Abstract
Recurrent intrusive thoughts are apparent across numerous clinical disorders, including depression (i.e., rumination) and anxiety disorders (e.g., worry, obsessions; Brewin et al. 2010). Theoretical accounts of intrusive thoughts suggest that individual differences in executive functioning, specifically poor inhibitory control, may account for the persistence of these thoughts in some individuals (e.g., Anderson and Levy 2009). The present study examined the causal effect of inhibitory control on intrusive thoughts by experimentally manipulating inhibition requirements in a working memory capacity (WMC) task and evaluating the effect of this training on intrusive thoughts during a thought suppression task. Unselected undergraduate participants were randomly assigned to repeatedly practice a task requiring either high inhibitory control (training condition) or low inhibitory control (control condition). Results indicated that individuals in the training condition demonstrated significantly greater WMC performance improvements from pre to post assessment relative to the control group. Moreover, individuals in the training group experienced fewer intrusions during a thought suppression task. These results provide support for theoretical accounts positing a relationship between inhibitory control and intrusive thoughts. Moreover, improving inhibitory control through computerized training programs may have clinical utility in disorders characterized by recurrent intrusive thoughts (e.g., depression, PTSD).
Notes
Data for number of intrusions at each time point were positively skewed. Consistent with prior work in this area (e.g., Brewin and Smart 2005), outliers more than 3.3 SDs were adjusted to one value greater than the next highest value, and data were subjected to a square root transformation (Tabachnick & Fidell, 2001). All analyses using the transformed data did not differ. To facilitate interpretability, we report raw data in the body of the manuscript. All statistical tests are reported for unequal variances (Greenhouse-Geisser for ANOVA, equal variances not assumed for t tests).
References
Anderson, M. C., & Levy, B. J. (2009). Suppressing unwanted memories. Current Directions in Psychological Science, 18(4), 189–194. doi:10.1111/j.1467-8721.2009.01634.x.
Beck, A. T., Steer, A., & Brown, K. (1996). Beck Depression Inventory-II. San Antonio, TX: Harcourt Brace.
Brewin, C. R., & Beaton, A. (2002). Thought suppression, intelligence, and working memory capacity. Behaviour Research and Therapy, 40(8), 923–930. doi:10.1016/S0005-7967(01)00127-9.
Brewin, C. R., Gregory, J. D., Lipton, M., & Burgess, N. (2010). Intrusive images in psychological disorders: Characteristics, neural mechanisms, and treatment implications. Psychological Review, 117(1), 210–232. doi:10.1037/a0018113.
Brewin, C. R., & Smart, L. (2005). Working memory capacity and suppression of intrusive thoughts. Journal of Behavior Therapy and Experimental Psychiatry, 36(1), 61–68. doi:10.1016/j.jbtep.2004.11.006.
Bunting, M. (2006). Proactive interference and item similarity in working memory. Journal of Experimental Psychology. Learning, Memory, and Cognition, 32(2), 183–196. doi:10.1037/0278-7393.32.2.183.
Bywaters, M., Andrade, J., & Turpin, G. (2004). Intrusive and non-intrusive memories in a non-clinical sample: The effects of mood and affect on imagery vividness. Memory.Special Issue: < b>Memory </b > : Mental Imagery and Memory in Psychopathology, 12(4), 467–478. doi:10.1080/09658210444000089.
Conway, A. R. A., Kane, M. J., Bunting, M. F., Hambrick, D. Z., Wilhelm, O., & Engle, R. W. (2005). Working memory span tasks: A methodological review and user’s guide. Psychonomic Bulletin & Review.Special Issue: Memory Strength and Recency Judgments, 12(5), 769-786. Retrieved from www.csa.com.
Engle, R. W., Tuholski, S. W., Laughlin, J. E., & Conway, A. R. A. (1999). Working memory, short-term memory, and general fluid intelligence: A latent-variable approach. Journal of Experimental Psychology: General, 128(3), 309–331. doi:10.1037/0096-3445.128.3.309.
Eysenck, M. W., Derakshan, N., Santos, R., & Calvo, M. G. (2007). Anxiety and cognitive performance: Attentional control theory. Emotion, 7(2), 336–353. doi:10.1037/1528-3542.7.2.336.
Falconer, E., Bryant, R., Felmingham, K. L., Kemp, A. H., Gordon, E., Peduto, A., Olivieri, G., & Williams, L. M. (2008). The neural networks of inhibitory control in posttraumatic stress disorder. Journal of Psychiatry & Neuroscience, 33(5), 413–422. Retrieved from www.csa.com.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The posttraumatic diagnostic scale. Psychological Assessment, 9(4), 445–451. doi:10.1037/1040-3590.9.4.445.
Friedman, N. P., & Miyake, A. (2004). The relations among inhibition and interference control functions: A latent-variable analysis. Journal of Experimental Psychology: General, 133(1), 101–135. doi:10.1037/0096-3445.133.1.101.
Gohier, B., Ferracci, L., Surguladze, S. A., Lawrence, E., Hage, W. E., Kefi, M. Z., et al. (2009). Cognitive inhibition and working memory in unipolar depression. Journal of Affective Disorders, 116(1–2), 100–105. doi:10.1016/j.jad.2008.10.028.
Gross, J. J., & Levenson, R. W. (1995). Emotion elicitation using films. Cognition and Emotion, 9(1), 87–108. doi:10.1080/02699939508408966.
Hakamata, Y., Lissek, S., Bar-Haim, Y., Britton, J. C., Fox, N. A., Leibenluft, E., et al. (2010). Attention bias modification treatment: A meta-analysis toward the establishment of novel treatment for anxiety. Biological Psychiatry, 68(11), 982–990. doi:10.1016/j.biopsych.2010.07.021.
