Impact of imagery-enhanced interpretation training on offline and online interpretations in worry

Feng, Ya-Chun; Krahé, Charlotte; Meeten, Frances; Sumich, Alexander; Mok, Che Ling Michelle; Hirsch, Colette R.

doi:10.1016/j.brat.2019.103497

Cited by 15 publications

(28 citation statements)

References 57 publications

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“…These findings have important clinical implications as previous studies suggest we can influence worry, and one evidence-based method to do this would be through cognitive bias modification (CBM). Numerous studies now confirm that modification of interpretation bias can result in changes in the level of worry by reducing negative interpretations (39,40). Indeed, both a systematic review of meta-analyses (41) and a recent network meta-analysis (42) indicate that CBM for interpretation bias is an effective method of reducing anxiety.…”

Section: Discussionmentioning

confidence: 97%

Suppression May Improve Adaptation to Worry When Facing Uncertainty: Studying COVID-19 Pandemic

et al. 2021

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The COVID-19 pandemic has been associated with increased uncertainty, fear and worry in everyone's life. The effect of changes in daily life has been studied widely, but we do not know how emotion-regulation strategies influence adaptation to a new situation to help them overcome worry in the face of uncertainty. Here, 1,064 self-selected Farsi speaking participants completed an online battery of questionnaires that measured fear of virus and illness, worry, intolerance of uncertainty, and emotion regulation (two subscales: reappraisal, suppression). We also documented the number of daily COVID-19 cases and deaths due to COVID-19 on the day in which participants completed the questionnaire. Our findings suggest a correlation between contamination fear and the number of daily-confirmed cases (r = 0.11), and the number of reported deaths due to COVID-19 (r = 0.09). Worry mediated the relationship between intolerance of uncertainty and fear of virus and illness (b = 0.16, 0.1141 < CI < 0.2113). In addition, suppression moderated the relationship between intolerance of uncertainty and worry (p < 0.01). Our results suggest that suppression (at least in the short term) can be an adaptive response to the worry associated with uncertainty. Suppression can reduce worry, which in turn can decrease fear of contamination and improve adaptation to social distancing requirements. Although, the observed correlations were significant, but considering the sample size, they are not strong, and they should be interpreted cautiously.

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Section: Discussionmentioning

confidence: 97%

Suppression May Improve Adaptation to Worry When Facing Uncertainty: Studying COVID-19 Pandemic

et al. 2021

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“…If the latter, participants were asked to indicate the valence of the intrusion (i.e., positive, negative or neutral). Negative thought intrusions are interpreted to be indicative of worry, as per previous CBM-I studies (e.g., Feng et al, 2020).…”

Section: Tasksmentioning

confidence: 66%

“…Two participants' data was not included in the study as their responses to the Recognition Test Comprehension Questions indicated they had either not understood or not engaged with the task. The final sample of 47 participants were aged between 22 and 42 years (M = 32.89, SD = 4.69), and ranged between 16 and 39 weeks pregnant (M = 27.64, SD = 1) In a sample of individuals diagnosed with GAD, a PSWQ score of 56 was one standard deviation below the mean (Molina & Borkovec, 1994) and is commonly used as a cut-off in research (Feng et al, 2020;Hirsch, Perman, et al 2015). Accordingly, we classified participants as high worriers if their PSWQ score was ≥ 56.…”

Section: Participantsmentioning

confidence: 99%

“…Breathing Focus Task -In the version of the task (Feng et al, 2020; adapted from Ruscio & Borkovec, 2004) employed in this study, participants first practiced the breath ing focus task. Next, they were instructed to engage in worry about a current worry topic for five minutes, then completed a five-minute breathing focus task.…”

Section: Tasksmentioning

confidence: 99%

“…Imagery Practise Task -Participants in the CBM-I condition completed an online imagery practice task (adapted from Holmes et al (2006) and used in Hirsch, Krahé, Whyte, Bridge, et al, 2020;Feng et al, 2020) to help them generate vivid mental images, and to instruct them on how to hold them in mind (see Feng et al, 2020).…”

Section: Cbm-i Conditionmentioning

confidence: 99%

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Looking on the bright side reduces worry in pregnancy: Training interpretations in pregnant women

Hirsch

Meeten

Newby

et al. 2021

Clin. Psychol. Eur.

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Background Recent evidence suggests that anxiety is more common than depression in the perinatal period, however there are few interventions available to treat perinatal anxiety. Targeting specific processes that maintain anxiety, such as worry, may be one potentially promising way to reduce anxiety in this period. Given evidence that negative interpretation bias maintains worry, we tested whether interpretation bias could be modified, and whether this in turn would lead to less negative thought (i.e., worry) intrusions, in pregnant women with high levels of worry. Method Participants (N = 49, at least 16 weeks gestation) were randomly assigned to either an interpretation modification condition (CBM-I) which involved training in accessing positive meanings of emotionally ambiguous scenarios, or an active control condition in which the scenarios remained ambiguous and unresolved. Results Relative to the control condition, participants in the CBM-I condition generated significantly more positive interpretations and experienced significantly less negative thought intrusions. Conclusions Our findings indicate that worry is a modifiable risk factor during pregnancy, and that it is possible to induce a positive interpretation bias in pregnant women experiencing high levels of worry. Although preliminary, our findings speak to exciting clinical possibilities for the treatment of worry and the prevention of perinatal anxiety.

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Mental Imagery and Interpretational Processing Biases

Blackwell

2023

CBT: Science Into Practice

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Impact of imagery-enhanced interpretation training on offline and online interpretations in worry

Cited by 15 publications

References 57 publications

Suppression May Improve Adaptation to Worry When Facing Uncertainty: Studying COVID-19 Pandemic

Suppression May Improve Adaptation to Worry When Facing Uncertainty: Studying COVID-19 Pandemic

Looking on the bright side reduces worry in pregnancy: Training interpretations in pregnant women

Mental Imagery and Interpretational Processing Biases

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