Reduced specificity of autobiographical memory as a moderator of the relationship between daily hassles and depression

Autobiographical memory biases are potential cognitive vulnerability factors for depression, with recent research highlighting the potential importance of accompanying high levels of life stress. Using a prospective design, the current study examined the role of autobiographical memory performance, both reduced specificity and propensity towards categoric memories, as moderators of the relationship between life stress and depression in a non-clinical college sample. Findings suggest that an increased propensity towards categoric recall emerged as a vulnerability factor for future depressive symptoms, with this vulnerability not being dependent upon the presence of high levels of life stress. In contrast, while reduced autobiographical memory specificity did not emerge as a vulnerability factor alone, it did emerge as a moderator of the relationship between chronic daily hassles and depression. These findings highlight the potential importance of both propensity towards categoric recall and reduced specificity of autobiographical memory as vulnerability factors for the experience of future depressive symptoms.     

Overgeneral autobiographical memory predicts diagnostic status in depression

Major depressive disorder (MDD) is characterised by difficulties in retrieving specific autobiographical memories, with a significant propensity towards categoric memories (i.e. memories of a summary type). Previous studies have demonstrated that this overgeneral memory is a valid predictor of the course of depression, with reduced specificity being associated with worse outcome. Most of these studies have employed continuous measures of depression to assess the course of the symptoms. This study investigated whether overgeneral memory also predicts clinical status at follow-up (i.e. whether patients still meet criteria for depression). Patients who fulfilled criteria for major depressive disorder were tested shortly after admission to the hospital and were retested some weeks later. It was found that lower levels of specificity or a higher number of categoric memories were associated with a higher probability of still being diagnosed with MDD. These memory variables outperformed other relevant indices, such as depression severity, rumination, level of self-esteem and dysfunctional attitudes.     

When and why does abuse predict reduced autobiographical memory specificity?

Two studies were conducted to explore the conditions that elicit autobiographical memory problems in abuse victims and the mechanism that underlie them. In Study 1 older adolescents (n=80) with and without self-reported abuse histories completed a modified version of the Autobiographical Memory Test (AMT-U); participants were given an unlimited amount of time to provide specific memories in response to cue words. Participants also completed measures of depression and post-traumatic stress disorder (PTSD), working memory, and attentional biases. This study found that abuse severity and PTSD symptoms were positively related to memory specificity on the AMT-U. In Study 2 older adolescents (n=78) with and without self-reported abuse histories completed the traditional (timed) version of the AMT. Participants also completed measures of working memory, attentional biases, self-reported coping, and psychopathological symptoms (i.e., depression and PTSD). In this study the opposite relationship was observed, such that abuse severity was related to poorer memory specificity, but this relationship was explained by disengagement coping and PTSD symptoms. This work suggests that poor memory specificity may represent a form of avoidance, but the application of avoidant mechanisms depends on the remembering context.     

A longitudinal study of processes predicting the specificity of autobiographical memory in the adolescent offspring of depressed parents

Deficits in specific autobiographical memory retrieval are closely associated with depression. The ability to retrieve specific autobiographical memories develops throughout childhood and adolescence and is associated with adolescent depression within and across time. Studying young samples before they first experience depression provides an approach for testing processes that underlie reduced autobiographical memory specificity. This study is the first to examine the longitudinal association of rumination and executive function with autobiographical memory specificity in a sample of adolescents at elevated risk for future depression. A total of 259 adolescents (aged between 10 and 18 years) completed the Autobiographical Memory Test at baseline and 1-year follow-up. Measures of rumination, executive function, and depressive symptoms were obtained at baseline. The interaction between rumination and executive function predicted autobiographical memory specificity over time. Whereas rumination in the context of low executive function predicted reduced specificity, this was not the case in the context of high executive function. The interaction between rumination and executive function was independent of the effects of age, gender, IQ, baseline levels of memory specificity, and depressive symptoms.     

