Julie Krans

I see what you're saying : Intrusive images from listening to a traumatic verbal report

We tested the hypothesis that intrusive visual images could develop from listening to a traumatic verbal report. Eighty-six participants listened to a traumatic verbal report under one of three conditions: while shaping plasticine (visuospatial condition), while performing articulatory suppression (verbal condition), or with no extra task (control condition). Results showed that intrusive visual images developed from listening to the traumatic report. In line with the idea that central executive processes guide encoding of information, intrusion frequency was reduced in both the visuospatial and the verbal condition compared to the no task control condition. Overall, this pattern is similar to intrusive images from a traumatic film as found in earlier studies. This study provides a valuable addition to models of posttraumatic stress disorder and autobiographical memory. Additionally, the results have potential implications for therapists working with traumatized individuals.

Count out your intrusions: Effects of verbal encoding on intrusive memories

Peri-traumatic information processing is thought to affect the development of intrusive trauma memories. This study aimed to replicate and improve the study by Holmes, Brewin, and Hennessy (2004, Exp. 3) on the role of peri-traumatic verbal processing in analogue traumatic intrusion development. Participants viewed an aversive film under one of three conditions: counting backwards in 3s (“verbal interference”), verbalising emotions and thoughts (“verbal enhancement”), or without an extra task. A dual-process account of PTSD would predict that verbal interference would increase intrusion frequency compared to no task, whereas verbal enhancement would lead to a decrease. In contrast, mainstream memory theory predicts a decrease in intrusion frequency from any concurrent task that diverts attention away from the trauma film. The main finding was that the verbal interference task led to a decrease in intrusive memories of the film compared to the other two conditions. This finding does not support a dual-process account of PTSD, but is in line with general theories of memory and attention.

Tell me more: Can a memory test reduce analogue traumatic intrusions?

Information processing theories of post-traumatic stress disorder (PTSD) state that intrusive images emerge due to a lack of integration of perceptual trauma representations in autobiographical memory. To test this hypothesis experimentally, participants were shown an aversive film to elicit intrusive images. After viewing, they received a recognition test for just one part of the film. The test contained neutrally formulated items to rehearse information from the film. Participants reported intrusive images for the film in an intrusion diary during one week after viewing. In line with expectations, the number of intrusive images decreased only for the part of the film for which the recognition test was given. Furthermore, deliberate cued-recall memory after one week was selectively enhanced for the film part that was in the recognition test a week before. The findings provide new evidence supporting information processing models of PTSD and have potential implications for early interventions after trauma.

Motion effects on intrusion development.

Analogue studies on intrusion development have found that visuospatial tasks performed during the encoding of aversive information reduce subsequent intrusion development. However, these studies cannot rule out a physical explanation in terms of simple movement. In the current study we addressed this issue. Healthy participants viewed an aversive film while performing a visuospatial movement task, a configurational movement task, or no task. Intrusive images from the film were reported in a diary during the week following film viewing. In line with an information-processing account of posttraumatic stress disorder, intrusion frequency was significantly reduced by the visuospatial movement task but not the configurational movement task compared to no task. This finding supports the role of visuospatial processing specifically in intrusion development.

Autobiographical memory bias in social anxiety

In social anxiety the psychological self is closely related to the feared stimulus. Socially anxious individuals are, by definition, concerned about how the self is perceived and evaluated by others. As autobiographical memory is strongly related to views of the self it follows that biases in autobiographical memory play an important role in social anxiety. In the present study high (n = 19) and low (n = 29) socially anxious individuals were compared on autobiographical memory bias, current goals, and self-discrepancy. Individuals high in social anxiety showed a bias towards recalling more negative and more social anxiety-related autobiographical memories, reported more current goals related to overcoming social anxiety, and showed larger self-discrepancies. The pattern of results is largely in line with earlier research in individuals with PTSD and complicated grief. This suggests that the relation between autobiographical memory bias and the self is a potentially valuable trans-diagnostic factor.

Intrusive images and voluntary memory for affective pictures: contextualization and dual-task interference.

BACKGROUND AND OBJECTIVESnThe present study addressed the role of context information and dual-task interference during the encoding of negative pictures on intrusion development and voluntary recall.nnnMETHODSnHealthy participants were shown negative pictures with or without context information. Pictures were either viewed alone or concurrently with a visuospatial or verbal task. Participants reported their intrusive images of the pictures in a diary. At follow-up, perceptual and contextual memory was tested.nnnRESULTSnParticipants in the context group reported more intrusive images and perceptual voluntary memory than participants in the no context group. No effects of the concurrent tasks were found on intrusive image frequency, but perceptual and contextual memory was affected according to the cognitive load of the task.nnnLIMITATIONSnThe analogue method cannot be generalized to real-life trauma and the secondary tasks may differ in cognitive load.nnnCONCLUSIONSnThe findings challenge a dual memory model of PTSD but support an account in which retrieval strategy, rather than encoding processes, accounts for the experience of involuntary versus voluntary recall.

