Lomonosov Psychology Journal
ISSN 0137-0936
eISSN 2309-9852
En Ru
ISSN 0137-0936
eISSN 2309-9852

Impact of external cognitive appraisal on intrusive memories

Background. Symptoms of compulsive repetition or “intrusion” (unwanted thoughts, flashbacks, images, disturbing dreams, nightmares) are often considered as a distinctive feature of post-traumatic stress disorder (PTSD). Cognitive models claim that PTSD symptoms are stimulated and become chronic due to an overly negative assessment of the traumatic experience and/or its consequences. The relevance of the study is due to the possibility of using external assessments as an early psychological aid tool.

Objective. The work aims to repeat the study of the University of New South Wales (Australia) on the degree of influence caused by various types of external cognitive assessment of obsessive memories on the frequency and intensity of their subsequent occurrence. The research targets to create a precedent in Russia for the study of traumatic stress in the laboratory.

Sample. 30 healthy psychology students participated in the study. Their stress level results did not exceed the level of normative values.

Methods. The main method of research was the experiment. Participants who received one of two preliminary instructions giving either a benevolent or a control assessment of obsessive memories were offered to watch a film with scenes of a real car accident. Having watched a traumatic film, the participants solved a problem on cognitive interference. Then the presence/absence and intensity of intrusive memories were recorded with the use of the Intrusion subscale of the Traumatic Event Impact Assessment Scale (IES-R) and two questions on the beliefs about intrusions.

Results. The study showed that watching a traumatic film causes an equally low level of obsessive memories in groups with positive and control instructions.

Conclusion. The results of two studies (University of New South Wales and Lomonosov Moscow State University) showed similar trends regarding the level of intensity of obsessive memories for groups with benevolent and control instructions. The study provides initial causal evidence that a maladaptive external assessment can enhance the occurrence of obsessive memories, despite the fact that a benevolent or control interpretation of symptoms has no such side effect. This observation is important to take into account when conducting psychoeducation. The practice of studying traumatic stress in the laboratory is evaluated as positive and recommended for use in Russia.

References

Brewin, C.R., Rose, S., Andrews, B., Green, J., Tata, P., McEvedy, C. et al. (2002). Brief screening instrument for post-traumatic stress disorder. British Journal of Psychiatry, 181, 158–162.

Brouzos, A., Vatkali, E., Mavridis, D., Vassilopoulos, S.P., Baourda, V.C. (2021). Psychoeducation for Adults with Post-Traumatic Stress Symptomatology: A Systematic Review and Meta-Analysis. Journal of Contemporary Psychotherapy, 1–10.

Bryant, R.A. (2016). Acute stress disorder: What it is and how to treat. New York: The Guildford Press.

Cheung, J., Bryant, R.A. (2017). The impact of appraisals on intrusive memories. Journal of Behavior Therapy and Experimental Psychiatry, 54, 108–111.

Colom, F. (2011). Keeping therapies simple: Psychoeducation in the prevention of relapse in affective disorders. The British Journal of Psychiatry, 198 (5), 338–340.

Davies, C., Malik, A., Pictet, A., Blackwell, S.E., Holmes, E.A. (2012). Involuntary memories after a positive film are dampened by a visuospatial task: Unhelpful in depression but helpful in mania? Clinical Psychology and Psychotherapy, 19 (4), 341–351.

Deeprose, C., Zhang, S., Dejong, H., Dalgleish, T., Holmes, E.A. (2012). Imagery in the aftermath of viewing a traumatic film: Using cognitive tasks to modulate the development of involuntary memory. Journal of Behavior Therapy and Experimental Psychiatry, 43 (2), 758–764.

Devilly, G.J., Varker, T., Hansen, K., Gist, R. (2007). An analogue study of the effects of Psychological Debriefing on eyewitness memory. Behaviour Research and Therapy, 45 (6), 1245–1254.

Ehlers, A., Clark, D. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319–345.

Ehlers, A., Steil, R. (1995). Maintenance of intrusive memories in posttraumatic stress disorder: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23 (3), 217–249.

Ehring, T., Ehlers, A., Glucksman, E. (2008). Do cognitive models help in predicting the severity of posttraumatic stress disorder, phobia, and depression after motor vehicle accidents? A prospective longitudinal study. Journal of Consulting and Clinical Psychology, 76 (2), 219–230.

