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Threat bias in attention orienting: evidence of specificity in a large community-based study

Salum, G.A., Mogg, K., Bradley, B.P., Gadelha, A., Pan, P., Tananaha, A.C., Moriyama, T., Graeff-Martins, A.S., Jarros, R.B., Polanczyk, G., do Rosario, M.C., Leibenluft, E., Rohde, L.A., Manfro, G.G. and Pine, D.S. (2013) Threat bias in attention orienting: evidence of specificity in a large community-based study Psychological Medicine, 43, (4), pp. 733-745. (doi:10.1017/S0033291712001651).

Record type: Article


Background: Preliminary research implicates threat-related attention biases in pediatric anxiety disorders. However, major questions exist concerning diagnostic specificity, effects of symptom-severity levels, and threat-stimulus exposure durations in attention paradigms. This study examines these issues in a large, community school-based sample.

Methods: A total of 2,046 children (ages 6-to-12) were assessed using the Development and Well Being Assessment (DAWBA), Childhood Behavior Checklist (CBCL) and dot-probe tasks. Children were classified based on presence or absence of “fear-related” disorders, “distress-related” disorders, and behavior disorders. Two dot-probe tasks, which differed in stimulus exposure, assessed attention biases for happy-face and threat-face cues. The main analysis included 1774 children.

Results: For attention bias scores, a three-way interaction emerged among face-cue emotional valence, diagnostic group, and internalizing-symptom severity (F=2.87, p<0.05). This interaction reflected different associations between internalizing symptom severity and threat-related attention bias across diagnostic groups. In children with no diagnosis (n=1411; mean difference=11.03; SE=3.47, df=1, p<0.001) and those with distress-related disorders (n=66; mean difference=10.63; SE=5.24, df=1, p<0.05), high internalizing symptoms predicted vigilance towards threat. However, in children with fear-related disorders (n=86; mean difference=-11.90; SE=5.94, df=1; p<0.05), high internalizing symptoms predicted an opposite tendency, manifesting as greater bias away from threat. These associations did not emerge in the behavior-disorder group (n=211).

Conclusions: The association between internalizing symptoms and biased orienting varies with the nature of developmental psychopathology. Both the form and severity of psychopathology moderates threat-related attention biases in children.

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More information

Accepted/In Press date: 3 July 2012
e-pub ahead of print date: 31 July 2012
Published date: April 2013
Keywords: anxiety, attention, cognition, emotion, phobias
Organisations: Clinical Neuroscience


Local EPrints ID: 340846
ISSN: 0033-2917
PURE UUID: 5762784e-d4e4-4826-9849-e4c7b1ce415d

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Date deposited: 04 Jul 2012 10:55
Last modified: 18 Jul 2017 05:41

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Author: G.A. Salum
Author: K. Mogg
Author: B.P. Bradley
Author: A. Gadelha
Author: P. Pan
Author: A.C. Tananaha
Author: T. Moriyama
Author: A.S. Graeff-Martins
Author: R.B. Jarros
Author: G. Polanczyk
Author: M.C. do Rosario
Author: E. Leibenluft
Author: L.A. Rohde
Author: G.G. Manfro
Author: D.S. Pine

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