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CompletedNCT01463137SOFIE-11Updated Nov 1, 2016

Attention Bias Modification Training in Social Phobia/Social Anxiety Disorder

An interventional study of Attention bias modification in Social Phobia, sponsored by Umeå University. Completed at 1 site in Sweden. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2016-11-01.

Sponsored by Umeå University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
129
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

A study investigating six different versions of a computerized attention bias modification internet program in the treatment of social phobia / social anxiety disorder.

Read the detailed description

Previous studies have shown that individuals with social phobia have attention biases, often focusing on aversive stimuli or avoiding aversive stimuli. Computerized training programs have been developed to implicitly direct the users attention towards a neutral, non-threatening stimuli. In this study, such a program will be compared with a program that implicitly directs the users' attention towards threatening cues. Pre/post-measurements will be compared in a sample of individuals that meet diagnostic criteria of Social Anxiety Disorder. Participants will be randomized to one of three groups, receiving one of the two variants of the attention bias modification program or a control training program.

02

Conditions studied

  • Social Phobia

Keywords

  • social phobia
  • anxiety
03

In context

Anxiety Disorders

4,868 studies on the registry are indexed under Anxiety Disorders; 1,390 are open to participants now.

This study's enrollment of 129 is above the median of 80 across 4,174 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Umeå University is the lead sponsor of 263 studies on the registry; 60 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants must meet criteria for social phobia using the International classification system Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV).
  • Comorbidity is allowed, but social phobia must be the primary diagnosis.

Exclusion criteria

Exclusion Criteria:

  • Below 18 years old.
  • Individuals who are suicide prone will be excluded from the study.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
129 participants (actual)

Study arms

  • Sham comparator
    Control training with words

    Computerized, internet-based control training program. Participant is exposed to a pair of words -- either neutral-negative, neutral-positive, or negative-positive -- for 500ms-1000ms, followed by a probe (\< or \>) in the previous position of ONE of these words and is then asked to press the corresponding arrow button on a keyboard. A total of 192 word pairs are shown during a session. One third is neutral-negative, one third is neutral-positive, and one third is negative-positive. The probe follows the more positive word and the more negative word with equal frequency.

    Behavioral: Attention bias modification

  • Sham comparator
    Control training with words + pictures

    Computerized, internet-based control training program. Participant is exposed to a pair of words or a pair of faces -- either neutral-negative, neutral-positive, or negative-positive -- for 500ms-1000ms, followed by a probe (\< or \>) in the previous position of ONE of these words or faces and is then asked to press the corresponding arrow button on a keyboard. A total of 96 word pairs and 96 face pairs are shown during a session. One third is neutral-negative, one third is neutral-positive, and one third is negative-positive. The probe follows the more positive stimulus and the more negative stimulus with equal frequency.

    Behavioral: Attention bias modification

  • Active comparator
    Positive bias training with words

    Computerized, internet-based training program for implicit modification of cognitive bias of attention, variant 1. Participant is exposed to two words -- either neutral-negative, neutral-positive, or negative-positive -- for 500ms-1000ms, followed by a probe (\< or \>) in the previous position of ONE of these words and is then asked to press the corresponding arrow button on a keyboard. A total of 192 word pairs are shown during a session, of one third is the neutral-negative, one third is neutral-positive, and one third is negative-positive. The probe always follows the more positive word.

    Behavioral: Attention bias modification

  • Active comparator
    Positive bias training with words + pictures

    Computerized, internet-based training program for implicit modification of cognitive bias of attention, variant 2. Participant is exposed to a pair of words or a pair of faces -- either neutral-negative, neutral-positive, or negative-positive -- for 500ms-1000ms, followed by a probe (\< or \>) in the previous position of ONE of these words or faces and is then asked to press the corresponding arrow button on a keyboard. A total of 96 word pairs and 96 face pairs are shown during a session. One third is neutral-negative, one third is neutral-positive, and one third is negative-positive. The probe always follows the more positive word or face.

    Behavioral: Attention bias modification

  • Active comparator
    Negative bias training with words

    Computerized, internet-based training program for implicit modification of cognitive bias of attention, variant 3. Participant is exposed to two words -- either neutral-negative, neutral-positive, or negative-positive -- for 500ms-1000ms, followed by a probe (\< or \>) in the previous position of ONE of these words and is then asked to press the corresponding arrow button on a keyboard. A total of 192 word pairs are shown during a session. One third is neutral-negative, one third is neutral-positive, and one third is negative-positive. The probe always follows the more negative word.

    Behavioral: Attention bias modification

  • Active comparator
    Negative bias training with words + pictures

    Computerized, internet-based training program for implicit modification of cognitive bias of attention, variant 4. Participant is exposed to a pair of words or a pair of faces -- either neutral-negative, neutral-positive, or negative-positive -- for 500ms-1000ms, followed by a probe (\< or \>) in the previous position of ONE of these words or faces and is then asked to press the corresponding arrow button on a keyboard. A total of 96 word pairs and 96 face pairs are shown during a session. One third is neutral-negative, one third is neutral-positive, and one third is negative-positive. The probe always follows the more negative word or face.

    Behavioral: Attention bias modification

Interventions

  • BehavioralAttention bias modification

    All arms will consist of 10 minutes of training in front of a computer screen (192 trials) once a day for 14 days.

06

What researchers measure

Primary outcomes

  1. Change from baseline in Liebowitz Social Anxiety Scale self rated version

    Change from baseline in social anxiety symptoms expected between time frames.

    Time frame: pretreatment (week 0), post treatment (week 2), 4 month follow-up

Secondary outcomes

  1. Change from baseline in Social Phobia Screening Questionnaire

    Social Phobia Screening Questionnaire (SPSQ), diagnostic tool for social phobia. Change from baseline in social anxiety symptoms expected between time frames.

    Time frame: Pretreatment (week 0), post treatment (week 2), 4 month follow-up

  2. Change from baseline in Social Interaction Anxiety Scale (SIAS)

    Change from baseline in social anxiety symptoms expected between time frames.

    Time frame: Pretreatment (week 0), post treatment (week 2), 4 month follow-up

  3. Change from baseline in Social Phobia Scale (SPS)

    Change from baseline in social anxiety symptoms expected between time frames.

    Time frame: Pretreatment (week 0), post treatment (week 2), 4 month follow-up

  4. Change from baseline in Montgomery Åsberg Depression Rating Scale (MADRS-S)

    Measure depression. Change from baseline in depressive symptoms expected between time frames.

    Time frame: Pretreatment (week 0), post treatment (week 2), 4 month follow-up

  5. Change from baseline in Quality of Life Inventory (QOLI)

    Measure quality of life. Change from baseline in quality of life expected between time frames.

    Time frame: Pretreatment (week 0), post treatment (week 2), 4 month follow-up

07

Study locations

1 site
  • Department of Psychology, Umeå University
    Umeå, Västerbotten 901 87, Sweden
08

References and documents

Publications

  • Boettcher J, Leek L, Matson L, Holmes EA, Browning M, MacLeod C, Andersson G, Carlbring P. Internet-based attention bias modification for social anxiety: a randomised controlled comparison of training towards negative and training towards positive cues. PLoS One. 2013 Sep 30;8(9):e71760. doi: 10.1371/journal.pone.0071760. eCollection 2013. PubMed 24098630 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 1, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01463137
Lead sponsor
Umeå University
Responsible party
Per Carlbring, PhD (Professor, Umeå University) — Principal investigator
First posted
Nov 1, 2011
Start date
Oct 2011
Primary completion
Jan 2013
Completion
Jan 2013
Last update
Nov 1, 2016

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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