Reduced autobiographical memory specificity and posttraumatic stress: exploring the contributions of impaired executive control and affect regulation

Reduced specificity of autobiographical memories retrieved to word cues on the Autobiographical Memory Test (AMT) is associated with increased posttraumatic stress in traumatized samples. Theoretical debates concerning the dominant influences on this effect have focused on affect regulation, whereby specific personal information is avoided more by those experiencing greater distress, versus compromised executive control, whereby increased distress is associated with an inability to set aside inappropriately general responses on the AMT. The present study compared these 2 views in a correlational design using a reversed version of the AMT (the AMT-R) for which trauma-exposed participants (N=36) had to generate general memories from the past and avoid specific memories. An emphasis on the role of affect regulation would predict that distress would be associated with reduced specificity (as in the standard AMT), whereas emphasis on the role of executive control would predict that this relationship would be reversed. The data supported the affect regulation account, with greater posttraumatic stress being associated with reduced memory specificity.     

创伤青少年自传体记忆具体性减少：情感调节还是执行控制受损

结合经典的自传体记忆测验(AMT)和反转-自传体记忆测验(AMT-R)探究创伤青少年自传体记忆具体性减少的原因。首先通过创伤事件终身经历问卷-学生版(LIET-S)和创伤后症状自评量表(CROPS)对630名青少年进行筛查, 然后结合访谈, 并采用儿童事件冲击量表-修订版(CRIES)测量创伤程度, 最终选取有创伤后症状的青少年63名, 分为高创伤组和低创伤组, 另无创伤经历的青少年30名作为控制组。三组被试均参加AMT和AMT-R实验。结果发现, 在AMT中, 创伤青少年表现出自传体记忆具体性减少的特点, 且创伤后症状越严重, 具体性减少越明显; 在AMT-R中, 创伤青少年提取的具体记忆数量与控制组无显著差异。结果表明, 创伤青少年自传体记忆具体性的减少是情感调节的结果。     

Mental time travel after trauma: the specificity and temporal distribution of autobiographical memories and future-directed thoughts

The present study investigated the relationship between trauma exposure and specificity and temporal distribution of autobiographical memories and future-directed thoughts. A group of sexual assault victims were compared with women without previous trauma exposure in relation to specificity of autobiographical memories, as measured by the Autobiographical Memory Task (AMT) and specificity of future-directed thoughts as measured by the Future Cueing Task (FCT). The temporal distribution of future-directed thoughts and autobiographical memories was studied by asking the participants to estimate when each memory reported on the AMT had occurred and when each future event reported on the FCT would occur. The results showed no difference between the trauma group and the controls on specificity of autobiographical memories and future-directed thoughts. In line with a review of Moore and Zoellner (2007), PTSD symptoms as measured by the Impact of Event Scale (IES) correlated negatively with specificity. Furthermore, we observed no difference in temporal distribution of future-directed thoughts or autobiographical memories between trauma exposed participants and controls.     

Mental time travel after trauma: The specificity and temporal distribution of autobiographical memories and future-directed thoughts

The present study investigated the relationship between trauma exposure and specificity and temporal distribution of autobiographical memories and future-directed thoughts. A group of sexual assault victims were compared with women without previous trauma exposure in relation to specificity of autobiographical memories, as measured by the Autobiographical Memory Task (AMT) and specificity of future-directed thoughts as measured by the Future Cueing Task (FCT). The temporal distribution of future-directed thoughts and autobiographical memories was studied by asking the participants to estimate when each memory reported on the AMT had occurred and when each future event reported on the FCT would occur. The results showed no difference between the trauma group and the controls on specificity of autobiographical memories and future-directed thoughts. In line with a review of Moore and Zoellner (2007), PTSD symptoms as measured by the Impact of Event Scale (IES) correlated negatively with specificity. Furthermore, we observed no difference in temporal distribution of future-directed thoughts or autobiographical memories between trauma exposed participants and controls.     

