Cited by 135Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesChild and Adolescent Psychosocial and Emotional DevelopmentNeural and Behavioral Psychology Studies

Attention training towards positive stimuli in clinically anxious children

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Waters, Allison M., Pittaway, Michelle, Mogg, Karin, Bradley, Brendan P., Pine, Daniel S.·2013·Developmental Cognitive Neuroscience

Abstract

Objective Attention bias modification training (ABMT) is a promising treatment. Nevertheless, few studies examine its effectiveness in anxious children. This study examined the efficacy of such an ABMT protocol in pediatric anxiety.Method 37 anxious children were randomly assigned to one of two ABMT conditions. In the attention-towards-positive (ATP) condition, children searched 3×3 matrices for a happy face amongst angry faces. In the attention-training-control (ATC) condition, they searched for a bird amongst flowers. Children completed 160 trials in each of four training sessions per week for three weeks at home (1920 total trials). Clinical and attention bias measures were assessed before and after ABMT.Results Children randomized to ATP showed greater post-training attention bias towards happy faces than children randomized to ATC. ATP also produced significantly greater reductions in clinician-rated diagnostic severity and number of diagnoses, compared to ATC. In the ATP group, 50% of children who completed training did not meet criteria for their principal diagnosis, compared to 8% in the ATC group.Conclusion Training anxious children to focus attention on positive features of their environment may be a promising treatment.

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Crossref · 10.1016/j.dcn.2012.09.004

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  • Clinical studies report anxiety reduction following adaptive ABM, gaze-contingent music-reward therapy combined with CBT, emotional face visual search training, and enhanced positive search training.

    “Clinical studies which evaluate multi-session ABM training in individuals with anxiety disorders report anxiety reduction following adaptive ABM (uncontrolled pilot study), gaze-contingent music-reward therapy (combined with CBT), emotional face visual search training, and enhanced positive search training [21,69,72,75,76].”
  • Evidence for therapeutic efficacy of alternative ABM training methods is limited.

    “Evidence for the therapeutic efficacy of alternative ABM training methods is limited.”
  • Lack of consensus about why conventional ABM has inconsistent effects has encouraged development of alternative methods with preliminary efficacy data.

    “Lack of consensus regarding why conventional ABM threat-avoidance training has inconsistent effects (discussed earlier) has encouraged the development of various alternative methods which have preliminary data suggesting efficacy”
  • In most ABM training methods, nonthreat targets are more likely to appear in different locations from threat cues, encouraging attention-orienting away from threat.

    “In most ABM training methods, nonthreat targets are more likely to appear in different locations [ 5 0 8 _ T D $ D I F F ] from threat cues, which encourages attention-orienting away from threat.”
  • Stronger training effects might be obtained in subclinical samples of adolescents, as research in clinically anxious children with variants of VS training also suggests.

    “Stronger training effects might be obtained in (sub)clinical samples of adolescents, as research in clinically anxious children with variants of VS training also suggests (Waters et al., 2013;2015).”

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Authors
Waters, A. M., Pittaway, M., Mogg, K., Bradley, B. P., & Pine, D. S.
Affiliations
  • Griffith University (AU)
  • University of Southampton (GB)
  • National Institutes of Health (US)
Corresponding author
Waters, Allison M.
Venue
Developmental Cognitive Neuroscience
Publisher
Elsevier BV
Published
2013-04
Volume
4
Pages
77-84
ISSN
1878-9293 (ISSN-L)
OpenAlex
W1976003493
Cited by
135
References
33
Citations by year
2026: 2 · 2025: 3 · 2024: 6 · 2023: 4 · 2022: 9 · 2021: 9 · 2020: 8 · 2019: 15 · 2018: 14 · 2017: 12 · 2016: 14 · 2015: 20 · 2014: 11 · 2013: 7 · 2012: 1
FWCI
16.71
Type
journal article
Language
en
Open access
Locations
  • Developmental Cognitive Neuroscience (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (submittedVersion)
  • Griffith Research Online (submittedVersion)
Funders
Australian Research Council (DP1095536)
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 modification, childhood anxiety, attentional bias, children, anxiety levels, face recognition (cognition), home-based exercise, cognitive training
MeSH terms
Adolescent, Anger, Anxiety Disorders, Attention, Child, Facial Expression, Female, Happiness, Humans, Male, Cognitive Behavioral Therapy, Treatment Outcome

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