Multi-session online interpretation bias training for anxiety in a community sample.

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Publisher: Elsevier Science Publishers
Document Type: Report; Brief article
Length: 407 words

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Abstract :

Keywords Anxiety; Interpretation bias; Cognitive bias modification; Online Highlights * Free online CBM-I training targeting anxiety delivered to the community. * Positive training is better than 50-50 and No-training at changing interpretations. * Anxiety reduction was greater in those receiving Positive training than No-training. * Attrition was very high. of the N = 807 sample, N = 105 completed six training sessions, N = 89 completed seven sessions, and N = 26 completed all eight sessions. Abstract The present study assessed target engagement, preliminary efficacy, and feasibility as primary outcomes of a free multi-session online cognitive bias modification of interpretation (CBM-I) intervention for anxiety in a large community sample. High trait anxious participants (N = 807) were randomly assigned to a CBM-I condition: 1) Positive training (90% positive-10% negative); 2) 50% positive-50% negative training; or 3) no-training control. Further, half of each CBM-I condition was randomized to either an anxious imagery prime or a neutral imagery prime. Due to attrition, results from six out of eight sessions were analyzed using structural equation modeling of latent growth curves. Results for the intent-to-treat sample indicate that for target engagement, consistent with predictions, decreases in negative interpretations over time were significantly greater among those receiving positive CBM-I training compared to no-training or 50-50 training, and vice-versa for increases in positive interpretations. For intervention efficacy, the decrease in anxiety symptoms over time was significantly greater among those receiving positive CBM-I training compared to no-training. Interaction effects with imagery prime were more variable with a general pattern of stronger results for those completing the anxious imagery prime. Findings indicate that online CBM-I positive training is feasible and shows some promising results, although attrition rates were very high for later training sessions. Author Affiliation: (a) School of Psychological Science, University of Western Australia, Australia (b) Department of Psychology, University of Virginia, Virginia, United States (c) School of Engineering, University of Virginia, Virginia, United States (d) Department of Psychology, University of Arizona, United States (e) Sartography, Virginia, United States * Corresponding author. Centre for the Advancement of Research on Emotion, School of Psychological Science (M304), The University of Western Australia, 35 Stirling Hwy, Crawley, 6009, WA, Australia. Article History: Received 23 April 2019; Revised 23 March 2021; Accepted 6 April 2021 Byline: Julie L. Ji [julie.ji@uwa.edu.au] (a,b,*), Sonia Baee (c), Diheng Zhang (b,d), Claudia P. Calicho-Mamani (b), M. Joseph Meyer (b), Daniel Funk (e), Samuel Portnow (b), Laura Barnes (c), Bethany A. Teachman (b)

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Gale Document Number: GALE|A664259789