Comparison of the Effectiveness of Emotional and Neutral Working Memory Training on Rumination in People with Obsessive-Compulsive Disorder

Document Type : Research Paper

Authors

1 Ph.D. Student of Psychology, Faculty of Humanities, Bojnourd Branch, Islamic Azad University, Bojnourd, Iran.

2 Full Professor, Department of Psychology, Ferdowsi University Mashhad, Mashhad, Iran.

3 Assistant Professor, Department of Psychology, University of Bojnord, Bojnord, Iran.

Abstract

The growing fear of infection following the spread of the coronavirus worldwide has posed a threat to the mental health of people with obsessive-compulsive disorder. The aim of this study was to investigate the effect of emotional and neutral working memory training on improving rumination in patients with obsessive-compulsive disorder. In order to achieve the aim of the study, the sample group consisting of 42 individuals with obsessive-compulsive disorder was selected by the available method according to the Vancouver obsessive-compulsive disorder questionnaire and structured clinical interview for psychiatric disorders and then they were placed randomly in Three equal groups. Pre-test and post-test included the Nolen-Hooksma rumination questionnaire. the interventions used was included of emotional working memory training for the first group and neutral working memory training for the second group, each of which was performed for 20 sessions and the control group did not receive any intervention. The results of ANCOVA analysis showed a significant effectiveness of emotional and neutral working memory training on rumination in people with obsessive-compulsive disorder (P <0.01). Also, emotional working memory training was significantly more effective in improving rumination than neutral working memory training (P <0.05). And MANCOVA analysis showed that working memory training had significant effect on the reflection subscale (P <0.01) and no significant effect on the subscales of depression and depression. According to the findings, it can be concluded that emotional processes of working memory play a greater role in the formation of rumination than neutral processes.

