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07-05-2016 | Original Article

A Pilot Study of an Adaptive, Idiographic, and Multi-Component Attention Bias Modification Program for Social Anxiety Disorder

Auteurs: Nader Amir, Jennie M. Kuckertz, Marlene V. Strege

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2016

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Abstract

An attentional bias toward threat may be one mechanism underlying clinical anxiety. Attention bias modification (ABM) aims to reduce symptoms of anxiety disorders by directly modifying this deficit. However, existing ABM training programs have not consistently modified attentional bias and may not reflect optimal learning needs of participants (i.e., lack of explicit instruction, training goal unclear to participants, lack of feedback, non-adaptive, inability to differentiate or target different components of attentional bias). In the current study, we introduce a new adaptive ABM program (AABM) and test its feasibility in individuals with social anxiety disorder. We report task characteristics and preliminary evidence that this task consistently modifies attentional bias and that changes in attentional bias (but not number of trials) correlate with the level of symptom reduction. These results suggest that AABM may be a targeted method for the next generation of studies examining the utility of attention training.
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Literatuur
go back to reference Amir, N., Elias, J., Klumpp, H., & Przeworski, A. (2003). Attentional bias to threat in social phobia: Facilitated processing of threat or difficulty disengaging attention from threat? Behaviour Research and Therapy, 41(11), 1325–1335.CrossRefPubMed Amir, N., Elias, J., Klumpp, H., & Przeworski, A. (2003). Attentional bias to threat in social phobia: Facilitated processing of threat or difficulty disengaging attention from threat? Behaviour Research and Therapy, 41(11), 1325–1335.CrossRefPubMed
go back to reference Baert, S., De Raedt, R., Schacht, R., & Koster, E. H. (2010). Attentional bias training in depression: Therapeutic effects depend on depression severity. Journal of Behavior Therapy and Experimental Psychiatry, 41(3), 265–274.CrossRefPubMed Baert, S., De Raedt, R., Schacht, R., & Koster, E. H. (2010). Attentional bias training in depression: Therapeutic effects depend on depression severity. Journal of Behavior Therapy and Experimental Psychiatry, 41(3), 265–274.CrossRefPubMed
go back to reference Baker, S. L., Heinrichs, N., Kim, H. J., & Hofmann, S. G. (2002). The Liebowitz social anxiety scale as a self-report instrument: A preliminary psychometric analysis. Behaviour Research and Therapy, 40(6), 701–715.CrossRefPubMed Baker, S. L., Heinrichs, N., Kim, H. J., & Hofmann, S. G. (2002). The Liebowitz social anxiety scale as a self-report instrument: A preliminary psychometric analysis. Behaviour Research and Therapy, 40(6), 701–715.CrossRefPubMed
go back to reference Bar-Haim, Y., Morag, I., & Glickman, S. (2011). Training anxious children to disengage attention from threat: A randomized controlled trial. Journal of Child Psychology and Psychiatry, 52(8), 861–869.CrossRefPubMed Bar-Haim, Y., Morag, I., & Glickman, S. (2011). Training anxious children to disengage attention from threat: A randomized controlled trial. Journal of Child Psychology and Psychiatry, 52(8), 861–869.CrossRefPubMed
go back to reference 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(4), 724–740.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(4), 724–740.CrossRefPubMedPubMedCentral
go back to reference Boutelle, K. N., Kuckertz, J. M., Carlson, J., & Amir, N. (2014). A pilot study evaluating a one-session attention modification training to decrease overeating in obese children. Appetite, 76, 180–185.CrossRefPubMedPubMedCentral Boutelle, K. N., Kuckertz, J. M., Carlson, J., & Amir, N. (2014). A pilot study evaluating a one-session attention modification training to decrease overeating in obese children. Appetite, 76, 180–185.CrossRefPubMedPubMedCentral
go back to reference Clarke, P. J. F., Notebaert, L., & MacLeod, C. (2014). Absence of evidence or evidence of absence: Reflecting on therapeutic implementations of attentional bias modification. BMC Psychiatry, 14, 8.CrossRefPubMedPubMedCentral Clarke, P. J. F., Notebaert, L., & MacLeod, C. (2014). Absence of evidence or evidence of absence: Reflecting on therapeutic implementations of attentional bias modification. BMC Psychiatry, 14, 8.CrossRefPubMedPubMedCentral
