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Journal of Traumatic Stress

October 2013, 26, 626630

BRIEF REPORT
The Impact of Imprisonment on Overgeneral Autobiographical
Memory in Former Political Prisoners
Birgit Kleim,1 James W. Griffith,2,3 Ira Gabler,4 Matthias Schutzwohl,5 and Andreas Maercker4
1
Department of Clinical Psychology and Psychotherapy, University of Zurich, Zurich, Switzerland
2
Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
3
Centre for Learning and Experimental Psychopathology, KU Leuven, Leuven, Belgium
4
Department of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland
5
Department of Psychiatry and Psychotherapy, Dresden University of Technology, Dresden, Germany

Traumatic experiences may dramatically influence later behavior and cognitive processing. This study investigated how trauma shapes the
way that we remember personal experiences. Specifically, we investigated overgeneral autobiographical memory, which is the tendency
to remember autobiographical events in an overgeneral rather than specific way. We administered the Autobiographical Memory Test
(Williams & Broadbent, 1986) to 86 survivors of political imprisonment 37 years after they had been released from imprisonment.
Depression and posttraumatic stress disorder were not significantly related to overgeneral autobiographical memory. Significant overgeneral
autobiographical memory correlates included embitterment, r = .28, and being released to former East Germany, d = 0.67. Survivors
with social support, r = .30 were better able to recall specific memories. Certain trauma characteristics and the way the trauma is processed
may thus influence how personal memories are later remembered. This study also furthers the understanding of memory processes in
political prisoners, who are not commonly studied in psychological research.

Political imprisonment in the former German Democratic summaries of events (e.g., memories of repeated time points or
Republic (GDR) was a traumatic experience, often including extended periods) rather than unique moments or distinct events
harsh interrogation and confinement methods (e.g., Maercker that occurred at a particular time and place. Different factors
& Schutzwohl, 1997). Such psychological trauma can shape may contribute to overgeneral autobiographical memory, in-
how autobiographical events are stored and remembered. Stud- cluding rumination and abstract negative self-schemas that lead
ies have linked trauma or trauma-related psychopathology, such individuals to become captured in abstract cognitions with-
as posttraumatic stress disorder (PTSD) or depression, with a out proceeding to specific retrieval. Impaired executive function
tendency to remember autobiographical events in a nonspecific can also lead to overgeneral autobiographical memory because
way (Brown et al., 2011; Moore & Zoellner, 2007): Individ- of difficulties holding a retrieval model in mind and difficul-
uals encounter problems during retrieval of specific autobio- ties in inhibiting task-irrelevant information (Williams et al.,
graphical memories and produce overgeneral memories. When 2007).
provided with a cue word, they tend to retrieve categorical In the present study, we used the Autobiographical Memory
Test (AMT; Williams & Broadbent, 1986) to investigate over-
general autobiographical memory following political impris-
We gratefully acknowledge the support of the Swiss National Science Founda- onment. Based on findings that overgeneral autobiographical
tion to Dr. Kleim (PZ00P1-126597) and the FWO to Dr. Griffith (GP.035.11N). memory may be related to abuse severity (e.g., Hermans et al.,
We thank Anne Daues for her support with the AMT memory ratings, and
James W. Griffith, Department of Medical Social Sciences, Feinberg School 2004), we hypothesized that imprisonment severity character-
of Medicine, Chicago, IL, and the Centre for Learning and Experimental Psy- istics would be associated with later autobiographical remem-
chopathology, KU Leuven. bering in the AMT. Those with longer pretrial custody duration,
Correspondence concerning this article should be addressed to Birgit a period often characterized by severe custodial circumstances,
Kleim, Department of Clinical Psychology and Psychotherapy, Univer- may retrieve fewer specific memories. Experiencing confine-
sity of Zurich, Binzmuhlestrasse 14, 8050 Zurich, Switzerland. E-mail:
b.kleim@psychologie.uzh.ch ment under particularly severe conditions, such as in dark-
ness, may also lead to overgeneral autobiographical memory.
Copyright  C 2013 International Society for Traumatic Stress Studies. View

this article online at wileyonlinelibrary.com Endorsing negative attitudes toward the imprisonment in the
DOI: 10.1002/jts.21849 form of embitterment may render individuals more likely to be