Modification of cognitive biases related to posttraumatic stress: A systematic review and research agenda

Cognitive models of Posttraumatic Stress Disorder (PTSD) postulate that cognitive biases in attention, interpretation, and memory represent key factors involved in the onset and maintenance of PTSD. Developments in experimental research demonstrate that it may be possible to manipulate such biases by means of Cognitive Bias Modification (CBM). In the present paper, we summarize studies assessing cognitive biases in posttraumatic stress to serve as a theoretical and methodological background. However, our main aim was to provide an overview of the scientific literature on CBM in (analogue) posttraumatic stress. Results of our systematic literature review showed that most CBM studies targeted attentional and interpretation biases (attention: five studies; interpretation: three studies), and one study modified memory biases. Overall, results showed that CBM can indeed modify cognitive biases and affect (analog) trauma symptoms in a training congruent manner. Interpretation bias procedures seemed effective in analog samples, and memory bias training proved preliminary success in a clinical PTSD sample. Studies of attention bias modification provided more mixed results. This heterogeneous picture may be explained by differences in the type of population or variations in the CBM procedure. Therefore, we sketched a detailed research agenda targeting the challenges for CBM in posttraumatic stress.

Involuntary cognitions in everyday life: exploration of type, quality, content, and function.

Psychological research into spontaneous or intrusive cognitions has typically focused on cognitions in one predefined domain, such as obsessional thoughts in OCD, intrusive memories in posttraumatic stress disorder and depression, or involuntary autobiographical memories and daydreaming in everyday life. Such studies have resulted in a wealth of knowledge about these specific cognitions. However, by focusing on a predefined type of cognition, other subtypes of cognition that may co-occur can be missed. In this exploratory study, we aimed to assess involuntary cognitions in everyday life without a pre-determined focus on any specific subtype of cognition. Seventy unselected undergraduate student participants were administered a questionnaire that assessed the presence of any involuntary cognitions in the past month, their quality, type, content, and potential function. In addition, participants provided self-descriptions and completed measures of psychopathology. Content analyses showed that involuntary cognitions were common, predominantly visual in nature, emotional, often about social relationships, and often related to a hypothetical function of emotional processing. About two-thirds of the cognitions that participants reported were memories. Non-memories included daydreams, imaginary worst case scenarios, imaginary future events, hypothetical reconstructions, and ruminations. Memories and non-memories were strikingly similar in their subjective experience of content and emotionality. Negative (but not positive) self-descriptions were associated with negative involuntary cognitions and psychopathology, suggesting a link between involuntary cognitions and the self. Overall, the findings suggest that people experience a wide variety of subtypes of involuntary cognitions in everyday life. Moreover, the specific subtype of involuntary cognition appears to be less important than its valence or content, at least to the subjective experience of the individual.

Unconscious thought reduces intrusion development: A replication and extension

BACKGROUND AND OBJECTIVESnIntrusive images after a traumatic event, a hallmark feature of post-traumatic stress disorder, are suggested to develop because the trauma memory is disorganized and not integrated into autobiographical memory. Unconscious Thought Theory predicts that information can be conceptually organized after a period of unconscious thought (UT), more so than after conscious thought (CT). We aimed to test the hypothesis that UT decreases intrusions and increases conceptual organization in memory.nnnMETHODSnParticipants were shown a stressful film and were required to perform an UT task, a CT task, or a distraction task. Intrusions of the film, intrusion qualities, and sequence memory were measured afterwards.nnnRESULTSnWe confirmed our hypothesis that UT (versus CT or mere distraction) leads to fewer intrusions, thereby replicating earlier research. Contrary to prediction, we found no difference between the conditions on sequence memory. In addition, conscious thought appeared to increase intrusion nowness and arousal.nnnLIMITATIONSnThe analogue design and healthy participant sample prevent from generalizing results to other populations. Intrusion frequency and qualities were assessed immediately after the film thereby prohibiting us from drawing conclusions about any long-term effects.nnnCONCLUSIONSnEngaging in unconscious thought after a stressful film can reduce intrusion frequency. This has potential implications for clinical interventions to prevent initial stress symptoms. The underlying mechanism remains unclear for now and provides an avenue for future research.

To Think Or Not To Think About Trauma? An Experimental Investigation into Unconscious Thought and Intrusion Development

The present study tested whether unconscious thought (versus conscious thought) would reduce frequency of intrusions from an analogue trauma film. Participants viewed a distressing film and were subsequently instructed to think about the film deliberately (conscious thought), to perform a demanding task while knowing that the film information was important later on the experiment (unconscious thought), or to perform the task while believing the experiment had ended (control condition). Afterwards, sequence memory and intrusions of the film were measured. In line with predictions, the results showed significant lower intrusion frequency in the unconscious thought condition compared to both conscious thought and mere distraction. As there were no differences in sequence memory for the film, it remains unclear what mechanism was responsible for this effect. These results encourage further research into a new and exciting area.