The attentional bias modification approach to anxiety intervention

Clinical Psychological Science

Volumn 3, Issue 1, 2015, Pages 58-78

  MacLeod, Colin ^a,b   Clarke, Patrick J F ^a  

^a UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^b BABE BOLYAI UNIVERSITY   (Romania)

Author keywords

Anxiety; Anxiety disorders; Attention; Cognition; Cognitive processes; Emotion

Indexed keywords

EID: 84923235137     PISSN: 21677026     EISSN: 21677034     Source Type: Journal    
DOI: 10.1177/2167702614560749     Document Type: Article

References (78)

1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
2. Amir, N., Beard, C., Burns, M., & Bomyea, J. (2009). Attention modification program in individuals with generalized anxiety disorder. Journal of Abnormal Psychology, 118, 28-33.
3. Amir, N., Beard, C., Taylor, C. T., Klumpp, H., Elias, J., Burns, M., & Chen, X. (2009). Attention training in individuals with generalized social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 77, 961-973.
4. Amir, N., Weber, G., Beard, C., Bomyea, J., & Taylor, C. T. (2008). The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. Journal of Abnormal Psychology, 117, 860-868.
5. Arditte, K. A., & Joormann, J. (2014). Rumination moderates the effects of cognitive bias modification of attention. Cognitive Therapy and Research, 38, 189-199.
6. Bar-Haim, Y. (2010). Research review: Attention bias modification (ABM): A novel treatment for anxiety disorders. Journal of Child Psychology and Psychiatry, 51, 859-870.
7. Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van Ijzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A metaanalytic study. Psychological Bulletin, 133, 1-24.
8. Bar-Haim, Y., Morag, I., & Glickman, S. (2011). Training anxious children to disengage attention from threat: A randomized controlled trial. Journal of Child Psychology and Psychiatry, 52, 861-869.
9. Beard, C. (2011). Cognitive bias modification (CBM) for anxiety: Current evidence and future directions. Expert Review of Neurotherapeutics, 11, 299-311.
10. 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, 724-740.
11. Bechor, M., Pettit, J. W., Silverman, W. K., Bar-Haim, Y., Abend, R., Pine, D. S.,. Jaccard, J. (2014). Attention bias modification treatment for children with anxiety disorders who do not respond to cognitive behavioral therapy: A case series. Journal of Anxiety Disorders, 28, 154-159.
12. Belsky, J., & Hartman, S. (2014). Gene-environment interaction in evolutionary perspective: Differential susceptibility to environmental influences. World Psychiatry, 13, 87-89.
13. Bernstein, A., & Zvielli, A. (2014). Attention feedback awareness and control training (A-FACT): Experimental test of a novel intervention paradigm targeting attentional bias. Behaviour Research and Therapy, 55, 18-26.
14. Boettcher, J., Berger, T., & Renneberg, B. (2012). Internet-based attention training for social anxiety: A randomized controlled trial. Cognitive Therapy and Research, 36, 522-536.
15. Boettcher, J., Hasselrot, J., Sund, E., Andersson, G., & Carlbring, P. (2014). Combining attention training with internet-based cognitive-behavioral self-help for social anxiety: A randomised controlled trial. Cognitive Behaviour Therapy, 43, 34-48.
16. Boettcher, J., Leek, L., Matson, L., Holmes, E. A., Browning, M., MacLeod, C.,. Carlbring, P. (2013). Internet-based attention bias modification for social anxiety: A randomised controlled comparison of training towards negative and training towards positive cues. PLoS ONE, 8, e71760. doi: 10. 1371/journal. pone. 0071760.
17. Britton, J. C., Bar-Haim, Y., Clementi, M. A., Sankin, L. S., Chen, G., Shechner, T.,. Pine, D. S. (2013). Training-associated changes and stability of attention bias in youth: Implications for attention bias modification treatment for pediatric anxiety. Developmental Cognitive Neuroscience, 4, 52-64.
18. Browning, M., Holmes, E. A., Murphy, S. E., Goodwin, G. M., & Harmer, C. J. (2010). Lateral prefrontal cortex mediates the cognitive modification of attentional bias. Biological Psychiatry, 67, 919-925.
19. Bunnell, B. E., Beidel, D. C., & Mesa, F. (2013). A randomized trial of attention training for generalized social phobia: Does attention training change social behavior? Behavior Therapy, 4, 662-673.
20. Carlbring, P., Apelstrand, M., Sehlin, H., Amir, N., Rousseau, A., Hofmann, S., & Andersson, G. (2012). Internet-delivered attention bias modification training in individuals with social anxiety disorder-A double blind randomized controlled trial. BMC Psychiatry, 12, 66.
21. Cisler, J. M., & Koster, E. H. (2010). Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clinical Psychology Review, 30, 203-216.
22. Clarke, P. J. F., Browning, M., Hammond, G., Notebaert, L., & MacLeod, C. (2014). The causal role of the dorsolateral prefrontal cortex in the modification of attentional bias: Evidence from transcranial direct current stimulation. Biological Psychiatry. Advance online publication. doi: http://dx. doi. org/10. 1016/j. biopsych. 2014. 03. 003.
