Abstract
Attention bias modification (ABM) is an intervention technique that reduces attention bias towards negative stimuli and improves anxiety symptoms. We examined the effect of attention bias modification towards dynamic-angry faces on various indices potentially related to social anxiety. Forty-eight participants with high social anxiety (HSA) were randomly divided into the attention modification program (AMP, n = 24) and attention control condition (ACC, n = 24). They were assessed by behavioral and event-related potential (ERP) methods in pre- and post-test. For results, ABM reduced social anxiety symptoms, changed the mean amplitudes of P100. Besides, we observed a significant correlation between the behavioral and ERP training effect. In sum, this study could provide evidence of the ABM effect of dynamic-angry face processing in HSA individuals.
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References
Alden, L. E., & Taylor, C. T. (2004). Interpersonal processes in social phobia. Clinical psychology review, 24(7), 857–882.
Ambadar, Z., Schooler, J. W., & Cohn, J. F. (2005). Deciphering the enigmatic face: The importance of facial dynamics in interpreting subtle facial expressions. Psychological Science, 16(5), 403–410.
Amir, N., Weber, G., Beard, C., Bomyea, J., & Taylor, C. T. (2008). The effect of a single-session attention modification program on response to a public-speaking challenge in socially anxious individuals. Journal of Abnormal Psychology, 117(4), 860–868.
Amir, N., Beard, C., Taylor, C. T., Klumpp, H., Elias, J., Bums, M., et al. (2009). Attention training in individuals with generalized social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 77(5), 961–973.
Bar-Haim, Y. (2010). Research review: Attention bias modification (ABM): A novel treatment for anxiety disorders. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 51(8), 859–870.
Bar-Haim, Y., Lamy, D., & Glickman, S. (2005). Attentional bias in anxiety: A behavioral and ERP study. Brain and Cognition, 59(1), 11–22.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007). Threat-related attentional bias in anxious and nonanxious individuals: A meta-analytic study. Psychological Bulletin, 133(1), 1-24.
Barnett, M. D., Maciel, I. V., Johnson, D. M., & Ciepluch, I. (2021). Social anxiety and perceived social support: Gender differences and the mediating role of communication styles. Psychological Reports, 124(1), 70–87.
Beck, A. T., & Beck, R. W. (1972). Screening depressed patients in family practice. A Rapid Technic. Postgraduate Medicine, 52(6), 81–85.
Bishop, S. J. (2007). Neurocognitive mechanisms of anxiety: An integrative account. Trends in Cognitive Sciences, 11(7), 307–316.
Bishop, S. J. (2008). Neural mechanisms underlying selective attention to threat. Annals of the New York Academy of Sciences, 1129, 141–152.
Buschkuehl, M., Jaeggi, S. M., & Jonides, J. (2012). Neuronal effects following working memory training. Developmental Cognitive Neuroscience, 2(SUPPL. 1), S167–S179.
Carlson, J. M. (2021). A systematic review of event-related potentials as outcome measures of attention bias modification. Psychophysiology, 58(6), 1–16.
Carlson, J. M., & Mujica-Parodi, L. R. (2015). Facilitated attentional orienting and delayed disengagement to conscious and nonconscious fearful faces. Journal of Nonverbal Behavior, 39(1), 69–77.
Chen, X., Ran, G., Zhang, Q., & Hu, T. (2015). Unconscious attention modulates the silencing effect of top-down predictions. Consciousness and Cognition, 34, 63–72.
Cisler, J. M., & Koster, E. H. W. (2010). Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review. Clinical Psychology Review, 30, 203–216.
Desimone, R., & Duncan, J. (1995). Neural mechanisms of selective visual attention. Annual Review of Neuroscience, 18, 193–222.
Dong, X., Gao, C., Guo, C., Li, W., & Cui, L. (2020). Time course of attentional bias in social anxiety: The effects of spatial frequencies and individual threats. Psychophysiology, 57(9), 1–9.
Dunning, J. P., & Hajcak, G. (2009). See no evil: Directing visual attention within unpleasant images modulates the electrocortical response. Psychophysiology, 46(1), 28–33.
Eldar, S., & Bar-Haim, Y. (2010). Neural plasticity in response to attention training in anxiety. Psychological Medicine, 40(4), 667–677.
Eldar, S., Yankelevitch-Roni, R., Lamy, D., & Bar-Haim, Y. (2010). Enhanced neural reactivity and selective attention to threat in anxiety. Biological Psychology, 85(2), 252–257.
