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Expanding the framework of attention in posttraumatic stress disorder: Commentary on Clauss et al. (2025)
Janne L Punski-Hoogervorst1, Avi Avital1
1Behavioral Neurobiology Lab, Department of Occupational Therapy, University of Haifa, Haifa, Israel.
Abstract:
This commentary expands on Clauss et al.'s (2025) meta-analysis of attention control training (ACT) for posttraumatic stress disorder (PTSD) by situating ACT and related interventions within a broader framework of attentional functioning. Although ACT and attention bias modification (ABM) show promise in targeting specific attentional processes, both neglect key domains, such as divided attention and multisensory regulation, which are often impaired in PTSD. Drawing on neuropsychological and neuroimaging findings, we highlight the need for the application of a multidimensional model of attention that accounts for the complexity of trauma-related attentional dysregulation. Future interventions should integrate a wider range of attentional components to improve clinical relevance and effectiveness.
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