Department of Human Development and Quantitative Methodology, University of Maryland, College Park, MD, USA.
Emotion and Development Branch, National Institute of Mental Health, Bethesda, MD, USA.
Neurosci Biobehav Rev. 2022 Nov;142:104917. doi: 10.1016/j.neubiorev.2022.104917. Epub 2022 Oct 14.
Across clinical and subclinical samples, anxiety has been associated with increased attentional capture by cues signaling danger. Various cognitive models attribute the onset and maintenance of anxiety symptoms to maladaptive selective information processing. In this brief review, we 1) describe the evidence for the relations between anxiety and attention bias toward threat, 2) discuss the neurobiology of anxiety-related differences in threat bias, 3) summarize work investigating the developmental origins of attention bias toward threat, and 4) examine efforts to translate threat bias research into clinical intervention. Future directions in each area are discussed, including the use of novel analytic approaches improving characterization of threat-processing-related brain networks, clarifying the role of cognitive control in the development of attention bias toward threat, and the need for larger, well-controlled randomized clinical trials examining moderators and mediators of treatment response. Ultimately, this work has important implications for understanding the etiology of and for intervening on anxiety difficulties among children and adults.
在临床和亚临床样本中,焦虑与对提示危险的线索的注意力捕获增加有关。各种认知模型将焦虑症状的发作和维持归因于适应性选择信息处理的失调。在这篇简短的综述中,我们 1)描述了焦虑与对威胁的注意偏向之间的关系的证据,2)讨论了与威胁偏见相关的焦虑神经生物学差异,3)总结了调查对威胁的注意偏向的发展起源的工作,以及 4)检查了将威胁偏见研究转化为临床干预的努力。讨论了每个领域的未来方向,包括使用新颖的分析方法来改善与威胁处理相关的大脑网络的特征描述,阐明认知控制在对威胁的注意偏向发展中的作用,以及需要进行更大、更好控制的随机临床试验,以检查治疗反应的调节因素和中介因素。最终,这项工作对于理解儿童和成人焦虑障碍的病因以及对其进行干预具有重要意义。