The Effectiveness of Emotional Working Memory Training on Execution Functions of Adolescents with Post-Traumatic Stress Disorder
Subject Areas : روان درمانگریZobair Samimi 1 , Jafar Hasani 2 , Moslem Kord Tamini 3 , Mahdi Parooi 4
1 - دانشجو دکترا
2 - دانشیار
3 - کارشناس ارشد
4 - کارشناس ارشد
Keywords: working memory, Inhibition, post- traumatic stress disorder, emotional working memory training,
Abstract :
T The aim of this study was to investigate the effect of emotional working memory training on execution functions in adolescent with posttraumatic stress disorders (PTSD). Based on a single case multiple-baselines design, 3 adolescents (1 male, 2 females) were selected from one of the educational child center of city of Karaj by available sampling using SCID-I and IES-R. The participants received 20 sessions of emotional working memory training. The participants were assessed during three stages (pre-training, training, and 2- month follow up) by the Wechsler Digit Span Test (direct and reverse) and the Go/No Go Task. The data were analyzed using the indices for trend changes, slope and the visual inspection of the charts. The Cohen's d, recovery percent index, and effect size were used to determine the clinical significance. The results indicated that emotional working memory training increased the participants’ working memory and inhibition abilities from pre-training stage to follow up stage. The findings suggest that emotional working memory training may be an appropriate choice for increasing the execution functions of adolescents with PTSD.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub.
Aupperle, R. L., Melrose, A. J., Stein, M. B., & Paulus, M. P. (2012). Executive function and PTSD: Disengaging from trauma. Neuropharma-cology, 62(2), 686-694.
Baddeley, A. (2000). The episodic buffer: a new component of working memory? Trends in Cognitive Sciences, 4(11), 417-423.
Baddeley, A. D. (2002). Is working memory still working? European Psychologist, 7(2), 85-97.
Bomyea, J., Amir, N., & Lang, A. J. (2012). The relationship between cognitive control and posttraumatic stress symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 43(2), 844-848.
Bremner, J. D. (2001). Hypotheses and controversies related to effects of stress on the hippocampus: an argument for stress‐induced damage to the hippocampus in patients with posttraumatic stress disorder. Hippocampus, 11(2), 75-81.
Brewin, C. R., & Beaton, A. (2002). Thought sup-pression, intelligence, and working memory capacity. Behaviour Research and Therapy, 40(8), 923-930.
Brewin, C. R., & Holmes, E. A. (2003). Psychological theories of posttraumatic stress disorder. Clinical Psychology Review, 23(3), 339-376.
Bustamante, V., Mellman, T. A., David, D., & Fins, A. I. (2001).Cognitive functioning and the early development of PTSD. Journal of Traumatic Stress, 14(4), 791-797.
DeBellis, M. D., Keshavan, M. S., Shifflett, H., Iyengar, S., Beers, S. R., Hall, J., & Moritz, G. (2002). Brain structures in pediatric maltreatment-related post-traumatic stress disorder: A socio-demographically matched study. Biological Psychiatry, 52(11), 1066-1078.
Engen, H., & Kanske, P. (2013). How working memory training improves emotion regulation: neural efficiency, effort, and transfer effects. Journal of Neuroscience, 33(30), 12152-12153.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1997). User's guide for the structured clinical interview for DSM-IV axis I disorders SCID-I: Clinician version. American Psychiatric Pub.
Galletly, C., Clark, C. R., McFarlane, A. C., & Weber, D. L. (2001). Working memory in posttraumatic stress disorder-an event‐related potential study. Journal of Traumatic Stress, 14(2), 295-309.
Gilbertson, M. W., Gurvits, T. V., Lasko, N. B., Orr, S. P., & Pitman, R. K. (2001). Multivariate assessment of explicit memory function in combat veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 14(2), 413-432.
Harmer, C. J., Hill, S. A., Taylor, M. J., Cowen, P. J., & Goodwin, G. M. (2003). Toward a neuro-psychological theory of antidepressant drug action: increase in positive emotional bias after poten-tiation of norepinephrine activity. American Journal of Psychiatry, 160(5), 990-992.
Hoffman, E. G. (1984). Fundamentals of tool design. Society of Manufacturing Engineers (SME) Publications/Marketing Division. pp. 499-502.
Hull, L., Farrin, L., Unwin, C., Everitt, B., Wykes, T., & David, A. S. (2003). Anger, psycho-pathology and cognitive inhibition: A study of UK servicemen. Personality and Individual Diffe-rences, 35(5), 1211-1226.
Kanagaratnam, P., & Asbjørnsen, A. E. (2007). Exe-cutive deficits in chronic related to political violence. Journal of Anxiety Disorders, 21(4), 510-525.
Kelly, A. C., & Garavan, H. (2005). Human functional neuroimaging of brain changes associated with practice. Cerebral Cortex, 15(8), 1089-1102.
