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Autobiographical memory bias in cancer-related post traumatic stress disorder and the effectiveness of competitive memory training

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Abstract

Cancer as a life-threatening illness can be shocking and may lead to Post Traumatic-Stress Disorder (PTSD), which is associated with autobiographical memory bias as its core defining symptom. This study investigated the effectiveness of Competitive Memory Training (COMET) as an intervention for modifying the processing of autobiographical information and reducing PTSD symptoms. Autobiographical memory bias was measured using an Autobiographical Memory Task (AMT) modified for our population, who was diagnosed with cancer and experienced from PTSD. The Posttraumatic Stress Disorder Checklist (PCL) was employed to measure symptoms of PTSD and the Beck Depression Inventory II (BDI-II) questionnaire was used to assess depression symptoms. These measures were administered to a COMET (n = 30) and a MEmory Specificity Training (MEST) (n = 30) group. The COMET and the MEST groups underwent seven and six weekly sessions, respectively. All the assessments were re-conducted after the treatment and three-months later (follow-up). There was a significant alleviation in autobiographical memory bias and significantly fewer depression symptoms in the COMET group compared to the MEST group. This study indicates that the COMET intervention is a promising intervention for targeting cognitive biases including memory bias in cancer patients with PTSD.

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References

  • Ahles, T. A., Root, J. C., & Ryan, E. L. (2012). Cancer-and cancer treatment–associated cognitive change: An update on the state of the science. Journal of Clinical Oncology, 30(30), 3675–3686.

    Article  PubMed  PubMed Central  Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, 5th edition: DSM-5. American Psychiatric Association. https://doi.org/10.1176/appi. books .97808 90425 596.

  • Beck, A. T., Steer, R. A., & Brown, G. (1996). Beck depression inventory–II. Psychological Assessment.

  • Beevers, C. G., Clasen, P. C., Enock, P. M., & Schnyer, D. M. (2015). Attention bias modification for major depressive disorder: Effects on attention bias, resting state connectivity, and symptom change. Journal of Abnormal Psychology, 124(3), 463–475. https://doi.org/10.1037/abn0000049.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brewin, C. R. (2006). Understanding cognitive behaviour therapy: A retrieval competition account. Behaviour Research and Therapy, 44(6), 765–784.

    Article  PubMed  Google Scholar 

  • Brewin, C. R. (2011). The nature and significance of memory disturbance in posttraumatic stress disorder. Annual Review of Clinical Psychology, 7, 203–227.

    Article  PubMed  Google Scholar 

  • Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670–686.

    Article  PubMed  Google Scholar 

  • Bryant, R. A. (2019). Post-traumatic stress disorder: A state-of-the-art review of evidence and challenges. World Psychiatry, 18(3), 259–269.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chan, C. M. H., Ng, C. G., Taib, N. A., Wee, L. H., Krupat, E., & Meyer, F. (2018). Course and predictors of post-traumatic stress disorder in a cohort of psychologically distressed patients with cancer: A 4-year follow-up study. Cancer, 124(2), 406–416.

    Article  PubMed  Google Scholar 

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Conway, M. A. (2005). Memory and the self☆. Journal of Memory and Language, 53, 594–628.

    Article  Google Scholar 

  • Conway, M. A., & Pleydell-Pearce, C. W. (2000). The construction of autobiographical memories in the self-memory system. Psychological Review, 107(2), 261–288.

    Article  PubMed  Google Scholar 

  • Dalgleish, T. (2004). Cognitive Approaches to Posttraumatic Stress Disorder: The Evolution of Multirepresentational Theorizing. Psychological Bulletin, 130, 228–260.

    Article  PubMed  Google Scholar 

  • Dalgleish, T., & Werner-Seidler, A. (2014). Disruptions in autobiographical memory processing in depression and the emergence of memory therapeutics. Trends in Cognitive Sciences, 18(11), 596–604.

    Article  PubMed  Google Scholar 

  • Dalgleish, T., Williams, J. M. G., Golden, A. M. J., Perkins, N., Barrett, L. F., Barnard, P. J., Au Yeung, C., Murphy, V., Elward, R., Tchanturia, K., & Watkins, E. (2007). Reduced specificity of autobiographical memory and depression: The role of executive control. Journal of Experimental Psychology: General, 136(1), 23–42.

    Article  PubMed  Google Scholar 

  • Devine, K. A., Reed-Knight, B., Loiselle, K. A., Fenton, N., & Blount, R. L. (2010). Posttraumatic growth in young adults who experienced serious childhood illness: A mixed-methods approach. Journal of Clinical Psychology in Medical Settings, 17(4), 340–348.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dimitrov, L., Moschopoulou, E., & Korszun, A. (2019). Interventions for the treatment of cancer-related traumatic stress symptoms: A systematic review of the literature. Psycho-Oncology, 28(5), 970–979.