Eysenck, M. W., Derakshan, N., Santos, R., & Calvo, M. G. (2007). Anxiety and cognitive performance: Attentional control theory. Emotion, 7(2), 336–353.
Gauer, G. J., Picon, P., Vasconcellos, S. J., Turner, S. M., & Beidel, D. C. (2005). Validation of the social phobia and anxiety inventory for children (SPAI-C) in a sample of Brazilian children. Brazilian Journal of Medical and Biological Research, 38(5), 795–800.
Georgiou, G. A., Bleakley, C., Hayward, J., Russo, R., Dutton, K., Eltiti, S., et al. (2005). Focusing on fear: attentional disengagement from emotional faces. Visual Cognition, 12, 145e158.
Gonzalez, G., & Schnyer, D. M. (2019). Attention and working memory biases to Black and Asian faces during intergroup contexts. Frontiers in Psychology, 9, 2743.
Grafton, B., MacLeod, C., Rudaizky, D., Holmes, E. A., Salemink, E., Fox, E., et al. (2017). Confusing procedures with process when appraising the impact of cognitive bias modification on emotional vulnerability†. The British Journal of Psychiatry, 211(5), 266–271.
Guo, X. (2000). Study on cause of social anxiety. Psychological Exploration, 20(1), 55–58.
Gupta, R. S., Kujawa, A., & Vago, D. R. (2019). The neural chronometry of threat-related attentional bias: Event-related potential (ERP) evidence for early and late stages of selective attentional processing. International Journal of Psychophysiology, 146, 20–42.
Hagemann, J., Straube, T., & Schulz, C. (2016). Too bad: Bias for angry faces in social anxiety interferes with identity processing. Neuropsychologia, 84, 136–149.
Hajcak, G., Dunning, J. P., & Foti, D. (2009). Motivated and controlled attention to emotion: Time-course of the late positive potential. Clinical Neurophysiology, 120(3), 505–510.
Hajcak, G., MacNamara, A., & Olvet, D. M. (2010). Event-related potentials, emotion, and emotion regulation: An integrative review. Developmental Neuropsychology, 35(2), 129–155.
He, Y., & Zhang, M. (2004). Psychometric investigation of Liebowitz social anxiety scale. Journal of Diagnostics Concepts & Practice, 3(2), 89–93.
Helfinstein, S. M., White, L. K., Bar-Haim, Y., & Fox, N. A. (2008). Affective primes suppress attention bias to threat in socially anxious individuals. Behaviour Research and Therapy, 46(7), 799–810.
Iverach, L., & Rapee, R. M. (2014). Social anxiety disorder and stuttering: Current status and future directions. Journal of Fluency Disorders, 40, 69–82.
Jiang, Q., Li, P., Li, F., Wang, Q., Cao, B., & Li, H. (2016). The neural basis of desire reasoning for self and others: An event-related potential study. NeuroReport, 27(2), 85–89.
Kappenman, E. S., MacNamara, A., & Proudfit, G. H. (2013). Electrocortical evidence for rapid allocation of attention to threat in the dot-probe task. Social Cognitive and Affective Neuroscience, 10(4), 577–583.
Koster, E. H., Crombez, G., Verschuere, B., & De Houwer, J. (2004). Selective attention to threat in the dot probe paradigm: Differentiating vigilance and difficulty to disengage. Behaviour Research and Therapy, 42(10), 1183–1192.
Kruijt, A., Putman, P., & van der Does, W. (2013). The effects of a visual search attentional bias modification paradigm on attentional bias in dysphoric individuals. Journal of Behavior Therapy and Experimental Psychiatry, 44, 248–254.
Leichsenring, F., & Leweke, F. (2017). Social anxiety disorder. The New England Journal of Medicine, 376(23), 2255–2264.
Li, D., Yu, F., Ye, R., Chen, X., Xie, X., Zhu, C., & Wang, K. (2017). How does gaze direction affect facial processing in social anxiety? —An ERP study. Psychiatry Research, 251, 155–161.
Liu, T., Mu, S., He, H., Zhang, L., Fan, C., Ren, J., et al. (2016). The N170 component is sensitive to face-like stimuli: A study of Chinese Peking opera makeup. Cognitive Neurodynamics, 10(6), 535–541.
Liu, J., Ran, G., Zhang, Q., Hu, Y., Yu, X., Zhang, Q., et al. (2021). The development of Chinese undergraduate dynamic affective facial database. Chinese Journal of Applied Psychology, 27, 234–243.
