A comparative study of drug-related attentional bias: Evidence from Iran.

The Addiction-Stroop test has been widely used to investigate the attentional correlates of alcohol and drug abuse; however, the majority of the studies have been conducted with European and American participants. The present study tested whether Iranian drug abusers show higher attentional bias for drug-related stimuli. Participants included drug abusers (N = 53; 100% male), with a clinical history of opium and heroin abuse, who were in a Methadone Maintenance Therapy program. Only nonabusers (N = 71; 71, 54% male) with a history of having never abused of drugs or alcohol participated in the study as controls. All participants completed a computerized Persian version of classic and addiction Stroop tests. The results of a multivariate analysis of covariance (MANCOVA) showed that drug abusers had a higher attentional bias for drug-related stimuli than nonabusers, after the effects of age and education had been controlled. The results of repeating the MANCOVA (a) limited to men only, and (b) to men and women in the nonabuser sample showed that the observed difference in the drug-related attentional bias of drug-abusers and nonabusers was not an artifact of gender imbalance. Our findings support the idea that drug-related attentional bias is culture-free. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of smoking opportunity on attentional bias in smokers.

The emotional Stroop task was used to examine the influence of opportunity to smoke on attentionall bias to smoking-related stimuli. At the outset of the study, 92 nicotine-deprived smokers were told that they (a) would, (b) would not, or (c) might be able to smoke during the experiment. Next, participants completed an emotional Stroop task, in which they were presented with smoking-related or -unrelated words in an unblocked format. Smokers demonstrated interference to the smoking words, relative to matched neutral words, F(1, 87)?=?18.0, p?F(2, 87)?=?4.35, p?     

Attentional biases for threatening faces in children: Vigilant and avoidant processes.

The authors examined the processing of threat-related information in childhood anxiety with the emotional Stroop task and the dot probe task. In study 1, a nonclinical sample of 112 pupils (mean age = 9 years) performed pictorial versions of both tasks. For each task, an index indicating a bias for threat processing was computed. Positive correlations were found between these indices and anxiety. When compared with the original emotional Stroop index, the absolute value of the emotional Stroop index was a better predictor of anxiety. It was possible to replicate this result in study 2 with 80 pupils (mean age = 8.6 years). Results are discussed with regard to vigilance and avoidance as basic mechanisms underlying performance on the tasks. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Substance use and the paradox of good and bad attentional bias.

Habitual substance use is associated with attentional bias for stimuli related to the use. The current study tested whether individuals’ substance use can be predicted from their attentional bias for concern-related and substance-related stimuli. Participants (N = 71; 54% male) were selected among university students and the community. The study was conducted in Iran, in which alcohol consumption is illegal. Participants completed a substance use questionnaire and classic, substance-, and concern-related Stroop tests. The results show that after controlling for demographic variables and classic Stroop interference, increases in substance-related but decreases in concern-related reaction times predicted the amount of substances that had been consumed by the participants. Individuals’ attentional bias for both substance-related and substance-unrelated goals may be important in predicting substance use behavior. The implication of the findings for treatment prognosis has been discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attentional bias is associated with incentive-related physiological and subjective measures.

Drug cue reactivity is theoretically and clinically important. The modified Stroop task has been widely used to assess attention capture by drug cues (attentional bias). Attentional bias to drug cues is assumed to reflect the incentive value of those cues, but this has not been directly tested. The authors examined whether the smoking Stroop effect was associated with facial electromyography (EMG) assessed in real time. Heart-rate (HR) and skin conductance (SC) responses were also assessed. Smokers (n = 79) attended up to four experimental sessions. Presession Abstinence state and within-session Smoking were manipulated across sessions. Over all assessments, participants exhibited a robust smoking Stroop effect. Using Generalized Estimating Equations (GEE) analyses, the smoking Stroop effect was positively associated with zygomaticus major activity but not with corrugator supercilii activity, HR, or SC. The smoking Stroop effect was also positively associated with self-reported positive outcome expectancies from smoking and with craving. In sum, attentional bias was more strongly associated with appetitive responses (zygomaticus major activity, positive outcome expectancies) than with withdrawal responses (e.g., corrugator supercilii activity) or measures of physiological arousal (e.g., HR, SC). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Detection versus sustained attention to drug cues have dissociable roles in mediating drug seeking behavior.

