The impact of pre-sleep arousal state and strategy to control unwanted thoughts on sleep quality

Objective: It has been questioned whether elevated pre-sleep cognitive arousal contributes to poor sleep or whether it is the use of maladaptive thought control strategies, used to manage this cognitive arousal, that are responsible. The study aimed to examine how these factors – cognitive arousal (with and without anxiety) and maladaptive thought control strategies contribute to perceived sleep quality (SQ). Design: 129 “healthy adults” (46 males, 83 females) were exposed to picture-stimuli eliciting either anxious cognitive arousal or non-anxious cognitive arousal at bedtime. The groups were then randomly split and briefed to use either a cognitive distraction or cognitive suppression thought control strategy or no instructions were given (controls). Subjective SQ was measured immediately on waking. Results: Induced anxious cognitive arousal was associated with lower SQ compared to non-anxious cognitive arousal. Analyses revealed a significant interaction between arousal and the strategies used to control unwanted thoughts on SQ. When experiencing anxious cognitive arousal, the strategy of distraction was associated with poorer sleep outcomes. Conclusion: The findings suggest that the efficacy of differing thought control strategies vary depending upon whether cognitive arousal elicits anxiety or not. With that in mind, clinical implications in terms of augmenting the treatment of insomnia are discussed.     

A comparison of the effects of thought suppression, distraction and concentration

This study compared the effects of suppression, focused-distraction, and concentration on controlling unwanted distressing thoughts, and examined how anxiety levels were associated with the use of each thought-control technique. In the study, college students were told to suppress thoughts about a distressing story, to suppress the same thoughts by focusing on an alternative distraction task, to simply concentrate on that alternative task, or to think about anything without restrictions for 6 minutes. This initial period was followed by a “free-thinking” period to assess the delayed effect of thought-control techniques. The results indicated that focused-distraction and concentration led to fewer intrusions of target thoughts than suppression, and concentration in turn resulted in fewer target intrusions than focused-distraction during the initial period. Participants in the focused-distraction and concentration condition also tended to report lower anxiety during the initial period than those who were told to suppress thoughts.     

Pre-sleep cognitive intrusions and treatment of onset-insomnia

The importance of differences in pre-sleep cognitive intrusions in the treatment of sleep-onset insomnia were investigated. Twenty-four patients suffering from persistent psychophysiological insomnia were assessed on a pre-sleep cognitive intrusion inventory and divided into high and low scorers. Within these groups Ss were randomly assigned to either a cognitively focused program (cognitive restructuring. paradoxical instructions and thought stopping) or a psychophysiologically focused method, EMG-biofeedback training. Patients were treated individually for 6 sessions. Within-group comparisons showed that both treatments yielded significant improvement in latency to falling asleep, pre-sleep tension, hours of sleep and sleep quality. Between-group comparisons showed a greater reduction of pre-sleep intrusions in patients treated by the cognitive method and of pre-sleep tension in patients trained in biofeedback, but no differential results were found in outcome variables either after treatments or at 3- and 12-month follow-ups. The results indicate that the use of differential treatments added little to the outcome of therapy, and do not support the hypothesis that greater benefits are gained when the treatment matches the patient's claims of cognitive hyperarousal.     

The cognitive locus of distraction by acoustic novelty in the cross-modal oddball task

Unexpected stimuli are often able to distract us away from a task at hand. The present study seeks to explore some of the mechanisms underpinning this phenomenon. Studies of involuntary attention capture using the oddball task have repeatedly shown that infrequent auditory changes in a series of otherwise repeating sounds trigger an automatic response to the novel or deviant stimulus. This attention capture has been shown to disrupt participants' behavioral performance in a primary task, even when distractors and targets are asynchronous and presented in distinct sensory modalities. This distraction effect is generally considered as a by-product of the capture of attention by the novel or deviant stimulus, but the exact cognitive locus of this effect and the interplay between attention capture and target processing has remained relatively ignored. The present study reports three behavioral experiments using a cross-modal oddball task to examine whether the distraction triggered by auditory novelty affects the processing of the target stimuli. Our results showed that variations in the demands placed on the visual analysis (Experiment 1) or categorical processing of the target (Experiment 2) did not impact on distraction. Instead, the cancellation of distraction by the presentation of an irrelevant visual stimulus presented immediately before the visual target (Experiment 3) suggested that distraction originated in the shifts of attention occurring between attention capture and the onset of the target processing. Possible accounts of these shifts are discussed.     

