Abstract
The vigilance-avoidance attention pattern is found in anxious adults, who initially gaze more at threatening pictures than nonanxious adults (vigilance), but subsequently gaze less at them than nonanxious adults (avoidance). The present research, using eye tracking methodology, tested whether anxious children show the same pattern. Children with separation anxiety disorder or no mental disorder viewed pairs of pictures, while the direction of their gaze was tracked. Each picture pair showed one picture of a woman separating from a child, the other picture of a woman reuniting with a child. The results supported the vigilance-avoidance model in children. Although the two groups’ gaze direction did not differ during the first second of viewing, anxious children gazed significantly more at separating (threatening) pictures than nonanxious children after a period of 1 s. But after 3 s the pattern reversed: anxious children gazed significantly less at the separating pictures than nonanxious children.
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Notes
We are grateful to one of the anonymous reviewers for this suggestion.
References
Beck, A. T., Emery, G., & Greenberg, R. L. (1985). Anxiety disorder and phobias: A cognitive perspective. New York: Basic Books.
Boehnke, K., Silbereisen, R. K., Reynolds, C. R., & Richmond, B. O. (1986). What I think and feel—German experience with the revised form of the children’s manifest anxiety scale. Personality and Individual Differences, 7, 553–560.
Bögels, S., & Zigterman, D. (2000). Dysfunctional cognitions in children with social phobia, separation anxiety disorder and generalized anxiety disorder. Journal of Abnormal Child Psychology, 28(2), 205–211.
Bögels, S., & Mansell, W. (2004). Attention processes in the maintenance and treatment of social phobia: hypervigilance, avoidance and self-focused attention. Clinical Psychology Review, 24, 827–856.
Bögels, S. M., Snieder, N., & Kindt, M. (2003). Specificity of dysfunctional thinking in children with symptoms of social anxiety, separation anxiety and generalized anxiety. Behaviour Change, 20(3), 160–169.
Bradley, M. M., & Lang, P. J. (1994). Measuring emotion: the self-assessment manikin and the semantic differential. Journal of Behavior Therapy and Experimental Psychiatry, 25(1), 49–59.
Brückl, T. M., Wittchen, H.-U., Höfler, M., Pfister, H., Schneider, S., & Lieb, R. (2007). Childhood separation anxiety and the risk for subsequent psychopathology: Results from a community study. Psychotherapy and Psychosomatics, 76, 47–56.
Cartwright-Hatton, S., McNicol, K., & Doubleday, E. (2006). Anxiety in a neglected population: prevalence of anxiety disorders in pre-adolescent children. Clinical Psychology Review, 26(7), 817–833.
Dalgleish, T., Taghavi, R., Neshat-Doost, H., Moradi, A., Canterbury, R., & Yule, W. (2003). Patterns of processing bias for emotional information across clinical disorders: A comparison of attention, memory, and prospective cognition in children and adolescents with depression, generalized anxiety, and posttraumatic stress disorder. Journal of Clinical Child and Adolescent Psychology, 32(1), 10–21.
Eysenck, M. W. (1992). Anxiety: The cognitive perspective. Hove: Erlbaum.
Field, A. P. (2006). Watch out for the beast: fear information and attentional bias in children. Journal of Clinical Child and Adolescent Psychology, 35(3), 431–439.
Field, A. P., & Lawson, J. (2003). Fear information and the development of fears during childhood: effects on implicit fear responses and behavioural avoidance. Behaviour Research and Therapy, 41, 1277–1293.
Field, A. P., & Lawson, J. (2008). The verbal information pathways to fear and subsequent causal learning in children. Cognition and Emotion, 22(3), 459–479.
Garner, M., Mogg, K., & Bradley, B. P. (2006). Orienting and maintenance of gaze to facial expressions in social anxiety. Journal of Abnormal Psychology, 115(4), 760–770.
Grawe, K., Donati, R., & Bernauer, F. (1994). Psychotherapie im Wandel. Von der Konfession zur Profession. Göttingen: Hogrefe.
Hadwin, J., Frost, S., French, C. C., & Richards, A. (1997). Cognitive processing and trait anxiety in typically developing children: evidence for an interpretation bias. Journal of Abnormal Psychology, 106, 486–490.
