A tendency to selectively process a threat to positive information may be involved in the etiology of anxiety disorders. The aim of this study is to examine whether attentional bias modification (ABM) can be used to modify high test-anxiety individuals’ attention to emotional information and whether this change is related to anxiety vulnerability.
Seventy-seven undergraduates were included: 28 individuals received a 5-day modified dot probe task as ABM training, 29 individuals received a 5-day classic dot probe task as placebo, and 20 individuals did not receive an intervention between the two test sections. In addition to the measure of biased attention, salivary α-amylase (sAA) and the visual analogue scale of anxiety were assessed as emotional reactivity to stress.
A repeated measurement of variance analysis and paired sample t-test indicated that the ABM group showed a significant change in attentional bias scores after the 5-day training, whereas there were no changes in the attentional bias scores in the placebo or waiting list groups. Importantly, anxiety vulnerability with attention to threats was significantly decreased in the training group.
These results suggest that attentional bias toward threat stimuli may play an important role in anxiety vulnerability. The attentional bias modification away from the threat is effective for the individuals preparing for an exam.
This trial was retrospectively registered on June 22, 2017 with the registration number ChiCTR-IOR-17011745 and the title ‘Attentional Bias in high anxiety individuals and its modification’.
Mathews A, MacLeod C. Induced processing biases have causal effects on anxiety. Cognit Emot. 2002;16(3):331–54. CrossRef
MacLeod C, Rutherford E, Campbell L, Ebsworthy G, Holker L: Selective attention and emotional vulnerability: assessing the causal basis of their association through the experimental manipulation of attentional bias. J Abnorm Psychol 2002, 111(1):107–123.
Zeidner M: Test anxiety in educational contexts: concepts, findings. Emotion in Education 2007, 165:50011–50013.
Zeidner M. Test anxiety: the state of the art: Springer Science & Business. Media. 1998;
Harris MT: Psychological and environmental predictors of test anxiety: a structural equation model. 2016.
Cassady JC, Johnson RE. Cognitive test anxiety and academic performance. Contemp Educ Psychol. 2002;27(2):270–95. CrossRef
Putwain DW, Aveyard B: Is perceived control a critical factor in understanding the negative relationship between cognitive test anxiety and examination performance? 2016.
Ryzewicz L. Behavioral manifestations of worry in test anxiety and intolerance of uncertainty: a laboratory investigation of attention bias with a university population. The Brooklyn Center: Long Island University; 2008.
Putwain DW, Langdale HC, Woods KA, Nicholson LJ. Developing and piloting a dot-probe measure of attentional bias for test anxiety. Learn Individ Differ. 2011;21(4):478–82. CrossRef
Liu Y, Zhang W, Zhou R. Cognitive and neural basis of attentional bias in test anxiety students. Psychological Exploration. 2015;35(3):233–8.
Dandeneau SD, Baldwin MW. The buffering effects of rejection-inhibiting attentional training on social and performance threat among adult students. Contemp Educ Psychol. 2009;34(1):42–50. CrossRef
Boettcher J, Berger T, Renneberg B. Internet-based attention training for social anxiety: a randomized controlled trial. Cogn Ther Res. 2012;36(5):522–36. CrossRef
Sarason IG. The test anxiety scale: concept and research. In: DTIC Document. 1977;
Wang Y, Zhou L, Luo Y. The pilot establishment and evaluation of Chinese affective words system. Chin Ment Health J. 2008;22(8):608–12.
Lang P, Bradley M, Cuthbert B: Technical Report A-6, International Affective Picture System (IAPS): Digitized Photographs, Instruction Manual and Affective Ratings. In.: Gainesville, FL.: University of Florida; 2005.
Clarke PJ, MacLeod C, Guastella AJ. Assessing the role of spatial engagement and disengagement of attention in anxiety-linked attentional bias: a critique of current paradigms and suggestions for future research directions. Anxiety, Stress & Coping. 2013;26(1):1–19. CrossRef
Posner MI. Psychobiology of attention. Handbook of Psychobiology. 1975:441–80.
Baert S, Casier A, De Raedt R. The effects of attentional training on physiological stress recovery after induced social threat. Anxiety, Stress & Coping. 2012;25(4):365–79. CrossRef
Zhang X, Zhou J, Zhang H, Dong Y, Zhou R. The effect of expressive writing on high test-anxious college students' CET-6 scores. s. 2015;3:92–6.
- Attentional bias modification in reducing test anxiety vulnerability: a randomized controlled trial
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