Assessing the Therapeutic Potential of Targeted Attentional Bias Modification for Insomnia Using Smartphone Delivery

Clarke, Patrick; Bedford, K.R.; Notebaert, Lies; Bucks, Romola S.; Rudaizky, Daniel; Milkins, Bronwyn; MacLeod, Colin

doi:10.1159/000442025

Cited by 39 publications

(63 citation statements)

References 7 publications

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“…However, the findings are in agreement with three other studies that could not demonstrate this bias using the Stroop task [20–22] and with the first ABM study that also could not detect an attentional bias using the dot-probe [29]. Our failure to change attentional bias and sleep problems using ABM could be related to the absence of an attentional bias at baseline as studies have shown larger ABM effects in individuals with higher attentional bias at baseline [54, 55].…”

Section: Discussionsupporting

confidence: 91%

“…The order of these sets was counterbalanced across participants. Sleep words were based on the words used in Clarke and colleagues [29] and MacMahon, Broomfield and Espie [49]. Because we wanted to use 48 word-pairs we also added several worry and sleep-related words (Please see S1 Table for an English translation of the words).…”

Section: Methodsmentioning

confidence: 99%

“…To our knowledge, there have been two studies that have sought to examine ABM training in insomnia to date, both of which have employed experimental designs with sub-clinical samples [29, 30]. Milkins et al [30] employed a within-subjects design where 18 individuals reporting high levels of insomnia symptoms alternated completing an ABM task and a non-ABM control task before bed across six consecutive nights.…”

Section: Introductionmentioning

confidence: 99%

“…However, no effects were observed for insomnia severity or sleep-related attentional bias. In addition, ABM training effects were observed on objective measures of sleep onset latency, but not on onset latency as measured with a subjective diary [29]. …”

Section: Introductionmentioning

confidence: 99%

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Attentional bias modification training for insomnia: A double-blind placebo controlled randomized trial

et al. 2017

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BackgroundAttentional bias toward sleep-related information is believed to play a key role in insomnia. If attentional bias is indeed of importance, changing this bias should then in turn have effects on insomnia complaints. In this double-blind placebo controlled randomized trial we investigated the efficacy of attentional bias modification training in the treatment of insomnia.MethodWe administered baseline, post-test, and one-week follow-up measurements of insomnia severity, sleep-related worry, depression, and anxiety. Participants meeting DSM-5 criteria for insomnia were randomized into an attentional bias training group (n = 67) or a placebo training group (n = 70). Both groups received eight training sessions over the course of two weeks. All participants kept a sleep diary for four consecutive weeks (one week before until one week after the training sessions).ResultsThere was no additional benefit for the attentional bias training over the placebo training on sleep-related indices/outcome measures.ConclusionsThe absence of the effect may be explained by the fact that there was neither attentional bias at baseline nor any reduction in the bias after the training. Either way, this study gives no support for attentional bias modification training as a stand-alone intervention for ameliorating insomnia complaints.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Attentional bias modification training for insomnia: A double-blind placebo controlled randomized trial

et al. 2017

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“…In addition to webtechnologies, mobile technologies are also being used to transform the delivery of bias modification interventions. It has been reported that a mobile application could help in improving insomnia symptoms (13).…”

Section: Introductionmentioning

confidence: 99%