Cognitive avoidance of intrusive memories and autobiographical memory: specificity, autonoetic consciousness, and self-perspective

Autobiographical memory (AM) specificity is impaired in depression and post-traumatic stress disorder. Previous studies emphasised the role of cognitive avoidance of intrusive memories in this impairment. This study aimed to examine the association of cognitive avoidance of intrusive memories with specificity, autonoetic consciousness, and self-perspective. A total of 38 healthy participants were given the revised Impact of Event Scale (IES-R) and an AM task designed to assess positive and negative memories regarding specificity, autonoetic consciousness (remember/know procedure), and self-perspective (field/observer procedure). Taking into account age, verbal IQ, mood, harm avoidance, and executive resources, the IES-R avoidance subscale was negatively correlated with specificity and remember responses for positive memories, and with remember and field responses for negative memories. These findings suggest that cognitive avoidance of intrusive memories is associated with a decrease of the episodic components of AM retrieval.     

Intrusive memories and depression in cancer patients

Matched samples of depressed and nondepressed cancer patients were interviewed about past life events, particularly experiences of death and illness. They identified and described any spontaneous intrusive visual memories they had experienced in the past week corresponding to these events. About one quarter reported such memories and, as predicted, the majority of intrusive memories concerned illness, injury and death. The mean levels of intrusion and avoidance were equivalent to patients with post-traumatic stress disorder. Consistent with prediction, depressed patients reported significantly more intrusive memories than controls, and described the memories as typically beginning with or being exacerbated by the onset of depression. Greater numbers of intrusive memories were associated with more maladaptive coping, and greater avoidance with deficits in autobiographical memory functioning.     

Reduced specificity of emotional autobiographical memories following self-regulation depletion

The present study used a Color Stroop task, involving naming the ink colors of incongruous color words, to deplete self-regulation resources prior to retrieving a series of autobiographical memories to emotional and neutral cue words--the Autobiographical Memory Test (AMT). Control participants either read color words written in black ink or performed no task prior to the AMT. Difficulty accessing specific memories on the AMT has been shown to index key aspects of the onset and maintenance of depression and other emotional disorders. Our hypothesis that depleted participants would retrieve fewer specific memories to cues on the AMT relative to controls was supported, even when levels of depressed and anxious mood, an index of clinical depression, posttraumatic stress, and verbal intelligence were covaried. The results indicate that self-regulation depletion via a neutral, unrelated task can impact on emotion-related autobiographical memory processes that have been shown to be dysfunctional in emotionally disordered populations.     

Self-defining memories in complicated grief

There is increasing attention to the mechanisms underpinning maladaptive responses to bereavement. This study indexed self-defining memories in bereaved individuals with and without complicated grief (CG). Participants with and without complicated grief (N = 40) were asked to describe three self-defining memories. Results showed that CG participants provided more self-defining memories involving the deceased. Both groups were equally likely to report their loved one's death as a self-defining moment, however, the no-CG group showed more evidence of benefit finding in their memory narratives and experienced less negative emotion on recall. The findings suggest that CG is associated with distinctive patterns of autobiographical memory that are linked to self-identity. The pattern is consistent with self-memory system models of autobiographical remembering, and suggests that grieving individuals who experience ongoing yearning for their loved one view their self-identity as more closely linked to the deceased are more distressed by memories involving the loss.     

Unraveling the linguistic nature of specific autobiographical memories using a computerized classification algorithm

In the present study, we explored the linguistic nature of specific memories generated with the Autobiographical Memory Test (AMT) by developing a computerized classifier that distinguishes between specific and nonspecific memories. The AMT is regarded as one of the most important assessment tools to study memory dysfunctions (e.g., difficulty recalling the specific details of memories) in psychopathology. In Study 1, we utilized the Japanese corpus data of 12,400 cue-recalled memories tagged with observer-rated specificity. We extracted linguistic features of particular relevance to memory specificity, such as past tense, negation, and adverbial words and phrases pertaining to time and location. On the basis of these features, a support vector machine (SVM) was trained to classify the memories into specific and nonspecific categories, which achieved an area under the curve (AUC) of .92 in a performance test. In Study 2, the trained SVM was tested in terms of its robustness in classifying novel memories (n?= 8,478) that were retrieved in response to cue words that were different from those used in Study 1. The SVM showed an AUC of .89 in classifying the new memories. In Study 3, we extended the binary SVM to a five-class classification of the AMT, which achieved 64%–65% classification accuracy, against the chance level (20%) in the performance tests. Our data suggest that memory specificity can be identified with a relatively small number of words, capturing the universal linguistic features of memory specificity across memories in diverse contents.     

