Thought suppression and its effects on thought frequency, appraisal and mood state in individuals with obsessive-compulsive disorder

Leading models of obsessive-compulsive disorder (OCD) implicate thought suppression as a key factor in the escalation and persistence of the disorder. This experiment examined the effects of suppression on the frequency of obsessional thoughts in 50 individuals with a primary diagnosis of OCD, and also investigated the effects of participants' appraisals regarding their failures in thought control on distress about intrusive thoughts and on mood. Participants' most upsetting obsessional thought was primed and they then monitored its occurrence over two 4-min intervals. In the first interval, half of the participants were instructed to suppress their obsessional thought and half were instructed not to suppress any thoughts. In the second interval, all participants were given the 'Do Not Suppress' instructions. Participants rated their suppression effort and discomfort over thought occurrences after each interval and recorded their appraisals of thought recurrences during the first interval. Mood state was then reassessed. No ironic effect of suppression on frequency was noted. However, negative appraisals of thought recurrences were associated with more discomfort over thought occurrences and more negative mood at Time 2. These findings suggest that interpretations regarding failures in thought control may be of central importance in understanding obsessional problems.     

Effects of suppressing neutral and obsession-like thoughts in normal subjects: beyond frequency

Recent cognitive-behavioral theories on obsessive-compulsive disorder (OCD) show that deliberate attempts to suppress intrusive and undesirable thoughts lie at the genesis of clinical obsessions. In this paper the results of an experimental study on the suppression of neutral and obsession-like thoughts in normal subjects are presented. Eighty-seven university students performed in three experimental periods: (1) base-line monitoring, (2) experimental instruction, and (3) monitoring. For each of these periods, the frequency of the occurrence of a "white bear" thought or a personally relevant intrusive thought was registered. Half of the subjects received instructions to suppress the target-thought in period 2, and the other half were instructed to only monitor the target-thought in each of the experimental periods. Several measures were also obtained before and after the experiment: annoyance caused by the intrusion, suppression effort, subjective success, and evaluative appraisals of the target-thought. The results showed neither immediate nor delayed frequency increases of the target thought. However, evidence was found that deliberate thought suppression efforts, regardless of their content, had greater negative consequences than did non suppression. These results are discussed in relation to the recent cognitive proposals about OCD.     

Embodied mood regulation: the impact of body posture on mood recovery,negative thoughts,and mood-congruent recall

Previous work has shown that a stooped posture may activate negative mood. Extending this work, the present experiments examine how stooped body posture influences recovery from pre-existing negative mood. In Experiment 1 (n?=?229), participants were randomly assigned to receive either a negative or neutral mood induction, after which participants were instructed to take either a stooped, straight, or control posture while writing down their thoughts. Stooped posture (compared to straight or control postures) led to less mood recovery in the negative mood condition, and more negative mood in the neutral mood condition. Furthermore, stooped posture led to more negative thoughts overall compared to straight or control postures. In Experiment 2 (n?=?122), all participants underwent a negative mood induction, after which half received cognitive reappraisal instructions and half received no instructions. Mood-congruent cognitions were assessed through autobiographical memory recall. Again, stooped (compared to straight) position led to less mood recovery. Notably, this was independent of regulation instruction. These findings demonstrate for the first time that posture plays an important role in recovering from negative mood.     

On bad mood and white bears: The effects of mood state on ability to suppress unwanted thoughts

Does temporary mood influence people's ability to engage in effective thought suppression? Based on past research on mental control and recent work on affective influences on social cognition, this experiment predicted and found that negative mood improved and positive mood impaired people's ability to suppress their thoughts when instructed not to think of a neutral concept, white bears. We also found clear evidence for ironic rebound effects: on a subsequent generative task, intrusions of the suppressed thought were greater in the negative than in the positive mood group. Participants received positive or negative feedback about performance on a supposed creativity task to induce positive or negative moods, and then engaged in two consecutive generative writing tasks, the first accompanied by instructions to suppress thoughts of white bears. Those in a negative group reported fewer “white bear” intrusions when attempting to suppress, but more “white bear” intrusions (an ironic rebound effect) in the subsequent task when the suppression instruction was lifted. The implications of these results for everyday tasks of mental control, and for recent affect–cognition theories are discussed.     

Manic thinking: independent effects of thought speed and thought content on mood

This experiment found that the speed of thought affects mood. Thought speed was manipulated via participants' paced reading of statements designed to induce either an elated or a depressed mood. Participants not only experienced more positive mood in response to elation than in response to depression statements, but also experienced an independent increase in positive mood when they had been thinking fast rather than slow--for both elation and depression statements. This effect of thought speed extended beyond mood to other experiences often associated with mania (i.e., feelings of power, feelings of creativity, a heightened sense of energy, and inflated self-esteem or grandiosity).     

