Pooled patient-level meta-analysis of children and adults completing a computer-based anxiety intervention targeting attentional bias
Open accessAbstract
Computer-based approaches, such as Attention Bias Modification (ABM), could help improve access to care for anxiety. Study-level meta-analyses of ABM have produced conflicting findings and leave critical questions unresolved regarding ABM's mechanisms of action and clinical potential. We pooled patient-level datasets from randomized controlled trials of children and adults with high-anxiety. Attentional bias (AB) towards threat, the target mechanism of ABM, was tested as an outcome and a mechanistic mediator and moderator of anxiety reduction. Diagnostic remission and Liebowitz Social Anxiety Scale (LSAS) were clinical outcomes available in enough studies to enable pooling. Per-patient data were obtained on at least one outcome from 13/16 eligible studies [86% of eligible participants; n=778]. Significant main effects of ABM on diagnostic remission (ABM-22.6%, control-10.8%; OR=2.57; p=0.006) and AB (β* (95%CI)=-0.63 (-0.83, -0.42); p<0.00005) were observed. There was no main effect of ABM on LSAS. However, moderator analyses suggested ABM was effective for patients who were younger (≤37y), trained in the lab, and/or assessed by clinicians. Under the same conditions where ABM was effective, mechanistic links between AB and anxiety reduction were supported. Under these specific circumstances, ABM reduces anxiety and acts through its target mechanism, supporting ABM's theoretical basis while simultaneously suggesting clinical indications and refinements to improve its currently limited clinical potential.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
ABM threat-avoidance training is less effective when delivered at home than in laboratory or clinic settings, possibly because greater distractions at home impair learning.
“ABM threatavoidance training is less effective when delivered at home than in laboratory/clinic settings, possibly because greater distractions at home impair learning [8,13].”
From Anxiety and Threat-Related Attention: Cognitive-Motivational Framework and Treatment (2018) · cites this paper as [13]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052 · see citing works
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., Sanislow, C., & Wang, P. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2010.09091379 · Cited by 7,067 · see citing works
(2008) · Cited by 3,790 · see citing works
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 · see citing works
Self-citationAttentional 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 · see citing works
Wang, P. S., Lane, M., Olfson, M., Pincus, H. A., Wells, K. B., & Kessler, R. C. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.629 · Cited by 2,695 · cited 2× · see citing works
“7% of patients receiving minimally adequate treatment (Wang et al., 2005).”
InfluentialAttentional 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 · see citing works
Models of visuospatial and verbal memory across the adult life span.
Park, D. C., Lautenschlager, G. J., Hedden, T., Davidson, N. S., Smith, A. D., & Smith, P. K. (2002) · Psychology and Aging · doi:10.1037/0882-7974.17.2.299 · Cited by 1,792 · see citing works
Meta-analysis of individual participant data: rationale, conduct, and reporting
Riley, R. D., Lambert, P. C., & Abo-Zaid, G. (2010) · BMJ · doi:10.1136/bmj.c221 · Cited by 1,701 · see citing works
Global prevalence of anxiety disorders: a systematic review and meta-regression
Baxter, A. J., Scott, K. M., Vos, T., & Whiteford, H. A. (2013) · Psychological Medicine · doi:10.1017/s003329171200147x · Cited by 1,537 · see citing works
Hoffman, S. G., & Smits, J. A. J. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n0415 · Cited by 1,420 · see citing works
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 · cited 1× · see citing works
“All studies that ultimately contributed data used a training variant of the dot-probe as the ABM intervention (MacLeod et al., 2002).”
The economic burden of anxiety disorders in the 1990s
Greenberg, P. E., Sisitsky, T., Kessler, R. C., Finkelstein, S. N., Berndt, E. R., Davidson, J. R. T., Ballenger, J. C., & Fyer, A. J. (1999) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v60n0702 · Cited by 1,242 · cited 1× · see citing works
“Clinical and subclinical forms of anxiety are associated with significant medical morbidity, disability, and public health burden (Kessler, 2007), with an estimated direct societal cost of over $42 billion per year in the U.S. (Greenberg et al., 1999).”
Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000) · JAMA · doi:10.1001/jama.283.19.2529 · Cited by 953 · see citing works
A 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 · see citing works
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 · see citing works
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 · see citing works
Self-citationSelf-efficacy conception of anxiety
Bandura, A. (1988) · Anxiety Research · doi:10.1080/10615808808248222 · Cited by 801 · cited 2× · see citing works
“Finally, there could be longitudinal changes in the mechanisms that contribute to anxiety; for instance, attentional bias towards threat could be a prominent factor contributing to the initial onset and early maintenance of anxiety (MacLeod & Hagan, 1992; See, MacLeod, & Bridle, 2009), but could be gradually replaced…”
Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.03.008 · Cited by 693 · see citing works
Efficacy of cognitive bias modification interventions in anxiety and depression: Meta-analysis
Cristea, I. A., Kok, R. N., & Cuijpers, P. (2015) · British Journal of Psychiatry · doi:10.1192/bjp.bp.114.146761 · Cited by 553 · see citing works
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 · see citing works
Attention modification program in individuals with generalized anxiety disorder
Amir, N., Beard, C., Burns, M., & Bomyea, J. (2009) · Journal of Abnormal Psychology · doi:10.1037/a0012589 · Cited by 539 · see citing works
Self-citationMogg, K., Bradley, B. P., Miles, F. J., & Dixon, R. (2004) · Cognition & Emotion · doi:10.1080/02699930341000158 · Cited by 500 · see citing works
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 455 · see citing works
Self-citationCuijpers, P., Li, J., Hofmann, S. G., & Andersson, G. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.06.001 · Cited by 383 · see citing works
MacLeod, C., & Hagan, R. (1992) · Behaviour Research and Therapy · doi:10.1016/0005-7967(92)90138-7 · Cited by 355 · see citing works
Clinical Efficacy of Attentional Bias Modification Procedures: An Updated Meta-Analysis
Mogoaşe, C., David, D. O., & Koster, E. H. W. (2014) · Journal of Clinical Psychology · doi:10.1002/jclp.22081 · Cited by 352 · see citing works
The attentional bias modification approach to anxiety intervention
MacLeod, C., & Clarke, P. J. F. (2015) · Clinical Psychological Science · doi:10.1177/2167702614560749 · Cited by 315 · see citing works
Attention bias modification for social anxiety: A systematic review and meta-analysis
Heeren, A., Mogoașe, C., Philippot, P., & McNally, R. J. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.06.001 · Cited by 312 · see citing works
Empirical recommendations for improving the stability of the dot-probe task in clinical research.
Price, R. B., Kuckertz, J. M., Siegle, G. J., Ladouceur, C. D., Silk, J. S., Ryan, N. D., Dahl, R. E., & Amir, N. (2015) · Psychological Assessment · doi:10.1037/pas0000036 · Cited by 312 · see citing works
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 · see citing works
Meta‐analysis of continuous outcomes combining individual patient data and aggregate data
Riley, R. D., Lambert, P. C., Staessen, J. A., Wang, J., Gueyffier, F., Thijs, L., & Boutitie, F. (2007) · Statistics in Medicine · doi:10.1002/sim.3165 · Cited by 280 · see citing works
Attention bias modification treatment for pediatric anxiety disorders: A randomized controlled trial
Eldar, S., Apter, A., Lotan, D., Edgar, K. P., Naim, R., Fox, N. A., Pine, D. S., & Bar-Haim, Y. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11060886 · Cited by 220 · see citing works
Self-citationSee, J., MacLeod, C., & Bridle, R. (2009) · Journal of Abnormal Psychology · doi:10.1037/a0014377 · Cited by 215 · see citing works
Carlbring, 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 · see citing works
Self-citationHeeren, 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 · see citing works
Dennis, T. A., & O’Toole, L. J. (2014) · Clinical Psychological Science · doi:10.1177/2167702614522228 · Cited by 197 · see citing works
Clarke, P. J., Notebaert, L., & MacLeod, C. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-8 · Cited by 188 · see citing works
Badura-Brack, A. S., Naim, R., Ryan, T. J., Levy, O., Abend, R., Khanna, M. M., McDermott, T. J., Pine, D. S., & Bar-Haim, Y. (2015) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2015.14121578 · Cited by 185 · see citing works
Self-citationLinetzky, M., Pergamin-Hight, L., Pine, D. S., & Bar-Haim, Y. (2015) · Depression and Anxiety · doi:10.1002/da.22344 · Cited by 185 · see citing works
Self-citation(2007) · PubMed · Cited by 184 · see citing works
Clarke, P., Browning, M. D., Hammond, G., Notebaert, L., & MacLeod, C. (2014) · Biological Psychiatry · doi:10.1016/j.biopsych.2014.03.003 · Cited by 166 · see citing works
Attention training towards positive stimuli in clinically anxious children
Waters, A. M., Pittaway, M., Mogg, K., Bradley, B. P., & Pine, D. S. (2013) · Developmental Cognitive Neuroscience · doi:10.1016/j.dcn.2012.09.004 · Cited by 135 · see citing works
