Abstract
Many adult anxiety problems emerge in adolescence. Investigating how adolescent anxiety arises and abates is critical for understanding and preventing adult psychiatric problems. Drawing threat interpretations from ambiguous material is linked to adolescent anxiety but little research has clarified the causal nature of this relationship. Work in adults using Cognitive Bias Modification of Interpretations (CBM-I) training show that manipulating negative interpretational style alters negative affect. Conversely, ‘boosting’ positive interpretations improves affect. Here, we extend CBM-I investigations to adolescents. Thirty-nine adolescents (13–18 years), varying in trait anxiety and self-efficacy, were randomly allocated to receive positive or negative training. Training-congruent differences emerged for subsequent interpretation style. Induced negative biases predicted a decline in positive affect in low self-efficacious adolescents only. Tentatively, our data suggest that cognitive biases predict adolescent affective symptoms in vulnerable individuals. The acquisition of positive cognitions through training has implications for prevention.
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References
Gregory AM et al (2007) Juvenile mental health histories of adults with anxiety disorders. Am J Psychiatry 164:301–308
Kim-Cohen J et al (2003) Prior juvenile diagnoses in adults with mental disorder: developmental follow-back of a prospective-longitudinal cohort. Arch Gen Psychiatry 60:709–717
Sahakian BJ, Malloch G, Kennard C (2010) A UK strategy for mental health and wellbeing. Lancet 375(9729):1854–1855
Beck AT, Clark DA (1997) An information processing model of anxiety: automatic and strategic processes. Behav Res Ther 35:49–58
Hadwin J et al (1997) Cognitive processing and trait anxiety in typically developing children: evidence for an interpretation bias. J Abnorm Psychol 106:486–490
Taghavi MR et al (2000) Interpretation of ambiguous emotional information in clinically anxious children and adolescents. Cogn Emot 14:809–822
Waters AM et al (2008) Threat interpretation bias as vulnerability factor in childhood anxiety disorders. Behav Res Ther 46:39–47
Prinstein MJ, Cheah CS, Guyer AE (2005) Peer victimization cue interpretation and internalizing symptoms: preliminary concurrent and longitudinal findings for children and adolescents. J Clin Child Adolesc Psychol 34(1):11–24
Mathews A, MacLeod C (2005) Cognitive vulnerability to emotional disorders. Annu Rev Clin Psychol 1:167–195
Mathews A, Mackintosh B (2000) Induced emotional interpretation bias and anxiety. J Abnorm Psychol 109:602–615
Hirsch CR, Mathews A, Clark DM (2007) Inducing an interpretation bias changes self-imagery: a preliminary investigation. Behav Res Ther 45:2173–2181
Hoppitt L et al (2010) Cognitive bias modification: the critical role of active training in modifying emotional responses. Behav Ther 41:73–81
Salemink EM, van den Hout M, Kindt M (2007) Trained interpretive bias: validity and effects on anxiety. J Behav Ther Exp Psychiatry 38:212–224
Yiend J, Mackintosh B, Mathews A (2005) Enduring consequences of experimentally induced biases in interpretation. Behav Res Ther 43:779–797
Salemink E, van den Hout M (2010) Trained interpretive bias survives mood change. J Behav Ther Exp Psychiatry 41:310–315
Mackintosh B et al (2006) Induced biases in emotional interpretation influence stress vulnerability and endure despite changes in context. Behav Ther 37:209–222
Holmes EA et al (2006) Positive interpretation training: effects of mental imagery versus verbal training on positive mood. Behav Ther 37:237–247
Holmes EA, Lang TJ, Shah DM (2009) Developing interpretation bias modification as a “cognitive vaccine” for depressed mood: imagining positive events makes you feel better than thinking about them verbally. J Abnorm Psychol 118:76–88
Blackwell SE, Holmes EA (2010) Modifying interpretation and imagination in clinical depression: A single case series using cognitive bias modification. Appl Cog Psychol 24:338–350
Hayes S et al (2010) The effects of modifying interpretation bias on worry in generalized anxiety disorder. Behav Res Ther 48:171–178
Hirsch CR, Hayes S, Mathews A (200) Looking at the bright side: accessing benign meanings reduces worry. J Abnorm Psychol 118:44–54
Amir N, Bomyea J, Beard C (2010) The effect of single-session interpretation modification on attention bias in socially anxious individuals. J Anx Disord 24:178–182
Beard C, Amir N (2008) A multi-session interpretation modification program: change in interpretation and social anxiety. Behav Res Ther 46:1135–1141
Mathews A et al (2007) Inducing a benign interpretational bias reduces trait anxiety. J Behav Ther Exp Psychiatry 38:225–236
Murphy R et al (2007) Facilitating a benign interpretation bias in a high socially anxious population. Behav Res Ther 45:1517–1529
Steinman SA, Teachman BA (2010) Modifying interpretations among individuals high in anxiety sensitivity. J Anx Disord 24:71–78
Salemink E, van den Hout M, Kindt M (2009) Effects of positive interpretive bias modification in highly anxious individuals. J Anx Disord 23:676–683
Muris P, Huijding J, Mayer B, Hameetman M (2008) A space odyssey: experimental manipulation of threat perception and anxiety-related interpretation bias in children. Child Psychiatry Hum Dev 39:469–480
Muris P, Huijding J, Mayer B, Remmerswaal D, Vreden S (2009) Ground control to major tom: experimental manipulation of anxiety-related interpretation bias by means of the “space odyssey” paradigm and effects on avoidance tendencies in children. J Anx Disord 23:333–340
