- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT00872820
Examining Long-Term Effects and Neural Mediators of Behavioral Treatments for Social Anxiety Disorder
Neural Mediators of Behavior Therapy for Anxiety
연구 개요
상태
정황
상세 설명
Social anxiety disorder (SAD) is characterized by intense and debilitating anxiety in common social situations. Cognitive behavioral therapy (CBT) is a talking treatment that aims to reduce immediate anxiety symptoms. However, some anxiety symptoms and comorbid disorders not directly addressed by CBT may only improve in the short term, while recurring in the long term. Behavioral therapy based on acceptance and mindfulness is thought to have longer lasting effects, because this approach emphasizes accepting anxiety instead of controlling anxiety. This study will compare standard CBT to acceptance and commitment therapy (ACT), which uses acceptance and mindfulness, to determine which is more effective on both a short- and long-term basis. Participants with SAD will undergo brain scans to determine how the two therapies affect brain functioning.
Participation in this study will last 12 months. Participants with SAD will be randomly assigned to receive CBT, ACT, or a waitlist condition. Both CBT and ACT treatments will include 12 weekly sessions that will deal with objects and situations that provoke anxiety. All sessions will be audio- and videotaped. The waitlist group will complete weekly self-monitoring forms to track anxiety and panic and will receive a phone call from a research coordinator every 2 weeks to make sure symptoms have not worsened. After 12 weeks, participants on the waitlist will be offered treatment.
All participants will attend study visits to undergo brain scanning at baseline, after 3 months, and after 12 months. Each study visit will involve MRI scanning (to evaluate brain structure), functional MRI (fMRI) scanning (to evaluate brain function), questionnaires about a participant's experience in the scanner, and collection of saliva samples before, during, and after scanning. While undergoing the fMRI scan, participants will be asked to remain at rest for a certain period of time, and then to perform tasks that will engage certain parts of the brain. Assessments for all participants will occur at baseline and after 3, 6, and 12 months. These assessments will include diagnostic evaluations by a therapist, self-report questionnaires, ongoing self-monitoring, physiological measurements, cognitive assessments, and behavioral observation.
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
-
-
California
-
Los Angeles, California, 미국, 90095
- UCLA Psychology Department - Franz Hall
-
-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Meets diagnostic criteria for social anxiety disorder
- Right-handed
- If taking medications, stabilized on current dose for 3 months
- If undergoing psychotherapy, stabilized for 6 months
- Speaks English
Exclusion Criteria:
- Currently undergoing cognitive behavioral therapy
- History of psychiatric hospitalization in the last 5 years
- Presence of serious medical condition, such as respiratory, cardiovascular, pulmonary, neurological, or muscular-skeletal disease or pregnancy
- Active suicidal ideation
- Current severe depression
- History of bipolar disorder, psychosis, mental retardation, or brain damage
- History of substance abuse or dependence in the last 6 months
- Presence of irremovable metal objects in the body that are not fMRI-safe
- Suffers from claustrophobia
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
---|---|
활성 비교기: 1
Participants will receive standard cognitive behavioral therapy.
|
12 weekly treatment sessions conducted individually with a therapist; methods for dealing with anxiety will include cognitive and breathing strategies
|
실험적: 2
Participants will receive acceptance- and commitment-based behavioral therapy.
|
12 weekly treatment sessions conducted individually with a therapist; strategies for dealing with anxiety will include mindfulness and acceptance of negative feelings
|
간섭 없음: 3
Participants will be placed on a waitlist for 3 months before being offered treatment.
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
---|---|
Brain activity, assessed using functional magnetic resonance imaging (fMRI)
기간: Measured at baseline and after 3 and 12 months
|
Measured at baseline and after 3 and 12 months
|
2차 결과 측정
결과 측정 |
기간 |
---|---|
Social anxiety symptoms
기간: Measured at baseline and after 3, 6, and 12 months
|
Measured at baseline and after 3, 6, and 12 months
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Michelle G. Craske, PhD, University of California, Los Angeles
간행물 및 유용한 링크
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
- R21MH081299 (미국 NIH 보조금/계약)
- DATR A3-NSS (Indiana University)
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
사회 불안 장애에 대한 임상 시험
-
Goethe UniversityLudwig-Maximilians - University of Munich완전한
Cognitive behavioral therapy에 대한 임상 시험
-
Masaryk UniversityMasaryk Memorial Cancer Institute모병
-
Masaryk UniversityMasaryk Memorial Cancer Institute모병
-
Guy's and St Thomas' NHS Foundation Trust모병
-
Dokuz Eylul UniversityThe Scientific and Technological Research Council of Turkey완전한
-
Douglas Mental Health University Institute모병
-
Hôpital le VinatierNantes University Hospital; Centre Hospitalier Henri Laborit; University Hospital, Tours; Centre... 그리고 다른 협력자들완전한
-
Square2 Systems, Inc.National Institute on Drug Abuse (NIDA)모병
-
Virginia Polytechnic Institute and State UniversityCarilion Clinic; Thomas Jefferson University; Drexel University; Mazzoni Health Center; Diversity...모집하지 않고 적극적으로