Ethical code of a psychologist. (2012). (Retrieved from http://xn--n1abc.xn--p1ai/doc/ethics.pdf) (review date: 29.07.22). (In Russ.).

Feinstein, A. (1989). Posttraumatic stress disorder: A descriptive study supporting DSM-III-R criteria. American Journal of Psychiatry, 146 (5), 665–666.

Hanin, Yu.L. (1977). Standard algorithm for adapting foreign survey methods. In Yu.Ya. Kiselev (Eds.). M.: LNIIFK. (In Russ.).

Hellawell, S.J., Brewin, C.R. (2002). A comparison of flashbacks and ordinary autobiographical memories of trauma: Cognitive resources and behavioural observations. Behaviour Research and Therapy, 40, 1143–1156.

Holmes, E.A., James, E.L., Coode-Bate, T., Deeprose, C. (2009). Can playing the computer game “Tetris” reduce the build-up of flashbacks for trauma? A proposal from cognitive science. PLoS ONE, 4 (1), e4153.

Horowitz, M., Wilner, N., Alvarez, W. (1979). Impact of Event Scale: a measure of subjective stress. Psychosomatic Medicine, 41 (3), 209–218.

ICD-11. (2022). Chapter 06. Mental and behavioral disorders and disorders of neuropsychic development. Statistical classification (2nd ed.). M.: KDU; Universitetskaya kniga. doi: 10.31453/kdu.ru.91304.0172 (In Russ.).

ICD-11. Coding tool. (Retrieved from https://icd.who.int/ct11/ icd11_mms/en/release?) (review date: 15.07.2022).

Nasledov, A.D. (2013). IBM SPSS Statistics 20 and AMOS: Professional Statistical Data Analysis. SPb.: Piter. (In Russ.).

North, C.S., Smith, E.M., Spitznagel, E.L. (1994). Posttraumatic stress disorder in survivors of a mass shooting. American Journal of Psychiatry, 151 (1), 82–88.

Olver, I.N., Taylor, A.E., Whitford, H.S. (2005). Relationships between patients’ pre-treatment expectations of toxicities and post chemotherapy experiences. Psycho-oncology, 14 (1), 25–33.

Psychology of extreme situations for rescuers and firefighters. (2007). In Yu.S. Shojgu (Eds.). M.: Smysl. (In Russ.).

Psychology of States: A Textbook. (2011). In A.O. Prokhorov (Eds.). M.: Kogito-Centr. (In Russ.).

Ruzhenkova, V.V., Ruzhenkov, V.A., Hamskaya, I.S. (2019). Russian-language adaptation of the DASS-21 test for screening diagnostics of depression, anxiety and stress. Vestnik nevrologii, psikhiatrii i nejrokhirurgi (Bulletin of Neurology, Psychiatry and Neurosurgery), 10, 39–46. (In Russ.).

Small, L., Kenny, L., Bryant, R.A. (2011). The cost in remembering of ruminating on negative memories. Emotion, 11 (6), 1434–1438.

Tarabrina, N.V. (2007). A practical guide to the psychology of post-traumatic stress. Part 2: Forms of methods. Moscow: Cogito-Centr. (In Russ.).

Tarabrina, N.V. (2001). Workshop on the psychology of post-traumatic stress. SPb.: Piter. (In Russ.).

Weiss, D.S., Marmar, C.R. (1997). The Impact of Event Scale-Revised. In J.P. Wilson, T.M. Keane (Eds.), Assessing Psychological Trauma and PTSD (pp. 399–411). New York: Guilford.

Wenzlaff, R.M., Wegner, D.M. (2000). Thought suppression. Annual Review of Psychology, 51, 59–91.

Wilksch, S.R., Nixon, R.D.V. (2010). Role of prior negative cognitions on the development of intrusive thoughts. Australian Journal of Psychology, 62 (3), 121–129.

Zolotareva, A.A. (2021). Psychometric assessment of the Russian version of the scale of depression, anxiety and stress (DASS-21). Psikhologicheskij zhurnal (Psychological Journal), 42 (5), 80–89. (In Russ.).

Recieved: 08/02/2022

Accepted: 12/02/2022

Published: 02/20/2023

Keywords: intrusive memories; appraisals; cognitive models; extreme psychology; traumatic stress

Available online since: 20.02.2023

Issue 1, 2023