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Travellers’ Tales in Cognitive Bias Modification Research: A Commentary on the Special Issue

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Abstract

This brief commentary reflects on the current Special Issue on “Cognitive Bias Modification Techniques: Current findings and future challenges”. We consider past perspectives, present findings and future applications of “cognitive bias modification” (CBM) training procedures. In an interview with Marcella L. Woud, Bundy Mackintosh responds with her thoughts as an experienced ‘traveler’, given her pioneering work at the early stages of CBM research. Elaine Fox provides an overview of developments since the last special issue on CBM that she helped to co-edit in 2009, and Emily A. Holmes reflects on what might need to be done in order to translate the results of CBM research into therapeutic practice. All three conclude that, much as we might wish for a CBM ‘tardis’ time travel machine, there is much basic and translational science work to be done before the fruits of CBM research will be seen in the clinic. Systematic, thorough, and collaborative efforts will be needed, and we urge researchers to pay more attention to developing appropriate methodologies to enable the ‘transfer’ of training to clinical symptoms. Given the colossal clinical need to innovate and develop the content and delivery of mental health treatments, CBM research needs to keep travelling slowly, surely, and further. It is important to note that given low intensity of delivery, even studies with small effect sizes may be beneficial at a public health level. We should keep going, but retain strong roots in experimental psychopathology to maintain the quality and understanding of how cognitive factors are central to mental health and to the effectiveness of therapeutic interventions.

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References

  • Arditte, K. A., & Joormann, J. (2014). Rumination moderates the effects of cognitive bias modification of attention. Cognitive Therapy and Research. doi:10.1007/s10608-013-9581-9.

    Google Scholar 

  • Asnaani, A., Rinck, M., Becker, E. S., & Hofmann, S. G. (2014). The effects of approach-avoidance modification on social anxiety disorder: A pilot study. Cognitive Therapy and Research. doi:10.1007/s10608-013-9580-x.

    Google Scholar 

  • Beadel, J. R., Smyth, F. L., & Teachman, B. A. (2014). Change processes during cognitive bias modification for obsessive compulsive beliefs. Cognitive Therapy and Research. doi:10.1007/s10608-013-9576-6.

    Google Scholar 

  • 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. doi:0.1016/j.beth.2012.01.002.

    Article  PubMed Central  PubMed  Google Scholar 

  • Beck, A. T. (1976). Cognitive therapy and emotional disorders. New York: International Universities Press.

    Google Scholar 

  • Clarke, P. J. F., MacLeod, C., & Shirazee, N. (2008). Prepared for the worst: Readiness to acquire threat bias and susceptibility to elevate trait anxiety. Emotion, 8, 47–57.

    Article  PubMed  Google Scholar 

  • Clarke, P. J. F., Nanthakumar, S., Notebaert, L., Holmes, E. A., Blackwell, S. E., & MacLeod, C. (2014a). Simply imagining sunshine, lollipops and rainbows will not budge the bias: The role of ambiguity in interpretive bias modification. Cognitive Therapy and Research. doi:10.1007/s10608-013-9564-x.

    Google Scholar 

  • Clarke, P. J. F., Notebaert, L., & MacLeod, C. (2014b). Absence of evidence or evidence of absence: Reflecting on therapeutic implementations of attentional bias modification. BMC Psychiatry, 14, 8. doi:10.1186/1471-244X-14-8.

    Article  PubMed Central  PubMed  Google Scholar 

  • Daches, S., & Mor, N. (2014). Training ruminators to inhibit negative information: A preliminary report. Cognitive Therapy and Research. doi:10.1007/s10608-013-9585-5.

    Google Scholar 

  • Emmelkamp, P. M. G. (2012). Attention bias modification: The Emperor’s new suit? BMC Medicine, 10(1), 63.

    Article  PubMed Central  PubMed  Google Scholar 

  • Enock, P. M., Hofmann, S. G., & McNally, R. J. (2014). Attention bias modification training via smartphone to reduce social anxiety: A randomized controlled multi-session experiment. Cognitive Therapy and Research. doi:10.1007/s10608-014-9606-z.

