Trial Outcomes & Findings for Computer-Based Treatment for Social Anxiety Disorder (NCT NCT03415022)

NCT ID: NCT03415022

Last Updated: 2022-04-04

Results Overview

Percent dwell time on threat faces was computed as the ratio of gaze dwell time on threat faces to total dwell time on all faces as measured by eye tracking during treatment sessions. Change in percent dwell time is the value at week 8 minus value at baseline.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

41 participants

Primary outcome timeframe

baseline to week 8

Results posted on

2022-04-04

Participant Flow

9 participants discontinued the study after initial evaluation but before treatment randomization: * 5 discontinued due to scheduling difficulties * 2 discontinued due to COVID-19 research suspension * 2 discontinued due to difficulties calibrating eye tracker used for treatment sessions

Participant milestones

Participant milestones
Measure
4-week Computer-based Treatment
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Overall Study
STARTED
21
20
Overall Study
COMPLETED
16
15
Overall Study
NOT COMPLETED
5
5

Reasons for withdrawal

Reasons for withdrawal
Measure
4-week Computer-based Treatment
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Overall Study
Withdrawal by Subject
1
2
Overall Study
COVID-19 Suspension
2
3
Overall Study
Lost to Follow-up
2
0

Baseline Characteristics

Computer-Based Treatment for Social Anxiety Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
4-week Computer-based Treatment
n=21 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=20 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks. computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
Total
n=41 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
21 Participants
n=5 Participants
20 Participants
n=7 Participants
41 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
27.7 years
STANDARD_DEVIATION 5.08 • n=5 Participants
29.15 years
STANDARD_DEVIATION 7.13 • n=7 Participants
28.61 years
STANDARD_DEVIATION 6.19 • n=5 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
13 Participants
n=7 Participants
25 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
7 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
White
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
21 participants
n=5 Participants
20 participants
n=7 Participants
41 participants
n=5 Participants
Liebowitz Social Anxiety Scale
83.8 units on a scale
STANDARD_DEVIATION 16.81 • n=5 Participants
87.6 units on a scale
STANDARD_DEVIATION 11.32 • n=7 Participants
86.05 units on a scale
STANDARD_DEVIATION 14.28 • n=5 Participants

PRIMARY outcome

Timeframe: baseline to week 8

Percent dwell time on threat faces was computed as the ratio of gaze dwell time on threat faces to total dwell time on all faces as measured by eye tracking during treatment sessions. Change in percent dwell time is the value at week 8 minus value at baseline.

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Change in Percent Dwell Time on Threat Faces
20.7 percentage of dwell time on threat faces
Standard Deviation 20.6
27.1 percentage of dwell time on threat faces
Standard Deviation 17.6

PRIMARY outcome

Timeframe: Baseline to week 8

Population: Participants who completed 8 weeks of study participation

Clinician-rated scale scoring anxiety (0, none to 3, severe) and avoidance (0,none to 3, severe) in 24 social situations for a total score of 0 to 144. Higher scores indicate greater social anxiety.

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Change in Total Score of Liebowitz Social Anxiety Scale (LSAS)
23.68 score on a scale
Standard Deviation 32.44
22.38 score on a scale
Standard Deviation 22.87

SECONDARY outcome

Timeframe: baseline to week 8

Population: participants with 8 weeks of assessments

The Social Phobia Inventory (SPIN) is a self-rated questionnaire used to assess severity of social anxiety disorder. 17 items related to social anxiety each rated on a score of 0 to 4, with a minimum total score of 0 (least social anxiety), and a maximum total score of 68 (most social anxiety).

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Change in Total Score of Social Phobia Inventory (SPIN)
17.7 score on a scale
Standard Deviation 18.5
10.1 score on a scale
Standard Deviation 13.5

SECONDARY outcome

Timeframe: baseline to week 8

Population: participants who completed 8 weeks of assessments

Quality of Life Enjoyment \& Satisfaction Questionnaire (Q-LES-Q): self-rated assessment of quality of life. 16 items related to life quality, each rated on a score of 1 (very poor) to 5 (very good), with a minimum total score of 16, and a maximum total score of 80.

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Change in Total Score of Quality of Life Enjoyment & Satisfaction Questionnaire
-8.8 score on a scale
Standard Deviation 15.3
-4.8 score on a scale
Standard Deviation 12.4

SECONDARY outcome

Timeframe: baseline to week 8

Population: participants who completed 8 weeks of assessments

40-item self-rated social anhedonia scale. Items are comprised of statements that participants agree or disagree with, by answering "yes"(1), or "no"(0), with some items reverse-coded. The minimum score is 0 (least social anhedonia); maximum score is 40 (most social anhedonia)

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Change in Total Score of the Revised Social Anhedonia Scale
1.7 units on a scale
Standard Deviation 5.6
1.8 units on a scale
Standard Deviation 4.9

SECONDARY outcome

Timeframe: baseline to week 8

Population: participants who completed 8 weeks of assessments

Snaith Hamilton Pleasure Scale (SHAPS). Fourteen-item self-rated anhedonia scale. Items are comprised of statements that participants rate as "strongly disagree" (1), "disagree" (2), "agree" (3), or "strongly agree" (4). The lowest possible score was 14, the highest possible score was 56 (greatest anhedonia)

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Change in Total Score of the Snaith Hamilton Pleasure Scale
2.2 units on a scale
Standard Deviation 6.2
-1.0 units on a scale
Standard Deviation 5.8

SECONDARY outcome

Timeframe: baseline to week 8

Population: participants who completed 8 weeks of assessments

Hamilton Rating Scale for Depression -17 item version. This standard scale will be used to assess severity of depression, minimum score is 0 (least depression); maximum score is 50 (greatest depression).

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Change in Total Score of the Hamilton Rating Scale for Depression - 17 Item Version
1.8 units on a scale
Standard Deviation 4.4
1.8 units on a scale
Standard Deviation 5.8

SECONDARY outcome

Timeframe: week 8

Population: participants who completed 8 weeks of assessments

Clinical Global Impression-Change Scale: An observer rating of overall clinical change, with rating from 1 (very much improved) to 7 (very much worse). Responder category is defined by a score of 1 or 2.

Outcome measures

Outcome measures
Measure
4-week Computer-based Treatment
n=16 Participants
A 4-week (8-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks. Computer-based treatment: 30 minute sessions of free viewing of faces and listening to music
8-week Computer-based Treatment
n=15 Participants
An 8-week (12-sessions) course of computer-based treatment. Participants will receive treatment twice a week for four weeks, and then once a week for the subsequent four weeks.
Clinical Global Impression-Change Scale
2.8 units on a scale
Standard Deviation 1.2
2.7 units on a scale
Standard Deviation 0.9

Adverse Events

4-week Computer-based Treatment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

8-week Computer-based Treatment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Franklin Schneier

New York State Psychiatric Institue

Phone: 646-774-8041

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place