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Moderation and mediation of the effect of attention training in social anxiety disorder
Open accessAbstract
UNLABELLED: While attention modification programs (AMP) have shown promise as laboratory-based treatments for social anxiety disorder, trials of internet-delivered AMP have not yielded significant differences between active and control conditions. To address these inconsistencies, we examined the moderational and mediational role of attention bias in the efficacy of attention training. We compared data reported by Carlbring et al. (2012) to an identical AMP condition, with the exception that participants were instructed to activate social anxiety fears prior to each attention training session (AMP + FACT; n = 39). We also compared all attention training groups to an internet-delivered cognitive-behavioral therapy (iCBT) condition (n = 40). Participants in the AMP + FACT group experienced greater reductions in social anxiety symptoms than both active (n = 40) and control (n = 39) groups reported by Carlbring et al., and did not differ in symptom reductions from the iCBT group. Higher attention bias predicted greater symptom reductions for participants who completed AMP, but not for the control group. Moreover, change in attention bias mediated the relationship between AMP group (active condition reported by Carlbring et al. versus AMP + FACT) and change in social anxiety symptoms. These results suggest the importance of interpreting findings related to symptom change in attention training studies in the context of bias effects. TRIAL REGISTRATION: ISRCTN01715124.
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“This implies that a change in attentional bias is the hypothesized mediating process, and some studies indeed found such a mediational role of attentional bias (Dennis & O'Toole, 2014;Kuckertz et al., 2014;Wells & Beevers, 2010).”
From Online attentional bias modification training targeting anxiety and depression in unselected adolescents: short- and long-term effects of a randomized controlled trial (2016) · cites this paper as Kuckertz et al., 2014
In the citing paper
“As previous research has shown that baseline attentional bias moderated training effects (e.g., Boettcher et al., 2013;Kuckertz et al., 2014)”
From Online attentional bias modification training targeting anxiety and depression in unselected adolescents: short- and long-term effects of a randomized controlled trial (2016) · cites this paper as Kuckertz et al., 2014
In the citing paper
“The absence of (social) stress with online training at home compared to lab studies might explain recent null findings (Boettcher, Berger, & Renneberg, 2012;Boettcher et al., 2013;Kuckertz et al., 2014).”
From Online attentional bias modification training targeting anxiety and depression in unselected adolescents: short- and long-term effects of a randomized controlled trial (2016) · cites this paper as Kuckertz et al., 2014
In the citing paper
“in one Internetbased ABMT study, Kuckertz et al. [34] found that participants instructed to activate their social anxiety fears prior to each ABMT session demonstrated significantly greater anxiety reductions than participants receiving ABMT without these additional instructions.”
Citations
Cites
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391
SPSS and SAS procedures for estimating indirect effects in simple mediation models
Preacher, K. J., & Hayes, A. F. (2004) · Behavior Research Methods, Instruments, & Computers · doi:10.3758/bf03206553 · Cited by 17,383
An inventory for measuring clinical anxiety: Psychometric properties.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.56.6.893 · Cited by 14,407
Asymptotic Confidence Intervals for Indirect Effects in Structural Equation Models
Sobel, M. E. (1982) · Sociological Methodology · doi:10.2307/270723 · Cited by 12,810
Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.1.1 · Cited by 3,721
Mattick, R. P., & Clarke, J. C. (1998) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)10031-6 · Cited by 3,367
Attentional bias in emotional disorders
MacLeod, C., Mathews, A., & Tata, P. (1986) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.95.1.15 · Cited by 3,152
A cognitive-behavioral model of anxiety in social phobia
Rapee, R. M., & Heimberg, R. G. (1997) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(97)00022-3 · Cited by 2,987
A cognitive model of social phobia
Adrian Wells, A. (1995) · Research Explorer (The University of Manchester) · Cited by 2,701
Attentional bias in emotional disorders.
MacLeod, C., Mathews, A., & Tata, P. R. (1986) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.95.1.15 · Cited by 2,553
Liebowitz, M. R. (2015) · Modern Trends in Pharmacopsychiatry · doi:10.1159/000414022 · Cited by 2,266
Guy, W. L. (2025) · Springer Reference Medizin · doi:10.1007/978-3-662-65186-5_300379 · Cited by 1,441
Social phobia: Diagnosis, assessment, and treatment
Franklin, M. E. (1996) · Clinical Psychology Review · doi:10.1016/s0272-7358(96)00036-0 · Cited by 1,389
MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.111.1.107 · Cited by 1,334
Tests of certain linear hypotheses and their application to some educational problems.