Overgeneral autobiographical memory predicts higher prospective levels of depressive symptoms and intrusions in borderline patients

Overgeneral memory (OGM), the tendency to retrieve categories of events from autobiographical memory instead of single events, is found to be a reliable predictor for future mood disturbances and post-traumatic symptom severity. Patients with borderline personality disorder (BPD) often report co-morbid episodes of major depressive disorder (MDD) and post-traumatic stress disorder (PTSD). Therefore, we investigated whether OGM would predict depression severity and (post-traumatic) stress symptoms in BPD patients. At admission (N?=?54) and at six-month follow-up (N?≥?31), BPD patients completed the Structured Clinical Interview for DSM-IV Disorders, the Assessment of DSM-IV Personality Disorders, the Autobiographical Memory Test, the Beck Depression Inventory—2nd edition (BDI-II), and the Impact of Event Scale. OGM at baseline predicted (a) higher levels of depressive symptoms at follow-up and (b) more intrusions related to a stressful event over and above baseline levels of borderline symptoms, depressive symptoms, and intrusions, respectively. No association was found between memory specificity and event-related avoidance at follow-up. Despite previous findings suggesting that OGM in BPD is less robust than in MDD and PTSD, our results suggest that memory specificity in BPD patients may have some relevance for the course of depressive and stress symptomatology in BPD.     

Associations between components of rumination and autobiographical memory specificity as measured by a Minimal Instructions Autobiographical Memory Test

Clinical studies have shown that rumination functions as a mediator between overgeneral memory—the tendency to retrieve autobiographical memories in a non-specific format—and depression. Recently, rumination has been dismantled into two distinct subcomponents: reflection, which is more adaptive, and brooding, which is more maladaptive. In the present study we examined the differential relationships of these two rumination subcomponents with autobiographical memory specificity and their mediational role for the relationship between reduced memory specificity and depression in a non-clinical sample. In addition, we investigated the usefulness of a “minimal instructions” version of the Autobiographical Memory Test (AMT) to measure memory specificity in non-clinical populations. Results indicated that the use of minimal instructions can increase the AMT's sensitivity to detect reduced autobiographical memory specificity in non-clinical individuals. Further it was found that brooding, and not reflection, is significantly associated with reduced autobiographical memory specificity and functions as a mediator between reduced memory specificity and depression.     

Role of anxiety and brooding in specificity of autobiographical recall

Overgeneral schemas and lack of autobiographical memory (AM) specificity about our past experiences can predict mood disturbance. Rumination, functional avoidance and executive processes are the main explanatory variables of such overgenerality. However, in non‐clinical samples, rumination predicts overgenerality most consistently after the induction of dysphoric mood. Anxiety also activates rumination. Furthermore, anxiety predicts memory performance and has effects on mood which are independent of the effects of rumination. So, what might be the role of anxiety in autobiographical memory performance? A sample of 210 voluntary participants reported measures of autobiographical memory, anxiety, rumination (brooding and reflection), functional avoidance and executive functions (semantic and phonetic verbal fluency task). Autobiographical performance (specificity) was negatively associated with brooding and age and positively with phonetic verbal fluency but not with functional avoidance and anxiety. However, anxiety and brooding were positively correlated even after controlling for depression scores. Moreover, using structural equation modeling, anxiety showed a significant indirect effect on autobiographical specificity through brooding rumination. These results suggest a possible association of anxiety with autobiographical recall through brooding rumination.     

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.     

Autobiographical Memory Specificity in Patients with Tinnitus Versus Patients with Depression and Normal Controls

Several studies show that patients with depression and post-traumatic stress disorder respond with fewer specific autobiographical memories in a cued memory task (i.e. the autobiographical memory test; AMT) compared to healthy controls. One previous study found this phenomenon among tinnitus patients as well (Andersson, Ingerholt, & Jansson, 2003). The aim of this study was to replicate the previous study with an additional control group of depressed patients and memory errors as measured with the AMT as an additional outcome. We included 20 normal hearing tinnitus patients, 20 healthy controls and 20 persons diagnosed with clinical depression. The AMT was administered together with self-report measures of depression, anxiety and tinnitus distress. Both the tinnitus and depression groups differed from the healthy control group in that they reported fewer specific autobiographical memories. There were, however, differences between the tinnitus and depression groups in terms of the errors made on the AMT. The depression group had more overgeneral memories than the normal control group, whereas the tinnitus group did not differ from the control group on this memory error. The tinnitus group had more semantic associations and non-memories than the other two groups, suggesting that executive functioning may play a role for the tinnitus group when completing the AMT. Clinical and theoretical implications of the findings are discussed.     

