Centre for the Advancement of Research on Emotion, School of Psychology, The University of Western Australia, Perth, Western Australia, Australia.
Curr Opin Psychiatry. 2012 Mar;25(2):114-20. doi: 10.1097/YCO.0b013e32834fda4a.
To review recent research on the therapeutic impact of cognitive bias modification (CBM) procedures, designed to train direct change in the patterns of attentional and interpretive bias known to characterize particular forms of psychopathology.
CBM designed to change attentional selectivity has proven capable of modifying attentional biases associated with emotional dysfunction, pain disorders, eating disorders and addictions. CBM designed to change interpretive selectivity has proven capable of modifying the tendency to resolve ambiguity in a negative manner that is characteristic of emotional dysfunction. Recent research confirms that both forms of CBM can alter the severity of symptoms associated with psychopathology. Extended delivery of such CBM approaches now has been shown to yield therapeutic benefits for a range of anxiety disorders, and in the case of CBM-A has augmented the efficacy of treatment for alcohol dependence.
CBM approaches have passed the proof-of-concept stage, and recent small-scale trials attest to their likely clinical value. There is a pressing need for large-scale randomized controlled trials, to compare the efficacy of CBM with that of alternative approaches, and to identify how CBM can most effectively be integrated into multimodal treatment programs.
回顾认知偏差修正（CBM）程序治疗效果的最新研究，该程序旨在训练注意力和解释性偏差模式的直接变化，这些偏差模式是特定形式精神病理学的特征。
旨在改变注意力选择性的 CBM 已被证明能够改变与情绪功能障碍、疼痛障碍、饮食障碍和成瘾相关的注意力偏差。旨在改变解释选择性的 CBM 已被证明能够改变以消极方式解决模糊性的倾向，这是情绪功能障碍的特征。最近的研究证实，这两种形式的 CBM 都可以改变与精神病理学相关的症状严重程度。这种 CBM 方法的扩展应用现在已经显示出对一系列焦虑障碍的治疗益处，并且在 CBM-A 的情况下，增强了治疗酒精依赖的疗效。
CBM 方法已经过概念验证阶段，最近的小规模试验证明了它们可能的临床价值。迫切需要大规模随机对照试验，以比较 CBM 与其他方法的疗效，并确定如何最有效地将 CBM 整合到多模式治疗计划中。
