| Objective To explore the characteristics and intervention of attention bias(AB)in adolescents with anxiety disorder(AD).AD is a group of mental diseases with uncontrollable unnecessary worry,fear and negative cognition as the main clinical manifestations.It will have a great impact on teenagers’ life and learning,and even cause great harm to their work and life in adulthood.Attention bias may be one of the important factors in the occurrence and maintenance of anxiety,and the intervention of attention bias may reduce anxiety symptoms.In foreign countries,attention bias modification training(ABMT)has been used to treat anxiety disorder patients,and good results have been achieved.At present,there are few researches on adolescent anxiety disorder in China.In this study,dot probe paradigm was used to study the characteristics of attention bias and the effect of intervention.Methods 60 adolescent patients with anxiety disorder who meet DSM-5 diagnostic criteria were randomly divided into attention biased training group(AB group)and non attention biased training group(NAB group),and 40 healthy control group matched with the first 40 cases of gender,age and education were collected at the same time(hereinafter,40 adolescent patients with anxiety disorder in the first group will be called sick group).The screen for child anxiety related emotional disorders(SCARED)was used to evaluate the symptoms,the attention bias training was carried out in group AB,the non attention bias training was carried out in NAB group,the attention bias paradigm was used to evaluate the attention bias before and after the training,and the State Trait Anxiety Inventory(STAI)was used to assess the attention bias of adolescent patients with anxiety disorder STAI)was used to evaluate the effect before and after training.Results In the test of attentional bias,the negative reaction of the case group(647.14±94.44)ms was lower than the neutral response(661.08±112.07)ms,and the attention bias value of the case group(13.93±33.27)ms was higher than the control group(-0.13±18.49)ms,the difference was statistically significant(t=-2.37,t=2.06,P<0.05).In the total score and each factor score of SCARED,total score of SCARED was negatively correlated with the negative accuracy rate(r=-0.38),and the separation anxiety score was negatively correlated with the negative accuracy rate(r=-0.52),social terrorism scores were negatively correlated with negative accuracy(r=-0.45)and neutral accuracy(r=-0.44)(all P<0.05).There were no significant differences between somatization,generalized anxiety,and school terror with attention bias test.Adolescents with anxiety disorder are more concerned with negative stimuli,and it is difficult to shift attention from negative stimuli.The avoidance to neutral stimuli may be a risk factor for the severity of symptoms in adolescents with anxiety disorder.Attention towards intervention in patients with anxiety disorder youth training,pay attention to training before and after the exercise group pay attention to the change of the bias(16.25 ± 8.19)less attention to training group change(6.56 ± 5.85),with significant difference(P > 0.05),and pay attention to training people in the state anxiety before and after the points to reduce(7.52±5.00)vs(4.07±5.86),with significant difference(P > 0.05),trait anxiety score change is not obvious.Conclusion Adolescents with anxiety disorder pay more attention to negative stimulation.Avoidance of neutral stimulation may be a risk factor for the severity of symptoms in adolescents with anxiety disorder.Attention biased training changes and non biased attention training can change the attention biased value of adolescent patients with anxiety disorder.Attention biased training makes the response time of patients to negative stimulation slow down,while non attention biased training makes the response time of patients to negative stimulation increase relatively.Attention bias training can change the state anxiety of adolescents with anxiety disorder,but not the trait anxiety. |
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