Attention training in socially anxious children: A multiple baseline design analysis

Cowart, Maria J. W.; Ollendick, Thomas H.

doi:10.1016/j.janxdis.2011.06.005

Cited by 28 publications

(15 citation statements)

References 35 publications

(24 reference statements)

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“…Finally, it shows promising anxiety reduction effects in youth with anxiety disorders. In open trials (Bechor et al, 2014; Cowart & Ollendick, 2011; Rozenman et al, 2011) and randomized controlled trials (Eldar et al, 2012; Pergamin-Hight et al, 2016) using samples of youth with anxiety disorders, ABM has resulted in statistically significant reductions in anxiety symptoms (for reviews, see Lowther & Newman, 2014; Price et al, 2016). …”

Section: Introductionmentioning

confidence: 99%

Can less be more? Open trial of a stepped care approach for child and adolescent anxiety disorders

Pettit

Rey

Bechor

et al. 2017

Journal of Anxiety Disorders

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This open trial presents a stepped care treatment approach for youths with anxiety disorders. In Step 1, 124 youths (65 girls; M age=9.7 years) participated in a low intensity computer administered attention bias modification (ABM) protocol. Statistically significant reductions in youth anxiety severity were found following Step 1. Youths and parents were then given the option to not continue with further treatment or step up to a higher intensity cognitive behavioral therapy (CBT) protocol (Step 2). Of 112 youths who completed Step 1, 67 (59.8%) discontinued treatment and 45 (40.2%) stepped up. Co-occurring ADHD and higher anxiety severity at baseline were significantly associated with the decision to step up. Of those youths who completed Step 2, additional statistically significant reductions in youth anxiety severity were found. Across the entire protocol, 68.6% of youths were rated as either very much improved or much improved on the Clinical Global Impressions-Improvement scale. In a hypothetical comparison in which all youths received CBT alone, the stepped care protocol resulted in approximately 50% less time in treatment sessions. These findings support the promise of initiating youth anxiety disorder treatment with low intensity treatment and then stepping up to higher intensity treatment as needed.

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Section: Introductionmentioning

confidence: 99%

Can less be more? Open trial of a stepped care approach for child and adolescent anxiety disorders

Pettit

Rey

Bechor

et al. 2017

Journal of Anxiety Disorders

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“…Results of the treatment are promising in adults [16,19]. The status of the Clark and Wells model in children and adolescents is not established; however, studies providing evidence for elements in the model have been reported [20,21], but also one study disfavouring the validity of the model [22]. …”

Section: Introductionmentioning

confidence: 99%

A Randomized Controlled Trial of Individual Cognitive Therapy, Group Cognitive Behaviour Therapy and Attentional Placebo for Adolescent Social Phobia

Ingul

Aune

Nordahl

2013

Psychother Psychosom

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Background: Very few studies have investigated the effects of individual disorder-specific treatment of social phobia (SP) in adolescents. The objective of this study was to compare the effects of individual cognitive therapy for SP, group cognitive behavioural therapy (CBTG) and attentional placebo (AP) among adolescents with a primary diagnosis of SP. Methods: A randomized controlled design was used, and a total of 279 adolescents were assessed. Fifty-seven adolescents, between 13 and 16 years old, were allocated to individual cognitive therapy, CBTG or AP. The participants were assessed before treatment, at the end of treatment and at a 12-month follow-up using both self-report and a semi-structured interview. Results: The individual cognitive therapy showed significant reductions in symptoms, impairment and diagnostic criteria both at the end of treatment and at the 12-month follow-up. Compared with CBTG and AP, the individual cognitive therapy group demonstrated significantly greater effects on both symptom reduction and impairment. There were no significant differences between CBTG and AP. Conclusions: In a direct comparison between the most commonly used treatments for adolescent SP, we found that individual therapy was the most effective, yielding better effects than both CBTG and AP.

