Cognitive Bias Modification for Interpretation (CBM-I) has been shown to reduce negative biases that exacerbate anxiety. In this study, we developed and tested the first Japanese version of CBM-I via a short, intensive program using two CBM-I procedures in two separate studies (Study 1 and Study 2). In Study 1, 38 randomized participants were enrolled in a one-week text-based scenario training program (positive condition) or a waitlist (control condition). In Study 2, picture word cues were added to the initial procedure, and 66 randomized participants were enrolled in a one-week online program or control condition. In both studies, the control group completed the same positive interpretation task after one week on standby. In the comparison between conditions for the text-only procedure (Study 1), no significant differences were observed in any outcomes; however, within-subject comparisons in all participants demonstrated significant improvements at the one-month follow-up. In Study 2, in which picture cues were added, the test participants demonstrated a statistically significant reduction in social anxiety symptoms compared with the control group. Depressive symptoms, negative interpretation bias, social cost probability bias, and negative and positive effects significantly improved at the one-month follow-up. Thus, the text-based CBM-I was enhanced by the inclusion of picture-based CBM-I in terms of social anxiety, depressive symptoms, interpretation bias, and emotional aspects.

Trial Registration: UMIN-CTR UMIN000040571 (Study 1) and UMIN000040538 (Study 2), registered on June 1, 2020. Retrospectively registered.

解释的认知偏差修正 (CBM-I) 已被证明可以减少加剧焦虑的负面偏见。在这项研究中，我们在两个独立的研究（研究 1 和研究 2）中使用两个 CBM-I 程序通过一个简短的强化程序开发和测试了第一个日本版本的 CBM-I。在研究 1 中，38 名随机参与者被纳入为期一周的基于文本的情景培训计划（积极条件）或候补名单（控制条件）。在研究 2 中，图片文字提示被添加到初始程序中，66 名随机参与者被纳入为期一周的在线计划或控制条件。在这两项研究中，对照组在待命一周后完成了相同的正面解读任务。在纯文本程序（研究 1）的条件比较中，在任何结果中均未观察到显着差异；然而，所有参与者的受试者内比较表明在一个月的随访中有显着改善。在添加了图片提示的研究 2 中，与对照组相比，测试参与者的社交焦虑症状在统计学上显着减少。抑郁症状、消极解释偏差、社会成本概率偏差以及消极和积极影响在一个月的随访中得到显着改善。因此，基于文本的 CBM-I 通过包含基于图片的 CBM-I 在社交焦虑、抑郁症状、解释偏差和情绪方面得到增强。在添加图片提示的情况下，与对照组相比，测试参与者的社交焦虑症状在统计学上显着减少。抑郁症状、消极解释偏差、社会成本概率偏差以及消极和积极影响在一个月的随访中得到显着改善。因此，基于文本的 CBM-I 通过包含基于图片的 CBM-I 在社交焦虑、抑郁症状、解释偏差和情绪方面得到增强。在添加图片提示的情况下，与对照组相比，测试参与者的社交焦虑症状在统计学上显着减少。抑郁症状、消极解释偏差、社会成本概率偏差以及消极和积极影响在一个月的随访中得到显着改善。因此，基于文本的 CBM-I 通过包含基于图片的 CBM-I 在社交焦虑、抑郁症状、解释偏差和情绪方面得到增强。

试注册：UMIN-CTR UMIN000040571（Study 1）和UMIN000040538（Study 2），2020年6月1日注册。追溯注册。