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Preliminary Study of Attention Training to Threat and Neutral Faces on Anxious Reactivity to a Social Stressor in Social Anxiety

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Abstract

Cognitive theories of anxiety emphasize attentional bias to threat contributes to the maintenance of anxiety disorders (e.g., Williams et al. in Cognitive psychology and emotional disorders, 2nd edn. Wiley, Chichester, 1997). For example, anxiety may be the result of bias that interacts with vulnerability characteristics and stress (e.g., Mathews in Behav Res Ther 28:455–468, 1990; Mathews in The Psyochologist 6:493–499, 1993). Yet, few studies have experimentally directed attention towards threat to investigate its role in anxiety to stress. This study examined attention training effects on stress response in moderately socially anxious individuals. Participants were randomly assigned to one of three probe detection conditions: (1) attention training away from threat, (2) attention training to threat, or (3) attention randomly directed to threat and away from threat with equal frequency (control condition). Afterwards, participants completed a speech challenge and rated their anxiety level. Results indicate attention training to threat or away from threat, compared to no training, attenuated anxiety in response to a social stressor in socially anxious individuals.

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References

  • Amir, N., Elias, J., Klumpp, H., & Przeworski, A. (2003). Attentional bias to threat in social phobia: Facilitated processing of threat or difficulty disengaging attention from threat? Behaviour Research and Therapy, 41, 1325–1335. doi:10.1016/S0005-7967(03)00039-1.

    Article  CAS  PubMed  Google Scholar 

  • 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. doi:10.1037/a0013445.

    Article  PubMed  Google Scholar 

  • Baker, S. L., Heinrichs, N., Kim, H. J., & Hofmann, S. G. (2002). The Liebowitz social anxiety scale as a self-report instrument: A preliminary psychometric analysis. Behaviour Research and Therapy, 40, 701–715. doi:10.1016/S0005-7967(01)00060-2.

    Article  PubMed  Google Scholar 

  • Beck, A. T., & Steer, R. A. (1987). Beck depression inventory manual. San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Bögels, S., & Mansell, W. (2004). Attention processes in the maintenance and treatment of social phobia: Hypervigilance, avoidance and self-focused attention. Clinical Psychology Review, 24, 827–856. doi:10.1016/j.cpr.2004.06.005.

    Article  PubMed  Google Scholar 

  • Chen, Y. P., Ehlers, A., Clark, D. M., & Mansell, W. (2002). Patients with generalized social phobia direct their attention away from faces. Behaviour Research and Therapy, 40, 677–687. doi:10.1016/S0005-7967(01)00086-9.

    Article  CAS  PubMed  Google Scholar 

  • Derakshan, N., Eysenck, M. W., & Myers, L. B. (2007). Emotional information processing in repressors: The vigilance-avoidance theory. Cognition and Emotion, 21, 1585–1614. doi:10.1080/02699930701499857.

    Article  Google Scholar 

  • Derryberry, D., & Reed, M. A. (2002). Anxiety-related attentional biases and their regulation by attentional control. Journal of Abnormal Psychology, 111, 225–236. doi:10.1037/0021-843X.111.2.225.

    Article  PubMed  Google Scholar 

  • Eldar, S., Ricon, T., & Bar-Haim, Y. (2008). Plasticity in attention: Implications for stress response in children. Behaviour Research and Therapy, 46, 450–461. doi:10.1016/j.brat.2008.01.012.

    Article  PubMed  Google Scholar 

  • Fox, E., Russo, R., Bowles, R., & Dutton, K. (2001). Do threatening stimuli draw or hold visual attention in subclinical anxiety? Journal of Experimental Psychology. General, 130, 681–700. doi:10.1037/0096-3445.130.4.681.

    Article  CAS  PubMed  Google Scholar 

  • Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., et al. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31, 1025–1035. doi:10.1017/S0033291701004056.

    Article  CAS  PubMed  Google Scholar 

  • Gotlib, I. H., Kasch, K. L., Traill, S., Joormann, J., Arnow, B. A., & Johnson, S. L. (2004). Coherence and specificity of information-processing biases in depression and social phobia. Journal of Abnormal Psychology, 113, 386–398. doi:10.1037/0021-843X.113.3.386.

    Article  PubMed  Google Scholar 

  • Harris, L. M., & Menzies, R. G. (1998). Changing attentional bias: Can it effect self-reported anxiety? Anxiety, Stress, and Coping, 11, 167–179. doi:10.1080/10615809808248310.

    Article  Google Scholar 

  • Heimberg, R. G., & Holaway, R. M. (2007). Examination of the known-groups validity of the Liebowitz Social Anxiety Scale. Depression and Anxiety, 24, 447–454. doi:10.1002/da.20277.

