Evidence map›Paper›PMID 31326669›Full record

ArticleJournal of behavior therapy and experimental psychiatry2019

Targeting separate specific learning parameters underlying cognitive behavioral therapy can improve perceptual judgments of anger.

Spencer K Lynn, Eric Bui, Susanne S Hoeppner, Emily B O'Day, Sophie A Palitz, Lisa F Barrett, Naomi M Simon

Abstract read
In one paragraph

Article in Journal of behavior therapy and experimental psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Spencer K LynnDepartment of Psychology, Northeastern University, 360 Huntington Ave, Boston, MA, USA, 02115.
Eric BuiHarvard Medical School, 25 Shattuck St., Boston, MA 02115, Boston, MA, USA, 02114; Center for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, 1 Bowdoin St., Boston, MA, 02114, USA.
Susanne S HoeppnerHarvard Medical School, 25 Shattuck St., Boston, MA 02115, Boston, MA, USA, 02114; Center for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, 1 Bowdoin St., Boston, MA, 02114, USA.
Emily B O'DayCenter for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, 1 Bowdoin St., Boston, MA, 02114, USA.
Sophie A PalitzCenter for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, 1 Bowdoin St., Boston, MA, 02114, USA.
Lisa F BarrettDepartment of Psychology, Northeastern University, 360 Huntington Ave, Boston, MA, USA, 02115; Psychiatric Neuroimaging Division, Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, USA; Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, USA.
Naomi M SimonNew York University School of Medicine, One Park Avenue 8th Floor, New York, NY, 10016, USA; Center for Anxiety and Traumatic Stress Disorders, Massachusetts General Hospital, 1 Bowdoin St., Boston, MA, 02114, USA. Electronic address: Naomi.simon@nyulangone.org.

Funding

The Utility of Threat Detection in Generalized Social Anxiety DisorderR01MH093394 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI LYNN, SPENCER, SIMON, NAOMI M · 2011 to 2015
$1.9M
NIMH NIH HHS R01 MH093394
6 · The paper itself

Abstract

BACKGROUND AND

objectivesAnxiety disorders are characterized by biased perceptual judgment. An experimental model using simple verbal instruction to target specific decision parameters that influence perceptual judgment was developed to test if it could influence anger perception, and to examine differences between individuals with social anxiety disorder (SAD) relative to generalized anxiety disorder (GAD) or non-psychiatric controls.

methodsAnger perception was decomposed into three decision parameters (perceptual similarity of angry vs. not-angry facial expressions, base rate of encountering angry vs. not-angry expressions, payoff for correct vs. incorrect categorization of face stimuli) using a signal detection framework. Participants with SAD (n = 97), GAD (n = 90), and controls (n = 98) were assigned an instruction condition emphasizing one of the three decision parameters. Anger perception pre-vs. post-instruction and its interaction with diagnosis were examined.

resultsFor all participants, base rate instructions impacted response bias over and above practice effects, supporting the validity of this instructional task-based approach to altering response bias. We failed to find a similarity or payoff instruction effect, nor a diagnosis interaction. LIMITATIONS: Future instructional tasks may need to more closely target core cognitive and perceptual biases in anxiety disorders to identify specific deficits and how to optimally influence them.

conclusionsThis study demonstrates that specific decision parameters underlying perceptual judgment can be experimentally manipulated. Although our study failed to show diagnosis specific effects, it suggests that individual parameter "estimation" deficits may be experimentally isolated and potentially targeted, with the ultimate goal of developing an objective approach to personalized intervention targeting biased perceptual judgments in anxiety disorders.

Indexed as

Cognitive Behavioral TherapyFacial ExpressionSocial PerceptionAdolescentAdultAgedAngerAnxiety DisordersDecision MakingFacial RecognitionFemaleHumansMaleMiddle AgedPhobia, SocialSignal Detection, PsychologicalAnger perceptionCognitive behavioral therapyDecision makingEmotion perceptionGeneralized anxiety disorderSignal detection theorySocial anxiety disorder

Identifiers

PMID31326669
PMCPMC7458134

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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.