Cognitive vulnerability to depression: The role of thought suppression and attitude certainty

Previous research indicates that dysfunctional attitudes wax and wane with shifts in mood, suggesting that they are more likely the result than the cause of depression. The present research examined the possibility that attitudinal precursors to depression exist but are difficult to detect because at-risk individuals are trying to suppress dysfunctional thinking. However, the lingering maladaptive beliefs should be reflected in attitude uncertainty. To test this idea, participants completed a measure of chronic thought suppression and the Dysfunctional Attitude Scale that was amended to include certainty ratings. Participants also reported current and past experiences with depression. The results indicated that although formerly depressed individuals—who are at high risk for relapse—reported relatively adaptive attitudes, they were more uncertain about those beliefs than were their never-depressed counterparts. Moreover, this greater uncertainty was associated with high levels of thought suppression that, in turn, were related to previous depression.     

Attentional bias in anxiety: a behavioral and ERP study

Accumulating evidence suggests the existence of a processing bias in favor of threat-related stimulation in anxious individuals. Using behavioral and ERP measures, the present study investigated the deployment of attention to face stimuli with different emotion expressions in high-anxious and low-anxious participants. An attention-shifting paradigm was used in which faces with neutral, angry, fearful, sad, or happy expressions were presented singly at fixation. Participants had to fixate on the face cue and then discriminate a target shape that appeared randomly above, below, to the left, or right of the fixated face. The behavioral data show that high-anxious participants were slower to respond to targets regardless of the emotion expressed by the face cue. In contrast, the ERP data indicate that threat-related faces elicited faster latencies and greater amplitudes of early ERP components in high-anxious than in low-anxious individuals. The between-group pattern in ERP waveforms suggests that the slower reaction times in high-anxious participants might reflect increased attentional dwelling on the face cues, rather than a general slowing of response enacting.     

Attentional bias in anxiety: A defective inhibition hypothesis

Abstract

Three experiments are reported which examine attentional bias in high trait-anxious, low trait-anxious, and repressor subjects. Measures of interference did not provide consistent results. However, negative priming effects suggested that high trait-anxious subjects had difficulty inhibiting threat-related information, as well as nonthreat-related distracting information under conditions of attentional search. There was some evidence that individuals with a repressive coping style were particularly efficient in inhibiting threat-related information. It is suggested that defective inhibition of distracting information may be an important mechanism in understanding the cognitive basis of anxiety.     

Ageing and thought suppression performance: Its relationship with working memory capacity,habitual thought suppression and mindfulness

A study investigated how the ability to suppress thoughts in the laboratory was affected by type of thought suppressed (positive, negative, neutral), participants’ age and working memory capacity (WMC). Linked variables (Use of thought suppression, social desirability, and mindfulness) were measured to assess whether they modified susceptibility to thought intrusion.Younger, middle aged and older adults suppressed three different valenced thoughts in a counterbalanced order for 5-min per thought. Participants then completed a WMC task and questionnaire measures of the linked variables.Valence had no effect on intrusions. WMC was positively related to intrusions; higher WMC corresponded to greater intrusions. Age was negatively related to intrusions; with increasing age intrusions decreased. Hierarchical regression showed only age and backward digit span (WMC) significantly predicted intrusions. The relationship between WMC and intrusions was not moderated by age. WMC and age both independently predict level of intrusion, and no synergistic effect was found.     

Attentional bias for words and faces in social anxiety

Conflicting findings concerning the nature and presence of attentional bias in social anxiety and social phobia have been reported in the literature. This paper reports the findings of two studies comparing people with high and low social anxiety on dot probe tasks using words, faces photographed in front view, and faces photographed in profile as stimuli. In Study 1 those with high social anxiety displayed an attentional bias towards negative faces. The low social anxiety group showed an attentional bias towards positive faces. No significant effects were observed on the dot probe using words as stimuli. Study 2 used pairs of faces presented in profile as though looking at each other. One of the faces displayed either a positive, negative or neutral expression. The second face always had a neutral expression, and in half of the trials it was the subject's own face. The findings of this more ecologically valid procedure replicated those of Study 1. Facilitated attention to dots following emotional faces was specific to threatening facial stimuli. From these studies it appears that the facial dot probe task is a more sensitive index of attentional bias than the word task in a non-clinical sample with social anxiety.     

