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Authors requiring further information regarding Elsevier’s archiving and manuscript policies are encouraged to visit: http://www.elsevier.com/copyright Author's personal copy Journal of Experimental Social Psychology 47 (2011) 1214–1218 Contents lists available at ScienceDirect Journal of Experimental Social Psychology j o u r n a l h o m e p a g e : w w w. e l s ev i e r. c o m / l o c a t e / j e s p Reports Physiological, psychological and behavioral consequences of activating autobiographical memories☆ Kathy Pezdek ⁎, Roxanna Salim Claremont Graduate University, USA a r t i c l e i n f o Article history: Received 17 October 2010 Revised 20 January 2011 Available online 19 May 2011 Keywords: Autobiographical memory Priming Belief Memory a b s t r a c t Activating an autobiographical memory for a specific childhood event can have immediate and robust physiological, psychological, and behavioral consequences. The target behavior was public speaking, a vital skill about which many people are socially anxious. In this study, it was suggested to subjects that they had a positive public speaking experience in early childhood; they then thought about and retrieved details of this true childhood memory. Compared to a control condition in which a different suggestion was made, subjects in the treatment group exhibited superior public speaking performance on the Trier Social Stress Test (TSST). Further, physiological measures of cortisol and a self-report measure of anxiety (STAI-S) reflected a significantly smaller increase in anxiety from before to after the TSST in the treatment than control condition. Activating autobiographical memory for an event increases the accessibility of that memory and consequently affects performance on related behaviors. © 2011 Elsevier Inc. All rights reserved. A number of researchers have reported that creating or changing autobiographical beliefs can result in changes in autobiographical memories (Mazzoni & Kirsch, 2002; Scoboria, Mazzoni, Kirsch, & Relyea, 2004). More recently, Geraerts et al. (2008) and Scoboria, Mazzoni, and Jarry (2008) reported that changing autobiographical beliefs can have behavioral consequences as well. Specifically, Geraerts et al. (2008) falsely suggested to participants that as a child, they had gotten ill after eating egg salad. A significant minority of their subjects came to believe that this event had occurred, and both immediately and 4 months after the false suggestion, they demonstrated a significantly reduced consumption of egg salad sandwiches. However, having demonstrated the link between planting false autobiographical beliefs and behavior, these authors warned, “Scholars should consider this when conducting research on false beliefs, because some subjects might experience adverse outcomes from an experimentally induced false belief (p. 752).” There are also serious concerns about the generalizability of these findings based on the target events used in these studies. Results of Pezdek and Freyd (2009) suggest that the food-aversion results of these studies are restricted to less appealing foods that are less ☆ This study is part of the research supported by a BLAIS Challenge Fund to Kathy Pezdek. We thank Mr. David Chamberlain, Mr. Michael Callahan and the students at Claremont High School, and Mr. Ballingall and the students at Damien High School. Without their cooperation, this study would not have been possible. We also thank Jaya Roy, Luke Meyer, Khemara Has, Chandrima Batacharia, Matt O'Brien, Stacia Stolzenberg, and Michael Schnapp for their help in collecting and encoding data, and Nicole Weekes for her suggestions regarding the research. ⁎ Corresponding author. E-mail address: Kathy.Pezdek@cgu.edu (K. Pezdek). 0022-1031/$ – see front matter © 2011 Elsevier Inc. All rights reserved. doi:10.1016/j.jesp.2011.05.004 frequently consumed (e.g., egg salad but not chocolate chip cookies) – that is, foods less likely to be the cause of overweight and obesity – thus raising concerns about both the generalizability and the utility of these findings. The purpose of the present study is to assess the relationship between autobiographical memories and behaviors without the ethical limitations of the false feedback procedure, using a behavior about which there are fewer generalizability concerns. Specifically, this study examines how activating true autobiographical memories affects behavior. Although psychologists have long known of the link between beliefs and behavior (e.g., Ajzen, 2005), heretofore this research has not examined the behavioral consequences of autobiographical beliefs (i.e., beliefs about having performed a specific behavior in one's past), nor has this research addressed the role of suggestibility in this process. Cognitive psychologists have predicted that the link between autobiographical beliefs and behavior is mediated by autobiographical memories (Mazzoni & Kirsch, 2002). That is, beliefs about one's past (e.g., I was athletically active as a child) bidirectionally influence one's memory for one's past 1 (e.g., specific memories of having been athletic), and the question then is whether these beliefs and memories affect one's current behavior (e.g., performance in a specific new athletic endeavor). Although the results reported by Geraerts et al. (2008) and Scoboria et al. (2008) suggest that the answer to this question is, yes, there are likely to be limitations in the generalizability of their findings in this regard. 