ISSN 1671-3710
CN 11-4766/R

Advances in Psychological Science ›› 2016, Vol. 24 ›› Issue (11): 1690-1711.doi: 10.3724/SP.J.1042.2016.01690

• Meta-Analysis • Previous Articles     Next Articles

Meta-analysis on CBM for anxiety disorder: effect sizes, moderators and mediation

REN Zhihong1,2,3; LAI Lizu1,2; YU Xianglian4; LI Songwei5; RUAN Yijun1,6; ZHAO Lingbo1   

  1. (1 School of Humanities and Social Sciences, Fuzhou University, Fuzhou 350108, China) (2 Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China) (3 Department of Psychology, Institute for Intelligent Systems, University of Memphis, TN 38111, USA) (4 International College of Chinese School, Fujian Normal University, Fuzhou 350108, China) (5 The Guidance Center of Students Development, Tsinghua University, Beijing 100101, China) (6 Department of Psychology, BeiJing Normal University, Beijing 100101, China)
  • Received:2016-03-07 Online:2016-11-15 Published:2016-11-15
  • Contact: ZHAO Lingbo, E-mail:


The current update meta-analysis focused on the effect sizes of Cognitive Bias Modification (CBM) for anxiety disorder, and explored the potential moderators by subgroup analysis and hierarchical meta-regression. To understand the mechanism of CBM, mediation analysis by two-stage structural equation method (TSSEM) integrating meta-analysis and structural equation method is applied. The results demonstrate that (1) CBM may have small effects on anxiety symptom reduction at the risk of publication bias; however, CBM can modify cognitive bias better with a medium effect size. (2) The type of intervention, training environment, publication year and impact factor moderate the effect size of CBM on post-training anxiety. Training environment and the type of anxiety disorder are moderators of the effect size on cognitive bias. (3) Cognitive bias is the partial mediator by which CBM may have an influence on anxiety symptom.

Key words: Cognitive bias modification, anxiety disorder, Meta-analysis, mediation