Joormann, J., & Gotlib, I. H. (2008). Updating the contents of working memory in depression: Interference from irrelevant negative material. Journal of Abnormal Psychology, 117(1), 182–192. doi:10.1037/0021-843X.117.1.182.
Joormann, J., Yoon, K. L., & Siemer, M. (2010). Cognition and emotion regulation. In A. M. Kring, & D. M. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment. (pp. 174–203). New York, NY, US: Guilford Press. Retrieved from www.csa.com.
Lustig, C., May, C. P., & Hasher, L. (2001). Working memory span and the role of proactive interference. Journal of Experimental Psychology: General, 130(2), 199–207. doi:10.1037/0096-3445.130.2.199.
Markowitz, L. J., & Borton, J. L. S. (2002). Suppression of negative self-referent and neutral thoughts: A preliminary investigation. Behavioural and Cognitive Psychotherapy, 30(3), 271–277. doi:10.1017/S135246580200303X.
Miyake, A., Friedman, N. P., Emerson, M. J., Witzki, A. H., & Howerter, A. (2000). The unity and diversity of executive functions and their contributions to complex “frontal lobe” tasks: A latent variable analysis. Cognitive Psychology, 41(1), 49–100. doi:10.1006/cogp.1999.0734.
Najmi, S., Riemann, B. C., & Wegner, D. M. (2009). Managing unwanted intrusive thoughts in obsessive-compulsive disorder: Relative effectiveness of suppression, focused distraction, and acceptance. Behaviour Research and Therapy, 47(6), 494–503. doi:10.1016/j.brat.2009.02.015.
Olesen, P. J., Westerberg, H., & Klingberg, T. (2004). Increased prefrontal and parietal activity after training of working memory. Nature Neuroscience, 7(1), 75–79. doi:10.1038/nn1165.
Persson, J., & Reuter-Lorenz, P. A. (2008). Gaining control: Training executive function and far transfer of the ability to resolve interference. Psychological Science, 19(9), 881–888. doi:10.1111/j.1467-9280.2008.02172.x.
Persson, J., Welsh, K. M., Jonides, J., & Reuter-Lorenz, P. A. (2007). Cognitive fatigue of executive processes: Interaction between interference resolution tasks. Neuropsychologia, 45(7), 1571–1579. doi:10.1016/j.neuropsychologia.2006.12.007.
Rosen, V. M., & Engle, R. W. (1998). Working memory capacity and suppression. Journal of Memory and Language, 39(3), 418–436. doi:10.1006/jmla.1998.2590.
Rosenthal, Z. M., & Follette, V. M. (2007). The effect of sexual assault-related intrusion suppression in the laboratory and natural environment. Behaviour Research and Therapy, 45(1), 73–87.
Salkovskis, P. M., & Campbell, P. (1994). Thought suppression induces intrusion in naturally occurring negative intrusive thoughts. Behaviour Research and Therapy, 32(1), 1–8. doi:10.1016/0005-7967(94)90077-9.
Spielberger, C. D., Gorsuch, R. L., Lushene, R., Vagg, P. R., & Jacobs, G. A. (1983). Manual for the state-Trait anxiety inventory. Palo Alto, AC: Consulting Psychologist Press.
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics. Boston: Allyn and Bacon.
Trinder, H., & Salkovskis, P. M. (1994). Personally relevant intrusions outside the laboratory: Long-term suppression increases intrusion. Behaviour Research and Therapy, 32(8), 833–842. doi:10.1016/0005-7967(94)90163-5.
Unsworth, N., Heitz, R. P., Schrock, J. C., & Engle, R. W. (2005). An automated version of the operation span task. Behavior Research Methods, 37(3), 498–505. Retrieved from www.csa.com.
Verwoerd, J., de Jong, P. J., & Wessel, I. (2008). Low attentional control and the development of intrusive memories following a laboratory stressor. Journal of Psychopathology and Behavioral Assessment, 30(4), 291–297. doi:10.1007/s10862-008-9080-6.
Verwoerd, J., Wessel, I., & de Jong, P. J. (2009). Individual differences in experiencing intrusive memories: The role of the ability to resist proactive interference. Journal of Behavior Therapy and Experimental Psychiatry, 40(2), 189–201. doi:10.1016/j.jbtep.2008.08.002.
Verwoerd, J., Wessel, I., de Jong, P. J., Nieuwenhuis, M. M. W., & Huntjens, R. C. J. (in press). Pre-stressor interference control and intrusive memories. Cognitive Therapy and Research.
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(1), 5–13. doi:10.1037/0022-3514.53.1.5.
Wegner, D. M., & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality.Special Issue: Psychodynamics and Social Cognition: Perspectives on the Representation and Processing of Emotionally Significant Information, 62(4), 615–640. doi:10.1111/j.1467-6494.1994.tb00311.x.
Wessel, I., Overwijk, S., Verwoerd, J., & de Vrieze, N. (2008). Pre-stressor cognitive control is related to intrusive cognition of a stressful film. Behaviour Research and Therapy, 46(4), 496–513. doi:10.1016/j.brat.2008.01.016.
Acknowledgments
This study was supported by grants from the National Institutes of Health awarded to the first (1F31MH088170-01) and second author (R34 MH073004-01, R34 MH077129-01). We would like to thank Rachel Lale, Salena McCaslin, and Laura Peterson for their help in data collection for this project, and Dr. Charles Taylor for his helpful comments on an earlier version of this manuscript.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bomyea, J., Amir, N. The Effect of an Executive Functioning Training Program on Working Memory Capacity and Intrusive Thoughts. Cogn Ther Res 35, 529–535 (2011). https://doi.org/10.1007/s10608-011-9369-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10608-011-9369-8