The effectiveness of an attention bias modification program as an adjunctive treatment for Post-Traumatic Stress Disorder

Behaviour Research and Therapy

Volumn 63, Issue , 2014, Pages 25-35

  Kuckertz, Jennie M ^a   Amir, Nader ^a   Boffa, Joseph W ^a   Warren, Ciara K ^a   Rindt, Susan E M ^b   Norman, Sonya ^c,d   Ram, Vasudha ^e   Ziajko, Lauretta ^e   Webb Murphy, Jennifer ^e   McLay, Robert ^e  

^a SAN DIEGO STATE UNIVERSITY   (United States)

^b Aurora Behavioral Health Care   (United States)

^c UNIVERSITY OF CALIFORNIA   (United States)

^d National Center for PTSD   (United States)

^e Naval Center for Combat and oOperational Stress Control   (United States)

Author keywords

Attention training; Cognitive bias modification; PTSD

Indexed keywords

ADULT; ARTICLE; ATTENTION BIAS MODIFICATION; ATTENTIONAL BIAS; CLINICAL ARTICLE; COGNITIVE THERAPY; COMMUNITY HOSPITAL; CONTROLLED STUDY; DEPRESSION; FEMALE; HOSPITAL PATIENT; HUMAN; MALE; NERVE CELL PLASTICITY; POSTTRAUMATIC STRESS DISORDER; PSYCHOPHARMACOTHERAPY; PSYCHOTHERAPY; RANDOMIZED CONTROLLED TRIAL; SOLDIER; ATTENTION; MIDDLE AGED; PROCEDURES; PSYCHOLOGY; STRESS DISORDERS, POST-TRAUMATIC; TREATMENT OUTCOME; YOUNG ADULT;

ADULT; ATTENTION; COGNITIVE THERAPY; FEMALE; HUMANS; MALE; MIDDLE AGED; MILITARY PERSONNEL; STRESS DISORDERS, POST-TRAUMATIC; TREATMENT OUTCOME; YOUNG ADULT;

EID: 84907813939     PISSN: 00057967     EISSN: 1873622X     Source Type: Journal    
DOI: 10.1016/j.brat.2014.09.002     Document Type: Article

References (67)