go back to reference Cristea, I. A., Mogoaşe, C., David, D., & Cuijpers, P. (2015b). Practitioner review: Cognitive bias modification for mental health problems in children and adolescents: A meta-analysis. Journal of Child Psychology and Psychiatry, 56, 723–734. doi:10.1111/jcpp.12383.CrossRefPubMed Cristea, I. A., Mogoaşe, C., David, D., & Cuijpers, P. (2015b). Practitioner review: Cognitive bias modification for mental health problems in children and adolescents: A meta-analysis. Journal of Child Psychology and Psychiatry, 56, 723–734. doi:10.​1111/​jcpp.​12383.CrossRefPubMed
go back to reference Dandeneau, S. D., & Baldwin, M. W. (2004). The inhibition of socially rejecting information among people with high versus low self-esteem: The role of attentional bias and the effects of bias reduction training. Journal of Social and Clinical Psychology, 23(4), 584–603.CrossRef Dandeneau, S. D., & Baldwin, M. W. (2004). The inhibition of socially rejecting information among people with high versus low self-esteem: The role of attentional bias and the effects of bias reduction training. Journal of Social and Clinical Psychology, 23(4), 584–603.CrossRef
go back to reference Dandeneau, S. D., Baldwin, M. W., Baccus, J. R., Sakellaropoulo, M., & Pruessner, J. C. (2007). Cutting stress off at the pass: Reducing vigilance and responsiveness to social threat by manipulating attention. Journal of Personality and Social Psychology, 93(4), 651.CrossRefPubMed Dandeneau, S. D., Baldwin, M. W., Baccus, J. R., Sakellaropoulo, M., & Pruessner, J. C. (2007). Cutting stress off at the pass: Reducing vigilance and responsiveness to social threat by manipulating attention. Journal of Personality and Social Psychology, 93(4), 651.CrossRefPubMed
go back to reference Eriksen, B. A., & Eriksen, C. W. (1974). Effects of noise letters upon the identification of a target letter in a nonsearch task. Perception and Psychophysics, 16(1), 143–149.CrossRef Eriksen, B. A., & Eriksen, C. W. (1974). Effects of noise letters upon the identification of a target letter in a nonsearch task. Perception and Psychophysics, 16(1), 143–149.CrossRef
go back to reference First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (2002). Structured clinical interview for DSMIV-TR Axis I disorders, research version, patient edition (SCID-I/P). New York, NY: Biometrics Research, New York State Psychiatric Institute. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (2002). Structured clinical interview for DSMIV-TR Axis I disorders, research version, patient edition (SCID-I/P). New York, NY: Biometrics Research, New York State Psychiatric Institute.
go back to reference Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31(06), 1025–1035.CrossRefPubMed Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., & Goetz, D. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31(06), 1025–1035.CrossRefPubMed
go back to reference Hakamata, Y., Lissek, S., Bar-Haim, Y., Britton, J. C., Fox, N. A., Leibenluft, E., et al. (2010). Attention bias modification treatment: A meta-analysis toward the establishment of novel treatment for anxiety. Biological Psychiatry, 68(11), 982–990.CrossRefPubMedPubMedCentral Hakamata, Y., Lissek, S., Bar-Haim, Y., Britton, J. C., Fox, N. A., Leibenluft, E., et al. (2010). Attention bias modification treatment: A meta-analysis toward the establishment of novel treatment for anxiety. Biological Psychiatry, 68(11), 982–990.CrossRefPubMedPubMedCentral
go back to reference Hallett, P. E. (1978). Primary and secondary saccades to goals defined by instructions. Vision Research, 18(10), 1279–1296.CrossRefPubMed Hallett, P. E. (1978). Primary and secondary saccades to goals defined by instructions. Vision Research, 18(10), 1279–1296.CrossRefPubMed
go back to reference Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 137(6), 940–958.CrossRefPubMed Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 137(6), 940–958.CrossRefPubMed
go back to reference 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 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
go back to reference Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., Schneier, F. R., & Liebowitz, M. R. (1999). Psychometric properties of the Liebowitz social anxiety scale. Psychological Medicine, 29(01), 199–212.CrossRefPubMed Heimberg, R. G., Horner, K. J., Juster, H. R., Safren, S. A., Brown, E. J., Schneier, F. R., & Liebowitz, M. R. (1999). Psychometric properties of the Liebowitz social anxiety scale. Psychological Medicine, 29(01), 199–212.CrossRefPubMed
