Cognitive Bias Modification Reduces Social Anxiety Symptoms in Socially Anxious Adolescents with Mild Intellectual Disabilities: A Randomized Controlled Trial

Anke M Klein, Elske Salemink, Eva de Hullu, Esther Houtkamp, Marlissa Papa, Mariët van der Molen

Research output: Contribution to journalArticleAcademicpeer-review


The goal of this study was to examine the effects of Cognitive Bias Modification training for Interpretation (CBM-I) in socially anxious adolescents with Mild Intellectual Disabilities (MID). A total of 69 socially anxious adolescents with MID were randomly assigned to either a positive or a neutral control-CMB-I-training. Training included five sessions in a 3-week period, and each session consisted of 40 training items. Adolescents in the positive training group showed a significant reduction in negative interpretation bias on the two interpretation bias tasks after training compared to adolescents in the control-training group. Furthermore, in contrast to the control-training group, adolescents in the positive training reported a significant reduction of their social anxiety symptoms 10 weeks post-training.
Original languageEnglish
Pages (from-to)3116-3126
Number of pages11
JournalJournal of Autism and Developmental Disorders
Issue number9
Early online date21 Apr 2018
Publication statusPublished - Sep 2018



  • Cognitive bias modification
  • Interpretation bias
  • Content-specificity
  • Social anxiety
  • Mild intellectual disability

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