Skip to main content
Top
Published in: Cognitive Therapy and Research 1/2016

Open Access 01-02-2016 | Original Article

Always Approach the Bright Side of Life: A General Positivity Training Reduces Stress Reactions in Vulnerable Individuals

Authors: Eni S. Becker, Hannah Ferentzi, Gina Ferrari, Martin Möbius, Suzanne Brugman, José Custers, Naline Geurtzen, Joelle Wouters, Mike Rinck

Published in: Cognitive Therapy and Research | Issue 1/2016

Login to get access

Abstract

Emotional disorders are characterized by cognitive biases towards negative stimuli, and a lack of biases towards positive ones. Therefore, we developed a cognitive bias modification training, modifying approach-avoidance tendencies to diverse emotional pictures. In Study 1, a negative training (pull negative, push positive pictures) was compared to a positive training (vice versa) in 141 students. The pre-existing positivity bias remained after positive training, but reversed into a negativity bias after negative training. This effect transferred to an attentional bias. The training affected neither mood nor emotional vulnerability to stress. In Study 2, we investigated the effects of the positive training in 102 dysphoric and non-dysphoric students, all in a sad mood state. Compared to placebo training, the positive training strengthened a positivity bias, and it reduced emotional vulnerability in dysphoric students. This suggests potential therapeutic value of the training, but further studies are needed.
Footnotes
1
Including the baseline compatibility effect as a covariate did not change the results (p > .162).
 