Johnson, P. O., & Neyman, J. (1936) · Cited by 1,128
Frisch, M. B., Cornell, J., Villanueva, M., & Retzlaff, P. J. (1992) · Psychological Assessment · doi:10.1037/1040-3590.4.1.92 · Cited by 1,075
Hofmann, S. G. (2007) · Cognitive Behaviour Therapy · doi:10.1080/16506070701421313 · Cited by 1,064 · cited 1×
“AMP is a computerized program designed to modify basic cognitive vulnerabilities that may be important maintenance factors of anxiety (Amir, Weber, Beard, Bomyea, & Taylor, 2008), and is based on the hypothesis that anxious individuals preferentially allocate their attentional resources to threat-relevant stimuli (Cla…”
BackgroundSelf-citationA meta-analysis of the effect of cognitive bias modification on anxiety and depression
Hallion, L. S., & Ruscio, A. M. (2011) · Psychological Bulletin · doi:10.1037/a0024355 · Cited by 891
FRESCO, D. M., COLES, M. E., HEIMBERG, R. G., LIEBOWITZ, M. R., HAMI, S., STEIN, M. B., & GOETZ, D. (2001) · Psychological Medicine · doi:10.1017/s0033291701004056 · Cited by 874
Hakamata, Y., Lissek, S., Bar-Haim, Y., Britton, J. C., Fox, N. A., Leibenluft, E., Ernst, M., & Pine, D. S. (2010) · Biological Psychiatry · doi:10.1016/j.biopsych.2010.07.021 · Cited by 869
Mediation Models for Longitudinal Data in Developmental Research
Selig, J. P., & Preacher, K. J. (2009) · Research in Human Development · doi:10.1080/15427600902911247 · Cited by 804
Koster, E. H. W., Crombez, G., Verschuere, B., & De Houwer, J. (2004) · Behaviour Research and Therapy · doi:10.1016/j.brat.2003.08.001 · Cited by 709
Svanborg, P., & Åsberg, M. (1994) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1994.tb01480.x · Cited by 693
The Liebowitz social anxiety scale as a self-report instrument: a preliminary psychometric analysis
Baker, S. L., Heinrichs, N., Kim, H.-J., & Hofmann, S. G. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(01)00060-2 · Cited by 640
Self-citationSelective Attention to Angry Faces in Clinical Social Phobia.
Mogg, K., Philippot, P., & Bradley, B. P. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.1.160 · Cited by 582
Attention training for generalized social anxiety disorder
Schmidt, N. B., Richey, J. A., Buckner, J. D., & Timpano, K. R. (2009) · Journal of Abnormal Psychology · doi:10.1037/a0013643 · Cited by 546
Functional impairment in social phobia.
Schneier, F. R., Heckelman, L., Garfinkel, R. S., Campeas, R. B., Fallon, B. A., Gitow, A., Street, L. L., Bene, D. D., & Liebowitz, M. R. (1994) · PubMed · Cited by 534
Attention training in individuals with generalized social phobia: A randomized controlled trial.