The effects of analytical and experiential rumination on autobiographical memory specificity in individuals with a history of major depression

This study examined the relationship between analytical rumination and autobiographical memory specificity in participants with a history of depression. Participants completed the autobiographical memory test twice, once before and once after an 8 min manipulation designed to increase either an abstract/analytical or concrete/experiential mode of information processing. Results indicated a significant three-way time (pre, post)×manipulation (analytical, experiential)×depressive rumination (high, low) interaction. This interaction was the result of a significant decline in memory specificity from pre- to post-manipulation in individuals reporting high levels of rumination about symptoms when depressed who were allocated to the analytical condition. The findings of this study extend previous work, suggesting that low memory specificity in formerly depressed patients may be a function of state levels of analytical self-focus, with this cognitive style being more easily reinstated in the recovery phase in those who report a greater trait tendency to ruminate about symptoms when low in mood.     

Overgeneral autobiographical memory as a predictor of the course of depression: A meta-analysis

Overgeneral autobiographical memory (OGM) is a robust phenomenon in depression, but the extent to which OGM predicts the course of depression is not well-established. This meta-analysis synthesized data from 15 studies to examine the degree to which OGM 1) correlates with depressive symptoms at follow-up, and 2) predicts depressive symptoms at follow-up over and above initial depressive symptoms. Although the effects are small, specific and categoric/overgeneral memories generated during the Autobiographical Memory Test significantly predicted the course of depression. Fewer specific memories and more categoric/overgeneral memories were associated with higher follow-up depressive symptoms, and predicted higher follow-up symptoms over and above initial symptoms. Potential moderators were also examined. The age and clinical depression status of participants, as well as the length of follow-up between the two depressive symptom assessments, significantly moderated the predictive relationship between OGM and the course of depression. The predictive relationship between specific memories and follow-up depressive symptoms became greater with increasing age and a shorter length of follow-up, and the predictive relationship was stronger for participants with clinical depression diagnoses than for nonclinical participants. These findings highlight OGM as a predictor of the course of depression, and future studies should investigate the mechanisms underlying this relationship.     

Autobiographical memory for shame or guilt provoking events: Association with psychological symptoms

The diagnostic criteria for posttraumatic stress disorder (PTSD) specify that a qualifying traumatic stressor must incite extreme peritraumatic fear, horror, or helplessness. However, research suggests that events inciting guilt or shame may be associated with PTSD. We devised a web-based survey in which non-clinical participants identified an event associated with shame or guilt and completed questionnaire measures of shame, guilt, PTSD, and depression. In addition, we assessed characteristics of memory for the event, including visual perspective and the centrality of the memory to the participant’s autobiographical narrative (CES). Shame predicted depression and PTSD symptoms. There was no association between guilt and psychological symptoms after controlling statistically for the effects of shame. CES predicted the severity of depression and PTSD symptoms. In addition, CES mediated the moderating effect of visual perspective on the relationship between emotional intensity and PTSD symptoms. Our results suggest shame is capable of eliciting the intrusive and distressing memories characteristic of PTSD. Furthermore, our results suggest aversive emotional events are associated with psychological distress when memory for those events becomes central to one’s identity and autobiographical narrative.     