2
These results remained non-significant after including the baseline compatibility effect as a covariate (p > .791).
 
3
Including the baseline compatibility effect as a covariate did not change these results (p > .475).
 
Literature
go back to reference Amir, N., Beard, C., Taylor, C. T., Klumpp, H., Elias, J., Bums, M., et al. (2009). Attention training in individuals with generalized social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 77(5), 961–973. doi:10.1037/a0016685.PubMedCentralCrossRefPubMed Amir, N., Beard, C., Taylor, C. T., Klumpp, H., Elias, J., Bums, M., et al. (2009). Attention training in individuals with generalized social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 77(5), 961–973. doi:10.​1037/​a0016685.PubMedCentralCrossRefPubMed
go back to reference Asnaani, A., Rinck, M., Becker, E., & Hofmann, S. G. (2014). The effects of approach-avoidance modification on social anxiety disorder: A pilot study. Cognitive Therapy and Research, 38(2), 226–238.PubMedCentralCrossRefPubMed Asnaani, A., Rinck, M., Becker, E., & Hofmann, S. G. (2014). The effects of approach-avoidance modification on social anxiety disorder: A pilot study. Cognitive Therapy and Research, 38(2), 226–238.PubMedCentralCrossRefPubMed
go back to reference Beard, C., Sawyer, A. T., & Hofmann, D. G. (2012). Efficacy of attention bias modification using threat and appetitive stimuli: A meta-analytic review. Behavior Therapy, 43(4), 724–740.PubMedCentralCrossRefPubMed Beard, C., Sawyer, A. T., & Hofmann, D. G. (2012). Efficacy of attention bias modification using threat and appetitive stimuli: A meta-analytic review. Behavior Therapy, 43(4), 724–740.PubMedCentralCrossRefPubMed
go back to reference Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York, NY: Hoeber. Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York, NY: Hoeber.
go back to reference Bitsika, V., Sharpley, C. F., & Hartley, L. (2010). The specific environmental antecedents of anxiety and depression among Australian university students: Development of the effects of university study on lifestyle questionnaire. The International Journal of Educational and Psychological Assesment, 4, 2–18. Bitsika, V., Sharpley, C. F., & Hartley, L. (2010). The specific environmental antecedents of anxiety and depression among Australian university students: Development of the effects of university study on lifestyle questionnaire. The International Journal of Educational and Psychological Assesment, 4, 2–18.
go back to reference Deldin, P. J., Keller, J., Gergen, J. A., & Miller, G. A. (2001). Cognitive bias and emotion in neuropsychological models of depression. Cognition and Emotion, 15(6), 787–802.CrossRef Deldin, P. J., Keller, J., Gergen, J. A., & Miller, G. A. (2001). Cognitive bias and emotion in neuropsychological models of depression. Cognition and Emotion, 15(6), 787–802.CrossRef
go back to reference Dunn, B. D., Dalgleish, T., Lawrence, A. D., & Ogilvie, A. D. (2007). The accuracy of self-monitoring and its relationship to self-focused attention in dysphoria and clinical depression. Journal of Abnormal Psychology, 116(1), 1–15. doi:10.1037/0021-843x.116.1.1.CrossRefPubMed Dunn, B. D., Dalgleish, T., Lawrence, A. D., & Ogilvie, A. D. (2007). The accuracy of self-monitoring and its relationship to self-focused attention in dysphoria and clinical depression. Journal of Abnormal Psychology, 116(1), 1–15. doi:10.​1037/​0021-843x.​116.​1.​1.CrossRefPubMed
go back to reference Eberl, C., Wiers, R. W., Pawelczack, S., Rinck, M., Becker, E., & Lindenmeyer, J. (2013). Approach bias modification in alcohol dependence: Do clinical effects replicate and for whom does it work best? Developmental Cognitive Neuroscience, 4, 38–51. doi:10.1016/j.dcn.2012.11.002.CrossRefPubMed Eberl, C., Wiers, R. W., Pawelczack, S., Rinck, M., Becker, E., & Lindenmeyer, J. (2013). Approach bias modification in alcohol dependence: Do clinical effects replicate and for whom does it work best? Developmental Cognitive Neuroscience, 4, 38–51. doi:10.​1016/​j.​dcn.​2012.​11.​002.CrossRefPubMed
go back to reference Eberl, C., Wiers, R. W., Pawelczack, S., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2014). Implementation of approach bias re-training in alcoholism: How many sessions are needed? Alcoholism, Clinical and Experimental Research, 38(2), 587–594.CrossRefPubMed Eberl, C., Wiers, R. W., Pawelczack, S., Rinck, M., Becker, E. S., & Lindenmeyer, J. (2014). Implementation of approach bias re-training in alcoholism: How many sessions are needed? Alcoholism, Clinical and Experimental Research, 38(2), 587–594.CrossRefPubMed
go back to reference Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the ffect of Cognitive Bias Modification on anxiety and depression. Psychological Bulletin, 137(6), 940–958. doi:10.1037/a0024355.CrossRefPubMed Hallion, L. S., & Ruscio, A. M. (2011). A meta-analysis of the ffect of Cognitive Bias Modification on anxiety and depression. Psychological Bulletin, 137(6), 940–958. doi:10.​1037/​a0024355.CrossRefPubMed
go back to reference Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2005). International Affective Picture System (IAPS): Instruction manual and affective ratings. Technical Report A-6. Gainesville: University of Florida. Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (2005). International Affective Picture System (IAPS): Instruction manual and affective ratings. Technical Report A-6. Gainesville: University of Florida.
go back to reference Liang, C.-W., Hsu, W.-Y., Hung, F.-C., Wang, W.-T., & Lin, C.-H. (2011). Absence of a positive bias in social anxiety: The application of a directed forgetting paradigm. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 204–210. doi:10.1016/j.jbtep.2010.12.002.CrossRefPubMed Liang, C.-W., Hsu, W.-Y., Hung, F.-C., Wang, W.-T., & Lin, C.-H. (2011). Absence of a positive bias in social anxiety: The application of a directed forgetting paradigm. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 204–210. doi:10.​1016/​j.​jbtep.​2010.​12.​002.CrossRefPubMed