It is commonly thought that attentional bias for drug cues plays an important role in motivating human drug-seeking behavior. To assess this claim, two groups of smokers were trained in a discrimination task in which a tobacco-seeking response was rewarded only in the presence of 1 particular stimulus (the S+). The key manipulation was that whereas 1 group could control the duration of S+ presentation, for the second group, this duration was fixed. The results showed that the fixed-duration group acquired a sustained attentional bias to the S+ over training, indexed by greater dwell time and fixation count, which emerged in parallel with the control exerted by the S+ over tobacco-seeking behavior. By contrast, the controllable-duration group acquired no sustained attentional bias for S+ and instead used efficient detection of the S+ to achieve a comparable level of control over tobacco seeking. These data suggest that detection and sustained attention to drug cues have dissociable roles in enabling drug cues to motivate drug-seeking behavior, which has implications for attentional retraining as a treatment for addiction. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The drink remains the same: Implicit positive associations in high but not moderate or non-caffeine users.

Research has demonstrated that high, but not low caffeine users exhibit an attentional bias to caffeine related stimuli. Separately, the Implicit Association Test (IAT; Greenwald, McGhee, & Schwartz, 1998) has been used to investigate the valence of implicit cognitions to drugs with some contradictory findings, though no work has addressed this issue with respect to caffeine. Here, we examined whether attentional bias would be found in high and moderate caffeine users using a pictorial version of the dot-probe task. A second aim was to explore differences in implicit cognitions between users and non-users. Fifteen high, moderate and non-caffeine users completed a picture dot-probe, IAT, and mood questionnaire following overnight caffeine deprivation. In the IAT, results demonstrated positive associations to caffeine related words for high but not moderate or non-users. Lower ratings for calmness were evident in both groups of caffeine compared to non-users. Dot-probe findings revealed an attentional bias among moderate caffeine users and non-users but not heavy users. The observed positive implicit associations to caffeine suggest that drug acceptability is the key in such perceptions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Emotional dilution of the Stroop effect: A new tool for assessing attention under emotion.

In order to gauge in a precise fashion the capture of attention by emotional stimuli, we developed a new tool that imports the classic Stroop effect into the realm of emotion. Strooping the typical emotion tasks enabled the derivation of a pure intraitem measure of attention under emotion. The results of two experiments showed that the classic Stroop effects were smaller with emotion than with neutral words, demonstrating the power of emotion to bias attention. This emotional dilution of the Stroop effect can serve as a general-purpose tool for assessing attention under emotion. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attentional bias for smoking and affective stimuli: A Stroop task study.

Prior research has demonstrated attentional biases to smoking-related cues among smokers, and several lines of research suggest strong ties between smoking and negative affect. The authors tested attentional biases to both smoking and affective cues in 27 smokers using an emotional Stroop paradigm, and examined the relationship between these forms of attentional bias. Findings indicated significant attentional biases to smoking-related and negative-affect words, but not positive-affect words. In addition, there was a significant correlation between the degree of attentional bias to smoking and negative-affect words. These data provide evidence of a close association between smoking-related and affective cue processing from a cognitive perspective. Potential theoretical and clinical implications for these findings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stroop interference and attention-deficit/hyperactivity disorder: A review and meta-analysis.

Previous reviews and meta-analyses that addressed abnormal Stroop interference in attention-deficit/hyperactivity disorder (ADHD) yielded mixed results. The authors of the present study argue that the inconsistencies may reflect the problematic nature of 2 frequently used methods to quantify Stroop interference-the difference score and Golden's method (C. J. Golden, 1978). Golden's method correction for base-word reading is inadequate, and the difference score is sensitive to the nature of the outcome variable. The latter can be remedied with a ratio score. Contrasting previous meta-analyses, this meta-analysis covers all age groups and all Stroop test variants, and it excludes studies using the Golden quantification method. Mean effect sizes for interference in ADHD as quantified by difference scores relative to control scores were 0.24 across all studies but 1.11 for time-per-item studies; outcome variable was a significant moderator variable, reflecting the sensitivity of the difference score to this variable. Consistency analysis of ratio scores across 19 studies reveals more interference for the ADHD groups relative to the control groups. It is concluded that interference control is consistently compromised in individuals with ADHD. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The utility of Stroop task switching as a marker for early-stage Alzheimer's disease.

