Journal of Child & Adolescent Trauma

, Volume 4, Issue 2, pp 109–122 | Cite as

Attention Bias to Emotional Faces in Young Children Exposed to Intimate Partner Violence

  • Johnna R. Swartz
  • Sandra A. Graham-Bermann
  • Karin Mogg
  • Brendan P. Bradley
  • Christopher S. Monk


Children exposed to intimate partner violence are at increased risk for posttraumatic stress disorder. The goal of the study was to test whether attention bias to threat was associated with a diagnosis of posttraumatic stress disorder in young children exposed to intimate partner violence. The probe detection task, which uses reaction times in response to probes to assess attention orientation to emotional faces, was administered to intimate partner violence-exposed children to measure their attention bias to angry and happy faces, relative to neutral faces. The results indicated that violence-exposed children with posttraumatic stress disorder had greater attention bias toward angry faces than violence-exposed children without posttraumatic stress disorder. This suggests that attention bias to threat is associated with the development of posttraumatic stress disorder in children exposed to intimate partner violence.


anxiety attention child cognitive bias posttraumatic stress disorder threat 


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  1. Achenbach, T., & Edlebrock C. (1993). Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
  2. Achenbach, T. M. (1991). Manual for the Child Behavior Checklist: 4–18 and 1991 profile. Burlington, VT: Department of Psychiatry, University of Vermont.Google Scholar
  3. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.Google Scholar
  4. Arvidson, J. (2011). Treatment of complex trauma in young children: Developmental and cultural considerations in application of the ARC Intervention Model. Journal of Child and Adolescent Trauma, 4, 34–51.CrossRefGoogle Scholar
  5. Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M., & van Ijzendoorn, M. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133(1), 1–24.PubMedCrossRefGoogle Scholar
  6. Bradley, B. P., Mogg, K., White, J., Groom, C., & de Bono, J. (1999). Attentional bias for emotional faces in generalized anxiety disorder. British Journal of Clinical Psychology, 38(3), 267–278.PubMedCrossRefGoogle Scholar
  7. Daleiden, E. L., & Vasey, M. W. (1997). An information-processing perspective on childhood anxiety. Clinical Psychology Review, 17, 407–129.PubMedCrossRefGoogle Scholar
  8. Dalgleish, T., Moradi, A., Taghavi, M., Neshat-Doost, H., & Yule, W. (2001). An experimental investigation of hypervigilance for threat in children and adolescents with post-traumatic stress disorder. Psychological Medicine, 31, 541–547.PubMedCrossRefGoogle Scholar
  9. Eldar, S., Ricon, T., & Bar-Haim, Y. (2008). Plasticity in attention: Implications for stress response in children. Behaviour Research and Therapy, 46, 450–461.PubMedCrossRefGoogle Scholar
  10. Elsesser, K., Sartory, G., & Tackenberg, A. (2004). Attention, heart rate, and startle response during exposure to trauma-relevant pictures: A comparison of recent trauma victims and patients with posttraumatic stress disorder. Journal of Abnormal Psychology, 113(2), 289–301.PubMedCrossRefGoogle Scholar
  11. Evans, S. E., Davies, C., & DiLillo, D. (2008). Exposure to domestic violence: A meta-analysis of child and adolescent outcomes. Aggression and Violent Behavior, 13(2), 131–140.CrossRefGoogle Scholar
  12. Fantuzzo, J. W., & Fusco, R. A. (2007). Children’s direct exposure to types of domestic violence crime: A population-based investigation. Journal of Family Violence, 22, 543–552.CrossRefGoogle Scholar
  13. Foster, H., & Brooks-Gunn, J. (2009). Toward a stress process model of children’s exposure to physical family and community violence. Clinical Child and Family Psychology Review, 12(2), 71–94.PubMedCentralPubMedCrossRefGoogle Scholar
  14. Gamble, A., & Rapee, R. (2009). The time-course of attentional bias in anxious children and adolescents. Journal of Anxiety Disorders, 23, 841–847.PubMedCrossRefGoogle Scholar