Hadwin, J. A., Garner, M., & Perez-Olivas, G. (2006). The development of information processing biases in childhood anxiety: a review and exploration of its origins in parenting. Clinical Psychology Review, 26, 876–894.
Hermans, D., Vansteenwegen, D., & Eelen, P. (1999). Eye movement registration as a continuous index of attention deployment: data from a group of spider anxious students. Cognition and Emotion, 13(4), 419–434.
In-Albon, T., & Schneider, S. (2007). Psychotherapy of childhood anxiety disorders: a meta-analysis. Psychotherapy and Psychosomatics, 76, 15–24.
In-Albon, T., & Schneider, S. (2009). Using eye tracker methodology in children with anxiety disorders. In J. A. Hadwin & A. P. Field (Eds.), Information processing biases in child and adolescent anxiety (Chapter 6). Chichester: Wiley.
In-Albon, T., Klein, A., Rinck, M., Becker, E., & Schneider, S. (2008). Development and evaluation of a new paradigm for the assessment of anxiety disorder-specific interpretation bias using picture stimuli. Cognition and Emotion, 22(3), 422–436.
In-Albon, T., Dubi, K., Rapee, R. M., & Schneider, S. (2009). Forced choice reaction time paradigm in children with separation anxiety disorder, social phobia and nonanxious controls. Behaviour Research and Therapy. doi:10.1016/j.brat.2009.08.003
Just, M. A., & Carpenter, P. A. (1976). Eye fixations and cognitive processes. Cognitive Psychology, 8(4), 441–480.
Kendall, P. C. (1985). Toward a cognitive-behavioral model of child psychopathology and a critique of related interventions. Journal of Abnormal Child Psychology, 13, 357–372.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593–603.
Kindt, M., Bögels, S., & Morren, M. (2003). Processing bias in children with separation anxiety disorder, social phobia and generalized anxiety disorder. Behaviour Change, 20(3), 143–150.
Kovacs, M. (1981). Rating scales to assess depression in school-aged children. Acta Paedopsychiatrica, 46, 305–315.
LeDoux, J. (1996). The emotional brain. New York: Simon & Schuster.
Lewinsohn, P. M., Holm-Denoma, J. M., Small, J. W., Seeley, J. R., & Joiner, T. E. (2008). Separation anxiety disorder in childhood as a risk factor for future mental illness. Journal of the American Academy of Child and Adolescent Psychiatry, 47(5), 549–556.
Lonigan, C. J., Vasey, M. V., Phillips, B. M., & Hazen, R. A. (2004). Temperament, anxiety, and the processing of threat-related stimuli. Journal of Clinical Child and Adolescent Psychology, 33(1), 8–20.
MacLeod, C. (1990). Mood disorders and cognition. In M. W. Eysenck (Ed.), Cognitive psychology: An international review. Chichester: Wiley.
MacLeod, C., & Mathews, A. (1991). Biased cognitive operations in anxiety: accessibility of information or assignment of processing priorities. Behaviour Research and Therapy, 29, 599–610.
MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95, 15–20.
Martin, M., Horder, P., & Jones, G. V. (1992). Integral bias in naming of phobia-related words. Cognition and Emotion, 6, 479–486.
Mathews, A. (1990). Why worry? The cognitive function of anxiety. Behaviour Research and Therapy, 28(6), 455–468.
Mathews, A., & MacLeod, C. (1985). Selective processing of threat cues in anxiety states. Behaviour Research and Therapy, 23, 563–569.
Mathews, A., & Mackintosh, B. (1998). A cognitive model of selective processing in anxiety. Cognitive Therapy and Research, 22, 539–560.
Mogg, K., & Bradley, B. P. (1998). A cognitive-motivational analysis of anxiety. Behaviour Research and Therapy, 36, 809–848.
Mogg, K., & Bradley, B. P. (2006). Time course of attentional bias for fear-related pictures in spider-fearful individuals. Behaviour Research and Therapy, 44, 1241–1250.
Mogg, K., Millar, N., & Bradley, B. P. (2000). Biases in eye movements to threatening facial expressions in generalized anxiety disorder and depressive disorder. Journal of Abnormal Psychology, 109(4), 695–704.