go back to reference Hutton, S. B., & Ettinger, U. (2006). The antisaccade task as a research tool in psychopathology: A critical review. Psychophysiology, 43, 302–313.CrossRefPubMed Hutton, S. B., & Ettinger, U. (2006). The antisaccade task as a research tool in psychopathology: A critical review. Psychophysiology, 43, 302–313.CrossRefPubMed
go back to reference Iacoviello, B. M., Wu, G., Abend, R., Murrough, J. W., Feder, A., Fruchter, E., et al. (2014). Attention bias variability and symptoms of posttraumatic stress disorder. Journal of Traumatic Stress, 27(2), 232–239.CrossRefPubMedPubMedCentral Iacoviello, B. M., Wu, G., Abend, R., Murrough, J. W., Feder, A., Fruchter, E., et al. (2014). Attention bias variability and symptoms of posttraumatic stress disorder. Journal of Traumatic Stress, 27(2), 232–239.CrossRefPubMedPubMedCentral
go back to reference Koster, E. H. W., Crombez, G., Verschuere, B., Van Damme, S., & Wiersema, J. R. (2006). Components of attentional bias to threat in high trait anxiety: Facilitated engagement, impaired disengagement, and attentional avoidance. Behaviour Research and Therapy, 44(12), 1757–1771.CrossRefPubMed Koster, E. H. W., Crombez, G., Verschuere, B., Van Damme, S., & Wiersema, J. R. (2006). Components of attentional bias to threat in high trait anxiety: Facilitated engagement, impaired disengagement, and attentional avoidance. Behaviour Research and Therapy, 44(12), 1757–1771.CrossRefPubMed
go back to reference Koster, E. H. W., De Raedt, R., Goeleven, E., Franck, E., & Crombez, G. (2005). Mood-congruent attentional bias in dysphoria: Maintained attention to and impaired disengagement from negative information. Emotion, 5(4), 446–455.CrossRefPubMed Koster, E. H. W., De Raedt, R., Goeleven, E., Franck, E., & Crombez, G. (2005). Mood-congruent attentional bias in dysphoria: Maintained attention to and impaired disengagement from negative information. Emotion, 5(4), 446–455.CrossRefPubMed
go back to reference Krebs, G., Hirsch, C. R., & Mathews, A. (2010). The effect of attention modification with explicit vs. minimal instructions on worry. Behaviour Research and Therapy, 48(3), 251–256.CrossRefPubMed Krebs, G., Hirsch, C. R., & Mathews, A. (2010). The effect of attention modification with explicit vs. minimal instructions on worry. Behaviour Research and Therapy, 48(3), 251–256.CrossRefPubMed
go back to reference Kuckertz, J. M., & Amir, N. (2015). Attention bias modification for anxiety and phobias: Current status and future directions. Current Psychiatry Reports, 17(2), 1–8.CrossRef Kuckertz, J. M., & Amir, N. (2015). Attention bias modification for anxiety and phobias: Current status and future directions. Current Psychiatry Reports, 17(2), 1–8.CrossRef
go back to reference Kuckertz, J. M., Gildebrant, E., Liliequist, B., Karlström, P., Väppling, C., Bodlund, O., et al. (2014). Moderation and mediation of the effect of attention training in social anxiety disorder. Behaviour Research and Therapy, 53, 30–40.CrossRefPubMed Kuckertz, J. M., Gildebrant, E., Liliequist, B., Karlström, P., Väppling, C., Bodlund, O., et al. (2014). Moderation and mediation of the effect of attention training in social anxiety disorder. Behaviour Research and Therapy, 53, 30–40.CrossRefPubMed
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(6), 383–391.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(6), 383–391.CrossRefPubMed
go back to reference Locke, E. A. (1996). Motivation through conscious goal setting. Applied and Preventive Psychology, 5(2), 117–124.CrossRef Locke, E. A. (1996). Motivation through conscious goal setting. Applied and Preventive Psychology, 5(2), 117–124.CrossRef
go back to reference Locke, E. A., & Latham, G. P. (2006). New directions in goal-setting theory. Current Directions in Psychological Science, 15(5), 265–268.CrossRef Locke, E. A., & Latham, G. P. (2006). New directions in goal-setting theory. Current Directions in Psychological Science, 15(5), 265–268.CrossRef
go back to reference MacLeod, C., & Clarke, P. J. (2015). The attentional bias modification approach to anxiety intervention. Clinical Psychological Science, 3(1), 58–78.CrossRef MacLeod, C., & Clarke, P. J. (2015). The attentional bias modification approach to anxiety intervention. Clinical Psychological Science, 3(1), 58–78.CrossRef