Intrusive thoughts and their relationship to actigraphic measurement of sleep: towards a cognitive model of insomnia

Although cognitive over-arousal has been hypothesised as a causal factor in sleep-onset insomnia, relatively little is known about the specific pre-sleep intrusions which delay sleep. To investigate this relationship adequately 'live', verifiable, unobtrusive and independent monitoring of thought process and sleep pattern is essential. This study was designed with these requirements in mind. Voice-activated audiotape recordings of spontaneous thoughts, and actigraphic data from which to estimate sleep parameters, were obtained over three consecutive nights from 21 participants (63 subject nights). Content analysis of transcribed audiotapes yielded eight categories of pre-sleep intrusion. Results from correlational and regression analyses indicate that thinking about sleep and the anticipated consequences of poor sleep, along with general problem-solving are the strongest predictors of objective sleep latency. Principal Components Analysis suggests that intrusions can be subsumed under one of three factors: 'active problem-solving', 'present state monitoring' and 'environmental reactivity'. Implications for cognitive models and treatments of insomnia are discussed.     

The effects of analytical rumination, reappraisal, and distraction on anger experience

The manner in which individuals recall negative life events has important affective consequences. The present experiment investigated the effects of emotion regulation strategies on anger experience. One hundred and twenty-one undergraduates recalled an anger-inducing memory and were instructed to engage in either analytical rumination, cognitive reappraisal, or distraction for 20 minutes. In the remaining (control) condition, participants were instructed to write about their thoughts but were not given any emotion regulation instructions. Rumination maintained anger, whereas participants in the remaining conditions reported decreased anger following the writing task. Our results suggest that reappraisal facilitates adaptive processing of anger-inducing memories and distraction facilitates rapid reductions in anger experience. These findings have implications for the management of clinical populations that commonly experience difficulty with anger regulation.     

Managing unwanted intrusive thoughts in obsessive-compulsive disorder: Relative effectiveness of suppression, focused distraction, and acceptance

Suppression is one of various mental control techniques that people may use to manage unwanted thoughts. Evidence suggests that it is at best unsustainable and at worst counterproductive. This leads to the question: If suppression is a futile way to respond to unwanted, intrusive thoughts, what is a more effective alternative? In the current study, we evaluated the relative effectiveness of suppression and two alternative mental control techniques—focused distraction and acceptance—on the frequency of intrusions and distress associated with them. Results support the claim that suppression is a counterproductive technique for dealing with unwanted, intrusive thoughts in OCD. However, the harmfulness of suppression was reflected primarily in the magnitude of distress and not in intrusion frequency. Focused distraction and acceptance were the more effective techniques for managing clinically significant intrusive thoughts. We discuss implications for the cognitive treatment for OCD.     

Attempts to control unwanted thoughts in the night: development of the thought control questionnaire-insomnia revised (TCQI-R)

The attempted control of intrusive, uncontrollable thoughts has been implicated in the maintenance of a range of psychological disorders. The current paper describes the refinement of the Thought Control Questionnaire Insomnia (TCQI; Behav. Cogn. Psychoth. 29 (2001)) through its administration to a sample (n=385) including good sleepers and individuals with insomnia. Several items with poor psychometric properties were discarded, resulting in a 35-item revised TCQI. Factor analysis revealed six factors; aggressive suppression, cognitive distraction, reappraisal, social avoidance, behavioural distraction, and worry. The attempted management of unwanted thoughts was compared across individuals with insomnia and good sleepers, and the impact of these strategies on sleep quality, anxiety and depression was investigated. With the exception of cognitive distraction, individuals with insomnia, relative to good sleepers, more frequently used every thought control strategy. The strategies of aggressive suppression and worry, in particular, appeared to be unhelpful, with the use of these strategies predicting sleep impairment, anxiety and depression. The strategy of cognitive distraction appeared to be helpful, with the use of this strategy predicting better sleep quality.     

