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Erschienen in: Cognitive Therapy and Research 2/2014

01.04.2014 | Original Article

Rumination Moderates the Effects of Cognitive Bias Modification of Attention

verfasst von: Kimberly A. Arditte, Jutta Joormann

Erschienen in: Cognitive Therapy and Research | Ausgabe 2/2014

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Abstract

Whereas research on cognitive bias modification of attention has produced promising results, it remains unclear how and for whom such techniques may be most effectively implemented. This study examined how trait rumination moderated the effects of two attention training tasks on biased attention, assessed via eye tracking, and subsequent stress reactivity. Using a modified dot-probe task, participants were trained to develop a negative attention bias, a positive attention bias, or no attention bias. Though neither the train-negative nor the train-positive conditions produced significant main effects on attention biases or emotional reactivity, rumination was found to moderate training efficacy, such that train-positive participants reporting high levels of rumination demonstrated greater early-stage positive attention biases at post-training, as compared to controls. Further, train-negative and train-positive participants who reported low levels of rumination demonstrated greater positive affect following an acute stressor as compared to controls. Theoretical and clinical implications of results are discussed.
Fußnoten
1
For information on specific stimuli used in the attention training task and/or in the assessment of attention biases, please contact the first author, Kimberly A. Arditte, at karditte@psy.miami.edu.
 
2
Though a systematic examination of the moderating effects of depression and social anxiety symptoms were beyond the scope of this paper, analyses were conducted to ensure that the reported moderation effects were not driven by either of these related constructs. To do this, zero-order correlations were used to examine the relation between self-reported depression (Beck Depression Inventory, Second Edition; Beck et al. 1996) and social anxiety (Social Interaction Anxiety Scale; Mattick and Clarke 1998) symptoms and all outcome variables. Depression was significantly associated with post-training FC for positive stimuli (r = .24, p = .046), but no other pre- or post-training eye tracking indices (all p’s > .10). Social anxiety was not related to any of the eye tracking variables at pre- or post-training (all p’s > .10). In addition, depression was significantly associated with negative affect at baseline (r = .31, p = .002), whereas social anxiety was related to negative affect following the stressor (r = .55, p < .001). No other relations between depression or social anxiety and affect at baseline or stressor were found (all p’s > .10). Where significant relations were found, depression and/or social anxiety were controlled for in moderation analyses. This did not impact any of our original results. Rumination still did not moderate the NAB condition’s effect on subsequent negative affect (β = .03, t [84] = .19, p = .85 and β = .05, t [44] = .27, p = .78 when controlling for depression and social anxiety, respectively), nor did it impact the PAB condition’s effect on FC for positive stimuli at post-training (β = .11, t [56] = .54, p = .59).
 
