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Internet-Based Attention Bias Modification for Social Anxiety: A Randomised Controlled Comparison of Training towards Negative and Training Towards Positive Cues
Stockholm Univ, Dept Psychol, S-10691 Stockholm, Sweden;Free Univ Berlin, Berlin, Germany.ORCID-id: 0000-0002-8220-9291
Umea Univ, Dept Psychol, S-90187 Umea, Sweden.
Umea Univ, Dept Psychol, S-90187 Umea, Sweden.
MRC Cognit & Brain Sci Unit, Cambridge, England. (EMIL)ORCID-id: 0000-0001-7319-3112
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2013 (engelsk)Inngår i: PLoS ONE, E-ISSN 1932-6203, Vol. 8, nr 9, artikkel-id e71760Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Biases in attention processes are thought to play a crucial role in the aetiology and maintenance of Social Anxiety Disorder (SAD). The goal of the present study was to examine the efficacy of a programme intended to train attention towards positive cues and a programme intended to train attention towards negative cues. In a randomised, controlled, double-blind design, the impact of these two training conditions on both selective attention and social anxiety were compared to that of a control training condition. A modified dot probe task was used, and delivered via the internet. A total of 129 individuals, diagnosed with SAD, were randomly assigned to one of these three conditions and took part in a 14-day programme with daily training/control sessions. Participants in all three groups did not on average display an attentional bias prior to the training. Critically, results on change in attention bias implied that significantly differential change in selective attention to threat was not detected in the three conditions. However, symptoms of social anxiety reduced significantly from pre- to follow-up-assessment in all three conditions (d(within) = 0.63-1.24), with the procedure intended to train attention towards threat cues producing, relative to the control condition, a significantly greater reduction of social fears. There were no significant differences in social anxiety outcome between the training condition intended to induce attentional bias towards positive cues and the control condition. To our knowledge, this is the first RCT where a condition intended to induce attention bias to negative cues yielded greater emotional benefits than a control condition. Intriguingly, changes in symptoms are unlikely to be by the mechanism of change in attention processes since there was no change detected in bias per se. Implications of this finding for future research on attention bias modification in social anxiety are discussed. Trial Registration: ClinicalTrials.gov NCT01463137

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PUBLIC LIBRARY SCIENCE , 2013. Vol. 8, nr 9, artikkel-id e71760
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Identifikatorer
URN: urn:nbn:se:uu:diva-405235DOI: 10.1371/journal.pone.0071760ISI: 000325423500002PubMedID: 24098630OAI: oai:DiVA.org:uu-405235DiVA, id: diva2:1396921
Forskningsfinansiär
Forte, Swedish Research Council for Health, Working Life and Welfare, FAS 2009-0222Tilgjengelig fra: 2020-02-26 Laget: 2020-02-26 Sist oppdatert: 2020-02-27bibliografisk kontrollert

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