Vigilant and avoidant attention biases as predictors of response to cognitive behavioral therapy for social phobia

Price, Matthew; Tone, Erin B.; Anderson, Page L.

doi:10.1002/da.20791

Cited by 76Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsBody Image and Dysmorphia Studies

Vigilant and avoidant attention biases as predictors of response to cognitive behavioral therapy for social phobia

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Price, Matthew, Tone, Erin B., Anderson, Page L.·2011·Depression and Anxiety

DOI 10.1002/da.20791PMC PMC3685277

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Abstract

BACKGROUND: Attention bias for socially threatening information, an empirically supported phenomenon, figures prominently in models of social phobia. However, all published studies examining this topic to date have relied on group means to describe attention bias patterns; research has yet to examine potential subgroups of attention bias among individuals with social phobia (e.g., vigilant or avoidant). Furthermore, almost no research has examined how attention biases in either direction may predict change in symptoms as a result of treatment. METHODS: This study (N = 24) compared responses to cognitive behavioral therapy (CBT) for social phobia between individuals with avoidant and vigilant biases for threatening faces at pretreatment. RESULTS: Participants with avoidant biases reported significantly and clinically higher symptom levels at posttreatment than did those with vigilant biases. CONCLUSIONS: These findings suggest that an avoidant attention bias may be associated with reduced response to CBT for social phobia.

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Those who show attentional bias away from threat stimuli respond worse to exposure-based treatments.
“For example, those who show attentional bias away from threat stimuli respond worse to exposure-based treatments (Legerstee et al., 2010;Price, Tone, & Anderson, 2011;Waters & Kershaw, 2015).”
From How willing are you? Willingness as a predictor of change during treatment of adults with obsessive–compulsive disorder (2017) · cites this paper as Price, Tone, & Anderson, 2011
The Discussion reports that participants with social phobia who showed an avoidant bias for threatening faces had a weaker response to virtual-reality exposure therapy than those with a vigilant bias. The citing sentence generalizes this preliminary finding to exposure-based treatments and people with attentional bias away from threat more broadly. (LLM, conf=0.84)
Experimental — accuracy not yet measured
In adults with social phobia, threat vigilance predicted a better CBT response than threat avoidance.
“Using a similar method, Price, Tone, and Anderson (2011) found that adults with social phobia who were vigilant to threat responded more favorably to CBT than those who were avoidant of threat.”
From Attentional bias and emotional reactivity as predictors and moderators of behavioral treatment for social phobia (2013) · cites this paper as Price, Tone, and Anderson (2011)
Prior studies have found that vigilance toward threat predicts better outcomes in CBT.
“Prior studies have similarly found that vigilance toward threat predicts better outcomes in CBT (Price et al., 2011; Waters et al., 2012).”
From Attentional bias and emotional reactivity as predictors and moderators of behavioral treatment for social phobia (2013) · cites this paper as Price et al., 2011

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Self-citation
Cost and Probability Biases in Social Phobia: Evaluating Their Relation to Attention Bias and Treatment Outcome
Calamaras, M. R. (2022) · Digital Archive @ GSU · doi:10.57709/5501201
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Authors: Price, M., Tone, E. B., & Anderson, P. L.
Affiliations: Georgia State University (US)
Corresponding author: Anderson, Page L.
ORCID: Price, Matthew
Tone, Erin B.
Anderson, Page L.
Venue: Depression and Anxiety
Publisher: Hindawi Limited
Published: 2011-02-09
Volume: 28
Issue: 4
Pages: 349-353
ISSN: 1091-4269 (ISSN-L)
DOI: 10.1002/da.20791
PMC: PMC3685277
OpenAlex: W2157461415
Cited by: 76
References: 32
Citations by year: 2026: 1 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 6 · 2019: 8 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 11 · 2014: 6 · 2013: 10 · 2012: 6
FWCI: 9.47
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: doi.wiley.com/10.1002/tdm_license_1.1 (tdm, 1665 d)
Locations: Depression and Anxiety (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R42MH060506)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Keywords: social anxiety disorder, attentional bias, cognitive behavioral therapy, treatment response, threatening faces, social danger, predictors of treatment outcome
MeSH terms: Adult, Anger, Arousal, Attention, Defense Mechanisms, Facial Expression, Fear, Female, Humans, Individuality, Male, Middle Aged, Pattern Recognition, Visual, Phobic Disorders, Psychotherapy, Group, Social Perception, User-Computer Interface, Cognitive Behavioral Therapy, Treatment Outcome

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Vigilant and avoidant attention biases as predictors of response to cognitive behavioral therapy for social phobia

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