The Attentional Bias Modification Approach to Anxiety Intervention

The Attentional Bias Modification Approach to Anxiety Intervention
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DOI:
10.1177/2167702614560749
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发表时间:
2015-01-01
影响因子:
4.8
通讯作者:
Clarke, Patrick J. F.
Clarke, Patrick J. F.
中科院分区:
医学1区
文献类型:
--
作者:
MacLeod, Colin;Clarke, Patrick J. F.

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焦虑脆弱性和功能障碍的特征是对威胁的注意力偏差。认知训练程序旨在改变选择性注意对威胁的反应,最初是为了检验这种注意偏向因果地导致焦虑倾向的假设。注意力偏差修正(ABM)训练,以减轻功能失调性焦虑的能力,因为吸引了越来越多的兴趣,本文综述了研究,已经评估了这种治疗潜力。当预期的反弹道导弹训练成功地减少了对威胁的注意力时,它也减少了高度可靠的焦虑脆弱性和焦虑症。当预期的ABM训练没有导致这种焦虑减少时,这通常反映了未能成功地根据需要修改注意选择性。我们讨论了改进ABM训练程序的方法,以优化其减少对威胁的注意力偏差的能力,从而改善由此产生的抗焦虑益处的提供。
Anxiety vulnerability and dysfunction are characterized by an attentional bias to threat. Cognitive training procedures designed to modify selective attentional responding to threat originally were developed to test the hypothesis that this attentional bias causally contributes to anxious disposition. The capacity of attentional bias modification (ABM) training to alleviate dysfunctional anxiety has since attracted growing interest, and the present article reviews studies that have evaluated this therapeutic potential. When intended ABM training has successfully reduced attention to threat, it also has reduced anxiety vulnerability and symptomatology with a high degree of reliability. When the delivery of intended ABM training has not resulted in such anxiety reduction, this typically has reflected the failure to successfully modify attentional selectivity as required. We discuss ways in which ABM training procedures may be refined to optimize their capacity to reduce attentional bias to threat, to improve delivery of the resulting anxiolytic benefits.