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The Effects of Conceptual Processing Versus Suppression on Analogue PTSD Symptoms after a Distressing Film

Published online by Cambridge University Press:  08 January 2009

Nicole Buck ,
Merel Kindt  and
Marcel van den Hout
Nicole Buck*
Affiliation:
Maastricht University, and Erasmus Medical Center, Rotterdam, The Netherlands
Merel Kindt
Affiliation:
University of Amsterdam, The Netherlands
Marcel van den Hout
Affiliation:
Utrecht University, The Netherlands
*
Reprint requests to Nicole Buck, Erasmus Medical Center, Department of Forensic Psychiatry, PO 2040, 3000 CA Rotterdam, The Netherlands. E-mail: [email protected]
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Abstract

Background: Researchers have begun to scrutinize the assumption that active processing in response to a traumatic event is beneficial whereas avoidance of thoughts, emotions and reminders about the traumatic event is detrimental. Indications that avoidance is not always detrimental come from studies on grief and debriefing. Aims: In an analogue experimental study, the hypothesis was tested that conceptually-driven processing immediately after a distressing film is more successful in reducing analogue PTSD symptoms than suppression of thoughts and images related to the film. Method: Ninety students watched a distressing film after which they were instructed to either elaborate on the meaning of the film (conceptual processing) (n = 31), suppress all thoughts and images of the film by performing a task (n = 29), or were given no instruction (n = 30). Four hours later, analogue PTSD symptoms were assessed. Results: The results showed that conceptually-driven processing does not result in fewer analogue PTSD symptoms than suppression. Conclusions: It is speculated that suppression may only be dysfunctional when individuals interpret their symptoms negatively or when suppression is believed to be dysfunctional.

Keywords

PTSDavoidancesuppressiondebriefingelaborationconceptually-driven processing
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 37 , Issue 2 , March 2009 , pp. 195 - 206
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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References