1. American Psychiatric Association Diagnostic and statistical manual of mental disorders 2000, Author, Washington, DC. 4th ed., text rev.
2. American Psychiatric Association Diagnostic and statistical manual of mental disorders 2013, American Psychiatric Publishing, Arlington, VA. 5th ed.
3. Amir N., Beard C., Burns M., Bomyea J. Attention modification program in individuals with generalized anxiety disorder. Journal of Abnormal Psychology 2009, 118:28-33. 10.1037/a0012589.
4. Amir N., Beard C., Taylor C.T., Klumpp H., Elias J., Burns M., et al. Attention training in individuals with generalized social phobia: a randomized controlled trial. Journal of Consulting and Clinical Psychology 2009, 77:961-973. 10.1037/a0012589.
5. Amir N., Taylor C.T., Donohue M. Predictors of response to an attention modification program in generalized social phobia. Journal of Consulting and Clinical Psychology 2011, 79:533-541. 10.1037/a0023808.
6. Aupperle R.L., Melrose A.J., Stein M.B., Paulus M.P. Executive function and PTSD: disengaging from trauma. Neuropharmacology 2012, 62:686-694. 10.1016/j.neuropharm.2011.02.008.
7. Bar-Haim Y. Research review: attention bias modification (ADM): a novel treatment for anxiety disorders. Journal of Child Psychology and Psychiatry 2010, 51:859-870. 10.1111/j.1469-7610.2010.02251.x.
8. Bar-Haim Y., Lamy D., Pergamin L., Bakermans-Kranenburg M.J., van IJzendoorn M.H. Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study. Psychological Bulletin 2007, 133:1-24. 10.1037/0033-2909.133.1.1.
9. Beard C. Cognitive bias modification for anxiety: current evidence and future directions. Expert Review of Neurotherapeutics 2011, 11:299-311. 10.1586/ern.10.194.
10. Beard C., Sawyer A.T., Hofmann S.G. Efficacy of attention bias modification using threat and appetitive stimuli: a meta-analytic review. Behavior Therapy 2012, 43:724-740. 10.1016/j.beth.2012.01.002.
11. Beard C., Weisberg R.B., Primack J. Socially anxious primary care patients' attitudes toward cognitive bias modification (CBM): a qualitative study. Behavioural and Cognitive Psychotherapy 2012, 40:618-633. 10.1017/S1352465811000671.
12. Beck A.T., Steer R.A., Brown G.K. Manual for the Beck Depression Inventory-II 1996, Psychological Corporation, San Antonio, TX.
13. Beevers C.G., Lee H., Wells T.T., Ellis A.J., Telch M.J. Association of predeployment gaze bias for emotion stimuli with later symptoms of PTSD and depression in soldiers deployed in Iraq. American Journal of Psychiatry 2011, 168:735-741. 10.1176/appi.ajp.2011.10091309.
14. Boettcher J., Berger T., Renneberg B. Internet-based attention training for social anxiety: a randomized controlled trial. Cognitive Therapy and Research 2012, 36:522-536. 10.1007/s10608-011-9374-y.
15. Brady K.T., Killeen T.K., Brewerton T., Lucerini S. Comorbidity of psychiatric disorders and posttraumatic stress disorder. Journal of Clinical Psychiatry 2000, 61(Suppl.7):22-32.
16. Britton J.C., Bar-Haim Y., Clementi M.A., Sankin L.S., Chen G., Shechner T., et al. Training-associated changes and stability of attention bias in youth: implications for Attention Bias Modification Treatment for pediatric anxiety. Developmental Cognitive Neuroscience 2013, 4:52-64. 10.1016/j.dcn.2012.11.001.
17. Buckley T.C., Blanchard E.B., Neil W. Information processing and PTSD: a review of the empirical literature. Clinical Psychology Review 2000, 20:1041-1065. 10.1016/S0272-7358(99)00030-6.
18. Carlbring P., Löfqvist M., Sehlin H., Amir N., Rousseau A., Hofman S., et al. Internet-delivered attention bias modification training in individuals with social anxiety disorder - a double blind randomized controlled trial. BMC Psychiatry 2012, 12(66). 10.1186/1471-244X-12-66.
19. Clarke P.F., Chen N.M., Guastella A.J. Prepared for the best: readiness to modify attentional processing and reduction in anxiety vulnerability in response to therapy. Emotion 2012, 12:487-494. 10.1037/a0025592.
20. Clarke J.F., Notebaert L., MacLeod C. Absence of evidence or evidence of absence: reflecting on therapeutic implementations of attentional bias modification. PMC Psychiatry 2014, 14(8). 10.1186/1471-244X-14-8.
21. Cohen J. Statistical power analysis for the behavioral sciences 1988, Lawrence Earlbaum Associates, Hillsdale, NJ. 2nd ed.
22. Ehlers A., Ehring T., Kleim B. Information processing in posttraumatic stress disorder. The Oxford handbook of traumatic stress disorders 2012, 191-218. Oxford University Press, New York, NY, US. J. Beck, D.M. Sloan (Eds.).
