Cognitive Bias Modification

Research conducted within the general paradigm of cognitive bias modification (CBM) reveals that emotional biases in attention, interpretation, and memory are not merely associated with emotional disorders but contribute to them. After briefly describing research on both emotional biases and their modification, the authors examine similarities between CBM paradigms and older experimental paradigms used in research on learning and memory. The techniques and goals of CBM research are compared with other approaches to understanding cognition–emotion interactions. From a functional perspective, the CBM tradition reminds us to use experimental tools to evaluate assumptions about clinical phenomena and, more generally, about causal relationships between cognitive processing and emotion.

[1]  C. MacLeod,et al.  Anxiety and the interpretation of ambiguity: a text comprehension study. , 1993, Journal of abnormal psychology.

[2]  M. Mendl,et al.  Animal behaviour: Cognitive bias and affective state , 2004, Nature.

[3]  Tanya B. Tran,et al.  Cognitive bias modification: induced interpretive biases affect memory. , 2011, Emotion.

[4]  T. Dalgleish,et al.  The emotional Stroop task and psychopathology. , 1996, Psychological bulletin.

[5]  C. Brewin Understanding cognitive behaviour therapy: A retrieval competition account. , 2006, Behaviour research and therapy.

[6]  A. Mathews,et al.  Anxiety and Attention to Threatening Pictures , 2001, The Quarterly journal of experimental psychology. A, Human experimental psychology.

[7]  E. Holmes,et al.  Developing interpretation bias modification as a "cognitive vaccine" for depressed mood: imagining positive events makes you feel better than thinking about them verbally. , 2009, Journal of abnormal psychology.

[8]  H. Pashler,et al.  Distributed practice in verbal recall tasks: A review and quantitative synthesis. , 2006, Psychological bulletin.

[9]  Kristen L. Mackiewicz,et al.  Cognitive control mechanisms, emotion and memory: A neural perspective with implications for psychopathology , 2009, Neuroscience & Biobehavioral Reviews.

[10]  Charles T. Taylor,et al.  The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. , 2008, Journal of abnormal psychology.

[11]  M. Kindt,et al.  Generalisation of modified interpretive bias across tasks and domains , 2010 .

[12]  G. Krebs,et al.  The effect of attention modification with explicit vs. minimal instructions on worry. , 2010, Behaviour research and therapy.

[13]  B. Teachman,et al.  Training Non-Threatening Interpretations in Spider Fear , 2008, Cognitive Therapy and Research.

[14]  I. Gotlib,et al.  Biases in interpretation and memory in generalized social phobia. , 2008, Journal of abnormal psychology.

[15]  P. Hertel,et al.  Interpretation Training Influences Memory for Prior Interpretations , 2010, Emotion.

[16]  Timothy J. Nokes-Malach Mechanisms of knowledge transfer , 2009 .

[17]  R. Bjork,et al.  Learning Concepts and Categories , 2008, Psychological science.

[18]  A. Mathews,et al.  Looking on the bright side: accessing benign meanings reduces worry. , 2009, Journal of abnormal psychology.

[19]  M. Mendl,et al.  Measuring emotional processes in animals: the utility of a cognitive approach , 2005, Neuroscience & Biobehavioral Reviews.

[20]  A. Mathews,et al.  Induced emotional interpretation bias and anxiety. , 2000, Journal of abnormal psychology.

[21]  P. Hertel,et al.  Transfer of training emotionally biased interpretations , 2003 .

[22]  E. Fox,et al.  Facial Expressions of Emotion: Are Angry Faces Detected More Efficiently? , 2000, Cognition & emotion.

[23]  S. Mineka,et al.  A contemporary learning theory perspective on the etiology of anxiety disorders: it's not what you thought it was. , 2006, The American psychologist.

[24]  A. Calder,et al.  Anxiety and sensitivity to gaze direction in emotionally expressive faces. , 2007, Emotion.

[25]  Stéphane Dandeneau,et al.  The buffering effects of rejection-inhibiting attentional training on social and performance threat among adult students ☆ , 2009 .

[26]  Colin MacLeod,et al.  Whither cognitive bias modification research? Commentary on the special section articles. , 2009, Journal of abnormal psychology.

[27]  C. Beard,et al.  A multi-session interpretation modification program: changes in interpretation and social anxiety symptoms. , 2008, Behaviour research and therapy.