Allen, S. (1998). A qualitative analysis of the process, mediating variables and impact of traumatic childbirth. Journal of Reproductive and Infant Psychology, 16, 107–131.CrossRefGoogle Scholar
Baddeley, A. D. and Hitch, G. H. (1974). Working memory. In Bower, G. (Ed.), Recent Advances in Learning and Motivation, VIII (pp. 47–90). New York: Academic Press.Google Scholar
Bonanno, G. A., Keltner, D., Holen, A. and Horowitz, M. J. (1995). When avoiding unpleasant emotions might not be such a bad thing: verbal-autonomic response dissociation and midlife conjugal bereavement. Journal of Personality and Social Psychology, 69, 975–989.CrossRefGoogle Scholar
Bonanno, G. A., Noll, J. G., Putnam, F. W., O'Neill, M. and Trickett, P. K. (2003). Predicting the willingness to disclose childhood sexual abuse from measures of repressive coping and dissociative tendencies. Child Maltreatment, 8, 302–318.CrossRefGoogle ScholarPubMed
Bryant, R. A., Moulds, M. L., Guthrie, R. M., Dang, S. T. and Nixon, R. D. (2003). Imaginal exposure alone and imaginal exposure with cognitive restructuring in treatment of posttraumatic stress disorder. Journal of Consulting and Clinical Psychology. 71, 706–712.CrossRefGoogle ScholarPubMed
Davies, M. I. and Clark, D. M. (1998a). Predictors of analogue post-traumatic intrusive cognitions. Behavioural and Cognitive Psychotherapy, 26, 303–314.CrossRefGoogle Scholar
Davies, M. I. and Clark, D. M. (1998b). Thought suppression produces a rebound effect with analogue post-traumatic intrusions. Behaviour Research and Therapy, 36, 571–582.CrossRefGoogle ScholarPubMed
Ehlers, A. and Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.CrossRefGoogle ScholarPubMed
Ehlers, A. and Clark, D. M. (2003). Early psychological interventions for adult survivors of trauma: a review. Biological Psychiatry, 53, 817–826.CrossRefGoogle ScholarPubMed
Ehring, T., Ehlers, A. and Glucksman, E. (2006). Contribution of cognitive factors to the prediction of posttraumatic stress disorder, phobia and depression after motor vehicle accidents. Behaviour Research and Therapy, 44, 1699–1716.CrossRefGoogle Scholar
Emmerik, A. A. P., Kamphuis, J. H., Hulsbosch, A. M. and Emmelkamp, P. M. G. (2002). Single session debriefing after psychological trauma: a meta-analysis. The Lancet, 360, 766–771.CrossRefGoogle ScholarPubMed
Foa, E. B. and Riggs, D. S. (1993). Posttraumatic stress disorder and rape. In Oldman, J., Riba, M. B. and Tasman, A.. Annual Review of Psychiatry, Vol. 12 (pp. 273–303). Washington, DC: American Psychiatric Association.Google Scholar
Halligan, S. L., Clark, D. and Ehlers, A. (2002). Cognitive processing, memory, and the development of PTSD symptoms: two experimental analogue studies. Journal of Behavior Therapy and Experimental Psychiatry, 33, 73–89.CrossRefGoogle ScholarPubMed
Halligan, S. L., Michael, T., Clark, D. M. and Ehlers, A. (2003). Posttraumatic stress disorder following assault: the role of cognitive processing, trauma memory, and appraisals. Journal of Consulting and Clinical Psychology, 71, 419–431.CrossRefGoogle ScholarPubMed
Holmes, E. A. and Bourne, C. (2008). Inducing and modulating intrusive emotional memories: a review of the trauma film paradigm. Acta Psychologica, 127, 553–566.CrossRefGoogle ScholarPubMed
Horowitz, M. J. (1976). Stress Response Syndromes. Northvale, NJ: Aronson.Google Scholar
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M. and Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048–1060.CrossRefGoogle ScholarPubMed
Kindt, M. and Van Den Hout, M. (2003). Dissociation and memory fragmentation: experimental effects on meta-memory but not on actual memory performance. Behaviour Research and Therapy, 41, 167–178.CrossRefGoogle Scholar
Kindt, M., Van Den Hout, M. and Buck, N. (2005). Dissociation related to subjective memory fragmentation and intrusions but not to objective memory disturbances. Journal of Behavior Therapy and Experimental Psychiatry, 36, 43–59.CrossRefGoogle ScholarPubMed
Kindt, M., Van Den Hout, M., Arntz, A. and Drost, J. (2008). The influence of data-driven versus conceptually-driven processing on the development of PTSD-like symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 39, 546–57.CrossRefGoogle ScholarPubMed
Mayou, R. A., Ehlers, A. and Hobbs, M. (2000). Psychological debriefing for road traffic accident victims: three-year follow-up of a randomised controlled trial. British Journal of Psychiatry, 176, 589–593.CrossRefGoogle ScholarPubMed
McNally, R. J., Bryant, R. A. and Ehlers, A. (2003). Does early psychological intervention promote recovery from posttraumatic stress? Psychological Science in the Public Interest, 4, 45–79.CrossRefGoogle ScholarPubMed
RassIn, E., Merckelbach, H. and Muris, P. (2001). Thought suppression and traumatic intrusions in undergraduate students: a correlational study. Personality and Individual Differences, 31, 485–493.CrossRefGoogle Scholar
Rothbaum, B. O., Foa, E. B., Riggs, D. S., Murdock, T. and Walsh, W. (1992). A prospective examination of posttraumatic stress disorder in rape victims. Journal of Traumatic Stress, 5, 455–475.Google Scholar
Seery, M. D., Silver, R. C., Holman, E. A., Ence, W. A. and Chu, T. Q. (2008). Expressing thoughts and feelings following a collective trauma: immediate responses to 9/11 predict negative outcomes in a national sample. Journal of Consulting and Clinical Psychology, 76, 657–667.CrossRefGoogle ScholarPubMed
Shipherd, J. C. and Beck, J. G. (1999). The effects of suppressing trauma-related thoughts on women with rape-related posttraumatic stress disorder. Behaviour Research and therapy, 37, 99–112.CrossRefGoogle ScholarPubMed
Shipherd, J. C. and Beck, J. G. (2005). The role of thought suppression in posttraumatic stress disorder. Behavior Therapy, 36, 277–287CrossRefGoogle Scholar
Spielberger, C. D., Gorsuch, R. C. and Lushene, R. E. (1970). Manual for the State Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Spielberger, C. D., Gorsuch, R. L., Lushene, R. E., Vagg, R. E. and Jacobs, G. A. (1983). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.Google Scholar
Steil, R. and Ehlers, A. (2000). Dysfunctional meaning of posttraumatic intrusions in chronic PTSD. Behaviour Research and Therapy, 38, 537–558.CrossRefGoogle ScholarPubMed
Stroebe, M. and Stroebe, W. (1991). Does “Grief Work” work? Journal of Consulting and Clinical Psychology, 59, 479–482.CrossRefGoogle Scholar
Toms, M., Morris, N. and Ward, D. (1993). Working memory and conditional reasoning. The Quarterly Journal of Experimental Psychology, 46A, 679–699.CrossRefGoogle Scholar
Vandierendonck, A., De Vooght, G. and Van Der Goten, K. (1998). Interfering with the central executive by means of a random interval repetition task. The Quarterly Journal of Experimental Psychology, 51A, 197–218.CrossRefGoogle Scholar
Wegner, D. M., Quillian, F. and Houston, C. E. (1996). Memories out of order: thought suppression and the disturbance of sequence memory. Journal of Personality and Social Psychology, 71, 680–691.CrossRefGoogle ScholarPubMed
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