Positive Attentional Bias Research Articles

Alleviated negative rather than positive attentional bias in patients with depression in remission: an eye-tracking study.

ObjectiveTo investigate attentional bias toward happy and sad faces in remitted depressed (RD) patients compared with healthy control (HC) subjects.MethodsThis cross-sectional study enrolled RD patients and sex- and age-matched HC subjects. Eye movement data were acquired for all study participants while free viewing a 2 × 2 matrix of emotional faces. The attentional bias toward different emotional faces and whether the attention maintenance components generated attentional bias in the RD patients were analysed by comparing the attentional modes of the RD group with the HC group.ResultsA total of 27 RD patients and 27 HC subjects were analysed in this study. The RD and HC groups exhibited no significant differences toward first fixation location and initial attentional maintenance. In later attentional maintenance, the RD group showed significantly less attentional bias toward happy faces, but there were no significant differences in their attentional bias toward sad faces, compared with the HC group.ConclusionsThis present study showed that the negative attentional bias of RD patients was successfully eased, but their positive attentional bias was still insufficient.

The interaction effect of attentional bias and attentional control on dispositional anxiety among adolescents.

Research has shown that children and adolescents with attentional control deficits tend to have high anxiety and exhibit threat-related selective attentional bias. This study aimed to investigate how positive and negative attentional biases would interact with attentional control on dispositional anxiety. One hundred and twenty participants aged 18years of age or younger participated in a visual dot-probe task to measure their attentional bias and completed psychological questionnaires to measure their trait anxiety, and attentional control. Mean reaction times to the probe in milliseconds were used to measure attentional bias. Overall, our participants showed a bigger tendency towards attending to positive emotional stimuli than to negative emotional stimuli. Adolescents with high dispositional anxiety showed poorer attentional control. Regression analyses showed that attentional control interact with negative attentional bias to affect anxiety. For participants with high attentional control, higher negative attentional bias was associated with lower trait anxiety. Trait anxiety was not related to negative attentional bias for participants with low attentional control. Positive attentional bias showed no significant relationship with dispositional anxiety, either alone or in interaction with attentional control. Theoretical and clinical implications of the findings are also discussed.

Asymmetrical transfer effects of cognitive bias modification: Modifying attention to threat influences interpretation of emotional ambiguity, but not vice versa

Background and objectivesIt is well established that attention bias and interpretation bias each have a key role in the development and continuation of anxiety. How the biases may interact with one another in anxiety is, however, poorly understood. Using cognitive bias modification techniques, the present study examined whether training a more positive interpretation bias or attention bias resulted in transfer of effects to the untrained cognitive domain. Differences in anxiety reactivity to a real-world stressor were also assessed. MethodsNinety-seven first year undergraduates who had self-reported anxiety were allocated to one of four groups: attention bias training (n = 24), interpretation bias training (n = 26), control task training (n = 25) and no training (n = 22). Training was computer-based and comprised eight sessions over four weeks. Baseline and follow-up measures of attention and interpretation bias, anxiety and depression were taken. ResultsA significant reduction in threat-related attention bias and an increase in positive interpretation bias occurred in the attention bias training group. The interpretation bias training group did not exhibit a significant change in attention bias, only interpretation bias. The effect of attention bias training on interpretation bias was significant as compared with the two control groups. There were no effects on self-report measures. LimitationsThe extent to which interpretive training can modify attentional processing remains unclear. ConclusionsFindings support the idea that attentional training might have broad cognitive consequences, impacting downstream on interpretive bias. However, they do not fully support a common mechanism hypothesis, as interpretive training did not impact on attentional bias.

The Role of Attachment Anxiety in Maternal Attentional Processing of their Child's Face: An Eye-Tracking Study

Although mother's attention to offspring is deemed important to support their offspring's secure attachment development, little research tested this association. The current study aimed to test the hypothesis that how mothers orient their attention to their offspring is linked to differences in offspring's attachment style. Additionally, we tested whether this association depended on which emotions children express. 29 mothers participated with their offspring (48.3% girls; ages 9 to 15 years, M = 10.93, SD = 1.67). Across two experimental blocks, eye movements were recorded as mothers viewed photographs of offspring and unfamiliar children showing neutral (block 1) and facial expressions of fearful, happy and sad (block 2). Offspring's self-reported attachment anxiety was related to increased maintained attention of the mother on the offspring's neutral face, while more attachment security was related to reduced maintained attention. With regard to emotional faces, mothers of more anxiously attached children showed more maintained attention on all emotional expressions of their offspring, including sadness. Furthermore, we found a positive attentional bias of mothers with more securely attached children; increased attention on the offspring's happy face was found. No attentional processes were found for attachment avoidance. Different attachment-related parenting behaviors, leading to a specific attachment style of the offspring, could be explained by these attentional allocations.

