Psychology
Irene Huang

Thought Control Strategies in Depression

  • Faculty Advisor

    Jutta Joormann

  • Faculty Advisor

    Michael Bailey

Published On

May 2015

Originally Published

NURJ Online 2014-15

ABSTRACT

Depression is often typified by uncontrollable processing of negative information. Research has shown that some strategies to control thoughts are more adaptive than others. This study investigates how the application of five different thought control strategies (distraction, punishment, worry, social control, and reappraisal) can predict depression severity. A community sample of 373 participants completed the Thought Control Questionnaire (TCQ) and Beck Depression Inventory—Second Edition (BDI-II) as part of a larger study.

Four hypotheses are tested in the present study:

1. worry and punishment would predict higher depression severity, and there would be a negative interaction between worry and punishment;
2. distraction and reappraisal would predict lower depression severity;
3. social control would not be significantly associated with depression severity because the social control subscale in TCQ includes both social avoidance (keeping a thought to oneself) and social reassurance (talking to a friend about a thought);
5. social avoidance would predict higher depression severity, whereas social reassurance would predict lower depression severity.
The first hypothesis was confirmed, and the second hypothesis partially confirmed. The application of distraction predicted lower depression severity, while reappraisal was non-significant. Contrary to the third hypothesis, social control was negatively associated with depression severity. Also contrary to the fourth hypothesis, social avoidance predicted lower depression severity, whereas social reassurance was non-significant. Possible explanations for the study results were proposed, and future studies are needed to replicate these findings. This study elucidates the associations between thought control strategies and depression, and offers implications for clinical practice.

ABOUT THE AUTHOR

Irene Huang

BIBLIOGRAPHY

Beck, A. T., & Steer, R. A. (1993). Manual for the Beck Depression Inventory. San Antonio, TX: Psychological Corp.

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348–362.

Harvey, A., Watkins, E., Mansell, W., Shafran, R., 2004. Cognitive Behavioral Processes across Psychological Disorders: A Transdiagnostic Approach to Research and Treatment. Oxford University Press, Oxford.

Kessler R. C., Chiu W. T., Demler O, Walters E.E. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 2005 Jun; 62(6): 617-27.

Lyubomirsky, S., & Nolen-Hoeksema, S. (1995). Effects of self-focused rumination on negative thinking and interpersonal problem solving. Journal of personality and social psychology, 69, 176.

Monroe, S. M., Slavich, G. M., & Gotlib, I. H. (2014). Life stress and family history for depression: The moderating role of past depressive episodes. Journal Of Psychiatric Research, 49, 90-95. doi:10.1016/j.jpsychires.2013.11.005.

Nolen-Hoeksema, S. (2001). Gender differences in depression. Current Directions In Psychological Science, 10, 173-176. doi:10.1111/1467-8721.00142.

Piccinelli, M., & Wilkinson, G. (2000). Gender differences in depression Critical review. The British Journal of Psychiatry, 177, 486-492.

Smoski, M. J., LaBar, K. S., & Steffens, D. C. (2013). Relative Effectiveness of Reappraisal and Distraction in Regulating Emotion in Late-Life Depression. The American Journal of Geriatric Psychiatry, 22, 898-907.

Teachman, B. A., Joormann, J., Steinman, S. A., & Gotlib, I. H. (2012). Automaticity in anxiety disorders and major depressive disorder. Clinical psychology review, 32, 575-603.

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research,27, 247-259.

Watkins, E., & Moulds, M. (2005). Distinct modes of ruminative self-focus: Impact of abstract versus concrete rumination on problem solving in depression. Emotion, 5, 319–328.

Wegner, D. M., Schneider, D. J., Carter, S. R., & White, T. L. (1987). Paradoxical effects of thought suppression. Journal of personality and social psychology, 53, 5.

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.

Uebelacker, L. A., Eaton, C. B., Weisberg, R., Sands, M., Williams, C., Calhoun, D., & ... Taylor, T. (2013). Social support and physical activity as moderators of life stress in predicting baseline depression and change in depression over time in the Women's Health Initiative. Social Psychiatry And Psychiatric Epidemiology, 48, 1971-1982. doi:10.1007/s00127-013-0693-z.