Attentional retraining procedures: Manipulating early or late components of attentional bias?

According to cognitive models of anxiety disorders, attentional bias for threatening information is a vulnerability factor to the etiology and maintenance of anxiety. A recently developed methodology to reduce attentional bias has been found to reduce emotional reactivity and anxiety. The present study aimed at identifying the effects of this attentional bias reduction on early and later stages of threat processing. Undergraduates were allocated to an attentional bias reduction (n = 23) versus control condition (n = 25). It was found that attentional bias reduction influenced late but not early stages of threat processing. This finding is of theoretical importance in relation to studies on the causal role of attentional bias and emotional reactivity. Moreover, the present findings also bear relevance to the clinical application of attentional retraining procedures. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Malleability of attentional bias for positive emotional information and anxiety vulnerability.

Recent research supports a causal link between attentional bias for negative emotional information and anxiety vulnerability. However, little is known about the role of positive emotional processing in modulating anxiety reactivity to stress. In the current study, we used an attentional training paradigm designed to experimentally manipulate the processing of positive emotional cues. Participants were randomly assigned to complete a computerized probe detection task designed to induce selective processing of positive stimuli or to a sham condition. Following training, participants were exposed to a laboratory stressor (i.e., videotaped speech), and state anxiety and positive affect in response to the stressor were assessed. Results revealed that individual variability in the capacity to develop an attentional bias for positive information following training predicted subsequent emotional responses to the stressor. Moreover, individual differences in social anxiety, but not depression, moderated the effects of the attentional manipulation, such that, higher levels of social anxiety were associated with diminished attentional allocation toward positive cues. The current findings point to the potential value of considering the role of positive emotional processing in anxiety vulnerability. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Induced emotional interpretation bias and anxiety.

Five experiments are reported showing that the interpretation of personally relevant emotional information can be modified by systematic exposure to congruent exemplars. Participants were induced to interpret ambiguous information in a relatively threatening or a benign way. Comparison with a baseline condition suggested that negative and positive induction had similar but opposing effects. Induction of an interpretative bias did not require active generation of personally relevant meanings, but such active processing was necessary before state anxiety changed in parallel with the induced interpretative bias. These findings provide evidence consistent with a causal link between the deployment of interpretative bias and anxiety and reveal something of the processes underlying this association. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpretation of homophones related to threat in anxiety states.

In previous studies, we have established that anxiety states are characterized by an attentional bias that favors the processing of threatening stimuli. In the present study we extend this finding to ambiguous stimuli, specifically, homophones with spellings that correspond to either a threatening or a neutral meaning. As predicted, clinically anxious subjects used the threatening spellings relatively more than did controls, whereas recovered subjects were intermediate in this respect. Threatening words were associated with greater skin conductance responses than were neutral words, but the groups did not differ in their electrodermal reactions to homophones. We take these findings as evidence that, although the different meanings of ambiguous stimuli may be processed in parallel by all subjects, an interpretive bias operates such that anxiety-prone individuals tend to become preferentially aware of the more threatening meaning of such events. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias.

Although it is well-established that vulnerability to negative emotion is associated with attentional bias toward aversive information, the causal basis of this association remains undetermined. Two studies addressed this issue by experimentally inducing differential attentional responses to emotional stimuli using a modified dot probe task, and then examining the impact of such attentional manipulation on subsequent emotional vulnerability. The results supported the hypothesis that the induction of attentional bias should serve to modify emotional vulnerability, as revealed by participants' emotional reactions to a final standardized stress task. These findings provide a sound empirical basis for the previously speculative proposal that attentional bias can causally mediate emotional vulnerability, and they suggest the possibility that cognitive-experimental procedures designed to modify selective information processing may have potential therapeutic value. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

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)     

Cognitive bias modification: Induced interpretive biases affect memory.

Previous research has shown that it is possible to experimentally induce interpretive biases using ambiguous scenarios. This study extends past findings by examining the effects of cognitive bias modification for interpretation on subsequent scenario recall. Participants were trained to interpret emotionally ambiguous passages in either a positive or negative direction. Transfer of the training to novel scenarios was tested. After training, participants were also asked to recall details from these novel scenarios. The results indicate that the training was effective in inducing the intended group differences in interpretive bias. Importantly, participants exhibited memory biases that corresponded to their training condition. These results suggest that manipulating interpretive biases can result in corresponding changes in memory. Findings from this study highlight the importance of future research on the relation among cognitive biases and on the possibility of modifying cognitive biases in emotional disorders. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Experimental modification of attribution processes.

Attributional style is hypothesized to be a causative factor in depression vulnerability; however, no studies to date have examined whether manipulation of attributional style influences depressed mood. The purpose of this study was to determine whether computer-based cognitive bias modification (CBM) procedures could modify attributional style and influence stress vulnerability. Participants were provided with multiple training trials that were intended to promote the use of either a positive or a negative attributional style. Compared with individuals in the negative attributional style condition, individuals in the positive attributional style condition showed decreased tendency to make self-deficient causal attributions for poor performance on a difficult anagram test. Furthermore, individuals in the positive attributional style condition reported less depressed mood in response to this academic stressor. These results suggest that attributional style is not invariable and can potentially be modified with CBM approaches. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpretation revealed in the blink of an eye: Depressive bias in the resolution of ambiguity.

