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Child Psychiatry & Human Development
Gepubliceerd in: Child Psychiatry & Human Development 2/2019

26-07-2018 | Original Article

Efficacy of Attention Bias Training for Child Anxiety Disorders: A Randomized Controlled Trial

Auteurs: Susanna W. Chang, Jennie M. Kuckertz, Deepika Bose, Arturo R. Carmona, John Piacentini, Nader Amir

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 2/2019

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Abstract

A growing evidence base supports attention bias modification (ABM) as a novel intervention for anxiety. However, research has been largely conducted with adults and analogue samples, leaving the impact of ABM for child anxiety be fully elucidated. Thus, we conducted a double-blind, randomized controlled trial testing ABM efficacy versus an attention control condition (CC) in 31 children diagnosed with anxiety disorder. Youth were assigned to 4 weeks of ABM where attention was trained away from threat, or a sham CC in which no bias training occurred. Findings indicate that significantly more youth in the ABM versus CC group were considered treatment responders post training. The ABM versus CC group also demonstrated a greater decrease in anxiety severity, with this difference being marginally significant. Findings lend support for the potential of ABM in reducing youth anxiety. Further work regarding mechanisms of action is warranted to advance ABM research.
vorige artikel Longitudinal Links Between Adolescent Social Anxiety and Depressive Symptoms: Testing the Mediational Effects of Cybervictimization
volgende artikel Perceived Invalidation in Adolescent Borderline Personality Disorder: An Investigation of Parallel Reports of Caregiver Responses to Negative Emotions
Voetnoten
1
When examining intent-to-treat analyses with last observation carried forward for PARS and assuming non-responder status for CGI-I, both group differences in CGI-I responder status [F(1, 30) = 3.91, p = .057] and PARS Group x Time interactions [F(1, 30) = 3.00, p = .093] were marginally significant.
 
