OJMP  Vol.1 No.3 , July 2012
Emotional Bias in Childhood-Event Interpretation by Adults with Generalized Anxiety Disorder
Abstract: Objectives: It is often stressed that anxiety alters perceptions of the world by way of processes like the rapid detection of threats and the exaggeration of risks. Given that these processes are active during all information processing, they are thought to influence not only the interpretation of current events, but also the recall of past events. In patient’s anamnesis, we have often attempted to incorporate the events that patients recollect into our functional explanation of their disorder, forgetting that the meaning of what a patient relates may be intrinsically linked to his/her pathology and pathological functioning. We are interested here in potential biases in the events remembered by anxious patients. Methods: We contacted twenty-seven men aged 25 or older suffering from generalized anxiety disorder. They were asked to recollect childhood events from cue words and then rate each remembered event on its subjective emotional valence and intensity, its frequency of recollection, and the vividness of the memory. The responses of the anxious subjects were compared to those of control subjects without psychiatric disorders. Results: Findings seem to show that anxious patients’ memories of childhood events may be impaired by emotional interpretation biases. Indeed, anxious patients remember more negative events than participants in the control group. The emotional intensity of negative or positive events remembered by anxious patients is also considered more important.
Cite this paper: F. Marteau, A. Lassalle, B. Vilette, S. Rusinek and D. Servant, "Emotional Bias in Childhood-Event Interpretation by Adults with Generalized Anxiety Disorder," Open Journal of Medical Psychology, Vol. 1 No. 3, 2012, pp. 25-31. doi: 10.4236/ojmp.2012.13005.

[1]   Y. Bar-Haim, D. Lamy, L. Pergamin and M. J. Bakermans-Kranenburg, “Threat-Related Attentional Bias in Anxious and Nonanxious Individuals: A Meta-Analytic Study,” Psychological Bulletin, Vol. 133, No. 1, 2007, pp. 1-24. doi:10.1037/0033-2909.133.1.1

[2]   M. W. Eysenck and A. Byrne, “Implicit Memory Bias, Explicit Memory Bias, and Anxiety,” Cognition and Emotion, Vol. 8, No. 5, 1994, pp. 415-431. doi:10.1080/02699939408408950

[3]   A. Mathews and B. Mackintosh, “A Cognitive Model of Processing in Anxiety,” Cognitive Therapy and Research, Vol. 22, No. 6, 1998, pp. 539-560. doi:10.1023/A:1018738019346

[4]   R. J. McNally, “Cognitive Bias in Panic Disorder,” Current Directions in Psychological Science, Vol. 3, No. 4, 1994, pp. 129-132. doi:10.1111/1467-8721.ep10770595

[5]   S. Mobini and A. Grant, “Clinical Implications of Attentional Bias in Anxiety Disorders: An Integrative Literature Review,” Psychotherapy: Theory, Research, Practice, Training, Vol. 44, No. 4, 2007, pp. 450-462. doi:10.1037/0033-3204.44.4.450

[6]   P. C. Kendall, J. L. Hudson, E. Gosch, E. FlannerySchroeder and C. Suveg, “Cognitive-Behavioral Therapy for Anxiety Disordered Youth: A Randomizes Clinical Trial Evaluating Child and Family Modalities,” Journal of Consulting and Clinical Psychology, Vol. 76, No. 2, 2008, pp. 282-297. doi:10.1037/0022-006X.76.2.282

[7]   P. Stallard, “Early Maladaptive Schemas in Children: Stability and Differences Between a Community and a Clinic Referred Sample,” Clinical Psychology and Psychotherapy, Vol. 14, 2007, pp. 127-139. doi:10.1002/cpp.511

[8]   M. W. Vasey, E. L. Daleiden, L. L. Williams and A. Mathews, “Biased Attention in Childhood Anxiety Disorders: A Preliminary Study,” Journal of Abnormal Child Psychology, Vol. 23, No. 2, 1995, pp. 267-279. doi:10.1007/BF01447092

[9]   M. W. Eysenck, “Anxiety: The Cognitive Perspective,” Psychology Press, England, Hove, 1992.

[10]   M. W. Eysenck, N. Derakshan, R. Santos and M. G. Calvo, “Anxiety and Cognitive Performance: Attentional Control Theory,” Emotion, Vol. 7, No. 2, 2007, pp. 336353. doi:10.1037/1528-3542.7.2.336

[11]   F. C. Bartlett, “Remembering,” Cambridge University Press, Cambridge, 1932.