How to suppress obsessive thoughts

Thought suppression (i.e. consciously trying to avoid certain thoughts from entering consciousness) has been argued to be an inadequate strategy in case of unwanted intrusions. That is, thought suppression seems to result in more rather than less intrusions. Although this experimental finding has been explained in terms of failing attempts to distract oneself from the target thought, the White Bear Suppression Inventory (WBSI; a scale that measures chronic thought suppression tendencies) does not address the means by which respondents try to suppress unwanted thoughts. To examine which strategies of mental control people use to suppress unwanted thoughts, obsessive-compulsive disorder patients (N=47) completed the WBSI, the Thought Control Questionnaire, and two measures of psychopathology. Results suggest that the crucial mechanism in thought suppression may not be distraction, but self-punishment.     

Validation of a French version of the thought control questionnaire-insomnia revised (TCQI-R)

Counterproductive strategies of mental control are assumed to contribute to excessive cognitive activity, thereby exacerbating sleep disturbances. The present study examined the psychometric properties of a French version of the thought control questionnaire-insomnia revised (TCQI-R; Ree, M.J., Harvey, A.G., Blake, R., Tang, N.K.Y., Shawe-Taylor, M., 2005. Attempts to control unwanted thoughts in the night: development of the thought control questionnaire-insomnia revised (TCQI-R). Behaviour Research and Therapy 43, 985–998.), a new instrument designed to capture different strategies of thought management that people use when trying to fall asleep. Analysis of the responses of 298 adults replicated the six-factor solution involving aggressive suppression, behavioral distraction, cognitive distraction, reappraisal, social avoidance, and worry. The corresponding subscales showed sound internal consistency. Further, all thought control strategies correlated significantly with some facets of insomnia, with aggressive suppression and worry being most strongly related to sleep disturbances. These findings suggest that the French TCQI-R constitutes a valuable instrument for investigating the implications of mental control in insomnia.     

Now,Pay Attention! The Effects of Instruction on Children's Attention

We investigated the effects of instructions to “stay on task” on preschoolers' attention and cognitive performance in the face of either incomprehensible or comprehensible distraction. Three- and 4-year-olds completed problem-solving tasks while a distracting event played continuously in the background under conditions of a) no instruction, b) moderate instruction, or c) frequent instruction to “stay on task.” Under conditions where an incomprehensible distractor was present, any amount of instruction reduced looking to the distracting event. Under conditions where a comprehensible distractor was present, however, frequent instruction was the most effective in increasing looking to the task and decreasing looking to the distracting event.     

Happiness increases distraction by auditory deviant stimuli

Rare and unexpected changes (deviants) in an otherwise repeated stream of task‐irrelevant auditory distractors (standards) capture attention and impair behavioural performance in an ongoing visual task. Recent evidence indicates that this effect is increased by sadness in a task involving neutral stimuli. We tested the hypothesis that such effect may not be limited to negative emotions but reflect a general depletion of attentional resources by examining whether a positive emotion (happiness) would increase deviance distraction too. Prior to performing an auditory‐visual oddball task, happiness or a neutral mood was induced in participants by means of the exposure to music and the recollection of an autobiographical event. Results from the oddball task showed significantly larger deviance distraction following the induction of happiness. Interestingly, the small amount of distraction typically observed on the standard trial following a deviant trial (post‐deviance distraction) was not increased by happiness. We speculate that happiness might interfere with the disengagement of attention from the deviant sound back towards the target stimulus (through the depletion of cognitive resources and/or mind wandering) but help subsequent cognitive control to recover from distraction.     