  • Fox, E., Zougkou, K., Ridgewell, A., & Garner, K. (2011). The serotonin transporter gene alters sensitivity to attention bias modification: Evidence for a plasticity gene. Biological Psychiatry, 70, 1049–1054.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Grafton, B., Mackintosh, B., Vujic, T., & MacLeod, C. (2014). When ignorance is bliss: Explicit instruction and the efficacy of CBM-A for anxiety. Cognitive Therapy and Research. doi:10.1007/s10608-013-9579-3.

    Google Scholar 

  • Grey, S., & Mathews, A. (2000). Effects of training on interpretation of emotional ambiguity. Quarterly Journal of Experimental Psychology Section A: Human Experimental Psychology, 53(4), 1143–1162.

    Article  CAS  Google Scholar 

  • 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, 982–990. doi:10.1016/j.biopsych.2010.07.021.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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. doi:10.1037/a0024355.

    Article  PubMed  Google Scholar 

  • Hertel, P. T., & Mathews, A. (2011). Cognitive bias modification: Past perspectives, current findings, and future applications. Perspectives on Psychological Science, 6(6), 521–536. doi:10.1177/1745691611421205.

    Article  Google Scholar 

  • Holmes, E. A., Lang, T. J., & Shah, D. M. (2009). Developing interpretation bias modification as a “cognitive vaccine” for depressed mood: Imagining positive events makes you feel better than thinking about them verbally. Journal of Abnormal Psychology, 118, 76–88.

    Article  PubMed  Google Scholar 

  • Hoppitt, L., Mathews, A., Yiend, J., & Mackintosh, B. (2010). Cognitive bias modification: The role of active training in modifying emotional responses. Behavior Therapy, 41(1), 73–81.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E. (2008). Evidence-based treatment and practice. American Psychologist, 63(3), 146–159.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E., & Rabbitt, S. M. (2013). Novel models for delivering mental health services and reducing the burdens of mental illness. Clinical Psychological Science, 1(2), 170–191. doi:10.1177/2167702612463566.

    Article  Google Scholar 

  • Koster, E. H. W., Fox, E., & MacLeod, C. (2009). Introduction to the special section on cognitive bias modification in emotional disorders. Journal of Abnormal Psychology, 118(1), 1–4. doi:10.1037/a0014379.

    Article  PubMed  Google Scholar 

  • Mackintosh, B., Mathews, A., Eckstein, D., & Hoppitt, L. (2013). Specificity effects in the modification of interpretation bias and stress reactivity. Journal of Experimental Psychopathology, 4(2), 133–147.

    Google Scholar 

  • Mackintosh, B., Mathews, A., Yiend, J., Ridgeway, V., & Cook, E. (2006). Induced biases in emotional interpretation influence stress vulnerability and endure despite changes in context. Behavior Therapy, 37(3), 209–222.

    Article  PubMed  Google Scholar 

  • MacLeod, C., Koster, E. H. W., & Fox, E. (2009). Whither cognitive bias modification research? Commentary on the special section articles. Journal of Abnormal Psychology, 118(1), 89–99. doi:10.1037/a0014878.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Micco, J. A., Henin, A., & Hirschfeld-Becker, D. R. (2014). Efficacy of interpretation bias modification in depressed adolescents and young adults. Cognitive Therapy and Research. doi:10.1007/s10608-013-9578-4.

    Google Scholar 

  • Mobini, S., Reynolds, S., & Mackintosh, B. (2013). Clinical implications of cognitive bias modification for interpretative biases in social anxiety: An integrative literature review. Cognitive Therapy and Research, 37(1), 73–182. doi:10.1007/s10608-012-9445-8.

    Article  Google Scholar 

  • Mogoase, C., David, D., & Koster, E. H. W. (2014). Clinical efficacy of attentional bias modification procedures: An updated meta-analysis. Journal of Clinical Psychology.