23. Clarke, P. J. F., Chen, N. T. M., & Guastella, A. J. (2012). Prepared for the best: Readiness to modify attentional processing and reduction in anxiety vulnerability in response to therapy. Emotion, 12, 487-494.
24. 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.
25. 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.
26. Dandeneau, S. D., & Baldwin, M. W. (2004). The inhibition of socially rejecting information among people with high versus low self-esteem: The role of attentional bias and the effects of bias reduction training. Journal of Social and Clinical Psychology, 23, 584-602.
27. Dandeneau, S. D., & Baldwin, M. W. (2009). The buffering effects of rejection-inhibiting attentional training on social and performance threat among adult students. Contemporary Educational Psychology, 34, 42-50.
28. Dandeneau, S. D., Baldwin, M. W., Baccus, J. R., Sakellaropoulo, M., & Pruessner, J. C. (2007). Cutting stress off at the pass: Reducing vigilance and responsiveness to social threat by manipulating attention. Journal of Personality and Social Psychology, 93, 651-666.
29. Dennis, T. A., & O'Toole, L. J. (2014). Mental health on the go: Effects of a gamified attention-bias modification mobile application in trait-anxious adults. Clinical Psychological Science, 2, 576-590. doi: 10. 1177/2167702614522228.
30. De Voogd, E. L., Wiers, R. W., Prins, P. J. M., & Salemink, E. (2014). Visual search attentional bias modification reduced social phobia in adolescents. Journal of Behavior Therapy and Experimental Psychiatry, 45, 252-259.
31. Eldar, S., Apter, A., Lotan, D., Edgar, K. P., Naim, R., Fox, N. A.,. Bar-Haim, Y. (2012). Attention bias modification treatment for pediatric anxiety disorders: A randomized controlled trial. American Journal of Psychiatry, 169, 213-220.
32. Eldar, S., Ricon, T., & Bar-Haim, Y. (2008). Plasticity in attention: Implications for stress response in children. Behaviour Research and Therapy, 46, 450-461.
33. Emmelkamp, P. (2012). Attention bias modification: the Emperor's new suit? BMC Medicine, 10, 63.
34. 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, 38, 200-216.
35. 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.
36. Grafton, B., Ang, C., & Macleod, C. (2012). Always look on the bright side of life: The attentional basis of positive affectivity. European Journal of Personality, 26, 133-144.
37. 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, 38, 172-188.
38. Grafton, B., Notebaert, L., & MacLeod, C. (2013, July). Emotion in motion: A novel approach to the assessment and modification of attentional bias. Paper presented at the 7th World Congress of Behavioral and Cognitive Therapies, Lima, Peru.
39. 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, 982-990.
40. Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 137, 940-958.
41. Hayes, S., Hirsch, C. R., & Mathews, A. (2010). Facilitating a benign attentional bias reduces negative thought intrusions. Journal of Abnormal Psychology, 119, 235-240.
42. Hazen, R. A., Vasey, M. W., & Schmidt, N. B. (2009). Attentional retraining: A randomized clinical trial for pathological worry. Journal of Psychiatric Research, 43, 627-633.
43. Hertel, P. T., & Mathews, A. (2011). Cognitive bias modification: Past perspectives, current findings, and future applications. Perspectives on Psychological Science, 6, 521-536.
44. Hirsch, C. R., MacLeod, C., Mathews, A., Sandher, O., Siyani, A., & Hayes, S. (2011). The contribution of attentional bias to worry: Distinguishing the roles of selective engagement and disengagement. Journal of Anxiety Disorders, 25, 272-277.
45. Kapp, K. M. (2012). The gamification of learning and instruction. San Francisco, CA: John Wiley.
46. Klumpp, H., & Amir, N. (2010). Preliminary study of attention training to threat and neutral faces on anxious reactivity to a social stressor in social anxiety. Cognitive Therapy and Research, 34, 263-271.
47. Krebs, G., Hirsch, C. R., & Mathews, A. (2010). The effect of attention modification with explicit vs. minimal instructions on worry. Behaviour Research and Therapy, 48, 251-256.
48. Kuckertz, J. M., Gildebrant, E., Liliequist, B., Karlström, P., Väppling, C., Bodlund, O.,. Carlbring, P. (2014). Moderation and mediation of the effect of attention training in social anxiety disorder. Behaviour Research and Therapy, 53, 30-40.
49. Li, S., Tan, J., Qian, M., & Liu, X. (2008). Continual training of attentional bias in social anxiety. Behaviour Research and Therapy, 46, 905-912.
50. MacLeod, C., & Mathews, A. (2012). Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology, 8, 189-217.
51. MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95, 15-20.