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 130 · see citing works
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 · see citing works
Linetzky, M., Pergamin‐Hight, L., Pine, D. S., & Bar‐Haim, Y. (2017) · Depression and Anxiety · doi:10.1002/da.22690 · Cited by 128 · see citing works
Self-citationCombined cognitive bias modification treatment for social anxiety disorder: a pilot trial
Beard, C., Weisberg, R. B., & Amir, N. (2011) · Depression and Anxiety · doi:10.1002/da.20873 · Cited by 124 · see citing works
Self-citationMcEvoy, P. M. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.08.002 · Cited by 118 · see citing works
Moderation and mediation of the effect of attention training in social anxiety disorder
Kuckertz, J. M., Gildebrant, E., Liliequist, B., Karlström, P., Väppling, C., Bodlund, O., Stenlund, T., Hofmann, S. G., Andersson, G., Amir, N., et al. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.12.003 · Cited by 117 · see citing works
Self-citationBoettcher, J., Leek, L., Matson, L., Holmes, E. A., Browning, M., MacLeod, C., Andersson, G., & Carlbring, P. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071760 · Cited by 109 · see citing works
Self-citationHandbook of behavioral medicine : methods and applications
Steptoe, A., Freedland, K. E., Jennings, J. R., Llabre, M. M., Manuck, S. B., & Susman, E. J. (2010) · Digital Access to Libraries (Université catholique de Louvain (UCL), l'Université de Namur (UNamur) and the Université Saint-Louis (USL-B)) · doi:10.1007/978-0-387-09488-5 · Cited by 105 · see citing works
Attention bias modification for reducing speech anxiety
McNally, R. J., Enock, P. M., Tsai, C., & Tousian, M. (2013) · Behaviour Research and Therapy · doi:10.1016/j.brat.2013.10.001 · Cited by 95 · see citing works
Heeren, A., Baeken, C., Vanderhasselt, M., Philippot, P., & Raedt, R. D. (2015) · PLoS ONE · doi:10.1371/journal.pone.0124182 · Cited by 90 · see citing works
MacLeod, C., & Grafton, B. (2016) · Behaviour Research and Therapy · doi:10.1016/j.brat.2016.07.005 · Cited by 90 · see citing works
Remission Rates in Patients With Anxiety Disorders Treated With Paroxetine
Ballenger, J. C. (2004) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v65n1216 · Cited by 82 · see citing works
Waters, A. M., Zimmer-Gembeck, M. J., Craske, M. G., Pine, D. S., Bradley, B. P., & Mogg, K. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2015.08.005 · Cited by 80 · see citing works
Neural changes with attention bias modification for anxiety: a randomized trial
Britton, J. C., Suway, J. G., Clementi, M. A., Fox, N. A., Pine, D. S., & Bar‐Haim, Y. (2014) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nsu141 · Cited by 76 · see citing works
Self-citationAttention bias modification for youth with social anxiety disorder
Pergamin‐Hight, L., Pine, D. S., Fox, N. A., & Bar‐Haim, Y. (2016) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12599 · Cited by 72 · see citing works
Self-citationBoettcher, J., Hasselrot, J., Sund, E., Andersson, G., & Carlbring, P. (2014) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2013.809141 · Cited by 68 · see citing works
Self-citationBunnell, B. E., Beidel, D. C., & Mesa, F. (2013) · Behavior Therapy · doi:10.1016/j.beth.2013.04.010 · Cited by 51 · see citing works
Validation of a novel attentional bias modification task: the future may be in the cards
Notebaert, L., Clarke, P. J. F., Grafton, B., & MacLeod, C. (2015) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.12.007 · Cited by 48 · see citing works
Urech, A., Krieger, T., Chesham, A., Mast, F. W., & Berger, T. (2015) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2015.00154 · Cited by 43 · see citing works
A novel attention training paradigm based on operant conditioning of eye gaze: Preliminary findings.
Price, R. B., Greven, I. M., Siegle, G. J., Koster, E. H. W., & Raedt, R. D. (2015) · Emotion · doi:10.1037/emo0000093 · Cited by 38 · see citing works
Self-citationSubliminal attention bias modification training in socially anxious individuals
Maoz, K. B., Abend, R., Fox, N. A., Pine, D. S., & Bar‐Haim, Y. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00389 · Cited by 29 · see citing works
Self-citationPsychological treatment of social anxiety disorder improves body dysmorphic concerns
Fang, A., Sawyer, A. T., Aderka, I. M., & Hofmann, S. G. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.07.005 · Cited by 28 · see citing works
Moderators and Mediators: The MacArthur Updated View
KRAEMER, H. C. (2010) · Springer eBooks · doi:10.1007/978-0-387-09488-5_55 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Cognitive bias modification: A review of meta-analyses
Jones, E. B., & Sharpe, L. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.07.034 · Cited by 338 · see citing works
Fodor, L. A., Georgescu, R., Cuijpers, P., Szamoskozi, Ş., David, D., Furukawa, T. A., & Cristea, I. A. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30130-9 · Cited by 258 · see citing works
Attentional bias for threat: Crisis or opportunity?
