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Commentary| Volume 73, ISSUE 11, P1041-1042, June 01, 2013

Threat-Related Attention Bias in the Early Stages of Cognitive-Behavior Therapy Action for Panic Disorder

  • Rany Abend
    Affiliations
    School of Psychological Sciences and Sagol School of Neuroscience, Tel Aviv University
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  • Yair Bar-Haim
    Correspondence
    Address correspondence to Yair Bar-Haim, Ph.D., Adler Center for Research in Child Development and Psychopathology, School of Psychological Sciences and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv 69978, Israel
    Affiliations
    School of Psychological Sciences and Sagol School of Neuroscience, Tel Aviv University
    Search for articles by this author
      Cognitive theories of anxiety propose that information-processing biases play a pivotal role in the etiology and maintenance of anxiety disorders (
      • Mathews A.
      • MacLeod C.
      Cognitive vulnerability to emotional disorders.
      ). Along with the application of conditioning principles derived from learning theories, such cognitive models inspired the development of cognitive-behavioral therapy (CBT), now considered the first-line treatment for anxiety disorders (
      • Hofmann S.G.
      • Smits J.A.
      Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials.
      ,
      • Beck A.T.
      • Emery G.
      Anxiety Disorders and Phobias: A Cognitive Perspective.
      ). But although extensive evidence indicates that automatic attention is biased toward threatening information in anxious individuals (
      • Bar-Haim Y.
      • Lamy D.
      • Pergamin L.
      • Bakermans-Kranenburg M.J.
      • van IJzendoorn M.H.
      Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study.
      ), such threat-related attention biases were typically thought to be outside the realm of the direct therapeutic effects of CBT, which focuses primarily on the modification of thoughts, interpretations, and beliefs (
      • Beck A.T.
      • Emery G.
      Anxiety Disorders and Phobias: A Cognitive Perspective.
      ).
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      References

        • Mathews A.
        • MacLeod C.
        Cognitive vulnerability to emotional disorders.
        Annu Rev Clin Psychol. 2005; 1: 167-195
        • Hofmann S.G.
        • Smits J.A.
        Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials.
        J Clin Psychiatry. 2008; 69: 621-632
        • Beck A.T.
        • Emery G.
        Anxiety Disorders and Phobias: A Cognitive Perspective.
        15th annual ed. Basic Books, New York2005
        • Bar-Haim Y.
        • Lamy D.
        • Pergamin L.
        • Bakermans-Kranenburg M.J.
        • van IJzendoorn M.H.
        Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study.
        Psychol Bull. 2007; 133: 1-24
        • White L.K.
        • Suway J.G.
        • Pine D.S.
        • Bar-Haim Y.
        • Fox N.A.
        Cascading effects: the influence of attention bias to threat on the interpretation of ambiguous information.
        Behav Res Ther. 2011; 49: 244-251
        • Amir N.
        • Bomyea J.
        • Beard C.
        The effect of single-session interpretation modification on attention bias in socially anxious individuals.
        J Anxiety Disord. 2010; 24: 178-182
        • Reinecke A.
        • Waldenmaier L.
        • Cooper M.J.
        • Harmer C.J.
        Changes in automatic threat processing precede and predict clinical changes with exposure-based cognitive-behavior therapy for panic disorder.
        Biol Psychiatry. 2013; 73: 1064-1070
        • Westra H.A.
        • Stewart S.H.
        Cognitive behavioural therapy and pharmacotherapy: complementary or contradictory approaches to the treatment of anxiety?.
        Clin Psychol Rev. 1998; 18: 307-340
        • Bar-Haim Y.
        Research review: attention bias modification (ABM): a novel treatment for anxiety disorders.
        J Child Psychol Psychiatry. 2010; 51: 859-870
        • Harmer C.J.
        • Goodwin G.M.
        • Cowen P.J.
        Why do antidepressants take so long to work? A cognitive neuropsychological model of antidepressant drug action.
        Br J Psychiatry. 2009; 195: 102-108

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