Abstract
Although research has consistently revealed the presence of a general attentional bias towards threat, empirical and theoretical ambiguity exists in determining whether attentional biases are comprised of facilitated attention to threat, difficulty in disengagement from threat, or both, as well as whether attentional biases reflect automatic or strategic processes. This paper reviews empirical investigations across four common assessment tasks: the Stroop (masked and unmasked), dot probe, visual search, and the Posner tasks. Although the review finds inconsistencies both within and between assessment tasks, the evidence suggests that attentional biases towards threat are comprised of each of the phenomenological characteristics addressed in this paper. Contemporary theoretical models of attentional biases in anxiety are summarized and critically reviewed in light of the current evidence. Suggestions for future research are addressed, including a need to investigate the psychometric properties of the assessment tasks, to utilize consistent theoretically driven operationalizations of attentional biases, and to provide a temporal description of the characteristics of attentional biases towards threat.
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Notes
Lipp and Waters (2007) did not also test for facilitated attention. Therefore, their results do only demonstrate difficulty in disengagement but they do not rule out facilitated attention.
Flykt and Caldara (2006) did not also test for difficulty in disengagement. Therefore, their results do only demonstrate facilitated attention but they do not rule out difficulty in disengagement.
References
Algom, D., Chajut, E., & Lev, S. (2004). A rational look at the emotional Stroop paradigm: A generic slowdown, not a Stroop effect. Journal of Experimental Psychology: General, 133, 323–338.
Amir, N., McNally, R. J., Riemann, B. C., Burns, J., Lorenz, M., & Mullen, J. T. (1996). Suppression of the emotional Stroop effect by increased anxiety in patients with social phobia. Behaviour Research and Therapy, 11, 945–948.
Anderson, A. K., & Phelps, E. A. (2001). Lesions of the human amygdala impair enhanced perception of emotionally salient events. Nature, 411, 305–309.
Amir, N., Elias, J., Klumpp, H., & Przeworski, A. (2003). Attentional bias to threat in social phobia: Facilitated processing of threat or difficulty disengaging attention from threat? Behaviour Research and Therapy, 41, 1325–1335.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. H., & van IJzendoorn, M. H. (2007). Threat-related attentional bias in anxious and non-anxious individuals: A meta-analytic study. Psychological Bulletin, 133, 1–24.
Beck, A. T., & Clark, D. A. (1997). An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy, 35, 49–58.
Bradley, B. P., Mogg, K., Falla, S. J., & Hamilton, L. R. (1998). Attentional bias for threatening facial expressions in anxiety: Manipulation of stimulus duration. Cognition & Emotion, 12, 737–753.
Bradley, B. P., Mogg, K., Millar, N., & White, J. (1995). Selective processing of negative information: Effects of clinical anxiety, concurrent depression, and awareness. Journal of Abnormal Psychology, 104, 532–536.
Bradley, B. P., Mogg, K., White, J., Groom, C., & de Bono, J. (1999). Attentional bias for emotional faces in generalized anxiety disorder. The British Journal of Clinical Psychology, 38, 267–278.
Buckley, T. C., Blanchard, E. B., & Hickling, E. J. (2002). Automatic and strategic processing of threat stimuli: A comparison between PTSD, panic disorder, and non-anxiety controls. Cognitive Therapy and Research, 26, 97–115.
Bundesen, C., Habekost, T., & Kyllingsbaek, S. (2005). A neural theory of visual attention: Bridging cognition and neuroscience. Psychological Review, 112, 291–328.
Byrne, A., & Eysenck, M. W. (1995). Trait anxiety, anxious mood, and threat detection. Cognition and Emotion, 9, 549–562.
Chen, Y. P., Ehlers, A., Clark, D. M., & Mansell, W. (2002). Patients with generalized social phobia direct their attention away from faces. Behaviour Research and Therapy, 40, 677–687.
Constans, J. I., Vasterling, J. J., McCloskey, M. S., & Brailey, K. (2004). Suppression of attentional bias in PTSD. Journal of Abnormal Psychology, 113, 315–323.
Dalgleish, T., Taghavi, R., Neshat-Doost, H., Moradi, A., Canterbury, R., & Yule, W. (2003). Patterns of processing bias for emotional information across clinical disorders: A comparison of attention, memory, and prospective cognition in children and adolescents with depression, generalized anxiety, and posttraumatic stress disorder. Journal of Clinical Child and Adolescent Psychology, 32, 10–21.
Devineni, T., Blanchard, E. B., Hickling, E. J., & Buckley, T. C. (2004). Effect of psychological treatment on cognitive bias in motor vehicle accident-related posttraumatic stress disorder. Journal of Anxiety Disorders, 18, 211–231.
