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The Reliability and Validity of Response-Based Measures of Attention Bias

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Abstract

Background

Attentional bias to threat is a fundamental transdiagnostic component and potential vulnerability factor for internalizing psychopathologies. However, the measurement of attentional bias, such as traditional scores from the dot-probe paradigm, evidence poor reliability and do not measure intra-individual variation in attentional bias.

Methods

The present study examined, in three independent samples, the psychometric properties of a novel attentional bias (AB) scoring method of the dot-probe task based on responses to individual trials. For six AB scores derived using the response-based approach, we assessed the internal consistency, test–retest reliability, familial associations, and external validity (using Social Anxiety Disorder, a disorder strongly associated with attentional bias to threatening faces).

Results

Compared to traditional AB scores, response-based scores had generally better internal consistency (range of Cronbach’s alphas: 0.68–0.92 vs. 0.41–0.71), higher test–retest reliabilities (range of Pearson’s correlations: 0.26–0.77 vs. − 0.05 to 0.35), and were more strongly related in family members (range of ICCs: 0.11–0.27 vs. 0–0.05). Furthermore, three response-based scores added incremental validity beyond traditional scores and gender in the external validators of current and lifetime Social Anxiety Disorder.

Conclusions

Findings indicate that response-based AB scores from the dot-probe task have better psychometric properties than traditional scores.

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Notes

  1. This Stimulus Onset Asynchrony was established from previous research (20–50 ms; Egloff and Hock 2003; Mathews et al. 1996) and piloted before data collection to ensure that the images disappeared before conscious awareness.

  2. We explored whether AB would vary under ‘threat’ and ‘safe’ contexts (order of safe and threat were counterbalanced). During the threatening context, participants heard random presentations of a woman screaming or nails scra** on slate (see Neumann et al. 2008; who used these sounds as unconditioned stimuli in Pavlovian conditioning). The traditional and response-based measures of AB were comparable under threat vs. safe contexts (all p’s > 0.16) as were the reliabilities. Thus, for ease of presentation of results and to increase power, all analyses combined trials from threat and safe contexts.

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Acknowledgements

This work was supported by the National Institute of Mental Health Grant R01 MH098093 and National Institute on Drug Abuse Grant R21 DA045285 awarded to Dr. Shankman.

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Correspondence to Stewart A. Shankman.

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Conflict of Interest

Emily E. E. Meissel, Huiting Liu, Elizabeth S. Stevens, Travis C. Evans, Jennifer C. Britton, Allison M. Letkiewicz and Stewart A. Shankman declare that they have no conflict of interest.

Informed Consent

All three studies were approved by the University of Illinois at Chicago International Review Board and were performed in accordance with the ethical standards as laid down in the latest version of the Declaration of Helsinki.

Animal Rights Statements

There were no non-human animals involved in this research.

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Meissel, E.E.E., Liu, H., Stevens, E.S. et al. The Reliability and Validity of Response-Based Measures of Attention Bias. Cogn Ther Res 46, 146–160 (2022). https://doi.org/10.1007/s10608-021-10212-w

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  • DOI: https://doi.org/10.1007/s10608-021-10212-w

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