Cognitive theories of anxiety propose that information-processing biases play a pivotal
role in the etiology and maintenance of anxiety disorders (
1
). 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 (
2
,
3
). But although extensive evidence indicates that automatic attention is biased toward
threatening information in anxious individuals (
4
), 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 (
3
).To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Biological PsychiatryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Cognitive vulnerability to emotional disorders.Annu Rev Clin Psychol. 2005; 1: 167-195
- Cognitive-behavioral therapy for adult anxiety disorders: a meta-analysis of randomized placebo-controlled trials.J Clin Psychiatry. 2008; 69: 621-632
- Anxiety Disorders and Phobias: A Cognitive Perspective.15th annual ed. Basic Books, New York2005
- Threat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study.Psychol Bull. 2007; 133: 1-24
- Cascading effects: the influence of attention bias to threat on the interpretation of ambiguous information.Behav Res Ther. 2011; 49: 244-251
- The effect of single-session interpretation modification on attention bias in socially anxious individuals.J Anxiety Disord. 2010; 24: 178-182
- 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
- Cognitive behavioural therapy and pharmacotherapy: complementary or contradictory approaches to the treatment of anxiety?.Clin Psychol Rev. 1998; 18: 307-340
- Research review: attention bias modification (ABM): a novel treatment for anxiety disorders.J Child Psychol Psychiatry. 2010; 51: 859-870
- Why do antidepressants take so long to work? A cognitive neuropsychological model of antidepressant drug action.Br J Psychiatry. 2009; 195: 102-108
Article info
Publication history
Accepted:
March 25,
2013
Received:
March 23,
2013
Identification
Copyright
© 2013 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Changes in Automatic Threat Processing Precede and Predict Clinical Changes with Exposure-Based Cognitive-Behavior Therapy for Panic DisorderBiological PsychiatryVol. 73Issue 11
- PreviewCognitive behavioral therapy (CBT) is an effective treatment for emotional disorders such as anxiety or depression, but the mechanisms underlying successful intervention are far from understood. Although it has been a long-held view that psychopharmacological approaches work by directly targeting automatic emotional information processing in the brain, it is usually postulated that psychological treatments affect these processes only over time, through changes in more conscious thought cycles. This study explored the role of early changes in emotional information processing in CBT action.
- Full-Text
- Preview