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01-08-2019 | Anxiety | Original Article

Does Modification of Implicit Associations Regarding Contamination Affect Approach Behavior and Attentional Bias?

Authors: Christina Dusend, Laura M. S. De Putter, Ernst H. W. Koster, Fanny A. Dietel, Ulrike Buhlmann

Published in: Cognitive Therapy and Research | Issue 4/2019

Abstract

Individuals with contamination concerns show aberrant interpretational and attentional processes. Yet, it is unclear whether threat-related associations play a causal role in anxiety symptoms and attentional bias. The objective of our study was to investigate if training implicit associations affects stress reactivity and attention in the context of contamination concerns. In a double-blind randomized design, we used a modified Implicit Associations Task (IAT) to train associations between contamination and danger in a non-clinical sample (N = 121). Dependent measures were a brief-IAT to assess changes in associations, contamination-related behavior approach tasks, and a spatial cueing task to measure attentional bias. Results show that training successfully modified implicit associations. However, there were no transfer effects on approach behavior or attention. Findings suggest that the modified IAT is a useful task for training implicit associations, but that transfer to other domains (attention and behavior) is limited. Limitations and future implications are discussed.

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We assessed current depressive symptoms and suicidal ideation again upon arrival prior to study conduction. Participants were excluded prior to the study when they had a sum score of more than 19 or a score of more than 1 on the item no 9 in the BDI-II (N = 0).

In the following we will describe the blocks using the notation contamination/dangerous and contamination/not dangerous. This includes the blocks with reversed positions of same categories.

Words of the cleanliness set were used as neutral words for the spatial cueing task. To keep consistent with other studies, we refer to them as neutral words (since they are not related to danger or specific concerns) for the spatial cueing task.

The spatial cueing task contained 192 trials. Due to an error in programming, general threatening words were presented only on the left side of the screen. We did not use them for analyses to avoid bias of presentation location.

We provide further analyses in the Supplementary Material confirming our conclusion that increase in stress reactivity occurred in response to the BATs and is not related to other aspects of the experiment. Please find a time-course of adverse emotionality ratings assessed over visual analogue scales in the Supplementary Material.

We also conducted the same analyses with only both of the active training groups (NT vs. PT), since analyses of the B-IAT suggested significant differences only between those two. Results showed the same pattern, and there were no further significant results supporting hypothesis testing.

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Title: Does Modification of Implicit Associations Regarding Contamination Affect Approach Behavior and Attentional Bias?
Authors: Christina Dusend
Laura M. S. De Putter
Ernst H. W. Koster
Fanny A. Dietel
Ulrike Buhlmann
Publication date: 01-08-2019
Publisher: Springer US
Keyword: Anxiety
Published in: Cognitive Therapy and Research / Issue 4/2019
Print ISSN: 0147-5916
Electronic ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-018-09991-6

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Does Modification of Implicit Associations Regarding Contamination Affect Approach Behavior and Attentional Bias?

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