  • See, J., MacLeod, C., & Bridle, R. (2009). The reduction of anxiety vulnerability through the modification of attentional bias: A real-world study using a home-based cognitive bias modification procedure. Journal of Abnormal Psychology, 118(1), 65–75.

    Article  PubMed  Google Scholar 

  • 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, 558–570.

    Article  PubMed  Google Scholar 

  • Standage, H., Harris, J., & Fox, E. (2013). The influence of social comparison on cognitive bias modification and emotional vulnerability. Emotion. doi:10.1037/a0034226.

    PubMed  Google Scholar 

  • The Free Dictionary. (2014). The Free Dictionary. Retrieved from http://www.thefreedictionary.com/commentary.

  • Torkan, H., Blackwell, S. E., Holmes, E. A., Kalantari, M., Neshat-Doost, H. T., Maroufi, M., et al. (2014). Positive imagery cognitive bias modification in treatment-seeking patients with major depression in Iran: A pilot study. Cognitive Therapy and Research. doi:10.1007/s10608-014-9598-8.

  • Van Bockstaele, B., Verschuere, B., Tibboel, H., De Houwer, J., Crombez, G., & Koster, E. H. (2013). A review of current evidence for the causal impact of attentional bias on fear and anxiety. Psychological Bulletin. doi:10.1037/a0034834.

  • Vrijsen, J. N., Becker, E. S., Rinck, M., van Oostrom, I., Speckens, A., Whitmer, A., et al. (2014). Can memory bias be modified? The effects of an explicit cued-recall training in two independent samples. Cognitive Therapy and Research. doi:10.1007/s10608-013-9563-y.

    Google Scholar 

  • Wiers, R. W., Gladwin, T. E., Hofmann, W., Salemink, E., & Ridderinkhof, K. R. (2013). Cognitive bias modification and cognitive control training in addiction and related psychopathology: Mechanisms, clinical perspectives and ways forward. Clinical Psychological Science. doi:10.1177/2167702612466547.

  • Wittchen, H. U. (2012). The burden of mood disorders. Science, 338(6103), 15. doi:10.1126/science.1230817.

    Article  CAS  PubMed  Google Scholar 

  • World Health Organization. (2008). The global burden of disease: 2004 update. Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • 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. doi:10.1007/s10608-014-9605-0.

  • Yiend, J., Lee, J.-S., Tekes, S., Atkins, L., Mathew, A., Wrinten, M., et al. (2014). Modifying interpretation in a clinically depressed sample using ‘cognitive bias modification-errors’: A double blind randomised controlled trial. Cognitive Therapy and Research. doi:10.1007/s10608-013-9571-y.

    Google Scholar 

  • Yiend, J., Mackintosh, B., & Mathews, A. (2005). The enduring consequences of experimentally induced biases in interpretation. Behaviour Research and Therapy, 43(6), 779–797.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Elaine Fox is supported by a European Research Council (ERC) Advanced Investigator Award (Grant No. 324176). Emily Holmes is supported by the Medical Research Council (UK) intramural programme (MC-A060-5PR50), a Welcome Trust Clinical Fellowship (WT088217), the Lupina Foundation and the National Institute for Health Research (NIHR) Oxford Biomedical Research Centre Programme. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

Conflict of Interest

Elaine Fox, Bundy Mackintosh and Emily A. Holmes declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Experimental Psychology, University of Oxford, Tinbergen Building, 9 South Parks Road, Oxford, OX1 3UD, UK

    Elaine Fox

  2. University of Essex, Essex, UK

    Bundy Mackintosh

  3. MRC Cognition and Brain Sciences Unit, Cambridge, UK

    Emily A. Holmes

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  1. Elaine Fox
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  2. Bundy Mackintosh
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  3. Emily A. Holmes
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Correspondence to Elaine Fox.

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Fox, E., Mackintosh, B. & Holmes, E.A. Travellers’ Tales in Cognitive Bias Modification Research: A Commentary on the Special Issue. Cogn Ther Res 38, 239–247 (2014). https://doi.org/10.1007/s10608-014-9604-1

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