Eide, P., Kemp, A., Silberstein, R. B., & Nathan, P. J. (2002). Test-retest reliability of the emotional Stroop task: Examining the paradox of measurement change. The Journal of Psychology, 136, 514–520.
Flykt, A., & Caldara, R. (2006). Tracking fear in snake and spider fearful participants during visual search: A multi-response domain study. Cognition and Emotion, 20, 1075–1091.
Fox, E. (2004). Maintenance or capture of attention in anxiety-related biases? In J. Yiend (Ed.), Cognition, emotion, and psychopathology: Theoretical, empirical and clinical directions (pp 86–105). New York: Cambridge University Press.
Fox, E., Russo, R., & Dutton, K. (2002). Attentional bias for threat: Evidence for delayed disengagement from emotional faces. Cognition and Emotion, 16, 355–379.
Fox, E., Russo, R., Bowles, R., & Dutton, K. (2001). Do threatening stimuli draw or hold visual attention in subclinical anxiety? Journal of Experimental Psychology: General, 130, 681–700.
Garner, M., Mogg, K., & Bradley, B. P. (2006). Orienting and maintenance of gaze to facial expressions in social anxiety. Journal of Abnormal Psychology, 115, 760–770.
Gilboa-Schechtman, E., Foa, E. B., & Amir, N. (1999). Attentional biases for facial expressions in social phobia: The face-in-the-crowd paradigm. Cognition and Emotion, 13, 305–318.
Gotlib, I. H., Kasch, K. L., Traill, S., Joormann, J., Arnow, B. A., & Johnson, S. L. (2004). Coherence and specificity of information-processing biases in depression and social phobia. Journal of Abnormal Psychology, 386–398.
Harvey, A. G., Bryant, R. A., & Rapee, R. M. (1996). Preconscious processing of threat in posttraumatic stress disorder. Cognitive Therapy and Research, 20, 613–623.
Juth, P., Lundqvist, D., Karlsson, A., & Öhman, A. (2005). Looking for foes and friends: Perceptual and emotional factors when finding a face in the crowd. Emotion, 5, 379–395.
Kindt, M., Bierman, D., & Brosschot, J. F. (1996). Stroop versus Stroop: Comparison of a card format and a single-trial format of the standard color-word Stroop task and emotional Stroop task. Personality and Individual Differences, 21, 653–661.
Koster, E. H., Crombez, G., Verschuere, B., & De Houwer, J. (2004). Selective attention to threat in the dot probe paradigm: Differentiating vigilance and difficulty to disengage. Behaviour Research and Therapy, 42, 1183–1192.
Koster, E. H. W., Crombez, G., Vershuere, B., Van Damme, S., & Wiersema, J. R. (2006). Components of attentional bias to threat in high trait anxiety: Facilitated engagement, impaired disengagement, and attentional avoidance. Behaviour Research and Therapy, 44, 1757–1771.
Koster, E. H. W., Crombez, G., Van Damme, S., Verschuere, B., & De Houwer, J. (2004). Does imminent threat capture and hold attention? Emotion, 4, 312–317.
Koster, E. H. W., Crombez, G., Van Damme, S., Verschuere, B., & De Houwer, J. (2005). Signals for threat modulate attentional capture and holding: Fear-conditioning and extinction during the exogenous cueing task. Cognition and Emotion, 19, 771–780.
Koster, E. H. W., Verschuere, B., Crombez, G., & Van Damme, S. (2005). Time-course of attention for threatening pictures in high and low trait anxiety. Behaviour Research and Therapy, 43, 1087–1098.
Koster, E. H. W., Crombez, G., Verschuere, B., & De Houwer, J. (2006). Attention to threat in anxiety-prone individuals: Mechanisms underlying attentional bias. Cognitive Therapy and Research, 30, 635–643.
Kyrios, M., & Iob M. A. (1998). Automatic and strategic processing in obsessive-compulsive disorder: Attentional bias, cognitive avoidance, or more complex phenomena? Journal of Anxiety Disorders, 12, 271–292.
Lipp, O. V., & Waters, A. M. (2007). When danger lurks in the background: Attentional capture by animal fear-relevant distracters is specific and selectively enhanced by animal fear. Emotion, 7, 192–200.
MacLeod, C., & Hagan, R. (1992). Individual differences in the selective processing of threatening information, and emotional responses to a stressful life event. Behaviour Research and Therapy, 30, 151–161.
