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Dysfunctional Attention Processes in Fear of Blushing: Specificity and Changeability

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00751465
Recruitment Status : Completed
First Posted : September 12, 2008
Last Update Posted : September 11, 2015
German Research Foundation
Information provided by (Responsible Party):
Samia Chaker, Technische Universität Dresden

Brief Summary:
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 or disease Intervention/treatment Phase
Phobia, Social Behavioral: Task Concentration Training Behavioral: Standard CBT Not Applicable

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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 82 participants
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Clinical Specificity of Dysfunctional Habitual Attention Processes in Fear of Blushing and Their Changeability
Study Start Date : November 2008
Actual Primary Completion Date : December 2010
Actual Study Completion Date : December 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anxiety Phobias

Arm Intervention/treatment
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

Primary Outcome Measures :
  1. Brief Social Phobia Scale [ Time Frame: pre, within, post, 6-months, and 12-months follow-up ]
    Brief Social Phobia Scale BSPS is an interview assessing fear and avoidance in seven social situations and severity of four bodily symptoms.

Secondary Outcome Measures :
  1. Social Phobia Composite [ Time Frame: pre, within, post, 6-months, and 12-months follow-up ]
    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.

  2. Changes in objective attention test data [ Time Frame: within, post, 6-months follow-up ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 70 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00751465

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TU Dresden
Dresden, Germany, 01187
Sponsors and Collaborators
Technische Universität Dresden
German Research Foundation
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Principal Investigator: Jürgen Hoyer, Prof. Dr. University of Technology Dresden
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Responsible Party: Samia Chaker, Dipl.-Psych., Technische Universität Dresden Identifier: NCT00751465    
Other Study ID Numbers: EK198082007
DFG HO1900/5-1 ( Other Grant/Funding Number: Deutsche Forschungsgemeinschaft DFG HO1900/5-1 )
First Posted: September 12, 2008    Key Record Dates
Last Update Posted: September 11, 2015
Last Verified: September 2015
Keywords provided by Samia Chaker, Technische Universität Dresden:
Social Anxiety Disorder
Social Phobia
Fear of blushing
attention training
cognitive behavior therapy
Additional relevant MeSH terms:
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Phobia, Social
Phobic Disorders
Anxiety Disorders
Mental Disorders