Specificity of episodic and semantic aspects of autobiographical memory in relation to symptoms of posttraumatic stress disorder (PTSD)

Two studies examined the relationship between the ability to access specific autobiographical material in memory and presence/symptoms of posttraumatic stress. In Study 1, a sample of refugees with a diagnosis of posttraumatic stress disorder (PTSD) completed the Autobiographical Memory Test (AMT) in which they had to generate specific episodic autobiographical memories in response to emotion-related cue words. Results showed that reduced specificity of memories on the AMT was associated with an increased frequency of trauma-related flashbacks but with reduced use of effortful avoidance to deal with trauma-related intrusions in the day-to-day. Study 2 examined retrieval of semantic autobiographical information from previous lifetime periods in groups of cancer survivors with posttraumatic stress and healthy controls. The cancer survivors were able to generate fewer specific semantic details about the personal past compared to the controls. The more symptomatic survivors showed the greatest memory impairment. The data from both studies are discussed in terms of compromised access to specific autobiographical material in distressed trauma survivors reflecting a process of affect regulation.     

The computerized scoring algorithm for the autobiographical memory test: updates and extensions for analyzing memories of English-speaking adults

ABSTRACT

The Autobiographical Memory Test (AMT) has been central in psychopathological studies of memory dysfunctions, as reduced memory specificity or overgeneralised autobiographical memory has been recognised as a hallmark vulnerability for depression. In the AMT, participants are asked to generate specific memories in response to emotional cue words, and their responses are scored by human experts. Because the manual coding takes some time, particularly when analysing a large dataset, recent studies have proposed computerised scoring algorithms. These algorithms have been shown to reliably discriminate between specific and non-specific memories of English-speaking children and Dutch- and Japanese-speaking adults. The key limitation is that the algorithm is not developed for English-speaking adult memories, which may cover a wider range of vocabulary that the existing algorithm for English-speaking child memories cannot process correctly. In the present study, we trained a new support vector machine to score memories of English-speaking adults. In a performance test (predicting memory specificity against human expert coding), the adult-memory algorithm outperformed the child-memory variant. In another independent performance test, the adult-memory algorithm showed robust performances to score memories that were generated in response to a different set of cues. These results suggest that the adult-memory algorithm reliably scores memory specificity.     

Characteristics of intrusive memories in a community sample of depressed, recovered depressed and never-depressed individuals

An accumulating body of evidence has revealed that intrusive autobiographical memories of negative events play a role in depression. Despite increasing understanding of the phenomenological experience of these memories, previous research in this area has been conducted in either nonclinical samples, or in clinical samples without an adequate control group. This study aimed to replicate and extend findings with dysphoric samples by comparing the content and characteristics of intrusive memories in clinically depressed (n = 25), recovered (n = 30) and never-depressed (n = 30) participants. Participants completed mood measures, and a battery of self-report questionnaires that indexed intrusive memory frequency, avoidance and characteristics. Intrusive memories were common and shared strikingly similar characteristics across the three groups. The key finding was that depressed participants reported higher levels of intrusion-related distress, associated emotions (especially sadness and helplessness), interference as a result of the memories and memory vividness compared to the never-depressed group. Despite similar levels of intrusion, there were group differences in avoidance such that depressed participants reported higher levels of avoidance than the never-depressed group. These results provide further support for the proposal that clinical interventions for depression could usefully incorporate components that aim to reduce intrusive autobiographical memories and target avoidance strategies.     