The serotonin transporter promoter variant, stress, and attentional biases in middle childhood

Although evidence suggests that 5-HTTLPR variants may shape risk for depression, the influence is likely complex, and involves effects on endophenotypes. We examined associations between 5-HTTLPR and biases in attention to affective stimuli in a sample of girls and a sample of both boys and girls. Children with at least one short (S) variant of the 5-HTTLPR polymorphism had lower positive attentional bias scores in both samples. This association was qualified by an interaction with stress in one sample, such that links between the S allele and decreased positive attentional bias was significant only when life stress was elevated. This difference in findings between the two samples was explained by sex differences in samples; the GXE interaction was significant only in boys. Findings are discussed in the context of sex differences in GXE.

A Positive Perspective on Attentional Bias: Positive Affectivity and Attentional Bias to Positive Information

In recent years there has been growing interest in determining the attentional basis of positive affectivity. Investigators have sought to evaluate the hypothesis that elevated positive affectivity is characterized by an attentional bias that favours the processing of positive information over neutral information. Unfortunately, in the studies carried out to date, the assessment procedures used by researchers to assess such attentional selectivity have either been methodologically limited or methodologically flawed. Hence, the validity of the hypothesis has remained indeterminate. To overcome the problems associated with attentional assessment procedures used in previous studies, and so shed light on the attentional basis of positive affectivity, we employed an appropriate variant of the attentional probe task. Our findings show that participants high in positive affectivity displayed greater relative attention to positive information compared to neutral information, than was the case for their low positive affectivity counterparts. Thus, the present results support the hypothesis that an attentional bias to positive information, relative to neutral information, is characteristic of elevated positive affectivity.

The beneficial effects of a positive attention bias amongst children with a history of psychosocial deprivation

Children raised in institutions experience psychosocial deprivation that has detrimental influences on attention and mental health. The current study examined patterns of attention biases in children from institutions who were randomized at approximately 21.6 months to receive either a high-quality foster care intervention or care-as-usual. At age 12, children performed a dot-probe task and indices of attention bias were calculated. Additionally, children completed a social stress paradigm and cortisol reactivity was computed. Children randomized into foster care (N=40) exhibited an attention bias toward positive stimuli but not threat, whereas children who received care-as-usual (N=40) and a never-institutionalized comparison group (N=47) showed no bias. Stability of foster care placement was related to positive bias, while instability of foster care placement was related to threat bias. The magnitude of the positive bias was associated with fewer internalizing problems and better coping mechanisms. Within the foster care group, positive attention bias was related to less blunted cortisol reactivity.

Analysis of Attentional Bias towards Attractive and Unattractive Body Regions among Overweight Males and Females: An Eye-Movement Study.

BackgroundBody image distortion is highly prevalent among overweight individuals. Whilst there is evidence that body-dissatisfied women and those suffering from disordered eating show a negative attentional bias towards their own unattractive body parts and others’ attractive body parts, little is known about visual attention patterns in the area of obesity and with respect to males. Since eating disorders and obesity share common features in terms of distorted body image and body dissatisfaction, the aim of this study was to examine whether overweight men and women show a similar attentional bias.Methods/DesignWe analyzed eye movements in 30 overweight individuals (18 females) and 28 normal-weight individuals (16 females) with respect to the participants’ own pictures as well as gender- and BMI-matched control pictures (front and back view). Additionally, we assessed body image and disordered eating using validated questionnaires.DiscussionThe overweight sample rated their own body as less attractive and showed a more disturbed body image. Contrary to our assumptions, they focused significantly longer on attractive compared to unattractive regions of both their own and the control body. For one’s own body, this was more pronounced for women. A higher weight status and more frequent body checking predicted attentional bias towards attractive body parts. We found that overweight adults exhibit an unexpected and stable pattern of selective attention, with a distinctive focus on their own attractive body regions despite higher levels of body dissatisfaction. This positive attentional bias may either be an indicator of a more pronounced pattern of attentional avoidance or a self-enhancing strategy. Further research is warranted to clarify these results.

