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Childhood Trauma and Active Mental Processes: Dissociation and Metacognition Influence Control of Negative Thoughts

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Abstract

Among trauma survivors, efforts to control distressing thoughts may be linked with dissociation. We examined the hypothesis that dissociation was related to metacognitive need to control thoughts (NCT); and explored dissociation and NCT as mediators between trauma and thought control techniques in a sample of college students. Dissociation was positively related to NCT and to childhood betrayal trauma (abuse by someone close to the victim). Dissociation and NCT mediated the relationship between childhood betrayal trauma and strategies used to control negative thoughts. Overall, childhood betrayal trauma was associated with NCT and with the use of active thought control methods such as reappraisal and worry, which require focusing directly on the thought; dissociation mediates this relationship. Therapeutic approaches that enhance awareness for cognitive and emotional experiences may be helpful for dissociative trauma survivors.

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References

  • 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, M. C., & Green, C. (2001). Suppressing Unwanted Memories by Executive Control. Nature. doi:10.1038/35066572.

    Google Scholar 

  • Barlow, M. R., & Freyd, J. J. (2009). Adaptive Dissociation: Information Processing and Response to Betrayal. In P. F. Dell & J. A. O’Neil (Eds.), Dissociation and the Dissociative Disorders: DSM-V and Beyond (pp. 93–105). New York: Routledge/Taylor & Francis Group.

    Google Scholar 

  • Briere, J., & Rickards, S. (2007). Self-Awareness, Affect Regulation, and Relatedness: Differential Sequels of Childhood Versus Adult Victimization Experiences. Journal of Nervous and Mental Disease, 195, 497–503.

    Article  PubMed  Google Scholar 

  • Briere, J., & Runtz, M. (1989). The Trauma Symptom Checklist (TSC-33): Early Data on a new Scale. Journal of Interpersonal Violence, 4, 151–163. doi:10.1177/088626089004002002.

    Article  Google Scholar 

  • Bruce, A. S., Ray, W. J., Bruce, J. M., Arnett, P. A., & Carlson, R. A. (2007). The Relationship Between Executive Functioning and Dissociation. Journal of Clinical and Experimental Neuropsychology, 29, 626–633. doi:10.1080/13803390600878901.

    Article  PubMed  Google Scholar 

  • Buck, N., Kindt, M., & van den Hout, M. (2006). Effects of State Dissociation on Objectively and Subjectively Assessed Memory Disturbances. Behavioural and Cognitive Psychotherapy, 34, 319–331. doi:10.1017/S1352465806002827.

    Article  Google Scholar 

  • Buckley, T. C., Blanchard, E. B., & Neill, W. T. (2000). Information Processing and PTSD: A Review of the Empirical Literature. Clinical Psychology Review, 20, 1041–65. doi:10.1016/S0272-7358(99)00030-6.

    Article  PubMed  Google Scholar 

  • Chiu, C.-D., Yeh, Y.-Y., Huang, C.-L., Wu, Y.-C., Chiu, Y.-C., & Lin, C.-C. (2010). Unintentional Memory Inhibition is Weakened in non-Clinical Dissociators. Journal of Behavior Therapy and Experimental Psychiatry, 41, 117–124. doi:10.1016/j.jbtep.2009.11.003.

    Article  PubMed  Google Scholar 

  • Chu, J. A., & Dill, D. L. (1990). Dissociative Symptoms in Relation to Childhood Physical and Sexual Abuse. American Journal of Psychiatry, 147, 887–892.

    Article  PubMed  Google Scholar 

  • Cohen, J., & Mannarino, A. P. (2008). Disseminating and Implementing Trauma-Focused CBT in Community Settings. Trauma, Violence & Abuse, 9, 214–226. doi:10.1177/1524838008324336.

    Article  Google Scholar 

  • Coles, M. E., & Heimberg, R. G. (2002). Memory Biases in the Anxiety Disorders: Current Status. Clinical Psychology Review, 22, 587–627. doi:10.1016/S0272-7358(01)00113-1.

