Journal of Qualitative Research in Health Sciences

Authors

1 Assistant Professor, Department of Nursing, School of Nursing, Midwifery and ParaMedicine, Guilan University of Medical Sciences, Rasht, Iran

2 Social Determinants of Health (SDH) Research Center, Guilan University of Medical Sciences (GUMS), Rasht, Iran.

3 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran

Abstract

Introduction: Thoughts control, attention, and concentration are the effective factors in studying and learning. The lack of attention and concentration is the result of the invasion of intrusive thoughts. This research was conducted to explore the factors affecting the unwanted intrusive thoughts in normal people in 2017.
Method: This qualitative study was conducted using content analysis (thematic analysis). Research or databases include all print media, articles, books, and dissertations related to the subject of the research. Sampling was performed using purposive sampling. All information-rich resources that were related to the subject of the study were included and unrelated sources were excluded. Finally, data were collected by a deep study of 120 papers, 10 books, and 4 dissertations.
Results: The findings included 285 coding concepts, 75 subthemes, and 8 main themes. The main themes in terms of the frequency were thought control strategies, metacognitive beliefs, mood characteristics, intrusive thought characteristics, mindfulness, personality traits, context and culture, and working memory capacity, respectively..
Conclusion: The most effective factors on intrusive thoughts, in terms of the frequency, were thought control strategies, metacognitive beliefs, mood characteristics, intrusive thought characteristics, mindfulness, personality traits, context and culture, and working memory capacity, respectively. The results of this also provided a model to determine the effect of main factors affecting unwanted intrusive thoughts.

