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A Preliminary Study on the Effect of Cognitive Bias Modification on the Attribution of Positive Social Outcomes in Socially Anxious Individuals

Abstract

Socially anxious individuals tend to disqualify positive social outcomes by attributing such outcomes to others rather than themselves. Previous research suggests that this tendency is a potentially important target of intervention. Thus, the present study aimed to examine the efficacy of cognitive bias modification (CBM) on attribution bias related to positive social outcomes among socially anxious individuals. A total of 159 undergraduate students were randomly assigned to the CBM or placebo group. Based on their level of social anxiety, participants were subsequently classified into either the high (n= 75) or low social anxiety groups (n= 18). Results showed that CBM was effective in reducing attribution bias related to positive social outcomes in socially anxious individuals. Social anxiety symptoms also diminished after the intervention. The findings of this study provide preliminary evidence regarding the efficacy of CBM for reducing attribution bias related to positive social outcomes and social anxiety

keywords
cognitive bias modification (CBM), attribution bias, disqualification of positive social outcomes, social anxiety

Reference

1.

Abbott, M. J., & Rapee, R. M. (2004). Post-event rumination and negative self-appraisal in social phobia before and after treatment. Journal of Abnormal Psychology, 113, 136-144.

2.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association.

3.

Beard, C., Sawyer, A. T., & Hofmann, S. G. (2012). Efficacy of attention bias modification using threat and appetitive stimuli: A meta-analytic review. Behavior Therapy, 43, 724-740.

4.

Bowler, J. O., Mackintosh, B., Dunn, B. D., Mathews, A., Dalgleish, T., & Hoppitt, L. (2012). A comparison of cognitive bias modification for interpretation and computerized cognitive behavior therapy: Effects on anxiety, depression, attentional control, and interpretive bias. Journal of Consulting and Clinical Psychology, 80, 1021-1033.

5.

Chon, K. K., Choi, S. C., & Yang, B. C. (2002). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6, 59-76.

6.

Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope & F. R. Schneier (Eds.), Social phobia: Diagnosis, assessment, and treatment. New York, NY: Guilford Publications.

7.

Cristea, I. A., Kok, R. N., & Cuijpers, P. (2015). Efficacy of cognitive bias modification interventions in anxiety and depression: Metaanalysis. The British Journal of Psychiatry, 206, 7-16.

8.

de Hullu, E., Sportel, B. E., Nauta, M. H., & de Jong, P. J. (2017). Cognitive bias modification and CBT as early interventions for adolescent social and test anxiety: Two year follow-up of a randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 55, 81-89.

9.

Glass, C. R., & Arnkoff, D. B. (1997). Questionnaire methods of cognitive self-statement assessment. Journal of Consulting and Clinical Psychology, 65, 911-927.

10.

Han, S. Y. (2015). The relationship between disqualification of positive social outcomes and social anxiety (Unpublished master’s thesis). Seoul National University, Seoul, Korea.

11.

Heeren, A., Mogoașe, C., Philippot, P., & McNally, R. J. (2015). Attention bias modification for social anxiety: A systematic review and meta-analysis. Clinical Psychology Review, 40, 76-90.

12.

Heimberg, R. G., & Becker, R. E. (2002). Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies. New York, NY: Guilford Press.

13.

Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., & Liebowitz, M. R. (1992). Assessment of anxiety in social interaction and being observed by others: The social interaction anxiety scale and the social phobia scale. Behaviour Therapy, 23, 53-73.

14.

Hong, D. H., & Park, S. H. (2019). Mediating effect of disqualification of positive social outcomes on the relationship between social anxiety and depression. Korean Journal of Clinical Psychology, 38, 70-81.

15.

Jeon, Y. J., & Park, K. H. (2011). The relationships between fear of positive evaluation and social anxiety: The mediating effects of interpretation biases of positive social events. Cognitive Behavior Therapy in Korea, 11, 59-73.

16.

Kim, H. S. (2001). Memory bias in subtypes of social phobia (Unpublished master’s thesis). Seoul National University, Seoul, Korea.

17.

Kim, S., & Lee, J. S. (2019). Effects of computer-based cognitive bias modification for interpretation on memory, cognitive control, and motivation. Korean Journal of Clinical Psychology, 38, 335-348.

18.

Laposa, J. M., Cassin, S. E., & Rector, N. A. (2010). Interpretation of positive social events in social phobia: An examination of cognitive correlates and diagnostic distinction. Journal of Anxiety Disorders, 24, 203-210.