    PubMed  Google Scholar 

  • Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345.

    Article  PubMed  Google Scholar 

  • First, M. B., Spitzer, R. L., Gibbon, M., Williams, J. B., Davies, M., Borus, J., & Rounsaville, B. (1995). The structured clinical interview for DSM-III-R personality disorders (SCID-II). Part II: Multi-site test-retest reliability study. Journal of personality disorders, 9(2), 92–104.

  • Flory, J. D., & Yehuda, R. (2015). Comorbidity between post-traumatic stress disorder and major depressive disorder: Alternative explanations and treatment considerations. Dialogues in Clinical Neuroscience, 17(2), 141.

    Article  PubMed  PubMed Central  Google Scholar 

  • Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989). Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behaviour Therapy, 20(2), 155–176.

    Article  Google Scholar 

  • Gómez de La Cuesta, G., Schweizer, S., Diehle, J., Young, J., & Meiser-Stedman, R. (2019). The relationship between maladaptive appraisals and posttraumatic stress disorder: a meta-analysis. European Journal of Psychotraumatology, 10(1), 1620084. 10.1080/20008198.2019.1620084.

  • Hitchcock, C., Werner-Seidler, A., Blackwell, S. E., & Dalgleish, T. (2017). Autobiographical episodic memory-based training for the treatment of mood, anxiety and stress-related disorders: A systematic review and meta-analysis. Clinical Psychology Review, 52, 92–107.

    Article  PubMed  Google Scholar 

  • Korrelboom, K., Maarsingh, M., & Huijbrechts, I. (2012). Competitive memory training (COMET) for treating low self-esteem in patients with depressive disorders: A randomized clinical trial. Depression and Anxiety, 29(2), 102–110.

    Article  PubMed  Google Scholar 

  • Korrelboom, K., de Jong, M., Huijbrechts, I., & Daansen, P. (2009). Competitive memory training (COMET) for treating low self- esteem in patients with eating disorders: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 77(5), 974.

    Article  PubMed  Google Scholar 

  • Korrelboom, K., Peeters, S., Blom, S., & Huijbrechts, I. (2014). Competitive memory training (COMET) for panic and applied relaxation (AR) are equally effective in the treatment of panic in panic-disordered patients. Journal of Contemporary Psychotherapy, 44(3), 183–190.

    Article  Google Scholar 

  • Korrelboom, K., van der Gaag, M., Hendriks, V. M., Huijbrechts, I., & Berretty, E. W. (2008). Treating obsessions with competitive memory training: A pilot study. The Behavior Therapist.

  • Lange, M., & Joly, F. (2017). How to identify and manage cognitive dysfunction after breast cancer treatment. Journal of Oncology Practice, 13(12), 784–790.

    Article  PubMed  Google Scholar 

  • Matt, G. E., Vázquez, C., & Campbell, W. K. (1992). Mood-congruent recall of affectively toned stimuli: A meta-analytic review. Clinical Psychology Review, 12(2), 227–255.

    Article  Google Scholar 

  • Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., et al. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4(1), 1–9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Montesano, A., Feixas, G., Caspar, F., & Winter, D. (2017). Depression and identity: Are self-constructions negative or Conflictual? Frontiers in Psychology, 8, 877. https://doi.org/10.3389/fpsyg.2017.00877.

    Article  PubMed  PubMed Central  Google Scholar 

  • Moore, S. A., & Zoellner, L. A. (2007). Overgeneral autobio- graphical memory and traumatic events: An evaluative review. Psychological Bulletin, 133, 419–437. https://doi.org/10.1037/0033-2909.133.3.419.

    Article  PubMed  PubMed Central  Google Scholar 

  • Moradi, A. R., Moshirpanahi, S., Parhon, H., Mirzaei, J., Dalgleish, T., & Jobson, L. (2014). A pilot randomized controlled trial investigating the efficacy of MEmory specificity training in improving symptoms of posttraumatic stress disorder. Behaviour Research and Therapy, 56, 68–74.

    Article  PubMed  Google Scholar 

  • Mousavi, M. E., Samiei, M., Khani, P. M., Pourshahbaz, A., Abbasi, I., Ansari, N., & Aminoroaya, S. (2018). Effective factors of non- adherence and admission in bipolar disorder. Psychology and Behavioral Sciences, 7(6), 97.

