Cognitive bias modification for interpretation training via smartphones for social anxiety in Chinese undergraduates

Sun, Xiran; Yang, Ranming; Qin, Zhang; Xiao, Jing; Li, Chieh; Cui, Lixia

doi:10.1177/2043808719875274

Cited by 8 publications

(8 citation statements)

References 45 publications

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“…Two studies tested smartphone app-based cognitive bias modification programme in people with social anxiety. One RCT study (Sun et al, 2019 ) showed that the level of social anxiety significantly reduced in the intervention group compared to that in the control group post-treatment and sustained at 1-month follow-up. Another RCT study (Yang et al, 2017 ) compared three different forms of cognitive bias modification programmes (i.e.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies evaluated the acceptability and feasibility of two smartphone app-based interventions: one study on a smartphone app for perinatal depression and the other four studies about an app for SUD. One RCT (Sun et al, 2021) reported poor intervention completion rates for an app-based mindfulness training on perinatal depression; 52.3% of participants in the intervention group completed at least 4 weeks of the intervention and only 8% completed the full 8-week intervention programme. For smartphone apps for SUD, participants from one RCT study (Liang, Han, Du, Zhao, & Hser, 2018a) reported that the content was easy to understand in only 55% of cases, although 72% said that the app was easy to use.…”

Section: Smartphone Appsmentioning

confidence: 99%

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Digital mental health in China: a systematic review

et al. 2021

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Mental health problems are highly prevalent in China; however, China's mental health services lack resources to deliver high-quality care to people in need. Digital mental health is a promising solution to this short-fall in view of the population's digital literacy. In this review, we aim to: (i) investigate the effectiveness, acceptability, usability, and safety of digital health technologies (DHTs) for people with mental health problems in China; (ii) critically appraise the literature; and (iii) make recommendations for future research directions. The databases MEDLINE, PsycINFO, EMBASE, Web of Science, CNKI, WANFANG, and VIP were systemically searched for English and Chinese language articles evaluating DHTs for people with mental health problems in mainland China. Eligible studies were systematically reviewed. The heterogeneity of studies included precluded a meta-analysis. In total, 39 articles were retrieved, reporting on 32 DHTs for various mental health problems. Compared with the digital mental health field in the West, the Chinese studies targeted schizophrenia and substance use disorder more often and investigated social anxiety mediated by shame and culturally specific variants, DHTs were rarely developed in a co-production approach, and methodology quality was less rigorous. To our knowledge, this is the first systematic review focused on digital mental health in the Chinese context including studies published in both English and the Chinese language. DHTs were acceptable and usable among Chinese people with mental health problems in general, similar to findings from the West. Due to heterogeneity across studies and a paucity of robust control trial research, conclusions about the efficacy of DHTs are lacking.

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Section: Resultsmentioning

confidence: 99%

Section: Smartphone Appsmentioning

confidence: 99%

Digital mental health in China: a systematic review

et al. 2021

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“…Beard and Amir [21] asked socially anxious individuals to complete eight rounds of IMP training, thereby demonstrating that changes to benign interpretation biases could mediate the modification's effects on anxiety. By contrast, Sun, Yang, Zhang, Xiao and Cui [18] reported that an altered interpretation bias did not mediate anxiety changes. One possible explanation for these inconsistent results is that interpretation biases were measured differently between studies, which may imply that the central issue for improving IBM's effectiveness is using more specific measures for interpretation biases and testing their influences on anxiety.…”

Section: Introductionmentioning

confidence: 84%

“…Despite this potential, no previous studies have used mobile devices to promote IBM for reducing anxiety [16,17]. It is also worth noting that only two studies even examined the feasibility of smartphone-based IBM [16,18]. In both cases, participants accessed IBM training through website links they received on their mobile phones, with no differences to previous, laboratory-based or online training studies; moreover, each study implemented homogenous training and assessment tasks.…”