Cognitive consequences of asymmetrical visual distraction

The authors explored whether manipulating the location of distraction in the participants' visual field influences the degree of competition between visual and other cognitive processes. If a cognitive task is lateralized to a particular hemisphere, visual distraction directed toward that same hemisphere should impair performance on that task more than should visual distraction directed toward the other hemisphere. Consistent with this hypothesis, the authors found in Experiments 1 and 2 that participants better recalled words of high imageability in a verbal memory task when the examiner was in the participant's left visual field (right hemisphere) than when the examiner was in the participant's right visual field (left hemisphere). In Experiment 3, the authors found that this effect reversed for performance on a right-hemisphere spatial task.     

How distraction affects pedestrian response: Evidence from behavior patterns and cortex oxyhemoglobin changes

ObjectivesDistracted walking is a major cause of pedestrian road traffic injuries, but little is known about how distraction affects pedestrian safety. The study was designed to explore how visual and auditory distraction might influence pedestrian safety.MethodsThree experiments were conducted to explore causal mechanisms from two theoretical perspectives, increased cognitive load from the distraction task and resource competition in the same sensory modality. Pedestrians’ behavior patterns and cortex oxyhemoglobin changes were recorded while they performed a series of dual tasks.ResultsFour primary results emerged: (a) participants responded more slowly to both visual and auditory stimuli in traffic, as well as walked more slowly, while talking on the phone or text messaging compared to when undistracted or listening to music; (b) when participants completed pedestrian response tasks while distracted with a high cognitive load, their response was significantly slower and poorer than when they carried out a lower cognitive load distraction task, (c) participants had higher levels of oxy-Hb change in cortices related to visual processing and executive function while distracted with a higher cognitive load; and (d) participants' responses to traffic lights were slower and resulted in a higher activation in prefrontal cortex and occipital areas when distracted by a visual distraction task compared to when distracted with an auditory task; similarly, brain activation increased significantly in temporal areas when participants responded to an auditory car horn task compared to when they responded to visual traffic lights.ConclusionsBoth distracting cognitive load demands and the type of distraction task significantly affect young adult pedestrian performance and threaten pedestrian safety. Pedestrian injury prevention efforts should consider the effects of the type of distracting task and its cognitive demands on pedestrian safety.     

Implicit and explicit appraisals of the importance of intrusive thoughts

To evaluate cognitive theories of obsessions, the current study experimentally manipulated appraisals of the importance of intrusive thoughts. Undergraduate students (N = 156) completed measures of obsessive-compulsive disorder (OCD) symptoms and beliefs and were primed with a list of commonly reported unwanted thoughts. Participants were then informed that unwanted thoughts are either (1) significant and indicative of their personal values, or (2) meaningless, or participants (3) received no instructions about unwanted thoughts. Participants then completed implicit and explicit measures of self-evaluation and interpretations of their unwanted thoughts. Results indicated that the manipulation shifted implicit appraisals of unwanted thoughts in the expected direction, but not self-evaluations of morality or dangerousness. Interestingly, explicit self-esteem and beliefs about the significance of unwanted thoughts were associated with measures of OCD beliefs, whereas implicit self-evaluations of dangerousness were better predicted by the interaction of pre-existing OCD beliefs with the manipulation. Results are discussed in terms of divergent predictors of implicit and explicit responses to unwanted thoughts.     

Obsessional beliefs and the implicit and explicit morality of intrusive thoughts

Cognitive models of obsessive-compulsive disorder (OCD) suggest that misinterpreting intrusive thoughts exacerbates obsessional thinking. To evaluate this hypothesis, healthy participants (N=91) were prompted to recollect their unwanted thoughts, and then beliefs about the immorality of these thoughts were manipulated. Next, participants completed implicit and explicit measures of self-evaluation and appraisals of unwanted thoughts. Results from structural regression analyses indicated that explicit responses to unwanted thoughts, such as evaluations of the significance of intrusive thoughts and state self-esteem, were predicted by pre-existing obsessional beliefs, but not by the morality instruction manipulation. In contrast, implicit responses, such as appraisals of unwanted thoughts as relatively important and evaluations of the self as relatively immoral and dangerous, were predicted by the interaction between specific obsessional beliefs (e.g., intolerance of uncertainty) and the morality instructions. Findings largely support cognitive models of OCD and suggest unique predictors of implicit and explicit responses to unwanted thoughts.     

