Effects of control strategy on the activation of unwanted intrusive thoughts

Although the unwanted intrusive thoughts (UITs) exist widely in human beings and show similar characteristics between clinical and nonclinical forms, its control process remains unclear. Thoughts of choking under pressure, particularly among high-achieving athletes, represent a meaningful UIT type due to their psychological and performance-related impact. Taking a dynamic view of UIT control process, this study tested the effect of thought-control strategies among sub-elite to elite athletes, applied to individualized choking thoughts. Ninety athletes recollected recent athletic choking experiences prior to being randomized into one of three thought control interventions using strategies of either acceptance, passive monitoring (control), or suppression. To control for individual differences, athletes’ working memory capacity was measured and modeled as a covariate at baseline. The activation of choking thoughts during and after the intervention was gauged through multiple measurement approaches including conscious presence in mind, priming, and event-related potentials (P3b and N400 amplitudes). Results indicated that, relative to the control, suppression led to enhanced priming and reduced conscious presence of choking thoughts, whereas acceptance resulted in an opposite pattern of reduced priming and increased conscious presence of choking thoughts. In addition, thought-related stimuli elicited less negative-going N400 amplitudes and more positive-going P3b amplitudes than control stimuli. These findings advance understandings of the control mechanism underpinning UITs, and generate applied implications regarding UIT control in high-risk populations such as those with athletic expertise.