Setting free the bears: escape from thought suppression

A person who is asked to think aloud while trying not to think about a white bear will typically mention the bear once a minute. So how can people suppress unwanted thoughts? This article examines a series of indirect thought suppression techniques and therapies that have been explored for their efficacy as remedies for unwanted thoughts of all kinds and that offer some potential as means for effective suppression. The strategies that have some promise include focused distraction, stress and load avoidance, thought postponement, exposure and paradoxical approaches, acceptance and commitment, meditation, mindfulness, focused breathing, attention training, self-affirmation, hypnosis, and disclosure and writing. Many of these strategies entail thinking about and accepting unwanted thoughts rather than suppressing them--and so, setting free the bears. (PsycINFO Database Record (c) 2011 APA, all rights reserved).     

Attentional bias and evoked heart-rate response in specific phobia

The relationship between the evoked heart-rate (HR) reaction to phobic pictures and the attentional bias was investigated in specific phobics. Forty-five specific phobic and 39 control participants were shown phobia-related pictures while HR was being recorded; they were administered the modified dot-probe task, the modified Stroop task, and gave subjective ratings of pictures. Unlike control participants, specific phobics showed HR acceleration to phobia-related pictures, which was significantly correlated with their fear ratings, and a significant Stroop interference effect. There were no group differences with regard to an attentional bias in the dot-probe task but early deceleration of the HR reaction to phobic pictures was related to more pronounced selective attention toward these stimuli in phobics. The results provide partial support for Cook and Turpin's (1997) conjecture of a relationship between the early decelerative orienting component of the HR reaction and the selective attentional bias in phobia.     

Paradoxical effects of thought suppression

In a first experiment, subjects verbalizing the stream of consciousness for a 5-min period were asked to try not to think of a white bear, but to ring a bell in case they did. As indicated both by mentions and by bell rings, they were unable to suppress the thought as instructed. On being asked after this suppression task to think about the white bear for a 5-min period, these subjects showed significantly more tokens of thought about the bear than did subjects who were asked to think about a white bear from the outset. These observations suggest that attempted thought suppression has paradoxical effects as a self-control strategy, perhaps even producing the very obsession or preoccupation that it is directed against. A second experiment replicated these findings and showed that subjects given a specific thought to use as a distracter during suppression were less likely to exhibit later preoccupation with the thought to be suppressed.     

哭泣表情面孔的注意偏向:眼动的证据

研究采用双选择Oddball范式和线索-靶子范式,并结合眼动技术,以微笑、哭泣和中性表情面孔为刺激材料,综合考察哭泣表情面孔在识别和解离过程中的注意偏向。研究发现:在识别阶段,哭泣表情面孔的识别正确率和反应速度都显著优于微笑表情面孔,进一步的兴趣区注视偏向分析发现,哭泣和微笑表情面孔的注视模式既具有一致的规律,又存在细微的差异;在解离阶段,返回抑制受线索表情类型的影响,在有效线索条件下,哭泣表情线索呈现后个体对目标刺激的平均注视时间和眼跳潜伏期都显著短于其它表情线索。表明哭泣表情面孔在识别和解离过程中具有不同的注意偏向表现,在识别阶段表现为反应输出优势和注视模式上的一致性与差异性;在解离阶段表现为有效线索条件下,对目标刺激定位和视觉加工的促进作用。     

Voluntary involuntariness: thought suppression and the regulation of the experience of will

Participants were asked to carry out a series of simple tasks while following mental control instructions. In advance of each task, they either suppressed thoughts of their intention to perform the task, concentrated on such thoughts, or monitored their thoughts without trying to change them. Suppression resulted in reduced reports of intentionality as compared to monitoring, and as compared to concentration. There was a weak trend for suppression to enhance reported intentionality for a repetition of the action carried out after suppression instructions had been discontinued.     