go back to reference Lundqvist, D., Flykt, A., & Öhman, A. (1998). The Karolinska Directed Emotional Faces—KDEF, CD ROM from Department of Clinical Neuroscience, Psychology section. Stockholm: Karolinska Institutet. ISBN 91-630-7164-9. Lundqvist, D., Flykt, A., & Öhman, A. (1998). The Karolinska Directed Emotional Faces—KDEF, CD ROM from Department of Clinical Neuroscience, Psychology section. Stockholm: Karolinska Institutet. ISBN 91-630-7164-9.
go back to reference MacLeod, C., & Mathews, A. (2012). Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology, 8, 189–217.CrossRefPubMed MacLeod, C., & Mathews, A. (2012). Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology, 8, 189–217.CrossRefPubMed
go back to reference MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of Abnormal Psychology, 111(1), 107–123. doi:10.1037//0021-843x.111.1.107.CrossRefPubMed MacLeod, C., Rutherford, E., Campbell, L., Ebsworthy, G., & Holker, L. (2002). Selective attention and emotional vulnerability: Assessing the causal basis of their association through the experimental manipulation of attentional bias. Journal of Abnormal Psychology, 111(1), 107–123. doi:10.​1037/​/​0021-843x.​111.​1.​107.CrossRefPubMed
go back to reference Peeters, F. P. M. L., Ponds, R. W. H. M., & Vermeeren, M. T. G. (1993). Affectiviteit en zelfbeoordeling van depressie en angst. Tijdschrift voor Psychiatrie, 38(3), 240–250. Peeters, F. P. M. L., Ponds, R. W. H. M., & Vermeeren, M. T. G. (1993). Affectiviteit en zelfbeoordeling van depressie en angst. Tijdschrift voor Psychiatrie, 38(3), 240–250.
go back to reference Randall, D. M., & Cox, W. M. (2001). Experimental mood inductions in persons at high and low risk for alcohol problems. American Journal of Drug and Alcohol Abuse, 27(1), 183–187.CrossRefPubMed Randall, D. M., & Cox, W. M. (2001). Experimental mood inductions in persons at high and low risk for alcohol problems. American Journal of Drug and Alcohol Abuse, 27(1), 183–187.CrossRefPubMed
go back to reference Rinck, M., Telli, S., Kampmann, I. L., Woud, M. L., Kerstholt, M., te Velthuis, S., et al. (2013). Training approach-avoidance of smiling faces affects emotional vulnerability in socially anxious individuals. Frontiers in Human Neuroscience,. doi:10.3389/fnhum.2013.00481.PubMedCentralPubMed Rinck, M., Telli, S., Kampmann, I. L., Woud, M. L., Kerstholt, M., te Velthuis, S., et al. (2013). Training approach-avoidance of smiling faces affects emotional vulnerability in socially anxious individuals. Frontiers in Human Neuroscience,. doi:10.​3389/​fnhum.​2013.​00481.PubMedCentralPubMed
go back to reference Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review, 25(4), 487–510. doi:10.1016/j.cpr.2005.01.005.CrossRefPubMed Scher, C. D., Ingram, R. E., & Segal, Z. V. (2005). Cognitive reactivity and vulnerability: Empirical evaluation of construct activation and cognitive diatheses in unipolar depression. Clinical Psychology Review, 25(4), 487–510. doi:10.​1016/​j.​cpr.​2005.​01.​005.CrossRefPubMed
go back to reference Schuck, K., Keijsers, G., & Rinck, M. (2012). Implicit processes in pathological skin picking: Responses to skin irregularities predict symptom severity and treatment susceptibility. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 685–691. doi:10.1016/j.jbtep.2011.09.004.CrossRefPubMed Schuck, K., Keijsers, G., & Rinck, M. (2012). Implicit processes in pathological skin picking: Responses to skin irregularities predict symptom severity and treatment susceptibility. Journal of Behavior Therapy and Experimental Psychiatry, 43(1), 685–691. doi:10.​1016/​j.​jbtep.​2011.​09.​004.CrossRefPubMed
go back to reference See, J., MacLeod, C., & Bridle, R. (2009). The reduction of anxiety vulnerability through the modification of attentional bias: A real-world study using a home-based cognitive bias modification procedure. Journal of Abnormal Psychology, 118(1), 65–75. doi:10.1037/a0014377.CrossRefPubMed See, J., MacLeod, C., & Bridle, R. (2009). The reduction of anxiety vulnerability through the modification of attentional bias: A real-world study using a home-based cognitive bias modification procedure. Journal of Abnormal Psychology, 118(1), 65–75. doi:10.​1037/​a0014377.CrossRefPubMed
go back to reference Stevens, J. P. (2002). Applied multivariate statistics for the social sciences (4th ed.). Hillsdale, NJ: Erlbaum. Stevens, J. P. (2002). Applied multivariate statistics for the social sciences (4th ed.). Hillsdale, NJ: Erlbaum.
go back to reference Wiers, R. W., Eberl, C., Rinck, R., Becker, E. S., & Lindenmeyer, J. (2011). Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psycholical Science, 22(4), 490–497.CrossRef Wiers, R. W., Eberl, C., Rinck, R., Becker, E. S., & Lindenmeyer, J. (2011). Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome. Psycholical Science, 22(4), 490–497.CrossRef
go back to reference Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12(1), 63–70.CrossRefPubMed Zung, W. W. K. (1965). A self-rating depression scale. Archives of General Psychiatry, 12(1), 63–70.CrossRefPubMed
go back to reference Zung, W. W. K. (1973). From art to science: Diagnosis and treatment of depression. Archives of General Psychiatry, 29(3), 328–337.CrossRefPubMed Zung, W. W. K. (1973). From art to science: Diagnosis and treatment of depression. Archives of General Psychiatry, 29(3), 328–337.CrossRefPubMed
Metadata
Title
Always Approach the Bright Side of Life: A General Positivity Training Reduces Stress Reactions in Vulnerable Individuals
Authors
Eni S. Becker
Hannah Ferentzi
Gina Ferrari
Martin Möbius
Suzanne Brugman
José Custers
Naline Geurtzen
Joelle Wouters
Mike Rinck
Publication date
01-02-2016
Publisher
Springer US
Published in
Cognitive Therapy and Research / Issue 1/2016
Print ISSN: 0147-5916
Electronic ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-015-9716-2

Other articles of this Issue 1/2016

Cognitive Therapy and Research 1/2016 Go to the issue