Vassilopoulos SR, Banerjee R, Prantzalou C (2009) Experimental modification of interpretation bias in socially anxious children: changes in interpretation anticipated interpersonal anxiety and social anxiety symptoms. Behav Res Ther 47:1085–1089
Salemink E, Wiers RW (2011) Modifying threat-related interpretive bias in adolescents. J Abnorm Child Psychol. doi:10.1007/s10802-011-9523-5
Lothmann C, Chan SY, Holmes EA, Lau JY (2011) Cognitive bias modification training in adolescents: effects on interpretation biases and mood. J Child Psychol Psychiatry 52:24–32
Somerville LH, Jones RM, Casey BJ (2010) A time of change: behavioral and neural correlates of adolescent sensitivity to appetitive and aversive environmental cues. Brain Cogn 72:124–133
Gogtay N et al (2004) Dynamic mapping of human cortical development during childhood through early adulthood. Proc Natl Acad Sci USA 101:8174–8179
Marini Z, Case R (1994) The development of abstract reasoning about the physical and social world. Child Dev 65:147–159
Crone EA et al (2006) Brain regions mediating flexible rule use during development. J Neurosci 26:11239–11247
Crone EA, van der Molen MW (2004) Developmental changes in real life decision making: performance on a gambling task previously shown to depend on the ventromedial prefrontal cortex. Dev Neuropsychol 25:251–279
Dumontheil I, Apperly IA, Blakemore SJ (2010) Online usage of theory of mind continues to develop in late adolescence. Dev Sci 13:331–338
Van Leijenhorst L et al (2010) Adolescent risky decision-making: neurocognitive development of reward and control regions. Neuroimage 51:345–355
Lau JY et al (2011) Distinct neural signatures of threat learning in adolescents and adults. Proc Natl Acad Sci USA 108:4500–4505
Hammen C, Zupan BA (1984) Self-schemas depression and the processing of personal information in children. J Exp Child Psychol 37:598–608
Nolen-Hoeksema S, Girgus JS, Seligman ME (1992) Predictors and consequences of childhood depressive symptoms: a 5-year longitudinal study. J Abnorm Psychol 101:405–422
Lau JY, Eley TC (2006) Changes in genetic and environmental influences on depressive symptoms across adolescence and young adulthood. Br J Psychiatry 189:422–427
Turner JE, Cole DA (1994) Developmental differences in cognitive diatheses for child depression. J Abnorm Child Psychol 22:15–32
Cole DA, Turner JE (1993) Models of cognitive mediation and moderation in child depression. J Abnorm Psychol 102:271–281
Leonardo ED, Hen R (2008) Anxiety as a developmental disorder. Neuropsychopharm 33:134–140
Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84:191–215
Psychology Software Tools E-Prime 20 2005. (Computer Software)
Laurent J et al (1999) A measure of positive and negative affect for children: scale development and preliminary validation. Psychol Assess 11:326–338
Grant S et al (1999) A comparison of the reproducibility and the sensitivity to change of visual analogue scales Borg scales and Likert scales in normal subjects during submaximal exercise. Chest 116:1208–1217
Spielberger CD (1973) State-trait anxiety inventory for children. Palo Alto Calif, Consulting Psychologists Press, USA
Muris P et al (2002) Three traditional and three new childhood anxiety questionnaires: their reliability and validity in a normal adolescent sample. Behav Res Ther 40:753–772
Muris P (2001) A brief questionnaire for measuring self-efficacy in youths. J Psychopathol Behav Assess 23:145–149
Suldo SM, Shaeffer EJ (2007) Evaluation of the self-efficacy questionnaire for children in two samples of American adolescents. J Psychoed Assess 25:341–355
Goodman SH, Gotlib IH (1999) Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol Rev 106:458–490
Salemink E, van den Houdt M, Kindt M (2007) Trained interpretive bias: validity and effects on anxiety. J Behav Ther Exp Psychiatry 38:212–224
Holmes EA, Mathews A (2005) Mental imagery and emotion: a special relationship? Emotion 5:489–497
Teachman BA, Addison LM (2007) Training non-threatening interpretation in spider fear. Cog Ther Res 32:448–459
Wilson EJ et al (2006) The causal role of interpretive bias in anxiety reactivity. J Abnorm Psychol 115:103–111
Salemink E, van den Hout M, Kindt M (2007) Trained interpretive bias and anxiety. Behav Res Ther 45:329–340
Mathews A, MacLeod C (2002) Induced processing biases have causal effects on anxiety. Cogn Emot 16:331–354
Standage H, Ashwin C, Fox E (2009) Comparing visual and auditory presentation for the modification of interpretation bias. J Behav Ther Exp Psychiatry 40:558–570
James A, Soler A, Weatherall R (2005) Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database Syst Rev 4:CD004690
Stallard P, Udwin O, Goodard M, Hibbert S (2007) The availability of cognitive behaviour therapy within specialist child and adolescent mental health services (CAMHS): a national survey. Behav Cog Psychother 35:501–505
Bar-Haim Y, Morag I, Glickman S (2011) Training anxious children to disengage attention from threat: a randomized controlled trial. J Child Psychol Psychiatry Jan 19. doi:10.1111/j.1469-7610.2011.02368.x. (Epub ahead of print)
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Lau, J.Y.F., Molyneaux, E., Telman, M.D. et al. The Plasticity of Adolescent Cognitions: Data from a Novel Cognitive Bias Modification Training Task. Child Psychiatry Hum Dev 42, 679–693 (2011). https://doi.org/10.1007/s10578-011-0244-3
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DOI: https://doi.org/10.1007/s10578-011-0244-3