[28]  Charles T. Taylor,et al.  Attention training in individuals with generalized social phobia: A randomized controlled trial. , 2009, Journal of consulting and clinical psychology.

[29]  L. Leyman,et al.  Mood-congruent attention and memory bias in dysphoria: Exploring the coherence among information-processing biases. , 2010, Behaviour research and therapy.

[30]  Jeffrey D. Karpicke,et al.  The Power of Testing Memory Basic Research and Implications for Educational Practice , 2006 .

[31]  E. Fox,et al.  The face of fear: Effects of eye gaze and emotion on visual attention , 2003, Visual cognition.

[32]  Gavriel Salomon,et al.  T RANSFER OF LEARNING , 1992 .

[33]  M. Kozak,et al.  Emotional processing of fear: exposure to corrective information. , 1986, Psychological bulletin.

[34]  C MacLeod,et al.  Depression and the interpretation of ambiguity. , 1999, Behaviour research and therapy.

[35]  A. Richards,et al.  An Anxiety-Related Bias in Semantic Activation When Processing Threat/Neutral Homographs , 1992, The Quarterly journal of experimental psychology. A, Human experimental psychology.

[36]  J. de Houwer,et al.  Automaticity: a theoretical and conceptual analysis. , 2006, Psychological bulletin.

[37]  P. Hertel,et al.  Am I blue? Depressed mood and the consequences of self-focus for the interpretation and recall of ambiguous words. , 2006, Behavior therapy.

[38]  B. Mackintosh,et al.  Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service: results from a pilot study. , 2011, Journal of behavior therapy and experimental psychiatry.

[39]  J. Houwer Why the Cognitive Approach in Psychology Would Profit From a Functional Approach and Vice Versa , 2011, Perspectives on psychological science : a journal of the Association for Psychological Science.

[40]  A. Mathews,et al.  Cognitive Mechanisms Underlying the Emotional Effects of Bias Modification , 2010 .

[41]  S. Rude,et al.  Negative Cognitive Biases Predict Subsequent Depression , 2003, Cognitive Therapy and Research.

[42]  P. Hertel,et al.  Research Methods in Cognition and Emotion , 1999 .

[43]  D. Isaacowitz,et al.  The malleability of age-related positive gaze preferences: training to change gaze and mood. , 2011, Emotion.

[44]  J. Joormann,et al.  Training the forgetting of negative words: The role of direct suppression and the relation to stress reactivity , 2010 .

[45]  M. McDaniel,et al.  2.43 – Cognition, Memory, and Education , 2008 .

[46]  C. Sears,et al.  The effect of depressed mood on the interpretation of ambiguity, with and without negative mood induction , 2007 .

[47]  C. MacLeod,et al.  Selective attention and emotional vulnerability: assessing the causal basis of their association through the experimental manipulation of attentional bias. , 2002, Journal of abnormal psychology.

[48]  A. Mathews,et al.  Cognitive bias modification: the critical role of active training in modifying emotional responses. , 2010, Behavior therapy.

[49]  S. Nolen-Hoeksema,et al.  Effects of rumination and distraction on naturally occurring depressed mood , 1993 .

[50]  R. Wiers,et al.  Retraining Automatic Action Tendencies Changes Alcoholic Patients’ Approach Bias for Alcohol and Improves Treatment Outcome , 2011, Psychological science.

[51]  A. Mathews,et al.  Impaired positive inferential bias in social phobia. , 2000, Journal of abnormal psychology.

[52]  K. Mogg,et al.  Interpretation of ambiguous information in clinical depression. , 2006, Behaviour research and therapy.

[53]  H. Roediger Cognitive psychology of memory , 2008 .

[54]  M. Kindt,et al.  Trained interpretive bias and anxiety. , 2007, Behaviour research and therapy.

[55]  T. Dalgleish,et al.  Handbook of cognition and emotion , 1999 .

[56]  Craig A. Smith,et al.  Appraisal and emotion: The interactional contributions of dispositional and situational factors. , 1992 .

[57]  J. Joormann,et al.  Memory accessibility, mood regulation, and dysphoria: difficulties in repairing sad mood with happy memories? , 2004, Journal of abnormal psychology.

[58]  G. Hammond,et al.  Interpretation revealed in the blink of an eye: depressive bias in the resolution of ambiguity. , 2002, Journal of abnormal psychology.

