The Effect of the Group Training of the Attention Training Technique on Anxiety, Self-Focused Attention and Metaworries in Socially Anxious Adolescents

Authors
R. Sheykhan
Sh. Mohammadkhani
H. R. Hasanabadi
Abstract
The purpose of current study was to investigate the effect of Attention Training Technique (ATT) on the anxiety, self-focused attention and metacognitions in socially anxious adolescents. Of 200 participants, 34 participants were selected considering their scores in social anxiety scale (SAS), Beck Depression Scale and Structured Clinical Interview which was based on DSM-IV-TR. Finally, 16 participants were selected based on their high scores in Focus of Attention Questionnaire (FAQ) and metacognition questionnaire and after a social task in front of two adults then, these participants were randomly classified into experimental and control groups. Following the 4th and 8th sessions and following a month after the training, the two groups completed self-focused attention scale, metacognition questionnaire, cognitive-attentional syndrome scale and social anxiety questionnaire. According to the results of the study, resulting from analysis of variance with repeated measures, the experimental group showed significant reduction in self-focused attention, positive and negative metacognitive beliefs, cognitive control, cognitive attentional syndrome and social anxiety. The results of this study suggested that anxiety could be lastingly modified through a brief attention manipulation without the use of other cognitive behavioral techniques however, cogent decision making needs more studies
Keywords
Attention Training Technique
social anxiety
Self-focused attention
Metaworries
Adolescent
Amir, N., Beard, C., Burns, M., & Bomyea, J. (2009). Attention modification program in individuals with generalized anxiety disorder. Journal of Abnormal Psychology, 118 (1), 28–33.
Amir, N., Beard, C., Taylor, Ch. T., Klumpp, H., Elias, J., Burns, M. & Chen, X. (2009). Attention Training in Individuals with Generalized Social Phobia: A Randomized Controlled Trial. Journal Consult Clinical Psychology, 77(5), 961–973.
Bacow, T. L., Pincus, D. B., Ehrenreich, J. T., & Brody, L. R. (2009). The Metacognitions Questionnaire for Children: Development and validation in a clinical sample of children and adolescents with anxiety disorders. Journal of Anxiety Disorders, 23, 727-736.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J. & van IJzendoorn, M. H. (2007). Threat-Related Attentional Bias in Anxious and Nonanxious Individuals: A Meta-Analytic Study. Psychological Bulletin, 133(1), 1–24.
Barlow, D. H. (2002). Anxiety and its disorders: the nature and treatment of anxiety and panic (2nd ed). New York: Guilford Press.
Bieling, P. J., McCabe, R.E. & Antony, M. M. (2006). Cognitive-Behavioral Therapy in Groups. New York: The Guilford Press.
Cowart, M. J. W. Ollendick, H. (2011). Attention training in socially anxious children: A multiple baseline design analysis. Journal of Anxiety Disorders, 25, 972 – 977.
Ghaderi, B. (2012). Cognitive and Metacognitive Predictors of Anxiety in Adolescences. Unpublished Thesis for M. A. degree, University of kharazmi. [In Persian].
Hartman, L. M. (1983). A metacognitive model of social anxiety: implications for treatment. Journal of Clinical Psychology Review, 3, 435-456.
Hodson, K. J., McManus, F. V., Clark, D. M. & Doll, H. (2008). Can Clark and Wells’ (1995) Cognitive Model of Social Phobia be Applied to Young People? Behavioral and Cognitive Psychotherapy, 36, 449–461.
Hofmann, S. G. (2000). Self-focused attention before and after treatment of social phobia. Behavior Research and Therapy, 38, 717-725.
Khanjani, Z., Hossieni Nasab, D. & Sadeghi, F. (2010). Relationship Between Emotion Intelligence With Depression And Anxiety in Meshkin Shahr`s girl adolescences in 2010. Education Journal, 3(9), 51-69. [In Persian].
Khayyer, M., Ostovar, S., Latifian, M., Taghavi, M. R.& Samani, S. (2008). The Study of Mediating Effects of Self-Focused Attention and Social Self-Efficacy on Links between Social Anxiety and Judgment Biases. Iranian Journal of Psychiatry and Clinical Psychology, 14, 24-32. [In Persian].
Kley, H. Heinrichs, N. Bender, C. Tuschen-Caffier, B. (2011). Predictors of outcome in a cognitive-behavioral group program for children and adolescents with social anxiety disorder. Journal of Anxiety Disorders, 48, 717-725.
Klumpp, H. Amir, N. (2010). Preliminary Study of Attention Training to Threat and Neutral Faces on Anxious Reactivity to a Social Stressor in Social Anxiety. Cognitive Therapy & Research, 34, 263 – 271.
McEvoy, P. M. & Perini, S. J. (2009). Cognitive behavioral group therapy for social phobia with or without attention training: A controlled trial. Journal of Anxiety Disorders, 23, 519–528.
Mellings, T. & Alden, L. E. (2000). Cognitive processes in social anxiety: the effects of self- focus, rumination and anticipatory processing. Behavior Research and Therapy, 38, 243-257.
Melyani, M., Shairi, M. R., Ghaedi, G. h., Bakhtirari, M. & Tavali, A. (2009). The Effectiveness Of Cognitive-Behavioral Group Therapy Based On Heimberg`S Model On The Decrease Of Social Anxiety Symptoms. Iranian Journal of Psychiatry and Clinical Psychology, 15(1), 42-49. [In Persian].
Rapee, R. M. & Spence, S. H. (2004). The etiology of social phobia: Empirical evidence and an initial model. Clinical Psychology Review, 24, 737–767.
Wagner, R., Silove, D., Marnane, C., & Rouen, D. (2006). Delays in referral of patients with social phobia, panic disorder and generalized anxiety disorder attending a specialist anxiety clinic. Journal of Anxiety Disorders, 20, 363–371.
Wells, A. & Papageorgiou, C. (1998). Social Phobia: Effects of External Attention on Anxiety, Negative Beliefs, and Perspective Taking. Journal of behavior therapy, 29, 357-370.
Wells, A. & Papageorgiou, C. (2000). Social Phobia: Effects of external attention focus on anxiety, negative, beliefs and perspective taking. Journal of Behavior Research and Therapy, 29, 357 – 370.
Wells, A. (2007). The Attention Training Technique: Theory, Effects, and a Metacognitive Hypothesis on Auditory Hallucinations. Cognitive and Behavioral Practice, 14, 134–138.
Wells, A. (2009). Metacognitive therapy for anxiety and depression. Translated by shahram mohammadkhani (1390). Tehran: Varayedanesh.
Wells, A., White, J. & Carter, K. (1997). Attention Training: Effects on Anxiety and Beliefs in Panic and Social Phobia. Clinical Psychology and Psychotherapy, 4, 226-232.
Wong, Q. J. J. & Moulds, M. L. (2010). Do Socially Anxious Individuals Hold Positive Metacognitive Beliefs About Rumination? Behavior Change, 27 (2), 69–83.
Woody, S. R. (1996). Effects of Focus of Attention on Anxiety Levels and Social Performance of Individuals with Social Phobia. Journal of Abnormal Psychology, 105 (1), 61-6.