中国临床心理学杂志

认知偏差矫正:范式与效果

作者：黄嘉笙王雨吟

分类号：R395.1

出版年,卷(期):页码：2015,23(3):443-447

摘要：

认知偏差在各类情绪障碍的形成、维持和复发中起着重要的作用, 因此研究认知偏差的矫正技术对于探讨情绪障碍的病理机制和临床干预都具有重要意义。认知偏差主要涉及三个领域:注意偏差、解释偏差和记忆偏差。相应的, 矫正范式也主要集中于注意偏差矫正、解释偏差矫正和记忆偏差矫正。注意偏差矫正与解释偏差矫正的范式和临床应用发展较为成熟, 能够有效改变相应的认知模式, 对于抑郁、焦虑等心理症状表现出较强的改善作用。而记忆偏差矫正则仍处于实验阶段。总体而言, 认知偏差矫正训练存在巨大的应用潜力, 但将其推广至临床应用仍需要考虑将其与已有治疗方案相结合等方式, 以期获得最大的治疗效应。

Cognitive bias, mainly referring to bias in attention, interpretation and memory, was found to play an important role in the development, maintenance and recurrence of emotional disorders. Modification in attention and interpretation bias has been proven as efficient to improve cognitive and psychiatric symptoms. To improve its effectiveness, cognitive bias modifcation still needs clinical adaptation, such as combining with current clinical programs.

基金项目：

中央高校基本科研业务费专项资金资助(13wkpy69)