Keywords

References 1. Audet JS, Aardema F, Moulding R. Contextual determinants of intrusions and obsessions: The role of ego-dystonicity and the reality of obsessional thoughts. Journal of Obsessive-Compulsive and Related Disorders 2016; 9: 96-106. 2. Ólafsson RP, Snorrason Í, Bjarnason RK, Emmelkamp PM, Ólason DÞ, Kristjánsson Á. Replacing intrusive thoughts: Investigating thought control in relation to OCD symptoms. J Behav Ther Exp Psychiatry 2014; 45(4): 506-15. 3. Tripathi R, Mehrotra S. Reflections on repetitive intrusive thoughts: Diagnostic dilemmas and beyond. Journal of the Indian Academy of Applied Psychology 2010; 36(2): 197-206. 4. Clark DA, Radomsky AS. Introduction: A global perspective on unwanted intrusive thoughts. J Obsessive Compuls Relat Disord 2014; 3(3): 265-8. 5. Radomsky AS, Alcolado GM, Abramowitz JS, Alonso P, Belloch A, Bouvard M, et al. Part 1-You can run but you can't hide: Intrusive thoughts on six continents. J Obsessive Compuls Relat Disord 2014; 3(3): 269-79. 6. Clark DA. Intrusive thought in clinical disorders Theory, Research, and Treatment. Cognitive Behavioral Therapy Book Reviews 2006; 2(4): 1-4. 7. Clark DA. Cognitive-Behavioral Therapy for OCD. New York: The Guilford Press; 2004. 8. Adrian A. Metacognitive Therapy for Anxiety and Depression. New York: The Guilford Press; 2011. 9. Adrian W. Emotional Disorders and Metacognition Innovative Cognitive Therapy. England: Wiley; 2000. 10. Lang AJ. Mindfulness in PTSD treatment. Curr Opin Psychol 2017; 14: 40-3. 11. Caselli G, Gemelli A, Spada MM, Wells A. Experimental modification of perspective on thoughts and metacognitive beliefs in alcohol use disorder. Psychiatry Res 2016; 244: 57-61. 12. Ju YJ, Lien YW. Better control with less effort: The advantage of using focused-breathing strategy over focused-distraction strategy on thought suppression. Conscious Cogn 2016; 40: 9-16. 13. Shipherd JC, Fordiani JM. The Application of mindfulness in coping with intrusive thoughts. Cogn Behav Pract 2015; 22(4): 439-46. 14. Ainsworth B, Bolderston H, Garner M. Testing the differential effects of acceptance and attention-based psychological interventions on intrusive thoughts and worry. Behav Res Ther 2017; 91:72-7. 15. Nassif Y, Wells A. Attention training reduces intrusive thoughts cued by a narrative of stressful life events: A controlled study. J Clin Psychol 2014; 70(6): 510-7. 16. Levaux MN, Larøi F, Offerlin-Meyer I, Danion JM, Linden MV. The effectiveness of the attention training technique in reducing intrusive thoughts in schizophrenia: A case study. Clinical Case Studies 2011; 10(6): 466-84. 17. Smallwood J, Karapanagiotidis T, Ruby F, Medea B, de Caso I, Konishi M, et al. Representing representation: Integration between the temporal lobe and the posterior cingulate influences the content and form of spontaneous thought. PLoS One 2016; 11(4): e0152272. 18. Watson C, Purdon C. Attention training in the reduction and reappraisal of intrusive thoughts. Behav Cogn Psychother 2008; 36(01): 61-70. 19. Nash SS. Fighting intrusive thoughts using podcasts: A strategy for effective e-learning. Science and IT Education Joint Conference; 2006 Jun 25-28; Salford, UK; 2006. 20. Kang LL, Rowatt WC, Fergus TA. Moral foundations and obsessive-compulsive symptoms: A preliminary examination. J Obsessive Compuls Relat Disord 2016; 11: 22-30. 21. Geiger PJ, Peters JR, Baer RA. Using a measure of cognitive distortion to examine the relationship between thought suppression and borderline personality features: A multi-method investigation. Pers Individ Dif 2014; 59: 54-9. 22. Purdon C, Clark DA. Overcoming Obsessive Thoughts. Tehran: Arjmand; 2005. p. 232. 23. Hartley S, Haddock G, Vasconcelos e Sa D, Emsley R, Barrowclough C. The influence of thought control on the experience of persecutory delusions and auditory hallucinations in daily life. Behav Res Ther 2015; 65: 1-4. 24. Fergus TA, Wu KD. Is worry a thought control strategy relevant to obsessive-compulsive disorder? J Anxiety Disord 2010; 24(2): 269-74. 25. Fritzler B, Hecker JE, Fawzy TI. From intrusive thoughts to obsessions: The role of perceptions of responsibility, salience, and thought suppression. J Behav Ther Exp Psychiatry 2008; 39(4): 610-24. 26. Höping W, de Jong-Meyer R. Differentiating unwanted intrusive thoughts from thought suppression: What does the White Bear Suppression Inventory measure? Pers Individ Dif 2003; 34(6): 1049-55. 27. Luciano JV, Algarabel S, Tomás JM, Martínez JL. Development and validation of the thought control ability questionnaire. Pers Individ Dif 2005; 38(5): 997-1008. 28. Najmi S, Wegner DM. The gravity of unwanted thoughts: Asymmetric priming effects in thought suppression. Conscious Cogn 2008; 17(1): 114-24. 29. Geraerts E, Merckelbach H, Jelicic M, Habets P. Suppression of intrusive thoughts and working memory capacity in repressive coping. Am J Psychol 2007; 120(2): 205-18. 