Effectiveness of an AI-Integrated Proactive Thought Control Intervention for Young Adults With Social Anxiety Disorder
3 de septiembre de 2026 actualizado por: Farah Shahzadi
The Objective is to Examine the Effectiveness of Ai Integrated Proactive Thought Control for Social Anxiety Disorder and Compare Its Effectiveness With Active Control Group and Cognitive Behavioral Therapy. Participants With SAD Will be Recruited From Educational Setting, Will Get 8 Therapy Sessions.
Participants with Social Anxiety Disorder will be recruited from educational settings .
After screening and informed consent, participants will be randomly assigned to PTC , ACG or CBT .The therapy session will be 8 session once a week, and data will be collected through psychological questionnaires in two phases at start and end of intervention.
Descripción general del estudio
Estado
Estado
Terminado
Condiciones
Condiciones
Intervención / Tratamiento
Intervención / Tratamiento
Tipo de estudio
Tipo de estudio
Intervencionista
Inscripción (Actual)
Inscripción
75
Fase
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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Punjab Province
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Gujranwala, Punjab Province, Pakistán
- Farah Shahzadi
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
Acepta Voluntarios Saludables
No
Descripción
Inclusion Criteria:
- Were between 18 and 26 years of age, corresponding to the developmental period of emerging adulthood (Arnett, 2000).
- Met DSM-5 diagnostic criteria for Social Anxiety Disorder on the SCID-5-RV (First et al., 2015).
- Scored at or above the clinical cutoff of 30 on the LSAS-SR, indicating clinically significant social anxiety (Mennin et al., 2002).
- Were not receiving any other form of psychological intervention at the time of the study.
- Had sufficient English proficiency to understand instructions and complete the assessments (Flores, 2006).
- Provided written informed consent.
- Possessed basic computer literacy and typing skills required for the digital tasks.
Exclusion Criteria:
- Were younger than 18 or older than 26 years.
- Did not meet DSM-5 diagnostic criteria for Social Anxiety Disorder on the SCID-5-RV.
- Scored in the clinically significant range for general anxiety (BAI ≥ 16; Beck et al., 1988) or at or above the threshold for moderate depression (BDI-II ≥ 20; Beck et al., 1996).
- Were currently receiving psychological treatment for any psychiatric condition.
- Had a lifetime history of a severe psychiatric disorder other than Social Anxiety Disorder (e.g., psychosis, bipolar disorder).
- Had a medical or neurological condition that could interfere with task completion or valid responding.
- Were unable to complete the study procedures or assessments.
- Had no prior experience using a computer.
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Número de brazos
3
Armas e Intervenciones
Grupo de participantes/brazoGrupo de participantes/brazo |
Intervención / TratamientoIntervención / Tratamiento |
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Experimental: proactive thought control
The PTC (Proactive Thought Control) arm an AI-integrated, computerized intervention that trains proactive thought control, the anticipatory maintenance of a positive goal representation used to override an automatically primed negative response before it is produced (Braver, 2012).
Across eight sessions, each pairing a Free Association Task (single-word cues) with a Sentence Completion Task (unfinished social-evaluative stems).
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The two paired tasks Free Association Task (FAT) and Sentence Completion Task (SCT) form the core of the AI-integrated Proactive Thought Control (PTC) program.
FAT shows a social-threat word and the participant types the first associated word, training proactive control at the lexical level; SCT then gives unfinished social-evaluative stems to complete with a benign word, extending the override to the propositional level.
Both run three blocks of thirty self-paced trials per session (720 over two weeks), so every threat trial forces a positive, cue-relevant representation that overrides a primed negative associate before advancing.
AI integration relies on real-time validation: SiEBERT scores sentiment and MiniLM embedding confirm semantic relevance, enforcing a positive, cue-relevant construal each trial.
Feedback reinforces this accepted responses earn points, rejected one prompt revision, and the threshold relaxes after four failures and pass after eight.
