Online attention modification for social anxiety disorder: replication of a randomized controlled trial

Social anxiety disorder (SAD) models posit vigilance for external social threat cues and exacerbated self-focused attention as key in disorder development and maintenance. Evidence indicates a modified dot-probe protocol may reduce symptoms of SAD; however, the efficacy when compared to a standard protocol and long-term maintenance of treatment gains remains unclear. Furthermore, the efficacy of such protocols on SAD-related constructs remains relatively unknown. The current investigation clarified these associations using a randomized control trial replicating and extending previous research. Participants with SAD (n = 113; 71% women) were randomized to complete a standard (i.e. control) or modified (i.e. active) dot-probe protocol consisting of 15-min sessions twice weekly for four weeks. Self-reported symptoms were measured at baseline, post-treatment, and 4-month and 8-month follow-ups. Hierarchical linear modeling indicated significant self-reported reductions in symptoms of social anxiety, fear of negative evaluation, trait anxiety, and depression, but no such reductions in fear of positive evaluation. Symptom changes did not differ based on condition and were maintained at 8-month follow-up. Attentional biases during the dot-probe task were not related to symptom change. Overall, our results replicate support for the efficacy of both protocols in reducing symptoms of SAD and specific related constructs, and suggest a role of exposure, expectancy, or practice effects, rather than attention modification, in effecting such reductions. The current results also support distinct relationships between fears of negative and positive evaluation and social anxiety. Further research focused on identifying the mechanisms of change in attention modification protocols appears warranted.     

Multiple attentional sets while monitoring rapid serial visual presentations

The present study examined whether observers are able to establish multiple attentional sets to concurrently monitor two different spatial locations. Observers identified a target letter in red or cyan among nontarget letters of other heterogeneous colours during a temporal feature search. A peripheral distractor display consisted of one item of either the same colour as the current target, and the other potential target colour, or an irrelevant colour that could never be the target. They identified an odd-ball colour letter among homogenous colours during a singleton search. The results revealed that observers maintained multiple attentional sets for detecting two singletons or for targets involving two (or three) features. However, they were unable to maintain a mixture of sets. Moreover, exposure to a distractor containing feature that corresponded to a feature of the current target was advantageous for target identification. The presence or absence of this set-specific capture depended on top-down knowledge and did not occur automatically in the singleton-detection stream. These results demonstrate a limitation in the flexibility of attentional sets. Although two singleton detections were possible, multiple attentional templates for a more complex attentional set could not be maintained concurrently when monitoring multiple rapid serial visual presentations.     

Biases in orienting and maintenance of attention among weight dissatisfied women: an eye-movement study

Despite evidence indicating fatness and thinness information are processed differently among weight-preoccupied and eating disordered individuals, the exact nature of these attentional biases is not clear. In this research, eye movement (EM) tracking assessed biases in specific component processes of visual attention (i.e., orientation, detection, maintenance and disengagement of gaze) in relation to body-related stimuli among 20 weight dissatisfied (WD) and 20 weight satisfied young women. Eye movements were recorded while participants completed a dot-probe task that featured fatness-neutral and thinness-neutral word pairs. Compared to controls, WD women were more likely to direct their initial gaze toward fatness words, had a shorter mean latency of first fixation on both fatness and thinness words, had longer first fixation on fatness words but shorter first fixation on thinness words, and shorter total gaze duration on thinness words. Reaction time data showed a maintenance bias towards fatness words among the WD women. In sum, results indicated WD women show initial orienting, speeded detection and initial maintenance biases towards fat body words in addition to a speeded detection – avoidance pattern of biases in relation to thin body words. In sum, results highlight the importance of the utility of EM-tracking as a means of identifying subtle attentional biases among weight dissatisfied women drawn from a non-clinical setting and the need to assess attentional biases as a dynamic process.     

Worry in imagery and verbal form: effect on residual working memory capacity

Worry-prone individuals have less residual working memory capacity during worry compared to low-worriers (Hayes, Hirsch, & Mathews, 2008). People typically worry in verbal form, and the present study investigated whether verbal worry depletes working memory capacity more than worry in imagery-based form. High and low-worriers performed a working memory task, random interval generation, whilst thinking about a worry in verbal or imagery form. High (but not low) worriers had less available working memory capacity when worrying in verbal compared to imagery-based form. The findings could not be accounted for by general attentional control, amount of negatively-valenced thought, or appraisals participants made about worry topics. The findings indicate that the verbal nature of worry is implicated in the depletion of working memory resources during worry among high-worriers, and point to the potential value of imagery-based techniques in cognitive-behavioural treatments for problematic worry.     

Attentional shift by eye gaze requires joint attention: Eye gaze cues are unique to shift attention1

Researchers have demonstrated that attentional shift triggered by gaze direction is reflexive. However, here we show that attentional shift by gaze direction was not always reflexive, but could be modulated by another's perspective. In Experiment 1, a schematic face's line of sight to a peripheral target was obstructed by a vertical barrier located between the face and the target under two conditions. However, the line of sight of the face was clear under another two conditions, in which the barrier was located behind the line of sight by utilizing a depth cue. The gaze cue shifted attention only when the line of sight was not blocked (i.e. joint attention was attained). The arrow cue did not shift attention regardless of the obstruction conditions in Experiment 2. These results suggest that attentional shift by gaze cues, but not arrow cues, involve a higher social cognitive process such as interpretation of the gaze.     