[Correction Notice: An erratum for this article was reported in Vol 25(4) of Psychology and Aging (see record 2010-22172-001). Author Janet M. Duchek’s name was misspelled as Janet M. Ducheck. The online version has been corrected.] Past studies have suggested attentional control tasks such as the Stroop task and the task-switching paradigm may be sensitive for the early detection of dementia of the Alzheimer's type (DAT). The authors of the current study combined these tasks to create a Stroop switching task. Performance was compared across young adults, older adults, and individuals diagnosed with very mild dementia. Results indicated that this task strongly discriminated individuals with healthy aging from those with early-stage DAT. In a logistic regression analysis, incongruent error rates from the Stroop switching task discriminated healthy aging from DAT better than any of the other 18 cognitive tasks given in a psychometric battery. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Observational fear conditioning in the acquisition and extinction of attentional bias for threat: An experimental evaluation.

Anxious persons show automatic and strategic attentional biases for threatening information. Yet, the mechanisms and processes that underlie such biases remain unclear. The central aim of the present study was to elucidate the relation between observational threat learning and the acquisition and extinction of biased threat processing by integrating emotional Stroop color naming tasks within an observational differential fear conditioning procedure. Forty-three healthy female participants underwent several consecutive observational fear conditioning phases. During acquisition, participants watched a confederate displaying mock panic attacks (UCS) paired with a verbal stimulus (CS+), but not with a second nonreinforced verbal stimulus (CS-). As expected, participants showed greater magnitude electrodermal and verbal-evaluative (e.g., distress, fear) conditioned responses to the CS+ over the CS- word. Participants also demonstrated slower color-naming latencies to CS+ compared to the CS- word following acquisition and showed attenuation of this preferential processing bias for threat following extinction. Findings are discussed broadly in the context of the interplay between fear learning and processing biases for threat as observed in persons suffering from anxiety disorders. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attentional task aptitude and performance anxiety.

Anxious responding (trait, state, and test anxiety) has a negative impact on overt performance. Researchers have used a unidimensional method of assessing anxiety and performance, although a more informative approach would involve a comprehensive assessment battery and multiple performance tasks. Incorporating this strategy, the authors measured the impact of anxiety on 4 attentional processing tasks. Results revealed that "types" of anxiety symptoms were differentially related to attentional task performance; test anxiety accounted for the most variance in predicting performance on the Wechsler Adult Intelligence Scale-Third Edition (D. Wechsler, 1997) letter-number sequencing and digit-span subtests, trait anxiety and fear of negative evaluation were more significant in predicting Stroop performance, and math anxiety accounted for the largest variance toward understanding Paced Auditory Serial Addition Task (C. W. Lejuez, C. W. Kahler, & R. A. Brown, 2003) scores. Theoretical and clinical implications are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Combi-Stroop test for measuring food-related attentional bias.

There are methodological complexities with the supraliminal–lexical versions of the modified versions of the Stroop tests that could be responsible for inconsistencies across the literature (Field & Cox, 2008). We tested whether a combination of subliminal–pictorial and classic Stroop tests can differentiate between dieters' and nondieters' food attentional bias (FAB). Participants were dieters (n = 30) and nondieters (n = 32) who were tested 3 hr after having a meal. Each picture from among 24 high-calorie and 24 low-calorie food pictures was presented for 32 ms before the appearance of a congruent or an incongruent color word, in response to which participants were required to manually report, via a tagged keyboard, the correct color of the word as quickly and accurately as possible. Color-naming latencies and interference scores were calculated. Dieters showed the highest reaction times to incongruent color words following high-calorie food pictures; overall, dieters showed significantly higher FABs than nondieters. The Combi-Stroop test has differential validity. Moreover, findings suggest that FAB can result from early allocation of dieters' attention to food-related stimuli. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A meta-analytic investigation of the relationship between attentional bias and subjective craving in substance abuse.

