Cited by 95Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsStuttering Research and Treatment

Attention bias modification for reducing speech anxiety

McNally, Richard J., Enock, Philip M., Tsai, Cynthia, Tousian, Mona·2013·Behaviour Research and Therapy

Abstract

The mechanisms mediating the anxiolytic effects of attention bias modification (ABM) remain unclear. Accordingly, we randomly assigned speech-anxious subjects to receive four sessions of one of three training conditions: ABM, inverse ABM, and control. In the ABM condition, subjects viewed pairs of photographs of models displaying facial expressions of disgust and joy on a computer screen. Probes always replaced the positive face, and subjects pushed a button to indicate the identity of the probe (E or F) as rapidly as possible. In the inverse condition, the probes always replaced the negative face, and in the control condition, the probes replaced each face type equally often. After four training sessions, all groups exhibited statistically indistinguishable, but significant, reductions on self-report, behavioral, and physiological measures of speech anxiety. Self-report and behavioral measures of attentional control improved likewise. Contrary to early studies, ABM was not superior to control procedures in producing reductions on measures of social anxiety.

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Crossref · 10.1016/j.brat.2013.10.001

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  • Other explanations for the co-occurrence of reductions in anxiety and AB measures during ABM training, such as whether ABM training modifies other processes (e.g., inhibitory attention control) that might underlie changes in anxiety and AB measures, are rarely examined.

    “Moreover, other explanations for co-occurrence are rarely examined, such as whether ABM training modifies other processes (e.g., inhibitory attention control) which might underlie changes in anxiety and AB measures [80,81].”
  • Two of these studies indicated that anxiety reduction was accompanied by improved attention control.

    “Two of these studies also assessed attention control (indexed by the interference effect of neutral distractors on the Attention Network Task; Fan, McCandliss, Sommer, Raz, & Posner, 2002), which indicated that anxiety reduction was accompanied by improved attention control (Heeren, Mogoas ¸e, McNally et al., 2015;McNally et al., 2013).”
  • Studies comparing ABM-threat-avoidance, inverse-ABM, and control attention training showed reduction in anxiety symptoms from pre- to post-training, irrespective of the type of training task, and without reducing AB to threat on spatial-attention tasks.

    “These showed reduction in anxiety symptoms from pre-to post-training, irrespective of the type of training task, and without reducing AB to threat on spatial-attention tasks.”

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References 30 · Cited by 95

Authors
McNally, R. J., Enock, P. M., Tsai, C., & Tousian, M.
Affiliations
Harvard University (US)
Corresponding author
McNally, Richard J.
Venue
Behaviour Research and Therapy
Publisher
Elsevier BV
Published
2013-12
Volume
51
Issue
12
Pages
882-888
ISSN
0005-7967 (ISSN-L)
OpenAlex
W2116127256
Cited by
95
References
30
Citations by year
2026: 3 · 2025: 6 · 2024: 6 · 2023: 5 · 2022: 9 · 2021: 4 · 2020: 7 · 2019: 10 · 2018: 13 · 2017: 7 · 2016: 6 · 2015: 10 · 2014: 7 · 2012: 1
FWCI
10.36
Type
journal article
Language
en
Open access
closed
Locations
  • Behaviour Research and Therapy (publishedVersion)
  • PubMed (publishedVersion)
Funders
Harvard University
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 › Stuttering Research and Treatment
Keywords
attentional bias modification, speaking anxiety, social anxiety, attentional control, anxiolytic mechanism, facial expression recognition, disgust, joy, emotion regulation
MeSH terms
Adult, Analysis of Variance, Anxiety Disorders, Attention, Cues, Double-Blind Method, Female, Humans, Male, Phobic Disorders, Speech Disorders, Cognitive Behavioral Therapy, Self Report

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