Attentional selection of a peripheral ring overrules the central attentional bias

In visual search, distractors that fall between fixation and the target are more disruptive than distractors that fall at the same eccentricity as the target (Wolfe, O'Neill, & Bennett, 1998). This sensitivity to the relative eccentricity of target and distractor elements originates from a space-based bias favoring stimuli closer to the fovea. We show that this spatial bias can be overruled by cuing attention to a ring-shaped object. We rule out various space-based explanations of these findings, including (1) attention to fronto-parallel planes in depth and (2) serial attention to different portions of a ring. We suggest that attentional selection of a ring-shaped object operates independently of, and can overrule, spatial biases in selection.     

Attentional bias toward threat in contamination fear: overt components and behavioral correlates

Recent research suggests that an attentional bias toward threat may play a causal role in obsessive-compulsive disorder (OCD) with contamination concerns. However, the attentional components involved in this bias, as well as its behavioral correlates, remain unclear. In the present study, eye movements were recorded in individuals high and low in contamination fear (HCF, LCF, respectively) during 30-s exposures to stimulus arrays containing contamination threat, general threat, pleasant, and neutral images. HCF individuals oriented gaze toward contamination threat more often than LCF individuals in initial fixations, and this bias mediated group differences in responding to a behavioral challenge in a public restroom. No group differences were found in the maintenance of gaze on contamination threat, both in terms of initial gaze encounters, as well as gaze duration over time. However, the HCF group made shorter fixations on contamination threat relative to other image types. The implications of these findings for further delineating the nature and function of attentional biases in contamination-based OCD are discussed.     

Attentional bias and anxiety in individuals with coronary heart disease

This study examined whether in an emotional Stroop task, individuals with coronary heart disease (CHD) would show greater attention towards the threatening words related to their disease than healthy persons, and if such an attentional bias is associated with anxiety. An emotional Stroop task with threatening words related to CHD as well as positive, negative and neutral words was administered to 35 individuals with CHD and 35 healthy controls. Additionally, the original Stroop task, the Beck anxiety inventory and the state-trait anxiety inventory were administered. The results indicated an attentional bias towards threatening words related to CHD in the individuals with CHD. They experienced higher interference than healthy participants from threatening words related to CHD but not from positive or negative words. Moreover, the level of interference was associated with their level of anxiety, and a vicious circle may exist in this association. In addition, results indicated a possible deficit of executive functioning among individuals with CHD. Attentional bias, as well as its association with anxiety, and an indication of deficit in executive functioning among individuals with CHD might be the risk factors for these individuals’ quality of life and for further development of their disease.     

Unnoticed intrusions: Dissociations of meta-consciousness in thought suppression

The current research investigates the interaction between thought suppression and individuals’ explicit awareness of their thoughts. Participants in three experiments attempted to suppress thoughts of a prior romantic relationship and their success at doing so was measured using a combination of self-catching and experience-sampling. In addition to thoughts that individuals spontaneously noticed, individuals were frequently caught engaging in thoughts of their previous partner at experience-sampling probes. Furthermore, probe-caught thoughts were: (i) associated with stronger decoupling of attention from the environment, (ii) more likely to occur under cognitive load, (iii) more frequent for individuals with a desire to reconcile, and (iv) associated with individual differences in the tendency to suppress thoughts. Together, these data suggest that individuals can lack meta-awareness that they have begun to think about a topic they are attempting to suppress, providing novel insight into the cognitive processes that are involved in attempting to control undesired mental states.     

An online measure of thought suppression

An online thought-suppression paradigm was developed to test predictions of ironic process theory. Participants concentrated on or suppressed a particular semantic category. Semantic activation was indexed by the latency to name words from the category. In Experiments 1 and 2, an analog intrusion was introduced while participants were trying to suppress the information. Results consistent with ironic process theory were observed using words with polar opposites in Experiment 1 and words without polar opposites in Experiment 2. To determine whether these effects were dependent on the analog intrusion, Experiment 3 replicated Experiment 1 without the intrusion. Concentration generated semantic activation, but suppression exacerbated this activation. The data imply that hyperaccessibility results from efforts to suppress, whereas the processes of thought suppression identified by ironic process theory require the presence of material inconsistent with a desired cognitive state.     