30. Brewin CR, Smart L. Working memory capacity and suppression of intrusive thoughts. J Behav Ther Exp Psychiatry 2005; 36(1): 61-8. 31. Malekshahi Biranvand F, Salehi J, Hasani J, Momtazi S. Comparison of working memory capacity of obsessive-compulsive patients with control group. Journal of Qazvin University of Medical Sciences 2013; 17(4): 17-23. [In Persian]. 32. Jobson L, Dalgleish T. Cultural differences in the relationship between intrusions and trauma narratives using the trauma film paradigm. PLoS One 2014; 9(9): e106759. 33. Beadel JR, Green JS, Hosseinbor S, Teachman BA. Influence of age, thought content, and anxiety on suppression of intrusive thoughts. J Anxiety Disord 2013; 27(6): 598-607. 34. Mehrabizade Honarmand M, Davodi I, Shokrkon H, Najarian B. the roles of cognitive and personality factors, family background and perceived stress in prediction of obsessive compulsive disorder. Journal of Education and Psychology 2007; 14(1-2): 27-59. [In Persian]. 35. Gutiérrez-Zotes JA, Farnós A, Vilella E, Labad J. Higher psychoticism as a predictor of thoughts of harming one's infant in postpartum women: A prospective study. Compr Psychiatry 2013; 54(7): 1124-9. 36. Clark DA, Inozu M. Unwanted intrusive thoughts: Cultural, contextual, covariational, and characterological determinants of diversity. J Obsessive Compuls Relat Disord 2014; 3(2): 195-204. 37. Yee PL, Hsieh-Yee I, Pierce GR, Grome R, Schantz L. Self-evaluative intrusive thoughts impede successful searching on the internet. Comput Human Behav 2004; 20(1): 85-101. 38. Gonçalves ÓF, Carvalho S, Leite J, Fernandes-Gonçalves A, Carracedo A, Sampaio A. Cognitive and emotional impairments in obsessive–compulsive disorder: Evidence from functional brain alterations. Porto Biomedical Journal 2016; 1(3): 92-105. 39. Odriozola-González P, Pérez-Álvarez M, García-Montes JM, Perona-Garcelán S, Vallina-Fernández O. The mediating role of metacognitive variables in the relationship between Thought-Action Fusion and obsessive-compulsive symptomatologyEl papel mediador de las variables metacognitivas en la relación entre la fusión pensamiento-acción y la sintomatología obsesivo-compulsiva. Suma Psicológica 2016; 23(2): 80-9. 40. McEvoy PM, Moulds ML, Mahoney AE. Mechanisms driving pre- and post-stressor repetitive negative thinking: Metacognitions, cognitive avoidance, and thought control. J Behav Ther Exp Psychiatry 2013; 44(1): 84-93. 41. Clark IA, Niehaus KE, Duff EP, Di Simplicio MC, Clifford GD, Smith SM, et al. First steps in using machine learning on fMRI data to predict intrusive memories of traumatic film footage. Behav Res Ther 2014; 62: 37-46. 42. Moulding R, Coles ME, Abramowitz JS, Alcolado GM, Alonso P, Belloch A, et al. Part 2. They scare because we care: The relationship between obsessive intrusive thoughts and appraisals and control strategies across 15 cities. J Obsessive Compuls Relat Disord 2014; 3(3): 280-91. 43. Mohammadkhani S. The role of fusion beliefs and metacognitions in obsessive–compulsive symptoms in general population. Journal of Practice in Clinical Psychology 2013; 1(2): 97-104. 44. Purdon C, Clark DA. Obsessive intrusive thoughts in nonclinical subjects. Part I. Content and relation with depressive, anxious and obsessional symptoms. Behav Res Ther 1993; 31(8): 713-20. 45. Beheshty S. Rezayat G. Qualitative Data Analysis With NVivo10 Software. Tehran: Sokhanvaran; 2015. 46. Roussis P, Wells A. Post-traumatic stress symptoms: Tests of relationships with thought control strategies and beliefs as predicted by the metacognitive model. Pers Individ Dif 2006; 40(1): 111-22. 47. Smith R, Alkozei A, Lane RD, Killgore WD. Unwanted reminders: The effects of emotional memory suppression on subsequent neuro-cognitive processing. Conscious Cogn 2016; 44: 103-13. 48. Jones SR, Fernyhough C. Rumination, reflection, intrusive thoughts, and hallucination-proneness: Towards a new model. Behav Res Ther 2009; 47(1): 54-9. 49. Ryckman NA, Lambert AJ. Unsuccessful suppression is associated with increased neuroticism, intrusive thoughts, and rumination. Pers Individ Dif 2015; 73: 88-91. 50. Kabat-Zinn J. Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice 2003; 10(2): 144-56. 51. Ruiz FJ, Suárez-Falcón JC, Riaño-Hernández D. Psychometric properties of the mindful attention awareness scale in Colombian undergraduates. Suma Psicológica 2016; 23(1): 18-24. 52. Su MC. The relation between working memory and mind wandering honors thesis. The UC Davis Undergraduate Research Journal 2015; 17: 12. 53. Smallwood J, Schooler JW. The restless mind. Psychol Bull 2006; 132(6): 946-58. 54. Erskine JA, Georgiou GJ, Joshi M, Deans A, Colegate C. Ageing and thought suppression performance: Its relationship with working memory capacity, habitual thought suppression and mindfulness. Conscious Cogn 2017; 53: 211-21.