Positive Emotional Processing: Exploring Novel Treatment Targets in Social Phobia



Status:Completed
Conditions:Anxiety, Healthy Studies, Psychiatric
Therapuetic Areas:Psychiatry / Psychology, Other
Healthy:No
Age Range:18 - 55
Updated:9/2/2017
Start Date:April 2013
End Date:September 2016

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Positive Emotional Processing: Exploring Novel Treatment Targets in Social Phobia - New Data

The purpose of this study is to test the effects of a computerized approach/avoidance
training (AAT) procedure in a sample of individuals diagnosed with social anxiety disorder
(SAD). The training procedure is designed to modify automatic approach responses for positive
social stimuli. Previous research has shown that a single administration of approach-positive
AAT influences social behavior in the laboratory. The goal of this study is to examine the
effects of a four-session AAT procedure on measures of positive social-emotional functioning.
The investigators hypothesize that individuals assigned to the approach-positive AAT
condition will demonstrate larger increases in positive affect and improvements in social
relationship functioning from pre- to post-assessment compared to those assigned to the
control condition.


Inclusion Criteria:

- Age 18-55

- Principal psychiatric diagnosis of generalized social anxiety disorder

- Liebowitz Social Anxiety Scale (LSAS) score ≥ 60

- Ability to read and speak English sufficiently to complete study procedures

Exclusion Criteria:

- History of psychosis, mania, or substance dependence

- Current severe medical disorder that requires inpatient treatment or frequent medical
follow ups including but not limited to: unstable hypertension, unstable angina,
unstable diabetes mellitus, unstable cardiac arrhythmias, transient ischemic attacks,
severe coronary artery disease, severe peripheral vascular disease, severe
hepato-gastro-intestinal disease, severe infectious disease (e.g. HIV), recurrent
severe headache or migraine, fainting spells, seizures, and history of traumatic brain
injury with loss of consciousness >30 minutes

- Current use of the following medications: antidepressants, benzodiazepines,
antipsychotics, mood stabilizers, or other drugs that can acutely affect the
hemodynamic response (methylphenidate and acetazolamide)

- Caffeine intake >10 cups/day or recent significant changes in consumption

- MRI exclusions, including claustrophobia, cardiac pacemaker, metal fragments in
eyes/skin/body (shrapnel), aortic/aneurysm clips, prosthesis, by-pass surgery/coronary
artery clips, hearing aid, heart valve replacement, shunt (ventricular or spinal),
electrodes, metal plates/pins/screws/wires, or neuro/bio-stimulators (TENS unit),
persons who have ever been a metal worker/welder, history of eye surgery/eyes washed
out because of metal, women who are or may be pregnant (determined by a positive
pregnancy test), women using an intrauterine device, vision problems uncorrectable
with lenses, claustrophobia, inability to lie still on one's back for 60 minutes;
prior neurosurgery; older tattoos with metal dyes; unwillingness to remove nose, ear,
tongue, or face rings.
We found this trial at
1
site
San Diego, California 92037
Principal Investigator: Charles T Taylor, PhD
Phone: 858-534-9446
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mi
from
San Diego, CA
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