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Updated: Jun 21, 2026

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A Two-interval Forced-choice Task for Multisensory Comparisons
Published on: November 9, 2018
Comparing visual and auditory presentation for the modification of interpretation bias
Helen Standage1, Chris Ashwin, Elaine Fox
1University of Essex, Colchester, UK. hjstan@essex.ac.uk
Journal of Behavior Therapy and Experimental Psychiatry
|August 15, 2009
Summary
Cognitive bias modification (CBM) training via visual or auditory means successfully induced negative interpretation biases. Auditory CBM negatively impacted mood, highlighting a methodological concern for future research.
Area of Science:
- Cognitive psychology
- Clinical psychology
- Neuroscience
Background:
- Cognitive bias modification (CBM) is a therapeutic approach aimed at altering maladaptive cognitive patterns.
- Understanding the optimal presentation modality for CBM is crucial for its efficacy and participant experience.
Purpose of the Study:
- To compare the effects of visual versus auditory presentation of CBM training on interpretation styles.
- To assess the impact of different CBM presentation modalities on emotional vulnerability and mood.
Main Methods:
- Participants underwent CBM training with either visual or auditory presentation of scenarios.
- Interpretation biases were measured pre- and post-training.
- Emotional vulnerability was assessed using behavioral measures and self-report questionnaires.
- Mood was monitored throughout the CBM procedure.
Main Results:
- Negative interpretation biases were successfully induced in both visual and auditory CBM groups.
- Mood declined significantly in the auditory CBM group but not the visual group.
- Behavioral measures of emotional vulnerability remained unchanged.
- Self-reported depression vulnerability increased in the positive CBM condition, contrary to predictions.
Conclusions:
- Both visual and auditory CBM can induce negative interpretation biases.
- Auditory presentation of CBM may negatively affect mood, suggesting a need for methodological adjustments.
- CBM's impact on emotional vulnerability is complex, with self-reported depression vulnerability increasing in the positive CBM condition.