Self-report measures of interpretation have been criticized on methodological grounds. An approach is introduced in this article that enables the assessment of interpretive bias with a greater degree of methodological rigor than previously has been the case. Psychophysiological researchers have established that the magnitude of the human blink reflex is augmented when elicited during negative rather than neutral imagery. The 1st experiment demonstrates that the blink reflex is sensitive to the emotional valence of imagery evoked by interpretations imposed on ambiguous stimuli. In the 2nd experiment, this measure is used to assess interpretations imposed on ambiguous stimuli by individuals who differ in depression levels. The findings are consistent with the hypothesis that depression is associated with a negative interpretive bias. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mood-induced shifts in attentional bias to emotional information predict ill- and well-being.

Previous research has suggested that biased attention toward emotional (typically threatening) stimuli contributes to ill-being (e.g., high levels of anxiety), but its contribution to well-being is less clear. The researchers assessed naturalistic shifts in attentional bias toward threatening and pleasant schematic face cues in response to five induced mood states in college students. They also assessed state anxiety and satisfaction with life concurrently and 3 weeks later. Controlling for concurrent anxiety, a fear-induced shift in attention to threatening cues was associated with increased levels of later anxiety. Controlling for concurrent life satisfaction, a happiness-induced shift in attention to emotional cues (both threatening and pleasant) was associated with increased levels of later life satisfaction. These results suggest that mood-induced changes in deployment of attention to emotional information may accumulate in ways that impact psychological functioning, yet these effects depend on mood state and the emotional cues afforded by the context. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Explicit and implicit memory bias in panic disorder with agoraphobia

Thirty patients with a diagnosis of panic disorder with agoraphobia and 30 normal controls were compared on explicit memory (cued recall) and implicit memory (word stem completion) for positive, neutral, social threat, and physical threat words. The panic patients showed an explicit memory bias, but no implicit memory bias, for physical threat words. The index of explicit memory bias for physical threat words was found to correlate with anxiety sensitivity and degree of agoraphobic fear and avoidance. The index of baseline bias for threat words on the word completion task, on the other hand, correlated with trait anxiety. Although there were no correlations between explicit and implicit memory bias for physical threat words, explicit memory bias for physical threat words correlated with explicit memory bias indexes for positive words and social threat words. The results are discussed in terms of the functional role of an explicit memory bias for physically threatening events in panic disorder. The negative results on implicit memory bias are discussed in relation to earlier studies, the use of different implicit memory tasks, and the role of baseline bias on implicit memory tasks. Finally, the hypothesis is suggested that explicit and implicit memory bias for emotional information may represent two different styles of information processing, which serve as vulnerability factors for different emotional disorders.     

Anxiety and the interpretation of ambiguity: A text comprehension study.

A. T. Beck's influential cognitive account of anxiety has led to the prediction that individuals vulnerable to anxiety should favor threatening interpretations of ambiguity (e.g., Beck and D. A. Clark, 1988; Beck et al, 1986). The current study introduces a novel adaptation of the RSVP technique, previously used in text comprehension research, to evaluate this hypothesis. Results suggest that a group of 24 high trait anxious students did indeed selectively impose threatening interpretations on unconstrained ambiguous sentences. In contrast, a matched group of 24 low trait anxious students appeared to selectively impose non-threatening interpretations on such ambiguous sentences. These findings are fully consistent with the predicted anxiety-linked interpretative bias. Specific testable hypotheses are developed concerning the types of interpretative idiosyncrasies that plausibly may contribute to pathological anxiety. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Mother and child interpretations of threat in ambiguous situations: Relations with child anxiety and autonomic responding.

This study examined maternal and child interpretive bias to threat (IBT) during dyadic conversation, child physiological reactivity and regulation during dyadic conversation, and maternal report of child anxiety in a community sample of 35 mothers and their 8- to 10-year-old children. Mothers and children discussed one neutral and six ambiguous scenarios, which were subsequently coded for frequency of maternal and child initiation, minimization, and expansion of threat-related themes. Child electrocardiogram data were collected during these conversations and maternal reports of child anxiety and internalizing problems were obtained. Across the sample, children initiated threat-related discussion more often than mothers. Maternal threat expansions were significantly positively correlated with child anxiety and internalizing behaviors. Maternal minimizations of threat were significantly associated with augmented child vagal tone throughout the IBT paradigm. Implications for prevention of child anxiety and directions for extending IBT research within the context of the mother–child dyad are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

A self-agency bias in preschoolers' causal inferences.

