Evidence map›Paper›PMID 32633901›Full record

Trial reportBrain and behavior2020

Time course of pupillary response to threat words before and after attention bias modification for transdiagnostic anxiety disorders: A randomized controlled trial.

Mary L Woody, Rachel A Vaughn-Coaxum, Greg J Siegle, Rebecca B Price

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brain and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

4 authors.

Mary L WoodyDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-3021-3299
Rachel A Vaughn-CoaxumDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Greg J SiegleDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.
Rebecca B PriceDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA.

Funding

CLINICAL RESEARCH TRAINING FOR PSYCHOLOGISTST32MH018269 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MICHELE D LEVINE · 1986 to 2026
$6.3M
Testing a Synergistic, Neuroplasticity-Based Intervention for Depressive NeurocognitionR01MH113857 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PRICE, REBECCA · 2017 to 2021
$2.4M
Visuocortical Dynamics of Affect-Biased Attention in the Development of Adolescent DepressionK23MH119225 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WOODY, MARY LOUISE · 2019 to 2023
$844k
Neural Dimensions of Attention Bias Modification for Transdiagnostic AnxietyK23MH100259 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PRICE, REBECCA · 2013 to 2017
$788k
NIMH NIH HHS K23 MH100259NIMH NIH HHS K23 MH119225NIMH NIH HHS R01 MH113857NIMH NIH HHS T32 MH018269
6 · The paper itself

Abstract

introductionAltered attention to threatening stimuli at initial and sustained stages of processing may be dissociable dimensions that influence the development and maintenance of transdiagnostic symptoms of anxiety, such as vigilance, and possibly require distinct intervention. Attention bias modification (ABM) interventions were created to implicitly train attention away from threatening stimuli and have shown efficacy in treating anxiety. ABM alters neurocognitive functioning during initial stages of threat processing, but less is known regarding effects of ABM on neural indices of threat processing at sustained (i.e., intermediate and late) stages, or if ABM-related neural changes relate to symptom response. The current study utilized pupillary response as a temporally sensitive and cost-effective peripheral marker of neurocognitive response to ABM. MATERIALS AND

methodsIn a randomized controlled trial, 79 patients with transdiagnostic anxiety provided baseline data, 70 were randomized to receive eight sessions of twice-weekly ABM (n = 49) or sham training (n = 21), and 65 completed their assigned treatment condition and returned for post-training assessment.

resultsAmong ABM, but not sham, patients, pupillary response to threat words during initial and intermediate stages decreased from pre- to post-training. Pre- to post-training reductions in intermediate and late pupillary response to threat were positively correlated with reductions in patient-reported vigilance among ABM, but not sham, patients.

conclusionsAll measured stages of threat processing had relevance in understanding the neural mechanisms of ABM, with overlapping yet dissociable roles exhibited within a single neurophysiological marker across an initial-intermediate-late time continuum. Pupillometry may be well suited to measure both target engagement and treatment outcome following ABM.

Indexed as

Anxiety DisordersAttentional BiasAdultAnxietyCost-Benefit AnalysisFemaleHumansMaleTreatment Outcomeanxietyattention bias modificationpupillometrythreat processing

Identifiers

PMID32633901
PMCPMC7428474

What OpenQuestion holds

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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.