title: Attentional bias in older adults: effects of generalized anxiety disorder and cognitive behavior therapy.
abstract: Attentional biases are known to play a contributing, and perhaps even causal role in the etiology of anxiety and other negative affective states. The prevalence of anxiety disorders in the older cohort is growing, and there are both theoretical and empirical reasons to suspect that age-related factors could moderate attentional bias effects in the context of late-life anxiety. The current study included one of the most widely-used measures of attentional bias, the dot-probe task (Mathews & MacLeod, 1985). Participants were older adults who were either nonanxious or diagnosed with generalized anxiety disorder. The patient subsample also completed cognitive behavior therapy (CBT) or an equivalent wait list condition, after which the dot probe was administered a second time. Results showed that clinical anxiety had no particular importance for the deployment of attention, casting doubt on the universality of biased attention in older anxiety patients. Although there were no maladaptive biases detected toward either threat or depression words at pretreatment, there was nevertheless a marginally significant differential reduction in bias toward threat words following CBT. This reduction did not occur among those in the wait list condition. Implications are discussed.
authors.affiliation: William Paterson University, United States. Electronic address: mohlmanj@wpunj.edu.
authors.forename: Jan
authors.initials: J
authors.lastname: Mohlman
authors.forename: Rebecca B
authors.initials: RB
authors.lastname: Price
authors.forename: Jeff
authors.initials: J
authors.lastname: Vietri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology / Q000523:psychology; D001007:Anxiety / Q000523:psychology; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy*; D001288:Attention / Q000502:physiology*; D016022:Case-Control Studies; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D004644:Emotions; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011930:Reaction Time; D012959:Socioeconomic Factors; D013647:Task Performance and Analysis; D016896:Treatment Outcome
keywords: Aging; Attentional bias; Dot probe; Generalized anxiety disorder; Older adults
references.citation: J Psychiatr Res. 1975 Nov;12(3):189-98
references.pmid: 1202204
references.citation: J Abnorm Psychol. 1986 Feb;95(1):15-20
references.pmid: 3700842
references.citation: Clin Psychol Rev. 2001 Jun;21(4):609-30
references.pmid: 11413869
references.citation: J Gerontol B Psychol Sci Soc Sci. 2006 Jan;61(1):P54-7
references.pmid: 16399942
references.citation: Behav Res Ther. 2008 Mar;46(3):358-74
references.pmid: 18304519
references.citation: Exp Aging Res. 2011 May;37(3):330-45
references.pmid: 21534032
references.citation: Psychol Bull. 1996 Sep;120(2):272-92
references.pmid: 8831298
references.citation: Psychol Sci. 2003 Sep;14(5):409-15
references.pmid: 12930469
references.citation: Biol Psychiatry. 2013 Jun 1;73(11):1064-70
references.pmid: 23510582
references.citation: J Child Psychol Psychiatry. 2012 Jun;53(6):678-86
references.pmid: 22136196
references.citation: Aging Ment Health. 2005 Nov;9(6):585-93
references.pmid: 16214707
references.citation: Int J Neuropsychopharmacol. 2009 Mar;12(2):169-79
references.pmid: 18752726
references.citation: Prev Med. 2004 Nov;39(5):1056-61
references.pmid: 15475041
references.citation: Behav Res Ther. 1985;23(5):563-9
references.pmid: 4051929
references.citation: Behav Res Ther. 1990;28(6):487-95
references.pmid: 2076086
references.citation: Arch Gen Psychiatry. 2005 Aug;62(8):922-33
references.pmid: 16061770
references.citation: Trends Cogn Sci. 2005 Oct;9(10):496-502
references.pmid: 16154382
references.citation: J Abnorm Psychol. 1995 Aug;104(3):532-6
references.pmid: 7673577
references.citation: Psychol Med. 2000 Jan;30(1):11-22
references.pmid: 10722172
references.citation: Psychol Aging. 2009 Sep;24(3):741-7
references.pmid: 19739931
references.citation: Transl Psychiatry. 2011 Oct 04;1:e46
references.pmid: 22833192
references.citation: Neuropsychology. 1999 Jan;13(1):111-20
references.pmid: 10067782
references.citation: Annu Rev Neurosci. 1990;13:25-42
references.pmid: 2183676
references.citation: Biol Psychol. 2000 Oct;54(1-3):35-54
references.pmid: 11035219
references.citation: Biol Psychiatry. 2010 Dec 1;68(11):982-90
references.pmid: 20887977
references.citation: J Abnorm Psychol. 2012 Feb;121(1):232-7
references.pmid: 21707123
references.citation: Behav Res Ther. 1992 Mar;30(2):151-61
references.pmid: 1567344
references.citation: Am J Geriatr Psychiatry. 2012 Sep;20(9):798-805
references.pmid: 21941169
references.citation: Psychol Bull. 2007 Jan;133(1):1-24
references.pmid: 17201568
references.citation: Psychol Aging. 2006 Jun;21(2):303-17
references.pmid: 16768577
references.citation: Am Psychol. 1999 Mar;54(3):165-81
references.pmid: 10199217
references.citation: Behav Res Ther. 2005 Apr;43(4):447-65
references.pmid: 15701356
references.citation: J Gerontol A Biol Sci Med Sci. 2003 Mar;58(3):249-65
references.pmid: 12634292