Web-Based Cognitive Bias Modification Interventions for Psychiatric Disorders: Scoping Review.
Melvyn Zhang1, Jiangbo Ying1, Guo Song1
1National Addictions Management Service, Institute of Mental Health, Singapore, Singapore.
JMIR Mental Health
|October 26, 2019
Summary
Web-based cognitive bias modification shows promise for reducing biases in conditions like social anxiety and OCD. Further research with larger groups is needed to confirm effectiveness.
Area of Science:
- Psychology
- Psychiatry
- Digital Health
Background:
- Cognitive biases are automatic tendencies influencing attention and interpretation in disorders like addiction and anxiety.
- Cognitive bias modification (CBM) interventions have shown efficacy but were previously lab-bound.
- Web technologies now enable wider application of CBM interventions.
Purpose of the Study:
- To conduct a scoping review of Web-based cognitive bias interventions.
- To determine the scope and effectiveness of these online interventions.
Main Methods:
- Searched major databases (PubMed, EMBASE, PsycINFO, etc.) from inception to December 2017.
- Used keywords related to cognitive biases and online delivery methods.
- Conducted a narrative synthesis due to heterogeneity in reported outcomes.
Main Results:
- Identified 22 randomized controlled studies across various disorders including social anxiety, OCD, and substance use disorders.
- Sample sizes ranged from 16 to 434 participants.
- Preliminary evidence suggests Web-based interventions can reduce biases in adolescents with anxiety/depression and individuals with OCD.
Conclusions:
- This is the first scoping review of Web-based CBM for psychiatric disorders.
- Interventions have been primarily applied to social anxiety and addictive disorders.
- Larger studies are required to definitively establish the effectiveness of Web-based CBM.
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