Using attentional bias modification as a cognitive vaccine against depression.

BACKGROUND: Negative attentional biases are thought to increase the risk of recurrence in depression, suggesting that reduction of such biases may be a plausible strategy in the secondary prevention of the illness. However, no previous study has tested whether reducing negative attentional bias cau...

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Main Authors: Browning, M, Holmes, E, Charles, M, Cowen, P, Harmer, C
Format: Journal article
Language:English
Published: 2012
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author Browning, M
Holmes, E
Charles, M
Cowen, P
Harmer, C
author_facet Browning, M
Holmes, E
Charles, M
Cowen, P
Harmer, C
author_sort Browning, M
collection OXFORD
description BACKGROUND: Negative attentional biases are thought to increase the risk of recurrence in depression, suggesting that reduction of such biases may be a plausible strategy in the secondary prevention of the illness. However, no previous study has tested whether reducing negative attentional bias causally affects risk factors for depressive recurrence. The current experimental medicine study reports the effects of a computerized attentional bias modification (ABM) procedure on intermediate measures of the risk of depressive recurrence (residual depressive symptoms and the cortisol awakening response) in patients with recurrent depression. METHODS: Sixty-one patients with at least two previous episodes of depression who were currently in remission were randomized to receive either an active (positive) or placebo computer-based ABM regime. The ABM regime presented either pictures of faces or words. Residual depressive symptoms, measured using the Beck Depression Inventory and the cortisol awakening response were measured immediately before and after completion of the bias modification and then again after 4 weeks' follow-up. RESULTS: Positive, face-based ABM reduced both measures of recurrence risk (Beck Depression Inventory and cortisol awakening response). This effect occurred during the month following completion of bias modification. Word-based modification did not influence the outcome measures. CONCLUSIONS: Positive face-based ABM was able to reduce intermediate measures of recurrence risk in previously depressed patients. These results suggest that ABM may provide a "cognitive vaccine" against depression and offer a useful strategy in the secondary prevention of the illness.
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spelling oxford-uuid:77bfde44-59b5-478e-9dcb-9ff57097b6912022-03-26T20:26:09ZUsing attentional bias modification as a cognitive vaccine against depression.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:77bfde44-59b5-478e-9dcb-9ff57097b691EnglishSymplectic Elements at Oxford2012Browning, MHolmes, ECharles, MCowen, PHarmer, C BACKGROUND: Negative attentional biases are thought to increase the risk of recurrence in depression, suggesting that reduction of such biases may be a plausible strategy in the secondary prevention of the illness. However, no previous study has tested whether reducing negative attentional bias causally affects risk factors for depressive recurrence. The current experimental medicine study reports the effects of a computerized attentional bias modification (ABM) procedure on intermediate measures of the risk of depressive recurrence (residual depressive symptoms and the cortisol awakening response) in patients with recurrent depression. METHODS: Sixty-one patients with at least two previous episodes of depression who were currently in remission were randomized to receive either an active (positive) or placebo computer-based ABM regime. The ABM regime presented either pictures of faces or words. Residual depressive symptoms, measured using the Beck Depression Inventory and the cortisol awakening response were measured immediately before and after completion of the bias modification and then again after 4 weeks' follow-up. RESULTS: Positive, face-based ABM reduced both measures of recurrence risk (Beck Depression Inventory and cortisol awakening response). This effect occurred during the month following completion of bias modification. Word-based modification did not influence the outcome measures. CONCLUSIONS: Positive face-based ABM was able to reduce intermediate measures of recurrence risk in previously depressed patients. These results suggest that ABM may provide a "cognitive vaccine" against depression and offer a useful strategy in the secondary prevention of the illness.
spellingShingle Browning, M
Holmes, E
Charles, M
Cowen, P
Harmer, C
Using attentional bias modification as a cognitive vaccine against depression.
title Using attentional bias modification as a cognitive vaccine against depression.
title_full Using attentional bias modification as a cognitive vaccine against depression.
title_fullStr Using attentional bias modification as a cognitive vaccine against depression.
title_full_unstemmed Using attentional bias modification as a cognitive vaccine against depression.
title_short Using attentional bias modification as a cognitive vaccine against depression.
title_sort using attentional bias modification as a cognitive vaccine against depression
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