SDSU/UCSD Joint Doctoral Program in Clinical Psychology, San Diego, CA 92120-4913, USA.
Behav Res Ther. 2011 May;49(5):324-30. doi: 10.1016/j.brat.2011.02.007. Epub 2011 Mar 3.
Research in the last fifteen years suggests that anxious individuals selectively attend towards threatening information. Attention modification interventions for internalizing adults have been developed to target cognition at this basic level; these programs have demonstrated initial efficacy in attention bias and anxiety symptom reduction. To date, there have been no published studies of attention modification in youths with clinical levels of anxiety. The current case series examined the initial efficacy of a four-week (12 sessions) attention modification program (AMP) designed to train attention away from threat in 16 children and adolescents (ages 10 to 17) diagnosed with DSM-IV anxiety disorders. Overall, youths experienced a significant decrease in anxiety and depression symptoms, and 12 of 16 youths no longer met criteria for any anxiety diagnosis at post-treatment. AMP was feasible with youths, and all youths and parents deemed the program acceptable. These findings provide support for further research on the use of cognitive bias modification interventions with clinically anxious youths.
过去十五年的研究表明，焦虑个体会选择性地关注威胁性信息。针对内部化成年人的注意力修正干预措施已经被开发出来，以针对这一基本层面的认知；这些项目已经证明了在注意力偏差和焦虑症状减轻方面的初步效果。迄今为止，还没有关于有临床水平焦虑的青少年进行注意力修正的研究。本案例系列研究了为期四周（共 12 次）的注意力修正计划（AMP）的初步效果，该计划旨在训练 16 名（年龄在 10 至 17 岁）被诊断为 DSM-IV 焦虑障碍的儿童和青少年将注意力从威胁中转移出来。总体而言，青少年的焦虑和抑郁症状显著减轻，16 名青少年中有 12 名在治疗后不再符合任何焦虑诊断标准。AMP 对青少年来说是可行的，所有青少年和家长都认为该项目是可以接受的。这些发现为进一步研究使用认知偏差修正干预措施治疗有临床焦虑的青少年提供了支持。