[59]  L. Jacoby A process dissociation framework: Separating automatic from intentional uses of memory , 1991 .

[60]  Colin MacLeod,et al.  The reduction of anxiety vulnerability through the modification of attentional bias: a real-world study using a home-based cognitive bias modification procedure. , 2009, Journal of abnormal psychology.

[61]  Mark W. Baldwin,et al.  The Inhibition of Socially Rejecting Information Among People with High Versus Low Self-Esteem: The Role of Attentional Bias and the Effects of Bias Reduction Training , 2004 .

[62]  E. Holmes,et al.  Modifying Interpretation and Imagination in Clinical Depression: A Single Case Series Using Cognitive Bias Modification , 2010 .

[63]  R. Banerjee,et al.  Experimental modification of interpretation bias in socially anxious children: Changes in interpretation, anticipated interpersonal anxiety, and social anxiety symptoms. , 2009, Behaviour research and therapy.

[64]  C. MacLeod,et al.  The contribution of attentional bias to worry: Distinguishing the roles of selective engagement and disengagement , 2011, Journal of Anxiety Disorders.

[65]  A. Mathews,et al.  Induced biases in emotional interpretation influence stress vulnerability and endure despite changes in context. , 2006, Behavior therapy.

[66]  Edna B. Foa,et al.  Attentional Biases for Facial Expressions in Social Phobia: The Face-in-the-Crowd Paradigm , 1999 .

[67]  Monique Ernst,et al.  Attention Bias Modification Treatment: A Meta-Analysis Toward the Establishment of Novel Treatment for Anxiety , 2010, Biological Psychiatry.

[68]  C. Beevers,et al.  Gaze behavior predicts memory bias for angry facial expressions in stable dysphoria. , 2010, Emotion.

[69]  Ira J. Roseman Appraisal determinants of discrete emotions. , 1991 .

[70]  C. MacLeod,et al.  The causal role of interpretive bias in anxiety reactivity. , 2006, Journal of abnormal psychology.

[71]  D. Clark,et al.  Imagery and interpretations in social phobia: support for the combined cognitive biases hypothesis. , 2006, Behavior therapy.

[72]  E. Fox,et al.  Do threatening stimuli draw or hold visual attention in subclinical anxiety? , 2001, Journal of experimental psychology. General.

[73]  R. Dotsch,et al.  Attentional and behavioural responses of spider fearfuls to virtual spiders , 2010 .

[74]  Y. Bar-Haim,et al.  Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study. , 2007, Psychological bulletin.

[75]  G. Krebs,et al.  The effects of modifying interpretation bias on worry in generalized anxiety disorder. , 2010, Behaviour research and therapy.

[76]  R. Bjork Memory and metamemory considerations in the training of human beings. , 1994 .

[77]  D. Roberson,et al.  Mood-congruent free recall bias in anxious individuals is not a consequence of response bias , 2006, Memory.

[78]  P. Hertel,et al.  Depression and Memory: Are Impairments Remediable Through Attentional Control? , 1994 .

[79]  C. MacLeod,et al.  Attentional bias in emotional disorders. , 1986, Journal of abnormal psychology.

[80]  J. Pruessner,et al.  Cutting stress off at the pass: reducing vigilance and responsiveness to social threat by manipulating attention. , 2007, Journal of personality and social psychology.

[81]  B. Jaffe Cognitive Therapy and the Emotional Disorders , 1977 .

[82]  C. Ashwin,et al.  Is manipulation of mood a critical component of cognitive bias modification procedures? , 2010, Behaviour research and therapy.

[83]  K. Mogg,et al.  Biases in eye movements to threatening facial expressions in generalized anxiety disorder and depressive disorder. , 2000, Journal of abnormal psychology.

[84]  I. Gotlib,et al.  Selective attention to emotional faces following recovery from depression. , 2007, Journal of abnormal psychology.

[85]  John D. Bransford,et al.  Levels of processing versus transfer appropriate processing , 1977 .

[86]  Michelle G. Craske,et al.  Computer Therapy for the Anxiety and Depressive Disorders Is Effective, Acceptable and Practical Health Care: A Meta-Analysis , 2010, PloS one.

[87]  I. Begg,et al.  Problem-oriented training promotes spontaneous analogical transfer: Memory-oriented training promotes memory for training , 1991, Memory & cognition.