[12]   J. L. Deffenbacher, W. A. Zwemer, M. A. Whisman, R. A. Hill and R. D. Sloan, “Irrational Beliefs and Anxiety,” Cognitive Therapy and Research, Vol. 10, No. 3, 1986, pp. 281-292. doi:10.1007/BF01173466

[13]   M. W. Vasey, “Development and Cognition in Childhood Anxiety: The Example of Worry,” Advances in Clinical Child Psychology, Vol. 15, 1993, pp. 1-39.

[14]   M. W. Vasey and M. R. Dadds, “The Developmental Psychopathology of Anxiety,” Oxford University Press, New York, 2001.

[15]   K. Verstraeten, P. Bijttebier, M. W. Vasey and F. Raes, “Specificity of Worry and Rumination in the Development of Anxiety and Depressive Symptoms in Children,” British Journal of Clinical Psychology, Vol. 50, No. 4, 2011, pp. 364-378. doi:10.1348/014466510X532715

[16]   A. T. Beck and D. A. Clark, “An Information Processing Model of Anxiety: Automatic and Strategic Processes,” Behaviour Research and Therapy, Vol. 35, 1997, pp. 1110-1119. doi:10.1016/S0005-7967(96)00069-1

[17]   A. T. Beck, G. Emery and R. L. Greenberg, “Anxiety Disorders and Phobias: A Cognitive Perspective,” Basic Books, New York, 2005.

[18]   A. T. Beck and A. Freeman, “Cognitive Therapy of Personality Disorders,” The Guilford Press, New York, 1990.

[19]   D. A. Clark and A. T. Beck, “Cognitive Therapy of Anxiety Disorders: Science and Practice,” Guildford Press, New York, 2010.

[20]   C. P. Thompson, J. J. Skowronski, S. F. Larsen and A. L. Betz, “Autobiographical Memory: Remembering What and Remembering When,” Laurence Erlbaum Associates, Mahwah, 1996.

[21]   S. Nagae and M. Moscovitch, “Cerebral Hemispheric Differences in Memory for Emotional and Non-Emotional Words in Normal Individuals,” Neuropsychologia, Vol. 40, No. 9, 2002, pp. 1601-1607. doi:10.1016/S0028-3932(02)00018-0

[22]   J. W. Schooler and E. Eich, “Memory for Emotional Events,” In: E. Tulving and F. I. M. Craik, Eds., The Oxford Handbook of Memory, Oxford University Press, Oxford, 2000, pp. 379-392.

[23]   S. C. Brown and F. I. M. Craik, “Encoding and Retrieval of Information,” In: E. Tulving and F. I. M. Craik, Eds., The Oxford Handbook of Memory, Oxford University Press, Oxford, 2000, pp. 93-107.

[24]   P. Bayart and S. Rusinek, “Etude des Biais d’Interprétation Emotionnelle dans l’Evaluation de Situations Futures chez le Sujet Alcoolodépendant,” Journal de Thérapie Cognitive et Comportementale, in Press, 162.

[25]   D. A. Hope, R. M. Rapee, R.G. Heimberg and M. J. Dombeck, “Representations of the Self in Social Phobia: Vulnerability to Social Threat,” Cognitive Therapy and Research, Vol. 14, 2, 1990, pp. 177-189. doi:10.1007/BF01176208

[26]   O. Luminet, E. Zech, B. Rimé and H. Wagner, “Predicting Cognitive and Social Consequences of Emotional Episodes: The Contribution of Emotional Intensity, the Five Factor Model, and Alexithymia,” Journal of Research in Personality, Vol. 34, No. 4, 2000, pp. 471-497. doi:10.1006/jrpe.2000.2286

[27]   R. Adolphs, N. L. Denburg and D. Tranel, “The Amygdala’s Role in Long-Term Declarative Memory for Gist and Detail,” Behavioral Neuroscience, Vol. 115, No. 5, 2001, pp. 983-992. doi:10.1037/0735-7044.115.5.983

[28]   A. Mathews and C. MacLeod, “Cognitive Approaches to Emotion and Emotional Disorders,” Annual Review of Psychology, Vol. 45, 1994, pp. 25-50. doi:10.1146/

[29]   L. S. Newman and D. A. Hedberg, “Repressive Coping and the Inaccessibility of Negative Autobiographical Memories: Converging Evidence,” Personality and Individual Differences, Vol. 27, No. 1, 1999, pp. 45-53. doi:10.1016/S0191-8869(98)00233-5

[30]   American Psychiatric Association, “Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR),” Rth Ed. (Text Revision), American Psychiatric Association, Washington, 2000.