    Article  PubMed  Google Scholar 

  • Dalenberg, C. J., & Palesh, O. G. (2004). Relationship Between Child Abuse History, Trauma, and Dissociation in Russian College Students. Child Abuse & Neglect, 28, 461–474. doi:10.1016/j.chiabu.2003.11.020.

    Article  Google Scholar 

  • Dell, P. F. (2009). Understanding Dissociation. In P. F. Dell & J. A. O’Neil (Eds.), Dissociation and the Dissociative Disorders: DSM-V and Beyond (pp. 709–825). New York: Routledge/Taylor & Francis.

    Google Scholar 

  • Dell, P. F. (2010). Involuntariness in Hypnotic Responding and Dissociative Symptoms. Journal of Trauma & Dissociation, 11, 1–18. doi:10.1080/15299730903317964.

    Article  Google Scholar 

  • DePrince, A. P., & Freyd, J. J. (1999). Dissociative Tendencies, Attention, and Memory. Psychological Science, 10, 449–452. doi:10.1111/1467-9280.00185.

    Article  Google Scholar 

  • DePrince, A. P., & Freyd, J. J. (2001). Memory and Dissociative Tendencies: The Roles of Attentional Context and Word Meaning in a Directed Forgetting Task. Journal of Trauma & Dissociation, 2, 67–82. doi:10.1300/J229v02n02_06.

    Article  Google Scholar 

  • Diseth, T. H. (2005). Dissociation in Children and Adolescents as Reaction to Trauma–An Overview of Conceptual Issues and Neurobiological Factors. Nordic Journal of Psychiatry, 59, 79–91. doi:10.1080/08039480510022963.

    Article  PubMed  Google Scholar 

  • Dorahy, M. J. (2006). The Dissociative Processing Style: A Cognitive Organization Activated by Perceived or Actual Threat in Clinical Dissociators. Journal of Trauma & Dissociation, 7, 29–53. doi:10.1300/J229v07n04_03.

    Google Scholar 

  • Dorahy, M. J., McCusker, C. G., Loewenstein, R. J., Colbert, K., & Mulholland, C. (2006). Cognitive Inhibition and Interference in Dissociative Identity Disorder: The Effects of Anxiety on Specific Executive Functions. Behaviour Research and Therapy, 44, 749–764. doi:10.1016/j.brat.2005.05.009.

    Article  PubMed  Google Scholar 

  • Draijer, N., & Langeland, W. (1999). Childhood Trauma and Perceived Parental Dysfunction in the Etiology of Dissociative Symptoms in Psychiatric Inpatients. American Journal of Psychiatry, 156, 379–385.

    PubMed  Google Scholar 

  • Elliott, D. M., & Briere, J. (1992). Sexual Abuse Trauma Among Professional Women: Validating the Trauma Symptom Checklist-40 (TSC-40). Child Abuse & Neglect, 16, 391–398. doi:10.1016/0145-2134(92)90048-V.

    Article  Google Scholar 

  • Erdelyi, M. H. (2006). The Unified Theory of Repression. Behavioral and Brain Sciences, 29, 499–511. doi:10.1017/S0140525X06009113.

    PubMed  Google Scholar 

  • Feeny, N. C., & Foa, E. B. (2006). Cognitive Vulnerability to PTSD. In L. B. Alloy & J. H. Riskind (Eds.), Cognitive Vulnerability to Emotional Disorders (pp. 285–301). Mahwah, NJ US: Lawrence Erlbaum Associates Publishers.

    Google Scholar 

  • Foa, E. B., Hembree, E. A., & Rothbaum, B. O. (2007). Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences: Therapist Guide. New York: Oxford University Press.

    Book  Google Scholar 

  • Foa, E. B., & Kozak, M. J. (1991). Emotional Processing: Theory, Research, and Clinical Implications for Anxiety Disorders. In J. D. Safran & L. S. Greenberg (Eds.), Emotion, Psychotherapy, and Change (pp. 21–49). New York: Guilford Press.