Does Overgeneralized Autobiographical Memory Facilitate or Inhibit Intrusive Images? Its Relation to Depressive Symptoms

People with high levels of depressive symptoms experience overgeneralized autobiographical memory (OGM) in voluntary recall and intrusive images in involuntary recall. The present study examined the relationship between OGM and intrusive images and the influence of depressive symptoms on this relationship over 1 week. Fifty‐three students completed self‐report questionnaires, autobiographical memory test, and the trauma film paradigm. Subsequently, they reported intrusive images from the trauma film in a diary for 1 week. Hierarchical multiple regression showed that individuals with higher levels of depressive symptoms experienced more intrusive images than did individuals with low depressive symptoms. An interaction effect between negative memory specificity and depressive symptoms revealed that number of intrusive images was related to high negative memory specificity (i.e. low OGM) in individuals with higher levels of depressive symptoms. These results support the functional avoidance strategy of OGM in analogue trauma stimuli, especially in individuals with higher depressive symptoms.Copyright © 2017 John Wiley & Sons, Ltd.     

Trauma and autobiographical memory specificity in depressed inpatients

Research on autobiographical memory has shown that clinical depression is associated with a difficulty in retrieving specific autobiographical memories in response to cue words. This study examined the relation between lack of autobiographical memory specificity and self-reported trauma in a group of depressed adults (N = 23). In addition to the Autobiographical Memory Test (AMT; Williams & Broadbent, 1986) participants completed a number of questionnaires assessing the presence of traumatic experiences in the past, level of depression and neuroticism. The number of specific responses was not related to depression severity, but was significantly associated with the presence and severity of reported physical abuse. Participants who had been victim of physical abuse were less specific than participants who had not been confronted with such physical adversities. The results are discussed in the context of a functional hypothesis about the developmental relations between memory specificity, trauma and depression.     

Overgeneral autobiographical memory and chronic interpersonal stress as predictors of the course of depression in adolescents

This study investigated whether overgeneral autobiographical memory (OGM) predicts the course of depression in adolescents. As part of a larger longitudinal study of risk for emotional disorders, 55 adolescents with a past history of major depressive disorder or minor depressive disorder completed the Autobiographical Memory Test. Fewer specific memories predicted the subsequent onset of a major depressive episode (MDE) over a 16-month follow-up period, even when covarying baseline depressive symptoms. This main effect was qualified by an interaction between specific memories and chronic interpersonal stress: Fewer specific memories predicted greater risk of MDE onset over follow-up at high (but not low) levels of chronic interpersonal stress. Thus, our findings suggest that OGM, in interaction with chronic interpersonal stress, predicts the course of depression among adolescents, and highlight the importance of measuring interpersonal stress in OGM research.     

Autobiographical memory functions and posttraumatic stress symptoms across adulthood

Previous research has documented robust individual differences in the functions served by autobiographical memories, and shown that different autobiographical memory functions are related to both positive and negative indicators of psychological well-being, and that their frequency varies with age. In this study, we examined the unique relationship between autobiographical memory functions and posttraumatic stress symptoms (PTSS) and whether such relationships varied with age across adulthood. A representative sample of 1040 adult Danes (20–70 years old) reported the frequency with which they recall autobiographical memories for different purposes as well as their level of posttraumatic stress disorder (PTSD) symptoms. Higher reflective and ruminative functions, as well as lower social function, predicted higher levels of PTSS. There were no moderating effects of age. The results suggest that although the frequency of various autobiographical functions varies throughout the adult years, their association with PTSS is similar across adulthood.     

Overgeneral autobiographical memory and chronic interpersonal stress as predictors of the course of depression in adolescents

This study investigated whether overgeneral autobiographical memory (OGM) predicts the course of depression in adolescents. As part of a larger longitudinal study of risk for emotional disorders, 55 adolescents with a past history of major depressive disorder or minor depressive disorder completed the Autobiographical Memory Test. Fewer specific memories predicted the subsequent onset of a major depressive episode (MDE) over a 16-month follow-up period, even when covarying baseline depressive symptoms. This main effect was qualified by an interaction between specific memories and chronic interpersonal stress: Fewer specific memories predicted greater risk of MDE onset over follow-up at high (but not low) levels of chronic interpersonal stress. Thus, our findings suggest that OGM, in interaction with chronic interpersonal stress, predicts the course of depression among adolescents, and highlight the importance of measuring interpersonal stress in OGM research.     