Theoretical models of addiction suggest that attentional bias for substance-related cues should be associated with self-reported craving. The authors evaluated the strength of the association by performing a meta-analysis on 68 independent data sets from which correlation coefficients between subjective craving and attentional bias indices were derived. Additional stratified analyses were conducted to identify any variables that might moderate the association between craving and attentional bias. The primary meta-analysis indicated a significant, albeit weak (r = .19), association between attentional bias and craving. Stratified analyses revealed that the association was larger for illicit drug and caffeine craving than for alcohol and tobacco craving, larger for direct measures of attention (eye movement measures and event-related potential measures) than for indirect behavioral measures of attentional bias, and larger when craving strength was high than when it was low (all ps     

The reduction of anxiety vulnerability through the modification of attentional bias: A real-world study using a home-based cognitive bias modification procedure.

Recent laboratory work suggests that biased attentional responding to negative information causally impacts anxiety reactivity to a contrived laboratory stressor. However, it remains unknown whether such attentional bias contributes to real-world anxiety vulnerability. In the present study, the authors addressed this issue by experimentally inducing biased attentional response to emotionally negative stimuli, using a home-based attentional training program and then examining the influence of this attentional manipulation on trait anxiety scores and on state anxiety responses to a subsequent stressful life event. The attentional bias modification procedure was effective in inducing attentional avoidance of negative information. Furthermore, this attentional manipulation served to reduce trait anxiety scores and to attenuate state anxiety responses to the subsequent naturalistic stressor. These findings support the hypotheses that biased attentional responding to emotionally negative information contributes causally to real-world anxiety vulnerability. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effects of modafinil treatment on neuropsychological and attentional bias performance during 7-day inpatient withdrawal from methamphetamine dependence.

The cognitive benefits of modafinil to patients undergoing 7-day inpatient withdrawal from methamphetamine (MA) dependence were examined as part of a double-blind, randomized, placebo-controlled pilot trial. Recent evidence has identified modafinil-related improvements in treatment outcomes for MA-dependent patients; however, the benefits to cognition function, which is critical to treatment success but known to be impaired, has yet to be examined. The first 20 participants recruited to the study were administered either 200 mg of modafinil (once daily) or placebo, and a neuropsychological test battery (including an MA version of the emotional Stroop task) at admission (n = 17) and discharge (n = 14). Follow-up interviews were conducted at 1-month postdischarge (n = 13). After participant withdrawals (3 in each group), treatment was associated with a significant improvement in immediate verbal memory recall and nonsignificant trend toward improvement on executive function and delayed memory tasks. No benefit was seen for measures of verbal learning, visual memory, processing speed, or verbal fluency. All participants showed a significant attentional bias for MA-related stimuli on the emotional Stroop task. The magnitude of bias predicted both retention in treatment and relapse potential at follow-up but was not significantly ameliorated by modafinil treatment. While nonsignificant, the effect sizes of modafinil-related improvements in executive function and memory were consistent with those found in more robustly powered studies of cognitive benefits in attention-deficit/hyperactivity disorder and schizophrenia, supporting the need for further research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Callosal involvement in a lateralized stroop task in alcoholic and healthy subjects.

To investigate the role of interhemispheric attentional processes, 25 alcoholic and 28 control subjects were tested with a Stroop match-to-sample task and callosal areas were measured with magnetic resonance imaging. Stroop color-word stimuli were presented to the left or right visual field (VF) and were preceded by a color cue that did or did not match the word's color. For matching colors, both groups showed a right VF advantage; for nonmatching colors, controls showed a left VF advantage, whereas alcoholic subjects showed no VF advantage. For nonmatch trials, VF advantage correlated with callosal splenium area in controls but not alcoholic subjects, supporting the position that information presented to the nonpreferred hemisphere is transmitted via the splenium to the hemisphere specialized for efficient processing. The authors speculate that alcoholism-associated callosal thinning disrupts this processing route. (PsycINFO Database Record (c) 2010 APA, all rights reserved)