Golier Julia, Yehuda Rachel
Bronx VA Medical Center, 130 West Kingsbridge Road (116A), Bronx, NY 10468, USA.
Psychiatr Clin North Am. 2002 Jun;25(2):295-315, vi. doi: 10.1016/s0193-953x(01)00004-1.
The unique constellation of symptoms that constitute post-traumatic stress disorder (PTSD) may reflect persistent alterations in attention and memory that are fundamental to this disorder. This article reviews the literature on the neuropsychology of PTSD and its relevance to phenomenological, clinical, and biological aspects of this disorder. It addresses the nature and magnitude of the neuropsychological alterations in PTSD and the extent to which they involve the processing of trauma-related or neutral stimuli. This article summarizes the types of deficits in attention and memory that have been found in a broad range of trauma survivors with PTSD and explores the extent to which the deficits may be risk factors for or consequences of trauma and PTSD. The implications of these findings for the course and pathophysiology of PTSD are also discussed.
构成创伤后应激障碍(PTSD)的独特症状群可能反映出注意力和记忆的持续改变,而这些改变是该障碍的根本所在。本文回顾了关于PTSD神经心理学的文献及其与该障碍的现象学、临床和生物学方面的相关性。它探讨了PTSD中神经心理学改变的性质和程度,以及这些改变在多大程度上涉及对创伤相关或中性刺激的处理。本文总结了在广泛的患有PTSD的创伤幸存者中发现的注意力和记忆缺陷类型,并探讨了这些缺陷在多大程度上可能是创伤和PTSD的风险因素或后果。还讨论了这些发现对PTSD病程和病理生理学的影响。