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“…Moreover, they had a negative correlation with anxiety, 42 stress reactivity, 43 fewer negative thought intrusions in a worry test 45 and generalization to other measures of stress. 44 Of the three studies that used only avoid groups, one did not conduct a post test because it did not find AB for threat at baseline, 46 whereas the other two found a reduction in the post-training AB, with effects generalized to other scales and self-reported symptoms of anxiety, worrying and depression. 45,47 However, the two studies 48,49 that used avoid, attend and control group found different results.…”

Section: Depressionmentioning

confidence: 99%

“…62,65 Similar encouraging results were found in two other recent studies. 63,64 In the first, groups were trained either to attend to healthy food or to attend to unhealthy food, and 33 Avoid (-)/control Yes No Amir et al 6 Avoid (-)/control Yes Yes Hazen et al 26 Avoid (-)/control Yes Yes Heeren et al 27 Avoid (-)/control Yes Yes See et al 28 Avoid (-)/control Yes Yes Heeren et al 29 Avoid (-)/control Yes No MacLeod et al 7 Avoid (-)/attend (+) Yes Yes Browning et al 19 Avoid (-)/attend (+) Yes Yes MacLeod et al 34 Avoid (-)/attend (+) Yes Yes Van Bockstaele et al 35 Avoid (-)/attend (+) Yes No Van Bockstaele et al 36 Avoid (-)/attend (+) Yes No Eldar et al 37 Avoid (-)/attend (+) Partly No O'Toole et al 38 Avoid (-)/attend (+) Partly No Heeren et al 39 Attend (-)/control Yes Yes Krebs et al 40 Attend (-)/control Yes Yes Hayes et al 41 Attend (+)/control Yes Yes Li et al 42 Attend (+)/control Yes Yes Taylor et al 43 Attend (+)/control Yes Yes Wadlinger et al 44 Attend (+)/control Yes Yes Cowart et al 46 Avoid (-) Not applicable Not applicable Amir et al 45 Avoid (-) Yes Yes Brosan et al 47 Avoid (-) Yes Yes Heeren et al 48 Avoid (-)/attend (+)/control Yes Yes Klumpp et al 49 Avoid (-)/attend (+)/control No No Boettcher et al 50 Attend ( 51 Avoid (-)/attend (+) Yes Yes Schoenmakers et al 10 Avoid (-)/control Yes No Schoenmakers et al 53 Avoid (-)/control Yes Partly Kerst et al 54 Avoid (-)/control Yes Partly Lopes et al 55 Avoid (-)/control Yes No McHugh et al 52 Avoid (-)/control No No Fie...…”

Section: Eating Behaviormentioning

confidence: 99%

Attentional bias modification based on visual probe task: methodological issues, results and clinical relevance

Lopes

Viacava

Bizarro

2015

Trends Psychiatry Psychother.

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Introduction: Attentional bias, the tendency that a person has to drive or maintain attention to a specific class of stimuli, may play an important role in the etiology and persistence of mental disorders. Attentional bias modification has been studied as a form of additional treatment related to automatic processing. Objectives: This systematic literature review compared and discussed methods, evidence of success and potential clinical applications of studies about attentional bias modification (ABM) using a visual probe task. Methods: The Web of Knowledge, PubMed and PsycInfo were searched using the keywords attentional bias modification, attentional bias manipulation and attentional bias training. We selected empirical studies about ABM training using a visual probe task written in English and published between 2002 and 2014. Results: Fifty-seven studies met inclusion criteria. Most (78%) succeeded in training attention in the predicted direction, and in 71% results were generalized to other measures correlated with the symptoms. Conclusions: ABM has potential clinical utility, but to standardize methods and maximize applicability, future studies should include clinical samples and be based on findings of studies about its effectiveness.

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Attention training in socially anxious children: A multiple baseline design analysis

Cited by 28 publications

References 35 publications

Can less be more? Open trial of a stepped care approach for child and adolescent anxiety disorders

Can less be more? Open trial of a stepped care approach for child and adolescent anxiety disorders

A Randomized Controlled Trial of Individual Cognitive Therapy, Group Cognitive Behaviour Therapy and Attentional Placebo for Adolescent Social Phobia

Attentional bias modification based on visual probe task: methodological issues, results and clinical relevance

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