Performance in a blocked versus randomized emotional Stroop task in an aged, early traumatized group with and without posttraumatic stress symptoms.
Abstract
Background and objectives Attentional biases (AB) for trauma-related stimuli have been examined in many studies assessing different trauma samples. In emotional Stroop tasks (EST), blocked and single-trial formats are used almost interchangeably in clinical research. There is reason to believe that different designs yield different results and assess different processes, which, however, has been hardly examined in studies. Furthermore, there is a dearth of information about AB in older trauma survivors with posttraumatic stress symptoms.Methods Older adults with (n = 20) and without PTSD symptoms (n = 26) as well as non-traumatized controls (n = 21) completed an EST, in which words were presented both blocked and randomized.Results Analyses revealed that individuals with PTSD symptoms showed AB for trauma- and depression-related words; however, mode of administration did not significantly influence reaction times.Limitations The emotional Stroop task cannot disentangle the underlying cognitive mechanism (i.e., facilitation, interference, avoidance).Conclusions PTSD symptoms in older trauma survivors are associated with AB. Overall, participants with PTSD symptoms did not show greater impairment of cognitive control in comparison to both control groups. Results also illustrate that methodological differences between task versions need to be considered more thoroughly.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Many studies have examined attentional biases for trauma-related stimuli using the Emotional Stroop Task.
“Many studies have examined attentional biases for trauma-related stimuli using the EST [e.g., (74)].”
From The Evolution of Psychological and Behavioral Consequences of Self-Isolation During Lockdown: A Longitudinal Study Across United Kingdom and Italy (2022) · cites this paper as [74]
Cites
Hamilton, M. (1960) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.23.1.56 · Cited by 32,817 · see citing works
(1998) · The Journal of Clinical Psychiatry · Cited by 19,139 · see citing works
Studies of interference in serial verbal reactions
Stroop, J. R. (1935) · Journal of Experimental Psychology · doi:10.1037/h0054651 · Cited by 18,622 · see citing works
A cognitive model of posttraumatic stress disorder
Ehlers, A., & Clark, D. M. (2000) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(99)00123-0 · Cited by 6,147 · see citing works
The mini international neuropsychiatric interview
Lecrubier, Y., Sheehan, D. V., Hergueta, T., & Weiller, E. (1998) · European Psychiatry · doi:10.1016/s0924-9338(99)80239-9 · Cited by 5,882 · see citing works
Anxiety and cognitive performance: Attentional control theory
Eysenck, M. W., Derakshan, N., Santos, R., & Calvo, M. G. (2007) · Emotion · doi:10.1037/1528-3542.7.2.336 · Cited by 5,289 · cited 1× · see citing works
“…presentation format should result in larger interference effects as difficulties with disengagement (e.g., Pineles, Shipherd, Mostoufi, Abramovitz, & Yovel, 2009; Pineles, Shipherd, Welch, & Yovel, 2007) add up and cognitive control (CC) might be further depleted (e.g., Eysenck et al., 2007).”
BackgroundThreat-related attentional bias in anxious and nonanxious individuals: a meta-analytic study.
Bar-Haim, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.1.1 · Cited by 3,721 · see citing works
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997) · Psychological Assessment · doi:10.1037/1040-3590.9.4.445 · Cited by 2,709 · see citing works
The emotional Stroop task and psychopathology
Williams, J. M. G., Mathews, A., & MacLeod, C. (1996) · Psychological Bulletin · doi:10.1037/0033-2909.120.1.3 · Cited by 2,420 · see citing works
Steel, Z., Chey, T., Silove, D., Marnane, C., Bryant, R. A., & van Ommeren, M. (2009) · JAMA · doi:10.1001/jama.2009.1132 · Cited by 2,246 · see citing works
Mechanisms of attentional biases towards threat in anxiety disorders: An integrative review
Cisler, J. M., & Koster, E. H. W. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.11.003 · Cited by 1,753 · see citing works
Anxiety-related attentional biases and their regulation by attentional control.
