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The role of cognitive bias in relation to persistent distress among women diagnosed with breast cancer
Author(s) -
Lam Wendy W.T.,
Ng Danielle,
Wong Sarah,
Lee Tatia M.C.,
Kwong Ava,
Fielding Richard
Publication year - 2018
Publication title -
psycho‐oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.41
H-Index - 137
eISSN - 1099-1611
pISSN - 1057-9249
DOI - 10.1002/pon.4620
Subject(s) - anxiety , distress , breast cancer , clinical psychology , depression (economics) , psychology , cognitive bias , hospital anxiety and depression scale , cognition , cancer , psychiatry , medicine , economics , macroeconomics
Objective To examine if bias in attention to and interpretation of cancer‐related stimuli differentiates women with persistent psychological distress from those with low/transient distress following breast cancer. Methods One‐hundred forty women classified in a prior longitudinal study as having low (n = 73) or persistent high (n = 67) distress completed 2 modified dot‐probe tasks assessing attention bias and an ambiguous cues task assessing interpretation bias toward cancer‐related vs neutral information. Psychological distress was assessed using the Hospital Anxiety Depression Scale. Four‐way repeated analysis of variance was adopted. Results Participants with persistent high distress from the original study who continued to report high Hospital Anxiety Depression Scale scores (≥8) on recruitment into the present study comprised the persistent distress group (ie, 31 reporting high anxiety and 30 reporting high depression scores). Persistent distress and low distress groups did not differ in attentional bias toward negative‐stimuli or cancer‐related information, but a significant time‐course effect in attentional bias toward negative‐stimuli or cancer‐related information was observed, with women in the persistent distress group showing a significant bias away from negative‐stimuli or cancer‐related information under supraliminal conditions. There was a borderline difference in interpretation bias scores between low anxiety and chronic anxiety groups ( P = .065), with correlation suggesting a significant positive association ( r = 0.20, P = .019). Conclusion Women with persistent distress may adopt avoidance strategies to cope with breast cancer. Moreover, women reporting persistent anxiety may have a tendency to negatively interpret ambiguous information, leading to illness preoccupation. These findings offer critical insight for clinicians to develop tailored interventions to help women with persistent psychological distress.