Dysfunctional Attention Processes in Fear of Blushing: Specificity and Changeability
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Purpose
Blushing is associated with a heightened self-focused attention. In our study we are interested if this self-focused attention can be shown experimentally and if it can be changed by therapy and training. For the experimental part of the study, we want to compare blushing fearful individuals to social anxious participants who are not fearful of blushing and to healthy controls who report to blush either seldom or quite often. In the therapeutical part of our study, we compare an attention training to the standard cognitive behavioral therapy for social anxiety disorder in an intensive group therapy approach.
| Condition | Intervention |
|---|---|
|
Phobia, Social |
Behavioral: Task Concentration Training Behavioral: Standard CBT Other: Wait-list control group |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Factorial Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Clinical Specificity of Dysfunctional Habitual Attention Processes in Fear of Blushing and Their Changeability |
- Brief Social Phobia Scale [ Time Frame: pre, within, post, 6-months, and 12-months follow-up ] [ Designated as safety issue: No ]Brief Social Phobia Scale BSPS is an interview assessing fear and avoidance in seven social situations and severity of four bodily symptoms.
- Social Phobia Composite [ Time Frame: pre, within, post, 6-months, and 12-months follow-up ] [ Designated as safety issue: No ]The social phobia composite includes several self-report measures like the Liebowitz Social Anxiety Scale, Social Phobia Scale, Social Interaction Anxiety Scale, and Social Phobia Inventory.
- Changes in objective attention test data [ Time Frame: within, post, 6-months follow-up ] [ Designated as safety issue: No ]
| Enrollment: | 82 |
| Study Start Date: | November 2008 |
| Study Completion Date: | December 2010 |
| Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Task Concentration Training
Task Concentration Training TCT following Bögels et al. (1997)
|
Behavioral: Task Concentration Training
Task Concentration Training TCT following Bögels et al. (1997).
|
|
Active Comparator: Standard CBT
standard Cognitive Behavior Therapy, standard CBT following the model of Clark and Wells (1995).
|
Behavioral: Standard CBT
Standard CBT following the Clark-and-Wells (1995) model of social anxiety disorder, relying on the German manual for SAD (stangier et al., 2006). Includes the model, role-plays with and without safetey behavior, video-feedback.
|
|
No Intervention: Wait list control
Wait list control group
|
Other: Wait-list control group
Wait-list control group. Participants were assessed before the start of treatment twice with questionnaires and experimental tests.
|
Detailed Description:
Fear of blushing is a specific syndrome in social anxiety disorder. Although attentional biases for social anxiety disorders have often been reported, specific data for fear of blushing are still missing. In this study, dysfunctional attention processes are examined by the use of various questionnaire measures and attention tests (e.g. Stroop test, task switching paradigm) comparing fear of blushers, other social phobia patients, healthy volunteers who report to blush seldomly respectively often. The second goal of the study is to examine if these attention processes can be changed by training and therapy. Therefore, individuals who fulfill DSM-IV criteria for social anxiety disorder and report fear of blushing as main problem, are treated with attention training and with CBT for social anxiety disorder. Therapy will be held in the form of intensive weekend group therapy. Differences in outcomes for both therapy types and in changeability of attention processes on objective test data are examined. Stability of results are tested up to 6-month and 12-month after post-assessment.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Social anxiety disorder (DSM-IV criteria) and fear of blushing as main complaint
- age: 18-70
Exclusion Criteria:
- acute severe depression or bipolar disorder
- any disorder of ICD group F2
- acute and severe substance misuse
- any bodily illness which hinders from study participation
Contacts and Locations| Germany | |
| TU Dresden | |
| Dresden, Germany, 01187 | |
| Principal Investigator: | Jürgen Hoyer, Prof. Dr. | University of Technology Dresden |
More Information
Publications:
| Responsible Party: | Prof. Dr. Jürgen Hoyer, Technische Universität Dresden |
| ClinicalTrials.gov Identifier: | NCT00751465 History of Changes |
| Other Study ID Numbers: | EK198082007, DFG HO1900/5-1 |
| Study First Received: | September 11, 2008 |
| Last Updated: | January 6, 2011 |
| Health Authority: | Germany: Ethics Commission |
Keywords provided by Dresden University of Technology:
|
Social Anxiety Disorder Social Phobia Fear of blushing |
attention attention training cognitive behavior therapy |
Additional relevant MeSH terms:
|
Phobic Disorders Anxiety Disorders Mental Disorders |
ClinicalTrials.gov processed this record on June 17, 2013