McNally, R. J. (2018) · Clinical Psychology Review · doi:10.1016/j.cpr.2018.05.005 · Cited by 247 · see citing works
Dolcos, F., Katsumi, Y., Moore, M., Berggren, N., de Gelder, B., Derakshan, N., Hamm, A. O., Koster, E. H. W., Ladouceur, C. D., Okon‐Singer, H., et al. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.08.017 · Cited by 222 · see citing works
Mogg, K., Waters, A. M., & Bradley, B. P. (2017) · Clinical Psychological Science · doi:10.1177/2167702617696359 · Cited by 215 · see citing works
Anxiety and Threat-Related Attention: Cognitive-Motivational Framework and Treatment
Mogg, K., & Bradley, B. P. (2018) · Trends in Cognitive Sciences · doi:10.1016/j.tics.2018.01.001 · Cited by 210 · see citing works
Rinck, M., Wiers, R. W. H. J., Becker, E. S., & Lindenmeyer, J. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000321 · Cited by 211 · see citing works
Anxiety-Linked Attentional Bias: Is It Reliable?
MacLeod, C., Grafton, B., & Notebaert, L. (2019) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-050718-095505 · Cited by 156 · see citing works
Understanding Resilience and Preventing and Treating PTSD
Horn, S. R. G.-V., & Feder, A. (2018) · Harvard Review of Psychiatry · doi:10.1097/hrp.0000000000000194 · Cited by 150 · see citing works
Boffo, M., Zerhouni, O., Gronau, Q. F., van Beek, R. J. J., Nikolaou, K., Marsman, M., & Wiers, R. W. (2019) · Neuropsychology Review · doi:10.1007/s11065-018-9386-4 · Cited by 146 · see citing works
Affect-Driven Attention Biases as Animal Welfare Indicators: Review and Methods
Crump, A., Arnott, G., & Bethell, E. (2018) · Animals · doi:10.3390/ani8080136 · Cited by 123 · see citing works
Wiers, R. W., Boffo, M., & Field, M. (2018) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2018.79.333 · Cited by 115 · see citing works
Kruijt, A., Parsons, S. D., & Fox, E. (2019) · Journal of Abnormal Psychology · doi:10.1037/abn0000406 · Cited by 103 · see citing works
Price, R. B., Brown, V., & Siegle, G. J. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2018.09.022 · Cited by 84 · see citing works
Self-citationWilkinson, S. T., Holtzheimer, P. E., Gao, S., Kirwin, D. S., & Price, R. B. (2019) · Biological Psychiatry · doi:10.1016/j.biopsych.2018.09.004 · Cited by 95 · see citing works
Self-citationHur, J., Stockbridge, M. D., Fox, A. S., & Shackman, A. J. (2019) · Progress in brain research · doi:10.1016/bs.pbr.2019.03.012 · Cited by 91 · see citing works
Gaze-Based Assessments of Vigilance and Avoidance in Social Anxiety: a Review
Chen, N. T. M., & Clarke, P. (2017) · Current Psychiatry Reports · doi:10.1007/s11920-017-0808-4 · Cited by 87 · see citing works
Price, R. B., Spotts, C., Panny, B., Griffo, A., Degutis, M., Cruz, N., Bell, E., Do-Nguyen, K., Wallace, M. L., Mathew, S. J., et al. (2022) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20220216 · Cited by 85 · see citing works
Self-citationDennis-Tiwary, T. A., Denefrio, S., & Gelber, S. (2017) · Biological Psychology · doi:10.1016/j.biopsycho.2017.05.003 · Cited by 70 · see citing works
What can food-image tasks teach us about anorexia nervosa? A systematic review
Lloyd, E. C., & STEINGLASS, J. E. (2018) · Journal of Eating Disorders · doi:10.1186/s40337-018-0217-z · Cited by 64 · see citing works
Relationship between teacher empowerment and job satisfaction: A Meta-Analytic path analysis
Ahrari, S., Roslan, S. B., Zaremohzzabieh, Z., Rasdi, R. M., & Samah, A. A. (2021) · Cogent Education · doi:10.1080/2331186x.2021.1898737 · Cited by 77 · see citing works
Akbarizadeh, M., Naderi far, M., & Ghaljaei, F. (2022) · World Journal of Pediatrics · doi:10.1007/s12519-021-00485-2 · Cited by 60 · see citing works
The role of attention bias to threat in anxiety: mechanisms, modulators and open questions
Okon-Singer, H. (2018) · Current Opinion in Behavioral Sciences · doi:10.1016/j.cobeha.2017.09.008 · Cited by 58 · see citing works
Liu, Y., van den Wildenberg, W. P. M., de Graaf, Y., Ames, S. L., Baldacchino, A., Bø, R., Cadaveira, F., Campanella, S., Christiansen, P., Claus, E. D., et al. (2019) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.07.006 · Cited by 59 · see citing works