Improving children and young people's resilience to depression

Depression can have a serious impact on children and young people's lives and affect their futures. Stephanie Thornton looks at the importance of improving their resilience and the potential role of positive attention bias.

Positive affect promotes well-being and alleviates depression: The mediating effect of attentional bias

The present study tested whether the relationships among positive affect, psychological well-being, life satisfaction and depression could be explained by positive and negative attentional bias. Structural equation modeling and mediation analyses were conducted based on 565 medical freshmen in China. The model of attentional bias as a mediator between positive affect promoting well-being and decreasing depression fit the data. Finding showed positive affect significantly related to positive and negative attentional biases. People who had higher level of positive affect held more positive attentional bias and less negative attentional bias, and reported higher levels of psychological well-being, life satisfaction and lower levels of depression. The utility of the attentional bias as the mechanism through which positive affect enhances well-being and alleviates depression was supported. Applications in cultivating positive affect and regulating attentional bias in counseling and education are discussed.

Mood & alcohol-related attentional biases: New considerations for gender differences and reliability of the visual-probe task

IntroductionAlcohol-related attentional biases are positively associated with drinking history and may represent a mechanism by which alcohol use behavior is maintained over time. This study was designed to address two unresolved issues regarding alcohol-related attention biases. Specifically, this study tested whether acute changes in positive and negative mood increase attentional biases toward alcohol cues and whether coping and enhancement drinking motives moderate these effects. MethodsParticipants were 100 college students aged 18–25, who drank alcohol at least once in the last 90days. In a 2×3 mixed design, participants were randomized to one of three mood conditions (neutral, negative, or positive) and completed visual-probe tasks pre- and post-mood-induction. ResultsAttentional biases toward alcohol cues were significantly associated with alcohol consumption among men, but not women. Although the mood manipulation was highly successful, attentional biases did not vary as a function of mood condition and hypothesized moderating effects of drinking motives were not significant. ConclusionsThe largely null findings of the experiment are discussed in light of the fact that the visual probe task had poor reliability. Issues related to the reliability of visual-probe task are discussed, as more research is needed to evaluate and improve the psychometrics of this method.

Attentional bias modification in smokers trying to quit: A longitudinal study about the effects of number of sessions

Attentional bias modification (ABM) to avoid smoking-related cues is a potentially new intervention in addition to existing therapy to stop smoking. We examined immediate and long-term changes in attentional bias and treatment outcomes from multiple ABM sessions in 67 smokers trying to quit. After assessing attentional bias baseline, participants were randomly allocated to one of three training groups: three sessions of ABM (avoid 3); two sessions of placebo-ABM and one session of ABM (avoid 1); and three sessions of placebo-ABM (avoid 0). At baseline, all groups had similar positive attentional bias, which became negative at 24h post-training. After 1month, avoid 1 and avoid 3 still exhibited negative attentional biases. Only avoid 3 maintained this effect at 6-month, but not at 12-month assessments. ABM produced a long-lasting automatic and maintained avoidance to smoking-related cues which depended on number of sessions; however its effects on treatment outcomes are uncertain.

Rumination Moderates the Effects of Cognitive Bias Modification of Attention

Whereas research on cognitive bias modification of attention has produced promising results, it remains unclear how and for whom such techniques may be most effectively implemented. This study examined how trait rumination moderated the effects of two attention training tasks on biased attention, assessed via eye tracking, and subsequent stress reactivity. Using a modified dot-probe task, participants were trained to develop a negative attention bias, a positive attention bias, or no attention bias. Though neither the train-negative nor the train-positive conditions produced significant main effects on attention biases or emotional reactivity, rumination was found to moderate training efficacy, such that train-positive participants reporting high levels of rumination demonstrated greater early-stage positive attention biases at post-training, as compared to controls. Further, train-negative and train-positive participants who reported low levels of rumination demonstrated greater positive affect following an acute stressor as compared to controls. Theoretical and clinical implications of results are discussed.