Literatuur
1.
Costello E, Egger H, Angold A (2005) 10-year research update review: The epidemiology of child and adolescent psychiatric disorders: I. Methods and public health burden. J Am Acad Child Adolesc Psychiatry 44:972–986PubMedCrossRef
2.
Compas B, Oppedisano G (2000) Mixed anxiety/depression in childhood and adolescence. In Sameroff AJ, Lewis M, Miller SM (eds) Handbook of developmental psychopathology. Springer, New York, pp. 531–548CrossRef
3.
Bittner A, Egger HL, Erkanli A, Costello EJ, Foley DL, Angold A (2007) What do childhood anxiety disorders predict? J Child Psychol Psychiatry 48:1174–1183PubMedCrossRef
4.
Pine DS, Mogg K, Bradley BP, Montgomery L, Monk CS, McClure E et al (2005) Attention bias to threat in maltreated children: Implications for vulnerability to stress-related psychopathology. Am J Psychiatry 162(2):291–296PubMedCrossRef
5.
Flannery-Schroeder EC, Kendall PC (2000) Group and individual cognitive behavioral treatments for youth with anxiety disorders: a randomized clinical trial. Cognit Ther Res 24:251–278CrossRef
6.
Kendall PC, Hannery-Schroeder E, Panichilli-Mindel SM, Southam Gerow M, Henin A, Warman M (1997) Therapy for youths with anxiety disorders: a second randomized clinical trial. J Consult Clin Psychol 65:366–380PubMedCrossRef
7.
Silverman WK, Pina AA, Viswesvaran C (2008) Evidence-based psychosocial treatments for phobic and anxiety disorders in children and adolescents. J Clin Child Adolesc Psychol 37:105–130PubMedCrossRef
8.
Ginsburg G, Kendall P, Sakolsky D, Compton S, Piacentini P, Alano AM et al (2011) Remission after acute treatment in children and adolescents with anxiety disorders: findings from the CAMS study. J Consult Clin Psychol 79:806–813PubMedPubMedCentralCrossRef
9.
10.
Rapee RM, Schniering CA, Hudson JL (2009) Anxiety disorders during childhood and adolescence: origins and treatment. Ann Rev Clin Psychol 5:311–341CrossRef
11.
Walkup JT, Albano AM, Piacentini J, Birmaher B, Compton SN, Sherrill J et al (2008) Cognitive behavioral therapy, sertraline, or a combination in childhood anxiety. N Engl J Med 359(26):2753–2766PubMedPubMedCentralCrossRef
12.
13.
Mathews A, MacLeod C (2005) Cognitive vulnerability to emotional disorders. Ann Rev Clin Psychol 1:167–195CrossRef
14.
Cisler JM, Koster EH (2010) Mechanisms of attentional biases towards threat in anxiety disorders: an integrative review. Clin Psychol Rev 30(2):203–216PubMedCrossRef
15.
Bar-Haim Y, Lamy D, Pergamin L, Bakermans-Kranenburg MJ, Van Ijzendoorn MH (2007) Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study. Psychol Bull 133(1):1–24PubMedCrossRef
16.
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. J Abnorm Psychol 111(1):107–123PubMedCrossRef
17.
Hakamata Y, Lissek S, Bar-Haim Y, Britton JC, Fox NA, Leibenluft E et al (2010) Attention bias modification treatment: a meta-analysis toward the establishment of novel treatment for anxiety. Biol Psychiatry 68(11):982–990PubMedPubMedCentralCrossRef
18.
Kuckertz JM, Amir N (2015) Attention bias modification for anxiety and phobias: current status and future directions. Curr Psychiatry Rep 17(2):1–8CrossRef
19.
Linetzky M, Pergamin-Hight L, Pine DS, Bar-Haim Y (2015) Quantitative evaluation of the clinical efficacy of attention bias modification for anxiety disorders. Depress Anxiety 32(6):383–391PubMedCrossRef
20.
MacLeod C, Clarke PJF (2015) The attentional bias modification approach to anxiety intervention. Clin Psychol Sci 3(1):58–78CrossRef
21.
Mogoaşe C, David D, Koster EH (2014) Clinical efficacy of attentional bias modification procedures: an updated meta-analysis. J Clin Psychol 70(12):1133–1157PubMedCrossRef
22.
Eldar S, Apter A, Lotan D, Perez-Edgar K, Naim R, Fox NA et al (2012) Attention bias modification treatment for pediatric anxiety disorders: a randomized control trial. Am J Psychiatry 169:213–230PubMedPubMedCentralCrossRef
23.
Pergamin-Hight L, Pine DS, Fox NA, Bar-Haim Y (2016) Attention bias modification for youth with social anxiety disorder. J Child Psychol Psychiatry 57(11):1317–1325PubMedCrossRef
24.
Britton JC, Bar-Haim Y, Clementi MA, Sankin LS, Chen G, Shechner T et al (2013) Training-associated changes and stability of attention bias in youth: implications for attention bias modification treatment for pediatric anxiety. Dev Cogn Neurosci 4:52–64PubMedCrossRef
25.
Waters AM, Pittaway M, Mogg K, Bradley BP, Pine DS (2013) Attention training towards positive stimuli in clinically anxious children. Dev Cogn Neurosci 4:77–84PubMedCrossRef
26.
Waters AM, Zimmer-Gembeck MJ, Craske MG, Pine DS, Bradley BP, Mogg (2015) Look for the good and never give up: a novel attention training treatment for childhood anxiety disorders. Behav Res Ther 73:111–123PubMedCrossRef
27.