Attentional bias for threat: Evidence for delayed disengagement from emotional faces

This study examined cognitive aspects of coping with stress, how these related to religiosity, and how they related to outcomes (positive mood and distress). Participants (n=126) were of Protestant or Jewish background, and had all experienced recent major stress. They were assessed on measures of religiosity, religious coping, perception of the consequences of the stressful event, attributions for its occurrence, and distress, intrusive unpleasant thoughts, and positive affect. Religiosity affected ways of thinking about the stressful situation, namely: Belief that G-d is enabling the individual to bear their troubles (religious/spiritual support), belief that it was all for the best, and (more weakly) belief that all is ultimately controlled by G-d. Religiosity affected neither the proportion of positive consequences perceived as outcomes of the event, nor the causal attributions examined. Religious background (Protestant vs. Jewish) had negligible effects on the cognitions measures. Causal pathway analysis suggested that religion-related cognitions might directly affect positive affect, but not distress. Problems of design and interpretation are discussed. The study suggests some cognitively mediated means by which religion may have comforting effects.     

Forgetting unwanted memories: directed forgetting and thought suppression methods

Experimental psychopathologists have tested hypotheses regarding mechanisms that ought to be operative if victims possess skills for forgetting material related to trauma. In this article, we review research on directed forgetting and thought suppression paradigms, concentrating on laboratory studies involving attempts by individuals reporting trauma histories to forget emotionally negative material. Most studies have shown that trauma survivors, especially those with post-traumatic stress disorder, are characterized by a breakdown in the ability to forget disturbing material. Studies on individuals reporting repressed or recovered memories of trauma have not confirmed predictions regarding heightened forgetting skills for trauma-related words. However, recent research on suppressing disturbing autobiographical memories suggests that people who report spontaneously recalling childhood abuse outside of psychotherapy may, indeed, possess skills for not thinking about disturbing material.     

Attentional bias to pain-relevant body locations: New methods,new challenges

In a recent issue of Consciousness and Cognition, Filbrich, Torta, Vanderclausen, Azanon, and Legrain (2016) commented on a paper in which we used a tactile Temporal Order Judgment (TOJ) task to show that expecting pain on a specific body location biased attention to that location (Vanden Bulcke, Crombez, Durnez, & Van Damme, 2015). Their main criticism is that the effects are likely to reflect response bias rather than genuine attentional bias. We agree that the TOJ task used may be susceptible to response bias, and welcome the authors’ methodological suggestions to control for such bias. However, we feel that certain aspects of our work are misrepresented in their paper. Most importantly, we contest their argument that our instructions made the threat location task-relevant, thereby increasing risk of response bias. Further, we reply to other methodological and theoretical issues raised by these authors.     

Social hierarchy and depression: the role of emotion suppression

Position in the social hierarchy is a major determinant of health outcomes. We examined the associations between aspects of social hierarchy and depressive symptoms with a specific focus on one potential psychological mechanism: emotion suppression. Suppressing negative emotion has mental health costs, but individuals with low social power and low social status may use these strategies to avoid conflict. Study 1 assessed perceived social power, tendency to suppress negative emotion, and depressive symptoms in a community sample of women. Low social power was related to greater depressive symptoms, and this relationship was partially mediated by emotion suppression. Study 2 examined education as a proxy for social hierarchy position, anger suppression, and depressive symptoms in a national, longitudinal cohort study (The coronary artery risk development in young adults [CARDIA] study; Cutter et al., 1991). Much as in study 1, low education levels were correlated with greater depressive symptoms, and this relationship was partially mediated by anger suppression. Further, suppression mediated the relationship between low education and subsequent depression up to 15 years later. These findings support the theory that social hierarchy affects mental health in part through a process of emotion suppression.     

An experimental investigation of thought suppression

An experiment investigating the hypothesis that trying to suppress a thought will lead to an immediate and/or delayed increase in its occurrence is reported. Normal subjects listened to a taped story and then verbalized their stream of consciousness during two consecutive time periods. During the first period, one group (suppression) were asked not to think about the tape while two other groups (controls) were asked to think about anything or think about anything including the tape. During the second period, all three groups were instructed to think about anything. Results from the first period failed to support the immediate enhancement hypothesis as the suppression group reported less thoughts about the tape than the controls. However, results from the second period supported the delayed (rebound) hypothesis as subjects who had previously suppressed reported more thoughts about the tape than subjects who had not. The theoretical, methodological, and clinical implications of these results are discussed.