The Content of Older Adults’ Autobiographical Memories Predicts the Beneficial Outcomes of Reminiscence Group Participation

Much research has investigated the beneficial outcomes of reminiscence groups, like guided autobiography groups. Few have assessed whether the content of the autobiographical memories shared during these groups, however, predicts beneficial outcomes. This is the main goal of the current study. Sixteen participants responded to questionnaires about depression, death attitudes, and psychological well-being before and after an 8-week reminiscence group. Results indicated that group participation decreased depression, lowered fear and avoidance of death, and improved death acceptance. The 41 memory narratives collected from group participants were content analyzed for affective, cognitive, and sensory processes. Analyses revealed that memory content predicted levels of depression after group participation. Specifically, memories with more positive affective words (e.g., happy) predicted less depressive symptoms, and memories with negative cognitive process words (e.g., perhaps) predicted more depressive symptoms. The implications for remembering life events in old age are discussed.     

A test of the CaR-FA-X mechanisms and depression in adolescents

ABSTRACT

People who have depression have difficulty recalling specific autobiographical information (Sumner, (2011) The mechanisms underlying overgeneral autobiographical memory: An evaluative review of evidence for the Ca R-FA-X model. Clinical Psychology Review, 3231(1), 34–48). This is called overgeneral autobiographical memory (OGM) and is associated with the development and persistence of depression. Williams, Barnhofer, Crane, Hermans, Raes, Watkins, & Dalgleish (2007 Autobiographical memory specificity and emotional disorder. Psychological Bulletin, 133(1), 122–148) proposed that OGM is maintained by three mechanisms: capture and rumination (CaR), functional avoidance (FA), and impaired executive control (X), and integrated these into the CaR-FA-X model. The aim of this study was to assess OGM and test the CaR-FA-X model in adolescents with low mood. We recruited 29 young people aged 12–17 with elevated symptoms of depression and 29 with minimal symptoms of depression, matched for gender and age. After controlling for IQ, adolescents with elevated depression retrieved fewer specific memories, ruminated more, and had poorer working memory and verbal fluency than adolescents with minimal depression. The groups did not differ on measures of inhibition or functional avoidance. The CaR-FA-X model was therefore partially supported. These results confirm that there is a relationship between low mood and OGM in young people and that OGM may arise as consequence of impaired working memory and verbal fluency and cognitive interference due to rumination.     

提问类型对自传体记忆概括化的影响

自传体记忆概括化程度较高是抑郁症产生与发展的重要影响因素, 探究降低自传体记忆概括化程度的方法以缓解抑郁症状、降低抑郁复发率是心理咨询与治疗中的一个重要研究课题。基于此, 本研究选取344名初中生进行实验, 实验1对比了问题状态组与正常状态组被试的自传体记忆概括化程度, 结果发现, 问题状态组被试的正性、负性自传体记忆得分均显著低于正常组, 两组在中性自传体记忆得分上差异不显著; 实验2对比了问题取向提问和解决取向提问对问题状态下人们自传体记忆概括化程度的影响, 结果发现, 解决取向提问组被试无论是在正性、负性自传体记忆得分上还是在中性自传体记忆得分上均显著高于问题取向提问组和控制组, 问题取向提问组和控制组在各类自传体记忆得分上差异均不显著; 实验3进一步考察了解决取向提问对问题状态下不同归因风格者自传体记忆概括化程度的影响, 结果发现, 内归因组被试的正性、负性自传体记忆得分均显著高于外归因组, 在中性自传体记忆得分上, 两组被试间差异不显著。结论:与抑郁症等精神障碍患者类似, 遭受一般心理困扰个体的自传体记忆概括化程度也较高; 相比问题取向提问, 解决取向提问能较好地降低一般心理困扰者的自传体记忆概括化程度; 对于一般心理困扰者而言, 解决取向提问对内归因者自传体记忆概括化程度改善效果优于外归因者。综上, 解决取向提问可以作为心理咨询师或治疗师降低个案自传体记忆概括化程度的一种有益尝试。