Riemann BC, Kuckertz JM, Rozenman M, Weesing VR, Amir N (2013) Augmentation of youth cognitive behavioral and pharmacological intervention with attention modification: a preliminary investigation. Depress Anxiety 30(9):822–828PubMedPubMedCentralCrossRef
28.
Shechner T, Rimon-Chakir A, Britton JC, Lotan D, Apter A, Bliese PD et al (2014) Attention bias modification treatment augmenting effects on cognitive behavioral therapy in children with anxiety: randomized controlled trial. J Am Acad Child Adolesc Psychiatry 53(1):61–71PubMedCrossRef
29.
Bar-Haim Y, Morag I, Glickman S (2011) Training anxious children to disengage attention from threat: a randomized controlled trial. J Child Psychol Psychiatry 52(8):861–869PubMedCrossRef
30.
Lowther H, Newman E (2014) Attention bias modification (ABM) as a treatment for child and adolescent anxiety: a systematic review. J Affect Disord 168:125–135PubMedCrossRef
31.
Cristea IA, Kok L, Cuijpers P (2015) Efficacy of cognitive bias modification interventions in anxiety and depression: meta-analysis. Br J Psychiatry 206:7–16PubMedCrossRef
32.
Dalgleish T, Moradi AR, Taghavi MR, Neshat-Doost HT, Yule W (2001) An experimental investigation of hypervigilance for threat in children and adolescents with post-traumatic stress disorder. Psychol Med 31:541–547 30PubMedCrossRef
33.
Pine DS, Helfinstein SM, Bar-Haim Y, Nelson E, Fox NA (2009) Challenges in developing novel treatments for childhood disorders: lessons from research on anxiety. Neuropsychopharmacology 34:213–218PubMedCrossRef
34.
Taghavi MR, Neshat-Doost HT, Moradi AR, Yule W, Dalgleish T (1999) Biases in visual attention in children and adolescents with clinical anxiety and mixed anxiety-depression. J Abnorm Child Psychol 27:215–223PubMedCrossRef
35.
Bar-Haim Y (2010) Research review: attention bias modification (ABM): a novel treatment for anxiety disorders. J Child Psychol Psychiatry 51(8):859–870PubMedCrossRef
36.
Eysenck MW, Derakshan N, Santos R, Calvo MG (2007) Anxiety and cognitive performance: attentional control theory. Emotion 7(2):336–353PubMedCrossRef
37.
American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Publishing, Arlington
38.
Silverman WK, Albano AM (1996) Anxiety disorders interview schedule for DSM-IV.: parent interview schedule, vol 1. Oxford University Press, London
39.
Guy W (1976) Clinical global impression scale. The ECDEU Assessment Manual for Psychopharmacology-Revised. Volume DHEW Publ No ADM 76,338, 218-222
40.
Research Units on Pediatric Psychopharmacology Anxiety Study Group (2002) The pediatric anxiety rating scale (PARS): development and psychometric properties. J Am Acad Child Adolesc Psychiatry 41(9):1061–1069CrossRef
41.
Ginsburg GS, Keeton CP, Drazdowski TK, Riddle MA (2011) The utility of clinicians’ ratings of anxiety using the Pediatric Anxiety Rating Scale (PARS). In Child & youth care forum, vol. 40, No. 2. Springer, New York, pp 93–105
42.
Wood JJ, Piacentini JC, Bergman RL, McCracken J, Barrios V (2002) Concurrent validity of the anxiety disorders section of the anxiety disorders interview schedule for DSM-IV: child and parent versions. J Child Adolesc Psychol 31(3):335–342CrossRef
43.
Lyneham HJ, Abbott MJ, Rapee RM (2007) Interrater reliability of the Anxiety Disorders Interview Schedule for DSM-IV: child and parent version. J Am Acad Child Adolesc Psychiatry 46(6):731–736PubMedCrossRef
44.
Silverman WK, Saavedra LM, Pina A (2001) Test-retest reliability of anxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. J Am Acad Child Adolesc Psychiatry 40(8):937–944PubMedCrossRef
45.
MacLeod C, Mathews A, Tata P (1986) Attentional bias in emotional disorders. J Abnorm Psychol 95(1):15–20PubMedCrossRef
46.
47.
Asmundson GJ, Stein MB (1994) Selective processing of social threat in patients with generalized social phobia: evaluation using a dot-probe paradigm. J Anxiety Disord 8(2):107–117CrossRef
48.
Vasey MW, Daleiden EL, Williams LL, Brown LM (1995) Biased attention in childhood anxiety disorders: a preliminary study. J Abnorm Child Psychol 23(2):267–279PubMedCrossRef
49.
MacLeod C, Mathews A (1988) Anxiety and the allocation of attention to threat. Q J Exp Psychol 40(4):653–670CrossRef
50.
Matsumoto D, Ekman P (1989) American-Japanese cultural differences in intensity ratings of facial expressions of emotion. Motiv Emot 13(2):143–157CrossRef
51.
Amir N, Weber G, Beard C, Bomyea J, Taylor CT (2008) The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. J Abnorm Psychol 117(4):860–868PubMedPubMedCentralCrossRef
52.
Amir N, Beard C, Taylor CT, Klumpp H, Elias J, Burns M et al (2009) Attention training in individuals with generalized social phobia: a randomized controlled trial. J Consult Clin Psychol 77(5):961–973PubMedPubMedCentralCrossRef
53.
54.