    Google Scholar 

  • Freyd, J. J. (1996). Betrayal Trauma: The Logic of Forgetting Childhood Abuse. Cambridge: Harvard University Press.

    Google Scholar 

  • Freyd, J. J., DePrince, A. P., & Zurbriggen, E. L. (2001). Self-Reported Memory for Abuse Depends Upon Victim-Perpetrator Relationship. Journal of Trauma & Dissociation, 2, 5–16. doi:10.1300/J229v02n03_02.

    Article  Google Scholar 

  • Goldberg, L. R., & Freyd, J. J. (2006). Self-Reports of Potentially Traumatic Experiences in an Adult Community Sample: Gender Differences and Test-Retest Stabilities of the Items in a Brief Betrayal-Trauma Survey. Journal of Trauma & Dissociation, 7, 39–63. doi:10.1300/J229v07n03_04.

    Article  Google Scholar 

  • Goldsmith, R. E., Barlow, M. R., & Freyd, J. J. (2004). Knowing and not Knowing About Trauma: Implications for Therapy. Psychotherapy: Theory, Research, Practice, Training, 41, 448–463. doi:10.1037/0033-3204.41.4.448.

    Article  Google Scholar 

  • Goldsmith, R. E., Chesney, S. A., Heath, N. M., & Barlow, M. R. (2013). Emotion Regulation Difficulties Mediate Associations Between Betrayal Trauma and Symptoms of Posttraumatic Stress, Depression, and Anxiety. Journal of Traumatic Stress, 26, 376–384. doi:10.1002/jts.21819.

    Article  PubMed  Google Scholar 

  • Hassija, C. M., Luterek, J. A., Naragon-Gainey, K., Moore, S. A., & Simpson, T. (2012). Impact of Emotional Approach Coping and Hope on PTSD and Depression Symptoms in a Trauma Exposed Sample of Veterans Receiving Outpatient VA Mental Health Care Services. Anxiety, Stress, and Coping, 25, 559–573. doi:10.1080/10615806.2011.621948.

    Article  PubMed  Google Scholar 

  • Jamieson, J. P., Nock, M. K., & Mendes, W. B. (2012). Mind Over Matter: Reappraising Arousal Improves Cardiovascular and Cognitive Responses to Stress. Journal of Experimental Psychology General, 141, 417–422. doi:10.1037/a0025719.

    Article  PubMed Central  PubMed  Google Scholar 

  • Joormann, J. (2010). Cognitive Inhibition and Emotion Regulation in Depression. Current Directions in Psychological Science, 19, 161–166. doi:10.1177/0963721410370293.

    Article  Google Scholar 

  • Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your Mind to Face Stress, Pain and Illness. New York: Dell Publishing.

    Google Scholar 

  • Kenny, M. C., & McEachern, A. G. (2000). Racial, Ethnic, and Cultural Factors of Childhood Sexual Abuse: A Selected Review of the Literature. Clinical Psychology Review, 20, 905–922. doi:10.1016/S0272-7358(99)00022-7.

    Article  PubMed  Google Scholar 

  • Kimbrough, E., Magyari, T., Langenberg, P., Chesney, M., & Berman, B. (2010). Mindfulness Intervention for Child Abuse Survivors. Journal of Clinical Psychology, 66, 17–33. doi:10.1002/jclp.20624.

    PubMed  Google Scholar 

  • Kindt, M., & van den Hout, M. (2003). Dissociation and Memory Fragmentation: Experimental Effects on Meta-Memory but not on Actual Memory Performance. Behaviour Research and Therapy, 41, 167–178. doi:10.1016/S0005-7967(01)00135-8.

    Article  PubMed  Google Scholar 

  • Kindt, M., Van den Hout, M., & Buck, N. (2005). Dissociation Related to Subjective Memory Fragmentation and Intrusions but not to Objective Memory Disturbances. Journal of Behavior Therapy and Experimental Psychiatry, 36, 43–59. doi:10.1016/j.jbtep.2004.11.005.