[31]   Y. Lecrubier, D. V. Sheehan and E. Weiller, “The Mini International Neuropsychiatric Interview (MINI). A Short Diagnostic Structured Interview: Reliability and Validity According to the CIDI,” European Psychiatry, Vol. 12, No. 5, 1997, pp. 224-231. doi:10.1016/S0924-9338(97)83296-8

[32]   M. Hautekèete, S. Rusinek and D. Hautekèete-Sence, “Un Test d’Anxiété: le Style de Vie,” Vingt-Quatrièmes Journées Scientifiques de Thérapie Comportementale et Cognitive, Paris, 1996.

[33]   C. D. Spielberger, “Manual for the State Trait Anxiety Inventory (Form Y),” Consulting Psychologists Press, Palo Alto, 1983.

[34]   R. Plutchik, “The Psychology and Biology of Emotion,” HarperCollins, New York, 1994.

[35]   R. Plutchik, “Emotions in the Practice of Psychotherapy: Clinical Implications of Affect Theories,” American Psychological Association Press, Washington, 2000. doi:10.1037/10366-000

[36]   R. S. Lazarus, “Emotion and Adaptation,” Oxford University Press, Oxford, 1991.

[37]   G. H. Bower, “Mood and Memory,” American Psychologist, Vol. 36, No. 2, 1981, pp. 129-148. doi:10.1037/0003-066X.36.2.129

[38]   G. H. Bower, “Commentary on Mood and Memory,” Behaviour Research and Therapy, Vol. 25, 1987, pp. 443456. doi:10.1016/0005-7967(87)90052-0

[39]   D. J. Cassidy and J. S. Deloache, “The Effect of Questioning on Young Children’s Memory for an Event,” Cognitive Development, Vol. 10, No. 1, 1995, pp. 109130. doi:10.1016/0885-2014(95)90020-9

[40]   D. B. Pillemer, M. L. Picariello and J. C. Pruett, “Very Long-Term Memories of Salient Preschool Event,” Applied Cognitive Psychology, Vol. 8, 1994, pp. 95-106. doi:10.1002/acp.2350080202

[41]   G. Andersson, M. Fredriksson, M. Jansson, C. Ingerholt and H. C. Larsen, “Cognitive bias in Dizziness: Emotional Stroop and Autobiographical Memories,” Cognitive and Behavioral Therapy, Vol. 33, No. 4, 2004, pp. 208-220. doi:10.1080/16506070410030098

[42]   F. Boer, M. T. Markus, R. Maingay, I. E. Lindhout, S. R. Borst and T. H. Hoogendijk, “Negative Life Events of Anxiety Disordered Children: Bad fortune, Vulnerability, or Reporter Bias?” Child Psychiatry and Human Development, Vol. 32, No. 3, 2002, pp. 187-199. doi:10.1023/A:1017952605299

[43]   S. Rusinek, M. Hautekèete, H. Danes, I. Deregnaucourt and V. Lemmen, “Biais d’Interprétations d’Evénements Scolaires chez des Enfants Anxieux,” Journal de Thérapie Comportementale et Cognitive, Vol. 12, No. 2, 2002, pp. 59-65.

[44]   M. G. Calvo, M. W. Eysenck and M. D. Castillo, “Interpretations Bias in Test Anxiety: The Time Course of Predictive Inferences,” Cognition and Emotion, Vol. 11, No. 1, 1997, pp. 43-64. doi:10.1080/026999397380023

[45]   A. Mathews and B. Mackintosh, “Induced Emotional Interpretation Bias and Anxiety,” Journal of Abnormal Psychology, Vol. 109, No. 4, 2000, pp. 602-615. doi:10.1037/0021-843X.109.4.602

[46]   Y. Barr-Haim, “Research Review: Attention Bias Modification: A Novel Treatment for Anxiety Disorders,” Journal of Child Psychology and Psychiatry, Vol. 51, No. 8, 2010, pp. 859-870. doi:10.1111/j.1469-7610.2010.02251.x

[47]   A. Wells, “Metacognitive Therapy for Anxiety and Depression,” Guilford Press, New York, 2009.

[48]   P. Cappeliez, “Fonctions des Réminiscences et Dépression,” Gérontolgie et Société, Vol. 130, 2009, pp. 171185. doi:10.3917/gs.130.0171

[49]   K.-J. Chiang, H. Chu, H.-J. Chang, M.-H. Chung, C.-H. Chen, H.-Y. Chiou and K.-R. Chou, “The Effect of Reminiscence Therapy on Psychological Well-Being, Depression and Loneliness among the Institutionalized Aged,” International Journal of Geriatric Psychiatry, Vol. 25, No. 4, 2010, pp. 380-388. doi:10.1002/gps.2350.