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Gepubliceerd in: Cognitive Therapy and Research 6/2016

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

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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.
Voetnoten
1
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.
 
Literatuur
go back to reference 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., 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference Staugaard, S. R. (2009). Reliability of two versions of the dot-probe task using photographic faces. Psychology Science Quarterly, 51, 339–350. Staugaard, S. R. (2009). Reliability of two versions of the dot-probe task using photographic faces. Psychology Science Quarterly, 51, 339–350.
go back to reference 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/​S003329171200087​6. CrossRefPubMed 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/​S003329171200087​6. CrossRefPubMed
go back to reference 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 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
go back to reference 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 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
Metagegevens
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