Derryberry, D., & Reed, M. A. (2002) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.111.2.225 · Cited by 1,729 · see citing works
Verhaeghen, P., & Salthouse, T. A. (1997) · Psychological Bulletin · doi:10.1037/0033-2909.122.3.231 · Cited by 1,078 · see citing works
Multiple choice vocabulary test MWT as a valid and short test to estimate premorbid intelligence
Lehrl, S., Triebig, G., & Fischer, B. (1995) · Acta Neurologica Scandinavica · doi:10.1111/j.1600-0404.1995.tb07018.x · Cited by 619 · see citing works
Global Trends: Forced Displacement in 2022
Refugees, U. N. H. C. F. (2023) · UNHCR Global Trends · doi:10.18356/9789211065985 · Cited by 617 · see citing works
A rational look at the emotional Stroop phenomenon: a generic slowdown, not a Stroop effect
Algom, D., Chajut, E., & Lev, S. (2004) · Journal of Experimental Psychology General · doi:10.1037/0096-3445.133.3.323 · Cited by 565 · see citing works
A review of current evidence for the causal impact of attentional bias on fear and anxiety
Van Bockstaele, B., Verschuere, B., Tibboel, H., De Houwer, J., Crombez, G., & Koster, E. H. W. (2014) · Psychological Bulletin · doi:10.1037/a0034834 · Cited by 485 · see citing works
Processing of threat-related information in rape victims.
Foa, E. B., Feske, U., Murdock, T. B., Kozak, M. J., & al, E. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.2.156 · Cited by 422 · see citing works
Processing of threat-related information in rape victims.
Foa, E. B., Feske, U., Murdock, T. B., Kozak, M. J., & McCarthy, P. R. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.2.156 · Cited by 422 · see citing works
Emotion and cognition interactions in PTSD: a review of neurocognitive and neuroimaging studies
Hayes, J. P., VanElzakker, M. B., & Shin, L. M. (2012) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2012.00089 · Cited by 393 · see citing works
Pathological anxiety : emotional processing in etiology and treatment
ROTHBAUM, B. O. (2006) · Cited by 358 · see citing works
Emotional Processing Theory: An Update.
Foa, E. B., Huppert, J. D., & Cahill, S. P. (2006) · Cited by 345 · see citing works
MCKENNA, F. P., & Sharma, D. (2004) · Journal of Experimental Psychology Learning Memory and Cognition · doi:10.1037/0278-7393.30.2.382 · Cited by 332 · see citing works
Neuropsychology of PTSD : biological, cognitive, and clinical perspectives
Vasterling, J. J., & Brewin, C. R. (2005) · Cited by 274 · see citing works
Cognitive processing of trauma cues in rape victims with post-traumatic stress disorder
Cassiday, K. L., McNally, R. J., & Zeitlin, S. B. (1992) · Cognitive Therapy and Research · doi:10.1007/bf01183282 · Cited by 209 · see citing works
Bardeen, J. R., & Orcutt, H. K. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.06.009 · Cited by 199 · see citing works
Processing threatening information in posttraumatic stress disorder.
Bryant, R., & Harvey, A. (1995) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.104.3.537 · Cited by 193 · see citing works
Blanchard, E. B., Hickling, E. J., Buckley, T. C., Taylor, A. E., Vollmer, A., & Loos, W. R. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.4.742 · Cited by 183 · see citing works
Attentional biases in PTSD: more evidence for interference
Pineles, S. L., Shipherd, J. C., Mostoufi, S. M., Abramovitz, S. M., & Yovel, I. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.08.001 · Cited by 179 · see citing works
A meta-analysis of cognitive functioning in older adults with PTSD
Schuitevoerder, S., Rosen, J. W., Twamley, E. W., Ayers, C. R., Sones, H. M., Lohr, J. B., Goetter, E. M., Fonzo, G. A., Holloway, K. J., & Thorp, S. R. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.01.001 · Cited by 177 · see citing works
Cognitive processing of emotional information in posttraumatic stress disorder
Kaspi, S. P., McNally, R. J., & Amir, N. (1995) · Cognitive Therapy and Research · doi:10.1007/bf02230410 · Cited by 166 · see citing works
Dalgleish, T. (1995) · Cognition & Emotion · doi:10.1080/02699939508408971 · Cited by 152 · see citing works
Processing threatening information in posttraumatic stress disorder.
Bryant, R. A., & Harvey, A. G. (1995) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.104.3.537 · Cited by 150 · see citing works
Glaesmer, H., Brähler, E., Gündel, H., & Riedel-Heller, S. G. (2011) · Psychosomatic Medicine · doi:10.1097/psy.0b013e31821b47e8 · Cited by 144 · see citing works
Blanchard, E. B., Hickling, E. J., Buckley, T. C., et al. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.64.4.742 · Cited by 141 · see citing works
Forschungsmethoden und Statistik in der Psychologie
Sedlmeier, P., & Renkewitz, F. (2008) · Cited by 138 · see citing works
The emotional Stroop task and posttraumatic stress disorder: A meta-analysis
Cisler, J. M., Wolitzky-Taylor, K. B., Adams, T. G., Babson, K. A., Badour, C. L., & Willems, J. L. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.03.007 · Cited by 134 · see citing works
Böttche, M., Kuwert, P., & Knaevelsrud, C. (2011) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2725 · Cited by 131 · see citing works
The Stroop Task in Cognitive Research.
