Cognitive Therapy and Research

, Volume 40, Issue 2, pp 245–255 | Cite as

The Effects of Attention Training on Health Anxiety: An Experimental Investigation

  • Julia SchwindEmail author
  • Maria Gropalis
  • Michael Witthöft
  • Florian Weck
Original Article


According to cognitive-behavioural theories, attentional biases, especially increased symptom-focused attention, are crucial for the maintenance of health anxiety. Therefore, the attention training technique (ATT) seems to be a promising approach in reducing body-focused attention and hypochondriacal fears in people with high health anxiety. However, previous research has never implemented ATT on its own but always in combination with psychoeducation. The present study experimentally investigates the isolated impact of ATT on self-reported body-focused attention, health anxiety, and attentional bias towards health threatening stimuli. Fifty-four students with elevated health anxiety were randomised into the following conditions: attention training group (ATG), which received ATT; ATGbody, which received a variation of ATT that focused on training attention towards the body; and a control group without intervention. The ATG and ATGbody spent 1 week actively practicing the trainings. Before and after the training phase, we assessed the self-report measures, and attentional bias by using the Emotional Stroop Task. The ATG displayed no effects on self-report measures of body-focused attention or health anxiety. Against our expectations, the ATGbody experienced a significant decrease in the attentional bias (p = .001, Cohen’s d = 0.93). Attention training towards the body in people with elevated health anxiety might, therefore, be beneficial in reducing illness-related attentional bias.


Attention training Attention training technique (ATT) Health anxiety Attentional bias Body-focused attention Emotional Stroop Task 



We would like to thank Christine Kloos, MSc, and Steffen Schiele, BSc, for their help with the data collection. There has been no funding or financial support. The article has not been presented elsewhere.

Compliance with Ethical Standards

Conflict of Interest

Julia Schwind, Maria Gropalis, Michael Witthöft, and Florian Weck declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Animal Rights

No animals were used in the current study.


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Julia Schwind
    • 1
    Email author
  • Maria Gropalis
    • 2
  • Michael Witthöft
    • 2
  • Florian Weck
    • 2
  1. 1.Department of Clinical Psychology and Psychotherapy, Institute for PsychologyGoethe University FrankfurtFrankfurtGermany
  2. 2.Department of Clinical Psychology, Psychotherapy and Experimental PsychopathologyJohannes Gutenberg University MainzMainzGermany

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