Automatic shifts of attention in the Dimensional Change Card Sort task: Subtle changes in task materials lead to flexible switching

Two experiments tested a hypothesis that reducing demands on executive control in a Dimensional Change Card Sort task will lead to improved performance in 3-year-olds. In Experiment 1, the shape dimension was represented by two dissimilar values (stars and flowers), and the color dimension was represented by two similar values (red and pink). This configuration of stimuli rendered shape more salient than color. In Experiment 2, attentional weights of each dimension value were manipulated by using two versus four values to represent the dimensions of shape and color. The results indicated that increasing saliency of the postswitch dimension (Experiment 1) and reducing attentional weights of individual dimension values (Experiment 2) lead to a marked improvement in the postswitch sorting accuracy in 3-year-olds.     

Extended pausing by humans on multiple fixed-ratio schedules with varied reinforcer magnitude and response requirements

We conducted three experiments to reproduce and extend Perone and Courtney's (1992) study of pausing at the beginning of fixed-ratio schedules. In a multiple schedule with unequal amounts of food across two components, they found that pigeons paused longest in the component associated with the smaller amount of food (the lean component), but only when it was preceded by the rich component. In our studies, adults with mild intellectual disabilities responded on a touch-sensitive computer monitor to produce money. In Experiment 1, the multiple-schedule components differed in both response requirement and reinforcer magnitude (i.e., the rich component required fewer responses and produced more money than the lean component). Effects shown with pigeons were reproduced in all 7 participants. In Experiment 2, we removed the stimuli that signaled the two schedule components, and participants' extended pausing was eliminated. In Experiment 3, to assess sensitivity to reinforcer magnitude versus fixed-ratio size, we presented conditions with equal ratio sizes but disparate magnitudes and conditions with equal magnitudes but disparate ratio sizes. Sensitivity to these manipulations was idiosyncratic. The present experiments obtained schedule control in verbally competent human participants and, despite procedural differences, we reproduced findings with animal participants. We showed that pausing is jointly determined by past conditions of reinforcement and stimuli correlated with upcoming conditions.     

Development of social perception: a conversation study of 6-, 12- and 36-month-old children

A conversation is made up of visual and auditory signals in a complex flow of events. What is the relative importance of these components for young children's ability to maintain attention on a conversation? In the present set of experiments the visual and auditory signals were disentangled in four filmed events. The visual events were either accompanied by the speech sounds of the conversation or by matched motor sounds and the auditory events by either the natural visual turn taking of the conversation or a matched turn taking of toy trucks. A cornea-reflection technique was used to record the gaze-pattern of subjects while they were looking at the films. Three age groups of typically developing children were studied; 6-month-olds, 1-year-olds and 3-year-olds. The results show that the children are more attracted by the social component of the conversation independent of the kind of sound used. Older children find spoken language more interesting than motor sound. Children look longer at the speaking agent when humans maintain the conversation. The study revealed that children are more attracted to the mouth than to the eyes area. The ability to make more predictive gaze shifts develops gradually over age.     

The visual hemifield asymmetry in the spatial blink during singleton search and feature search

The present study examined a visual field asymmetry in the contingent capture of attention that was previously observed by Du and Abrams (2010). In our first experiment, color singleton distractors that matched the color of a to-be-detected target produced a stronger capture of attention when they appeared in the left visual hemifield than in the right visual hemifield. This replicated Du and Abrams and also revealed a difference between hemifields in the time course of this effect. Our second experiment suggested that this asymmetry is moderated by the tuning of attentional control settings: when the target was easier to detect the asymmetry was attenuated. Our third experiment showed that this asymmetry is also present during singleton detection: a color singleton distractor produced a larger capture effect in the left hemifield than in the right hemifield. Finally, our fourth experiment suggested that this asymmetry is moderated by the salience of the attention-capturing distractor: when the distractor was not salient, the asymmetry was attenuated. These results suggest that there are boundary conditions in the observed hemifield asymmetry in the contingent capture of attention and several underlying brain systems might be involved.     

Looking out for danger: An attentional bias towards spatially predictable threatening stimuli

Attentional bias to threat is well established, however, the influence of spatial predictability on this attentional bias has never been investigated. Here we investigated how threat affects attentional capture and disengagement when its spatial location is predictable. Using a visual search paradigm, participants were required to identify a target inside one of a variable number of colored circles. One color (Conditioned Stimulus, CS+) was fear-conditioned using an electrocutaneous stimulus at tolerance level. In the experimental group the CS+ was made spatially predictable (occurred more often at one location in the visual display), while this was not the case in the control group. Results showed no complete automatic capture of attention by the CS+, but the experimental group did show more prioritization of the CS+ and less difficulty to disengage from the CS+ than the control group. Of further importance was the finding that the experimental group also attended to the location that was predictive of the CS+, even when no CS+ was presented. Findings are discussed in terms the effects of predictability on anxiety.