Evidence map›Paper›PMID 24098630›Full record

Trial reportPloS one2013

Internet-based attention bias modification for social anxiety: a randomised controlled comparison of training towards negative and training towards positive cues.

Johanna Boettcher, Linda Leek, Lisa Matson, Emily A Holmes, Michael Browning, Colin MacLeod, Gerhard Andersson, Per Carlbring

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 35 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 6 pooled it
12.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01463137 nacompletednot on this map

Computerized Attention Bias Modification Training in Social Phobia/Social Anxiety Disorder

TypeinterventionalSponsorUmeå UniversityRan2011 to 2013Enrolled129ConditionsSocial PhobiaArmsAttention bias modification
NCT01577303 nacompletednot on this map

Reduction of Social Phobia Symptoms With Internet-Based Cognitive Bias Modification

TypeinterventionalSponsorUmeå UniversityRan2012 to 2013Enrolled129ConditionsSocial PhobiaArmsCognitive bias modification training program variant 1, Cognitive bias modification training program variant 2, CBM training program variant 3, CBM training program variant 4, Control training variant 1
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 6 syntheses or guidelines pooled it, 112 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 4 countries.

Johanna BoettcherDepartment of Psychology, Stockholm University, Stockholm, Sweden ; Freie Universitaet Berlin, Berlin, Germany.
Linda Leek
Lisa Matson
Emily A Holmes
Michael Browning
Colin MacLeod
Gerhard Andersson
Per Carlbring
Umeå University · SEFreie Universität Berlin · DELinköping University · SEMRC Cognition and Brain Sciences Unit · GBStockholm University · SEUniversity of Western Australia · AUWellcome Centre for Integrative Neuroimaging · GB

Funding

Medical Research Council MC_UP_0901/1
6 · The paper itself

Abstract

unlabelledBiases in attention processes are thought to play a crucial role in the aetiology and maintenance of Social Anxiety Disorder (SAD). The goal of the present study was to examine the efficacy of a programme intended to train attention towards positive cues and a programme intended to train attention towards negative cues. In a randomised, controlled, double-blind design, the impact of these two training conditions on both selective attention and social anxiety were compared to that of a control training condition. A modified dot probe task was used, and delivered via the internet. A total of 129 individuals, diagnosed with SAD, were randomly assigned to one of these three conditions and took part in a 14-day programme with daily training/control sessions. Participants in all three groups did not on average display an attentional bias prior to the training. Critically, results on change in attention bias implied that significantly differential change in selective attention to threat was not detected in the three conditions. However, symptoms of social anxiety reduced significantly from pre- to follow-up-assessment in all three conditions (dwithin  = 0.63-1.24), with the procedure intended to train attention towards threat cues producing, relative to the control condition, a significantly greater reduction of social fears. There were no significant differences in social anxiety outcome between the training condition intended to induce attentional bias towards positive cues and the control condition. To our knowledge, this is the first RCT where a condition intended to induce attention bias to negative cues yielded greater emotional benefits than a control condition. Intriguingly, changes in symptoms are unlikely to be by the mechanism of change in attention processes since there was no change detected in bias per se. Implications of this finding for future research on attention bias modification in social anxiety are discussed.

trial registrationClinicalTrials.gov NCT01463137.

Indexed as

CuesInternetAdultAnxietyAttentionCognitive Behavioral TherapyDouble-Blind MethodFemaleHumansMaleMiddle AgedTherapy, Computer-AssistedTreatment Outcome

Identifiers

PMID24098630
PMCPMC3787061
OpenAlexW1977127560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.