作者简介：

参考文献：

1 Beck AT. Cognitive therapy and the emotional disorders. New York: International Universities Press, 1976
2 Beck AT, Clark DA. An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy, 1997, 35: 49-58
3 Hayes S, Hirsch CR, Mathews A. Facilitating a benign attentional bias reduces negative thought intrusions. Journal of Abnormal Psychology, 2010, 119: 235-240
4 Mathews A, MacLeod C. Cognitive vulnerability to emotional disorders. Annual Review of Clinical Psychology, 2005, 1:167-195
5 Chan SC, Raine A, LeeT. Attentional bias towards negative affect stimuli and reactive aggression in male batterers. Psychiatry Research, 2010, 176: 246-249
6 EhlersA, Clark DM. A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 2000, 38:319-345
7 Rude SS, Wenzlaff RM, Gibbs B, et al. Negative processing biases predict subsequent depressive symptoms. Cognition and Emotion, 2002, 16: 423-440
8 Joormann J, Gotlib IH. Selective attention to emotional faces following recovery from depression. Journal of Abnormal Psychology, 2007, 116: 80-85
9 Smeets E, Roefs A, van Furth E, et al. Attentional bias for body and food in eating disorders: Increased distraction, speeded detection, or both? Behaviour Research and Therapy,2008, 46: 229-238
10 Koster EH, Fox E, MacLeod C. Introduction to the special section on cognitive bias modification in emotional disorders. Journal of Abnormal Psychology, 2009, 118: 1-4
11 MacLeod C, Mathews A. Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology,2012, 8: 189-217
12 MacLeod C, Mathews A, Tata P. Attentional bias in emotional disorders. Journal of Abnormal Psychology, 1986, 95: 15-20
13 Bar-Haim Y. Research review: Attention bias modification (ABM): a novel treatment for anxiety disorders. Journal of Child Psychology and Psychiatry, 2010, 51: 859-870
14 Dandeneau SD, Baldwin MW. The inhibition of socially rejecting information among people with high versus low selfesteem: The role of attentional bias and the effects of bias reduction training. Journal of Social and Clinical Psychology,2004, 23: 584-603
15 Dandeneau SD, Baldwin MW, Baccus JR, et al. Cutting stress off at the pass: reducing vigilance and responsiveness to social threat by manipulating attention. Journal of Personality and Social Psychology, 2007, 93: 651-666-
16 Dandeneau SD, Baldwin MW. The buffering effects of rejection-inhibiting attentional training on social and performance threat among adult students. Contemporary Educational Psychology, 2009, 34: 42-50
17 Mogoa?e C, David D, Koster EH. Clinical efficacy of attentional bias modification procedures: An updated metaanalysis. Journal of Clinical Psychology, 2014, 70: 1133-1157
18 王曼, 陶嵘, 胡姝婧, 等.注意偏向训练:起源, 效果与机制. 心理科学进展, 2011, 19:390-397
19 Wells TT, Beevers CG. Biased attention and dysphoria: Manipulating selective attention reduces subsequent depressive symptoms. Cognition and Emotion, 2010, 24: 719-728
20 Browning M, Holmes EA, Charles M, et al. Using attentional bias modification as a cognitive vaccine against depression. Biological Psychiatry, 2012, 72: 572-579
21 Baert S, De Raedt R, Schacht R, et al. Attentional bias training in depression: Therapeutic effects depend on depression severity. Journal of Behavior Therapy and Experimental Psychiatry,2010, 41: 265-274
22 Menne-Lothmann C, Viechtbauer W, Höhn P, et al. How to boost positive interpretations? A meta-analysis of the effectiveness of cognitive bias modification for interpretation-PloS One, 2014, 9: e100925
23 Mathews A, Mackintosh B. Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 2000,109: 602-615
24 Holmes EA, Mathews A. Mental imagery and emotion: A special relationship?. Emotion, 2005, 5: 489-497
25 Holmes EA, Mathews A, Dalgleish T, et al. Positive interpretation training: Effects of mental imagery versus verbal training on positive mood. Behavior Therapy, 2006, 37: 237-247
26 Holmes EA, Mathews A, Mackintosh B, et al. The causal effect of mental imagery on emotion assessed using pictureword cues. Emotion, 2008, 8: 395-409
27 Beard C, Amir N. A multi-session interpretation modification program: Changes in interpretation and social anxiety symptoms. Behaviour Research and Therapy, 2008, 46:1135-1141
28 Grey S, Mathews A. Effects of training on interpretation of emotional ambiguity. The Quarterly Journal of Experimental Psychology: Section A, 2000, 53: 1143-1162
29 Grey SJ, Mathews AM. Cognitive bias modification-Priming with an ambiguous homograph is necessary to detect an interpretation training effect. Journal of Behavior Therapy and Experimental Psychiatry, 2009, 40: 338-343
30 Hallion LS, Ruscio AM. A meta-analysis of the effect of cognitive bias modification on anxiety and depression. Psychological Bulletin, 2011, 137: 940-958
31 Yiend J, Mackintosh B, Mathews A. Enduring consequences of experimentally induced biases in interpretation. Behaviour Research and Therapy, 2005, 43: 779-797
32 Mackintosh B, Mathews A, Yiend J, et al. Induced biases in emotional interpretation influence stress vulnerability and endure despite changes in context. Behavior Therapy, 2006, 37: 209-222