Effect of thought-stopping on thoughts,mood and corrugator EMG in depressed patients

The immediate effects of thought-stopping applied to depressive thoughts were compared to those of a control procedure in a group of depressed psychiatric day-patients. Thought-stopping had only a weak effect on average in reducing the frequency of depressive thoughts, and no significant effects on depressed mood or corrugator EMG. A small significant effect on anxious mood appeared related to non-specific factors. The results raise the possibility that thought-stopping may have little specific effect in reducing the frequency of unwanted thoughts. Corrugator EMG was significantly related to the frequency of spontaneously occurring depressive thoughts both between and within subjects.     

The contribution of thought-action fusion and thought suppression in the development of obsession-like intrusions in normal participants

Both thought-action fusion (TAF: i.e., a cognitive bias implying an inflated sense of responsibility for one's own thoughts) and thought suppression have been claimed to contribute to the development of obsession-like intrusions. Therefore, it seems plausible that conjunction of these phenomena results in highly intense intrusions. However, possible interactions between TAF and thought suppression have not yet been investigated experimentally. In the current study, healthy volunteers were exposed to a TAF-like intrusion. They were, then, randomly assigned to a suppression (n=21) or non-suppression condition (n=19). Next, visual analogue scales (VASs) were completed measuring anxiety, feelings of responsibility and guilt, urge to neutralise and so on. Contrary to expectation, several VAS scores were lower for participants in the suppression group than for those in the non-suppression group. Hence, it is concluded that thought suppression may, at least in the short term, alleviate discomfort caused by TAF-like intrusions.     

Depressed mood: The role of negative thoughts,self-consciousness,and sex role stereotypes

Research typically finds that depression is twice as common among women as among men. This may relate to differences in socialization that result in different emotions, cognitions, and coping reactions. Sex-role stereotypes, employment and marital status, and differential social pressures may also be significant in making women more vulnerable to the development of depression. Women may have less decision-making power, face more adverse life events, and have limited access to resources, which may lead to feelings of helplessness and low self-esteem. Low self-esteem and negative cognitions about the self in turn may be proximal factors predictive of negative mood. Additionally, women may be more prone to ruminative self-focus rather than active coping, a significant risk factor for depression. This study examined individual predictors of depressed mood for each sex, including coping, self-esteem, negative thoughts, self-consciousness (rumination), as well as social factors such as the endorsement of sex-role stereotypes and decision-making power in the family. Results indicated that social factors were not related to depressed mood in either sex, but were related to coping styles and self-esteem. Depressed mood was associated with individual characteristics, such as avoidant coping styles, social anxiety for women, and ruminative self-focus for men. Regression analysis showed that coping through denial and negative thoughts explained depressed mood, and the latter was particularly true for men. These results point to the significance of examining both individual and social factors when attempting to understand depression in men and women.     

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.     

Examination of adolescents' negative thoughts, depressive mood, and family environment.

The focus of this study was the relationship among adolescents' negative thoughts, depressive mood, and family environment. Three hundred eleven students (aged 16 and 17 years) in public and private schools served as subjects. They were administered the Family Environment Scale, the Automatic Thoughts Questionnaire, and the Beck Depression Inventory. Family cohesion was found to be related to the degree of negative thoughts and depressive mood of the adolescents, but perceived control within the family was not.     

Informational mood impact on effort-related cardiovascular response: the diagnostic value of mood counts

Drawing on the mood-behavior model (G. H. E. Gendolla, 2000), 2 experiments examined moods' informational impact on effort-related cardiovascular response. After being induced into positive versus negative moods, participants performed a memory task (Experiment 1) or a letter-cancellation task (Experiment 2). Half the participants received a cue that their mood could have been manipulated. As expected, both studies found stronger reactivity of systolic blood pressure in a negative mood than in a positive mood when no cue was provided. This effect diminished in the cue conditions. Additionally, achievement corresponded to systolic blood pressure reactivity (Experiment 1), the cue manipulation had no effect on mood, and mood had a congruency effect on subjective task difficulty in the no-cue conditions (Experiment 2).     

Suppressing and focusing on a negative memory in social anxiety: effects on unwanted thoughts and mood

Researchers have hypothesized that thought suppression contributes to the large volume of unwanted thoughts in anxiety disorders. However, comparisons to both non-suppression and non-anxious groups are necessary for studies on thought suppression in high anxiety. Participants completed a series of thought verbalization periods and a social interaction. During one period, participants were randomly assigned to focus upon a negative social memory, suppress it, or think freely while monitoring the memory. Results indicated that thought suppression and focusing caused a greater rise and subsequent decline in unwanted thoughts than monitoring instructions for both high and low social anxiety groups. Importantly, highly socially anxious participants had more unwanted thoughts overall, but did not respond significantly differently to thinking instructions when compared to the less anxious group. Interestingly, highly socially anxious participants did report more thought suppression attempts in their everyday life. They also appeared to benefit by experiencing less shyness after suppression when compared to focusing, a pattern not evident for the low social anxiety group.     