Positive Attentional Bias, Attachment Style, and Susceptibility to Peer Influence

Susceptibility to peer influence may be related to activation in reward‐related brain regions. The current study extends research on the role of reward sensitivity in peer influence by examining whether preferential attention to positive emotional stimuli predicts behavior in peer interactions, and whether this association is moderated by attachment style in a sample of 36 same‐sex peer dyads. Positive attentional bias was associated with lower autonomy and greater avoidance with peers. This association was attenuated among individuals with secure attachment style. Attention to negative stimuli was associated with less avoidant and more hostile behavior during peer interactions. Results suggest that preferential attention to positive emotional stimuli is associated with greater susceptibility to peer influence, particularly in individuals low in secure attachment.

Dissociative part-dependent biopsychosocial reactions to backward masked angry and neutral faces: An fMRI study of dissociative identity disorder

ObjectiveThe Theory of Structural Dissociation of the Personality (TSDP) proposes that dissociative identity disorder (DID) patients are fixed in traumatic memories as “Emotional Parts” (EP), but mentally avoid these as “Apparently Normal Parts” of the personality (ANP). We tested the hypotheses that ANP and EP have different biopsychosocial reactions to subliminally presented angry and neutral faces, and that actors instructed and motivated to simulate ANP and EP react differently.MethodsWomen with DID and matched healthy female actors (CON) were as ANP and EP (DIDanp, DIDep, CONanp, CONep) consecutively exposed to masked neutral and angry faces. Their brain activation was monitored using functional magnetic resonance imaging. The black-and-white dotted masks preceding and following the faces each had a centered colored dot, but in a different color. Participants were instructed to immediately press a button after a perceived color change. State anxiety was assessed after each run using the STAI-S. Final statistical analyses were conducted on 11 DID patients and 15 controls for differences in neural activity, and 13 DID patients and 15 controls for differences in behavior and psychometric measures.ResultsDifferences between ANP and EP in DID patients and between DID and CON in the two dissociative parts of the personality were generally larger for neutral than for angry faces. The longest reaction times (RTs) existed for DIDep when exposed to neutral faces. Compared to DIDanp, DIDep was associated with more activation of the parahippocampal gyrus. Following neutral faces and compared to CONep, DIDep had more activation in the brainstem, face-sensitive regions, and motor-related areas. DIDanp showed a decreased activity all over the brain in the neutral and angry face condition. There were neither significant within differences nor significant between group differences in state anxiety. CON was not able to simulate genuine ANP and EP biopsychosocially.ConclusionsDID patients have dissociative part-dependent biopsychosocial reactions to masked neutral and angry faces. As EP, they are overactivated, and as ANP underactivated. The findings support TSDP. Major clinical implications are discussed.

Hydrocortisone infusion exerts dose- and sex-dependent effects on attention to emotional stimuli

Glucocorticoid administration has been shown to exert complex effects on cognitive and emotional processing. In the current study we investigated the effects of glucocorticoid administration on attention towards emotional words, using an Affective Go/No-go task on which healthy humans have shown an attentional bias towards positive as compared to negative words. Healthy volunteers received placebo and either low-dose (0.15mg/kg) or high-dose (0.45mg/kg) hydrocortisone intravenously during two separate visits in a double-blind, randomized design. Seventy-five minutes post-infusion, the subjects performed tests of attention (Rapid Visual Information Processing [RVIP]), spatial working memory (Spatial Span) and emotional processing (Affective Go/No-go task [AGNG]). On the attention task, performance was impaired under both hydrocortisone doses relative to placebo, though the effect on error rate was not significant after controlling for age; Spatial Span performance was unaffected by hydrocortisone administration. On the AGNG task, relative to the placebo condition the low-dose hydrocortisone infusion decreased response time to emotional words while high-dose hydrocortisone increased response time. In the females specifically, both high and low dose hydrocortisone administration attenuated the normal attentional bias toward positively valenced words. These data suggest that, in healthy women, the modulation of attention by the emotional salience of stimuli is influenced by glucocorticoid hormone concentrations.