Keywords


امینی، ه. و شریفی، و. و اسعدی، س. محمدی، م. کایانی، ح. سمنانی، ی. شعبانی، ا. شهریور، ز. داوری آشتیانی، ر. حکیم شوشتری، م. صدیق، ا. جلالی رودسری، م. (1386). روایی نسخه فارسی مصاحبه ساختار یافته تشخیصی برای اختلال های محور I در SCID-I) DSM-IV). پایش. 7(1), 49-57.
 ایماندوست، ه. عیسی زادگان، ع. سلیمانی، ا. (1399). تحلیل ویژگیهای روانسنجی نسخه فارسی پرسشنامه وسواسی-جبری ونکوور. فصلنامه روانشناسی کاربردی. 14(55)، 245-267.
باقری نژاد، م. صالحی فدردی، ج. طباطبایی، م. (1389). رابطه ی بین نشخوار فکری و افسردگی در نمونه ای از دانشجویان ایرانی، مطالعات تربیتی و روانشناسی،11(1)،38-21.
رضوان، ش. بهرامی، ف. عابدی، م. (1385). تاثیر تنظیم هیجان بر شادکامی و نشخوار فکری دانشجویان. مجله روانپزشکی و روانشناسی بالینی ایران (اندیشه و رفتار)، 12(46)، 251-257.
شریفی، و. اسعدی، م. محمدی، م. امینی، ه. کاویانی، ح. سمنانی، ی. و همکاران. (1383). پایایی و قابلیت اجرای نسخۀ فارسی مصاحبۀ ساختار یافتۀ تشخیصی برای SCID) DSM-IV). تازه های علوم شناختی. ۶ (۱ و ۲) :۱۰-۲۲.
Abramowitz, J. S., Franklin, M. E., Schwartz, S. A., & Furr, J. M. (2003). Symptom presentation and outcome of cognitive-behavioral therapy for obsessive-compulsive disorder. Journal of Consulting and clinical psychology71(6), 1049.‏
Baddeley, A. Hitch, G. (1974). Gordon H. Bower, ed. Working Memory. The psychology of learning and motivation. 2. Academic Press. 47–89. doi:10.1016/S0079-7421(08)60452-1
Coifman, K. G., Kane, M. J., Bishop, M., Matt, L. M., Nylocks, K. M., & Aurora, P. (2019). Predicting negative affect variability and spontaneous emotion regulation: Can working memory span tasks estimate emotion regulatory capacity? Emotion.
Du Toit, S. A., Kade, S. A., Danielson, C. T., Schweizer, S., Han, J., Torok, M., & Wong, Q. J. (2020). The effect of emotional working memory training on emotional and cognitive outcomes in individuals with elevated social anxiety. Journal of affective disorders, 261, 76-83.
Esmaeeli, S. (2021). The Effectiveness of Neuro feedback Training on the Working-Memory of People with Obsessive-Compulsive Disorder Symptoms. European Journal of Molecular & Clinical Medicine8(1), 1795-1803.‏
Hallion, L. S., Tolin, D. F., & Diefenbach, G. J. (2019). Enhanced cognitive control over task-irrelevant emotional distractors in generalized anxiety disorder versus obsessive-compulsive disorder. Journal of anxiety disorders64, 71-78.‏
Hendricks, M. A., & Buchanan, T. W. (2016). Individual differences in cognitive control processes and their relationship to emotion regulation. Cognition and Emotion, 30(5), 912-924.
Hoorelbeke, K., Koster, E. H., Vanderhasselt, M. A., Callewaert, S., & Demeyer, I. (2015). The influence of cognitive control training on stress reactivity and rumination in response to a lab stressor and naturalistic stress. Behaviour research and therapy, 69, 1-10.
Kumar, A., & Somani, A. (2020). Dealing with Corona virus anxiety and OCD. Asian Journal of Psychiatry, 51, 102053.
Kushner, M. G., Kim, S. W., Donahue, C., Thuras, P., Adson, D., Kotlyar, M., ... & Foa, E. B. (2007). D-cycloserine augmented exposure therapy for obsessive-compulsive disorder. Biological psychiatry62(8), 835-838.‏
Maloney, G., Koh, G., Roberts, S., & Pittenger, C. (2019). Imagery rescripting as an adjunct clinical intervention for obsessive compulsive disorder. Journal of anxiety disorders66, 102110.‏
Moreira, P. S., Macoveanu, J., Marques, P., Coelho, A., Magalhães, R., Siebner, H. R., ... & Morgado, P. (2020). Altered response to risky decisions and reward in patients with obsessive–compulsive disorder. Journal of psychiatry & neuroscience: JPN45(2), 98.‏
Nalborczyk, L., Banjac, S., Baeyens, C., Grandchamp, R., Koster, E. H., Perrone-Bertolotti, M., & Loevenbruck, H. (2021). Dissociating facial electromyographic correlates of visual and verbal induced rumination. International Journal of Psychophysiology159, 23-36.‏
Pan, D. N., Hoid, D., Gu, R. L., & Li, X. (2020). Emotional working memory training reduces rumination and alters the EEG microstate in anxious individuals. NeuroImage: Clinical, 28, 102488.
Rosa-Alcázar, A. I., Rosa-Alcázar, Á., Martínez-Esparza, I. C., Storch, E. A., & Olivares-Olivares, P. J. (2021). Response Inhibition, Cognitive Flexibility and Working Memory in Obsessive-Compulsive Disorder, Generalized Anxiety Disorder and Social Anxiety Disorder. International Journal of Environmental Research and Public Health18(7), 3642.‏
Schweizer, S., Grahn, J., Hampshire, A., Mobbs, D., & Dalgleish, T. (2013). Training the emotional brain: improving affective control through emotional working memory training. Journal of Neuroscience33(12), 5301-5311.
Schweizer, S., Hampshire, A., & Dalgleish, T. (2011). Extending brain-training to the affective domain: increasing cognitive and affective executive control through emotional working memory training. PloS one6(9), e24372.
Sulaimani, M. F., & Bagadood, N. H. (2020). Implication of coronavirus pandemic on obsessive-compulsive-disorder symptoms. Reviews on Environmental Health1(ahead-of-print).‏
Twohig, M. P., Abramowitz, J. S., Smith, B. M., Fabricant, L. E., Jacoby, R. J., Morrison, K. L., ... & Ledermann, T. (2018). Adding acceptance and commitment therapy to exposure and response prevention for obsessive-compulsive disorder: A randomized controlled trial. Behaviour Research and Therapy108, 1-9.‏
Whittal, M. L., Thordarson, D. S., & McLean, P. D. (2005). Treatment of obsessive–compulsive disorder: Cognitive behavior therapy vs. exposure and response prevention. Behaviour research and therapy43(12), 1559-1576.‏
Wilson, M., & Tripp, J. (2021). Clomipramine. StatPearls [Internet].‏ Treasure Island (FL): StatPearls Publishing. PMID: 31082050.
Yoon, K. L., LeMoult, J., Hamedani, A., & McCabe, R. (2018). Working memory capacity and spontaneous emotion regulation in generalised anxiety disorder. Cognition and Emotion, 32(1), 215-221.
Zhiyang, H. A. N. (2017). The effectiveness of a training programme in obsessive-compulsive patients' behavioral inhibition: improving emotional working memory. NeuroQuantology, 15(3).