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Cognitive Bias Modification pediatric

Lauren K White, Stefanie Sequeira, Jennifer C Britton, Melissa A Brotman, Andrea L Gold, Erin Berman, Kenneth Towbin, Rany Abend, Nathan A Fox, Yair Bar-Haim, Ellen Leibenluft, Daniel S Pine
OBJECTIVE: In the treatment of anxiety disorders, attention bias modification therapy (ABMT) and cognitive-behavioral therapy (CBT) may have complementary effects by targeting different aspects of perturbed threat responses and behaviors. ABMT may target rapid, implicit threat reactions, whereas CBT may target slowly deployed threat responses. The authors used amygdala-based connectivity during a threat-attention task and a randomized controlled trial design to evaluate potential complementary features of these treatments in pediatric anxiety disorders...
August 1, 2017: American Journal of Psychiatry
Chad M Sylvester, James J Hudziak, Michael S Gaffrey, Deanna M Barch, Joan L Luby
Attention biases towards threatening and sad stimuli are associated with pediatric anxiety and depression, respectively. The basic cognitive mechanisms associated with attention biases in youth, however, remain unclear. Here, we tested the hypothesis that threat bias (selective attention for threatening versus neutral stimuli) but not sad bias relies on stimulus-driven attention. We collected measures of stimulus-driven attention, threat bias, sad bias, and current clinical symptoms in youth with a history of an anxiety disorder and/or depression (ANX/DEP; n = 40) as well as healthy controls (HC; n = 33)...
February 2016: Journal of Abnormal Child Psychology
Jennifer M Park, Daniel A Geller
Pediatric anxiety disorders have high prevalence rates and morbidity and are associated with considerable functional impairment and distress. They may be predictors for the development of other psychiatric disorders and, without intervention, are more likely to persist into adulthood. While evidence-based pharmacological and behavioral interventions are currently available, there remains a sizable subset of youth who remain only partially treatment-responsive and therefore symptomatic following treatment. Novel methods of treatment, pharmacologic and non-pharmacologic, including acceptance and commitment therapy (ACT), attention bias modification (ABM), d-cycloserine (DCS) augmentation of cognitive behavioral treatment (CBT), and glutamatergic agents such as riluzole, are briefly introduced and discussed...
2014: F1000Prime Reports
Barry M Panzer, Sarita Dhuper
Research indicates that the negative psychosocial consequences of childhood obesity may reflect the degree of weight bias and mistreatment affecting the child. Even though comprehensive practice models evolve over time, the intense distress of these children calls for more timely intervention. Using a modification of social research and development methodology, a short-term group therapy approach using cognitive and behavioral methods was designed. Questionnaires were developed to assess both the child's and the parents' perceptions of the frequency, circumstances, and responses to being teased...
April 2014: Social Work
Jennifer C Britton, Yair Bar-Haim, Michelle A Clementi, Lindsey S Sankin, Gang Chen, Tomer Shechner, Maxine A Norcross, Carolyn N Spiro, Kara M Lindstrom, Daniel S Pine
Attention Bias Modification Treatment (ABMT), an emerging treatment for anxiety disorders, is thought to modify underlying, stable patterns of attention. Therefore, ABMT research should take into account the impact of attention bias stability on attention training response, especially in pediatric populations. ABMT research typically relies on the dot-probe task, where individuals detect a probe following an emotional-neutral stimulus pair. The current research presents two dot-probe experiments relevant to ABMT and attention-bias stability...
April 2013: Developmental Cognitive Neuroscience
Allison M Waters, Michelle Pittaway, Karin Mogg, Brendan P Bradley, Daniel S Pine
OBJECTIVE: Attention bias modification training (ABMT) is a promising treatment. Nevertheless, few studies examine its effectiveness in anxious children. This study examined the efficacy of such an ABMT protocol in pediatric anxiety. METHOD: 37 anxious children were randomly assigned to one of two ABMT conditions. In the attention-towards-positive (ATP) condition, children searched 3×3 matrices for a happy face amongst angry faces. In the attention-training-control (ATC) condition, they searched for a bird amongst flowers...
April 2013: Developmental Cognitive Neuroscience
Barbara R Sommer, Ruth O'Hara, Nusha Askari, Helena C Kraemer, William A Kennedy
PURPOSE: Oxybutynin is a powerful anticholinergic drug already known to impair cognition in the elderly. The impact of this drug on cognitive functioning in the pediatric population is unknown. We report the results of a study designed to assess the effect of oxybutynin on cognitive function in children. MATERIALS AND METHODS: A total of 25 patients presenting with the primary symptom of daytime enuresis were recruited for this nonrandomized trial. All subjects initially received 4 weeks of behavior modification, followed by an additional 4 weeks of behavior modification either alone or with oxybutynin for continued treatment of enuresis...
June 2005: Journal of Urology
Jane Meschan Foy, Marian F Earls
There remain large discrepancies between pediatricians' practice patterns and the American Academy of Pediatrics (AAP) guidelines for the assessment and treatment of children with attention-deficit/hyperactivity disorder (ADHD). Several studies raise additional concerns about access to ADHD treatment for girls, blacks, and poorer individuals. Barriers may occur at multiple levels, including identification and referral by school personnel, parents' help-seeking behavior, diagnosis by the medical provider, treatment decisions, and acceptance of treatment...
January 2005: Pediatrics
S R Harris, L E Daniels
BACKGROUND AND PURPOSE: The purpose of this study was to assess the content validity of the Harris Infant Neuromotor Test (HINT), a new screening tool designed to detect early signs of cognitive and neuromotor delays in infants with known risk factors. SUBJECTS: A multidisciplinary panel of 26 international experts, including researchers and clinicians in physical therapy, occupational therapy, developmental pediatrics, child neurology, and psychology, was selected to assess, review, and suggest modifications to the HINT...
July 1996: Physical Therapy
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