A case series of attention modification in clinically anxious youths
Open accessAbstract
Research in the last fifteen years suggests that anxious individuals selectively attend towards threatening information. Attention modification interventions for internalizing adults have been developed to target cognition at this basic level; these programs have demonstrated initial efficacy in attention bias and anxiety symptom reduction. To date, there have been no published studies of attention modification in youths with clinical levels of anxiety. The current case series examined the initial efficacy of a four-week (12 sessions) attention modification program (AMP) designed to train attention away from threat in 16 children and adolescents (ages 10 to 17) diagnosed with DSM-IV anxiety disorders. Overall, youths experienced a significant decrease in anxiety and depression symptoms, and 12 of 16 youths no longer met criteria for any anxiety diagnosis at post-treatment. AMP was feasible with youths, and all youths and parents deemed the program acceptable. These findings provide support for further research on the use of cognitive bias modification interventions with clinically anxious youths.
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Existing CBM programs are generally deemed acceptable and feasible add-on treatments by clients and clinicians alike.
“Finally, numerous studies have shown that existing CBM programs are generally deemed acceptable and feasible addon treatments by clients and clinicians alike (Beard et al., 2012; Leung et al., 2019; Rozenman et al., 2011).”
From Acceptability and Co-Development of an Online Cognitive Bias Modification Intervention for Emerging Adults With Hazardous Alcohol Use and Social Anxiety: A Mixed Methods Study (2020) · cites this paper as Rozenman et al., 2011
The Results report that youths and parents rated the attention-modification intervention from acceptable to excellent, and the Discussion says it required minimal time and effort from clinicians. But this case series did not assess clinicians’ acceptance or test the intervention as an add-on treatment; participants received no other services during the study. It therefore supports acceptability and feasibility in this youth case series, not the broader claim as stated. (LLM, conf=0.88)
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Bocanegra, E. S., Chang, S. W., Rozenman, M. S., Lee, S. S., Delgadillo, D. R., & Chavira, D. A. (2023) · Community Mental Health Journal · doi:10.1007/s10597-023-01132-y · Cited by 1 · see citing works
Self-citationRegulating Emotion through Attentional Training: Paradigms and Evidences
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Cognitive Bias Modification Strategies for Anxious Children
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Self-citationCognitive Bias Modification in Mental
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Cognitive bias modification in the prevention of adolescent social anxiety
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Attention Bias Training for Youth with Anxiety from a Rural Latine Community
Chang, S. W., Rozenman, M. S., Ramos, G., Delgadillo, D. R., & Chavira, D. A. (2026) · Child Psychiatry & Human Development · doi:10.1007/s10578-025-01956-7
Self-citation
- Authors
- Rozenman, M., Weersing, V. R., & Amir, N.
- Affiliations
- San Diego State University (US)
- Corresponding author
- Rozenman, Michelle
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 49
- Issue
- 5
- Pages
- 324-330
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC4005407
- OpenAlex
- W1996275646
- Cited by
- 62
- References
- 51
- Citations by year
- 2026: 2 · 2023: 1 · 2022: 2 · 2020: 4 · 2019: 6 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 7 · 2014: 7 · 2013: 9 · 2012: 10
- FWCI
- 11.46
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- William T. Grant Foundation
- 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 › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- cognitive bias modification, attentional bias, threat-related attention, children and adolescents, anxiety disorders, depressive symptoms, treatment feasibility, parent acceptability
- MeSH terms
- Adolescent, Anxiety Disorders, Attention, Child, Female, Humans, Male, Cognitive Behavioral Therapy, Treatment Outcome
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