Literatur
Zurück zum Zitat Amir, N., Weber, G., Beard, C., Bomyea, J., & Taylor, C. T. (2008). The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. Journal of Abnormal Psychology, 117, 860–868. doi:10.1037/a0013445.PubMedCentralPubMedCrossRef Amir, N., Weber, G., Beard, C., Bomyea, J., & Taylor, C. T. (2008). The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. Journal of Abnormal Psychology, 117, 860–868. doi:10.​1037/​a0013445.PubMedCentralPubMedCrossRef
Zurück zum Zitat Baert, S., de Raedt, R., Schacht, R., & Koster, E. H. W. (2010). Attentional bias training in depression: Therapeutic effects depend on depression severity. Journal of Behavioral Therapy & Experimental Psychiatry, 41, 265–274. doi:10.1016/j.jbtep.2010.02.004.CrossRef Baert, S., de Raedt, R., Schacht, R., & Koster, E. H. W. (2010). Attentional bias training in depression: Therapeutic effects depend on depression severity. Journal of Behavioral Therapy & Experimental Psychiatry, 41, 265–274. doi:10.​1016/​j.​jbtep.​2010.​02.​004.CrossRef
Zurück zum Zitat Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Zurück zum Zitat Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the beck depression inventory-II. San Antonio, TX: Psychological Corporation.
Zurück zum Zitat Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral science (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates. Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral science (3rd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
Zurück zum Zitat De Lissnyder, E., Koster, E. H. W., Derakshan, N., & de Raedt, R. (2010). The association between depressive symptoms and executive control impairments in response to emotional and non-emotional information. Cognition and Emotion, 24, 264–280. doi:10.1080/02699930903378354.CrossRef De Lissnyder, E., Koster, E. H. W., Derakshan, N., & de Raedt, R. (2010). The association between depressive symptoms and executive control impairments in response to emotional and non-emotional information. Cognition and Emotion, 24, 264–280. doi:10.​1080/​0269993090337835​4.CrossRef
Zurück zum Zitat Eckenrode, J., Ganzel, B., Henderson, C. R, Jr, Smith, E., Olds, D. L., Powers, J., et al. (2000). Preventing child abuse and neglect with a program of nurse home visitation: The limiting effects of domestic violence. Journal of the American Medical Association, 284, 1385–1391. doi:10.1001/jama.284.11.1385.PubMedCrossRef Eckenrode, J., Ganzel, B., Henderson, C. R, Jr, Smith, E., Olds, D. L., Powers, J., et al. (2000). Preventing child abuse and neglect with a program of nurse home visitation: The limiting effects of domestic violence. Journal of the American Medical Association, 284, 1385–1391. doi:10.​1001/​jama.​284.​11.​1385.PubMedCrossRef
Zurück zum Zitat Ellenbogen, M. A., Carson, R. J., & Pishva, R. (2010). Automatic emotional information processing and the cortisol response to acute psychosocial stress. Cognitive, Affective, and Behavioral Neuroscience, 10, 71–82. doi:10.3758/CABN.10.1.71.CrossRef Ellenbogen, M. A., Carson, R. J., & Pishva, R. (2010). Automatic emotional information processing and the cortisol response to acute psychosocial stress. Cognitive, Affective, and Behavioral Neuroscience, 10, 71–82. doi:10.​3758/​CABN.​10.​1.​71.CrossRef
Zurück zum Zitat Ellenbogen, M. A., Schwartzman, A. E., Stewart, J., & Walker, C. (2002). Stress and selective attention: The interplay of mood, cortisol levels, and emotional information processing. Psychophysiology, 39, 723–732. doi:10.1017/S0048577202010739.PubMedCrossRef Ellenbogen, M. A., Schwartzman, A. E., Stewart, J., & Walker, C. (2002). Stress and selective attention: The interplay of mood, cortisol levels, and emotional information processing. Psychophysiology, 39, 723–732. doi:10.​1017/​S004857720201073​9.PubMedCrossRef
Zurück zum Zitat Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–26). New York: The Guilford Press. Gross, J. J., & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3–26). New York: The Guilford Press.
Zurück zum Zitat Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 137, 940–958. doi:10.1037/a0024355.PubMedCrossRef Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 137, 940–958. doi:10.​1037/​a0024355.PubMedCrossRef
Zurück zum Zitat Klumpp, H., & Amir, N. (2010). Preliminary study of attention training to threat and neutral faces on anxious reactivity to a social stressor in social anxiety. Cognitive Therapy and Research, 34, 263–271. doi:10.1007/s10608-009-9251-0.CrossRef Klumpp, H., & Amir, N. (2010). Preliminary study of attention training to threat and neutral faces on anxious reactivity to a social stressor in social anxiety. Cognitive Therapy and Research, 34, 263–271. doi:10.​1007/​s10608-009-9251-0.CrossRef
Zurück zum Zitat Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2005). International affective picture system (IAPS): Instruction manual and affective ratings. Technical Report A-6. University of Florida, Gainsville, FL. Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2005). International affective picture system (IAPS): Instruction manual and affective ratings. Technical Report A-6. University of Florida, Gainsville, FL.
Zurück zum Zitat 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 biases. Journal of Abnormal Psychology, 111, 107–123. doi:10.1037/0021-843X.111.1.107.PubMedCrossRef 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 biases. Journal of Abnormal Psychology, 111, 107–123. doi:10.​1037/​0021-843X.​111.​1.​107.PubMedCrossRef
Zurück zum Zitat NIMH Center for the Study of Emotion and Attention. (1999). The international affective picture system (IAPS). Gainsville, FL: The Center for Research in Psychophysiology, University of Florida. NIMH Center for the Study of Emotion and Attention. (1999). The international affective picture system (IAPS). Gainsville, FL: The Center for Research in Psychophysiology, University of Florida.
Zurück zum Zitat Rueda, M. R., Posner, M. I., & Rothbart, M. K. (2005). The development of executive attention: Contributions to the emergence of self-regulation. Developmental Neuropsychology, 28, 575–594. doi:10.1207/s15326942dn2802_2.CrossRef Rueda, M. R., Posner, M. I., & Rothbart, M. K. (2005). The development of executive attention: Contributions to the emergence of self-regulation. Developmental Neuropsychology, 28, 575–594. doi:10.​1207/​s15326942dn2802_​2.CrossRef
Zurück zum Zitat Sanchez, A., Vazquez, C., Marker, C., LeMoult, J., & Joormann, J. (2012). Attentional disengagement predicts stress recovery in depression: An eye-tracking study. Manuscript submitted for publication. Sanchez, A., Vazquez, C., Marker, C., LeMoult, J., & Joormann, J. (2012). Attentional disengagement predicts stress recovery in depression: An eye-tracking study. Manuscript submitted for publication.
Zurück zum Zitat Strauss, G. P., & Allen, D. N. (2006). The experience of positive emotion is associated with the automatic processing of positive emotional words. The Journal of Positive Psychology, 1, 150–159. doi:10.1080/17439760600566016.CrossRef Strauss, G. P., & Allen, D. N. (2006). The experience of positive emotion is associated with the automatic processing of positive emotional words. The Journal of Positive Psychology, 1, 150–159. doi:10.​1080/​1743976060056601​6.CrossRef
Zurück zum Zitat Wells, T. T., & Beevers, C. G. (2010). Biased attention and dysphoria: Manipulating selective attention reduces subsequent depressive symptoms. Cognition and Emotion, 24, 719–728. doi:10.1080/02699930802652388.CrossRef Wells, T. T., & Beevers, C. G. (2010). Biased attention and dysphoria: Manipulating selective attention reduces subsequent depressive symptoms. Cognition and Emotion, 24, 719–728. doi:10.​1080/​0269993080265238​8.CrossRef
Zurück zum Zitat Yoon, L. K., & Joormann, J. (2012). Is timing everything? Sequential effects of rumination and distraction on interpersonal problem solving. Cognitive Therapy and Research, 36, 165–172. doi:10.1007/s10608-010-9330-2.CrossRef Yoon, L. K., & Joormann, J. (2012). Is timing everything? Sequential effects of rumination and distraction on interpersonal problem solving. Cognitive Therapy and Research, 36, 165–172. doi:10.​1007/​s10608-010-9330-2.CrossRef
Metadaten
Titel
Rumination Moderates the Effects of Cognitive Bias Modification of Attention
verfasst von
Kimberly A. Arditte
Jutta Joormann
Publikationsdatum
01.04.2014
Verlag
Springer US
Erschienen in
Cognitive Therapy and Research / Ausgabe 2/2014
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-013-9581-9

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