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Attention Bias Modification Treatment for Major Depressive Disorder in Adolescents

Not Applicable
Completed
Conditions
Major Depressive Disorder, Single Episode, Unspecified
Interventions
Behavioral: ABMT
Registration Number
NCT02078258
Lead Sponsor
Hunan Normal University
Brief Summary

In this study, we test whether a two-week 8-session neutral attention bias modification (ABM) training and a two-week 4-session positive ABM could reduce depressive symptoms relative to placebo controls in adolescents with major depressive disorder at posttraining and follow-ups during one year.

Detailed Description

Depression is a common health problem in adolescents. Negative attentional bias has been theorized to play a critical role in the onset and maintenance of depression, suggesting that reduction of such biases may treat symptoms of depression. Recent studies have shown that attention bias modification(ABM) training could reduce depressive symptoms in both dysphoria and previously depressed adult patients.To test the effectiveness of ABM training on the treatment of depressive symptoms in depressed adolescents, we designed a randomized, double-blind, placebo controlled trial in adolescents with major depressive disorder(MDD).

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
45
Inclusion Criteria
  • Meet the major depression disorder's criteria
Exclusion Criteria
  • bipolar disorder, schizophrenia or organic mental disorder;
  • any concurrent psychotherapy;
  • any concurrent psychotropic medication.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Placebo controlABMTThe placebo ABMT was identical to the active ABMT, but shifted toward neutral (50%) or sad (50%) stimuli equally often (i.e., 50/50 training).
Attentional bias modification trainingABMTAttention bias modification training (ABMT) is a a variation of attention tasks to modify attentional biases, in which a probe always appears in the location of relatively positive stimuli after the two stimuli, one neutral and one emotional, were simultaneously presented. Participants complete 8 sessions (320 trials each with 20 minutes) over two weeks of neutral ABMT to shift attention toward neutral, in which a probe appeared in the location of neutral with 90% probability, and sadness-related with 10% probality. At a 9-week follow-up, participants completed 4 more sessions (480 trials each with 30 minutes)over two weeks of positive ABMT to shift attention toward positive words,in which a probe appeared in the location of 67% positive or 33% neutral.
Primary Outcome Measures
NameTimeMethod
Changes in depressive symptom numberbaseline, 7-week, 6-month follow-up

Depressive symptom accounts measured by Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children.

Changes in depressive severitybaseline, 7-week, 6-month follow-up

depressive severity measured by the construct interview of the Schedule for Affective Disorders and Schizophrenia for School-Age Children(K-SADS)

Secondary Outcome Measures
NameTimeMethod
Diagnostic status of major depressive disorderbaseline, 7-week, 6-month follow-up

Assessed by the diagnostic interview of the Schedule for Affective Disorders and Schizophrenia for School-Age Children

Change of Self-report symptomsbaseline, 7-week, 6-, 12-month follow-up

symptoms measured by the Center for Epidemiological Studies Depression Scale (CES-D), State-Trait Anxiety Inventory-Trait(STAI-T),Rumination Response Style(RRS),Suicidal Ideation Questionnaire(SIQ)

Trial Locations

Locations (1)

Department of Psychology, Hunan Normal University

🇨🇳

Changsha, Hunan, China

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