Section: Introductionmentioning

confidence: 99%

Effects of a Smartphone-Based, Multisession Interpretation-Bias Modification for Anxiety: Positive Intervention Effects and Low Attrition

Hoid

Pan

Liao

et al. 2023

IJERPH

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While interpretation-bias modification (IBM) is an effective intervention for treating anxiety, it is not broadly used in clinical or daily practice. To this end, this study developed and tested a smartphone-based IBM application. We adopted the ambiguous situation paradigm as an intervention task in conjunction with robust training materials that broadly covered situations encountered in daily life. We recruited participants with high-trait anxiety and divided them into three groups: (1) positive training; (2) 50% positive–50% negative training; and (3) no-training control. The first two groups completed 28 days of smartphone-based training (IBM in positive cases), and all groups completed six rounds of assessments. The smartphone-based IBM training changed positive and negative endorsements and more specific measures of interpretation bias, thus reducing anxiety. The results also showed that changes in the number of negative interpretations played a mediating role in anxiety reduction. It is notable that the attrition rate was extremely low across the experiment. Our follow-up showed that positive gains persisted throughout the intervening period. Smartphone-based IBM can help individuals with anxiety shift negative biases, broaden their thoughts, enhance their information processing, and effectively target the clinical features of anxiety.

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“…The global prevalence of social anxiety among college students is about 7-33% (Honnekeri et al, 2017;Jaiswal et al, 2020), and social anxiety is as prevalent among college students in the United States as it is in the general population (Schry et al, 2012). Likewise, in China, social anxiety is one of the serious public health problems in the college student population (Sun et al, 2019;Xia et al, 2023). If social anxiety is not ameliorated or corrected, it may develop into severe social anxiety disorder (SAD) and negatively affect college students' academic performance, academic achievement and social relationships (Brook and Willoughby, 2015).…”

Section: Introductionmentioning

confidence: 99%

A study of the relationship between social anxiety and mask-wearing intention among college students in the post-COVID-19 era: mediating effects of self-identity, impression management, and avoidance

Xia,

Xu,

Ding

2023

Front. Psychol.

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IntroductionDuring the 2019 coronavirus (COVID-19) pandemic, wearing masks not only prevented transmission of the virus but also reduced social anxiety to some extent. With the end of the epidemic, the intention to wear masks to prevent transmission declined, but the effect of social anxiety on the intention to wear masks is unclear. The current study investigated the effects of social anxiety and fear of COVID-19 on mask-wearing intentions in the post-epidemic era, using self-identity, impression management and avoidance as mediating variables.MethodsIn total, 223 college students participated in the current study, and the related variables were measured using the social anxiety scale, the social behavior questionnaire, the self-identity questionnaire, and the mask-wearing intention questionnaire.ResultsThe results showed that social anxiety was significantly positively correlated with avoidance, impression management, and intention to wear masks, and significantly negatively correlated with self-identity. The fear of COVID-19, avoidance, and impression management were significantly positively correlated with mask-wearing intentions, while self-identity was significantly negatively correlated with mask-wearing intentions. Social anxiety affected college students’ intention to wear masks through three main pathways: the mediating role of avoidance, impression management, and the chain mediating role of self-identity and avoidance. The fear of COVID-19 directly and positively affected mask-wearing intentions.DiscussionThe current study reveals the differential pathways of the effects of COVID-19 fear and social anxiety on mask-wearing intentions in the post-COVID-19 era, and the findings have some practical implications for social anxiety interventions.

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Cognitive bias modification for interpretation training via smartphones for social anxiety in Chinese undergraduates

Cited by 8 publications

References 45 publications

Digital mental health in China: a systematic review

Digital mental health in China: a systematic review

Effects of a Smartphone-Based, Multisession Interpretation-Bias Modification for Anxiety: Positive Intervention Effects and Low Attrition

A study of the relationship between social anxiety and mask-wearing intention among college students in the post-COVID-19 era: mediating effects of self-identity, impression management, and avoidance

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