Pettit, J. W., Bechor, M., Rey, Y., Vasey, M. W., Abend, R., Pine, D. S., Bar‐Haim, Y., Jaccard, J. J., & Silverman, W. K. (2019) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2019.02.018 · Cited by 58 · see citing works
Self-citationAttentional biases in human anxiety
Valadez, E. A., Pine, D. S., Fox, N. A., & Bar‐Haim, Y. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104917 · Cited by 55 · see citing works
Self-citationDykan, C. D. G., Lazarov, A., & Bar‐Haim, Y. (2020) · Evidence-Based Mental Health · doi:10.1136/ebmental-2020-300216 · Cited by 45 · see citing works
Self-citationAttentional control predicts change in bias in response to attentional bias modification
Basanovic, J., Notebaert, L., Grafton, B., Hirsch, C. R., & Clarke, P. (2017) · Behaviour Research and Therapy · doi:10.1016/j.brat.2017.09.002 · Cited by 41 · see citing works
Haller, S. P., Stoddard, J., Botz-Zapp, C. A., Clayton, M., MacGillivray, C., Perhamus, G. R., Stiles, K., Kircanski, K., Penton‐Voak, I. S., Bar‐Haim, Y., et al. (2021) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2021.05.022 · Cited by 38 · see citing works
Self-citationAttention bias modification for depression: A systematic review and meta-analysis
Xia, H., Li, Y., Zhang, Q., Zhong, D., Liu, X.-B., Gou, X.-Y., Fan, J., Zhao, J., Zhang, Y., Ai, S., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1098610 · Cited by 39 · see citing works
Biased attention to threat and anxiety: On taking a developmental approach
Burris, J. L., Buss, K. A., LoBue, V., Pérez‐Edgar, K. E., & Field, A. P. (2019) · Journal of Experimental Psychopathology · doi:10.1177/2043808719860717 · Cited by 37 · see citing works
Vulnerabilities in social anxiety: Integrating intra- and interpersonal perspectives
Ginat-Frolich, R., Gilboa-Schechtman, E., Huppert, J. D., Aderka, I. M., Alden, L. E., Bar-Haim, Y., Becker, E. S., Bernstein, A., Geva, R., Heimberg, R. G., et al. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102415 · Cited by 36 · see citing works
Self-citationKlawohn, J., Hajcak, G., Amir, N., Kathmann, N., & Riesel, A. (2020) · International Journal of Psychophysiology · doi:10.1016/j.ijpsycho.2020.07.005 · Cited by 34 · see citing works
Self-citationCan less be more? Open trial of a stepped care approach for child and adolescent anxiety disorders
Pettit, J. W., Rey, Y., Bechor, M., Melendez, R., Vaclavik, D., Buitron, V., Bar‐Haim, Y., Pine, D. S., & Silverman, W. K. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.08.004 · Cited by 33 · see citing works
Self-citationTranslating CBM-I Into Real-World Settings: Augmenting a CBT-Based Psychiatric Hospital Program
Beard, C., Rifkin, L. S., Silverman, A. L., & Björgvinsson, Þ. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.09.002 · Cited by 33 · see citing works
Improving Disclosure of Financial Conflicts of Interest for Research on Psychosocial Interventions
Cristea, I. A., & Ioannidis, J. P. A. (2018) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2018.0382 · Cited by 31 · see citing works
Kuckertz, J. M., Schofield, C. A., Clerkin, E. M., Primack, J., Boettcher, H., Weisberg, R. B., Amir, N., & Beard, C. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465818000231 · Cited by 30 · see citing works
Self-citationShamai‐Leshem, D., Linetzky, M., & Bar‐Haim, Y. (2022) · Cognitive Therapy and Research · doi:10.1007/s10608-022-10331-y · Cited by 31 · see citing works
Self-citationHuppert, J., Kivity, Y., Cohen, L., Strauss, A. Y., Elizur, Y., & Weiss, M. (2018) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2018.08.002 · Cited by 29 · see citing works
Hang, Y., Xu, L., Wang, C., Zhang, G., & Zhang, N. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.113892 · Cited by 27 · see citing works
Approach-Bias Retraining and Other Training Interventions as Add-On in the Treatment of AUD Patients
Wiers, R. W. H. J., Pan, T., Dessel, P. V., Rinck, M., & Lindenmeyer, J. (2023) · Current topics in behavioral neurosciences · doi:10.1007/7854_2023_421 · Cited by 28 · see citing works
