Abstract
Eye tracking research in posttraumatic stress disorder (PTSD) is only just emerging, with only a handful of studies completed. The majority of studies have focused on identifying attentional biases toward threat which is proposed as one of the maintaining factors underlying anxiety. At this preliminary stage, current findings reveal evidence for an early attentional bias toward trauma-relevant stimuli in PTSD, with less consistent evidence of subsequent avoidance. However, longitudinal studies are emerging which suggest that attentional avoidance of threat may be a risk factor for developing higher PTSD symptoms in military settings. Eye tracking technology provides significant advances over traditional attentional bias paradigms, as it enables the continuous assessment of visual attention, allowing for both valuable convergent spatial and temporal information. This enables the assessment of both initial attention and avoidance of threatening stimuli. In addition, eye tracking technology may be usefully applied in alternative paradigms assessing social cognition (such as visual scanning of facial expressions) to identify further important aspects of emotional and social processing in PTSD.
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Abbreviations
- Ms:
-
Milliseconds
- MVA:
-
Motor vehicle accidents
- PTSD:
-
Posttraumatic stress disorder
References
Armstrong T, Olatunji BO. Eye tracking of attention in the affective disorders: a meta-analytic review. Clin Psychol Rev. 2012;32:704–23.
Bar-Haim Y, Larry D, Pergamin L, et al. Threat-related attention bias in anxious and non-anxious individuals: a meta-analytic study. Psychol Bull. 2007;133:1–23.
Bar-Haim Y, Holoshitz Y, Eldar S, et al. Life-threatening danger and suppression of attention bias towards threat. Am J Psychiatry. 2010;167:694–8.
Beevers CG, Lee HJ, Wells TT, et al. Association of pre-deployment gaze bias for emotion stimuli with later symptoms of PTSD and depression in soldiers deployed in Iraq. Am J Psychiatry. 2011;168:735–41.
Bestelmeyer PEG, Tatler BW, Phillips LM, et al. Global visual scanning abnormalities in schizophrenia and bipolar disorder. Schizophr Res. 2006;87:212–22.
Bremner JP, Vermetten E, Vythilingam M, et al. Neural correlates of the classic colour and emotional Stroop in women with abuse-related PTSD. Biol Psychiatry. 2004;55(6):612–20.
Bryant RA, Harvey AG. Processing threatening information in posttraumatic stress disorder. J Abnorm Psychol. 1995;104(3):537–41.
Bryant RA, Harvey AG. Attentional bias in posttraumatic stress disorder. J Trauma Stress. 1997;10(4):635–44.
Bryant RA, Harvey AG, Gordon E, et al. Eye movements and electrodermal responses to threat stimuli in posttraumatic stress disorder. Int J Psychophysiol. 1995;20:209–13.
Chemtob C, Roitblatt HL, Hamada RS, et al. A cognitive action theory of posttraumatic stress disorder. J Anxiety Disord. 1988;2(3):253–75.
Cisler JM, Koster EHW. Mechanisms of attentional biases towards threat in anxiety disorders. Clin Psychol Rev. 2010;30(2):203–16.
Dalgleish T, Mordi AR, Taghavi MR, et al. An experimental investigation of hypervigilance for threat in children and adolescents with posttraumatic stress disorder. Psychol Med. 2001;31(3):541–7.
De Ruiter C, Brosschot JF. The emotional stroop interference effect in anxiety: attentional bias or cognitive avoidance? Behav Res Ther. 1994;32(3):315–9.
Devinieni T, Blanchard EB, Hickling EJ, et al. Effect of psychological treatment on cognitive bias in motor-vehicle-accident-related PTSD. J Anxiety Disord. 2004;18(2):211–31.
Ehlers A, Clark DM. A cognitive model of posttraumatic stress disorder. Behav Res Ther. 2000;38:319–45.
Felmingham KL, Rennie C, Manor B, et al. Eye tracking and physiologic reactivity to threatening stimuli in posttraumatic stress disorder. J Anxiety Disord. 2011;25:668–73.
Fox E. Attentional bias in anxiety: a defective inhibition hypothesis. Cogn Emot. 1994;8(2):165–95.
Horley K, Williams LM, Gonsalvez C, et al. Social phobics do not see eye to eye: a visual scanpath study of emotional expression processing. J Anxiety Disord. 2003;17(1):33–44.
