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Cognitive Therapy and Research

, Volume 38, Issue 6, pp 634–639 | Cite as

Cognitive Bias Modification of Attention is Less Effective Under Working Memory Load

  • Robert W. BoothEmail author
  • Bundy Mackintosh
  • Sirous Mobini
  • Pinar Oztop
  • Samantha Nunn
Brief Report

Abstract

Cognitive bias modification for attentional bias (CBM-A) attempts to alleviate anxiety by training an attentional bias away from threat. Several authors have argued that CBM-A in fact trains top-down, reactive counteraction of the tendency to orient towards threat. Imposing a working memory (WM) load during training should therefore limit its efficacy, since WM resources are required for goal-driven control of attention. Twenty-eight subclinical high-anxious participants completed two sessions of CBM-A or placebo training: one under a high WM load, and one under a low WM load. Attentional bias was assessed after each training. CBM-A produced an attentional bias away from threat under low load, but not under high load. These results suggest CBM-A trains top-down counteraction of orienting to threat. It also suggests the administration of CBM-A in the home environment may be affected by everyday worries and distractions.

Keywords

Cognitive bias modification Attentional bias Anxiety Working memory 

Notes

Acknowledgments

This work is supported by a BAP grant (11B101) from Işık University. We are grateful to Fulya Mücaviroğlu, Sirem Özen, Püren D. Şenyuva and S. Aslıhan Tüzün for their assistance with data collection.

Conflict of Interest

Robert W. Booth, Bundy Mackintosh, Sirous Mobini, Pinar Oztop, and Samantha Nunn declare that they have no conflict of interest.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all participants for being included in the study.

Animal Rights

No animal studies were carried out by the authors for this article.

