Top

Gepubliceerd in:

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

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.

vorige artikel Profiles of Emotion Regulation in Young People Accessing Youth Mental Health and Drug Treatment

volgende artikel Developing a Brief Version of the Social Thoughts and Beliefs Scale (STABS) Using Item Response Theory

Beard, C., & Amir, N. (2008). A multi-session interpretation modification program: Changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 46(10), 1135–1141. https://doi.org/10.1016/j.brat.2008.05.012.CrossRefPubMedPubMedCentral

Beard, C., & Amir, N. (2009). Interpretation in social anxiety: When meaning precedes ambiguity. Cognitive Therapy and Research, 33(4), 406–415. https://doi.org/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(4), 724–740. https://doi.org/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(11), 981–988. https://doi.org/10.1002/da.20873.CrossRefPubMedPubMedCentral

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

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.

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.

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

Cristea, I. A., Kok, R. N., & Cuijpers, P. (2015). Efficacy of cognitive bias modification interventions in anxiety and depression: Meta-analysis. British Journal of Psychiatry, 206(1), 7–16. https://doi.org/10.1192/bjp.bp.114.146761.CrossRefPubMed

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

Dehghani, M., Sharpe, L., & Nicholas, M. K. (2003). Selective attention to pain-related information in chronic musculoskeletal pain patients. Pain, 105(1–2), 37–46. https://doi.org/10.1016/s0304-3959(03)00224-0.CrossRefPubMed

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160. https://doi.org/10.3758/BRM.41.4.1149.CrossRef

Hakamata, Y., Lissek, S., Bar-Haim, Y., Britton, J. C., Fox, N. A., Leibenluft, E.,… Pine, D. S. (2010). Attention bias modification treatment: A meta-analysis toward the establishment of novel treatment for anxiety. Biological Psychiatry, 68(11), 982–990. https://doi.org/10.1016/j.biopsych.2010.07.021.

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. https://doi.org/10.1037/a0024355.CrossRefPubMed

Heeren, A., Mogoaşe, C., Philippot, P., & McNally, R. J. (2015). Attention bias modification for social anxiety: A systematic review and meta-analysis. Clinical Psychology Review, 40, 76–90. https://doi.org/10.1016/j.cpr.2015.06.001.CrossRefPubMed

Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(Pt 2), 227–239. https://doi.org/10.1348/014466505X29657.CrossRefPubMed

Hertel, P. T., & Mathews, A. (2011). Cognitive bias modification: Past perspectives, current findings, and future applications. Perspectives on Psychological Science, 6(6), 521–536. https://doi.org/10.1177/1745691611421205.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(3), 223–236. https://doi.org/10.1016/j.beth.2006.02.001.CrossRefPubMed

Hirsch, C. R., & Mathews, A. (2000). Impaired positive inferential bias in social phobia. Journal of Abnormal Psychology, 109, 705–712.CrossRefPubMed

Jones, E. B., & Sharpe, L. (2017). Cognitive bias modification: A review of meta-analyses. Journal of Affective Disorders, 223, 175–183. https://doi.org/10.1016/j.jad.2017.07.034.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. https://doi.org/10.1002/da.22344.CrossRefPubMed

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

MacLeod, C., & Grafton, B. (2016). Anxiety-linked attentional bias and its modification: Illustrating the importance of distinguishing processes and procedures in experimental psychopathology research. Behaviour Research and Therapy, 86, 68–86. https://doi.org/10.1016/j.brat.2016.07.005.CrossRefPubMed

MacLeod, C., & Mathews, A. (2012). Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology, 8, 189–217. https://doi.org/10.1146/annurev-clinpsy-032511-143052.CrossRefPubMed

MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15.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. https://doi.org/10.1037//0021-843x.111.1.107.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

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.

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(12), 1133–1157. https://doi.org/10.1002/jclp.22081.CrossRefPubMed

Naim, R., Kivity, Y., Bar-Haim, Y., & Huppert, J. D. (2018). Attention and interpretation bias modification treatment for social anxiety disorder: A randomized clinical trial of efficacy and synergy. Journal of Behavior Therapy and Experimental Psychiatry, 59, 19–30. https://doi.org/10.1016/j.jbtep.2017.10.006.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

Pishyar, R., Harris, L. M., & Menzies, R. G. (2004). Attentional bias for words and faces in social anxiety. Anxiety, Stress & Coping, 17(1), 23–36. https://doi.org/10.1080/10615800310001601458.CrossRef

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., & Lim, L. (1992). Discrepancy between self- and observer ratings of performance in social phobics. Journal of Abnormal Psychology, 101(4), 728–731.CrossRefPubMed

Reese, H. E., McNally, R. J., Najmi, S., & Amir, N. (2010). Attention training for reducing spider fear in spider-fearful individuals. Journal of Anxiety Disorders, 24(7), 657–662. https://doi.org/10.1016/j.janxdis.2010.04.006.CrossRefPubMedPubMedCentral

Sharpe, L., Ianiello, M., Dear, B. F., Perry, N., Refshauge, K., K., & Nicholas, M. K. (2012). Is there a potential role for attention bias modification in pain patients? Results of 2 randomised, controlled trials. Pain, 153(3), 722–731. https://doi.org/10.1016/j.pain.2011.12.014.CrossRefPubMed

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

Sportel, B. E., de Hullu, E., de Jong, P. J., & Nauta, M. H. (2013). Cognitive bias modification versus CBT in reducing adolescent social anxiety: A randomized controlled trial. PloS One, 8(5), 1–11. https://doi.org/10.1371/journal.pone.0064355.CrossRef

Standage, H., Ashwin, C., & Fox, E. (2009). Comparing visual and auditory presentation for the modification of interpretation bias. Journal of Behavior Therapy and Experimental Psychiatry, 40(4), 558–570. https://doi.org/10.1016/j.jbtep.2009.07.006.CrossRefPubMed

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., 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

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

Zou, J. B., & Abbott, M. J. (2012). Self-perception and rumination in social anxiety. Behaviour Research and Therapy, 50(4), 250–257. https://doi.org/10.1016/j.brat.2012.01.007.CrossRefPubMed

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

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2019

Does Modification of Implicit Associations Regarding Contamination Affect Approach Behavior and Attentional Bias?

Effects of Mindfulness-Based Cognitive Therapy on a Behavioural Measure of Rumination in Patients with Chronic, Treatment-Resistant Depression

Profiles of Emotion Regulation in Young People Accessing Youth Mental Health and Drug Treatment

Symptom-Specific Threat Perception Mediates the Relationship Between Obsessive Beliefs and OCD Symptoms

Imagining as an Observer: Manipulating Visual Perspective in Obsessional Imagery

Early Versus Later Improvements in Dialectical Behavior Therapy Skills Use and Treatment Outcome in Eating Disorders