The influence of reporting mode on children's cued personal memories

The Autobiographical Memory Test (AMT) is widely used in research contexts to measure the extent to which participants (children or adults) report specific or general memories in response to cue words. Recalling fewer specific and more general memories (overgeneral memory) has been shown to be linked to depression in adults, but findings for youth, in particular, are mixed. Different versions of the AMT may be one contributing factor, yet this issue has received little research attention. The current study investigated the influence of reporting mode (written vs. spoken) on the specificity, length, and content of memories provided by 8- to 10-year-old children (N?=?48). No significant differences were found in the number of specific responses given in the written and spoken modes. On the other hand, the spoken mode elicited longer and more detailed memories, although most content differences were eliminated when memory length was controlled. These findings suggest that different reporting modes can influence the nature of the memories reported, but the absolute differences are relatively small.     

Context-dependent activation of reduced autobiographical memory specificity as an avoidant coping style

According to the affect-regulation hypothesis (Williams et al., 2007), reduced autobiographical memory specificity (rAMS) or overgeneral memory (OGM) might be considered a cognitive avoidance strategy; that is, people learn to avoid the emotionally painful consequences associated with the retrieval of specific negative memories. Based on this hypothesis, one would predict significant negative associations between AMS and avoidant coping. However, studies investigating this prediction have led to equivocal results. In the present study we tested a possible explanation for these contradictory findings. It was hypothesized that rAMS (in part) reflects an avoidant coping strategy, which might only become apparent under certain conditions, that is, conditions that signal the possibility of 'danger.' To test this hypothesis, we assessed AMS and behavioral avoidance but experimentally manipulated the instructions. In the neutral condition, two parallel versions of the Autobiographical Memory Test (AMT) were presented under neutral instructions. In the threat condition, the first AMT was presented under neutral instructions, while the second AMT was presented under 'threat instructions.' Results showed no significant correlations between avoidance and OGM under neutral conditions but significant and markedly stronger correlations under threat conditions, with more avoidance being associated with fewer specific and more categoric memories. In addition, high avoiders showed a stronger reduction in AMS in the threat condition as compared with the neutral condition, while low avoiders showed no such difference between conditions. The data confirm that OGM can be considered as part of a broader avoidant coping style. However, more importantly, they show that, at least in nonclinical individuals, the activation of this coping style may depend on the context.     

Four dimensions of self-defining memories (specificity, meaning, content, and affect) and their relationships to self-restraint, distress, and repressive defensiveness

This study examines four dimensions of self-defining memory (specificity, meaning, content, and affect) and their relationship to self-restraint, distress, and defensiveness. The development and validation of a protocol for measuring specificity, meaning, and affect in self-defining memories is discussed. Specificity is operationalized as the temporal and detailed specificity of the narrative. Meaning refers to the participant's stepping back from the narrative to derive higher personal meaning or a life lesson. Affect reflects subjective emotion upon recall. Agreement between two raters scoring 1040 memories was kappa=.83 for specificity and kappa=.72 for meaning. The protocol is compatible with Thorne and McLean's scoring system for content (the types of events in memories). The current study compared individual differences in the four dimensions of 10 self-defining memories collected from 103 undergraduates to scores of self-restraint, distress, and repressive defensiveness, as measured by the Weinberger Adjustment Inventory. Memory specificity was inversely related to repressive defensiveness, while greater memory meaning was linked to moderate and high levels of self-restraint. Memory content and affect predicted individuals' degree of subjective distress. Based on these findings, the authors discuss the place of self-defining memories in Conway and Pleydell-Pearce's Self-Memory System model of autobiographical memory and personality, more generally.     

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.     

How are depression and autobiographical memory retrieval related to culture?

This study investigated how culture influences the association between autobiographical memory retrieval and depression. Thirty clinically depressed patients and 30 controls, 15 each from Britain and Taiwan, completed the English and Chinese versions of the Autobiographical Memory Cueing Task (AMT). Overall, the depressed individuals from both cultural groups retrieved significantly fewer specific and more categoric autobiographical memories than their matched, nondepressed controls. Within the control groups, the British participants retrieved significantly more specific autobiographical memories and fewer categoric memories than their Taiwanese counterparts. These results suggest that difficulty in retrieving specific autobiographical memories typical of depression may be a cognitive bias that occurs across cultures.     

