Attention bias modification add-on to inpatient treatment for young women with anorexia nervosa—A randomized controlled trial

Hadar Dikstein, Tal Gilon-Mann, Roni Halevi-Yosef, Adi Enoch-Levi, Sami Hamdan, Eitan Gur, Yair Bar Haim, Amit Lazarov, Janet Treasure, Daniel Stein

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Patients with anorexia nervosa (AN) display elevated anxiety and attention biases (ABs) in threat processing. Attention bias modification treatment (ABMT) is considered promising for anxiety disorders, but its potential for AN is limited. In this study, 154 young women hospitalised because of AN were assigned to ED-related and anxiety-related threat stimuli, or to a non-ABMT intervention control condition in a randomized control trial. Hundred-and-ten patients completed the study. ABMT was an add-on to the regular inpatient treatment. Research participants completed two pretreatment training sessions and eight biweekly sessions of ABMT. AB, ED-related symptoms, depression, anxiety and stress were assessed before and after ABMT in the research groups, and, similarly, 5 weeks apart, in the controls. We found that despite the different patterns of change in AB between the three groups following ABMT, the reduction in AB, or the between-group differences in AB-reduction, were not significant. While the severity of ED-symptoms, depression, anxiety and stress was reduced following ABMT, or control condition, in all groups, there were no between-group differences in these changes. Changes in AB were not correlated with baseline and pre-post-treatment changes in ED-related and comorbid symptomatology. Methodological and inpatient treatment-related considerations may explain our negative ABMT-related results.

Original languageEnglish
Pages (from-to)285-302
Number of pages18
JournalEuropean Eating Disorders Review
Issue number2
StatePublished - Mar 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022 Eating Disorders Association and John Wiley & Sons Ltd.


  • anorexia nervosa
  • anxiety
  • attention bias
  • attention bias modification treatment
  • eating disorders


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