Notebaert, L., Grafton, B., Clarke, P., Rudaizky, D., Chen, N. T. M., & MacLeod, C. (2018) · JMIR Serious Games · doi:10.2196/10993 · Cited by 26 · see citing works
Trait anxiety and the alignment of attentional bias with controllability of danger
Notebaert, L., Georgiades, J., Herbert, M., Grafton, B., Parsons, S. D., Fox, E., & MacLeod, C. (2018) · Psychological Research · doi:10.1007/s00426-018-1081-9 · Cited by 26 · see citing works
Price, R. B., Kuckertz, J. M., Amir, N., Bar‐Haim, Y., Carlbring, P., & Wallace, M. L. (2017) · Depression and Anxiety · doi:10.1002/da.22634 · Cited by 25 · see citing works
Self-citationRowlands, K., Beaty, T., Simic, M., Grafton, B., Hirsch, C. R., Treasure, J. L., & Cardi, V. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23809 · Cited by 25 · see citing works
Rosen, D. K., Price, R. B., & Silk, J. S. (2019) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2019.04.003 · Cited by 25 · see citing works
Self-citationRowlands, K., Grafton, B., Cerea, S., Simic, M., Hirsch, C. R., Cruwys, T., Yellowlees, R., Treasure, J. L., & Cardi, V. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.07.013 · Cited by 23 · see citing works
The free-viewing matrix task: A reliable measure of attention allocation in psychopathology
Shamai‐Leshem, D., Abend, R., Arad, G., Azriel, O., Chong, L. J., de Jong, P. J., Dykan, C. D. G., Hajcak, G., Klawohn, J., Meyer, A. M., et al. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102789 · Cited by 23 · see citing works
Self-citationA Cost Analysis of a Stepped Care Treatment Approach for Anxiety Disorders in Youth
Yegüez, C. E., Page, T. F., Rey, Y., Silverman, W. K., & Pettit, J. W. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2018.1539913 · Cited by 22 · see citing works
Hang, Y., Zhang, G., Wang, C., Zhang, N., & Liu, G. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.113896 · Cited by 22 · see citing works
Linke, J. O., Jones, E. J. H., Pagliaccio, D., Swetlitz, C., Lewis, K. M., Silverman, W. K., Bar‐Haim, Y., Pine, D. S., & Brotman, M. A. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2224-2 · Cited by 21 · see citing works
Self-citationAbend, R., Naim, R., Pergamin‐Hight, L., Fox, N. A., Pine, D. S., & Bar‐Haim, Y. (2018) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-018-0494-7 · Cited by 22 · see citing works
Self-citationLinetzky, M., Kahn, M., Lazarov, A., Pine, D. S., & Bar‐Haim, Y. (2019) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2019.1573685 · Cited by 19 · see citing works
Self-citationCognitive training for mental health problems
Hallion, L. S., Hsu, K. J., & Schleider, J. L. (2024) · Nature Mental Health · doi:10.1038/s44220-023-00185-y · Cited by 20 · see citing works
Price, R. B., Cummings, L. R., Gilchrist, D., Graur, S., Banihashemi, L., Kuo, S. S., & Siegle, G. J. (2018) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000309 · Cited by 18 · see citing works
Self-citationA neuromarker of clinical outcome in attention bias modification therapy for social anxiety disorder
Arad, G., Abend, R., Pine, D. S., & Bar‐Haim, Y. (2018) · Depression and Anxiety · doi:10.1002/da.22858 · Cited by 18 · see citing works
Self-citationPrice, R. B., Beltz, A. M., Woody, M. L., Cummings, L. R., Gilchrist, D., & Siegle, G. J. (2020) · Clinical Psychological Science · doi:10.1177/2167702620906149 · Cited by 17 · see citing works
Self-citationEmerging Domain-Based Treatments for Pediatric Anxiety Disorders
Lazarov, A., & Bar‐Haim, Y. (2020) · Biological Psychiatry · doi:10.1016/j.biopsych.2020.08.030 · Cited by 17 · see citing works
Self-citationShani, R., Tal, S., Derakshan, N., Cohen, N., Enock, P. M., McNally, R. J., Mor, N., Daches, S., Williams, A. D., Yiend, J., et al. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.03.043 · Cited by 16 · see citing works
Self-citationTonta, K. E., Howell, J. A., Hasking, P. A., Boyes, M. E., & Clarke, P. J. F. (2019) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2019.02.009 · Cited by 15 · see citing works