23. Enock P.M., Hofmann S.G., McNally R.J. Attention bias modification training via smartphone to reduce social anxiety: a randomized, controlled multi-session experiment. Cognitive Therapy and Research 2014, 38:200-216. 10.1007/s10608-014-9606-z.
24. Eysenck M.W., Derakshan N., Santos R., Calvo M.G. Anxiety and cognitive performance: attentional control theory. Emotion 2007, 7:336-353. 10.1037/1528-3542.7.2.336.
25. Flay B.R. Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Preventive Medicine 1986, 15:451-474.
26. Foa E.B., Hembree E.A., Cahill S.P., Rauch S.A., Riggs D.S., Feeny N.C., et al. Randomized trial of prolonged exposure for posttraumatic stress disorder with and without cognitive restructuring: outcome at academic and community clinics. Journal of Consulting and Clinical Psychology 2005, 73:953. 10.1037/0022-006X.73.5.953.
27. Foa E.B., Keane T.M., Firedman M.J. Guidelines for treatment of PTSD. Journal of Traumatic Stress 2000, 13:539-588.
28. Gibbons R.D., Hedeker D., DuToit S. Advances in analysis of longitudinal data. Annual Review of Clinical Psychology 2010, 6:79-107. 10.1146/annurev.clinpsy.032408.153550.
29. Hakamata Y., Lissek S., Bar-Haim Y., Britton J.C., Fox N.A., Leibenluft E., et al. Attention bias modification treatment: a meta-analysis toward the establishment of novel treatment for anxiety. Biological Psychiatry 2010, 68:982-990. 10.1016/j.biopsych.2012.07.021.
30. Hallion L.S., Ruscio A. Ameta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin 2011, 137:940-958. 10.1037/a0024355.
31. Hayes A.F. PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling 2012, [White paper], Retrieved from. http://www.afhayes.com/public/process2012.pdf.
32. Hayes A.F. Model templates for PROCESS for SPSS and SAS 2013, Retrieved from. http://www.afhayes.com/public/templates.pdf.
33. Heeren A., Reese H.E., McNally R.J., Philippot P. Attention training toward and away from threat in social phobia: effects on subjective, behavioral, and physiological measures of anxiety. Behaviour Research and Therapy 2012, 50:30-39. 10.1016/j.brat.2011.10.005.
34. Iacoviello A.B., Wu G., Abend R., Murrough J.W., Feder A., Fruchter E., et al. Attention bias variability and symptoms of Posttraumatic Stress Disorder. Journal of Traumatic Stress 2014, 27:232-239. 10.1002/jts.21899.
35. IBM Corp.Released IBM SPSS Statistics for Windows, Version 20.0 2011, IBM Corp, Armonk, NY.
36. Johnson P.O., Neyman J. Tests of certain linear hypotheses and their application to some educational problems. Statistical Research Memoirs 1936, 1:57-93.
37. Kessler R.C., Chiu W., Demler O., Walters E.E. Lifetime prevalence and age-of-onset distribution of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 2005, 62:593-602. 10.1001/archpsyc.62.6.593.
38. Klumpp H., Amir N. Preliminary study of attention training to threat and neutral faces on anxious reactivity to a social stressor in social anxiety. Cognitive Therapy and Research 2010, 34:263-271. 10.1007/s10608-009-9251-0.
39. Klumpp H., Fitzgerald D.A., Angstadt M., Post D., Phan K.L. Neural responses during attentional control and emotion processing predicts improvements after cognitive behavioral therapy in generalized social anxiety disorder. Psychological Medicine 2014, Advance online publication. 10.1017/S0033291714000567.
40. Kosslyn S.M., Brown H.D., Dror I.E. Aging and the scope of visual attention. Gerontology 1999, 45:102-109. 10.1159/000022071.
41. Kraemer H.C., Kiernan M., Essex M., Kupfer D.J. How and why criteria defining moderators and mediators differ between the Baron & Kenny and MacArthur approaches. Health Psychology 2008, 27(2 Suppl.):S101-S108. 10.1037/0278-6133.27.2(Suppl.).S101.
42. Kuckertz J.M., Gildebrant E., Liliequist B., Karlström P., Väppling C., Bodlund O., et al. Moderation and mediation of the effect of attention training in social anxiety disorder. Behaviour Research and Therapy 2014, 53:30-40. 10.1016/j.brat.2013.12.003.
43. Laird N.M., Ware J.H. Random-effects models for longitudinal data. Biometrics 1982, 38:963-974.
44. MacLeod C., Mathews A., Tata P. Attentional bias in emotional disorders. Journal of Abnormal Psychology 1986, 95:15-20. 10.1037/0021-843X.95.1.15.
45. MacKinnon D. Moderators, mediators, and mechanisms. Revisiting Pasteur's quadrant: Use inspired basic research. Proceedings of the National Institute of Health, USA 2012, Summary report retrieved from: http://commonfund.nih.gov/sites/default/files/FINAL_Oct_2012_SOBC_Pasteur_s_Quadrant_report_REV_3-4-13v2%5B1%5D.pdf.
