Skip to main content
Top
Gepubliceerd in: Cognitive Therapy and Research 4/2019

18-02-2019 | Original Article

Cognitive Bias Modification for Social Anxiety: The Differential Impact of Modifying Attentional and/or Interpretation Bias

Auteurs: Eric S. Yeung, Louise Sharpe

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 4/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Cognitive Bias Modification (CBM) refers to the modification of cognitive biases, such as selectively attending to threatening information or interpreting information in a threatening way. CBM for attention (CBM-A) and interpretation (CBM-I) are efficacious in reducing anxiety vulnerability and anxiety symptoms. However, little research has investigated the potential synergies of these interventions. This study aimed to determine the relative efficacy of CBM-A, CBM-I, and combined CBM for reducing social anxiety symptoms and attenuating anxiety vulnerability in response to a social stressor task. Participants (N = 116) were randomly allocated to receive CBM-A, CBM-I, combined CBM, or placebo. Results revealed that CBM-I reduced negative interpretation bias and social anxiety symptoms. Furthermore, CBM-I improved speech performance on a social stressor task. However, CBM-A procedures did not modify attentional biases or anxiety vulnerability. These findings support the efficacy of CBM-I for social anxiety; however, no evidence for the efficacy of CBM-A was found, nor was the combined cognitive bias hypothesis supported in this study.
Literatuur
go back to reference Brosan, L., Hoppitt, L., Shelfer, L., 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 study. Journal of Behavior Therapy and Experimental Psychiatry, 42(3), 258–264. https://doi.org/10.1016/j.jbtep.2010.12.006.CrossRefPubMed Brosan, L., Hoppitt, L., Shelfer, L., 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 study. Journal of Behavior Therapy and Experimental Psychiatry, 42(3), 258–264. https://​doi.​org/​10.​1016/​j.​jbtep.​2010.​12.​006.CrossRefPubMed
go back to reference Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: The Guilford Press. Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). New York: The Guilford Press.
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), 1–6. 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), 1–6.
go back to reference Crawford, J. R., & Henry, J. D. (2004). The Positive and Negative Affect Schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43(3), 245–265.CrossRefPubMed Crawford, J. R., & Henry, J. D. (2004). The Positive and Negative Affect Schedule (PANAS): Construct validity, measurement properties and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 43(3), 245–265.CrossRefPubMed
go back to reference Cristea, I. A., Mogoaşe, C., David, D., & Cuijpers, P. (2015). Practitioner review: Cognitive bias modification for mental health problems in children and adolescents: A meta-analysis. Journal of Child Psychology and Psychiatry and Allied Disciplines, 56(7), 723–734. https://doi.org/10.1111/jcpp.12383.CrossRef Cristea, I. A., Mogoaşe, C., David, D., & Cuijpers, P. (2015). Practitioner review: Cognitive bias modification for mental health problems in children and adolescents: A meta-analysis. Journal of Child Psychology and Psychiatry and Allied Disciplines, 56(7), 723–734. https://​doi.​org/​10.​1111/​jcpp.​12383.CrossRef
go back to reference Hirsch, C. R., & Mathews, A. (2000). Impaired positive inferential bias in social phobia. Journal of Abnormal Psychology, 109, 705–712.CrossRefPubMed Hirsch, C. R., & Mathews, A. (2000). Impaired positive inferential bias in social phobia. Journal of Abnormal Psychology, 109, 705–712.CrossRefPubMed
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.CrossRef Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335–343.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 Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36(4), 455–470.CrossRefPubMed Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36(4), 455–470.CrossRefPubMed
go back to reference Menne-Lothmann, C., Viechtbauer, W., Hohn, P., Kasanova, Z., Haller, S. P., Drukker, M.,… Lau, J. Y. (2014). How to boost positive interpretations? A meta-analysis of the effectiveness of cognitive bias modification for interpretation. PLoS ONE, 9(6), 1–26. https://doi.org/10.1371/journal.pone.0100925. Menne-Lothmann, C., Viechtbauer, W., Hohn, P., Kasanova, Z., Haller, S. P., Drukker, M.,… Lau, J. Y. (2014). How to boost positive interpretations? A meta-analysis of the effectiveness of cognitive bias modification for interpretation. PLoS ONE, 9(6), 1–26. https://​doi.​org/​10.​1371/​journal.​pone.​0100925.
go back to reference Peters, L. (2000). Discriminant validity of the Social Phobia and Anxiety Inventory (SPAI), the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). Behaviour Research and Therapy, 38(9), 943–950.CrossRefPubMed Peters, L. (2000). Discriminant validity of the Social Phobia and Anxiety Inventory (SPAI), the Social Phobia Scale (SPS) and the Social Interaction Anxiety Scale (SIAS). Behaviour Research and Therapy, 38(9), 943–950.CrossRefPubMed
go back to reference Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756.CrossRefPubMed Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756.CrossRefPubMed
go back to reference Rapee, R. M., & Lim, L. (1992). Discrepancy between self- and observer ratings of performance in social phobics. Journal of Abnormal Psychology, 101(4), 728–731.CrossRefPubMed Rapee, R. M., & Lim, L. (1992). Discrepancy between self- and observer ratings of performance in social phobics. Journal of Abnormal Psychology, 101(4), 728–731.CrossRefPubMed
go back to reference Sharpe, L., Johnson, A., & Dear, B. F. (2015). Attention bias modification and its impact on experimental pain outcomes: Comparison of training with words versus faces in pain. European Journal of Pain (London, England), 19(9), 1248–1257. https://doi.org/10.1002/ejp.648.CrossRef Sharpe, L., Johnson, A., & Dear, B. F. (2015). Attention bias modification and its impact on experimental pain outcomes: Comparison of training with words versus faces in pain. European Journal of Pain (London, England), 19(9), 1248–1257. https://​doi.​org/​10.​1002/​ejp.​648.CrossRef
go back to reference Vasey, M. W., Daleiden, E. L., Williams, L. L., & Brown, L. M. (1995). Biased attention in childhood anxiety disorders: A preliminary study. Journal of Abnormal Child Psychology, 23(2), 267279.CrossRef Vasey, M. W., Daleiden, E. L., Williams, L. L., & Brown, L. M. (1995). Biased attention in childhood anxiety disorders: A preliminary study. Journal of Abnormal Child Psychology, 23(2), 267279.CrossRef
go back to reference Vasey, M. W., El-Hag, N., & Daleiden, E. L. (1996). Anxiety and the processing of emotionally threatening stimuli: Distinctive patterns of selective attention among high- and low-test-anxious children. Child Development, 67(3), 1173–1185.CrossRefPubMed Vasey, M. W., El-Hag, N., & Daleiden, E. L. (1996). Anxiety and the processing of emotionally threatening stimuli: Distinctive patterns of selective attention among high- and low-test-anxious children. Child Development, 67(3), 1173–1185.CrossRefPubMed
go back to reference Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.CrossRefPubMed Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.CrossRefPubMed
Metagegevens
Titel
Cognitive Bias Modification for Social Anxiety: The Differential Impact of Modifying Attentional and/or Interpretation Bias
Auteurs
Eric S. Yeung
Louise Sharpe
Publicatiedatum
18-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 4/2019
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-019-10012-3

Andere artikelen Uitgave 4/2019

Cognitive Therapy and Research 4/2019 Naar de uitgave