Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysis
Background: Cognitive models of post-traumatic stress disorder (PTSD) highlighted the effect of maladaptive cognitive processing in the development and maintenance of PTSD. PTSD is related to attentional bias (AB) toward threatening stimuli and greater attentional bias variability (ABV). Attentional...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-04-01
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| Series: | Therapeutic Advances in Psychopharmacology |
| Online Access: | https://doi.org/10.1177/20451253241243260 |
| _version_ | 1797204497954504704 |
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| author | Fan Zhang Chenwei Huang Wenjie Yan Hui Ouyang Weizhi Liu |
| author_facet | Fan Zhang Chenwei Huang Wenjie Yan Hui Ouyang Weizhi Liu |
| author_sort | Fan Zhang |
| collection | DOAJ |
| description | Background: Cognitive models of post-traumatic stress disorder (PTSD) highlighted the effect of maladaptive cognitive processing in the development and maintenance of PTSD. PTSD is related to attentional bias (AB) toward threatening stimuli and greater attentional bias variability (ABV). Attentional bias modification (ABM) and attention control training (ACT) have demonstrated the effect of improving PTSD, but the results of randomized controlled trials (RCTs) are controversial. Objectives: The current study aimed to evaluate the extent of evidence supporting the efficacy of ABM in the treatment of PTSD. Design: Systematic review and meta-analysis. Methods: We searched PUBMED, PsycINFO, EMBASE, ClinicalTrials.gov, and the Cochrane Central Register of Controlled Trials for articles published between 1980 and 2022. RCTs of ABM for adult participants with PTSD symptoms were identified. The primary outcome was changes in PTSD severity, and the second outcome was changes in AB and ABV. Trial quality was assessed using the Cochrane Risk of Bias Tool. Publication bias was assessed using the Doi plot and Luis Furuya-Kanamori ( LFK ) index. Results: Eight RCTs comparing the effect of ABM to ACT were included in the review, and six studies were meta-analyzed. Meta-analysis favored ACT in improving PTSD symptoms and ABV, and the effect size was large. ABM and ACT demonstrated similar effects in improving AB. Conclusion: ACT should not only be seen as a control training condition but also has therapeutic values. However, since the current meta-analysis only included a limited number of studies, further research was still needed to examine the clinical value of ACT in PTSD treatment. |
| first_indexed | 2024-04-24T08:36:11Z |
| format | Article |
| id | doaj.art-e2ef5ab729474285b738ec7738040dd9 |
| institution | Directory Open Access Journal |
| issn | 2045-1261 |
| language | English |
| last_indexed | 2024-04-24T08:36:11Z |
| publishDate | 2024-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Psychopharmacology |
| spelling | doaj.art-e2ef5ab729474285b738ec7738040dd92024-04-16T17:03:24ZengSAGE PublishingTherapeutic Advances in Psychopharmacology2045-12612024-04-011410.1177/20451253241243260Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysisFan ZhangChenwei HuangWenjie YanHui OuyangWeizhi LiuBackground: Cognitive models of post-traumatic stress disorder (PTSD) highlighted the effect of maladaptive cognitive processing in the development and maintenance of PTSD. PTSD is related to attentional bias (AB) toward threatening stimuli and greater attentional bias variability (ABV). Attentional bias modification (ABM) and attention control training (ACT) have demonstrated the effect of improving PTSD, but the results of randomized controlled trials (RCTs) are controversial. Objectives: The current study aimed to evaluate the extent of evidence supporting the efficacy of ABM in the treatment of PTSD. Design: Systematic review and meta-analysis. Methods: We searched PUBMED, PsycINFO, EMBASE, ClinicalTrials.gov, and the Cochrane Central Register of Controlled Trials for articles published between 1980 and 2022. RCTs of ABM for adult participants with PTSD symptoms were identified. The primary outcome was changes in PTSD severity, and the second outcome was changes in AB and ABV. Trial quality was assessed using the Cochrane Risk of Bias Tool. Publication bias was assessed using the Doi plot and Luis Furuya-Kanamori ( LFK ) index. Results: Eight RCTs comparing the effect of ABM to ACT were included in the review, and six studies were meta-analyzed. Meta-analysis favored ACT in improving PTSD symptoms and ABV, and the effect size was large. ABM and ACT demonstrated similar effects in improving AB. Conclusion: ACT should not only be seen as a control training condition but also has therapeutic values. However, since the current meta-analysis only included a limited number of studies, further research was still needed to examine the clinical value of ACT in PTSD treatment.https://doi.org/10.1177/20451253241243260 |
| spellingShingle | Fan Zhang Chenwei Huang Wenjie Yan Hui Ouyang Weizhi Liu Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysis Therapeutic Advances in Psychopharmacology |
| title | Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysis |
| title_full | Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysis |
| title_fullStr | Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysis |
| title_full_unstemmed | Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysis |
| title_short | Attentional bias modification and attention control training in PTSD: a systematic review and meta-analysis |
| title_sort | attentional bias modification and attention control training in ptsd a systematic review and meta analysis |
| url | https://doi.org/10.1177/20451253241243260 |
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