go back to reference MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15.CrossRefPubMed MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15.CrossRefPubMed
go back to reference MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of Abnormal Psychology, 111(1), 107–123.CrossRefPubMed MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of Abnormal Psychology, 111(1), 107–123.CrossRefPubMed
go back to reference McGeary, J. E., Meadows, S. P., Amir, N., & Gibb, B. E. (2014). Computer-delivered, home-based, attentional retraining reduces drinking behavior in heavy drinkers. Psychology of Addictive Behaviors, 28(2), 559.CrossRefPubMedPubMedCentral McGeary, J. E., Meadows, S. P., Amir, N., & Gibb, B. E. (2014). Computer-delivered, home-based, attentional retraining reduces drinking behavior in heavy drinkers. Psychology of Addictive Behaviors, 28(2), 559.CrossRefPubMedPubMedCentral
go back to reference Mennin, D. S., Fresco, D. M., Heimberg, R. G., Schneier, F. R., Davies, S. O., & Liebowitz, M. R. (2002). Screening for social anxiety disorder in the clinical setting: Using the Liebowitz Social Anxiety Scale. Journal of Anxiety Disorders, 16, 661–673. doi:10.1016/S0887-6185(02)00134-2.CrossRefPubMed Mennin, D. S., Fresco, D. M., Heimberg, R. G., Schneier, F. R., Davies, S. O., & Liebowitz, M. R. (2002). Screening for social anxiety disorder in the clinical setting: Using the Liebowitz Social Anxiety Scale. Journal of Anxiety Disorders, 16, 661–673. doi:10.​1016/​S0887-6185(02)00134-2.CrossRefPubMed
go back to reference Nelson, B. D., Jackson, F., Amir, N., & Hajcak, G. (2015). Single-session attention bias modification and error-related brain activity. Cognitive, Affective, & Behavioral Neuroscience, 15(4), 776–786. doi:10.3758/s13415-015-0365-4.CrossRef Nelson, B. D., Jackson, F., Amir, N., & Hajcak, G. (2015). Single-session attention bias modification and error-related brain activity. Cognitive, Affective, & Behavioral Neuroscience, 15(4), 776–786. doi:10.​3758/​s13415-015-0365-4.CrossRef
go back to reference Nishiguchi, Y., Takano, K., & Tanno, Y. (2015). Explicitly guided attentional bias modification promotes attentional disengagement from negative stimuli. Emotion. doi:10.1037/a0039117.PubMed Nishiguchi, Y., Takano, K., & Tanno, Y. (2015). Explicitly guided attentional bias modification promotes attentional disengagement from negative stimuli. Emotion. doi:10.​1037/​a0039117.PubMed
go back to reference O’Driscoll, G. A., Alpert, N. M., Matthysse, S. W., Levy, D. L., Rauch, S. L., & Holzman, P. S. (1995). Functional neuroanatomy of antisaccade eye movements investigated with positron emission tomography. Proceedings of the National Academy of Sciences, 92(3), 925–929.CrossRef O’Driscoll, G. A., Alpert, N. M., Matthysse, S. W., Levy, D. L., Rauch, S. L., & Holzman, P. S. (1995). Functional neuroanatomy of antisaccade eye movements investigated with positron emission tomography. Proceedings of the National Academy of Sciences, 92(3), 925–929.CrossRef
go back to reference Posner, M. I. (1980). Orienting of attention. The Quarterly Journal of Experimental Psychology, 32(1), 3–25.CrossRefPubMed Posner, M. I. (1980). Orienting of attention. The Quarterly Journal of Experimental Psychology, 32(1), 3–25.CrossRefPubMed
go back to reference Price, R. B., Kuckertz, J. M., Siegle, G., Ladouceur, C., Silk, J. S., Ryan, N. D., et al. (2015). Empirical recommendations for improving the stability of the dot-probe task in clinical research. Psychological Assessment, 27, 365–376. doi:10.1037/pas0000036.CrossRefPubMed Price, R. B., Kuckertz, J. M., Siegle, G., Ladouceur, C., Silk, J. S., Ryan, N. D., et al. (2015). Empirical recommendations for improving the stability of the dot-probe task in clinical research. Psychological Assessment, 27, 365–376. doi:10.​1037/​pas0000036.CrossRefPubMed
go back to reference Skinner, B. F. (1954). The science of learning and the art of teaching. Harvard Educational Review, 24(2), 86–97. Skinner, B. F. (1954). The science of learning and the art of teaching. Harvard Educational Review, 24(2), 86–97.
Metagegevens
Titel
A Pilot Study of an Adaptive, Idiographic, and Multi-Component Attention Bias Modification Program for Social Anxiety Disorder
Auteurs
Nader Amir
Jennie M. Kuckertz
Marlene V. Strege
Publicatiedatum
07-05-2016
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 5/2016
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-016-9781-1