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Thought Control: Is It Ability, Strategies, or Both That Predicts Posttraumatic Symptomatology in Victims of Interpersonal Trauma?

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Abstract

Cognitive models of PTSD have implicated thought control in the development, maintenance, and recovery from PTSD. The present study extends previous research on thought control (ability and strategies) and it’s relation to posttraumatic stress symptoms (PTSS) in a sample of interpersonal trauma (IPT) survivors. Results revealed that weak thought control ability mediated the relationship between accumulated discrete IPT experiences and PTSS severity. Weak thought control ability was associated with greater use of thought control strategies, and thought control strategies of punishment and suppression added significant variance over and above the effects of accumulated IPT experiences and thought control ability in predicting PTSS severity. Furthermore, weak thought control ability was related to greater PTSS severity through the use of punishment and suppression thought control strategies. The present findings extend previous research and provide further support for theoretical assumptions of current treatment approaches for PTSD.

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References

  • Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30, 217–237. doi:10.1016/j.cpr.2009.11.004.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.

  • Amstadter, A. B., & Vernon, L. L. (2006). Suppression of neutral and trauma targets: Implications for posttraumatic stress disorder. Journal of Traumatic Stress, 19, 517–526. doi:10.1002/jts.20142.

    Article  PubMed  Google Scholar 

  • Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103, 411–423. doi:10.1037//0033-2909.103.3.411.

    Article  Google Scholar 

  • Arata, C. M. (2000). From child to adult victim: A model for predicting sexual revictimization. Child Maltreatment, 5, 28–38. doi:10.1177/1077559500005001004.

  • Arata, C. M., Saunders, B. E., & Kilpatrick, D. G. (1991). Concurrent validity of a crime-related post-traumatic stress disorder scale for women within the symptom checklist-90-revised. Violence and Victims, 6, 191–199. doi:1992-37538-001.

    PubMed  Google Scholar 

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality & Social Psychology, 51, 1173–1182. doi:10.1037/0022-3514.51.6.1173.

    Article  Google Scholar 

  • Beck, J. G., Gudmundsdottir, B., Paylo, S. A., Miller, L. M., & Grant, D. M. (2006). Rebound effects following deliberate thought suppression: Does PTSD make a difference? Behavior Therapy, 37, 170–180. doi:10.1016/j.beth.2005.11.002.

    Article  PubMed  Google Scholar 

  • Bedard-Gilligen, M., & Zoellner, L. A. (2008). The utility of the A1 and A2 criteria in the diagnosis of PTSD. Behaviour Research and Therapy, 46, 1062–1069. doi:10.1016/j.brat.2008.06.009.

    Article  Google Scholar 

  • Bennet, S. A., Beck, J. G., & Clapp, J. D. (2009). Understanding the relationship between posttraumatic stress disorder and trauma cognitions: The impact of thought control strategies. Behaviour Research and Therapy, 47, 1018–1023. doi:10.1016/j.brat.2009.07.015.

    Article  Google Scholar 

  • Breslau, N., Davis, G. C., Andreski, P., & Edward, P. (1991). Traumatic events and posttraumatic stress disorder in an urban population of adults. Archives of General Psychiatry, 48, 11–23. doi:10.1016/0165-1781(91)90102-U.

    Google Scholar 

  • Breslau, N., Kessler, R. C., Chilcoat, H. D., Schultz, L. R., Davis, G. C., & Andreski, P. (1998). Trauma and posttraumatic stress disorder in the community. Archives of General Psychiatry, 55, 626–632. doi:10.1001/archpsyc.55.7.626.

    Article  PubMed  Google Scholar 

  • Bryant, R. A., Moulds, M., & Guthrie, R. M. (2001). Cognitive strategies and the resolution of acute stress disorder. Journal of Traumatic Stress, 14, 213–219. doi:10.1023/A:1007856103389.

    Article  Google Scholar 

  • Carlozzi, N. E., & Long, P. J. (2008). Reliability and validity of the SCL-90-R PTSD subscale. Journal of Interpersonal Violence, 23, 1162–1176. doi:10.1177/0886260508314295.

