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MRI Brain

NIMH Gamified ABMT for Youth Anxiety (ds006577)

NIMH Gamified Attention Bias Modification Training to Augment CBT for Youth Anxiety Disorders

Task fMRI and T1-weighted brain MRI of youth with anxiety disorders and healthy peers, scanned before and after cognitive behavioral therapy with active or sham gamified attention bias training, plus clinical rating schedules.

Overview

This OpenNeuro dataset comes from a double-blind randomized trial at the National Institute of Mental Health that tested whether a game-like attention bias modification training (ABMT) adds to the benefit of cognitive behavioral therapy (CBT) for anxious children and adolescents. Patients received 12 weeks of manualized CBT, with active or sham training added from week 4 to week 12. Each youth did an fMRI dot-probe task before and after treatment; healthy volunteers were scanned twice over a matching interval. The trial found that active training did not improve symptom reduction beyond sham. Snapshot 1.0.0 (October 2025) is released under a CC0 waiver.

Composition

The study enrolled youth aged 8 to 17. The participants file lists 185 of them (113 with a primary anxiety disorder, 72 healthy volunteers), but only 100 of them have imaging: 28 patients (17 active, 11 sham) and all 72 healthy volunteers. There are 97 pre-treatment and 66 post-treatment MRI sessions. Age at the first scan ranges from 8.3 to 18.0 years, and 63 of the 100 imaged youth are female. Eligible diagnoses were generalized, social or separation anxiety disorder, panic disorder and specific phobia. Phenotype tables carry clinician, child and parent ratings (PARS, CGI, SCARED, STAIC, MFQ, ARI, CGAS) at weeks 3, 8 and 12 of CBT, plus KSADS screening.

Acquisition

Scanning used two identical 3 T GE scanners with 32-channel head coils. Each session has a T1-weighted MPRAGE and two runs of a gradient-echo EPI (TR 2.3 s, TE 25 ms, 2.5 x 2.5 x 3 mm voxels) during a face dot-probe task with threat-congruent, threat-incongruent and neutral trials, 80 of each. One session also has a T2-weighted image.

Annotations

There are no image annotations. Functional runs come with events files of trial timing and responses.

Known limitations

  • Imaging covers only a minority of the randomized patients: the trial randomized 121 patients, while 28 patients have MRI in this release.
  • The README describes 121 patients and 90 healthy volunteers, which does not match the 185 participants listed.
  • The paper reports poor test-retest reliability of amygdala connectivity in healthy controls.
  • No resting-state or field map images are included.

Cohort

Aggregate numbers from the sources below. Bars are relative to the 100 subjects.

Age

range 8.3 to 18

0
20
40
53
0-910-1415-19

sessions.tsv: age in File tree, participants.tsv (columns sex and group) and sessions.tsv (column age) of ds006577 snapshot 1.0.0 (CC0), raw NIfTI files counted per subject and session folder

Condition

Groups can overlap

  • Healthy control 72 72%
  • Anxiety disorder 28 28%

participants.tsv: group (Anx) and MRI folders, participants.tsv: group (HV) and MRI folders in File tree, participants.tsv (columns sex and group) and sessions.tsv (column age) of ds006577 snapshot 1.0.0 (CC0), raw NIfTI files counted per subject and session folder

Condition by sex

Reported cross table. A dot marks a cell the source does not give.

FemaleMale
Healthy control4329
Anxiety disorder20ยท

participants.tsv: group and sex in File tree, participants.tsv (columns sex and group) and sessions.tsv (column age) of ds006577 snapshot 1.0.0 (CC0), raw NIfTI files counted per subject and session folder

Contrast combinations

How many subjects have exactly each set of contrasts.

T1wT2wboldSubjects with exactly this set
99
1

anat and func folders in File tree, participants.tsv (columns sex and group) and sessions.tsv (column age) of ds006577 snapshot 1.0.0 (CC0), raw NIfTI files counted per subject and session folder

License and access

Our reading of the license, not legal advice. Before you use the data, read the original license and confirm that your use is allowed. We take no responsibility for how you use a dataset. Full disclaimer

Access
Open download

Download without an account

Access page

Creative Commons Zero 1.0 Universal

Public domain dedication. Do anything with the data, including commercial use, without asking and without having to give credit.

dataset_description.json of snapshot 1.0.0 states "License" CC0.

Original license text Version read: 1.0 Checked 2026-10-07

What you can do

  • Yes
  • Yes
  • Yes
  • Yes
  • Yes

What you can share

  • Yes
  • Yes
  • Yes

What you must do

  • No
  • Share alike No
  • No
  • No
  • Manuscript review No
  • Release code No
  • Return results No
  • Delete after use No

Limits

  • No
  • Location limits No

Citation

Byrne ME, Haller SP, Linke JO, et al. Gamified Attention Bias Modification Training to Augment Cognitive Behavioral Therapy for Youth Anxiety Disorders: A Randomized Controlled Trial. Journal of the American Academy of Child and Adolescent Psychiatry 65(8):1017-1030 (2026). doi:10.1016/j.jaac.2025.08.010

Sources

Every number on this page comes from one of these documents. Each chart names the table or page it is taken from. The raw numbers are in stats.csv.