1 There are, however, rare exceptions in which people can have vivid autobiographical memories for events that they no longer believe happened to them (Mazzoni, Scoboria, & Harvey, 2010). Author's personal copy K. Pezdek, R. Salim / Journal of Experimental Social Psychology 47 (2011) 1214–1218 There is also a substantial social psychology literature in which it has been demonstrated that individuals' behavior can be implicitly changed as a consequence of activating relevant stereotypes, traits, and other constructs (see Dijksterhuis & Barhg, 2001 and Wheeler & Petty, 2001 for reviews). Although the social psychology accounts of these “primeto-behavior effects” do not specifically implicate autobiographical memory as part of this process, one of the frameworks for explaining these effects is the Active-Self account (for a review see Wheeler, DeMarre, & Petty, 2007). According to the Active-Self account, behavior is guided by the active self-concept, and primed constructs can affect behavior by temporarily altering the active self-concept. The current study is derived from the relevant research on autobiographical memory. Although the hypothetical construct, self-concept, surely relies on information in autobiographical memory, the research on the Active-Self account has not specifically assessed how priming autobiographical memory per se influences behavior. This is the focus of the current study. The findings of this study will have implications for the memory mechanisms likely to underlie the active self-concept. The target behavior in this study is public speaking, a behavior that is both socially imperative and about which many people are socially anxious. Public speaking is associated with significantly elevated arousal on a wide range of physiological measures of anxiety foremost among these is cortisol level 2 (Dickerson & Kemeny, 2004; Witt et al., 2006). In addition, at least one third of the population self-report high levels of anxiety associated with public speaking (Stein, Walker, & Forde, 1996), and public speaking anxiety is the most common social anxiety in nonclinical samples (Hazen & Stein, 1995). In this study, the treatment condition was designed to activate participants' autobiographical memory regarding their facility with public speaking. In the treatment condition, it was suggested to high school students that prior to age 10, they had had a positive public speaking experience, and they were then provided 5 min to think about and retrieve details of this childhood memory. In the control condition it was suggested that they had had a successful childhood experience resisting phobias related to animals or medical experiences, and they were to think about and retrieve details of this childhood memory. Each subject then participated in a public speaking task, the Trier Social Stress Test (TSST), reported to elicit significant increases in both psychological and physiological stress responses (Kirschbaum, Pirke, & Hellhammer, 1993). If activating autobiographical memories has a robust effect on behavior, then participants would exhibit superior public speaking performance in the treatment than control condition, and further, physiological measures of cortisol and a self-report measure of anxiety would reflect a smaller increase in anxiety from pre- to post-task in the treatment than control condition. Method Participants and design A total of 73 students participated from two high schools in Claremont, California (μ age = 16.87 years, SD = .79, range = 14– 18 years; 33 females and 40 males approximately equally distributed across conditions). Participants were recruited from the Speech and Debate team and International Baccalaureate courses. Following suggestions by Dickerson and Kemeny (2004), the exclusion criteria were: (a) current or recent use of anti-anxiety or anti-depression medication, (b) use of hormonal contraceptives, (c) cigarette smoking, and (d) exercise or consumption of food or drink less than 1 h prior to testing. 2 Cortisol is a well-established marker of physiological stress and often the primary measure included in studies utilizing the TSST to elicit a stress response. 1215 The design was a 2 (treatment versus control condition) × 2 (pre-/ post-task) mixed factorial design. The three dependent variables were: (1) pre- and post-task markers of stress assessed by self-report state anxiety (STAI-S), (2) salivary cortisol collected during baseline and post-stressor periods, and (3) a behavioral measure of public speaking anxiety assessed at one time from the video of each participant's performance on the public speaking task. Details of these measures are elaborated below. Procedure and materials The procedure used in this study was similar to that used in other autobiographical memory studies (see for example, Pezdek, Finger, & Hodge, 1997) except that in this study the childhood event primed was a true event. Each participant was randomly assigned to the control (N = 33) or experimental condition (N = 40). Approximately 1 week prior to participating in the