs Medical Center,Providence,RI,USA.
Hannah BoettcherBoston University,Boston,MA,USA.
Risa B WeisbergVA Boston Healthcare System,Boston,MA,USAandBoston University School of Medicine,Boston,MA,USA.
Nader AmirSan Diego State University/University of California,San Diego,Joint Doctoral Program in Clinical Psychology,San Diego,CA,USA.
Courtney BeardMcLean Hospital,Belmont,MA,USAandHarvard Medical School,Boston,MA,USA.

Funding

Attention Training to Modify ERN and Risk for Anxiety in AdolescenceR01MH106477 · NIMH · STATE UNIVERSITY NEW YORK STONY BROOK · PI AMIR, NADER, HAJCAK, GREG · 2016 to 2020
$3.2M
Developing a Low-Intensity Primary Care Intervention for Anxiety DisordersR34MH097820 · NIMH · BROWN UNIVERSITY · PI ELIAS, COURTNEY BEARD, WEISBERG, RISA B · 2014 to 2016
$770k
Information Processing Training for Social Phobia in Primary CareF32MH083330 · NIMH · BROWN UNIVERSITY · PI ELIAS, COURTNEY BEARD · 2008 to 2010
$97k
Behavioral and Neurobiological Mechanisms of Treatment Response in Pediatric OCDF31MH107176 · NIMH · SAN DIEGO STATE UNIVERSITY · PI KUCKERTZ, JENNIE M · 2015 to 2018
$88k
NIMH NIH HHS F31 MH107176NIMH NIH HHS F32 MH083330NIMH NIH HHS R01 MH106477NIMH NIH HHS R34 MH097820
6 · The paper itself

Abstract

backgroundIn the past decade, a great deal of research has examined the efficacy and mechanisms of attentional bias modification (ABM), a computerized cognitive training intervention for anxiety and other disorders. However, little research has examined how anxious patients perceive ABM, and it is unclear to what extent perceptions of ABM influence outcome.

aimsTo examine patient perceptions of ABM across two studies, using a mixed methods approach.

methodIn the first study, participants completed a traditional ABM program and received a hand-out with minimal information about the purpose of the task. In the second study, participants completed an adaptive ABM program and were provided with more extensive rationale and instructions for changing attentional biases.

resultsA number of themes emerged from qualitative data related to perceived symptom changes and mechanisms of action, acceptability, early perceptions of the program, barriers/facilitators to engagement, and responses to adaptive features. Moreover, quantitative data suggested that patients' perceptions of the program predicted symptom reduction as well as change in attentional bias.

conclusionsOur quantitative data suggest that it may be possible to quickly and inexpensively identify some patients who may benefit from current ABM programs, although our qualitative data suggest that ABM needs major modifications before it will be an acceptable and credible treatment more broadly. Although the current study was limited by sample size and design features of the parent trials from which these data originated, our findings may be useful for guiding hypotheses in future studies examining patient perceptions towards ABM.

Indexed as

Attentional BiasPatient SatisfactionAdolescentAdultAgedAnxietyAttentionCognitive Behavioral TherapyFemaleHumansMaleMiddle AgedPatientsPhobia, SocialYoung Adultanxietyattentional bias modificationmixed methodpatient perceptionsqualitative data

Identifiers

PMID29729676
PMCPMC6219938

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Registered trials

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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.