626
Political Imprisonment and Autobiographical Memory 627

captured at an earlier, general stage of memory retrieval. This Table 1


in turn should lead to overgeneral autobiographical memory. Demographic, Imprisonment-Related, and Clinical Sample
We hypothesized that social support would facilitate sharing Characteristics
imprisonment-related memories and elicit repeated retrieval of
Variable n %
specific events (Hirst & Echterhoff, 2012). Thus, social support
should lead to higher levels of memory specificity. The ability Sex
to extract meaning from memories has been posited as a marker Male 72 83.7
of a functional and dynamic self-memory system, and is thus Female 14 16.3
proposed as a predictor of specificity (Blasgov & Singer, 2004; Employment status
Conway, 2005). Finding meaning may be facilitated by certain Employed/studying 42 48.8
conditions, such as release to the GDR or the Federal Republic Not employed 41 47.7
of Germany. For those released to the GDR, conditions often Relationship status
did not improve; they could not trust people around them, hence Partnership 65 75.6
possibly leading to avoidance and later overgenerality, as well as No partnership 19 22.1
greater self-relevance of the trauma (Maercker & Horn, 2012). Missing information 2 2.3
In summary, we hypothesized that political imprisonment Education
characteristics and negative attitudes toward the imprisonment No school degree 1 1.0
and its consequences would lead to lower memory specificity. Secondary school degree 41 47.7
We also examined the effect of PTSD and depression and High school degree 42 48.8
of being released to East versus West Germany on memory Missing information 2 2.3
specificity. Dark confinement
Yes 16 18.6
No 53 61.6
Method Missing information 17 19.8
Participants
M SD
The sample comprised 86 survivors of political imprisonment
in the former GDR (83.7% male). Demographic, clinical, and Severity of PTSD symptoms (IES-R) Time 1
imprisonment-related variables are provided in Table 1. As part Total 2.04 1.23
of an earlier study (Maercker & Schutzwohl, 1997), participants Reexperiencing 2.52 1.47
were first interviewed in 1995, on average, 24 years following Avoidance 1.49 1.11
release from prison, M = 23.56 years, SD = 10.68. Of the 146 Hyperarousal 2.18 1.66
participants from the original study, 25 were deceased in 2008, Severity of PTSD symptoms (IES-R) Time 2
17 declined further participation, 11 could not be reached, and Total 2.25 1.30
7 provided written assessments only. Reexperiencing 2.75 2.75
Avoidance 1.77 1.77
Hyperarousal 2.31 2.31
Measures Beck Depression Inventory Time 1 14.21 10.91
Beck Depression Inventory Time 2 13.58 11.67
A German version of the AMT (Williams & Broadbent, 1986)
Age (in years) 64.40 10.42
was used, consisting of five positive and five negative cue words
Age at arrest (in years) 25.20 7.89
presented orally in random order. The participants task was to
Duration of imprisonment (months) 30.02 29.21
generate a specific memory in response to each cue word (i.e.,
Time since release (years) 6.52 10.69
a personal memory that happened on a specific occasion last-
ing less than 1 day). Participants were allowed 60 seconds Note. PTSD = posttraumatic stress disorder; IES-R = Impact of Event Scale-
for each response. Raters, blind to participants clinical or Revised.
imprisonment-related characteristics, coded each response as
a specific (e.g., The day that I was released from imprison- lished with the Diagnostic Interview of Psychiatric Disorders
ment) or a nonspecific memory (e.g., my summer in Spain), (Margraf & Schneider, 1996).
with high interrater reliability ( = .79). Participants completed a questionnaire about characteristics
PTSD symptom severity was assessed with the Impact of of the imprisonment, such as duration, imprisonment condi-
Event Scale-Revised (IES-R; German version by Maercker & tions, and the conditions of their release, i.e., release to the
Schutzwohl, 1998). Subscales were calculated for the three GDR or West Germany. Perceived social support was assessed
symptom clusters, with a maximum score of 4. Depression with the German Perceived Social Support Scale (Sommer &
symptom severity was assessed with the Beck Depression In- Fydrich, 1991), a widely used 54-item German questionnaire
ventory (BDI; Beck & Steer, 1978). PTSD diagnosis was estab- with good internal consistency (between .81 and .93).

Journal of Traumatic Stress DOI 10.1002/jts. Published on behalf of the International Society for Traumatic Stress Studies.
628 Kleim et al.