    Article  PubMed  Google Scholar 

  • Carlson, E. B. (2001). Psychometric study of a brief screen for PTSD: Assessing the impact of multiple traumatic events. Assessment, 8, 431–441. doi:10.1177/107319110100800408.

    Article  PubMed  Google Scholar 

  • Collinsworth, L. L., Fitzgerald, L. F., & Drasgow, F. (2009). In harm’s way: Factors related to psychological distress following sexual assault. Psychology of Women Quarterly, 33, 475–490. doi:10.1111/j.1471-6402.2009.01525.x.

    Article  Google Scholar 

  • Derogatis, L. R. (1977). SCL-W: Administration, scoring and procedure Mmanual-I for the R (Revised) version. Baltimore, MD: Johns Hopkins University School of Medicine.

    Google Scholar 

  • Dulin, P. L., & Passmore, T. (2010). Avoidance of potentially traumatic stimuli mediates the relationship between accumulated lifetime trauma and late-life depression and anxiety. Journal of Traumatic Stress, 23, 296–299. Retrieved from http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1573-6598

  • Foa, E. B. (1995). Posttraumatic Stress Diagnostic Scale – Manual. Minneapolis, MN: National Computer Systems.

    Google Scholar 

  • Foa, E. B., Hembree, E., Rothbaum, B. O. (2007). Prolonged exposure therapy for PTSD: Emotional processing of traumatic experiences: Therapist Guide. Oxford University Press.

  • Foa, E. B., & Meadows, E. A. (1998). Psychosocial treatments for posttraumatic stress disorder. In R. Yehuda (Ed.), Psychological Trauma (pp. 179–204). Washington, DC: American Psychiatric Press, Inc.

    Google Scholar 

  • Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 6, 459–473. doi:10.1002/jts.2490060405.

    Article  Google Scholar 

  • Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989). Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behavior Therapy, 20, 155–176. doi:10.1016/S0005-7894(89)80067-X

  • Frazier, P., Anders, S., Perera, S., Tennen, H., Park, K., Tomich, P., & Toshiro, T. (2009). Traumatic events among undergraduate students: Prevalence and associated symptoms. Journal of Counseling Psychology, 56, 450–460. doi:10.1037/a0016412.

    Article  Google Scholar 

  • Frazier, P. A., Tix, A. P., & Barron, K. E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115–134. doi:10.1037/0022-0167.51.1.115.

    Google Scholar 

  • Green, B. L., Goodman, L. A., Krupnick, J. L., Corcoran, C. B., Petty, R. M., Stockton, P., & Stern, N. M. (2000). Outcomes of single versus multiple trauma exposure in a screening sample. Journal of Traumatic Stress, 13, 271–286. doi:10.1023/A:1007758711939.

    Article  PubMed  Google Scholar 

  • Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152–1168. doi:10.1037/0022-006X.64.6.1152.

    Article  PubMed  Google Scholar 

  • Holeva, V., Tarrier, N., & Wells, A. (2001). Prevalence and predictors of acute stress disorder and PTSD following road traffic accidents: Thought control strategies and social support. Behavior Therapy, 31, 65–83. doi:10.1016/S0005-7894(01)80044-7.

    Article  Google Scholar 

  • Horowitz, M., Wilner, N., Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209–218. Retrieved from http://www.psychosomaticmedicine.org/.

  • Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York, NY: Free Press.

    Google Scholar 

  • Krause, N., Shaw, B. A., & Cairney, J. (2004). A descriptive epidemiology of lifetime trauma and physical health status of older adults. Psychology of Aging, 19, 637–648. doi:10.1037/0882-7974.19.4.637.

    Article  Google Scholar 

  • Kubany, E. S. (2004). Traumatic Life Events Questionnaire (TLEQ). Los Angeles, CA: Western Psychological Services.

    Google Scholar 

  • Kubany, E. S., Leisen, M. B., Kaplan, A. S., Watson, S. B., Haynes, S. N., Owens, J. A., & Burns, K. (2000). Development and preliminary validation of a brief broad-spectrum measure of trauma exposure: The Traumatic Life Events Questionnaire. Psychological Assessment, 12, 210–224. doi:10.1037/1040-3590.12.2.210.

    Article  PubMed  Google Scholar 

  • Langens, T. A., & Stucke, T. S. (2005). Stress and mood: The moderating role of activity inhibition. Journal of Personality, 73, 47–78. doi:10.1111/j.1467-6494.2004.00304.x.