  15. Graham-Bermann, S. A., Howell, K., Habarth, J., Krishnan, S., Loree, A., & Bermann, E. A. (2008). Toward assessing traumatic events and stress symptoms in preschool children from low-income families. American Journal of Orthopsychiatry, 78(2), 220–228.PubMedCrossRefGoogle Scholar
  16. Graham-Bermann, S. A., & Levendosky, A. A. (1998). Traumatic stress symptoms in children of battered women. Journal of Interpersonal Violence, 13(1), 111–128.CrossRefGoogle Scholar
  17. Graham-Bermann, S. A., Lynch, S., Banyard, V., DeVoe, E. R., & Halabu, H. (2007). Community-based intervention for children exposed to intimate partner violence: An efficacy trial. Journal of Consulting and Clinical Psychology, 75(2), 199–209.PubMedCrossRefGoogle Scholar
  18. Jarvis, K. L., Gordon, E. E., & Novaco, R. W. (2005). Psychological distress of children and mothers in domestic violence emergency shelters. Journal of Family Violence, 20, 389–402.CrossRefGoogle Scholar
  19. Kerig, P. K. (1998). Moderators and mediators of the effects of interparental conflict on children’s adjustment. Journal of Abnormal Child Psychology: An official publication of the International Society for Research in Child and Adolescent Psychopathology, 26(3), 199–212.CrossRefGoogle Scholar
  20. Kilpatrick, K. L., & Williams, L. M. (1997). Post-traumatic stress disorder in child witnesses to domestic violence. American Journal of Orthopsychiatry, 67, 639–644.PubMedCrossRefGoogle Scholar
  21. Lehmann, P. (1997). The development of posttraumatic stress disorder (PTSD) in a sample of child witnesses to mother assault. Journal of Family Violence, 12, 241–257.CrossRefGoogle Scholar
  22. Levendosky, A. A., Huth-Bocks, A. C., Semel, M. A., & Shapiro, D. L. (2002). Trauma symptoms in preschool-age children exposed to domestic violence. Journal of Interpersonal Violence, 17(2), 150–164.CrossRefGoogle Scholar
  23. Litrownik, A. J., Newton, R., Hunter, W. M., English, D., & Everson, M. D. (2003). Exposure to family violence in young at-risk children: A longitudinal look at the effects of victimization and witnessed physical and psychological aggression. Journal of Family Violence, 18, 59–73.CrossRefGoogle Scholar
  24. MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15–20.PubMedCrossRefGoogle Scholar
  25. 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(1), 107–123.PubMedCrossRefGoogle Scholar
  26. MacMillan, K. M., & Harpur, L. L. (2003). An examination of children exposed to marital violence accessing a treatment intervention. Journal of Emotional Abuse, 3(3), 227–252.CrossRefGoogle Scholar
  27. Margolin, G., & Vickerman, K. A. (2007). Posttraumatic stress in children and adolescents exposed to family violence: I. Overview and issues. Professional Psychology: Research and Practice, 38, 613–619.Google Scholar
  28. McDonald, R., Jouriles, E. N., Ramisetty-Mikler, S., Caetano, R., & Green, C. E. (2006). Estimating the number of American children living in partner-violent families. Journal of Family Psychology, 20(1), 137–142.PubMedCrossRefGoogle Scholar
  29. Mogg, K., & Bradley, B. (1999). Some methodological issues in assessing attentional biases for threatening faces in anxiety: A replication study using a modified version of the probe detection task. Behaviour Research and Therapy, 37, 595–604.PubMedCrossRefGoogle Scholar
  30. Mogg, K., Philippot, P., & Bradley, B. P. (2004). Selective attention to angry faces in clinical social phobia. Journal of Abnormal Psychology, 113(1), 160–165.PubMedCrossRefGoogle Scholar
  31. Monk, C., Nelson, E., McClure, E., Mogg, K., Bradley, B., Leibenluft, E., et al. (2006). Ventrolateral prefrontal cortex activation and attentional bias in response to angry faces in adolescents with generalized anxiety disorder. The American Journal of Psychiatry, 163, 1091–1097.PubMedCrossRefGoogle Scholar
  32. Monk, C. S., Nelson, E. E., Woldehawariat, G., Montgomery, L. A., Zarahn, E., McClure, E. B., et al. (2004). Experience-dependent plasticity for attention to threat: Behavioral and neurophysiological evidence in humans. Biological Psychiatry, 56, 607–610.PubMedCrossRefGoogle Scholar