MacLeod, C., & Mathews, A. (1988). Anxiety and the allocation of attention to threat. Quarterly Journal of Experimental Psychology, 40, 653–670.
MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in the emotional disorders. Journal of Abnormal Psychology, 95, 15–20.
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.
Mathews, A., & Mackintosh, B. (1998). A cognitive model of selective processing in anxiety. Cognition and Anxiety, 22, 539–560.
Mathews, A., & MacLeod, C. (2002). Induced processing biases have causal effects on anxiety. Cognition and Emotion, 16, 331–354.
Mathews, A., & MacLeod, C. (2005). Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 1, 167–195.
McNally, R. J. (1995). Automaticity and the anxiety disorders. Behaviour Research and Therapy, 33, 747–754.
Miltner, W. H. R., Krieschel, S., Hecht, H., Trippe, R., & Weiss, T. (2004). Eye movements and behavioral responses to threatening and nonthreatening stimuli during visual search in phobic and nonphobic subjects. Emotion, 4, 323–339.
Mogg, K., & Bradley, B. P. (1998). A cognitive-motivational analysis of anxiety. Behaviour Research and Therapy, 36, 809–848.
Mogg, K., & Bradley, B. P. (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.
Mogg, K., & Bradley, B. P. (2004). A cognitive-motivational perspective on the processing of threat information and anxiety In J. Yiend (Ed.), Cognition, emotion, and psychopathology: Theoretical, empirical and clinical directions (pp. 68–85). New York: Cambridge University Press.
Mogg, K., & Bradley, B. P. (2005). Attentional bias in generalized anxiety disorder versus depressive disorder. Cognitive Therapy and Research, 29, 29–45.
Mogg, K., Bradley, B. P., & Hallowell, N. (1994). Attentional bias to threat: Roles of trait anxiety, stressful events, and awareness. The Quarterly Journal of Experimental Psychology A: Human Experimental Psychology, 47, 841–864.
Mogg, K., Bradley, B. P., Williams, R., & Mathews, A. (1993). Subliminal processing of emotional information in anxiety and depression. Journal of Abnormal Psychology, 102, 304–311.
Mogg, K., Bradley, B. P., Bono, J. D., & Painter, M. (1997). Time course of attentional bias for threat information in non-clinical anxiety. Behaviour Research and Therapy, 35, 297–303.
Mogg, K., Bradley, B. P., Miles, F., & Dixon, C. (2004). Time course of attentional bias for threat scenes: Testing the vigilance-avoidance hypothesis. Cognition and Emotion, 18, 689–700.
Mogg, K., Bradley, B. P., Millar, N., & White, J. (1995). A follow-up study of cognitive bias in generalized anxiety disorder. Behaviour Research and Therapy, 33, 927–935.
Mogg, K., Bradley, B. P., Dixon, C., Fisher, H. T., & McWilliams, A. (2000). Trait anxiety, defensiveness and selective processing of threat: An investigation using two measures of attentional bias. Personality and Individual Differences, 28, 1063–1077.
Mogg, K., Bradley, B. P., & Williams, R. (1995). Attentional bias in anxiety and depression: The role of awareness. British Journal of Clinical Psychology, 34, 17–36.
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.
Moritz, S., Jacobsen, D., Kloss, M., Fricke, S., Rufer, M., & Hand, I. (2004). Examination of emotional strop interference in obsessive-compulsive disorder. Behaviour Research and Therapy, 42, 671–682.
Nay, W. T., Thorpe, G. L., Roberson-Nay, R., Hecker, J. E., & Sigmon, S. T. (2004). Attentional bias to threat and emotional response to biological challenge. Journal of Anxiety Disorders, 18, 609–627.
Norman, D. A. (1968). Toward a theory of memory and attention. Psychological Review, 75, 522–536.
Öhman, A. (2005). The role of the amygdala in human fear: Automatic detection of threat. Psychoneuroendocrinology, 30, 953–958.
Öhman, A., & Wiens, S. (2005). The concept of an evolved fear module and cognitive theories of anxiety. Feelings and emotions: The Amsterdam symposium (pp. 58–80).
Öhman, A., Flykt, A., & Esteves, F. (2001). Emotion drives attention: Detecting the snake in the grass. Journal of Experimental Psychology: General, 130, 466–478.
Pflugshaupt, T., Mosimann, U. P., von Wartburg, R., Schmitt, W., Nyffeler, T., & Muri, R. M. (2005). Hypervigilance-avoidance pattern in spider phobia. Journal of Anxiety Disorders, 19, 105–116.
Phelps, E. A., & LeDoux, J. E. (2005). Contributions of the amygdala to emotion processing: From animal models to human behavior. Neuron, 48, 175–187.