Amir, N., Beard, C., Taylor, C. T., Klumpp, H., Elias, J. A., Burns, M. N., & Chen, X. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0016685 · Cited by 486
Self-citationAmerican-Japanese cultural differences in intensity ratings of facial expressions of emotion
Matsumoto, D., & Ekman, P. (1989) · Motivation and Emotion · doi:10.1007/bf00992959 · Cited by 448
Information processing in social phobia
Clark, D. M., & McManus, F. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(01)01296-3 · Cited by 416
Andersson, G., Carlbring, P., Holmström, A., Sparthan, E., Furmark, T., Nilsson-Ihrfelt, E., Buhrman, M., & Ekselius, L. (2006) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.74.4.677 · Cited by 382
Self-citationSocial phobia in the general population: prevalence and sociodemographic profile
Furmark, T., Tillfors, M., Everz, P.-O., Marteinsdóttir, Í., Gefvert, O., & Fredrikson, M. (1999) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s001270050163 · Cited by 358
Amir, N., Weber, G., Beard, C., Bomyea, J., & Taylor, C. T. (2008) · Journal of Abnormal Psychology · doi:10.1037/a0013445 · Cited by 356
Self-citationInformation processing in social phobia: A critical review
Heinrichs, N., & Hofmann, S. G. (2001) · Clinical Psychology Review · doi:10.1016/s0272-7358(00)00067-2 · Cited by 351
Self-citationOrienting and maintenance of gaze to facial expressions in social anxiety
Garner, M., Mogg, K., & Bradley, B. P. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.4.760 · Cited by 334
The impairments caused by social phobia in the general population: implications for intervention
Kessler, R. C. (2003) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.108.s417.2.x · Cited by 322
Carlbring, P., Brunt, S., Bohman, S., Austin, D., Richards, J., Öst, L.-G., & Andersson, G. (2007) · Computers in Human Behavior · doi:10.1016/j.chb.2005.05.002 · Cited by 319
Self-citationCarlbring, P., Gunnarsdóttir, M., Hedensjö, L., Andersson, G., Ekselius, L., & Furmark, T. (2007) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.105.020107 · Cited by 299
Self-citationEfficacy of attention bias modification using threat and appetitive stimuli: a meta-analytic review
Beard, C., Sawyer, A. T., & Hofmann, S. G. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.01.002 · Cited by 291
Self-citationSalemink, E., van den Hout, M., & Kindt, M. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.04.004 · Cited by 290
Hedman, E., Andersson, G., Ljótsson, B., Andersson, E., Rück, C., Mörtberg, E., & Lindefors, N. (2011) · PLoS ONE · doi:10.1371/journal.pone.0018001 · Cited by 285
Self-citationGuided and unguided self-help for social anxiety disorder: randomised controlled trial
Furmark, T., Carlbring, P., Hedman, E., Sonnenstein, A., Clevberger, P., Bohman, B., Eriksson, A., Hållén, A., Frykman, M., Holmström, A., et al. (2009) · British Journal of Psychiatry · doi:10.1192/bjp.bp.108.060996 · Cited by 256 · cited 15×
“Despite these initial promising results of attention training, several recent RCTs of attention training for SAD have failed to find expected group differences between the active and control attention training groups (Boettcher, Berger, & Renneberg, 2011; Boettcher, Hasselrot, Sund, Andersson, & Carlbring, 2014; Carlb…”
MethodInfluentialSelf-citationHedman, E., Ljótsson, B., Rück, C., Furmark, T., Carlbring, P., Lindefors, N., & Andersson, G. (2010) · Computers in Human Behavior · doi:10.1016/j.chb.2010.01.010 · Cited by 220
Self-citationCarlbring, P., Apelstrand, M., Sehlin, H., Amir, N., Rousseau, A., Hofmann, S. G., & Andersson, G. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-66 · Cited by 215
Self-citationInternet-based treatment for social phobia: A randomized controlled trial
Berger, T., Hohl, E., & Caspar, F. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20603 · Cited by 198
Heeren, A., Reese, H. E., McNally, R. J., & Philippot, P. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.10.005 · Cited by 198
Shyness 1: Distance Treatment of Social Phobia Over the Internet
Titov, N., Andrews, G., Schwencke, G., Drobny, J., & Einstein, D. (2008) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802119762 · Cited by 180
Suppression of the emotional Stroop effect by increased anxiety in patients with social phobia
Amir, N., McNally, R. J., Riemann, B. C., Burns, J. L., Lorenz, M., & Mullen, J. T. (1996) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(96)00054-x · Cited by 171
Self-citationAn internet-based self-help treatment for fear of public speaking: a controlled trial.
Botella, C., Gallego, M. J., Garcia-Palacios, A., Guillen, V., Baños, R. M., Quero, S., & Alcañiz, M. (2010) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2009.0224 · Cited by 169
Andersson, G., Carlbring, P., Furmark, T., & on behalf of the S. O. F. I. E. Research Group (2012) · PLoS ONE · doi:10.1371/journal.pone.0037411 · Cited by 166
Self-citationBowler, J. O., Mackintosh, B., Dunn, B. D., Mathews, A., Dalgleish, T., & Hoppitt, L. (2012) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0029932 · Cited by 164 · cited 1×
“This is consistent with research showing that a similar form of cognitive bias modification, interpretation training, is equally effective as computerized CBT in reducing social anxiety symptoms (Bowler et al., 2012).”