46. Maxwell S.E., Delany H.D. An introduction to multilevel models for within-subjects designs. Designing experiments and analyzing data: A model comparison perspective 2004, 763-827. Lawrence Erlbaum Associated, Publishers, Mahwah, NJ. 2nd ed.
47. Najmi S., Amir N. The effect of attention training on a behavioral test of contamination fears in individuals with subclinical obsessive-compulsive symptoms. Journal of Abnormal Psychology 2010, 119:135-142. 10.1037/a0017549.
48. Neubauer K., von Auer M., Murrary E., Petermann F., Heilig-Lang S., Gerlach A.L. Internet-delivered attention modification training as a treatment for social phobia: a randomized controlled trial. Behaviour Research and Therapy 2013, 51:87-97. 10.1016/j.brat.2012.10.006.
49. Pinheiro J., Bates D., DebRoy S., Sarkar D., R Core Team nlme: Linear and Nonlinear Mixed Effects Models. R package version 3.1-117 2014, http://CRAN.R-project.org/package=nlme.
50. Preacher K.J., Hayes A.F. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers 2004, 36:717-731.
51. Ramchand R., Schell T.L., Karney B.R., Osilla K., Burns R.M., Caldarone L. Disparate prevalence estimates of PTSD among service members who served in Iraq and Afghanistan: possible explanations. Journal of Traumatic Stress 2010, 23:59-68. 10.1002/jts.
52. Rapee R.M., MacLeod C., Carpenter L., Gaston J.E., Frei J., Peters L., et al. Integrating cognitive bias modification into a standard cognitive behavioural treatment package for social phobia: a randomized controlled trial. Behaviour Research and Therapy 2013, 51(4-5):207-215. 10.1016/j.brat.2013.01.005.
53. R Development Core Team R: A language and environment for statistical computing 2012, [Computer software], Retrieved from. http://www.R-project.org.
54. Resick P.A., Nishith P., Weaver T.L., Astin M.C., Feurer C.A. Acomparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims. Journal of Consulting and Clinical Psychology 2002, 70:867-879. 10.1037/0022-006X.70.4.867.
55. Riemann B.C., Kuckertz J.M., Rozenman M., Weersing V., Amir N. Augmentation of youth cognitive behavioral and pharmacological interventions with attention modification: a preliminary investigation. Depression and Anxiety 2013, 30:822-828. 10.1002/da.22127.
56. Rosenthal R., Rosnow R.L. Essentials of behavioral research: Methods and data analysis 1991, McGraw Hill, New York, NY. 2nd ed.
57. Rozenman M., Weersing V., Amir N. Acase series of attention modification in clinically anxious youths. Behaviour Research and Therapy 2011, 49:324-330. 10.1016/j.brat.2011.02.007.
58. Schmidt N.B., Richey J., Buckner J.D., Timpano K.R. Attention training for generalized social anxiety disorder. Journal of Abnormal Psychology 2009, 118:5-14. 10.1037/a0013643.
59. Schnurr P.P., Lunney C.A., Sengupta A., Waelde L.C. Adescriptive analysis of PTSD chronicity in Vietnam veterans. Journal of Traumatic Stress 2003, 16:545-553. 10.1023/B: JOTS.0000004077.22408.cf.
60. Schoorl M., Putman P., van Der Does W. Attentional bias modification in posttraumatic stress disorder: a randomized controlled trial. Psychotherapy and Psychosomatics 2013, 82:99-105. 10.1159/000341920.
61. Schoorl M., Putman P., Mooren T.M., van Der Werff S., van Der Does W. Attentional bias modification in Dutch veterans with posttraumatic stress disorder-a case series with a personalized treatment version. Journal of Traumatic Stress 2014, 27:240-243. 10.1002/jts.21896.
62. Sipos M.L., Bar-Haim Y., Abend R., Adler A.B., Bliese P.D. Postdeployment threat-related attention bias interacts with combat exposure to account for PTSD and anxiety symptoms in soldiers. Depression and Anxiety 2014, 31:124-129. 10.1002/da.22157.
63. Sobel M.E. Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology 1982, 13:290-312. 10.2307/270723.
64. Thomas C.L., Goegan L.D., Newman K.R., Arndt J.E., Sears C.R. Attention to threat images in individuals with clinical and subthreshold symptoms of post-traumatic stress disorder. Journal of Anxiety Disorders 2013, 27:447-455. 10.1016/j.janxdis.2013.05.005.
65. Wald I., Degnan K.A., Gorodetsky E., Charney D.S., Fox N.A., Fruchter E., et al. Attention to threats and combat-related posttraumatic stress symptoms: prospective associations and moderation by the serotonin transporter gene. JAMA Psychiatry 2013, 70(4):401-409.
66. Weathers F., Litz B., Herman D., Huska J., Keane T. The PTSD checklist: reliability, validity, & diagnostic utility. Annual Meeting of the International Society of Traumatic Stress Studies, San Antonio, TX 1993.
67. Weathers F., Litz B., Huska J., Keane T. PTSD checklist-military version 1994, National Center for PTSD. Behavioral Sciences Division, Boston.