Assessing the specificity of autobiographical memory in individuals at a trait-based vulnerability to bipolar disorder using a sentence completion task

Overgeneral autobiographical memory recall has been associated with the diagnosis of bipolar disorder, but the role of overgenerality in the vulnerability to bipolar disorder remains under-researched. While a previous study suggested that high-risk individuals for bipolar disorder recall emotionally negative memories in specific detail, this is in contrast to memory recall patterns noted in bipolar samples. The Autobiographical Memory Test (AMT) used in previous non-clinical studies has also been criticised for not being sensitive to overgenerality due to its repetition of specificity instructions and practice trials. The traditional AMT format may allow some individuals to override their trait-based tendencies to be overgeneral. The current study used a sentence completion task to assess memory specificity in groups of students at a low and high trait-based vulnerability for bipolar disorder. In contrast to previous research, high-risk individuals recalled fewer specific positive memories and greater numbers of overgeneral negative memories than low-risk individuals. These results support the notion that the vulnerability for bipolar disorder might be associated with similar recall biases as demonstrated in bipolar samples, and that the AMT might not be sufficiently sensitive to detect overgenerality in non-clinical groups. The implications of these findings and directions for future research are discussed.     

An “alternating instructions” version of the Autobiographical Memory Test for assessing autobiographical memory specificity in non-clinical populations

There is limited research regarding how executive processes contribute to key cognitive deficits in depression, particularly impoverished retrieval of autobiographical memory. This study tested a novel version of the Autobiographical Memory Test (AMT), the “Alternating Instructions” AMT (AMT-AI), to determine how participants could flexibly retrieve specific and categoric autobiographical memories. The AMT-AI consisted of a standard AMT (AMT-S), a categoric version of the AMT (AMT-R), and a section of alternating instructions (AI) in which the rules required the participant to alternate between retrieval of categoric and specific memories. A total of 49 university students completed the AMT-AI, and self-report measures of depressive symptomatology and ruminative thinking. Results showed that the mean proportion of specific memories recalled on the AMT-AI was significantly lower than on the AMT-S. Also, reduced memory specificity on the AMT-AI, but not the AMT-S, was significantly negatively correlated with increased scores on measures of depressive symptomatology and ruminative thinking. Collectively the data suggested that the AMT-AI, relative to the traditional AMT, may be more sensitive to memory specificity in non-clinical populations. Future research is warranted to further determine the psychometric properties and utility of the AMT-AI.     

Autobiographical memories and views of the future: In relation to dysphoria

The present study investigated dysphoric individuals' self‐referential processing of autobiographical memories and future personal events, in relation to specificity and response latency. Dysphoric individuals (n  =  17) and nondysphoric controls (n  =  17) were selected from a larger sample based on self‐reported depression. Participants completed an autobiographical memory task (AMT) and a future event task (FET), using pleasant and unpleasant (anxiety‐relevant, depression‐relevant) emotional word cues. In response to each emotional cue, participants were required to access and write down a specific personal memory and future event, respectively. Consistent with the hypotheses, dysphoric individuals were less specific in describing pleasant and unpleasant experiences (particularly pleasant), irrespective of time condition. As expected, dysphoric individuals' specificity for distinct depression‐relevant and anxiety‐relevant experiences did not differ significantly. As predicted, all participants were less specific in describing future personal events than in recalling personal memories. As predicted, dysphoric individuals took longer to think of pleasant memories and pleasant future experiences than controls but, as expected, groups did not differ significantly on mean reaction times for past and future unpleasant experiences. Overall, the data showed a degree of consistency in participants' past and future‐oriented processing of self‐referential material. Although considerable research has investigated autobiographical memories in relation to emotional disturbance, the present findings suggest that constructing future emotional experiences is also an important aspect of mental health.