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Inhibitory control and its modification in spider phobia - Study protocol for an antisaccade training trial.

Anne Sophie Hildebrand1, Fabian Breuer2, Elisabeth Johanna Leehr2

  • 1Department of Psychology, Clinical Psychology and Psychotherapy, University of Siegen, Siegen, Germany.

Plos One
|December 19, 2023
PubMed
Summary

This study investigates inhibitory control in spider phobia using antisaccade tasks and training. Findings may inform new treatments for specific phobias by targeting cognitive deficits.

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Area of Science:

  • Cognitive Neuroscience
  • Clinical Psychology
  • Psychopathology

Background:

  • Inhibitory control deficits are implicated in anxiety disorders, particularly specific phobias.
  • The antisaccade task is a validated measure for assessing inhibitory control through reaction times and error rates.
  • Spider phobia (SP) presents an opportunity to study these deficits and their potential modifiability.

Purpose of the Study:

  • To examine inhibitory control, measured by antisaccade performance, in individuals with spider phobia compared to healthy controls.
  • To investigate whether a fear-specific antisaccade training can modify inhibitory control in both spider phobia patients and healthy controls.
  • To explore the relationship between changes in inhibitory control and fear-related measures following training in spider phobia patients.

Main Methods:

  • Emotional antisaccade and prosaccade tasks were used to assess antisaccade latencies and error rates.
  • Baseline and post-training assessments included psychophysiological, behavioral, and psychometric measures of fear.
  • A fear-specific antisaccade training was compared against a prosaccade training control condition in a cross-over design for SP patients.

Main Results:

  • Antisaccade performance (latencies and error rates) was assessed in spider phobia patients and healthy controls.
  • The study evaluated the impact of fear-specific antisaccade training on inhibitory control.
  • Associations between training-induced changes in antisaccade performance and fear measures were explored in SP patients.

Conclusions:

  • This research aims to enhance understanding of inhibitory control mechanisms in spider phobia.
  • Successful antisaccade training could offer a novel therapeutic approach for specific phobias by addressing underlying cognitive deficits.
  • The study is preregistered (ISRCTN12918583) and contributes to the development of targeted interventions for phobic disorders.