52. 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, 107-123.
53. Maoz, K., Abend, R., Fox, N. A., Pine, D. S., & Bar-Haim, Y. (2013). Subliminal attention bias modification training in socially anxious individuals. Frontiers of Human Neuroscience, 7, 389. doi: 10. 3389/fnhum. 2013. 00389.
54. Mathews, A., & MacLeod, C. (1985). Selective processing of threat cues in anxiety states. Behaviour Research & Therapy, 23, 563-569.
55. Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 1, 167-195.
56. McNally, R. J., Enock, P. M., Tsai, C., & Tousian, M. (2013). Attention bias modification for reducing speech anxiety. Behaviour Research and Therapy, 51, 882-888.
57. Miltner, W. H. R., Krieschel, S., Hecht, H., Trippe, R., & Weiss, T. (2004). Eye movements and behavioral responses to threatening and nonthreatening stimuli during visual search in phobic and nonphobic subjects. Emotion, 4, 323-339.
58. Mogoase, C., David, D., & Koster, E. H. (2014). Clinical efficacy of attentional bias modification procedures: An updated meta-analysis. Journal of Clinical Psychology, 70, 1133-1157. doi: 10. 1002/jclp. 22081.
59. Najmi, S., & Amir, N. (2010). The effect of attention training on a behavioral test of contamination fears in individuals with subclinical obsessive-compulsive symptoms. Journal of Abnormal Psychology, 119, 136-142.
60. Notebaert, L., Clarke, P. J. F., Gafton, B., & MacLeod, C. (under review). Validating a novel Attentional Bias Modification Task: The future may be in the cards. Behaviour Research and Therapy.
61. Rapee, R. M., MacLeod, C., Carpenter, L., Gaston, J. E., Frei, J., Peters, L., & Baillie, A. J. (2013). Integrating cognitive bias modification into a standard cognitive behavioural treatment package for social phobia: A randomized controlled trial. Behaviour Research and Therapy, 51, 207-215. doi: http://dx. doi. org/10. 1016/j. brat. 2013. 01. 005.
62. 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, 657-662.
63. Riemann, B. C., Kuckertz, J. M., Rozenman, M., Weersing, V. R., & Amir, N. (2013). Augmentation of youth cognitive behavioural and pharmacological interventions with attention modification: A preliminary investigation. Depression and Anxiety, 30, 822-828.
64. Rinck, M., Reinecke, A., Ellwart, T., Heuer, K., & Becker, E. S. (2005). Speeded detection and increased distraction in fear of spiders: Evidence from eye movements. Journal of Abnormal Psychology, 114, 235-248.
65. Rozenman, M., Weersing, V., & Amir, N. (2011). A case series of attention modification in clinically anxious youths. Behaviour Research and Therapy, 49, 324-330.
66. Schmidt, N. B., Richey, J., Buckner, J. D., & Timpano, K. R. (2009). Attention training for generalized social anxiety disorder. Journal of Abnormal Psychology, 118, 5-14.
67. Schmukle, S. C. (2005). Unreliability of the dot probe task. European Journal of Personality, 19, 595-605.
68. Schoorl, M., Putman, P., Mooren, T. M., Van der Werff, S., & Van der Does, W. (2014). Attentional bias modification in Dutch veterans with posttraumatic stress disorder: A case series with a personalized treatment version. Journal of Traumatic Stress, 27, 240-243.
69. Schoorl, M., Putman, P., & Van Der Does, W. (2013). Attentional bias modification in posttraumatic stress disorder: A randomized controlled trial. Psychotherapy and Psychosomatics, 82, 99-105.
70. 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, 65-75.
71. Shechner, T., Rimon-Chakir, A., Britton, J. C., Lotan, D., Apter, A., Bliese, P. D.,. Bar-Haim, Y. (2014). Attention bias modification treatment augmenting effects on cognitive behavioral therapy in children with anxiety: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 53, 61-71.
72. Shipstead, Z., Redick, T. S., & Engle, R. W. (2012). Is working memory training effective? Psychological Bulletin, 138, 628.
73. Stuss, D. T., & Knight, R. T. (Eds.). (2013). Principles of frontal lobe function (2nd ed.). Oxford, UK: Oxford University Press.
74. Titz, C., & Karbach, J. (2014). Working memory and executive functions: Effects of training on academic achievement. Psychological Research, 78, 852-868.
75. Van Bockstaele, B., Verschuere, B., Koster, E. H., Tibboel, H., De Houwer, J., & Crombez, G. (2011). Effects of attention training on self-reported, implicit, physiological and behavioural measures of spider fear. Journal of Behavior Therapy and Experimental Psychiatry, 42, 211-218.
76. Waters, A. M., Pittaway, M., Mogg, K., Bradley, B. P., & Pine, D. S. (2013). Attention training towards positive stimuli in clinically anxious children. Developmental Cognitive Neuroscience, 4, 77-84.
77. Watts, F. N., McKenna, F. P., Sharrock, R., & Trezise, L. (1986). Colour naming of phobia-related words. British Journal of Psychology, 77, 97-108.
78. Williams, J., Mathews, A., & MacLeod, C. (1996). The emotional Stroop task and psychopathology. Psychological Bulletin, 120, 3-24.