Kimble MO, Fleming K, Galovski T, Blanchard EB, Hickling EJ. Is the emotional Stroop paradigm sensitive to malingering? A between-groups study with professional actors and actual trauma survivors. J Trauma Stress. 2003;16(1):59–66.
Kimble MO, Frueh C, Marks L. Does the modified Stroop effect exist in PTSD? Evidence from dissertation abstracts and the peer reviewed literature. J Anxiety Disord. 2009;23(5):650–5.
Kimble MO, Fleming K, Bandy C, Kim J, Zambetti A. Eye tracking and visual attention to threatening stimuli in veterans of the Iraq war. J Anxiety Disord. 2010;24(3):293–9.
Kimble MO, Boxwala M, Bean W, et al. The impact of hypervigilance: evidence for a forward feedback loop. J Anxiety Disord. 2014;28:241–5.
Koster EH, Verschuere B, Crombez G, Van Damme S. Time-course of attention for threatening pictures in high and low trait anxiety. Behav Res Ther. 2005;43(8):1087–98.
Kuckertz JM, Amir N, Boffa JW, et al. The effectiveness of an attention-bias modification program as an adjunctive treatment for posttraumatic stress disorder. Behav Res Ther. 2014;63:25–35.
Liddell BJ, Brown KJ, Kemp AH, et al. A direct brainstem-amygdala-cortical ‘alarm’ system for subliminal signals of fear. Neuroimage. 2005;24(1):235–43.
Litz BT, Weathers FW, Monaco V, et al. Attention, arousal and memory in posttraumatic stress disorder. J Trauma Stress. 1996;9(3):497–520.
MacCleod C, Mathews A. Anxiety and allocation of attention to threat. Q J Exp Psychol. 1988;40A:653–70.
McNally RJ, Kaspi SP, Riemann BC, Ziethen SB. Selective processing of threat cues in posttraumatic stress disorder. J Abnorm Psychol. 1990;99(4):398–402.
Mogg K, Bradley BP, Miles F, et al. Time course of attention bias for threat scenes: testing the vigilance-avoidance model. Cogn Emot. 2004;18:689–700.
Olantunji BO, Armstrong T, McHugo M, et al. Heightened attentional capture by threat in veterans with PTSD. J Abnorm Psychol. 2013;122:397–405.
Shin LM, Whalen PJ, Pitman RK, et al. An fMRI study of anterior cingulate function in PTSD. Biol Psychiatry. 2001;50(12):932–42.
Sipos ML, Bar-Haim Y, Abend R, et al. Post-deployment threat-related attentional bias interacts with combat exposure to account for PTSD and anxiety symptoms in soldiers. Depress Anxiety. 2014;31(2):124–9.
Schmuckle SC. Unreliability of the dot probe task. Eur J Personal. 2005;19:595–605.
Steuwe C, Daniels JK, Frewen PA, et al. Effect of direct eye contact in PTSD related to interpersonal trauma: An fMRI study of activation of an innate alarm system. Soc Cogn Affect Neurosci. 2014;9:88–97.
Thomas CL, Goegan LD, Newman KR, et al. Attention to threat images in individuals with clinical and subthreshold symptoms of posttraumatic stress disorder. J Anxiety Disord. 2013;27:447–55.
Thrasher SM, Dalgleish T, Yule W. Information processing in post-traumatic stress disorder. Behav Res Ther. 1994;32(2):247–74.
Toh WL, Rossell SL, Castle DJ. Current visual scanpath research: a review of investigations into the psychotic, anxiety and mood disorders. Comp Psychiatry. 2011;52:567–79.
Wald I, Schechner T, Bitton S, et al. Attention bias away from threat during life-threatening danger predicts PTSD symptoms at one year follow-up. Depress Anxiety. 2011;28(5):406–11.
Wald I, Degnan KA, Gorodetsky E, et al. Attention to threat and combat-related posttraumatic stress symptoms: prospective association and moderation by the serotonin transporter gene. JAMA Psychiatry. 2013;70(4):401–8.
Williams JMG, Watts FN, MacCleod C, et al. Cognitive psychology and emotional disorders. 2nd ed. Chichester: Wiley; 1997.
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Felmingham, K. (2015). Eye Tracking and PTSD. In: Martin, C., Preedy, V., Patel, V. (eds) Comprehensive Guide to Post-Traumatic Stress Disorder. Springer, Cham. https://doi.org/10.1007/978-3-319-08613-2_111-1
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DOI: https://doi.org/10.1007/978-3-319-08613-2_111-1
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