Social Phobia (SP) ranks second in prevalence among all psychiatric disorders and is associated with significant impairment. Anxiety disorder patients are more likely to seek treatment from general medical physicians than mental health specialists. However, less than one third of primary care patients with anxiety disorders receive appropriate care. Of those who do receive treatment, many patients do not respond. Computerized information processing training is a promising intervention for anxiety disorders that is firmly based in cognitive theory and empirical findings. Computerized information processing training procedures directly target attention and interpretation biases associated with SP. These procedures may improve the cost-effectiveness and accessibility of psychological treatments for anxiety disorders. The long-term goal of this line of research is to translate findings from basic psychopathology research into innovative treatments that are acceptable and easily disseminated in real world settings. The second long-term objective is to develop empirically based treatments for primary care populations with anxiety disorders.
The specific aims of the study are to determine the acceptability, feasibility, and preliminary efficacy of information processing training in a primary care setting by comparing an innovative intervention, Attention and Interpretation Modification (AIM), to a placebo condition. Acceptability will be determined primarily from qualitative interviews. Feasibility will be determined by completer status and other qualitative data. Preliminary efficacy will be estimated with effect sizes. Specifically, it is hypothesized that participants completing AIM will experience a reduction in social anxiety symptoms, as assessed by interview, self-report, and behavioral measures, compared to placebo. Relevance to Public Health Recent prevalence estimates of Social Phobia are high, ranking second among all psychiatric disorders. Social Phobia results in significant impairment to~ the individual and in economic burden to society. Because most individuals with anxiety disorders seek treatment in primary care, research evaluating innovative treatments for Social Phobia in primary care will potentially reduce health care costs and utilization.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Postdoctoral Individual National Research Service Award (F32)
Project #
5F32MH083330-02
Application #
7743802
Study Section
Special Emphasis Panel (ZMH1-ERB-B (07))
Program Officer
Otey, Emeline M
Project Start
2008-12-01
Project End
2010-11-30
Budget Start
2009-12-01
Budget End
2010-11-30
Support Year
2
Fiscal Year
2010
Total Cost
$49,879
Indirect Cost
Name
Brown University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
001785542
City
Providence
State
RI
Country
United States
Zip Code
02912
Beard, Courtney; Weisberg, Risa B; Primack, Jennifer (2012) Socially anxious primary care patients' attitudes toward cognitive bias modification (CBM): a qualitative study. Behav Cogn Psychother 40:618-33
Beard, Courtney; Sawyer, Alice T; Hofmann, Stefan G (2012) Efficacy of attention bias modification using threat and appetitive stimuli: a meta-analytic review. Behav Ther 43:724-40
Beard, Courtney (2011) Cognitive bias modification for anxiety: current evidence and future directions. Expert Rev Neurother 11:299-311
Beard, Courtney; Weisberg, Risa B; Amir, Nader (2011) Combined cognitive bias modification treatment for social anxiety disorder: a pilot trial. Depress Anxiety 28:981-8
Moitra, Ethan; Beard, Courtney; Weisberg, Risa B et al. (2011) Occupational impairment and Social Anxiety Disorder in a sample of primary care patients. J Affect Disord 130:209-12
Beard, Courtney; Moitra, Ethan; Weisberg, Risa B et al. (2010) Characteristics and predictors of social phobia course in a longitudinal study of primary-care patients. Depress Anxiety 27:839-45
Beard, Courtney; Amir, Nader (2010) Negative Interpretation Bias Mediates the Effect of Social Anxiety on State Anxiety. Cognit Ther Res 34:292-296
Beard, Courtney; Weisberg, Risa B; Keller, Martin B (2010) Health-related Quality of Life across the anxiety disorders: findings from a sample of primary care patients. J Anxiety Disord 24:559-64
Amir, Nader; Bomyea, Jessica; Beard, Courtney (2010) The effect of single-session interpretation modification on attention bias in socially anxious individuals. J Anxiety Disord 24:178-82
Beard, Courtney; Amir, Nader (2009) Interpretation in Social Anxiety: When Meaning Precedes Ambiguity. Cognit Ther Res 33:406-415