Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in:

08-06-2016 | Brief Report

A Pilot Open Trial of Cognitive Bias Modification for Panic Disorder

Auteurs: Courtney Beard, Cara Fuchs, Anu Asnaani, Molly Schulson, Casey A. Schofield, Elise M. Clerkin, Risa B. Weisberg

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2016

Abstract

Although cognitive biases are involved in the maintenance of panic disorder (PD), cognitive bias modification (CBM) has not been tested in PD. The current study developed and piloted a combined CBM-attention/CBM-interpretation PD treatment to determine initial acceptability and efficacy. Ten individuals diagnosed with PD (nine with Agoraphobia) were asked to complete 8, 20-min sessions of a CBM-A (Dot Probe task with fearful faces) and CBM-I (Word-Sentence Association Paradigm) intervention. Cognitive bias, panic symptom severity, and anxiety during interoceptive exercises were assessed at pre- and post-assessments. At post-treatment, participants showed increased benign interpretations, reduced threat interpretations of ambiguous panic situations, and reported significantly less severe panic symptoms with six individuals meeting criteria for remission. Anticipatory anxiety for interoceptive exercises decreased following treatment, but duration of exercises and anxiety following the exercises did not. Results suggest that further testing of the treatment and putative mechanisms of action is warranted.

vorige artikel An Examination of the Specific Associations Between Facets of Difficulties in Emotion Regulation and Posttraumatic Stress Symptom Clusters

volgende artikel Cognitive Bias Modification to Enhance Resilience to a Panic Challenge

The following NIMSTIM model numbers were used (fearful and neutral expressions for each): 3, 6, 7, 9, 11, 14, 18, 19, 28, 30, 34, 37, 38, 41, 42, 43.

Amir, N., Beard, C., Burns, M., & Bomyea, J. (2009a). Attention modification program in individuals with generalized anxiety disorder. Journal of Abnormal Psychology, 118, 128. doi: 10.1037/a0012589. CrossRef

Amir, N., Beard, C., Taylor, C. T., Klumpp, H., Elias, J., Burns, M., & Chen, X. (2009b). Attention training in individuals with generalized social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 77, 961–973. doi: 10.1037/a0016685. CrossRefPubMedPubMedCentral

Bandelow, B., Reitt, M., Röver, C., Michaelis, S., Görlich, Y., & Wedekind, D. (2015). Efficacy of treatments for anxiety disorders: A meta-analysis. International Clinical Psychopharmacology, 30, 183–192. doi: 10.1097/YIC.0000000000000078. CrossRefPubMed

Beard, C., & Amir, N. (2009). Interpretation in social anxiety: When meaning precedes ambiguity. Cognitive Therapy and Research, 33, 406–415. doi: 10.1007/s10608-009-9235-0. CrossRefPubMedPubMedCentral

Beard, C., Sawyer, A. T., & Hofmann, S. G. (2012). Efficacy of attention bias modification using threat and appetitive stimuli: A meta-analytic review. Behavior Therapy, 43, 724–740. doi: 10.1016/j.beth.2012.01.002. CrossRefPubMedPubMedCentral

Beard, C., Weisberg, R. B., & Amir, N. (2011). Combined cognitive bias modification treatment for social anxiety disorder: A pilot trial. Depression and Anxiety, 28, 981–988. doi: 10.1002/da.20873. CrossRefPubMedPubMedCentral

Brosan, L., Hoppitt, L., Shelfer, S., Sillence, A., & Mackintosh, B. (2011). Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service: Results from a pilot trial. Journal of Behavior Therapy and Experimental Psychiatry, 42, 258–264. doi: 10.1016/j.jbtep.2010.12.006. CrossRefPubMed

Capron, D. W., & Schmidt, N. B. (2016). Development and randomized trial evaluation of a novel computer-delivered anxiety sensitivity intervention. Behaviour Research and Therapy,. doi: 10.1016/j.brat.2016.04.001. PubMed

Clerkin, E. M., Beard, C., Fisher, C. R., & Schofield, C. A. (2015). An attempt to target anxiety sensitivity via cognitive bias modification. PLoS ONE,. doi: 10.1371/journal.pone.0114578. PubMedPubMedCentral

Everaert, J., Tierens, M., Uzieblo, K., & Koster, E. H. W. (2013). The indirect effect of attention bias on memory via interpretation bias: Evidence for the combined cognitive bias hypothesis in subclinical depression. Cognition and Emotion, 27, 1450–1459. doi: 10.1080/02699931.2013.787972. CrossRefPubMed

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR axis I disorders, research version, patient edition. (SCID-I/P) New York: Biometrics Research, New York State Psychiatric Institute.