Krause-Utz, A., Elzinga, B. M., Oei, N. Y., Paret, C., Niedtfeld, I., Spinhoven, P., & Schmahl, C. (2014). Amygdala and dorsal anterior cingulate connectivity during an emotional working memory task in borderline personality disorder patients with interpersonal trauma history. Frontiers in Human Neuroscience, 848(8), 1-18.
Lacerda, A. L., Hardan, A. Y., Yorbik, O., & Keshavan, M. S. (2003). Measurement of the orbitofrontal cortex: A validation study of a new method. Neuroimage, 19(3), 665-673.
LaGarde, G., Doyon, J., & Brunet, A. (2010). Memory and executive dysfunctions associated with acute posttraumatic stress disorder. Psychiatry Research, 177(1), 144-149.
Luine, V., Villegas, M., Martinez, C., & McEwen, B. S. (1994). Repeated stress causes reversible impairments of spatial memory performance. Brain Research, 639(1), 167-170.
Mammarella, N. (2014). Is emotional working memory training a new avenue of AD Treatment? A review. Aging and Disease, 5(1), 35-40.
Mayberg, H. S., Lozano, A. M., Voon, V., McNeely, H. E., Seminowicz, D., Hamani, C., & Kennedy, S. H. (2005). Deep brain stimulation for treatment-resistant depression. Neuron, 45(5), 651-660.
McCabe, D. P., Roediger, H. L., McDaniel, M. A., Balota, D. A., & Hambrick, D. Z. (2010). The relationship between working memory capacity and executive functioning: evidence for a common executive attention construct. Neuropsychology, 24(2), 222-43.
Moradi, A., Salimi, M., & Fathi-Ashtiani, A. (2011). Memory performance of patients sufferingpost-traumatic stress disorder resulting from the war. Journal of Behavior Sciences, 4(4), 269-276.
Nigg, J. T. (2000). On inhibition/disinhibition in deve-lopmental psychopathology: views from cognitive and personality psychology and a working inhibition taxonomy. Psychological Bulletin, 126(2), 220-46.
Schweizer, S., & Dalgleish, T. (2011).Emotional working memory capacity in posttraumatic stress disorder. Behaviour Research and Therapy, 49(8), 498-504.
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 Neuro-science, 33(12), 5301-5311.
Sohlberg, M. M., & Mateer, C. A. (1987). Effectiveness of an attention-training program. Journal of Clinical and Experimental Neuro-psychology, 9(2), 117-130.
Twamley, E. W., Hami, S., & Stein, M. B. (2004). Neuropsychological function in college students with and without posttraumatic stress disorder. Psychiatry Research, 126(3), 265-274.
Van der Molen, M. W. (2000). Developmental changes in inhibitory processing: Evidence from psycho-physiological measures. Biological Psychology, 54(1), 207-239.
Vasterling, J. J., Brailey, K., Constans, J. I., & Sutker, P. B. (1998). Attention and memory dysfunction in posttraumatic stress disorder. Neuropsychology, 12(1), 125-133.
Verbruggen, F., & Logan, G. D. (2008). Response inhibition in the stop signal paradigm. Trends in Cognitive Sciences, 12(11), 418-24.
Weber, D. L., Clark, C. R., McFarlane, A. C., Moores, K. A., Morris, P., & Egan, G. F. (2005).Abnormal frontal and parietal activity during working memory updating in post-traumatic stress disorder. Psychiatry Research: Neuro-imaging, 140(1), 27-44.
Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-Revised. In J. P. Wilson, & T. M. Keane (Eds.), Assessing psychological trauma and PTSD: A handbook for practitioners (pp. 399-411). New York: Guilford Press.
Welsh, M. C., & Pennington, B. F. (1988). Assessing frontal lobe functioning in children: Views from developmental psychology. Developmental Neuro-psychology, 4(3), 199-230.
Westerberg, H. (2004). Working memory: Development, disorders and training. Institution enförkvinnorsoch barns hälsa/Department of Women's and Children's Health. Stockholm: Karolinska University Press.
Weyandt, L. L., & Willis, W. G. (1994). Executive functions in school‐aged children: Potential effi-cacy of tasks in discriminating clinical groups. Developmental Neuropsychology, 10(1), 27-38.
Wilson, S. P., & Kipp, K. (1998). The development of efficient inhibition: Evidence from directed-forgetting tasks. Developmental Review, 18(1), 86-123.
Wodka, E. L., Mark Mahone, E., Blankner, J. G., Gidley Larson, J. C., Fotedar, S., Denckla, M. B., & Mostofsky, S. H. (2007). Evidence that response inhibition is a primary deficit in ADHD. Journal of Clinical and Experimental Neuro-psychology,29(4), 345-356.
Yudofsky, S. C., & Hales, R. E. (Eds.) (2012). Clinical manual of neuropsychiatry. Clinical manual of neuropsychiatry. American Psychiatric Pub.
_||_