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Status unknownNCT02272959Updated Sep 18, 2018

Attention Bias Modification Treatment (ABMT) for Anxiety Disorders in Youth Who do Not Respond to CBT

An interventional study of Attention bias modification treatment (ABMT) and Attention Control Condition in Anxiety Disorders, sponsored by Yair Bar-Haim. Status unknown at 1 site in Israel. Open to participants aged 10 Years to 18 Years. Per ClinicalTrials.gov, last updated 2018-09-18.

Sponsored by Yair Bar-Haim · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2018), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
10 Years to 18 Years
Sex
All
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Study summary

First-line psychosocial treatments for anxiety disorders in children are largely exposure-based cognitive behavioral therapies (CBTs). Despite strong evidence supporting CBT's efficacy, for up to 50% of youth patients, symptoms of anxiety persist after a full course of treatment. What are the treatment options for these youth? Unfortunately, there is not a single empirical study in the youth anxiety treatment literature that has systematically examined treatment augmentation for youth who fail to respond to CBT. Empirical efforts to address this issue are important because youth who do not respond to CBT continue to suffer emotional distress and impairment associated with anxiety disorders. This study will address this gap via double-blind randomized controlled trial of Attention Bias Modification Treatment (ABMT) for anxious 10-18 year-olds who did not respond to standard CBT. Attention biases in threat processing have been assigned a prominent role in the etiology and maintenance of anxiety disorders. ABMT utilizes computer-based protocols to implicitly modify biased attentional patterns in anxious patients. Here, participants will be CBT non-responders who will be assessed by using clinical interviews and parent- and self-rated questionnaires before and after eight sessions of ABMT or placebo control, and again at an eight-week follow-up. We expect to see reduction in anxiety symptoms in the Attention Bias Modification Treatment (ABMT) group relative to the placebo control group. We also expect the findings to inform pathways to treatments for anxious children who do not respond to current standard first-line therapy, and to provide initial information on mechanisms of ABMT efficacy.

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Conditions studied

  • Anxiety Disorders

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Keywords

  • Anxiety/Anxiety disorders, Clinical trials, treatment, cognition, computer/Internet technology
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In context

Anxiety Disorders

4,874 studies on the registry are indexed under Anxiety Disorders; 1,394 are open to participants now.

This study's planned enrollment of 100 is above the median of 80 across 4,180 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Yair Bar-Haim is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

04

Who can participate

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

Eligibility criteria

Inclusion Criteria:

To be included all youth must:

  1. have received a full course of CBT and were deemed treatment non-responders.
  2. they must still have a primary diagnosis of GAD, SOP, or SAD.
  3. if they have comorbid attention deficit hyperactivity disorder (ADHD) or depressive disorders, it must be treated with medication and stable.
  4. if they have tics or impulse control problems, those problems must be treated with medication and stable and cause minimal or no impairment.

Exclusion Criteria: To be excluded youth must:

  1. meet diagnostic criteria for Organic Mental Disorders, Psychotic Disorders, Pervasive Developmental Disorders, or Mental Retardation.
  2. show high likelihood of hurting themselves or others.
  3. have not been living with a primary caregiver who is legally able to give consent for the child's participation.
  4. be a victim of previously undisclosed abuse requiring investigation or ongoing supervision.
  5. be involved currently in another psychosocial treatment.
  6. have a serious vision problem that is not corrected with prescription lenses.
  7. have a physical disability that interferes with their ability to click a mouse button rapidly and repeatedly.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Attention Bias Modification treatment (ABMT)

    Attention training via repeated trials of a dot-probe task intended to direct attention away from threat stimuli using threat and neutral stimuli.

    Behavioral: Attention bias modification treatment (ABMT)

  • Placebo comparator
    Placebo Group

    Attention training via repeated trials of a dot-probe task not intended to change threat-related attention patterns using only neutral stimuli.

    Behavioral: Attention Control Condition

Interventions

  • BehavioralAttention bias modification treatment (ABMT)

    Attention training using a computerized spatial attention task (dot-probe) modified to alter threat-related attention patterns using threat and neutral stimuli.

  • BehavioralAttention Control Condition

    Attention training using a computerized spatial attention task (dot-probe) not intended to alter threat-related attention patterns using only neutral stimuli.

06

What researchers measure

Primary outcomes

  1. The Pediatric Anxiety Rating Scale (PARS)

    The PARS assesses global anxiety severity across different anxiety disorders in youth.

    Time frame: expected average time frame of 6 weeks.

Secondary outcomes

  1. Anxiety Related Emotional Disorders - Child/Parent Version (SCARED-C/P)

    The SCARED is a 41-item self and parent-report instrument designed to assess anxiety in children and adolescents. Screen for Child

    Time frame: expected average time frame of 6 weeks.

07

Study locations

1 of 1 sites recruiting
  • Tel-Aviv University
    Tel-Aviv, Israel
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 18, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02272959
Lead sponsor
Yair Bar-Haim
Collaborators
United States - Israel Binational Science Foundation, Schneider Children's Hospital, Sheba Medical Center
Responsible party
Yair Bar-Haim (Professor of Psychology and Neuroscience, Head School of Psychological Sciences, Tel Aviv University) — Sponsor-investigator
First posted
Oct 23, 2014
Start date
Jan 2015
Primary completion
Jul 2019 (estimated)
Completion
Jul 2019 (estimated)
Last update
Sep 18, 2018

Study contacts

Yair Bar-Haim, Prof.
Contact
yair1@post.tau.ac.il
972-3-6405465
Marian Linetzky, M.A.
Contact
marian.linetzky@gmail.com
972-54-4947028

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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