Price RB, Kuckertz JM, Siegle G, Ladouceur C, Silk JS, Ryan ND et al (2014) Empirical recommendations for improving the stability of the dot-probe task in clinical research. Psychol Assess 27(2):365–376PubMedPubMedCentralCrossRef
55.
Mogg K, Bradley BP (2005) Attentional bias in generalized anxiety disorder versus depressive disorder. Cognit Ther Res 29(1):29–45CrossRef
56.
Dalgleish T, Taghavi R, Neshat-Doost H, Moradi A, Canterbury R, Yule W (2003) Patterns of processing bias for emotional information across clinical disorders: a comparison of attention, memory, and prospective cognition in children and adolescents with depression, generalized anxiety, and posttraumatic stress disorder. J Clin Child Adolesc Psychol 32(1):10–21PubMedCrossRef
57.
Roy AK, Vasa RA, Bruck M, Mogg K, Bradley BP, Sweeney M et al (2008) Attention bias toward threat in pediatric anxiety disorders. J Am Acad Child Adolesc Psychiatry 47(10):1189–1196PubMedPubMedCentralCrossRef
58.
Monk CS, Nelson EE, McClure EB, Mogg K, Bradley BP, Leibenluft E et al (2006) Ventrolateral prefrontal cortex activation and attentional bias in response to angry faces in adolescents with generalized anxiety disorder. Am J Psychiatry 163:1091–1097PubMedCrossRef
59.
Pine DS, Mogg K, Bradley BP, Montgomery L, Monk CS, McClure E, Guyer AE, Ernst M, Charney DS, Kaufman J (2005) Attention bias to threat in maltreated children: implications for vulnerability to stress-related psychopathology. Am J Psychiatry 162:291–296 31PubMedCrossRef
60.
Lonigan CJ, Vasey MW (2009) Negative affectivity, effortful control, and attention to threat-relevant stimuli. J Abnorm Psychol 37(3):387–399CrossRef
61.
Reinholdt-Dunne ML, Mogg K, Benson V, Bradley BP, Hardin MG, Liversedge SP et al (2012) Anxiety and selective attention to angry faces: an antisaccade study. J Cogn Psychol 24(1):54–65CrossRef
62.
Puliafico AC, Kendall PC (2006) Threat-related attentional bias in anxious youth: a review. Clin Child Fam Psychol Rev 9(3–4):162–180PubMedCrossRef
63.
64.
Amir N, Beard C, Burns M, Bomyea J (2009) Attention modification program in individuals with generalized anxiety disorder. J Abnorm Psychol 118(1):28–33PubMedPubMedCentralCrossRef
65.
Heeren A, Reese HE, McNally RJ, Philippot P (2012) Attention training toward and away from threat in social phobia: effects on subjective, behavioral, and physiological measures of anxiety. Behav Res Ther 50(1):30–39PubMedCrossRef
66.
Kuckertz JM, 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. Behav Res Ther 53:30–40PubMedCrossRef
67.
Hallion LS, Ruscio AM (2011) A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychol Bull 137(6):940–958PubMedCrossRef
68.
Iacoviello BM, Wu G, Abend R, Murrough JW, Feder A, Fruchter E et al (2014) Attention bias variability and symptoms of posttraumatic stress disorder. J Trauma Stress 27(2):232–239PubMedPubMedCentralCrossRef
69.
70.
Cisler JM, Bacon AK, Williams NL (2009) Phenomenological characteristics of attentional biases towards threat: a critical review. Cognit Ther Res 33(2):221–234PubMedPubMedCentralCrossRef
71.
Amir N, Kuckertz JM, Strege MV (2016) A pilot study of an adaptive, idiographic, and multi-component attention bias modification program for social anxiety disorder. Cognit Ther Res 40(5):661–671PubMedPubMedCentralCrossRef
72.
Klingberg T, Fernell E, Olesen PJ, Johnson M, Gustafsson P, Dahlstrom K et al (2006) Computerized training of working memory in children with ADHD—a randomized controlled trial. J Am Acad Child Adolesc Psychiatry 44:177–186CrossRef
73.
Fisher M, Holland C, Merzenich MM, Vinogradov S (2009) Using neuroplasticity-based auditory training to improve verbal memory in schizophrenia. Am J Psychiatry 155:805–811CrossRef
74.
Reinholdt-Dunne ML, Mogg K, Bradley BP (2009) Effects of anxiety and attention control on processing pictorial and linguistc emotional information. Behav Res Ther 47(5):410–417PubMedCrossRef
75.
Derryberry D, Rothbart MK (1997) Reactive and effortful processes in the organization of temperament. Dev Psychopathol 9(04):633–652PubMedCrossRef
76.
Ellis LK, Rothbart MK, Posner MI (2004) Individual differences in executive attention predict self-regulation and adolescent psychosocial behaviors. Ann NY Acad Sci 1021(1):337–340PubMedCrossRef
77.
White LK, McDermott JM, Degnan KA, Henderson HA, Fox NA (2011) Behavioral inhibition and anxiety: the moderating roles of inhibitory control and attention shifting. J Abnorm Psychol 39(5):735–747CrossRef
Metagegevens
Titel
Efficacy of Attention Bias Training for Child Anxiety Disorders: A Randomized Controlled Trial
Auteurs
Susanna W. Chang
Jennie M. Kuckertz
Deepika Bose
Arturo R. Carmona
John Piacentini
Nader Amir
Publicatiedatum
26-07-2018
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 2/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-018-0832-6

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