33 Vassilopoulos SP, Blackwell SE, Moberly NJ, et al. Comparing imagery and verbal instructions for the experimental modification of interpretation and judgmental bias in children. Journal of Behavior Therapy and Experimental Psychiatry,2012, 43: 594-601
34 Clarke PJ, Nanthakumar S, Notebaert L, et al. Simply imagining sunshine, lollipops and rainbows will not budge the bias: The role of ambiguity in interpretive bias modification. Cognitive Therapy and Research, 2014, 38: 120-131
35 Hoppitt L, Mathews A, Yiend J, et al. Cognitive mechanisms underlying the emotional effects of bias modification. Applied Cognitive Psychology, 2010, 24: 312-325
36 李丹枫, 余真真, 段添翼, 等. 解释偏向矫正对大学生演讲焦虑的影响. 中国临床心理学杂志, 2014, 1:43-46
37 Mathews A, Ridgeway V, Cook E, et al. Inducing a benign interpretational bias reduces trait anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 2007, 38: 225-236
38 Steinman SA, Teachman BA. Modifying interpretations among individuals high in anxiety sensitivity. Journal of Anxiety Disorders, 2010, 24: 71-78
39 Murphy R, Hirsch CR, Mathews A, et al. Facilitating a benign interpretation bias in a high socially anxious population. Behaviour Research and Therapy, 2007, 45: 1517-1529
40 Bowler JO, Mackintosh B, Dunn, BD, et al. 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, 2012, 80: 1021-1033
41 Mobini S, Mackintosh B, Illingworth J, et al. Effects of standard and explicit cognitive bias modification and computeradministered cognitive-behaviour therapy on cognitive biases and social anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 2014, 45: 272-279
42 Grisham JR, Becker L, Williams AD, et al. Using cognitive bias modification to deflate responsibility in compulsive checkers. Cognitive Therapy and Research, 2014, 38: 1-13
43 Williams AD, Grisham JR. Cognitive Bias Modification (CBM) of obsessive compulsive beliefs. BMC Psychiatry,2013, 13: 1-9
44 Blackwell SE, Holmes EA. Modifying interpretation and imagination in clinical depression: A single case series using cognitive bias modification. Applied Cognitive Psychology,2010, 24: 338-350
45 Lang TJ, Blackwell SE, Harmer CJ, et al. Cognitive bias modification using mental imagery for depression: developing a novel computerized intervention to change negative thinking styles. European Journal of Personality, 2012, 26: 145-157
46 Williams AD, Blackwell SE, Mackenzie A, et al. Combining imagination and reason in the treatment of depression: A randomized controlled trial of internet-based cognitive-bias modification and internet-CBT for depression. Journal of Consulting and Clinical Psychology, 2013, 81: 793-799
47 Micco JA, Henin A,Hirshfeld-Becker DR. Efficacy of interpretation bias modification in depressed adolescents and young adults. Cognitive Therapy and Research, 2014, 38:89-102
48 Joormann J, Hertel PT, Brozovich F, et al. Remembering the good, forgetting the bad: intentional forgetting of emotional material in depression. Journal of Abnormal Psychology,2005, 114: 640-648
49 Joormann J, Hertel PT, LeMoult J, et al. Training forgetting of negative material in depression. Journal of Abnormal Psychology,2009, 118: 34-43
50 Lang TJ, Moulds ML, Holmes EA. Reducing depressive intrusions via a computerized cognitive bias modification of appraisals task: Developing a cognitive vaccine. Behaviour Research and Therapy, 2009, 47: 139-145
51 Woud ML, Postma P, Holmes EA, et al. Reducing analogue trauma symptoms by computerized reappraisal training-Considering a cognitive prophylaxis?. Journal of Behavior Therapy and Experimental Psychiatry, 2013, 44: 312-315
52 Woud ML, Holmes EA, Postma P, et al. Ameliorating intrusive memories of distressing experiences using computerized reappraisal training. Emotion, 2012,12: 778-784
53 Asnaani A, Rinck M, Becker E,et al.The effects of approachavoidance modification on social anxiety disorder: A pilot study. Cognitive Therapy and Research, 2014, 38: 226-238
54 Wiers RW, Rinck M, Kordt R, et al.Retraining automatic action-tendencies to approach alcohol in hazardous drinkers. Addiction, 2010, 105: 279-287
55 Wiers RW, Eberl C, Rinck M, et al. Retraining automatic action tendencies changes alcoholic patients approach bias for alcohol and improves treatment outcome. Psychological Science, 2011, 22: 490-497
56 Amir N, Kuckertz JM, Najmi S. The effect of modifying automatic action tendencies on overt avoidance behaviors. Emotion,2013, 13: 478-484
57 Daches S, Mor N. Training ruminators to inhibit negative information: A preliminary report. Cognitive Therapy and Research,2014, 38: 160-171
58 Woud ML, Becker ES. Editorial for the special issue on cognitive bias modification techniques: an introduction to a time traveller’s tale. Cognitive Therapy and Research, 2014, 38:83-88
59 Schmidt NB, Richey JA, Buckner JD, et al. Attention training for generalized social anxiety disorder. Journal of Abnormal Psychology, 2009, 118: 5-14

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