Violence risk appraisal of male and female youth, adults, and individuals

Data from youth (n = 1,127), adults (n = 1,595), and individuals (N = 2,722, combined youth and adults) were followed 3 to 12 years in records to develop items to predict abuse, violence, and homicide in these 3 relevant groups for risk appraisal or safety scales. Shao's bootstrapped logistic regression yielded 14 predictors for youth (AUC = .91), 11 for adults (AUC = .99), and 13 for individuals (AUC = .96). Three regression equations were cross-validated with in-bag and out-of-bag techniques. Pearson coefficients were computed with intelligence, achievement, adaptive behavior, and perception tests. Test-retest reliability was acceptable. Using case-control quasi-experimental design, this study extends probation-parole decision-making tests to infants and children as young as 3 years, with convergent and divergent validity and reliability with other tests. Sensitivity and specificity were high and minimized over- or under-identification challenges in identifying potentially violent persons in the general population.     

The contagious leader: impact of the leader's mood on the mood of group members, group affective tone, and group processes

The present study examined the effects of leaders' mood on (a) the mood of individual group members, (b) the affective tone of groups, and (c) 3 group processes: coordination, effort expenditure, and task strategy. On the basis of a mood contagion model, the authors found that when leaders were in a positive mood, in comparison to a negative mood, (a) individual group members experienced more positive and less negative mood, and (b) groups had a more positive and a less negative affective tone. The authors also found that groups with leaders in a positive mood exhibited more coordination and expended less effort than did groups with leaders in a negative mood. Applied implications of the results are discussed.     

The gravity of unwanted thoughts: Asymmetric priming effects in thought suppression

An unwanted thought appears to be cued easily by reminders in the environment but often the thought itself seems to cue nothing more than the desire to eliminate it from consciousness. This unusual asymmetry in the way unwanted thoughts are linked to other thoughts was the focus of the present research. Participants who were asked to suppress a thought or to concentrate on it completed a task assessing the influence of priming on reaction time (RT) for word/non-word judgments. Results revealed that suppression under cognitive load produced asymmetric priming: Priming with the associate of a suppressed word speeded RT for the suppressed word, but priming with a suppressed word did not speed RT for associated words. These findings suggest that thought suppression induces an unusual form of cognitive accessibility in which movement of activation toward the suppressed thought from associates is facilitated but movement of activation away from the suppressed thought to associates is undermined.     

Self-criticism,interpersonal conditions,and biosystemic inflammation in suicidal thoughts and behaviors within mood disorders: A bio-cognitive-interpersonal hypothesis

We review the theoretical and empirical literature on the role of self-concept in suicidal behavior in the context of mood disorders (i.e., unipolar depression and bipolar spectrum disorders). The main themes emanating from this review are then juxtaposed against (a) the Interpersonal-Psychological Theory of Suicide and (b) biological research on the role of inflammatory processes in suicidality. Such a juxtaposition paves the way for a bio-cognitive-interpersonal hypothesis. Pathologies of the self-concept—primarily self-criticism—propel mood disorder sufferers to generate interpersonal stress that culminates in two proximal causes of suicidality: thwarted belongingness and perceived burdensomeness. In turn, these two interpersonal conditions set in motion systemic biosystemic inflammation, serving as a proximal cause for suicidality in mood disorders. We conclude by describing a research project aimed at testing this hypothesis, and by outlining pertinent implications for assessment, treatment, and prevention.     

Influence of emotional state on irrelevant thoughts

The fan effect paradigm was used to investigate the influence of emotional mood state on longterm memory retrieval (Anderson, 1983). Subjects learned target facts embedded in unrelated sentences to a specified criterion and were then given a happy, sad, or neutral mood induction. Mean response times (RTs) and error rates were analyzed in a speeded recognition test in which subjects distinguished between the learned facts and foil facts (foil facts were constructed by recombining the same concepts). A follow-up lexical decision task indicated that mean RT was positively correlated with an increase in the weighted proportion of irrelevant thoughts produced by subjects in an induced sad mood. Results suggest that irrelevant thoughts associated with the sad mood state interfered with more relevant, task-oriented, thoughts and support the notion that sad mood is related to a failure to inhibit irrelevant information.     

Obsessive intrusive thoughts in nonclinical subjects. Part I. Content and relation with depressive, anxious and obsessional symptoms

The present study reports on the development and preliminary validation of a 52 item self-report instrument designed to assess intrusive thoughts, images and impulses that are similar to the aggressive, sexual and disease-related thinking characteristic of clinical obsessions. Two hundred and ninety-three students completed the Obsessive Intrusions Inventory (OII) as well as standard self-report measures of negative cognitions and obsessive, anxious and depressive symptoms. Regression analysis revealed that intrusive thinking was a significant and unique predictor of obsessional but not anxious or depressive symptoms. Furthermore, intrusive thinking showed a moderate correlation with anxious but not depressive cognitions. The results indicate that the intrusive thoughts assessed by the OII are distinct from other forms of negative thinking and may, in fact, constitute an analogue form of clinical obsessions in nonclinical populations.