study, volunteers completed a 30item survey that we developed and named the Affective Experiences Scale (AES). The AES assessed possible childhood fears and phobias experienced before the age of 10. Public speaking anxiety was included in this list as were phobias of animals and medical situations. In the baseline session, participants were told that their AES responses had been computer analyzed, and each received feedback regarding their specific responses. The treatment condition was designed to activate participants' autobiographical memories regarding their facility with public speaking. Participants in the treatment condition were told that their AES responses predicted that they had experienced some positive public speaking experiences before the age of 10. They were then given 5 min to think about one of these experiences and write everything they could remember about that event. It is important to note that participants in the treatment condition were not told that they were good at public speaking but rather were told that in childhood they had had some positive public speaking experiences. They were told that examples of these could be simply effectively speaking to their family or a group of friends or classmates. Defined this way, even poor public speakers have had some positive public speaking experiences. Thus prompting memory for a positive public speaking experience in childhood is not a suggestion that the participant was necessarily a good public speaker. Participants in the control condition were told that their AES responses predicted that they had experienced some positive experiences resisting animal or medical phobias before the age of 10. They were then given 5 min to think about one of these experiences and write everything they could remember about this event. Every subject in both conditions provided a written description of the prompted childhood event, and they reported that the event have occurred to them. The manipulations in this study thus tapped autobiographical memory for either the treatment or the control event. The prompted events in both conditions were similar in that each referred to a successful experience with an anxiety-arousing event. Volunteers participated individually in one 50 min session consisting of a 20 min baseline period, a 10 min stressor task, and a 20 min post-stressor period (see timeline in Fig. 1). The 20 min baseline period consisted of two pre-task cortisol samples (S1 collected at minute 5; S2 collected at minute 20), a pre-task state anxiety assessment (STAI-S) at minute 10, and the AES feedback session at minute 14. The 10 min stressor task consisted of a modified version of the standardized Trier Social Stress Test (TSST) (Kirschbaum et al.,1993). In this task, a second experimenter entered the room and was introduced as an “evaluative college acceptance board member.” The participant was asked to present a 5 min speech to the evaluator as though they were interviewed for acceptance to their first choice college. They were told that the evaluator would be judging them on their communications skills. They were given 5 min to prepare their talk Author's personal copy 1216 K. Pezdek, R. Salim / Journal of Experimental Social Psychology 47 (2011) 1214–1218 Fig. 1. Timeline including baseline period, stressor task, and post stress period. Baseline period consisted of salivary cortisol samples at minutes 5 and 20, state anxiety assessment (STAI-S), and AES feedback. Stressor task consisted of a modified Trier Social Stress Test (TSST). Post-stress period consisted of state anxiety reassessment (STAI-S) and a poststress salivary sample. S = salivary sample; t = onset time for each task. and were then instructed that they should talk for the full 5 min.3 The 20 min post-stressor period consisted of a post-task administration of the STAI-S immediately after the TSST and a post-task salivary sample collected at minute 40. Self-report state anxiety A psychological assessment of stress was measured pre- and poststressor using the Spielberger State Trait Anxiety Inventory-State (STAI-S) scale. The STAI-S scale consists of 20 items (e.g., I am calm, I am tense); participants stated the degree to which each statement applies to them at the given moment, from 1 (not at all) to 4 (very much so). Scores on the STAI-S range from 20 to 80. Salivary cortisol Participants provided three salivary samples using the passive drool technique by which participants passively collect saliva in their mouths and then drool into a cryovial tube for 2 min or until at least one tube was full. Research indicates that the largest effect sizes of cortisol are generated by afternoon collection and that peak cortisol response occurs 15–30 min from onset of stressor (Kiecolt-Glasser, 2009). All experimental sessions occurred between 2:00 pm and 5:00 pm, with a post-stress salivary sample collected 18 min post onset of TSST. 4 The average of the two pre-task salivary samples was used as the pre-task measure of salivary cortisol. Behavioral assessment of public speaking video (SPRS) Three condition-blind coders rated videos of each participant's speech using the Social Performance Rating Scale (SPRS) (Fydrich, Chambless, Perry, Buerger, & Beazley, 1998). The SPRS is a behavioral assessment of public speaking anxiety, in which each video is rated on five dimensions (gaze, vocal quality, speech length, discomfort, and conversation flow) using a 1 (very poor; highly anxious) to 5 (very good; less anxious) scale. The sum of ratings produces a SPRS video composite score with an overall internal consistency of alpha = .72. Inter-rater reliability for the composite ratings of the three video coders was high (Cohen's kappa = .86; mean Pearson r = .79; mean proportion agreement = .82). Results The results, presenting an impressively consistent pattern across all three measures, are presented in Fig. 2. The data were first analyzed with a 2 (treatment versus control condition) × 2 (pre-/post3 See Kirschbaum et al. (1993) for a more detailed description of the TSST procedure. 