Anorexia Nervosa Clinical Trial
Official title:
Evaluation of a Computerized Attention Training (CAT) to Modify Attention Bias for Food Cues in Anorexia Nervosa Patients
The purpose of this study is to test the therapeutic effects of a computerized attention training for patients with Anorexia Nervosa (AN). The primary aim is to determine if a computerized attention training can modify attention towards food and ameliorate eating disorder symptoms and related difficulties, such as anxiety. The secondary aim is to explore underlying mechanisms that contribute to these improvements. The stability of potentially observed effects over a one-month period will also be determined.
Recently, attention bias modification (ABM) has successfully been applied in the field of
anxiety disorders and emerging evidence suggests that attention bias modification can
ameliorate attention bias for threatening stimuli. ABM is based on the premise that if
biased attention maintains disorder symptoms, a modification of the bias should reduce
symptoms. The advantage of ABM is that it operates implicitly, thereby offering a more
indirect, less deliberate procedure. This requires less cognitive control compared to the
effortful and explicit psychotherapeutic treatment of cognitive biases. As food-related
fears and avoidance in AN patients have been recognized as important anxiety-related
symptoms, ABM seems particularly suitable to treat food-related fears and avoidance,
especially because AN patients might be unaware of their avoidance strategy. The aim of this
study is to test if food-related fears and food avoidance can be changed by experimentally
modifying attention towards food in Anorexia Nervosa patients using an innovative
computerized training paradigm (computerized attention training - CAT) and to evaluate
related change in symptoms.
The investigators hypothesize that the active CAT will change attentional processing of food
cues (research aim 1), transfer to changes in food-related fears and food avoidance, and to
improvements in AN symptoms and weight in the short term (research aim 2) and longer term
(research aim 3).
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Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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