View in EDS HTML Full Text PDF Full Text

Cognitive bias modification training of attention and interpretation to reduce expectations of social rejection in adolescents with eating disorders: A small efficacy randomized controlled trial.

Saved in:
Bibliographic Details
Title: Cognitive bias modification training of attention and interpretation to reduce expectations of social rejection in adolescents with eating disorders: A small efficacy randomized controlled trial.
Authors: Rowlands, Katie, Beaty, Taryn, Simic, Mima, Grafton, Ben, Hirsch, Colette, Treasure, Janet, Cardi, Valentina
Source: International Journal of Eating Disorders. Nov2022, Vol. 55 Issue 11, p1506-1520. 15p. 1 Diagram, 4 Charts, 1 Graph.
Subjects: Anorexia nervosa treatment, Anorexia nervosa, Telepsychiatry, Effect sizes (Statistics), Criticism, Treatment effectiveness, Randomized controlled trials, Pre-tests & post-tests, Comparative studies, Social status, Descriptive statistics, Teenagers' conduct of life, Mental depression, Cognitive testing, Statistical sampling, Emotions, Anxiety, Cognitive therapy, Attentional bias, Evaluation, Adolescence
Abstract: Objective: This study aimed to investigate whether a computerized cognitive bias modification training delivered remotely would reduce expectations of rejection in adolescents with eating disorders. Method: Sixty‐seven adolescents aged 12–18 (99.5% female) with an eating disorder diagnosis (94% anorexia nervosa) and receiving specialist treatment were recruited. Participants were randomized to an intervention condition (n = 37) which included treatment as usual (TAU) supplemented by nine sessions of online cognitive bias modification training for social stimuli (CBMT + TAU), or a control condition (n = 30), which included TAU only. Participants were invited to complete assessments at baseline and post‐intervention. Results: In the intervention condition, 22/37 participants completed six or more training sessions and post‐intervention measures, the pre‐defined criteria to be considered "completers." In the control condition, 28/30 participants completed the post‐intervention measures. Participants who completed the intervention displayed a significantly greater reduction in negative interpretations of ambiguous social scenarios, with a medium effect size (p =.048, ηp2 =.090), and eating disorder psychopathology, with a medium effect size (p =.027, ηp2 =.105), compared to participants in the control condition. No significant between‐group differences were found on emotional response to criticism, and anxiety and depression symptoms post‐intervention (ps >.05; small effect sizes). Discussion: Enhancing treatment as usual with CBMT targeting expectations of social rejection might be feasible and effective to reduce expectations of social rejection and eating disorder psychopathology in adolescents with eating disorders. Training adaptations might be necessary to impact on emotional processing and comorbid psychological distress. Public Significance: Adolescents with eating disorders who completed a brief (4‐week) online cognitive training intervention, alongside their usual treatment, reported greater reductions in expectations of social rejection and eating disorder psychopathology after the intervention, compared to a separate group of patients who received their usual treatment only. This brief and accessible intervention may be a helpful treatment adjunct for adolescents with eating disorders. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 160029986
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Cognitive bias modification training of attention and interpretation to reduce expectations of social rejection in adolescents with eating disorders: A small efficacy randomized controlled trial.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Rowlands%2C+Katie%22">Rowlands, Katie</searchLink><br /><searchLink fieldCode="AR" term="%22Beaty%2C+Taryn%22">Beaty, Taryn</searchLink><br /><searchLink fieldCode="AR" term="%22Simic%2C+Mima%22">Simic, Mima</searchLink><br /><searchLink fieldCode="AR" term="%22Grafton%2C+Ben%22">Grafton, Ben</searchLink><br /><searchLink fieldCode="AR" term="%22Hirsch%2C+Colette%22">Hirsch, Colette</searchLink><br /><searchLink fieldCode="AR" term="%22Treasure%2C+Janet%22">Treasure, Janet</searchLink><br /><searchLink fieldCode="AR" term="%22Cardi%2C+Valentina%22">Cardi, Valentina</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Nov2022, Vol. 55 Issue 11, p1506-1520. 