4 Research indicates that passive drool contains higher concentrations of cortisol than salivette collection techniques (Strazdins et al., 2005). Salivary samples were frozen within 4 h of collection and stored at − 20 C until assay. Cortisol concentrations were determined in duplicate using a fluorescent enzyme-linked immunosorbent assay (ELISA) technique (Extended Range High Sensitivity Salivary Cortisol Enzyme Immunoassay Kit, Salimetrics, State College, PA). task) ANOVA performed on the STAI-S and cortisol data separately. In the analysis of the STAI-S data, self-report ratings of anxiety increased from pre- (μ = 50.34, SD = 15.46) to post-task (μ = 56.99, SD = 13.81), F(1,71) = 48.13, p b .001, ηp2 = .40. Although the main effect of condition was not significant, there was a significant interaction of condition × pre-/post-task, F(1,71) = 26.96, p b .001, ηp2 = .28. As can be seen in the first panel of Fig. 2, first, pre-task STAI-S measures did not significantly differ between the control (μ = 48.88, SD = 12.91) and treatment conditions (μ = 51.55, SD = 17.34), t b 1.00. Further, although self-report measures of anxiety in the control condition were greater at post-task (μ = 61.39, SD = 13.33) than pre-task assessment (μ = 48.88, SD = 12.91), t(32) = 8.21, p b .001, d = .95, in the treatment condition, there was no significant difference in this measure between pre-task (μ = 51.55, SD = 17.34) and post-task assessments (μ = 53.35, SD = 13.27), t(39) = 1.30. The above pattern also resulted from analyses of cortisol data. Cortisol measures significantly increased from pre-task (μ=.25 μg/dL, SD=.13) to post-task (μ=.33; μg/dL, SD=.19), F(1,71)=33.22, p b .001, ηp2 = .32. Although the main effect of condition was not significant, there was a significant interaction of condition × pre-/post-task, F(1,71) = 10.32, pb .01, ηp2 =.13. As can be seen in the middle panel of Fig. 2, first, pretask cortisol measures did not significantly differ between control (μ = .25 μg/dL, SD = .10) and treatment conditions (μ = .25 μg/dL, SD=.16), t b 1.00. Further, although cortisol measures were significantly greater post-task than pre-task in both the control (μ= .39 μg/dL, SD = .17 versus μ = .25 μg/dL, SD = .10, respectively, t(32) = 6.32, pb .001, d=1.00) and treatment conditions (μ=.29 μg/dL, SD =.19 versus μ=.25 μg/dL, SD=.16, respectively, t(39)=1.84, pb .05, d =.23), as predicted, this difference was greater in the control than treatment condition. In the analysis of the composite SPRS video coding data (higher score = better performance; less anxious), as predicted, public speaking anxiety was significantly lower in the treatment (μ = 18.41, SD = 3.00) than control condition (μ = 16.33, SD = 3.96), t(71) = 2.55, p b .01, d = .59 (see third panel of Fig. 2). Discussion This study shows that activating an autobiographical memory for a specific childhood event had an immediate effect on related behaviors, and the effect was a robust one. The manipulation in the treatment condition – but not the control condition – improved public speaking performance measured with SPRS ratings of video data and affected two measures of anxiety, physiological measures of cortisol and self-report STAI-S responses. This effect was not simply a result of telling the treatment subjects that they were good at public speaking, because this is not what they were told. Rather, they were told that in childhood they had had some positive public speaking experiences — with family, friends or classmates. Defined this way, even poor public speakers have had some positive public speaking experiences. Thus prompting memory for a positive public speaking experience in childhood is not a suggestion that the participant was necessarily a good public speaker. 5 The fact that every subject in both conditions provided a written description of the prompted childhood event and reported that this event had occurred to them suggests that it was autobiographical memory that was driving these changes. And, given that the prompted events in the two conditions were similar in that each referred to a successful experience with an anxiety-arousing event, the outcomes in this study are likely to have resulted from the specific content of the autobiographical memory tapped. 