Macleod, C. M. (2005) · American Psychological Association eBooks · doi:10.1037/10870-002 · Cited by 129 · see citing works
The role of attentional biases in PTSD: is it interference or facilitation?
Pineles, S. L., Shipherd, J. C., Welch, L. P., & Yovel, I. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2006.08.021 · Cited by 125 · see citing works
Price, R. B., Eldreth, D. A., & Mohlman, J. (2011) · Translational Psychiatry · doi:10.1038/tp.2011.46 · Cited by 103 · see citing works
Cognitive methods and their application to clinical research.
(2005) · American Psychological Association eBooks · doi:10.1037/10870-000 · Cited by 102 · see citing works
Test-Retest Reliability of Different Versions of the Stroop Test
Siegrist, M. (1997) · The Journal of Psychology · doi:10.1080/00223989709603516 · Cited by 96 · see citing works
Subliminal processing of threat cues in posttraumatic stress disorder
McNally, R., Amir, N., & Lipke, H. (1996) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(95)00040-2 · Cited by 93 · see citing works
Kindt, M., Bierman, D. J., & BROSSCHOT, J. F. (1996) · Personality and Individual Differences · doi:10.1016/0191-8869(96)00133-x · Cited by 90 · see citing works
Shvil, E., Rusch, H. L., Sullivan, G. M., & Neria, Y. (2013) · Current Psychiatry Reports · doi:10.1007/s11920-013-0358-3 · Cited by 86 · see citing works
The role of time pressure on the emotional Stroop task
Sharma, D., & MCKENNA, F. P. (2001) · British Journal of Psychology · doi:10.1348/000712601162293 · Cited by 84 · see citing works
Interpreting Stroop interference: An analysis of differences between task versions.
Salo, R. E., Henik, A., & Robertson, L. C. (2001) · Neuropsychology · doi:10.1037//0894-4105.15.4.462 · Cited by 82 · see citing works
Interpreting Stroop interference: An analysis of differences between task versions.
Salo, R. E., Henik, A., & Robertson, L. C. (2001) · Neuropsychology · doi:10.1037/0894-4105.15.4.462 · Cited by 78 · see citing works
Attentional bias and attentional control in Posttraumatic Stress Disorder
Schoorl, M., Putman, P., van der Werff, S. J., & van der Does, W. A. J. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.10.001 · Cited by 76 · see citing works
Revictimization and information processing in women survivors of childhood sexual abuse
Field, N. P., Classen, C. C., Butler, L. D., Koopman, C., Zarcone, J., & Spiegel, D. (2001) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(01)00076-7 · Cited by 76 · see citing works
Attentional bias in post-traumatic stress disorder diminishes after symptom amelioration
Khoury-Malhame, M. E., Lanteaume, L., Beetz, E. M., Roques, J., Reynaud, E., Samuelian, J., Blin, O. J., Garcia, R., & Khalfa, S. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.08.006 · Cited by 63 · see citing works
Application of a cognitive neuroscience perspective of cognitive control to late-life anxiety
Beaudreau, S. A., MacKay‐Brandt, A., & Reynolds, J. R. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.03.006 · Cited by 60 · see citing works
The effects of anxiety on attentional processes in older adults
Fox, L. S., & Knight, B. G. (2005) · Aging & Mental Health · doi:10.1080/13607860500294282 · Cited by 58 · see citing works
Predicting Return of Fear Following Exposure Therapy With an Implicit Measure of Attitudes
Vasey, M., Harbaugh, C. N., Buffington, A., Jones, C. R., & Fazio, R. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2012.08.007 · Cited by 55 · see citing works
The Oxford Handbook of Traumatic Stress Disorders
House, R. M. (2012) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/ta.0b013e318278881d · Cited by 54 · see citing works
Devineni, T., Blanchard, E. B., Hickling, E. J., & Buckley, T. C. (2002) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(02)00247-5 · Cited by 52 · see citing works
Fleurkens, P., Rinck, M., & van Minnen, A. (2011) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.03.014 · Cited by 38 · see citing works
Epidemiology of Posttraumatic Stress Disorder in Adults
Breslau, N. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780195399066.013.0007 · Cited by 34 · see citing works