Lyu, C., Niu, Q., & Zhang, X. (2014). Attentional bias to negative stimulus in anxiety individuals. Chinese Mental Health Journal, 28(3), 208–214.
Marzi, T., Gronchi, G., Turano, M. T., Giovannelli, F., Giganti, F., Rebai, M., et al. (2021). Mapping the featural and holistic face processing of bad and good face recognizers. Behavioral Sciences (Basel, Switzerland), 11(5), 75.
McEvoy, B., O’Connor, J., & McCarthy, O. (2016). Behind the mask: A psychodynamic exploration of the experiences of individuals diagnosed with social anxiety disorder. Psychodynamic Psychiatry, 44(4), 541–565.
Mishra, J., & Gazzaley, A. (2013). Attentional Control of Multisensory Integration is Preserved in Aging. In Cognitive Electrophysiology of Attention: Signals of the Mind. Elsevier.
Mogg, K., Philippot, P., & Bradley, B. P. (2004). Selective attention to angry faces in clinical social phobia. Journal of Abnormal Psychology, 113, 160e165.
Moriya, J., & Tanno, Y. (2009). Competition between endogenous and exogenous attention to nonemotional stimuli in social anxiety. Emotion, 9(5), 739–743.
Moser, J. S., Huppert, J. D., Duval, E., & Simons, R. F. (2008). Face processing biases in social anxiety: An electrophysiological study. Biological Psychology, 78(1), 93–103.
Ollendick, T. H., White, S. W., Richey, J., Kim-Spoon, J., Ryan, S. M., Wieckowski, A. T., et al. (2019). Attention bias modification treatment for adolescents with social anxiety disorder. Behavior Therapy, 50(1), 126–139.
O’Toole, L., & Dennis, T. A. (2012). Attention training and the threat bias: An ERP study. Brain and Cognition, 78(1), 63–73.
Pan, D., Wang, Y., Lei, Z., Wang, Y., & Li, X. (2020). The altered early components and the decisive later process underlying attention bias modification in social anxiety: Evidence from event-related potentials. Social Cognitive and Affective Neuroscience, 14(12), 1307–1316.
Phan, K. L., Fitzgerald, D. A., Nathan, P. J., & Tancer, M. E. (2006). Association between amygdala hyperactivity to harsh faces and severity of social anxiety in generalized social phobia. Biological Psychiatry, 59, 424e429.
Pourtois, G., Grandjean, D., Sander, D., & Vuilleumier, P. (2004). Electrophysiological correlates of rapid spatial orienting towards fearful faces. Cerebral Cortex, 14(6), 619–633.
Ran, G., & Chen, X. (2017). The impact of top-down prediction on emotional face processing in social anxiety. Frontiers in Psychology, 8, 1–12.
Ran, G., Zhang, Q., & Huang, H. (2018). Behavioral inhibition system and self-esteem as mediators between shyness and social anxiety. Psychiatry Research, 270, 568–573.
Ran, G., Li, R., & Zhang, Q. (2020). Emotional face prediction in rejection sensitive individuals: Evidence from event-related potentials. Consciousness and Cognition, 78, 102880.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35(8), 741–756.
Righart, R., & de Gelder, B. (2008). Rapid influence of emotional scenes on encoding of facial expressions: An ERP study. Social Cognitive and Affective Neuroscience, 3(3), 270–278.
Rousselet, G. A. (2012). Does filtering preclude us from studying ERP time-courses? Frontiers in Psychology, 3, 131.
Santesso, D. L., Meuret, A. E., Hofmann, S. G., Mueller, E. M., Ratner, K. G., Roesch, E. B., et al. (2008). Electrophysiological correlates of spatial orienting towards angry faces: A source localization study. Neuropsychologia, 46(5), 1338–1348.
Sarkheil, P., Goebel, R., Schneider, F., & Mathiak, K. (2013). Emotion unfolded by motion: A role for parietal lobe in decoding dynamic facial expressions. Social Cognitive and Affective Neuroscience, 8(8), 950–957.
Schendan, H. E., Ganis, G., & Kutas, M. (1998). Neurophysiological evidence for visual perceptual categorization of words and faces within 150 ms. Psychophysiology, 35(3), 240–251.
Schrammen, E., Grimshaw, G. M., Berlijn, A. M., Ocklenburg, S., & Peterburs, J. (2020). Response inhibition to emotional faces is modulated by functional hemispheric asymmetries linked to handedness. Brain and Cognition, 145, 105629.