Monk, C. S., Nelson, E. E., McClure, E. B., Mogg, K., Bradley, B. P., Leibenluft, E., et al. (2006). Ventrolateral prefrontal cortex activation and attentional bias in response to angry faces in adolescents with generalized anxiety disorder. American Journal of Psychiatry, 163, 1091–1097.
Moradi, A., Taghavi, R., Neshat-Doost, H., Yule, W., & Dalgleish, T. (1999). The performance of children and adolescents with PTSD on the Stroop colour naming task. Psychological Medicine, 29, 415–419.
Muris, P., Kindt, M., Bögels, S. M., Merckelbach, H., Gadet, B., & Mouleart, V. (2000). Anxiety and threat perception abnormalities in normal children. Journal of Psychopathology and Behavioral Assessment, 22, 183–199.
Muris, P., Rapee, R., Meesters, C., Schouten, E., & Geers, M. (2003). Threat perception abnormalities in children: the role of anxiety disorders symptoms, chronic anxiety, and state anxiety. Journal of Anxiety Disorders, 17, 271–287.
Öhman, A., Flykt, A., & Esteves, F. (2001). Emotion drives attention: detecting the snake in the grass. Journal of Experimental Psychology: General, 130, 466–478.
Pflugshaupt, T., Mosimann, U. P., von Wartburg, R., Schmitt, W., Nyffeler, T., & Müri, R. M. (2005). Hypervigilance-avoidance pattern in spider phobia. Journal of Anxiety Disorders, 19, 105–116.
Pina, A. A., Silverman, W. K., Saavedra, L. M., & Weems, C. F. (2001). An analysis of the RCMAS lie scale in a clinic sample of anxious children. Journal of Anxiety Disorders, 15, 443–457.
Reynolds, C. R., & Richmond, B. O. (1978). What I think and feel: a revised measure of children’s manifest anxiety. Journal of Abnormal Child Psychology, 6, 271–280.
Rinck, M., & Becker, E. S. (2006). Spider fearfuls attend to threat, then quickly avoid it: evidence from eye movements. Journal of Abnormal Psychology, 115(2), 231–238.
Rohner, J.-C. (2002). The time-course of visual threat processing: high trait anxious individuals eventually avert their gaze from angry faces. Cognition and Emotion, 16(6), 837–844.
Schneider, S., Unnewehr, S., In-Albon, T., & Margraf, J. (2008). Attention bias in children of patients with panic disorder. Psychopathology, 41, 179–186.
Schneider, S., Unnewehr, S., & Margraf, J. (2009). Diagnostisches Interview psychischer Störungen im Kindes- und Jugendalter (Kinder-DIPS). Heidelberg: Springer.
Stiensmeier-Pelster, J., Schürmann, M., & Duda, K. (2000). Depressions-Inventar für Kinder und Jugendliche (DIKJ). Göttingen: Hogrefe.
Vasey, M. W., Daleiden, E. L., Williams, L. L., & Brown, L. M. (1995). Biased attention in childhood anxiety disorders: a preliminary study. Journal of Abnormal Child Psychology, 23, 267–279.
Waters, A. M., Lipp, O. V., & Spence, S. H. (2004). Attentional bias toward fear-related stimuli: an investigation with nonselected children and adults and children with anxiety disorders. Journal of Experimental Child Psychology, 89, 320–337.
Williams, J. M. G., Watts, F. N., MacLeod, C., Mathews, A., & Mathews, A. (1997). Cognitive psychology and emotional disorders (2nd ed.). New York: Wiley. 1988.
Yiend, J., & Mathews, A. (2001). Anxiety and attention to threatening pictures. The Quarterly Journal of Experimental Psychology, 54A(3), 665–681.
Acknowledgments
We thank S. Lloyd Williams for his helpful comments on earlier versions of this manuscript.
This study was supported by grant project PP001-68701; 105311-116517/1) awarded to Silvia Schneider by the Swiss National Science Foundation. We appreciate the participants in this study, as well as the research assistants and graduate students on the project at Universität Basel for their assistance in data collection and management.
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In-Albon, T., Kossowsky, J. & Schneider, S. Vigilance and Avoidance of Threat in the Eye Movements of Children with Separation Anxiety Disorder. J Abnorm Child Psychol 38, 225–235 (2010). https://doi.org/10.1007/s10802-009-9359-4
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DOI: https://doi.org/10.1007/s10802-009-9359-4