    Article  PubMed  Google Scholar 

  • Lawrence, J. W., Fauerbach, J., & Munster, A. (1996). Early Avoidance of Traumatic Stimuli Predicts Chronicity of Intrusive Thoughts Following Burn Injury. Behaviour Research and Therapy, 34, 643–646. doi:10.1016/0005-7967(96)00019-8.

    Article  PubMed  Google Scholar 

  • Linehan, M. M. (1993). Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Press.

    Google Scholar 

  • Manne, S., Glassman, M., & Du Hamel, K. (2001). Intrusion, Avoidance, and Psychological Distress Among Individuals With Cancer. Psychosomatic Medicine, 63, 658–667.

    Article  PubMed  Google Scholar 

  • Najmi, S., Reese, H., Wilhelm, S., Fama, J., Beck, C., & Wegner, D. M. (2010). Learning the Futility of the Thought Suppression Enterprise in Normal Experience and in Obsessive Compulsive Disorder. Behavioural and Cognitive Psychotherapy, 38, 1–14. doi:10.1017/S1352465809990439.

    Article  PubMed  Google Scholar 

  • Najmi, S., & Wegner, D. M. (2009). Hidden Complications of Thought Suppression. International Journal of Cognitive Therapy, 2, 210–223.

    Article  Google Scholar 

  • Oathes, D. J., & Ray, W. J. (2008). Dissociative Tendencies and Facilitated Emotional Processing. Emotion, 8, 653–661. doi:10.1037/a0013442.

    Article  PubMed Central  PubMed  Google Scholar 

  • Ochsner, K. N., Bunge, S. A., Gross, J. J., & Gabrieli, J. E. (2002). Rethinking Feelings: An fMRI Study of the Cognitive Regulation of Emotion. Journal of Cognitive Neuroscience, 14, 1215–1229. doi:10.1162/089892902760807212.

    Article  PubMed  Google Scholar 

  • Ponniah, K., & Hollon, S. D. (2009). Empirically Supported Psychological Treatments for Adult Acute Stress Disorder and Posttraumatic Stress Disorder: A Review. Depression and Anxiety, 26, 1086–1109. doi:10.1002/da.20635.

    Article  PubMed  Google Scholar 

  • 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.

    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 

  • 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 

  • Thompson, R. W., Arnkoff, D. B., & Glass, C. R. (2011). Conceptualizing Mindfulness and Acceptance as Components of Psychological Resilience to Trauma. Trauma, Violence & Abuse, 12, 220–235. doi:10.1177/1524838011416375.

    Article  Google Scholar 

  • Wegner, D. M. (1989). White Bears and Other Unwanted Thoughts: Suppression, Obsession, and the Psychology of Mental Control. New York: Penguin Press.

    Google Scholar 

  • Wells, A., & Cartwright-Hatton, S. (2004). A Short Form of the Metacognitions Questionnaire: Properties of the MCQ-30. Behaviour Research and Therapy, 42, 385–396. doi:10.1016/S0005-7967(03)00147-5.

    Article  PubMed  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(94)90168-6.

    Article  PubMed  Google Scholar 

  • Wilson, L. C., & Scarpa, A. (2012). The Mediating Role of Peritraumatic Dissociation and Thought Control Strategies on Posttraumatic Stress in Women Survivors of Child Sexual and Physical Abuse. Journal of Aggression, Maltreatment & Trauma, 21, 477–494. doi:10.1080/10926771.2012.669821.

    Article  Google Scholar 

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Correspondence to M. Rose Barlow.

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Barlow, M.R., Goldsmith, R.E. Childhood Trauma and Active Mental Processes: Dissociation and Metacognition Influence Control of Negative Thoughts. Journ Child Adol Trauma 7, 131–140 (2014). https://doi.org/10.1007/s40653-014-0010-3

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