Evidence map›Paper›PMID 41436350›Full record

Trial reportPsychological medicine2025

The effectiveness and neurobiological actions of memory bias modification: a randomized controlled trial.

Yuko Hakamata, Shinya Mizukami, Shuhei Izawa, Mie Matsui, Yoshiya Moriguchi, Takashi Hanakawa, Hiroaki Hori, Yusuke Inoue, Hirokuni Tagaya

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Yuko HakamataDepartment of Clinical and Cognitive Neuroscience, Faculty of Medicine and Graduate School of Medicine and Pharmaceutical Sciences, https://ror.org/0445phv87University of Toyama, Japan.ORCID 0000-0002-5717-8091
Shinya Mizukamihttps://ror.org/00f2txz25Kitasato University School of Allied Health Sciences, Japan.ORCID 0009-0002-2241-352X
Shuhei IzawaOccupational Stress and Health Management Research Group, https://ror.org/019zv8f18National Institute of Occupational Safety and Health, Japan.ORCID 0000-0003-1399-1512
Mie MatsuiInstitute of Liberal Arts and Science, https://ror.org/02hwp6a56Kanazawa University, Japan.ORCID 0000-0003-0785-4351
Yoshiya MoriguchiDepartment of Behavioral Medicine, National Institute of Mental Health, https://ror.org/0254bmq54National Center of Neurology and Psychiatry, Japan.ORCID 0000-0001-9248-8864
Takashi HanakawaDepartment of Integrated Neuroanatomy and Neuroimaging, https://ror.org/02kpeqv85Kyoto University Graduate School of Medicine, Japan.ORCID 0000-0003-3267-8214
Hiroaki HoriDepartment of Behavioral Medicine, National Institute of Mental Health, https://ror.org/0254bmq54National Center of Neurology and Psychiatry, Japan.ORCID 0000-0002-4548-7110
Yusuke InoueDepartment of Diagnostic Radiology, https://ror.org/00f2txz25Kitasato University School of Medicine, Japan.ORCID 0000-0001-7250-8303
Hirokuni Tagayahttps://ror.org/00f2txz25Kitasato University School of Allied Health Sciences, Japan.ORCID 0000-0002-4041-3497

Funding

Japan Society for the Promotion of Science 18H01094Tokyo Medical and Dental University JPMXP1323015483Uehara Memorial Foundation
6 · The paper itself

Abstract

backgroundSubstantial evidence supports the efficacy of cognitive bias modification (CBM) for attention and interpretation. However, CBM targeting memory bias (CBM-M) remains underexplored despite its clinical relevance. This study examines the effectiveness and neurobiological mechanisms of CBM-M.

methodsFifty-eight individuals with elevated anxious and depressive personality traits (>1 SD) were randomly assigned to either CBM-M or sham training (n = 29 per group) in a parallel, double-blind, randomized controlled trial. The intervention involved eight sessions over 1 month. CBM-M aimed to enhance positive autobiographical memory (AM) recall by focusing on positive and negative words, whereas sham training lacked this enhancement module. Anxiety and depressive traits and symptoms, explicit and implicit memory biases, and AM specificity were assessed. Additionally, intrinsic functional connectivity was measured via functional magnetic resonance imaging, and cortisol levels were assayed via saliva collected at 10 time points across 2 days before and after the intervention.

resultsBoth groups showed reduced anxiety and depressive traits from pre- to post-intervention. Compared with sham training, CBM-M specifically reduced stress vulnerability, negative explicit memory bias, and daytime cortisol levels, with a large effect size. Improvement in memory bias correlated with stress vulnerability and cortisol reductions. CBM-M also enhanced amygdala functional connectivity with the anteromedial orbitofrontal cortex in comparison with sham training from pre- to post-intervention.

conclusionsCBM-M reduced stress vulnerability and elicited neural changes in amygdala-anteromedial orbitofrontal cortex interactions, which were involved in social reward and AM recall. Future research should identify the most responsive populations and elucidate underlying mechanisms.

Indexed as

AmygdalaAnxietyCognitive Behavioral TherapyDepressionMemory, EpisodicMental RecallAdultDouble-Blind MethodFemaleHumansHydrocortisoneMagnetic Resonance ImagingMaleSalivaTreatment OutcomeYoung AdultHydrocortisoneamygdalaanterior cingulate cortexanxietyautobiographical memorycortisoldepressionhippocampusorbitofrontal cortexself-referent memory biassocial rewardstressventromedial prefrontal cortex

Identifiers

PMID41436350
PMCPMC13058616

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Registered trials

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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.