5 Using another example, one could suggest to an individual that they had experienced some unhappy events in childhood, and they could be asked to recall one such event, without suggesting that the person had an unhappy childhood. Author's personal copy K. Pezdek, R. Salim / Journal of Experimental Social Psychology 47 (2011) 1214–1218 1217 Fig. 2. Mean result per condition on measures of state anxiety (STAI-S, possible range = 20–80 with higher scores indicating self reports of higher state anxiety), cortisol response (reported in μg/dL with higher measures indicating higher anxiety), and SPRS video assessment (composite measure with possible range = 5–25; higher ratings indicating better public speaking performance and less anxiety). Standard errors are represented by error bars. In both this study and the previous related studies by Geraerts et al. (2008) and Scoboria et al. (2008), beliefs or memories about childhood events were activated and behavioral consequences resulted. However, in both of the previous studies, the authors suggested false beliefs and memories to participants. On the other hand, in this study, the activated event was likely true although probably forgotten. That is, regardless of whether someone has always been anxious about public speaking or not, everyone has likely had at least one successful public speaking experience before the age of 10, even speaking to one's family, friends, or classmates, which were included as examples in the treatment instructions. The task in the treatment condition was to retrieve a memory for one such true event. The treatment condition in the current study may have been effective because it served to make memory for a successful childhood public speaking experience – a true memory – more accessible. Consistent results were reported in a recent study by Kuwabara and Pillemer (2010). In this study, university students were asked to recount a specific memory of being either satisfied or dissatisfied with the university. Although behavioral measures were not included in this study, compared to control subjects, those who activated memory for a satisfying experience provided higher ratings of their future intention to (a) donate money to the university, (b) attend a class reunion, and (c) recommend the university to others. One explanation of the effect of the treatment suggestion in the present study relates to the availability heuristic (Tversky & Kahneman, 1973) as elaborated by Schwarz et al. (1991); that is, people estimate the likelihood of an event by the ease of retrieving instances of the event. Schwarz et al. had subjects recall 6 or 12 autobiographical situations in which they had behaved very assertively (or nonassertively). Subjects asked to recall 12 examples, which was more difficult, later rated themselves less assertive (or less unassertive) than those asked to recall 6 examples. Just as Schwarz et al. found that people paid attention to the subjective experience of ease or difficulty of recall in drawing inferences from recalled content, in the present study, subjects likely concluded that if they could remember a successful childhood public speaking experience, and they all could, they are more likely to have some facility with public speaking. If autobiographical beliefs and memories can influence behaviors, then searching memory and retrieving a true memory for a successful public speaking experience would increase the accessibility of this and likely related memories. The more accessible memories of successful public speaking experiences are, the more likely these memories are to influence behavior. This interpretation of the results of this study would also account for the Active-Self account of prime-to-behavior effects reviewed earlier (see Wheeler et al., 2007). According to this account, the selfconcept consists of a chronic self-concept, which includes all of the aspects of self that are represented in long-term memory, and an active self-concept, which includes a temporarily activated subset of one's chronic self-concept. The active self-concept is then constructed from one's autobiographical memory and includes a set of memories that are relevant to the primed construct, and it is this temporarily activated self-concept that is hypothesized to actually influence behavior. Accordingly, priming specific autobiographical memories increases their accessibility, and increases the probability that the active self-concept will include aspects of self relevant to the activated autobiographical memories. In terms of the implications of this research for medical, psychological and public health treatment programs, whereas ethical principles are likely to prohibit planting false autobiographical beliefs and memories, suggestively priming true beliefs and memories, including those that may have been forgotten, is not unethical. The effectiveness of the treatment condition in this study is consistent with reports of the effectiveness of cognitive modification programs for treating public speaking anxiety (see Allen, Hunter, & Donahue, 1989). Cognitive modification programs focus individuals on their beliefs about, for example, their public speaking ability, and focus on modifying those beliefs by making them more positive. Utilizing the treatment procedures in this study to prime beliefs and memories for positive experiences is likely to be a significant part of a successful treatment program to enhance performance — with public speaking and a wide range of other behaviors. 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