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  • Direction of threat attention bias predicts treatment outcome in anxious children receiving cognitive-behavioural therapy

    Author(s)
    Waters, Allison M
    Mogg, Karin
    Bradley, Brendan P
    Griffith University Author(s)
    Waters, Allison M.
    Year published
    2012
    Metadata
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    Abstract
    Background A bias to selectively direct attention to threat stimuli is a cognitive characteristic of anxiety disorders. Recent studies indicate that individual differences in pre-treatment threat attention bias predict treatment outcomes from cognitive-behavioural therapy (CBT) in anxious individuals. However, there have been inconsistent findings regarding whether attention bias towards threat predicts better or poorer treatment outcome. Method This longitudinal study examined treatment outcomes in 35 clinically-anxious children following a 10-week, group-based CBT program, as a function of whether children showed a ...
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    Background A bias to selectively direct attention to threat stimuli is a cognitive characteristic of anxiety disorders. Recent studies indicate that individual differences in pre-treatment threat attention bias predict treatment outcomes from cognitive-behavioural therapy (CBT) in anxious individuals. However, there have been inconsistent findings regarding whether attention bias towards threat predicts better or poorer treatment outcome. Method This longitudinal study examined treatment outcomes in 35 clinically-anxious children following a 10-week, group-based CBT program, as a function of whether children showed a pre-treatment attention bias towards or away from threat stimuli. The effect of CBT on attention bias was also assessed. Results Both groups showed significant improvement after receiving CBT. However, anxious children with a pre-treatment attention bias towards threat showed greater reductions not only in anxiety symptom severity, but also in the likelihood of meeting diagnostic criteria for anxiety disorders at post-treatment assessment, in comparison with anxious children who showed a pre-treatment attention bias away from threat. Children who had a pre-treatment bias away from threat showed a reduction in this bias over the course of CBT. Conclusions Findings suggest that pre-existing differences in the direction of attention towards versus away from threat could have important implications for the treatment of anxious children.
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    Journal Title
    Behaviour Research and Therapy
    Volume
    50
    Issue
    6
    DOI
    https://doi.org/10.1016/j.brat.2012.03.006
    Subject
    Cognitive and computational psychology
    Publication URI
    http://hdl.handle.net/10072/49830
    Collection
    • Journal articles

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