Evidence map›Paper›PMID 37878363›Full record

ArticleJMIR formative research2023

Web-Based Cognitive Bias Modification Program for Young People With Social Anxiety and Hazardous Alcohol Use: Feasibility, Acceptability, and Preliminary Efficacy Study.

Katrina Prior, Elske Salemink, Monique Piggott, Victoria Manning, Reinout W Wiers, Bethany A Teachman, Maree Teesson, Andrew J Baillie, Alison Mahoney, Lauren McLellan and 2 more

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 33% 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.

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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

12 authors at 7 institutions in 3 countries.

Katrina PriorMatilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-7784-2885
Elske SaleminkExperimental Psychopathology Lab, Department of Clinical Psychology, Utrecht University, Utrecht, Netherlands.ORCID https://orcid.org/0000-0002-6885-2598
Monique PiggottMatilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0001-5168-253X
Victoria ManningEastern Health Clinical School, Faculty of Medicine, Nursing & Health Sciences, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0003-3908-5980
Reinout W WiersAddiction Development and Psychopathology (ADAPT)-lab, Department of Psychology, University of Amsterdam, Amsterdam, Netherlands.ORCID https://orcid.org/0000-0002-4312-9766
Bethany A TeachmanDepartment of Psychology, School of Arts and Sciences, University of Virginia, Charlottesville, VA, United States.ORCID https://orcid.org/0000-0002-9031-9343
Maree TeessonMatilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-6744-463X
Andrew J BaillieSydney School of Health Sciences, Faculty of Medicine & Health, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0003-3424-5703
Alison MahoneyClinical Research Unit for Anxiety and Depression, St Vincent's Public Hospital, Sydney, Australia.ORCID https://orcid.org/0000-0003-1118-4055
Lauren McLellanCentre for Emotional Health, Department of Psychology, Macquarie University, Sydney, Australia.ORCID https://orcid.org/0000-0003-4059-6577
Nicola C NewtonMatilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0001-6305-2623
Lexine A StapinskiMatilda Centre for Research in Mental Health and Substance Use, The University of Sydney, Sydney, Australia.ORCID https://orcid.org/0000-0002-3656-4655
The University of Sydney · AUEastern Health · AUMacquarie University · AUUniversity of Amsterdam · NLUniversity of Virginia · USUNSW Sydney · AUUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterpretation bias modification (IBM) and approach bias modification (ApBM) cognitive retraining interventions can be efficacious adjunctive treatments for improving social anxiety and alcohol use problems. However, previous trials have not examined the combination of these interventions in a young, comorbid sample.

objectiveThis study aims to describe the feasibility, acceptability, and preliminary efficacy of a web-based IBM+ApBM program for young adults with social anxiety and hazardous alcohol use ("Re-Train Your Brain") when delivered in conjunction with treatment as usual (TAU).

methodsThe study involved a 3-arm randomized controlled pilot trial in which treatment-seeking young adults (aged 18-30 y) with co-occurring social anxiety and hazardous alcohol use were randomized to receive (1) the "integrated" Re-Train Your Brain program, where each session included both IBM and ApBM (50:50 ratio), plus TAU (35/100, 35%); (2) the "alternating" Re-Train Your Brain program, where each session focused on IBM or ApBM in an alternating pattern, plus TAU (32/100, 32%); or (3) TAU only (33/100, 33%). Primary outcomes included feasibility and acceptability, and secondary efficacy outcomes included changes in cognitive biases, social anxiety symptoms, and alcohol use. Assessments were conducted at baseline, after the intervention period (6 weeks after baseline), and 12 weeks after baseline.

resultsBoth Re-Train Your Brain program formats were feasible and acceptable for young adults. When coupled with TAU, both integrated and alternating programs resulted in greater self-reported improvements than TAU only in anxiety interpretation biases (at the 6-week follow-up; Cohen d=0.80 and Cohen d=0.89) and comorbid interpretation biases (at the 12-week follow-up; Cohen d=1.53 and Cohen d=1.67). In addition, the alternating group reported larger improvements over the control group in generalized social anxiety symptoms (at the 12-week follow-up; Cohen d=0.83) and alcohol cravings (at the 6-week follow-up; Cohen d=0.81). There were null effects on all other variables and no differences between the intervention groups in efficacy outcomes.

conclusionsShould these findings be replicated in a larger randomized controlled trial, Re-Train Your Brain has the potential to be a scalable, low-cost, and non-labor-intensive adjunct intervention for targeting interpretation and comorbidity biases as well as generalized anxiety and alcohol-related outcomes in the real world.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12620001273976; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=364131. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/28667.

Indexed as

alcoholanxietyapproach biascognitive bias modificationinterpretation biasmobile phoneyoung adult

Identifiers

PMID37878363
PMCPMC10632924
OpenAlexW4380081287

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.