Carol A. Perlman

Forgetting of Trauma Cues in Adults Reporting Continuous or Recovered Memories of Childhood Sexual Abuse

According to betrayal trauma theory, adult survivors of childhood sexual abuse (CSA) who were molested by their caretakers (e.g., a father) are especially likely to dissociate (“repress”) their memories of abuse. Testing college students, some reporting CSA, DePrince and Freyd (2004) found that those scoring high on a dissociation questionnaire exhibited memory deficits for trauma words when they viewed these words under divided-attention conditions. Replicating DePrince and Freyds procedure, we tested for memory deficits for trauma words relative to neutral words in adults reporting either continuous or recovered memories of CSA versus adults denying a history of CSA. A memory deficit for trauma words under divided attention was expected in the recovered-memory group. Results were inconsistent with this prediction, as all three groups exhibited better recall of trauma words than neutral words, irrespective of encoding conditions.

Medication Adherence in Psychopharmacologically Treated Adults With ADHD

Objective: One of the potential causes of residual symptoms of ADHD in adults can be difficulties with consistent adherence to medications. Method: This formative study examined self-reported medication adherence in adults with ADHD with clinically significant symptoms despite medication treatment. Results: Mean adherence for the two-week period prior to the assessment point was 86%, with 18% of the sample reporting less than 80% adherence, and 43% less than 90% adherence. Adherence correlated with ADHD symptoms but not anxiety or depression. Those with less than 80% adherence had higher ADHD severity compared to those whose adherence was at least 80%. Conclusion: These data suggest that self-report of adherence to ADHD medications may be a useful and expedient way of assessing adherence, and that assessment and counseling about adherence may be an important part of treatment. Future research using an objective indicator of adherence is needed to follow up on these findings.

Clinical characteristics of adults reporting repressed, recovered, or continuous memories of childhood sexual abuse.

The authors assessed women and men who either reported continuous memories of their childhood sexual abuse (CSA, n = 92), reported recovering memories of CSA (n = 38), reported believing they harbored repressed memories of CSA (n = 42), or reported never having been sexually abused (n = 36). Men and women were indistinguishable on all clinical and psychometric measures. The 3 groups that reported abuse scored similarly on measures of anxiety, depression, dissociation, and absorption. These groups also scored higher than the control group. Inconsistent with betrayal trauma theory, recovered memory participants were not more likely to report abuse by a parent or stepparent than were continuous memory participants. Rates of depression and posttraumatic stress disorder did not differ between the continuous and recovered memory groups.

Identification and Evaluation of Cognitive Affect-Regulation Strategies: Development of a Self-Report Measure

The ability to regulate emotions is important to mental health and well-being. However, relatively little is known about the cognitive strategies people use when faced with negative affect and the extent to which these strategies reduce such affect. This may be due, in part, to the lack of a comprehensive measure of cognitive affect-regulation strategies. Three studies were conducted to develop a broad-based self-report inventory of 15 specific strategies, called the Inventory of Cognitive Affect Regulation Strategies (ICARUS). This instrument assesses strategies that are oriented toward avoidance of the feelings (e.g., mental disengagement, thoughts of suicide) or diverting attention (e.g., self-criticism/self-blame, blaming others), as well as strategies that are oriented toward approach or engagement (e.g., reframing and growth, acceptance, mindful observation). Results provide preliminary support for the internal consistency, test–retest reliability, and convergent validity of the measure.

Autobiographical memory specificity in adults reporting repressed, recovered, or continuous memories of childhood sexual abuse.

Some psychotherapists believe that adult survivors of childhood sexual abuse (CSA) are characterised by memory deficits for their childhood. Using the Autobiographical Memory Test (AMT), we asked nonabused control participants and participants who reported either continuous, recovered, or repressed memories of CSA to retrieve a specific personal memory in response to either positive or negative cue words from either childhood or adolescence/adulthood. The results indicated that participants who believed they harboured repressed memories of abuse tended to exhibit the greatest difficulty retrieving specific memories from their childhood. Neither posttraumatic stress disorder (PTSD) nor major depression was related to diminished memory specificity.