    Article  PubMed  Google Scholar 

  • Hofmann, S. G., & DiBartolo, P. M. (2000). An instrument to assess self-statements during public speaking: Scale development and preliminary psychometric properties. Behavior Therapy, 31, 499–515. doi:10.1016/S0005-7894(00)80027-1.

    Article  CAS  PubMed  Google Scholar 

  • Li, S., Tan, J., Qian, M., & Liu, X. (2008). Continual training of attentional bias in social anxiety. Behaviour Research and Therapy, 46, 905–912. doi:10.1016/j.brat.2008.04.005.

    Article  PubMed  Google Scholar 

  • Liebowitz, M. R. (1987). Social phobia. Modern Problems of Pharmacopsychiatry, 22, 141–173.

    CAS  PubMed  Google Scholar 

  • 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. doi:10.1037/0021-843X.111.1.107.

    Article  PubMed  Google Scholar 

  • Mansell, W., Clark, D. M., Ehlers, A., & Chen, Y. P. (1999). Social anxiety and attention away from emotional faces. Cognition and Emotion, 13, 673–690. doi:10.1080/026999399379032.

    Article  Google Scholar 

  • Mathews, A. (1990). Why worry? The cognitive function of anxiety. Behaviour Research and Therapy, 28, 455–468. doi:10.1016/0005-7967(90)90132-3.

    Article  CAS  PubMed  Google Scholar 

  • Mathews, A. (1993). Biases in processing emotional information. The Psychologist, 6, 493–499.

    Google Scholar 

  • Matsumoto, D., & Ekman, P. (1988). The Japanese and Caucasian facial expressions of emotion (JACFEE) and neutrals (JACNeuF) [Slides]: Intercultural and Emotional Research Laboratory, Department of Psychology, San Francisco State University, 1600 Holloway Avenue, San Francisco, CA 94132, USA.

  • Metzger, R. L. (1976). A reliability and validity study of the state-trait anxiety inventory. Journal of Clinical Psychology, 32, 276–278. doi:10.1002/1097-4679(197604)32:2<276::AID-JCLP2270320215>3.0.CO;2-G.

    Article  Google Scholar 

  • Mogg, K., & Bradley, B. P. (2002). Selective orienting of attention to masked threat faces in social anxiety. Behaviour Research and Therapy, 40, 1403–1414. doi:10.1016/S0005-7967(02)00017-7.

    Article  PubMed  Google Scholar 

  • Mogg, K., Philippot, P., & Bradley, B. P. (2004). Selective attention to angry faces in clinical social phobia. Journal of Abnormal Psychology, 113, 160–165. doi:10.1037/0021-843X.113.1.160.

    Article  PubMed  Google Scholar 

  • Moriya, J., & Tanno, Y. (2008). Relationships between negative emotionality and attentional control in effortful control. Personality and Individual Differences, 44, 1348–1355. doi:10.1016/j.paid.2007.12.003.

    Article  Google Scholar 

  • Pessoa, L., McKenna, M., Gutierrez, E., & Ungerleider, L. G. (2002). Neural processing of emotional faces requires attention. Proceedings of the National Academy of Sciences of the United States of America, 99, 11458–11463. doi:10.1073/pnas.172403899.

    Article  CAS  PubMed  Google Scholar 

  • Pishyar, R., Harris, L. M., & Menzies, R. G. (2004). Attentional bias for words and faces in social anxiety. Anxiety, Stress, and Coping, 17, 23–36. doi:10.1080/10615800310001601458.

    Article  Google Scholar 

  • Schmidt, N. B., Richey, J. A., Buckner, J. D., & Timpano, K. R. (2009). Attention training for generalized social anxiety disorder. Journal of Abnormal Psychology, 118, 5–14. doi:10.1037/a0013643.

    Article  PubMed  Google Scholar 

  • Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-trait anxiety inventory. Palo Alto, CA: Consulting Psychologist Press.

    Google Scholar 

  • Wallace, J. F., & Newman, J. P. (1997). Neuroticism and the attentional mediation of dysregulatory psychopathology. Cognitive Therapy and Research, 21, 135–156. doi:10.1023/A:1021828628571.

    Article  Google Scholar 

  • Williams, J. M. G., Watts, F. N., MacLeod, C., & Mathews, A. (1997). Cognitive psychology and emotional disorders (2nd ed.). Wiley: Chichester, UK.

    Google Scholar 

  • Yiend, J., & Mathews, A. (2001). Anxiety and attention to threatening pictures. The Quarterly Journal of Experimental Psychology, 54, 665–681. doi:10.1080/02724980042000462.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Heide Klumpp.

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Klumpp, H., Amir, N. Preliminary Study of Attention Training to Threat and Neutral Faces on Anxious Reactivity to a Social Stressor in Social Anxiety. Cogn Ther Res 34, 263–271 (2010). https://doi.org/10.1007/s10608-009-9251-0

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