19.

Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-375.

20.

Lee, H. H., Kim, E. J., & Lee, M. K. (2003). A validation study of Korea Positive and Negative Affect Schedule: The PANAS scales. Korean Journal of Clinical Psychology, 22, 935-946.

21.

Lee, J. Y., & Choi, C. H. (1997). A study of the reliability and the validity of the Korean versions of social phobia scales (K-SAD, K-FNE), Korean Journal of Clinical Psychology, 16, 251-264.

22.

Mackintosh, B., Mathews, A., Yiend, J., Ridgeway, V., & Cook, E. (2006). Induced biases in emotional interpretation influence stress vulnerability and endure despite changes in context. Behavior Therapy, 37, 209-222.

23.

Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109, 602-615.

24.

Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470.

25.

Mobini, S., Mackintosh, B., Illingworth, J., Gega, L., Langdon, P., Hoppitt, L. (2014). Effects of standard and explicit cognitive bias modification and computer-administered cognitive-behaviour therapy on cognitive biases and social anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 45, 272-279.

26.

Mobini, S., Reynolds, S., & Mackintosh, B. (2013). Clinical implications of cognitive bias modification for interpretative biases in social anxiety: An integrative literature review. Cognitive Therapy and Research, 37, 173-182.

27.

Park, S. J., Lee, J. A., & Oh, K. S. (2010). Validation and clinical efficacy of the Korean Fear of Positive Evaluation Scale. Korean Journal of Clinical Psychology, 29, 205-221.

28.

Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.

29.

Salemink, E., Kindt, M., Rienties, H., & van den Hout, M. (2014). Internet-based cognitive bias modification of interpretations in patients with anxiety disorders: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 45, 186-195.

30.

Salemink, E., van den Hout, M., & Kindt, M. (2010). Generalisation of modified interpretive bias across tasks and domains. Cognition and Emotion, 24, 453-464.

31.

Shon, J. (2001). The effects of social stress, dysfunctional beliefs, and negative automatic thoughts on social anxiety (Unpublished master’s thesis). The Catholic University of Korea, Seoul, Korea.

32.

Spokas, M. E., Rodebaugh, T. L., & Heimberg, R. G. (2007). Cognitive biases in social phobia. Psychiatry, 6, 204-210.

33.

Steinman, S. A., & Teachman, B. A. (2010). Modifying interpretations among individuals high in anxiety sensitivity. Journal of Anxiety Disorders, 24, 71-78.

34.

Talkovsky, A. M., & Norton, P. J. (2018). Negative affect and intolerance of uncertainty as potential mediators of change in comorbid depression in transdiagnostic CBT for anxiety. Journal of Affective Disorders, 236, 259-265.

35.

Vassilopoulos, S. P., & Banerjee, R. (2010). Social interaction anxiety and the discounting of positive interpersonal events. Behavioural and Cognitive Psychotherapy, 38, 597-609.

36.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063-1070.

37.

Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457.

38.

Watson, D., & Naragon-Gainey, K. (2010). On the specificity of positive emotional dysfunction in psychopathology: Evidence from the mood and anxiety disorders and schizophrenia/schizotypy. Clinical Psychology Review, 30, 839-848.

39.

Weeks, J. W. (2010). The disqualification of positive social outcomes scale: A novel assessment of a long-recognized cognitive tendency in social anxiety disorder. Journal of Anxiety Disorders, 24, 856-865.

40.

Weeks, J. W., Heimberg, R. G., & Rodebaugh, T. L. (2008). The fear of positive evaluation scale: Assessing a proposed cognitive component of social anxiety. Journal of Anxiety Disorders, 22, 44-55.

41.

Weeks, J. W., Heimberg, R. G., Rodebaugh, T. L., & Norton, P. J. (2008). Exploring the relationship between fear of positive evaluation and social anxiety. Journal of Anxiety Disorders, 22, 386-400.

42.

Weeks, J. W., & Howell, A. N. (2012). The bivalent fear of evaluation model of social anxiety: Further integrating findings on fears of positive and negative evaluation. Cognitive Behaviour Therapy, 41, 83-95.

43.

Yiend, J., Lee, J. S., Tekes, S., Atkins, L., Mathews, A., Vrinten, M., . . . Shergill, S. (2014). Modifying interpretation in a clinically depressed sample using ‘cognitive bias modification-errors’: A double blind randomized controlled trial. Cognitive Therapy and Research, 38, 146-159.

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