Integrating cognitive bias modification into a standard cognitive behavioural treatment package for social phobia: A randomized controlled trial
Abstract
Objective The aim of the current study was to integrate recent developments in the retraining of attentional biases towards threat into a standard cognitive behavioural treatment package for social phobia.Method 134 participants (M age-32.4: 53% female) meeting DSM-IV criteria for social phobia received a 12-week cognitive behavioural treatment program. They were randomly allocated to receive on a daily basis using home practice, either an additional computerised probe procedure designed to train attentional resource allocation away from threat, or a placebo variant of this procedure. Measures included diagnostic severity, social anxiety symptoms, life interference, and depression as well as state anxiety in response to a laboratory social threat.Results At the end of treatment there were no significant differences between groups in attentional bias towards threat or in treatment response (all p's>0.05). Both groups showed similar and highly significant reductions in diagnostic severity, social anxiety symptoms, depression symptoms, and life interference at post-treatment that was maintained and in most cases increased at 6 month follow-up (uncontrolled effect sizes ranged from d=0.34 to d=1.90).Conclusions The current results do not indicate that integration of information processing-derived attentional bias modification procedures into standard treatment packages as conducted in this study augments attentional change or enhances treatment efficacy. Further refinement of bias modification techniques, and better methods of integrating them with conventional approaches, may be needed to produce better effects.
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The use of positive targets may make training more enjoyable and engaging, which may help treatment compliance.
“The use of positive targets may make training more enjoyable and engaging, which may help treatment compliance (Rapee et al., 2013).”
From Anxiety and attention to threat: cognitive mechanisms and treatment with attention bias modification (2016) · cites this paper as Rapee et al., 2013
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- Authors
- Rapee, R. M., MacLeod, C., Carpenter, L., Gaston, J. E., Frei, J., Peters, L., & Baillie, A. J.
- Affiliations
- Macquarie University (AU)
- The University of Western Australia (AU)
- Corresponding author
- Rapee, Ronald M.
- ORCID
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2013-05
- Volume
- 51
- Issue
- 4-5
- Pages
- 207-215
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2144985278
- Cited by
- 92
- References
- 46
- Citations by year
- 2026: 3 · 2023: 3 · 2022: 2 · 2021: 3 · 2020: 3 · 2019: 7 · 2018: 9 · 2017: 11 · 2016: 13 · 2015: 21 · 2014: 12 · 2013: 5
- FWCI
- 22.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- 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 › Applied Psychology › Digital Mental Health Interventions
- Keywords
- cognitive bias modification, social anxiety disorder, social anxiety, cognitive behavioral therapy, treatment integration, home practice, depression, state anxiety, treatment efficacy
- MeSH terms
- Adolescent, Adult, Aged, Cognition, Female, Follow-Up Studies, Humans, Male, Middle Aged, Phobic Disorders, Surveys and Questionnaires, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Young Adult
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