The valence of attentional bias and cancer‐related rumination in posttraumatic stress and posttraumatic growth among women with breast cancer

To examine the effects of self-reported attentional bias on posttraumatic stress disorder (PTSD) symptoms and posttraumatic growth (PTG) through the potential mediator of cancer-related rumination. A cross-sectional survey design was used and women with breast cancer (N=170) were recruited. Attentional biases, cancer-related ruminations, PTSD symptoms, and PTG were assessed. Negative attentional bias and negative cancer-related rumination were positively related to PTSD symptoms following cancer diagnosis and treatments, but they were not related to PTG. Positive attentional bias and positive cancer-related rumination were positively related to PTG, but positive attentional bias was not related to PTSD symptoms. Findings showed that negative cancer-related rumination partially mediated the relationship between negative attentional bias and PTSD symptoms, while positive cancer-related rumination partially mediated the relationship between positive attentional bias and PTG. Findings support that there are differential trajectories to PTSD symptoms and PTG with respect to different valence of habitual attentional style and cancer-related rumination. They may serve as potential therapeutic leverages in the alleviation of PTSD symptoms and facilitation of PTG following cancer diagnosis and treatments.

Avoidance of Alcohol-Related Stimuli Increases During the Early Stage of Abstinence in Alcohol-Dependent Patients

The aim of this study was to analyse initial orienting processes as well as maintenance of attention towards alcohol cues in recently detoxified alcoholics and light social drinkers. Furthermore, we investigated the influence of pre-treatment alcohol consumption and abstinence duration onto alcohol-related attentional bias. We used an alcohol-visual-dot-probe-task with two different stimulus onset asynchronies (SOA) to examine processes of initial orienting and maintenance of attention separately (50 and 500 ms SOA). With short SOA, we found a positive attentional bias towards alcohol cues in alcohol-dependent patients and light social drinkers that was positively associated with pre-treatment alcohol consumption in alcoholics. Using a longer SOA, a negative attentional bias was found in light social drinkers and in patients abstinent for more than 2 weeks indicating alcohol stimuli avoidance. In patients, we found a negative correlation between attentional bias and duration of abstinence. After initial visual orienting towards alcohol-related stimuli, light social drinkers as well as longer abstinent alcohol-dependent patients disengage their attention. In patients, this disengagement increased during the first 3 weeks after detoxification indicating assimilation to the attentional bias pattern of light social drinkers.

Trauma, stress, and preconscious threat processing in patients with psychogenic nonepileptic seizures

Psychogenic nonepileptic seizures (PNES) have long been considered as paroxysmal dissociative symptoms characterized by an alteration of attentional functions caused by severe stress or trauma. Although interpersonal trauma is common in PNES, the proposed relation between trauma and attentional functions remains under explored. We examined the attentional processing of social threat in PNES in relation to interpersonal trauma and acute psychological stress. A masked emotional Stroop test, comparing color-naming latencies for backwardly masked angry, neutral, and happy faces, was administered to 19 unmedicated patients with PNES and 20 matched healthy controls, at baseline and in a stress condition. Stress was induced by means of the Trier Social Stress Test and physiologic stress parameters, such as heart rate variability (HRV) and cortisol, were measured throughout the experiment. No group differences related to the acute stress induction were found. Compared to controls, however, patients displayed a positive attentional bias for masked angry faces at baseline, which was correlated to self-reported sexual trauma. Moreover, patients showed lower HRV at baseline and during recovery. These findings are suggestive of a state of hypervigilance in patients with PNES. The relation with self-reported trauma, moreover, offers the first evidence linking psychological risk factors to altered information processing in PNES.

The role of rumination, attentional biases and stress in psychological distress

This experimental study examines the relationship between rumination and attentional bias. Additionally, the study aims to determine, within a diathesis-stress framework, whether rumination or attentional bias (or both) can prospectively predict psychological distress. Eighty-one participants completed selected measures of rumination and psychological distress at time one, in addition to experimental manipulations of rumination and mood, and measures of mood and attentional bias at time two. Seventy-three participants (90% follow-up) completed final measures of stress and psychological distress approximately 3 weeks later. In combination with negative mood, inducing rumination decreased positive attentional bias, whilst inducing distraction increased positive attentional bias. Rumination and stress interacted to predict change in psychological distress. Negative attentional bias showed a trend towards interacting with rumination and stress to predict dysphoria. The findings supported the proposed diathesis-stress models. In addition, a causal relationship between rumination and positive attentional bias has been empirically established for the first time.