Attentional bias modification in social anxiety: Effects on the N2pc component
Reutter, M., Hewig, J. S., Wieser, M. J., & Osinsky, R. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.05.001 · Cited by 15 · see citing works
Nieto, I., & Vázquez, C. (2021) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2021.102459 · Cited by 14 · see citing works
Linetzky, M., Pettit, J., Silverman, W., Pine, D., & Bar-Haim, Y. (2020) · Clinical Psychological Science · doi:10.1177/2167702620902130 · Cited by 14 · see citing works
Self-citationRooney, T., Sharpe, L., Todd, J., Michalski, S. C., Ryckeghem, D. M. L. V., Crombez, G., & Colagiuri, B. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102436 · Cited by 18 · see citing works
Tan, P. Z., Rozenman, M. S., Chang, S. W., Jurgiel, J., Truong, H., Piacentini, J. C., & Loo, S. K. (2021) · Biological Psychology · doi:10.1016/j.biopsycho.2021.108206 · Cited by 13 · see citing works
Attention Training as a Low-Intensity Treatment for Concerning Anxiety in Clinic-Referred Youth
Pettit, J. W., Rey, Y., Marin, C. E., Bechor, M., Lebowitz, E. R., Vasey, M. W., Jaccard, J. J., Abend, R., Pine, D. S., Bar‐Haim, Y., et al. (2022) · Behavior Therapy · doi:10.1016/j.beth.2022.07.004 · Cited by 13 · see citing works
Self-citationde Lijster, J. M., Dieleman, G. C., Utens, E. M. W. J., van der Ende, J., Alexander, T. M., Boon, A. E., Hillegers, M. H. J., & Legerstee, J. S. (2019) · Behaviour Change · doi:10.1017/bec.2019.8 · Cited by 13 · see citing works
Psychometric properties of threat‐related attentional bias in young children using eye‐tracking
Chong, L. J., & Meyer, A. M. (2020) · Developmental Psychobiology · doi:10.1002/dev.22053 · Cited by 13 · see citing works
Falkenstein, M. J., Kelley, K. N., Dattolico, D., Kuckertz, J. M., Bezahler, A., Krompinger, J. W., Webb, C. A., & Beard, C. (2021) · Behavior Therapy · doi:10.1016/j.beth.2021.09.002 · Cited by 12 · see citing works
Self-citationThe neurobiology of emotion-cognition interactions
Shackman, A. J., Pessoa, L., Hendler, T., & Okon-Singer, H. (2015) · Frontiers research topics · doi:10.3389/978-2-88919-528-2 · Cited by 13 · see citing works
Price, R. B., Woody, M. L., Panny, B., & Siegle, G. J. (2019) · Clinical Psychological Science · doi:10.1177/2167702619842556 · Cited by 12 · see citing works
Self-citationOuimet, A. J., Dixon‐Luinenburg, T., & Rooyakkers, M. (2020) · International Journal of Cognitive Therapy · doi:10.1007/s41811-020-00093-4 · Cited by 11 · see citing works
Current and Future Approaches to Pediatric Anxiety Disorder Treatment
Zugman, A., Winkler, A. M., Qamar, P., & Pine, D. S. (2024) · American Journal of Psychiatry · doi:10.1176/appi.ajp.20231037 · Cited by 14 · see citing works
A systematic review of treatments targeting cognitive biases in socially anxious adolescents
Biagianti, B., Conelea, C. A., Brambilla, P., & Bernstein, G. A. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.12.002 · Cited by 10 · see citing works
Depreeuw, B., Eldar, S., Conroy, K., & Hofmann, S. G. (2017) · Springer eBooks · doi:10.1007/978-3-319-56194-3_2 · Cited by 10 · see citing works
Kuckertz, J. M., Najmi, S., Baer, K., & Amir, N. (2023) · Behavior Modification · doi:10.1177/0145445519841055 · Cited by 9 · see citing works
Self-citationHaller, S. P., Stoddard, J., MacGillivray, C., Stiles, K., Perhamus, G. R., Penton‐Voak, I. S., Bar‐Haim, Y., Munafo, M. R., & Brotman, M. A. (2018) · Trials · doi:10.1186/s13063-018-2960-5 · Cited by 9 · see citing works
Self-citationKreuze, L. J., Jonker, N. C., Hartman, C. A., Nauta, M. H., & de Jong, P. J. (2020) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-020-00654-3 · Cited by 9 · see citing works
The effect of attention on body size adaptation and body dissatisfaction
House, T., Stephen, I. D., Penton‐Voak, I. S., & Brooks, K. R. (2022) · Royal Society Open Science · doi:10.1098/rsos.211718 · Cited by 8 · see citing works
Sleep-Related Attentional Bias in Insomnia: Time to Examine Moderating Factors?