Spielberger, C. D. (1983). State-trait anxiety inventory for adults. Mind Garden.
Stahl, J., Wiese, H., & Schweinberger, S. R. (2008). Expertise and own-race bias in face processing: An event-related potential study. NeuroReport, 19(5), 583–587.
Stein, M. B., Goldin, P. R., Sareen, J., Zorrilla, L. T. E., & Brown, G. G. (2002). Increased amygdala activation to angry and contemptuous faces in generalized social phobia. Archives of General Psychiatry, 59, 1027e1034.
Taylor, M. J., & Khan, S. C. (2000). Top-down modulation of early selective attention processes in children. International Journal of Psychophysiology, 37(2), 135–147.
Taylor, D. L., Kraines, M. A., Grant, D. M., & Wells, T. T. (2019). The role of excessive reassurance seeking: An eye tracking study of the indirect effect of social anxiety symptoms on attention bias. Psychiatry Research, 274, 220–227.
Thornton, I. M., Mullins, E., & Banahan, K. (2011). Motion can amplify the face-inversion effect. Psihologija, 44(1), 5–22.
Torrence, R. D., & Troup, L. J. (2018). Event-related potentials of attentional bias toward faces in the dot-probe task: A systematic review. Psychophysiology, 55(6).
Vuilleumier, P. (2005). How brains beware: Neural mechanisms of emotional attention. Trends in Cognitive Sciences, 9(12), 585–594.
Weierich, M. R., Treat, T. A., & Hollingworth, A. (2008). Theories and measurement of visual attentional processing in anxiety. Cognition and Emotion, 22, 985–1018.
Yu, H., Li, S., Qian, M., Wang, X., Yang, P., Lin, M., et al. (2013). Hypotheses of attentional bias and applications to socially anxious individuals. Chinese Journal of Clinical Psychology, 3, 446–449.
Yu, H., Niu, Q., Zhang, X., & Feng, Q. (2014). Effects of attentional bias training on the processing of threatening information in anxious individuals. Chinese Mental Health Journal, 28(5), 367–373.
Zhang, Q., Ran, G., & Li, X. (2018). The perception of facial emotional change in social anxiety: An ERP study. Frontiers in Psychology, 9, 1737.
Acknowledgements
This work was supported by a research foundation grant from the National Natural Science Foundation of China (Grant No. 31900760).
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Conceptualization/Methodology: RL GR QZ. Investigation: RL QZ. Data curation/Formal analysis/Visualization: RL GR. Funding acquisition/Project administration/Resources/Software: GR. Supervision/Validation:GR QZ. Writing—original draft: RL. Writing—review & editing: GR RL.
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Appendix A. The number of CUDAFD used in the experiment
Appendix A. The number of CUDAFD used in the experiment
Angry-woman faces: 1FA1, 1FA2, 1FA3, 1FA4, 1FA6, 1FA9, 1FA14, 1FA17, 1FA18, 1FA19, 1FA21, 1FA22, 1FA24, 1FA25, 1FA26, 1FA27, 1FA31, 1FA38, 1FA39, 1FA43.
Angry-man faces: 1MA1, 1MA3, 1MA4, 1MA6, 1MA7, 1MA11, 1MA17, 1MA19, 1MA20, 1MA22, 1MA23, 1MA26, 1MA29, 1MA30, 1MA36, 1MA37, 1MA39, 1MA42, 1MA47, 1MA48.
Neutral-woman faces: 1FN4, 1FN26, 1FN28, 1FN29, 1FN31, 1FN35, 1FN38, 1FN41, 1FN43, 1FN44, 1FN49, 1FN50, 1FN52, 1FN55, 1FN56, 1FN57, 1FN58, 1FN60, 1FN64, 1FN65.
Neutral-man faces: 1MN5, 1MN13, 1MN15, 1MN17, 1MN19, 1MN26, 1MN30, 1MN31, 1MN34, 1MN35, 1MN37, 1MN40, 1MN42, 1MN43, 1MN48, 1MN49, 1MN51, 1MN54, 1MN56, 1MN57.
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Ran, G., Li, R. & Zhang, Q. The effect of attention bias modification on the recognition of dynamic-angry faces in individuals with high social anxiety: Evidence from event-related brain potentials. Curr Psychol 42, 22081–22092 (2023). https://doi.org/10.1007/s12144-022-03303-8
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DOI: https://doi.org/10.1007/s12144-022-03303-8