ResultAndrews, G., Davies, M., & Titov, N. (2011) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048674.2010.538840 · Cited by 152
A Comparison of Social Phobia Outcome Measures in Cognitive-Behavioral Group Therapy
Cox, B. J., Ross, L. M., Swinson, R. P., & Direnfeld, D. M. (1998) · Behavior Modification · doi:10.1177/01454455980223004 · Cited by 151
Predictors of response to an attention modification program in generalized social phobia.
Amir, N., Taylor, C. T., & Donohue, M. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0023808 · Cited by 137
Self-citationInternet-Based Attention Training for Social Anxiety: A Randomized Controlled Trial
Boettcher, J., Berger, T., & Renneberg, B. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-011-9374-y · Cited by 130
Neubauer, K., von Auer, M., Murray, E., Petermann, F., Helbig‐Lang, S., & Gerlach, A. L. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.10.006 · Cited by 121
Tillfors, M., Andersson, G., Ekselius, L., Furmark, T., Lewenhaupt, S., Karlsson, A., & Carlbring, P. (2011) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2011.555486 · Cited by 101
Self-citationMaric, M., Wiers, R. W., & Prins, P. J. M. (2012) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-012-0114-y · Cited by 97
Web-based measurement: Effect of completing single or multiple items per webpage
Thorndike, F. P., Carlbring, P., Smyth, F. L., Magee, J. C., Gonder-Frederick, L., Ost, L.-G., & Ritterband, L. M. (2009) · Computers in Human Behavior · doi:10.1016/j.chb.2008.05.006 · Cited by 83
Self-citationLindner, P., Andersson, G., Öst, L., & Carlbring, P. (2013) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.806584 · Cited by 83
Self-citationMansell, W., Ehlers, A., Clark, D. M., & Chen, Y. (2002) · Anxiety Stress & Coping · doi:10.1080/10615800290007263 · Cited by 80
Social Phobia (Social Anxiety Disorder)
Andersson, G., & Carlbring, P. (2010) · Springer eBooks · doi:10.1007/978-1-4419-6510-3_6 · Cited by 79
Self-citationAttention bias modification: the Emperor's new suit?
Emmelkamp, P. M. (2012) · BMC Medicine · doi:10.1186/1741-7015-10-63 · Cited by 76
Boettcher, J., Hasselrot, J., Sund, E., Andersson, G., & Carlbring, P. (2014) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.809141 · Cited by 68
Self-citationDraper, C., & O’Donohue, W. (2010) · Springer eBooks · doi:10.1007/978-1-4419-6510-3 · Cited by 58
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Metadata
- Authors
- Kuckertz, J. M., Gildebrant, E., Liliequist, B., Karlström, P., Väppling, C., Bodlund, O., Stenlund, T., Hofmann, S. G., Andersson, G., Amir, N., & Carlbring, P.
- Affiliations
- San Diego State University (US)
- Umeå University (SE)
- Boston University (US)
- Linköping University (SE)
- Stockholm University (SE)
- Corresponding author
- Carlbring, Per
- ORCID
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2014-02
- Volume
- 53
- Pages
- 30-40
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2109887133
- Semantic Scholar
- 8bf902d5e8e651df5fe28f911d5b1f29ed2bfdfc
- Cited by
- 117
- References
- 65
- Citations by year
- 2026: 3 · 2025: 6 · 2024: 5 · 2023: 3 · 2022: 7 · 2021: 11 · 2020: 7 · 2019: 12 · 2018: 14 · 2017: 10 · 2016: 17 · 2015: 15 · 2014: 7
- FWCI
- 17.61
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Behaviour Research and Therapy (publishedVersion, cc-by)
- PubMed (publishedVersion)
- KTH Publication Database DiVA (KTH Royal Institute of Technology) (submittedVersion, other-oa)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- Funders
- Swedish Research Council for Health, Working Life and Welfare
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- social anxiety disorder, attention training, attentional bias, internet-based cognitive behavioral therapy, mediation, moderation, symptom change
- MeSH terms
- Adult, Attention, Female, Humans, Male, Middle Aged, Phobic Disorders, Social Behavior, Cognitive Behavioral Therapy, Treatment Outcome, Internet, Young Adult
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