Akram, U., Barclay, N. L., & Milkins, D. B. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02573 · Cited by 9 · see citing works
Cognitive bias modification in the treatment of addiction
Wiers, R. W. H. J., Zerhouni, O., den Uyl, T. E., & Boffo, M. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-815298-0.00017-4 · Cited by 9 · see citing works
Corman, M., Aubret, D., Ghazal, J., Berthon, M., Chausse, P., Lohou, C., & Dambrun, M. (2019) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2019.101525 · Cited by 6 · see citing works
Richter, T., Shani, R., Tal, S., Derakshan, N., Cohen, N., Enock, P. M., McNally, R. J., Mor, N., Daches, S., Williams, A. D., et al. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01449-w · Cited by 8 · see citing works
Self-citationSoodalter, J. A., Siegle, G. J., Klein‐Fedyshin, M., Arnold, R., & Schenker, Y. (2017) · Patient Education and Counseling · doi:10.1016/j.pec.2017.12.008 · Cited by 9 · see citing works
Cognitive vulnerabilities to anxiety symptoms among Chinese adolescents: A 3‐year longitudinal study
Ho, S. M. Y., Zhang, Q., Lai, Y., & Dai, D. W. T. (2021) · Journal of Clinical Psychology · doi:10.1002/jclp.23161 · Cited by 8 · see citing works
Neophytou, K., & Panayiotou, G. (2022) · PLoS ONE · doi:10.1371/journal.pone.0264256 · Cited by 7 · see citing works
Huang, X., Mak, J., Wears, A., Price, R. B., Akçakaya, M., Ostadabbas, S., & Woody, M. L. (2022) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc48229.2022.9871982 · Cited by 7 · see citing works
Self-citationNovel mechanism-based treatments for pediatric anxiety and depressive disorders
Sylvester, C. M., Luby, J. L., & Pine, D. S. (2023) · Neuropsychopharmacology · doi:10.1038/s41386-023-01709-x · Cited by 7 · see citing works
Alon, Y., Arad, G., Pine, D. S., & Bar‐Haim, Y. (2018) · Behaviour Research and Therapy · doi:10.1016/j.brat.2018.11.013 · Cited by 7 · see citing works
Self-citationPan, T., Zhao, X., Bartos̆, F., Larsen, H., Manning, V., Boffo, M., & Wiers, R. W. H. J. (2026) · Clinical Psychology Review · doi:10.1016/j.cpr.2026.102709 · Cited by 6 · see citing works
Zainal, N. H., Hellberg, S. N., Kabel, K. E., Hotchkin, C. M., & Baker, A. W. (2023) · Scandinavian Journal of Psychology · doi:10.1111/sjop.12902 · Cited by 6 · see citing works
Increased inhibition following negative cues: A possible role for enhanced processing
Okon‐Singer, H., Henik, A., & Gabay, S. (2018) · Cortex · doi:10.1016/j.cortex.2018.12.008 · Cited by 6 · see citing works
Jayasinghe, H., Short, C. E., Braunack‐Mayer, A., Merkin, A., & Hume, C. (2020) · Journal of Medical Internet Research · doi:10.2196/17915 · Cited by 5 · see citing works
Peckham, A. (2021) · PubMed · Cited by 6 · see citing works
Onie, S., Notebaert, L., Clarke, P., & Most, S. B. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.02782 · Cited by 6 · see citing works
Training Meta-Awareness to Modify Attentional Dyscontrol
Ruimi, L., Hendren, R. A., Amir, I., Zvielli, A., & Bernstein, A. (2020) · Mindfulness · doi:10.1007/s12671-019-01291-8 · Cited by 6 · see citing works
Woody, M. L., Yang, J. O., Cummings, L. R., Gilchrist, D., Graur, S., Siegle, G. J., & Price, R. B. (2019) · Translational Psychiatry · doi:10.1038/s41398-019-0458-x · Cited by 5 · see citing works
Self-citationTrait Anxiety and Biased Prospective Memory for Targets Associated with Negative Future Events
Notebaert, L., Jones, E., Clarke, P., & MacLeod, C. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9986-6 · Cited by 4 · see citing works
Fergus, T. A., & Hiraoka, R. (2018) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.32.2.140 · Cited by 4 · see citing works
Woody, M. L., Vaughn, R., Siegle, G. J., & Price, R. B. (2020) · Brain and Behavior · doi:10.1002/brb3.1664 · Cited by 4 · see citing works
Self-citation
- Authors
- Price, R. B., Wallace, M., Kuckertz, J. M., Amir, N., Graur, S., Cummings, L., Popa, P., Carlbring, P., & Bar-Haim, Y.
- Affiliations
- University of Pittsburgh (US)
- San Diego State University (US)
- Stockholm University (SE)
- Corresponding author
- Price, Rebecca B.
- ORCID
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2016-12
- Volume
- 50
- Pages
- 37-49
- ISSN
- 0272-7358 (ISSN-L)
- PMC
- PMC5118070
- OpenAlex
- W2521619673
- Cited by
- 144
- References
- 65
- Citations by year
- 2026: 6 · 2025: 12 · 2024: 11 · 2023: 6 · 2022: 10 · 2021: 14 · 2020: 16 · 2019: 26 · 2018: 30 · 2017: 11 · 2016: 1 · 2015: 1
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (K01MH096944, K23MH100259)
- 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 › Psychotherapy Techniques and Applications
- Keywords
- attentional bias modification, attentional bias, anxiety, computer-based intervention, social anxiety, Liebowitz Social Anxiety Scale, mechanism of action, treatment moderators, children and adults, high anxiety
- MeSH terms
- Attentional Bias, Adult, Anxiety, Behavior Therapy, Child, Humans, Therapy, Computer-Assisted, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
