Implicit Reappraisal Training: Modifying a Negative Worry-related Metacognitive Bias and its Effect on State Worry

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2019-07-05

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en

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The present study investigated whether a positive and negative computerized reappraisal training (RT) can modify the likelihood of engaging in a negative worry-related metacognitive thinking style, and affect state worry. High worrying participants (N = 81) were implicitly trained to repeatedly reappraise negative worry-related metacognitive situations in a positive or negative manner. In line with cognitive bias modification (CBM) literature, results of the positive RT show significant reduction in the negative appraisal bias of metacognitive situations, as measured by a reappraisal bias task (RBT). A breathing focus task (BFT) showed a positive transferred effect on state worry in a significantly reduced number of negative thought intrusions. In the negative RT condition, the bias nor state worry changed significantly over time. These findings reflect the causal role this bias plays in the worry process, and the RT’s clinical potential as an additional treatment to traditional cognitive behavioral therapy (CBT). Keywords: worry-related metacognitions, state worry, reappraisal bias training

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