Interpretive Biases in Children With Social Anxiety

Modification of Interpretive Biases in Children With Social Anxiety

A substantial number of children with social anxiety fail to gain benefit from contemporary cognitive-behavior therapy (CBT) approaches. More novel treatment approaches for treatment of social anxiety are needed. The current study attempts to modify an interpretation style that is characteristic of children who also display high anxiety in social situations. Participants between the ages of 8-12 years old, with social anxiety, will be randomly assigned to one of three treatment conditions: two conditions are designed to manipulate the interpretation bias or a wait-list control condition. All study procedures will be conducted online. This study will help develop an effective cognitive intervention program for social anxiety in children.

Study Overview

• Status: Terminated
• Conditions: Social Anxiety; Social Anxiety Disorder
• Intervention / Treatment: Behavioral: Online Interpretation Training Condition 1; Behavioral: Online Interpretation Training Condition 2

Detailed Description

The current study aims to test the effectiveness of computer-based interpretation bias modification training as a therapeutic intervention for social anxiety disorder (SAD). Individuals who experience social anxiety often have difficulty in engaging in social situations, such as speaking in front of a group and maintaining a conversation. For youngsters, this may take the form of avoidance, including avoiding situations such as raising one's hand in class, eating in front of other people and participating in small group activities. Additionally, those with social anxiety are more likely to interpret ambiguous social scenarios in a threatening way than are control subjects (Bogels, Snieder, & Kindt, 2003; Miers, Blote, Bogels, & Westenberg, 2008; Vassilopoulos & Banerjee, 2008; Vassilopoulos, 2006; Muris, Meckelbach, & Damsma, 2000). Research has shown that interpretation biases are modifiable at a young age (Muris, Huijding, Mayer, & Hameetman, 2008; Vassilopoulous, Bangerjee, Prantzalou, 2009; Muris, Huijding, Mayer, Remmerswaal, & Vreden, 2009; Lothmann, Holmes, Chan, & Lau, 2010).

Participants between the ages of 8-12 years old, with social anxiety, will be randomly assigned to one of three treatment conditions: two conditions are designed to manipulate the interpretation bias or a wait-list control condition. All study procedures will be conducted online. Subjects do not need to come to the University of Wisconsin-Milwaukee to participate. Thirty children with social anxiety will be randomly assigned to one of the three conditions, and will be assessed at baseline, post-treatment, and 1-month follow-up. The waitlisted participants will also be invited to undergo the training program after the 1-month follow-up assessment is completed. This study is expected to generate important data that will guide the development of an accessible, cost-efficient, and effective cognitive intervention for individuals suffering from social anxiety.

• Study Type: Interventional
• Enrollment (Actual): 5
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Wisconsin
    • Milwaukee, Wisconsin, United States, 53211
      • UWM Anxiety Disorders Laboratory

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 4 years to 8 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Between ages 8-12
• Diagnosis of social anxiety disorder
• Overall IQ score of 80 or greater
• Speak English fluently as the primary language
• Working internet connection with access to Skype or Facetime video conferencing software

Exclusion Criteria:

• Attention Deficit Hyperactivity Disorder, Oppositional Defiant Disorder or Conduct Disorder
• Pervasive developmental disorder or autism-spectrum disorder
• Past or active psychosis, bipolar disorder, or schizophrenia
• Current evidence-based cognitive-behavioral treatment for social anxiety problems
• Past cognitive behavioral treatment for social anxiety problems that lasted at least 3 sessions
• Significant suicidal ideation and/or attempts within the past 3 months
• Any recent (within the past 4 weeks) or planned changes in medication
• Reading disorder or impairments in reading ability.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Waitlist Control; This is a 1-month waitlist control to be compared with the active online interpretation training interventions. This is a no intervention control group
Experimental: Active Interpretation Training; Online Interpretation Training Condition 2 provides three sessions of a computerized training. Each session will last approximately 20-30 minutes, and participants will undergo 1 session each week.	Behavioral: Online Interpretation Training Condition 1; The online computerized training is a web-based tool that modifies how children interpret ambiguous scenarios.
Experimental: Placebo Interpretation Training; Online Interpretation Training Condition 1 provides three sessions of a computerized training. Each session will last approximately 20-30 minutes, and participants will undergo 1 session each week.	Behavioral: Online Interpretation Training Condition 2; The online computerized training is a web-based tool that modifies how children interpret ambiguous scenarios.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change on the Liebowitz Social Anxiety Scale for Children and Adolescents	A clinician-rated measure for assessing the severity of social anxiety and the impairment caused by it. This measure will be administered at baseline, at 4 weeks, and at 1-month follow-up.	Baseline, 4-weeks, and 1-month follow-up

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change on the Multidimensional Anxiety Scale for Children-2nd edition Parent and Self Report	This is a widely used assessment tool for symptoms of anxiety disorders. This measure will be administered at baseline, at 4 weeks, and at 1-month follow-up.	Baseline, 4 weeks, and 1-month Follow-up

Collaborators and Investigators

• Sponsor: University of Wisconsin, Milwaukee

Study record dates

Study Major Dates

• Study Start: August 1, 2014
• Primary Completion (Actual): August 1, 2016
• Study Completion (Actual): August 1, 2016

Study Registration Dates

• First Submitted: August 14, 2014
• First Submitted That Met QC Criteria: August 14, 2014
• First Posted (Estimate): August 18, 2014

Study Record Updates

• Last Update Posted (Estimate): October 25, 2016
• Last Update Submitted That Met QC Criteria: October 24, 2016
• Last Verified: October 1, 2016

More Information

Terms related to this study

• Keywords: Cognitive Training; Social Anxiety Disorder; Interpretation Modification Program
• Additional Relevant MeSH Terms: Mental Disorders; Phobic Disorders; Anxiety Disorders; Phobia, Social
• Other Study ID Numbers: UWM14.141