Attentional bias towards threatening stimuli in children with anxiety: A meta-analysis

Dudeney, Joanne; Sharpe, Louise; Hunt, Caroline

doi:10.1016/j.cpr.2015.05.007

Cited by 247Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentNeural and Behavioral Psychology Studies

Attentional bias towards threatening stimuli in children with anxiety: A meta-analysis

Dudeney, Joanne, Sharpe, Louise, Hunt, Caroline·2015·Clinical Psychology Review

DOI 10.1016/j.cpr.2015.05.007

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Abstract

Although it is well known that anxious adults show selective attention to threatening stimuli, research investigating attentional bias in children with anxiety has produced mixed results. The purpose of this paper is to provide a comprehensive analysis of studies investigating attentional bias in children with anxiety. Using a systematic search for articles which included both children with anxiety and reported data suitable for a meta-analysis, 38 articles were identified involving 4221 subjects (anxiety n=2222). We used a random effects meta-analysis with standardized mean difference as our primary outcome to estimate between- and within-group effects of attentional bias towards threat-related information in children with anxiety. Overall, children with anxiety showed a significantly greater bias to threat-related stimuli, compared to controls (d=0.21). Children with anxiety also showed a significant bias to threat-related stimuli, over neutral stimuli (d=0.54), which was greater than the bias shown by control children (d=0.15). Specific variables in attentional bias were also explored, with varying results. The review concluded that anxious children do show a similar bias towards threatening stimuli as has been documented in adults, albeit to a lesser degree and this bias is moderated by age, such that the difference between anxious and control children increases with age. Given the small number of studies in some areas, future research is needed to understand the precise conditions under which anxious children exhibit selective attentional biases to threat-related stimuli.

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Attentional bias is related to clinical anxiety in children.
“Although most of this research is focused on adults, research in youth suggests that attentional bias is also related to clinical anxiety in children (Dudeney, Sharpe, & Hunt, 2015;Puliafico & Kendall, 2006), and to levels of depressive symptomatology in adolescents (Platt, Waters, Schulte-Koerne, Engelmann, & Salemink, in press).”
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 Dudeney, Sharpe, & Hunt, 2015
Recent reviews indicate that AB in orienting towards threat is not consistently found in anxiety.
“This concurs with recent reviews indicating that AB in orienting towards threat is not consistently found in anxiety (Dudeney et al., 2015;Van Bockstaele et al., 2014; see also Heeren, Mogoas ¸e, Phillippot, & McNally, 2015).”
From Anxiety and attention to threat: cognitive mechanisms and treatment with attention bias modification (2016) · cites this paper as Dudeney et al., 2015

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Self-citation
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Keyword index
(2003) · Schizophrenia Research · doi:10.1016/s0920-9964(03)00233-0
Anxiety-related Attentional Biases in Childhood
Vasey, M. W. (1996) · Behaviour Change · doi:10.1017/s0813483900004794 · Cited by 10 · see citing works
Biased attention in childhood Anxiety disorders: A preliminary study
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Attentional bias toward fear-related stimuli:
Waters, A. M., Lipp, O. V., & Spence, S. H. (2004) · Journal of Experimental Child Psychology · doi:10.1016/j.jecp.2004.06.003 · Cited by 127 · see citing works
Effects of state and trait anxiety on selective attention to threatening stimuli in a non-clinical sample of school children
Marín, J. O., Solanilla, K. J., & Barreto, M. R. A. (2015) · International journal of psychological research · doi:10.21500/20112084.646 · Cited by 1 · see citing works

Authors: Dudeney, J., Sharpe, L., & Hunt, C.
Affiliations: The University of Sydney (AU)
Corresponding author: Sharpe, Louise
ORCID: Dudeney, Joanne
Sharpe, Louise
Hunt, Caroline
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2015-08
Volume: 40
Pages: 66-75
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2015.05.007
OpenAlex: W620498723
Semantic Scholar: 536b6f2147ea89fdf3f31578253ce0fc51e828f0
Cited by: 247
References: 68
Citations by year: 2026: 10 · 2025: 17 · 2024: 18 · 2023: 16 · 2022: 24 · 2021: 26 · 2020: 31 · 2019: 36 · 2018: 31 · 2017: 17 · 2016: 21
FWCI: 2.96
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Funders: Senior National Health and Medical Research Council Fellowship
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords: attentional bias, threatening stimuli, selective attention, age differences, childhood anxiety, attentional bias to threat
MeSH terms: Adolescent, Anxiety Disorders, Attention, Child, Child Behavior, Fear, Female, Humans, Male

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Attentional bias towards threatening stimuli in children with anxiety: A meta-analysis

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