Pishyar, R., Harris, L. M., & Menzies, R. G. (2004). Attentional bias for words and faces in social anxiety. Anxiety, Stress and Coping, 17, 23–36.
Posner, M. I., (1980). Orienting of attention. Quarterly Journal of Experimental Psychology, 32, 3–25.
Rinck, M., Becker, E. S., Kellermann, J., & Roth, W. T. (2003). Selective attention in anxiety: Distraction and enhancement in visual search. Depression and Anxiety, 18, 18–28.
Rinck, M., Reinecke, A., Ellwart, T., Heuer, K., & Becker, E. S. (2005). Speeded detection and increased distraction in fear of spiders: Evidence from eye movements. Journal of Abnormal Psychology, 114, 235–248.
Salemink, E., van den Hout, M. A., & Kindt, M. (2007). Selective attention and threat: Quick orienting versus slow disengagement and two versions of the dot probe task. Behaviour Research and Therapy, 45, 607–615.
Sawchuk, C. N., Lohr, J. M., Lee, T. C., & Tolin, D. F. (1999). Exposure to disgust-evoking imagery and information processing biases in blood-injection-injury phobia. Behaviour Research and Therapy, 37, 249–257.
Schmukle, S. C. (2005). Unreliability of the dot probe task. European Journal of Personality, 19, 595–605.
Siegrist, M. (1997). Test-retest reliability of different versions of the Stroop test. The Journal of Psychology, 131, 299–306.
Smith, S. D., Most, S. B., Newsome, L. A., & Zald, D. H. (2006). An emotion-induced attentional blink elicited by aversively conditioned stimuli. Emotion, 6, 523–527.
Stroop, J. R. (1935). Studies of interference in serial verbal reactions. Journal of Experimental Psychology, 18, 643–662. (Reprinted in 1992 in the Journal of Experimental Psychology: General, 121, 15–23.
Thorpe, S. J., & Salkovskis, P. M. (1997). Information processing in spider phobics: The Stroop colour naming task may indicate strategic but not automatic attentional bias. Behaviour Research and Therapy, 35, 131–144.
Van Damme, S., Crombez, G., Hermans, D., Koster, E. H. W., & Eccleston C. (2006). The role of extinction and reinstatement in attentional bias to threat: A conditioning approach. Behaviour Research and Therapy, 44, 1555–1563.
van den Hout, M., Tenney, N., Huygens, K., Merckelbach, H., & Kindt, M. (1995). Responding to subliminal threat cues is related to trait anxiety and emotional vulnerability: a successful replication of MacLeod and Hagan (1992). Behaviour Research and Therapy, 33, 451–454.
van den Hout, M., Tenney, N., Huygens, K., & de Jong, P. (1997). Preconscious processing of bias in specific phobia. Behaviour Research and Therapy, 35, 29–34.
van Honk, J., Tuiten, A., van den Hout, M., Putman, P., de Haan, E., & Stam, H. (2001). Selective attention to unmasked and masked threatening words: Relationships to trait anger and anxiety. Personality and Individual Differences, 30, 711–720.
Wikström, J., Lundh, L., Westerlund, J., Hogman, L. (2004). Preattentive bias for snake words in snake phobia? Behaviour Research and Therapy, 42, 949–970.
Williams, J. M. G, Mathews, A., & MacLeod, C. (1996). The emotional Stroop task and psychopathology. Psychological Bulletin, 120, 3–24.
Williams, J. M. G., Watts, F. N., MacLeod, C., & Mathews, A. (1988). Cognitive psychology and emotional disorders. Chichester: Wiley.
Williams, J. M. G., Watts, F. N., MacLeod, C., & Mathews, A. (1997). Cognitive psychology and emotional disorders (2nd ed.). Chistester: Wiley.
Wilson, E., & MacLeod, M. (2003). Contrasting two accounts of anxiety-linked attentional bias: selective attention to varying levels of stimulus threat intensity. Journal of Abnormal Psychology, 112, 212–218.
Yiend, J., & Mathews, A. (2001). Anxiety and attention to threatening pictures. The Quarterly Journal of Experimental Psychology, 54A, 665–681.
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An erratum to this article can be found at http://dx.doi.org/10.1007/s10608-009-9266-6
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Cisler, J.M., Bacon, A.K. & Williams, N.L. Phenomenological Characteristics of Attentional Biases Towards Threat: A Critical Review. Cogn Ther Res 33, 221–234 (2009). https://doi.org/10.1007/s10608-007-9161-y
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DOI: https://doi.org/10.1007/s10608-007-9161-y