Department of Personality, Evaluation and Psychological Treatment, Complutense University of Madrid, Spain; Department of Experimental Clinical and Health Psychology, Ghent University, Belgium.
Department of Experimental Clinical and Health Psychology, Ghent University, Belgium.
Behav Res Ther. 2019 Jul;118:110-120. doi: 10.1016/j.brat.2019.04.005. Epub 2019 Apr 15.
Stress dysregulation is a transdiagnostic marker of emotional disorders, related to biases in attention toward negative information. We adapted a computerized process-based training targeting these attention mechanisms through mouse-based contingency responses and examined its effects on reappraisal and rumination. Forty-one participants were randomly assigned to either a control or an active training condition of mouse-based contingent attention training (MCAT). Participants in the active condition were instructed to allocate attention toward positive words to generate positive interpretations, by using attention regulation while receiving contingent feedback on their attention to emotional words. Participants in the control condition freely generated interpretations without receiving contingent feedback. Transfer to reappraisal and state rumination was evaluated by administering an emotion regulation paradigm before and after the training. Mouse-based attention estimations showed a high degree of congruency with real eye/gaze-based attention estimations, as measured with eye-tracking performed in parallel. Furthermore, active MCAT resulted in several beneficial effects, including: 1) a higher attention toward positive over negative information; 2) an improved reappraisal ability to down-regulate negative emotions, and 3) a larger state rumination reduction in comparison to the control group. Our findings supports MCAT as a promising way to monitor and train attention, being an innovative instrument for online interventions aimed to improve stress regulation and resilience.
压力失调是情绪障碍的一种跨诊断标志物，与对负面信息的注意偏向有关。我们通过基于鼠标的条件反应来改编一种针对这些注意机制的计算机化基于过程的训练，并研究其对再评价和反刍的影响。41 名参与者被随机分配到基于鼠标的条件注意训练（MCAT）的对照组或主动训练组。主动组的参与者被指示通过在接收对情绪词的注意的条件反馈时进行注意力调节，将注意力分配到积极的词语上以产生积极的解释。对照组的参与者在没有收到条件反馈的情况下自由地生成解释。通过在训练前后进行情绪调节范式来评估对再评价和状态反刍的转移。基于鼠标的注意力估计与使用并行进行的眼动追踪测量的真实眼/注视注意力估计具有高度一致性。此外，主动 MCAT 产生了一些有益的效果，包括：1）对积极信息的注意力高于消极信息；2）改善了下调负面情绪的再评价能力；3）与对照组相比，状态反刍减少幅度更大。我们的发现支持 MCAT 作为一种监测和训练注意力的有前途的方法，是一种针对在线干预以改善压力调节和恢复力的创新工具。