References

  1. Amir, N., Beard, C., Burns, M., & Bomyea, J. (2009). Attention modification program in individuals with generalized anxiety disorder. Journal of Abnormal Psychology, 118, 28–33. doi: 10.1037/a0012589.PubMedCentralPubMedCrossRefGoogle Scholar
  2. Amir, N., & Taylor, C. T. (2012). Combined computerized home-based treatments for generalized anxiety disorder: An attention modification program and cognitive behavioral therapy. Behavior Therapy, 43, 546–559.PubMedCentralPubMedCrossRefGoogle Scholar
  3. Attwood, A. S., O’Sullivan, H., Leonards, U., Mackintosh, B., & Munafò, M. R. (2008). Attentional bias training and cue reactivity in cigarette smokers. Addiction, 103, 1875–1882. doi: 10.1111/j.1360-0443.2008.02335.x.PubMedCrossRefGoogle Scholar
  4. Baert, S., De Raedt, R., Schacht, R., & Koster, E. H. W. (2010). Attentional bias training in depression: therapeutic effects depend on depression severity. Journal of Behavior Therapy and Experimental Psychiatry, 41, 265–274. doi: 10.1016/j.jbtep.2010.02.004.PubMedCrossRefGoogle Scholar
  5. Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133, 1–24. doi: 10.1037/0033-2909.133.1.1.PubMedCrossRefGoogle Scholar
  6. Booth, R. W. (2014). Uncontrolled avoidance of threat: Vigilance-avoidance, executive control, inhibition and shifting. Cognition and Emotion. doi: 10.1080/02699931.2014.882294.
  7. Braver, T. S., Cohen, J. D., Nystrom, L. E., Jonides, J., Smith, E. E., & Noll, D. C. (1997). A parametric study of prefrontal cortex involvement in human working memory. Neuroimage, 5, 49–62. doi: 10.1006/nimg.1996.0247.PubMedCrossRefGoogle Scholar
  8. Brosan, L., Hoppitt, L., Shelfer, L., Sillence, A., & Mackintosh, B. (2011). Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service: Results from a pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 42, 258–264. doi: 10.1016/jjbtep201012006.PubMedCrossRefGoogle Scholar
  9. Browning, M., Holmes, E. A., & Harmer, C. J. (2010a). The modification of attentional bias to emotional information: A review of the techniques, mechanisms, and relevance to emotional disorders. Cognitive, Affective, & Behavioral Neuroscience, 10, 8–20. doi: 10.3758/CABN.10.1.8.CrossRefGoogle Scholar
  10. Browning, M., Holmes, E. A., Murphy, S. E., Goodwin, G. M., & Harmer, C. J. (2010b). Lateral prefrontal cortex mediates the cognitive modification of attentional bias. Biological Psychiatry, 67, 919–925. doi: 10.1016/j.biopsych.2009.10.031.PubMedCentralPubMedCrossRefGoogle Scholar
  11. Carlbring, P., Apelstrand, M., Sehlin, H., Amir, N., Rousseau, A., Hofmann, S. G., et al. (2012). Internet-delivered attention bias training in individuals with social anxiety disorder–a double blind randomized controlled trial. BMC Psychiatry, 12, 66. doi: 10.1186/1471-244X-12-66.PubMedCentralPubMedCrossRefGoogle Scholar
  12. Cohen, J. D., Perlstein, W. M., Braver, T. S., Nystrom, L. E., Noll, D. C., Jonides, J., et al. (1997). Temporal dynamics of brain activation during a working memory task. Nature, 386, 604–608. doi: 10.1038/386604a0.PubMedCrossRefGoogle Scholar
  13. Enock, P. M., Hofmann, S. G., & McNally, R. J. (2014). Attention bias modification training via smartphone to reduce social anxiety: A randomized, controlled multi-session experiment. Cognitive Therapy and Research, 38, 200–216. doi: 10.1007/s10608-014-9606-z.CrossRefGoogle Scholar
  14. Field, M., Duka, T., Tyler, E., & Schoenmakers, T. (2009). Attentional bias modification in tobacco smokers. Nicotine & Tobacco Research, 11, 812–822. doi: 10.1093/ntr/ntp067.CrossRefGoogle Scholar
  15. Fox, E., Russo, R., & Dutton, K. (2002). Attentional bias for threat: Evidence for delayed disengagement from emotional faces. Cognition and Emotion, 16, 355–379. doi: 10.1080/02699930143000527.PubMedCentralPubMedCrossRefGoogle Scholar
  16. Hakamata, Y., Lissek, S., Bar-Haim, Y., Britton, J. C., Fox, N. A., Leibenluft, E., et al. (2010). Attentional bias modification treatment: A meta-analysis toward the establishment of novel treatment for anxiety. Biological Psychiatry, 68, 982–990. doi: 10.1016/j.biopsych.2010.07.021.PubMedCentralPubMedCrossRefGoogle Scholar
  17. Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 137, 940–958. doi: 10.1037/a0024355.PubMedCrossRefGoogle Scholar
  18. Koster, E. H. W., Baert, S., Bockstaele, M., & De Raedt, R. (2010). Attentional retraining procedures: Manipulating early or late components of attentional bias? Emotion, 10, 230–236. doi: 10.1037/a0018424.PubMedCrossRefGoogle Scholar
  19. Larson, C. L., Schaefer, H. S., Siegle, G. J., Jackson, C. A. B., Anderle, M. J., & Davidson, R. J. (2006). Fear is fast in phobic individuals: Amygdala activation in response to fear-relevant stimuli. Biological Psychiatry, 60, 410–417. doi: 10.1016/j.biopsych.2006.03.079.PubMedCrossRefGoogle Scholar
  20. Lavie, N., Hirst, A., de Fockert, J. W., & Viding, E. (2004). Load theory of selective attention and cognitive control. Journal of Experimental Psychology: General, 133, 339–354. doi: 10.1037/0096-3445.133.3.339.CrossRefGoogle Scholar
  21. MacLeod, C., Mackintosh, B., & Vujic, T. (2009). Does the explicit communication of the training contingency enhance the efficacy of cognitive bias modification (CBM)? Paper presented at the special meeting on cognitive bias modification in emotional disorders and addiction: New developments, Ghent, Belgium.Google Scholar
  22. MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95, 15–20.PubMedCrossRefGoogle Scholar
  23. MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of Abnormal Psychology, 111, 107–123. doi: 10.1037//0021-843X.111.1.107.PubMedCrossRefGoogle Scholar
  24. Mobini, S., & Grant, A. (2007). Clinical implications of attentional bias in anxiety disorders: An integrative literature review. Psychotherapy: Theory, Research, Practice, Training, 44, 450–462. doi: 10.1037/0033-3204.44.4.450.CrossRefGoogle Scholar
  25. Öner, N., & LeCompte, A. (1985). Durumluluk-Süreklilik Kaygı Envanteri elkitabı [in Turkish]. Istanbul: Boğaziçi University Press.Google Scholar
  26. Redick, T. S., & Engle, R. W. (2006). Working memory capacity and attention network test performance. Applied Cognitive Psychology, 20, 713–721. doi: 10.1002/acp.1224.CrossRefGoogle Scholar
  27. See, J., MacLeod, C., & Bridle, R. (2009). The reduction of anxiety vulnerability through the modification of attentional bias: A real-world study using a home-based cognitive bias modification procedure. Journal of Abnormal Psychology, 118, 65–75. doi: 10.1037/a0014377.PubMedCrossRefGoogle Scholar
  28. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologist Press.Google Scholar
  29. Tekcan, Aİ., & Göz, İ. (2005). Türkçe kelime normları [in Turkish]. Istanbul: Boğaziçi University Press.Google Scholar
  30. Waters, A. M., Pittaway, M., Mogg, K., Bradley, B. P., & Pine, D. S. (2013). Attention training towards positive stimuli in clinically anxious children. Developmental Cognitive Neuroscience, 4, 77–84. doi: 10.1016/j.dcn.2012.09.004.PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Robert W. Booth
    • 1
    Email author
  • Bundy Mackintosh
    • 2
  • Sirous Mobini
    • 3
  • Pinar Oztop
    • 4
  • Samantha Nunn
    • 2
  1. 1.Department of PsychologyIşık UniversityŞile, IstanbulTurkey
  2. 2.Department of PsychologyUniversity of EssexColchesterUK
  3. 3.School of PsychologyUniversity of NewcastleCallaghanAustralia
  4. 4.Department of PsychologyAbant İzzet Baysal UniversityBoluTurkey

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