The resource-availability model of distraction and mind-wandering

This article presents a cognitive model of distraction and mind-wandering that combines and formalizes several existing theories. It assumes that task-related goals and opportunities for distraction are continuously in competition for mental resources. If the task-related goal does not need a particular resource at a particular moment, the likelihood that it is captured by a distraction is high. We applied this model to explain the results of three distraction experiments that differ from each other in a number of ways. The first experiment is a slow-paced mind-wandering study; the main result is that less mind-wandering occurs if subjects have to maintain an item in working memory. The second experiment is a working memory task in which mind-wandering is triggered by the presence of self-referential words in a secondary task; these words increase mental elaboration and reduce memory performance. The third experiment is a mental arithmetic/ memory/visual attention task, in which subjects became more distracted by a flanking (irrelevant) video as the task increased in complexity: as subjects need more time to think, they leave the visual resource vulnerable to distraction. Although these phenomena have been treated separately in the literature, we show that these phenomena can be explained by a single comprehensive model that is based on the assumption that distractions target unused cognitive resources.     

负性情绪调节中认知重评和分心策略的作用:ERPs研究

采用事件相关电位技术,考察了认知重评和分心两种情绪调节策略对负性情绪体验和脑电活动的影响。结果发现,认知重评后被试的负性情绪体验强度和LPP波幅(300~1300ms)比简单注视条件下低;分心后被试的负性情绪体验强度比简单注视条件下低,但LPP波幅显示比简单注视条件下高。这说明认知重评和分心对负性情绪体验和脑电活动的影响不同,负性刺激再次呈现时认知重评优于分心策略的调节。该研究为认知重评和分心的比较研究提供了神经电生理学方面的证据。     

The effect of a delayed weekend sleep pattern on sleep and morning functioning

Abstract

It is a common practice for young adults to delay their weekend sleep schedule. The present study was designed to assess the effect of this sleep pattern on the sleep of Sunday night and the functioning of Monday morning. The sleep schedules of 30 young adults were manipulated for 2 consecutive weeks. In the Habitual-Sleep (HS) week, subjects followed their habitual sleep schedule throughout the week; in the Delayed-Sleep (DS) week, subjects' sleep schedule on Friday and Saturday nights were delayed by two hours. Compared to the HS week, subjects showed significantly lower subjective sleepiness near bedtime and trends of longer sleep onset latency on Sunday night in the DS week. In addition, there was both lowered cognitive performance and overall mood rating on Monday morning in the DS week. The delayed weekend sleep pattern contributes to Sunday night insomnia and the Monday morning “blues”.     

Imagery-inducing distraction leads to cognitive tunnelling and deteriorated driving performance

The effects of imagery-induced distraction on hazard perception and eye movements were investigated in 2 simulated driving experiments. Experiment 1: sixty participants viewed and responded to 2 driving films containing hazards. Group 1 completed the task without distraction; group 2 completed a concurrent imagery inducing telephone task; group 3 completed a non imagery inducing telephone task. Experiment 2: eye-tracking data were collected from forty-six participants while they reacted to hazards presented in 16 films of driving scenes. 8 films contained hazards presented in either central or peripheral vision and 8 contained no hazards. Half of the participants performed a concurrent imagery-inducing task. Compared to undistracted participants, dual-taskers were slower to respond to hazards; detected fewer hazards; committed more “looked but failed to see” errors; and demonstrated “visual tunnelling”. Telephone conversations may interfere with driving performance because the two tasks compete for similar processing resources, due to the imagery-evoking aspects of phone use.