Cognitive and neuropsychological correlates of the attention training technique: a systematic review and evidence synthesis - Report - MDSpire

Cognitive and neuropsychological correlates of the attention training technique: a systematic review and evidence synthesis

  • By

  • Clair Davison

  • Lora Capobianco

  • Karin Carter

  • Adrian Wells

  • June 9, 2026

  • 0 min

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Clinical Report: Neuropsychological and Cognitive Associations of ATT

Overview

This systematic review evaluates the cognitive and neuropsychological effects of the Attention Training Technique (ATT) across various studies. Findings indicate that ATT is associated with significant cognitive improvements and neural changes, particularly in emotional processing and cognitive control.

Background

The Attention Training Technique (ATT) is a metacognitive intervention aimed at addressing emotional disorders by enhancing cognitive control and reducing self-referential processing. Understanding the cognitive and neuropsychological mechanisms of ATT is crucial for its application in clinical settings, especially given its potential as a transdiagnostic treatment. This review synthesizes evidence from diverse populations to clarify ATT's efficacy and underlying mechanisms.

Data Highlights

Study TypeParticipantsKey Findings
Systematic Review1230Small to large cognitive and neural effects associated with ATT
Clinical Samples4 studiesSignificant ATT-dependent effects in cognitive tasks
Neural Methodologies3 methods (EEG, fNIRS, fMRI)Modulation of cognitive control and attention networks

Key Findings

  • ATT shows small to large cognitive effects across 14 cognitive-attentional tasks.
  • Significant effects were noted particularly on the emotional dot-probe task.
  • Neural findings suggest ATT modulates cognitive control and reduces default mode network connectivity.
  • Variability in study quality was observed, with most studies rated as moderate.
  • Future research should focus on individual differences in neurocognitive effects associated with ATT.

Clinical Implications

The findings support the potential of ATT as a standalone intervention for emotional disorders, highlighting its effects on cognitive control and emotional processing. Clinicians may consider incorporating ATT into treatment plans, particularly for patients with emotional dysregulation.

Conclusion

The review underscores the cognitive and neural benefits of the Attention Training Technique, suggesting its relevance in treating emotional disorders. Further research is needed to solidify its efficacy and optimize implementation in clinical practice.

Related Resources & Content

  1. Fergus and Bardeen, 2025 -- Attention Training Technique: A Review
  2. Knowles et al., 2025 -- Systematic Review of ATT Studies
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  4. BMC Psychiatry (Springer) — Effects of Transcranial Direct Current Stimulation Combined with Cognitive Training on Cognitive Impairment in Schizophrenia: A Randomized Controlled Study
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  9. Frontiers | Psychosocial interventions for anxiety disorders in adults: evidence mapping and guideline appraisal
  10. Cognitive rehabilitation in anxiety disorders: a systematic review and meta-analysis of randomized controlled trials | Scientific Reports
  11. Frontiers | Initial evidence for neural correlates following a therapeutic intervention: altered resting state functional connectivity in the default mode network following attention training technique
  12. Experiences of the attention training technique delivered in groups as treatment for anxiety and depression in patients with coronary heart disease: a qualitative study | BMC Psychiatry | Full Text
  13. Dynamic changes in metacognitive mechanisms and symptoms during the attention training technique: Insights from ecological momentary assessment - ScienceDirect
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