Attentional bias training in depression: Therapeutic effects depend on depression severity

Attentional bias training in depression: Therapeutic effects depend on depression severity
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DOI:
10.1016/j.jbtep.2010.02.004
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发表时间:
2010-09-01
影响因子:
1.8
通讯作者:
Koster, Ernst H. W.
Koster, Ernst H. W.
中科院分区:
医学3区
文献类型:
--
作者:
Baert, Saskia;De Raedt, Rudi;Koster, Ernst H. W.

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抑郁的人表现出对负面信息的持续关注,而对积极信息的关注减少。信息加工中的选择性偏向被认为在抑郁发作的起源、维持和复发中起着重要作用。在两个实验中,我们考察了注意偏向操作对情绪和抑郁症状的影响。在实验1中,我们调查了注意偏向操作与控制程序的效果,并对48名表现出轻度到重度抑郁症状的焦虑症学生进行了比较。在实验2中,我们对住院和门诊抑郁症患者(N=35)进行了相同的注意训练程序。在表现出轻度抑郁症状的学生中,观察到症状严重程度的轻微改善。然而,在表现出中度到重度抑郁症状的学生中,训练后抑郁症状增加。在抑郁症患者中,在治疗和/或药物治疗的基础上进行训练没有发现任何有益的效果。这些结果表明,注意偏向修正的治疗效果可能依赖于抑郁的严重程度。(C)2010爱思唯尔有限公司。保留所有权利。
Depressed individuals show maintained attention to negative information and reduced attention for positive information. Selective biases in information processing are considered to have an important role in the origin, maintenance and recurrence of depressive episodes. In two experiments we investigated the effects of attentional bias manipulation on mood and depressive symptoms. In experiment 1 we investigated the effects of attentional bias manipulation compared to a control procedure in a sample of dysphoric students (N = 48) showing mild to severe levels of depressive symptoms. In experiment 2 we investigated the same attentional training procedure in a sample of depressed in- and outpatients (N = 35). Mild improvements on symptom severity were observed in students showing mild depressive symptoms. However, in students showing moderate to severe depressive symptoms, depressive symptoms increased after the training. No beneficial effects of training on top of therapy and/or medication were found in depressed patients. These results indicate that therapeutic effects of attentional bias modification might be dependent on depression severity. (C) 2010 Elsevier Ltd. All rights reserved.