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. 2016 Mar 1:192:184-90.
doi: 10.1016/j.jad.2015.12.021. Epub 2015 Dec 17.

Accounting for intrusive thoughts in PTSD: Contributions of cognitive control and deliberate regulation strategies

Jessica Bomyea  1 , Ariel J Lang  2
Affiliations

Accounting for intrusive thoughts in PTSD: Contributions of cognitive control and deliberate regulation strategies

Jessica Bomyea et al. J Affect Disord. .

Abstract

Background: Persistent, trauma-related intrusive thoughts are common in individuals with posttraumatic stress disorder (PTSD). Automatic aspects of cognitive functioning (including executive functioning) and maladaptive deliberate attempts at cognitive regulation have been proposed as individual difference factors that may perpetuate intrusive thoughts. The current study sought to examine the joint contribution of these two factors on intrusive thoughts in PTSD.

Method: Forty-two women with PTSD completed an executive functioning assessment followed by a thought suppression task. Intrusive thoughts (frequency and duration), as well as participants' use of specific cognitive regulation strategies (avoidance-based thought regulation strategies; TRS), were measured during the task. Hierarchical linear regression was used to examine the interaction of executive functioning and TRS on intrusive thoughts.

Results: Greater use of TRS was associated with greater intrusive thought persistence for those with low executive functioning, but not those with high executive functioning.

Limitations: Data was collected cross-sectionally and the laboratory thought suppression task may not correspond to naturalistic thought regulation.

Conclusions: Results are consistent with prior literature suggesting that certain responses deployed by individuals to control intrusive thoughts may be unhelpful, but that a higher level of cognitive capacity may mitigate this effect. Implications of these findings for recent models of cognition in PTSD are discussed.

Keywords: Cognition; Executive functioning; Intrusions; PTSD.

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Figures

Figure 1
Figure 1
Interaction effect predicting intrusive thought persistence based on TRS use in participants with low (left) versus high (right) Ospan performance.
Figure 1
Figure 1
Interaction effect predicting intrusive thought persistence based on TRS use in participants with low (left) versus high (right) Ospan performance.
See this image and copyright information in PMC

References

    1. Aiken L, West S. Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA US: Sage Publications, Inc; 1991.
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5. Arlington, VA: American Psychiatric Publishing; 2013.
    1. Amstadter AB, Vernon LL. Suppression of neutral and trauma targets: implications for posttraumatic stress disorder. Journal of Traumatic Stress. 2006;19:517–526. - PubMed
    1. Anderson MC, Levy BJ. Suppressing unwanted memories. Current Directions in Psychological Science. 2009;18:189–194. doi: 10.1111/j.14678721.2009.01634.x. - DOI - PMC - PubMed
    1. Aupperle RL, Melrose AJ, Stein MB, Paulus MP. Executive function and PTSD: Disengaging from trauma. Neuropharmacology. 2012;62:686–694. doi: http://dx.doi.org/10.1016/j.neuropharm.2011.02.008. - DOI - PMC - PubMed

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