Furukawa, T. A., Shear, K. M., Barlow, D. H., Gorman, J. M., Woods, S. W., Money, R., et al. (2009). Evidence-based guidelines for interpretation of the panic disorder severity scale. Depression and Anxiety, 26, 922–929. doi: 10.1002/da.20532. CrossRefPubMedPubMedCentral

Harvey, J. M., Richards, J. C., Dziadosz, T., & Swindell, A. (1993). Misinterpretation of ambiguous stimuli in panic disorder. Cognitive Therapy and Research, 17, 235–248. doi: 10.1007/BF01172948. CrossRef

Heeren, A., Mogoaşe, C., McNally, R. J., Schmitz, A., & Philippot, P. (2015). Does attention bias modification improve attentional control? A double-blind randomized experiment with individuals with social anxiety disorder. Journal of Anxiety Disorders, 29, 35–42. doi: 10.1016/j.janxdis.2014.10.007. CrossRefPubMed

Hirsch, C. R., Clark, D. M., & Mathews, A. (2006). Imagery and interpretations in social phobia: Support for the combined cognitive biases hypothesis. Behavior Therapy, 37, 223–236. doi: 10.1016/j.beth.2006.02.001. CrossRefPubMed

Houck, P. R., Spiegel, D. A., Shear, M. K., & Rucci, P. (2002). Reliability of the self-report version of the panic disorder severity scale. Depression and Anxiety, 15, 183–185. doi: 10.1002/da.10049. CrossRefPubMed

Linetzky, M., Pergamin-Hight, L., Pine, D. S., & Bar-Haim, Y. (2015). Quantitative evaluation of the clinical efficacy of attention bias modification treatment for anxiety disorders. Depression and Anxiety, 32, 383–391. doi: 10.1002/da.22344. CrossRefPubMed

MacDonald, E. M., Koerner, N., & Antony, M. M. (2013). Modification of interpretive bias: Impact on anxiety sensitivity, information processing and response to induced bodily sensations. Cognitive Therapy and Research, 37, 860–871. doi: 10.1007/s10608-012-9519-7. CrossRef

Maidenberg, E., Chen, E., Craske, M., Bohn, P., & Bystritsky, A. (1996). Specificity of attentional bias in panic disorder and social phobia. Journal of Anxiety Disorders, 10, 529–541. doi: 10.1016/S0887-6185(96)00028-X. CrossRef

McNally, R. J., Riemann, B. C., & Kim, E. (1990). Selective processing of threat cues in panic disorder. Behaviour Research and Therapy, 28, 407–412. doi: 10.1016/0005-7967(90)90160-K. CrossRefPubMed

Menne-Lothman, C., Viechtbauer, W., Hohn, P., Kasanova, Z., Haller, S. P., Drukker, M., & Lau, J. Y. F. (2014). How to boost positive interpretations? A meta-analysis of the effectiveness of cognitive bias modification for interpretation. PLoS ONE, 9(6), e100925. doi: 10.1371/journal.pone.0100925. CrossRef

Mogoaşe, C., David, D., & Koster, E. H. W. (2014). Clinical efficacy of attentional bias modification procedures: An updated meta-analysis. Journal of Clinical Psychology, 70, 1133–1157. doi: 10.1002/jclp.22081. CrossRefPubMed

Olatunji, B. O., & Wolitzky-Taylor, K. B. (2009). Anxiety sensitivity and the anxiety disorders: A meta-analytic review and synthesis. Psychological Bulletin, 135, 974. doi: 10.1037/a0017428. CrossRefPubMed