    Google Scholar 

  • Neshat-Doost, H. T., Dalgleish, T., Yule, W., Kalantari, M., Ahmadi, S. J., Dyregrov, A., & Jobson, L. (2013). Enhancing autobiographical memory specificity through cognitive training: An intervention for depression translated from basic science. Clinical Psychological Science, 1(1), 84–92.

    Article  Google Scholar 

  • Qu, C., & Sas, C. (2018, July). Exploring memory interventions in depression through lifelogging lens. In Proceedings of the 32nd International BCS Human Computer Interaction Conference 32 (pp. 1-6).

  • Raes, F., Williams, J. M. G., & Hermans, D. (2009). Reducing cognitive vulnerability to depression: A preliminary investigation of MEmory Specificity Training (MEST) in inpatients with depres- sive symptomatology. Journal of Behavior Therapy and Experi- mental Psychiatry, 40(1), 24–38.

    Article  Google Scholar 

  • Raes, F., Hermans, D., Williams, J. M. G., & Eelen, P. (2007). A sentence completion procedure as an alternative to the autobiographical memory test for assessing overgeneral memory in non-clinical populations. Memory, 15(5), 495–507.

    Article  PubMed  PubMed Central  Google Scholar 

  • Romano, M., Ma, R., Moscovitch, M., & Moscovitch, D. A. (2020). Autobiographical memory bias.

    Book  Google Scholar 

  • Sadeghi, M., Taghva, A., Goudarzi, N., & Rah Nejat, A. M. (2016). Validity and reliability of Persian version of “post-traumatic stress disorder scale” in war veterans. Iranian Journal of War and Public Health, 8(4), 243–249.

    Google Scholar 

  • Schneider, B. C., Wittekind, C. E., Talhof, A., Korrelboom, K., & Moritz, S. (2015). Competitive Memory Training (COMET) for OCD: A self-treatment approach to obsessions. Cognitive Behaviour Therapy, 44(2), 142–152.

    Article  PubMed  Google Scholar 

  • van der Gaag, M., van Oosterhout, B., Daalman, K., Sommer, I. E., & Korrelboom, K. (2012). Initial evaluation of the effects of compet- itive memory training (COMET) on depression in schizophrenia- spectrum patients with persistent auditory verbal hallucinations: A randomized controlled trial. British Journal of Clinical Psychology, 51(2), 158–171.

    Article  PubMed  Google Scholar 

  • Wachen, J. S., Patidar, S. M., Mulligan, E. A., Naik, A. D., & Moye, J. (2014). Cancer-related PTSD symptoms in a veteran sample: Association with age, combat PTSD, and quality of life. Psycho-Oncology, 23(8), 921–927.

    Article  PubMed  PubMed Central  Google Scholar 

  • Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2014, February 5). PTSD checklist for DSM-5 (PCL-5). In National Centre for PTSD Retrieved June 3, 2015, from http://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp.

  • Williams, J. M., & Broadbent, K. (1986). Autobiographical memory in suicide attempters. Journal of Abnormal Psychology, 95(2), 144–149.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G. (2006). Capture and rumination, functional a voidance, and executive control (CaRFAX): Three processes that underlie overgeneral memory. Cognition and Emotion, 20(3–4), 548–568.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G., Barnhofer, T., Crane, C., Herman, D., Raes, F., Watkins, E., & Dalgleish, T. (2007). Autobiographical memory specificity and emotional disorder. Psychological Bulletin, 133(1), 122–148.

    Article  PubMed  PubMed Central  Google Scholar 

  • Woud, M. L., Verwoerd, J., & Krans, J. (2017). Modification of cognitive biases related to posttraumatic stress: A systematic review and research agenda. Clinical Psychology Review, 54, 81–95.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran

    Sharareh Farahimanesh

  2. Institute for Cognitive Science Studies, Tehran, Iran

    Sharareh Farahimanesh & Meysam Sadeghi

  3. Department of Psychology, Institute for Cognitive Science Studies, Kharazmi University, 43 South Mofatteh Avenue, Tehran, Iran

    Alireza Moradi

Authors
  1. Sharareh Farahimanesh
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  2. Alireza Moradi
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  3. Meysam Sadeghi
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Correspondence to Alireza Moradi.

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*The datasets generated during and analysed during the study are available from the corresponding author on reasonable request.

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Farahimanesh, S., Moradi, A. & Sadeghi, M. Autobiographical memory bias in cancer-related post traumatic stress disorder and the effectiveness of competitive memory training. Curr Psychol 42, 2740–2748 (2023). https://doi.org/10.1007/s12144-021-01648-0

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