    Article  PubMed  Google Scholar 

  • Luciano, J. V., Algarabel, S., Tomás, J. M., & Martínez, J. L. (2005). Development and validation of the thought control ability questionnaire. Personality and Individual Differences, 38, 997–1008. doi:10.1016/j.paid.2004.06.020.

    Article  Google Scholar 

  • MacKinnon, D. P., Lockwood, C. M., & Williams, J. (2004). Confidence limits for the indirect effect: Distribution of the product and resampling methods. Multivariate Behavioral Research, 39, 99–128. doi:10.1207/s15327906mbr3901_4.

    Article  PubMed  Google Scholar 

  • Mallinckrodt, B., Abraham, W. T., Wei, M., & Russell, D. W. (2006). Advances in testing the statistical significance of mediation effects. Journal of Counseling Psychology, 53, 372–378. doi:10.1037/0022-0167.53.3.372.

    Article  Google Scholar 

  • Muris, P., Merckelbach, H., & Horselenberg, R. (1996). Individual differences in thought suppression. The White Bear Suppression Inventory: Factor structure, reliability, and correlates. Behaviour Research and Therapy, 34, 501–513. doi:10.1016/0005-7967(96)00005-8.

    Article  PubMed  Google Scholar 

  • Peterson, R. D., Klein, J., Donnelly, R., & Renk, K. (2009). Predicting psychological symptoms: The role of perceived thought control ability. Cognitive Behaviour Therapy, 38, 16–28. doi:10.1080/16506070802561215.

    Article  PubMed  Google Scholar 

  • Preacher, K. J., & Hayes, A. F (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, and Computers, 36, 717–731. Retrieved from http://www.springerlink.com/content/121837/

  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. doi:10.3758/BRM.40.3.879.

    Article  PubMed  Google Scholar 

  • Resick, P. A., Galovski, T. E., Uhlmansiek, M. O., Scher, C. D., Clum, G. A., & Young-Xu, Y. (2008). A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76, 243–258. doi:10.1037/0022-006X.76.2.243.

    Article  PubMed  Google Scholar 

  • Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748–756. doi:10.1037/0022-006X.60.5.748.

    Article  PubMed  Google Scholar 

  • Resick, P. A., & Schnicke, M. K. (1993). Cognitive processing therapy for rape victims: A treatment manual. Newbury Park, CA: SAGE Publications, Inc.

    Google Scholar 

  • Reynolds, M., & Wells, A. (1999). The thought control questionnaire—psychometric properties in a clinical sample, and relationships with PTSD and depression. Psychological Medicine, 29, 1089–1099. doi:10.1017/S003329179900104X.

    Article  PubMed  Google Scholar 

  • Roussi, P., & Wells, A. (2006). Post-traumatic stress symptoms: Tests of relationships with thought control strategies and beliefs predicted by the metacognitive model. Personality and Individual Differences, 40, 111–122. doi:10.1016/j.paid.2005.06.019.

    Article  Google Scholar 

  • Ruggiero, K. J., Del Ben, K., Scotti, J. R., & Rabalais, A. E. (2003). Psychometric properties of the PTSD Checklist-Civilian Version. Journal of Traumatic Stress, 16, 495–502. doi:10.1023/A:1025714729117.

    Article  PubMed  Google Scholar 

  • Sanavio, E. (1988). Obsessions and compulsions: The Padua inventory. Behaviour Research and Therapy, 26, 169–177. doi:10.1016/0005-7967(88)90116-7.

    Article  PubMed  Google Scholar 

  • Saunders, B. E., Arata, C. M., & Kilpatrick, D. G. (1990). Development of a crime-related post-traumatic stress disorder scale for women with the symptom checklist-90-revised. Journal of Traumatic Stress, 3, 439–448. doi:10.1002/jts.2490030312.

    Article  Google Scholar 

  • Scarpa, A., Wilson, L. C., Wells, A. O., Patriquin, M. A., & Tanaka, A. (2009). Thought control strategies as mediators of trauma symptoms in young women with histories of child sexual abuse. Behaviour Research and Therapy, 47, 809–813. doi:10.1016/j.brat.2009.06.002.