Pilecki, B., Arentoft, A., & McKay, D. (2011). An evidence-based causal model of panic disorder. Journal of Anxiety Disorders, 25, 381–388. doi: 10.1016/j.janxdis.2010.10.013. CrossRefPubMed

Price, R. B., Kuckertz, J. M., Siegle, G. J., Ladouceur, C. D., Silk, J. S., Ryan, N. D., et al. (2014). Empirical recommendations for improving the stability of the dot-probe task in clinical research. Psychological Assessment, 27, 365–376. doi: 10.1037/pas0000036. CrossRefPubMedPubMedCentral

Schmidt, N. B., Richey, J. A., Buckner, J. D., & Timpano, K. R. (2009). Attention training for generalized social anxiety disorder. Journal of Abnormal Psychology, 118, 5. doi: 10.1037/a0013643. CrossRefPubMed

Schmukle, S. C. (2005). Unreliability of the dot probe task. European Journal of Personality, 19, 595–605. doi: 10.1002/per.554. CrossRef

Shear, M. K., Rucci, P., Williams, J., Frank, E., Grochocinski, V., Vander Bilt, J., et al. (2001). Reliability and validity of the Panic Disorder Severity Scale: Replication and extension. Journal of Psychiatric Research, 35, 293–296. doi: 10.1016/S0022-3956(01)00028-0. CrossRefPubMed

Staugaard, S. R. (2009). Reliability of two versions of the dot-probe task using photographic faces. Psychology Science Quarterly, 51, 339–350.

Steinman, S. A., & Teachman, B. A. (2010). Modifying interpretations among individuals high in anxiety sensitivity. Journal of Anxiety Disorders, 24, 71–78. doi: 10.1016/j.janxdis.2009.08.008. CrossRefPubMedPubMedCentral

Teachman, B. A., Smith-Janik, S. B., & Saporito, J. (2007). Information processing biases and panic disorder: Relationships among cognitive and symptom measures. Behaviour Research and Therapy, 45, 1791–1811. doi: 10.1016/j.brat.2007.01.009. CrossRefPubMedPubMedCentral

Vos, S. P. F., Huibers, M. J. H., Diels, L., & Arntz, A. (2012). A randomized clinical trial of cognitive behavioral therapy and interpersonal psychotherapy for panic disorder with agoraphobia. Psychological Medicine, 42, 2661–2672. doi: 10.1017/S0033291712000876. CrossRefPubMed

Waechter, S., Nelson, A. L., Wright, C., Hyatt, A., & Oakman, J. (2014). Measuring attentional bias to threat: Reliability of dot probe and eye movement indices. Cognitive Therapy and Research, 38, 313–333. doi: 10.1007/s10608-013-9588-2. CrossRef

Woud, M. L., & Becker, E. S. (2014). Editorial for the special issue on cognitive bias modification techniques: An introduction to a time traveller’s tale. Cognitive Therapy and Research, 38, 83–88. CrossRef

Titel: A Pilot Open Trial of Cognitive Bias Modification for Panic Disorder
Auteurs: Courtney Beard
Cara Fuchs
Anu Asnaani
Molly Schulson
Casey A. Schofield
Elise M. Clerkin
Risa B. Weisberg
Publicatiedatum: 08-06-2016
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 6/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-016-9790-0

Bohn Stafleu van Loghum

Tip

Swipe om te navigeren naar een ander artikel

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2016

Practicing Emotionally Biased Retrieval Affects Mood and Establishes Biased Recall a Week Later

Assessing Disruptions in Meaning: Development of the Global Meaning Violation Scale

Emotion Regulation in Women with Premenstrual Syndrome (PMS): Explicit and Implicit Assessments

An Examination of the Specific Associations Between Facets of Difficulties in Emotion Regulation and Posttraumatic Stress Symptom Clusters

Effects of Childhood Abuse on Overgeneral Autobiographical Memory in Current Major Depressive Disorder

Cognitive Bias Modification to Enhance Resilience to a Panic Challenge