  33. Monk, C., Telzer, E., Mogg, K., Bradley, B., Mai, X., Louro, H., et al. (2008). Amygdala and ventrolateral prefrontal cortex activation to masked angry faces in children and adolescents with generalized anxiety disorder. Archives of General Psychiatry, 65, 568–576.PubMedCentralPubMedCrossRefGoogle Scholar
  34. Pine, D. S., Mogg, K., Bradley, B. P., Montgomery, L., Monk, C. S., McClure, E., et al. (2005). Attention bias to threat in maltreated children: Implications for vulnerability to stress-related psychopathology. The American Journal of Psychiatry, 16, 291–296.CrossRefGoogle Scholar
  35. Pollak, S. D., & Tolley-Schell, S. A. (2003). Selective attention to facial emotion in physically abused children. Journal of Abnormal Psychology, 112, 323–338.PubMedCrossRefGoogle Scholar
  36. Pollak, S. D., Vardi, S., Bechner, A. M. P., & Curtin, J. J. (2005). Physically abused children’s regulation of attention in response to hostility. Child Development, 76, 968–977.PubMedCrossRefGoogle Scholar
  37. Posner, M., Snyder, C., & Davidson, B. (1980). Attention and the detection of signals. Journal of Experimental Psychology: General, 109(2), 160–174.CrossRefGoogle Scholar
  38. Rossman, B. B. R., & Ho, J. (2000). Posttraumatic response and children exposed to parental violence. Journal of Aggression, Maltreatment & Trauma, 3(1), 85–106.CrossRefGoogle Scholar
  39. Scheeringa, M. S. (2006). Posttraumatic stress disorder: Clinical guidelines and research findings. In J. L. Luby (Ed.), Handbook of preschool mental health: Development, disorders, and treatment (pp. 165–185). New York, NY: Guilford Press.Google Scholar
  40. Scheeringa, M. S., Peebles, C. D., Cook, C. A., & Zeanah, C. H. (2001). Toward establishing procedural, criterion, and discriminant validity for PTSD in early childhood. Journal of the American Academy of Child & Adolescent Psychiatry, 40(1), 52–60.CrossRefGoogle Scholar
  41. Scheeringa, M. S., & Zeanah, C. H. (1994). Posttraumatic Stress Disorder Semi-Structured Interview and Observational Record For Infants and Young Children (Version 1.4 2005), Department of Psychology, Tulane University, New Orleans, Louisiana.Google Scholar
  42. Scheeringa, M. S., Zeanah, C. H., Myers, L., & Putnam, F. W. (2003). New findings on alternative criteria for PTSD in preschool children. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 561–570.CrossRefGoogle Scholar
  43. 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(1), 65–75.PubMedCrossRefGoogle Scholar
  44. Shackman, J. E., Shackman, A. J., & Pollak, S. D. (2007). Physical abuse amplifies attention to threat and increases anxiety in children. Emotion, 7, 838–852.PubMedCrossRefGoogle Scholar
  45. Somer, E., & Braunstein, A. (1999). Are children exposed to interparental violence being psychological maltreated? Aggression and Violent Behavior, 4, 449–456.CrossRefGoogle Scholar
  46. Straus, M. (1979). Measuring intrafamilial conflict and violence: The Conflict Tactics (CT) scales. Journal of Marriage and the Family, 41, 75–88.CrossRefGoogle Scholar
  47. Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. (1996). The Revised Conflict Tactics Scales (CTS-R). Durham, NH: Family Research Laboratory.Google Scholar
  48. Waters, A. M., Mogg, K., Bradley, B. P., & Pine, D. S. (2008). Attentional bias for emotional faces in children with generalized anxiety disorder. Journal of the American Academy of Child & Adolescent Psychiatry, 47, 435–442.CrossRefGoogle Scholar
  49. Wechsler, D. (2002). WPPSI-III administration and scoring manual. San Antonio, TX: Psychological Corporation.Google Scholar

Copyright information

© Taylor & Francis Group, LLC 2011

Authors and Affiliations

  • Johnna R. Swartz
    • 1
  • Sandra A. Graham-Bermann
    • 1
  • Karin Mogg
    • 2
  • Brendan P. Bradley
    • 2
  • Christopher S. Monk
    • 1
  1. 1.Department of PsychologyUniversity of MichiganAnn ArborUSA
  2. 2.University of SouthamptonSouthamptonUK

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