    Article  PubMed  Google Scholar 

  • Shipherd, J. C., & Beck, J. G. (1999). The effects of suppressing trauma-related thoughts on women with rape-related posttraumatic stress disorder. Behaviour Research and Therapy, 37, 99–112. doi:10.1016/S0005-7967%2898%2900136-3.

    Article  PubMed  Google Scholar 

  • Shipherd, J. C., & Beck, J. G. (2005). The role of thought suppression in posttraumatic stress disorder. Behavior Therapy, 36, 277–287. doi:10.1016/S0005-7894%2805%2980076-0.

    Article  Google Scholar 

  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological Methods, 7, 422–445. doi:10.1037/1082-989X.7.4.422.

    Article  PubMed  Google Scholar 

  • Simmons, C. A. (2010). Gender differences in the appraisal of violent crime experiences: A qualitative study. Victims & Offenders, 5, 371–387. doi:10.1080/15564886.2010.509664.

    Article  Google Scholar 

  • Smyth, J. M., Hockemeyer, J. R., Heron, K. E., Wonderlich, S. A., & Pennebaker, J. W. (2008). Prevalence, type, disclosure, and severity of adverse life events in college students. Journal of American College Health, 57, 69–76. doi:10.3200/JACH.57.1.69-76.

    Article  PubMed  Google Scholar 

  • Warda, G., & Bryant, R. A. (1998). Thought control strategies in acute stress disorder. Behaviour Research and Therapy, 36, 1171–1175. doi:10.1016/S0005-7967%2898%2900082-5.

    Article  PubMed  Google Scholar 

  • Watson S. B., & Haynes, S. N. (2007). Brief screening for traumatic life events in female undergraduate health service patients. International Journal of Clinical and Health Psychology, 7, 261–282. Retrieved from http://www.aepc.es/ijchp/index.php?coid=English.

  • Wegner, D. M. (1994). Ironic process of mental control. Psychological Review, 101, 34–52. doi:10.1037/0033-295X.101.1.34.

    Article  PubMed  Google Scholar 

  • Wegner, D. M., Schneider, D. J., Carter, S. R., & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of Personality and Social Psychology, 53, 5–13. doi:10.1037/0022-3514.53.1.5.

    Article  PubMed  Google Scholar 

  • Wegner, D. M., Shortt, J. W., Blake, A. W., & Page, M. S. (1990). The suppression of exciting thoughts. Journal of Personality and Social Psychology, 58, 409–418. doi:10.1037/0022-3514.58.3.409.

    Article  PubMed  Google Scholar 

  • Wegner, D. M., & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62, 614–640. doi:10.1111/j.1467-6494.1994.tb00311.x.

    Article  Google Scholar 

  • Wells, A. (1997). Cognitive therapy of anxiety disorders: A practice manual and conceptual guide. Chichester, England: John Wiley & Sons.

    Google Scholar 

  • Wells, A. (2000). Emotional disorders and metacognition: Innovative cognitive therapy. Chichester, UK: Wiley.

    Google Scholar 

  • Wells, A., & Davies, M. I. (1994). The Thought Control Questionnaire: A measure of individual differences in the control of unwanted thoughts. Behaviour Research and Therapy, 32, 871–878. doi:10.1016/0005-7967%2894%2990168-6.

    Article  PubMed  Google Scholar 

  • Williams, A. D., Moulds, M. L., Grisham, J. R., Gay, P., Lange, T., Kandris, E., & Yap, C. (2010). A psychometric evaluation of the Thought Control Ability Questionnaire (TCAQ) and the prediction of cognitive control. Journal of Psychopathology and Behavioral Assessment, 32, 387–405. doi:10.1007/s10862-009-9171-z.

    Article  Google Scholar 

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Correspondence to Christine E. Valdez.

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This manuscript is based on the Master’s Thesis of the first author under the supervision of the second author

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Valdez, C.E., Lilly, M.M. Thought Control: Is It Ability, Strategies, or Both That Predicts Posttraumatic Symptomatology in Victims of Interpersonal Trauma?. J Psychopathol Behav Assess 34, 531–541 (2012). https://doi.org/10.1007/s10862-012-9300-y

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