15p. 1 Diagram, 4 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Anorexia+nervosa+treatment%22">Anorexia nervosa treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</searchLink><br /><searchLink fieldCode="DE" term="%22Telepsychiatry%22">Telepsychiatry</searchLink><br /><searchLink fieldCode="DE" term="%22Effect+sizes+%28Statistics%29%22">Effect sizes (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Criticism%22">Criticism</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Social+status%22">Social status</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers'+conduct+of+life%22">Teenagers' conduct of life</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+testing%22">Cognitive testing</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Attentional+bias%22">Attentional bias</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: This study aimed to investigate whether a computerized cognitive bias modification training delivered remotely would reduce expectations of rejection in adolescents with eating disorders. Method: Sixty‐seven adolescents aged 12–18 (99.5% female) with an eating disorder diagnosis (94% anorexia nervosa) and receiving specialist treatment were recruited. Participants were randomized to an intervention condition (n = 37) which included treatment as usual (TAU) supplemented by nine sessions of online cognitive bias modification training for social stimuli (CBMT + TAU), or a control condition (n = 30), which included TAU only. Participants were invited to complete assessments at baseline and post‐intervention. Results: In the intervention condition, 22/37 participants completed six or more training sessions and post‐intervention measures, the pre‐defined criteria to be considered "completers." In the control condition, 28/30 participants completed the post‐intervention measures. Participants who completed the intervention displayed a significantly greater reduction in negative interpretations of ambiguous social scenarios, with a medium effect size (p =.048, ηp2 =.090), and eating disorder psychopathology, with a medium effect size (p =.027, ηp2 =.105), compared to participants in the control condition. No significant between‐group differences were found on emotional response to criticism, and anxiety and depression symptoms post‐intervention (ps >.05; small effect sizes). Discussion: Enhancing treatment as usual with CBMT targeting expectations of social rejection might be feasible and effective to reduce expectations of social rejection and eating disorder psychopathology in adolescents with eating disorders. Training adaptations might be necessary to impact on emotional processing and comorbid psychological distress. Public Significance: Adolescents with eating disorders who completed a brief (4‐week) online cognitive training intervention, alongside their usual treatment, reported greater reductions in expectations of social rejection and eating disorder psychopathology after the intervention, compared to a separate group of patients who received their usual treatment only. This brief and accessible intervention may be a helpful treatment adjunct for adolescents with eating disorders. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=160029986
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.23809
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 1506
    Subjects:
      – SubjectFull: Anorexia nervosa treatment
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Telepsychiatry
        Type: general
      – SubjectFull: Effect sizes (Statistics)
        Type: general
      – SubjectFull: Criticism
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Social status
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Teenagers' conduct of life
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Cognitive testing
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Cognitive therapy
        Type: general
      – SubjectFull: Attentional bias
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Adolescence
        Type: general
    Titles:
      – TitleFull: Cognitive bias modification training of attention and interpretation to reduce expectations of social rejection in adolescents with eating disorders: A small efficacy randomized controlled trial.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Rowlands, Katie
      – PersonEntity:
          Name:
            NameFull: Beaty, Taryn
      – PersonEntity:
          Name:
            NameFull: Simic, Mima
      – PersonEntity:
          Name:
            NameFull: Grafton, Ben
      – PersonEntity:
          Name:
            NameFull: Hirsch, Colette
      – PersonEntity:
          Name:
            NameFull: Treasure, Janet
      – PersonEntity:
          Name:
            NameFull: Cardi, Valentina
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 11
              Text: Nov2022
              Type: published
              Y: 2022
          Identifiers:
            – Type: issn-print
              Value: 02763478
          Numbering:
            – Type: volume
              Value: 55
            – Type: issue
              Value: 11
          Titles:
            – TitleFull: International Journal of Eating Disorders
              Type: main
ResultId 1