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The attention training technique, self-focused attention, and anxiety: a laboratory-based component study.

Behaviour research and therapy
October 1, 2014
Thomas A Fergus et al. (3 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the effects of the attention training technique (ATT) and a mindfulness-based task on focus of attention and anxiety reduction.

Results Summary

The mindfulness-based task increased self-focused attention and reduced anxiety, while ATT increased external focus of attention and also reduced anxiety. Changes in self-focused attention were linked to anxiety reduction differently for each intervention.

Population

Nonclinical participants

Effective Dosage

Not specified

Duration

One session

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
attention training technique (ATT)
increase
focus of attention
Nonclinical participants
-
differentially changed
#1
attention training technique (ATT)
increase
external focus of attention
Nonclinical participants
-
causing greater external focus of attention
#2
mindfulness-based task
increase
self-focused attention
Nonclinical participants
-
causing greater self-focused attention
#3
attention training technique (ATT)
decrease
anxiety
Nonclinical participants
-
led to reductions
#4
mindfulness-based task
decrease
anxiety
Nonclinical participants
-
led to reductions
#5
attention training technique (ATT)
decrease
anxiety
Nonclinical participants
-
Reductions in self-focused attention were related to less anxiety
#6
mindfulness-based task
decrease
anxiety
Nonclinical participants
-
increases in self-focused attention were related to less anxiety
#7
Abstract

Self-focused attention is an important target of intervention within Wells's (2009) metacognitive therapy and the attention training technique (ATT) is one component of metacognitive therapy that purportedly alters focus of attention. However, we do not yet fully understand whether ATT causes changes in focus of attention, the effectiveness of ATT compared to other techniques in reducing self-focused attention, and how ATT leads to its therapeutic gains. A laboratory-based component study was completed to address these gaps in the literature. Nonclinical participants were randomly assigned to one session of ATT (n = 38) or a mindfulness-based task (n = 38). ATT and the mindfulness-based task differentially changed focus of attention, with ATT causing greater external focus of attention and the mindfulness-based task causing greater self-focused attention from pre-to-post manipulation. ATT and the mindfulness-based task both led to reductions in anxiety. Reductions in self-focused attention were related to less anxiety following ATT, whereas increases in self-focused attention were related to less anxiety following the mindfulness-based task. Conceptual and therapeutic implications are discussed.

Medical Subject Headings (MeSH)
AdolescentAnxietyAttentionCognitive Behavioral TherapyFemaleHumansMaleMindfulnessSelf ConceptYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy70/10
Quality80/10
Citation Metrics
Total Citations18
Citations/Year1.6
Relative Citation Ratio0.99
NIH Percentile49.7%
Research Impact Scores
APT Score0.25
Weight Score1.62
Normalized Score0.64
Related Supplements
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