[88]  B. Teachman,et al.  Training implicit social anxiety associations: an experimental intervention. , 2010, Journal of anxiety disorders.

[89]  C. Vázquez,et al.  Mood-congruent recall of affectively toned stimuli: A meta-analytic review , 1992 .

[90]  M. Mendl,et al.  Dogs showing separation-related behaviour exhibit a ‘pessimistic’ cognitive bias , 2010, Current Biology.

[91]  E. Salemink,et al.  Trained interpretive bias survives mood change. , 2010, Journal of behavior therapy and experimental psychiatry.

[92]  E. Velten A laboratory task for induction of mood states. , 1968, Behaviour research and therapy.

[93]  M. Eysenck,et al.  Bias in interpretation of ambiguous sentences related to threat in anxiety. , 1991, Journal of abnormal psychology.

[94]  R. Belli True and false recovered memories : toward a reconciliation of the debate , 2012 .

[95]  A. Mathews,et al.  Experimental modification of attribution processes. , 2011, Journal of abnormal psychology.

[96]  Michael C. Anderson,et al.  Towards a cognitive and neurobiological model of motivated forgetting. , 2012, Nebraska Symposium on Motivation. Nebraska Symposium on Motivation.

[97]  M. Eysenck,et al.  Interpretation Bias in Test Anxiety: The Time Course of Predictive Inferences , 1997 .

[98]  Brandon G. King,et al.  Intensive Meditation Training Improves Perceptual Discrimination and Sustained Attention , 2010, Psychological science.

[99]  J. Buckner,et al.  Attention training for generalized social anxiety disorder. , 2009, Journal of abnormal psychology.

[100]  G. Bower Mood and memory. , 1981, The American psychologist.

[101]  Kristin Mitte Memory bias for threatening information in anxiety and anxiety disorders: a meta-analytic review. , 2008, Psychological bulletin.

[102]  A. Mathews,et al.  Effects of Training on Interpretation of Emotional Ambiguity , 2000, The Quarterly journal of experimental psychology. A, Human experimental psychology.

[103]  C. Beard,et al.  Attention modification program in individuals with generalized anxiety disorder. , 2009, Journal of abnormal psychology.

[104]  P. Hertel,et al.  Recollection is impaired by the modification of interpretation bias. , 2011, Journal of abnormal psychology.

[105]  M E Bouton A learning theory perspective on lapse, relapse, and the maintenance of behavior change. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[106]  Colin MacLeod,et al.  Introduction to the special section on cognitive bias modification in emotional disorders. , 2009, Journal of abnormal psychology.

[107]  T. Dalgleish,et al.  Seeing the bigger picture: training in perspective broadening reduces self-reported affect and psychophysiological response to distressing films and autobiographical memories. , 2009, Journal of abnormal psychology.

[108]  S. Lyubomirsky,et al.  Rethinking Rumination , 2008, Perspectives on psychological science : a journal of the Association for Psychological Science.

[109]  Guy M. Goodwin,et al.  Lateral Prefrontal Cortex Mediates the Cognitive Modification of Attentional Bias , 2010, Biological Psychiatry.

[110]  C. MacLeod,et al.  Selective Memory Effects in Anxiety Disorders: An Overview of Research Findings and Their Implications. , 2004 .

[111]  Jutta Joormann,et al.  Training forgetting of negative material in depression. , 2009, Journal of abnormal psychology.

[112]  E. Watkins,et al.  Concreteness training reduces dysphoria: proof-of-principle for repeated cognitive bias modification in depression. , 2009, Journal of abnormal psychology.

[113]  M. Craske,et al.  Mental reinstatement of context and return of fear in spider-fearful participants. , 2006, Behavior therapy.

[114]  Brandon E. Gibb,et al.  Selective attention to affective stimuli and clinical depression among youths: role of anxiety and specificity of emotion. , 2010, Journal of abnormal psychology.

[115]  C. MacLeod,et al.  Cognitive vulnerability to emotional disorders. , 2005, Annual review of clinical psychology.

[116]  J. Teasdale,et al.  Effects of distraction on thinking and affect in depressed patients. , 1984, The British journal of clinical psychology.

[117]  S. Lyubomirsky,et al.  Effects of ruminative and distracting responses to depressed mood on retrieval of autobiographical memories. , 1998, Journal of personality and social psychology.

[118]  Craig A. Smith,et al.  Appraisal components, core relational themes, and the emotions , 1993 .