Reliability of the emotional Stroop task: An investigation of patients with panic disorder
Dresler, T., Ehlis, A., Attar, C. H., Ernst, L. H., Tupak, S. V., Hahn, T., Warrings, B., Markulin, F., Spitzer, C., Löwe, B., et al. (2012) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2012.06.006 · Cited by 31 · see citing works
Mohlman, J., Price, R. B., & Vietri, J. (2013) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2013.06.005 · Cited by 30 · see citing works
Emotional Stroop Performance in Older Adults: Effects of Habitual Worry
Price, R., Siegle, G., & Mohlman, J. (2012) · The American journal of geriatric psychiatry · doi:10.1097/jgp.0b013e318230340d · Cited by 27 · see citing works
Langzeitfolgen von in der Kindheit am Ende des II. Weltkrieges erlebter Flucht und Vertreibung
Muhtz, C., von Alm, C., Godemann, K., Wittekind, C. E., Jelinek, L., Yassouridis, A., & Kellner, M. B. (2011) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-0031-1275341 · Cited by 25 · see citing works
Wittekind, C. E., Jelinek, L., Kellner, M. B., Moritz, S., & Muhtz, C. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.06.023 · Cited by 25 · see citing works
Wittekind, C. E., Muhtz, C., Jelinek, L., & Moritz, S. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2014.01474 · Cited by 12 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Emotion processing in depression and anxiety disorders in older adults: systematic review
Gray, V., Douglas, K. M., & Porter, R. (2020) · BJPsych Open · doi:10.1192/bjo.2020.143 · Cited by 41 · see citing works
Attentional biases in older adults with generalized anxiety disorder
Cabrera, I., Miranda, D. B., & Montorio, I. (2020) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2020.102207 · Cited by 22 · see citing works
Wittekind, C. E., Jelinek, L., Kleim, B., Muhtz, C., Moritz, S., & Berna, F. (2017) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/j.jbtep.2016.09.002 · Cited by 18 · see citing works
Age As Moderator of Emotional Stroop Task Performance in Posttraumatic Stress Disorder (PTSD)
Bielecki, M., Popiel, A., Zawadzki, B., & Sędek, G. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01614 · Cited by 12 · see citing works
Zaninotto, F., Bossi, F., Terry, P., Riccaboni, M., & Galli, G. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.826277 · Cited by 7 · see citing works
PTSD and cognition in older adults: A systematic literature review
van Rossum, J. E., den Camp, S. O., Uiterwijk, R., Deckers, K., Orgeta, V., Gulpers, B. J. A., & Sobczak, S. (2025) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2025.103047 · Cited by 3 · see citing works
M-Health as a Tool in the Cognitive Flexibility of the Elderly
Páez-Quinde, C., Armas-Arias, S., Coraizaca, D. M. C., & Hernández, R. S. V. (2020) · Advances in intelligent systems and computing · doi:10.1007/978-3-030-49932-7_17 · Cited by 1 · see citing works
Adverse childhood experience detrimental to health and function
Archer, T. (2017) · Journal of Psychology and Cognition · doi:10.35841/psychology-cognition.2.4.214-217
- Authors
- Wittekind, C. E., Muhtz, C., Moritz, S., & Jelinek, L.
- Affiliations
- University Medical Center Hamburg-Eppendorf (DE)
- Schön Klinik Hamburg Eilbek (DE)
- Corresponding author
- Wittekind, Charlotte E.
- Venue
- Journal of Behavior Therapy and Experimental Psychiatry
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 54
- Pages
- 35-43
- ISSN
- 0005-7916 (ISSN-L)
- OpenAlex
- W2412021227
- Cited by
- 8
- References
- 64
- Citations by year
- 2025: 1 · 2022: 1 · 2020: 3 · 2017: 2 · 2016: 1
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Behavior Therapy and Experimental Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Universität Hamburg
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Keywords
- emotional Stroop task, attentional bias, posttraumatic stress symptoms, early trauma, cognitive control, reaction time
- MeSH terms
- Aged, Aged, 80 and over, Analysis of Variance, Attention, Emotions, Female, Humans, Individuality, Male, Psychiatric Status Rating Scales, Reaction Time, Stress Disorders, Post-Traumatic, Cohort Studies, Stroop Test
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review