Preschoolers' causal learning from intentional actions—causal interventions—is subject to a self-agency bias. The authors propose that this bias is evidence-based, in other words, that it is responsive to causal uncertainty. In the current studies, two causes (one child controlled, one experimenter controlled) were associated with one or two effects, first independently, then simultaneously. When initial independent effects were probabilistic, and thus subsequent simultaneous actions were causally ambiguous, children showed a self-agency bias. Children showed no bias when initial effects were deterministic. Further controls established that children's self-agency bias is not a wholesale preference but rather is influenced by uncertainty in causal evidence. These results demonstrate that children's own experience of action influences their causal learning, and the findings suggest possible benefits in uncertain and ambiguous everyday learning contexts. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpretation training influences memory for prior interpretations.

Anxiety is associated with memory biases when the initial interpretation of the event is taken into account. This experiment examined whether modification of interpretive bias retroactively affects memory for prior events and their initial interpretation. Before training, participants imagined themselves in emotionally ambiguous scenarios to which they provided endings that often revealed their interpretations. Then they were trained to resolve the ambiguity in other situations in a consistently positive (n = 37) or negative way (n = 38) before they tried to recall the initial scenarios and endings. Results indicated that memory for the endings was imbued with the emotional tone of the training, whereas memory for the scenarios was unaffected. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impaired positive inferential bias in social phobia.

People with social phobia report anticipatory and retrospective judgments about social situations that appear consistent with a negative interpretative bias. However, it is not at all clear that biased interpretative inferences are made "on-line;" that is, at the time that ambiguous information is first encountered. In a previous study, volunteers who were anxious about interviews were found to lack the positive on-line inferential bias that was characteristic of nonanxious controls but also failed to show a bias favoring threatening inferences (C. R. Hirsch & A. Mathews, 1997). This finding was confirmed in the present study, in which social phobic patients showed no evidence of making on-line emotional inferences, in contrast with socially nonanxious controls who were again clearly biased in favor of positive inferences. The authors concluded that nonanxious individuals are characterized by a benign on-line inferential bias, but that this is impaired in people with social phobia. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of focus of attention on anxiety levels and social performance of individuals with social phobia.

Self-focused attention has been linked to social anxiety and poor social performance, but the causal direction of this relationship has not been established. For this study, focus of attention was manipulated during a speech task, conducted in pairs for 38 individuals with generalized social phobia. Results indicated that intensifying self-focused attention increased anticipated anxiety and anxious appearance, regardless of whether the individual was giving a speech or passively standing before the audience. The self-focus manipulation also increased self-reported anxiety during the task, but only for individuals assigned to a passive role. Contrary to expectation, self-focused attention did not affect any measure of social performance. These results indicate that self-focused attention may play a causal role in exacerbating social anxiety. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Coping With Threat and Memory for Ambiguous Information: Testing the Repressive Discontinuity Hypothesis.

Two studies examined the influence of coping dispositions (repression, sensitization, and nondefensiveness) and anxiety on the encoding and memory representation of ambiguous threat-related stimuli. In Study 1, memory was tested shortly after encoding. Study 2 contrasted immediate and delayed testing. Repressers showed evidence of "mixed" affective reactions to ambiguous stimuli at encoding, accompanied by weak memory representation of potentially threatening implications of these stimuli. In contrast, sensitizers and anxious individuals manifested a processing bias in favor of threatening implications of ambiguous stimuli. Influences of coping on memory were most pronounced for delayed testing. Anxiety influences on memory were weak. An expectancy-based account of individual differences in processing ambiguous stimuli is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Contrasting two accounts of anxiety-linked attentional bias: Selective attention to varying levels of stimulus threat intensity.

Previous research has established that clinical anxiety patients and nonclinical populations with high levels of anxiety vulnerability characteristically orient attention toward moderately threatening stimuli. In contrast, populations with low levels of anxiety vulnerability typically orient attention away from such stimuli. The differing experimental predictions generated by 2 classes of hypothetical explanation for this anxiety-linked attentional discrepancy were tested, using attentional probe methodology to compare the attentional responses of high and low trait anxious individuals to facial stimuli of differing threat intensities. The results support the view that all individuals orient attention away from mildly threatening stimuli and toward strongly threatening stimuli, with differences in anxiety vulnerability reflecting the intensity of stimulus threat required to elicit the attentional vigilance response. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Implicit and explicit memory bias in anxiety.

Previous investigations of recall and recognition for threatening information in clinically anxious subjects have yielded equivocal results. The present study contrasts implicit (word completion) with explicit (cued recall) memory and shows that indices of bias for emotional material derived from the two types of memory are independent of one another. The explicit measure was correlated with trait anxiety scores, but did not clearly distinguish between subjects with clinical anxiety states and normal control subjects. On the implicit memory measure, clinically anxious subjects produced more threat word completions, but only from a set to which they had recently been exposed. These results are taken as evidence that internal representations of threat words are more readily or more persistently activated in anxiety states, although they are not necessarily better elaborated. (PsycINFO Database Record (c) 2010 APA, all rights reserved)