A sense of embitterment was assessed with five items significantly less specific to negative cues than those released to
from the Berne Embitterment Scale (Znoj, 2008). Internal the former West Germany, M(SD)GDR = 26.04 (11.66) versus
consistency was high ( = .90). The ability to find meaning M(SD)FRG = 34.40 (13.25), t(76)= 2.83, p = .006, d = 0.67.
in life was assessed with the meaningfulness scale from the
Sense of Coherence Scale (Antonovsky, 1993), which had high
Discussion
internal consistency in the current sample ( = .90).
This study sought to examine the association between overgen-
Procedure eral autobiographical memory and psychopathology, as well
as between characteristics of imprisonment-related trauma and
Participants completed two assessments (Time 1: 1994, Time 2:
postimprisonment processing in former political prisoners. It is
2008). At Time 1, demographic and imprisonment-related vari-
one of the few studies of overgeneral autobiographical memory
ables, PTSD, and depressive symptom severity, as well as PTSD
and psychopathology in political prisoners (Wessel et al., 2002).
diagnosis were assessed. At Time 2, PTSD and depressive
Overgeneral autobiographical memory was not significantly re-
symptom severity, and PTSD diagnosis, as well as postevent
lated to depression or PTSD, but we found that characteristics
processing, i.e., finding meaning and a sense of embitterment
of imprisonment, such as release to former GDR, as well as em-
were assessed. The AMT was conducted individually at Time 2.
bitterment following imprisonment were related to overgeneral
Participants received reimbursement for their travel expenses.
autobiographical memory. Social support was also related to
later AMT specificity. Longer pretrial custody duration, being
Data Analysis
confined to darkness during imprisonment, and finding meaning
Analyses consisted of t tests and Pearson r correlation coeffi- were not significantly related to being more specific.
cients. We applied Bonferroni adjustments controlling for mul- Our study is not the first that failed to find associations be-
tiple testing of associations between imprisonment variables tween overgeneral autobiographical memory and psychopathol-
and overgeneral autobiographical memory, resulting in signif- ogy (e.g., Hermans et al., 2004; Peeters, Wessel, Merckelbach,
icant p values: p < .013 for correlations between continuous & Boon-Vermeeren, 2002). Hermans et al. (2004) found that
variables and overgeneral autobiographical memory, and p < severity and duration of physical abuse was associated with
.025 for testing group differences via t tests. overgeneral autobiographical memory, but overgeneral auto-
biographical memory was not significantly associated with
depression.
Results
Release to East Germany following imprisonment, as com-
Survivors retrieved an average of 57.7% (SD = 18.9%) spe- pared to release to West Germany, was associated with overgen-
cific memories. There were no overall differences in memory eral autobiographical memory in our sample. Being released to
specificity in response to positive and negative cues, p = .768. the East was often associated with distrust for people around
The group was, on average, mildly depressed (BDI M = 14.22, the individual, and thus possibly associated with avoidance and
SD = 10.91), and reported a mean PTSD severity on the IES-R later overgenerality, as well as greater self-relevance of the
of 2.04 (SD = 1.23) indicative of moderate PTSD symptoms. trauma. The present sample was also unique in that for many
Twenty-six individuals (30.2%) fulfilled a clinical PTSD diag- survivors of political imprisonment, the trauma included se-
nosis at the first, and 28 (32.6%) at the second interview. Neither vere ongoing traumatization, including aspects of interpersonal
PTSD and depression severity scores, nor PTSD diagnosis were traumatization. Such trauma-specific factors may influence the
significantly related to the number of specific responses (ps > association with later autobiographical memory retrieval. Neg-
.293). ative attitudes toward the imprisonment in the form of em-
Those with longer pretrial custody duration did not retrieve bitterment were associated with overgeneral autobiographical
fewer specific memories in response to negative cues (r = .24, memory in our sample. Perhaps these individuals were more
p = .040). Those held in darkness during custody were more likely to form negative schemas about their imprisonment, and
specific than those not held in darkness (Mdarkness = 69.1%, this schema-based processing left a scar on their method of pro-
SD = 18.1% versus Mnot darkness = 56.2%, SD = 19.4%), but cessing such that autobiographical memories are laid down and
this result was not significant following Bonferroni correction, retrieved through the filter of such broad schemas. It is also pos-
t(62)= 2.02, p = .048, d = 0.68. Finding meaning following im- sible that imprisonment was intensely emotionally painful for
prisonment also did not significantly predict greater specificity some participants, leading to functional avoidance of specific
following Bonferroni correction (r = .26, p = .018). memories (Williams, 2006).
However, higher levels of perceived social support following Because we failed to find relationships with psychopathology
imprisonment were significantly associated with being more and overgeneral autobiographical memory, but did find that em-
specific (r = .30, p = .006). Individuals who endorsed a sense bitterment and other trauma-related variables, such as release
of embitterment at Time 2 were significantly less specific (r = to East or West Germany, were associated with overgeneral
.28, p = .009). Finally, it made a difference to where partic- autobiographical memory, it suggests that qualities of trauma
ipants were released. Those released to the former GDR were processing and individual differences in these variables are

Journal of Traumatic Stress DOI 10.1002/jts. Published on behalf of the International Society for Traumatic Stress Studies.
Political Imprisonment and Autobiographical Memory 629

important to assess as they relate to overgeneral autobiographi- or social support, in primary or secondary prevention efforts in
cal memory. This is in line with the finding that it is the personal the context of trauma.
significance of hallmark events impacting on autobiographical
memory organization (Brown et al., 2011). Individuals in our
study may also differ in whether their memories of the impris-
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