Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior, Box G-BH, Providence, RI 02912, USA.
Expert Rev Neurother. 2011 Feb;11(2):299-311. doi: 10.1586/ern.10.194.
Cognitive bias modification (CBM) is an innovative approach to modifying cognitive biases that confer vulnerability to anxiety. CBM interventions are designed to directly modify attention and interpretation biases via repeated practice on cognitive tasks. Analogue studies have demonstrated that CBM affects cognitive biases and anxiety in a number of anxiety conditions. Multisession CBM treatments have shown preliminary efficacy for generalized social phobia and generalized anxiety disorder, with effect sizes comparable to existing treatments. However, with any newly developing field, there are a number of important limitations of the existing data that need to be addressed before making firm conclusions regarding CBM's efficacy for anxiety disorders. This article focuses on the theoretical rationale for CBM and the current evidence from analogue and clinical samples.
认知偏差修正(CBM)是一种创新的方法,可以修正导致焦虑易感性的认知偏差。CBM 干预旨在通过在认知任务上反复练习,直接修正注意力和解释偏差。模拟研究表明,CBM 会影响多种焦虑症的认知偏差和焦虑。多疗程 CBM 治疗已初步显示出对广泛性社交恐惧症和广泛性焦虑症的疗效,其效果与现有治疗方法相当。然而,对于任何新兴领域,在确定 CBM 对焦虑症的疗效之前,都需要解决现有数据中的许多重要限制。本文重点介绍了 CBM 的理论基础和来自模拟和临床样本的当前证据。