Evaluation of Parturients With Anxiety

NCT ID: NCT04662463

Last Updated: 2024-05-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-30

Study Completion Date

2026-12-31

Brief Summary

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The primary objective of this study is to examine the effects of cognitive bias modification for interpretation (CBM-I) on prenatal anxiety in parturients. Half of the participants will receive CBM-I assignments, while the other half will receive placebo assignments.

Detailed Description

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Maternal prenatal anxiety has been shown to have implications on neonatal behavior and early childhood behavioral and emotional wellbeing. Recent studies found that adults using computer-assisted feedback-learning paradigms, referred to as Cognitive Bias Modification for Interpretation (CBM-I), experienced significant reductions in levels of social anxiety, trait anxiety, and depression. Our goal is to identify patients with prenatal anxiety and evaluate the effects of CBM-I on symptoms of prenatal anxiety and patient satisfaction with the labor and delivery experience.

Conditions

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Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants

Study Groups

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CBM-I assignment

Patients will receive CBM-I assignments

Group Type EXPERIMENTAL

Cognitive Bias Modification for Interpretation (CBM-I)

Intervention Type BEHAVIORAL

Patients will receive CBM-I training by reading and imaging themselves in a series of emotionally ambiguous scenarios. Each scenario ends with an incomplete final word. Patients need to complete the final word to resolve the scenario in a positive direction.

Placebo assignment

Patients will receive placebo assignments

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BEHAVIORAL

Patients will receive placebo task which uses neutral rather than emotional material.

Interventions

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Cognitive Bias Modification for Interpretation (CBM-I)

Patients will receive CBM-I training by reading and imaging themselves in a series of emotionally ambiguous scenarios. Each scenario ends with an incomplete final word. Patients need to complete the final word to resolve the scenario in a positive direction.

Intervention Type BEHAVIORAL

Placebo

Patients will receive placebo task which uses neutral rather than emotional material.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 18-45
* Women before 36-week gestation
* At least high school level education

Exclusion Criteria

* They refuse
* Have impaired decision-making capacity
* Are blind or extremely visually impaired (excluding use of glasses)
* Cannot understand or read English
* Diagnosed with psychiatric disorder other than anxiety
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Harvard Medical School (HMS and HSDM)

OTHER

Sponsor Role lead

Responsible Party

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Jie Zhou

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jie Zhou, MD, MS, MBA

Role: PRINCIPAL_INVESTIGATOR

Harvard Medical School (HMS and HSDM)

References

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Lester KJ, Field AP, Muris P. Experimental modification of interpretation bias about animal fear in young children: effects on cognition, avoidance behavior, anxiety vulnerability, and physiological responding. J Clin Child Adolesc Psychol. 2011;40(6):864-77. doi: 10.1080/15374416.2011.618449.

Reference Type BACKGROUND
PMID: 22023278 (View on PubMed)

Bowler JO, Mackintosh B, Dunn BD, Mathews A, Dalgleish T, Hoppitt L. A comparison of cognitive bias modification for interpretation and computerized cognitive behavior therapy: effects on anxiety, depression, attentional control, and interpretive bias. J Consult Clin Psychol. 2012 Dec;80(6):1021-33. doi: 10.1037/a0029932. Epub 2012 Sep 10.

Reference Type RESULT
PMID: 22963595 (View on PubMed)

O'Connor TG, Ben-Shlomo Y, Heron J, Golding J, Adams D, Glover V. Prenatal anxiety predicts individual differences in cortisol in pre-adolescent children. Biol Psychiatry. 2005 Aug 1;58(3):211-7. doi: 10.1016/j.biopsych.2005.03.032.

Reference Type RESULT
PMID: 16084841 (View on PubMed)

Other Identifiers

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2017P000696

Identifier Type: -

Identifier Source: org_study_id

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