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Comparador activo: Cognitive Behavior Therapy
The CBT group served as the gold-standard comparison condition, receiving an eight-session, individually delivered cognitive-behavioral protocol adapted from the empirically supported treatment of Hope, Heimberg, and Turk (2019).
To fit the study's fixed eight-session frame, it followed the manual's accelerated outline, compressing the standard sixteen-to-twenty-session course while still covering most relevant workbook chapters in order.
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8-session CBT protocol ( Hope, Heimberg & Turk, 2019 manual) The CBT arm received an eight-session protocol moving from psychoeducation and the three-component model of social anxiety with an individualized Fear and Avoidance Hierarchy (Sessions 1-2), through cognitive restructuring using disputing questions from automatic thought to rational response (Sessions 3-4), to repeated graded exposure using role-plays, distress ratings, and added cognitive tools, with the final session offering core-belief work and setting post-treatment maintenance goals (Sessions 5-8)
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Comparador activo: Active Control Group
The Active Control group was a structurally and temporally matched, computerized active comparison condition that removed the intervention's active ingredient while preserving every non-specific feature.
Participants completed the same two tasks (Free Association and Sentence Completion), the same cue/stem material, same three blocks of 30 trials per session (720 across eight sessions), same self-paced presentation, practice trials, on-screen appearance, and time on task, so the two conditions were equated on stimuli, dose, feedback salience, and engagement.
The key difference was the omission of the proactive-thought-control contingency.
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Participants did the same two tasks as the experimental group.
The Free Association Task and the Sentence Completion Task , matched on stimuli, format, and time.
The key difference was that the control removed the core training element: responses were not checked for meaning against the cue, and about half of the negative answers were accepted without correction, so the link between a threat cue and forcing a positive response was broken.
In short, the control group did the same tasks and got the same exposure, but without the active thinking-training component.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Liebowitz Social Anxiety Scale-Self Report
Periodo de tiempo: Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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Liebowitz Social Anxiety Scale-Self-Report; range 0-144; higher = worse (greater social anxiety severity)
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Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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Core Belief Questionnaire (CBQ)
Periodo de tiempo: Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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Core Belief Questionnaire-Self-Trait and -Other (17 items each, 6-point Likert); range 17-102 if items are scored 1-6; higher = more strongly endorsed negative core beliefs (worse)".
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Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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Dot Probe task
Periodo de tiempo: Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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milliseconds; more positive = stronger bias toward social threat
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Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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word sentence association paradigm
Periodo de tiempo: Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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higher = more threat-relevant interpretation bias
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Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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Behavioral Avoidance Task
Periodo de tiempo: Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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SUDS 0-100; higher = more subjective distress
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Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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Medidas de resultado secundarias
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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beck depression inventory II
Periodo de tiempo: Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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range 0-63; higher = worse
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Baseline (Day 1, before the first session) and Post-Intervention (within 7 days after the eighth session; the 8 sessions are delivered a weekly over a 8-week period
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Patrocinador
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio (Actual)
Inicio del estudio
14 de marzo de 2026
Finalización primaria (Actual)
Finalización primaria
12 de agosto de 2026
Finalización del estudio (Actual)
Finalización del estudio
14 de agosto de 2026
Fechas de registro del estudio
Enviado por primera vez
Enviado por primera vez
29 de agosto de 2026
Primero enviado que cumplió con los criterios de control de calidad
Primero enviado que cumplió con los criterios de control de calidad
3 de septiembre de 2026
Publicado por primera vez (Actual)
Publicado por primera vez
9 de septiembre de 2026
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización publicada
9 de septiembre de 2026
Última actualización enviada que cumplió con los criterios de control de calidad
Última actualización enviada que cumplió con los criterios de control de calidad
3 de septiembre de 2026
Última verificación
Última verificación
1 de septiembre de 2026
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
Otros números de identificación del estudio
- GIFT/PSY/MS/2025/004
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
INDECISO
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
No
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
No
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