Department of Clinical Psychology, University of Manchester, Manchester, UK.
J Anxiety Disord. 2010 Apr;24(3):318-25. doi: 10.1016/j.janxdis.2010.01.004. Epub 2010 Jan 25.
The present study aimed to assess the relative contribution of memory disorganization and beliefs about trauma memory in the prediction of posttraumatic stress symptoms. A sample of 95 student nurses and midwives narrated their memory of the most distressing placement related event they had experienced. Several questionnaires were administered, including the Beliefs about Memory Questionnaire (BAMQ), which was devised for the study. Pearson's correlations, hierarchical analyses and mediation analyses were performed on the data. The reliability and validity of the BAMQ gained preliminary support. Beliefs about the trauma memory, but not memory disorganization within the trauma narrative, predicted a significant proportion of the variance in posttraumatic stress symptoms after control variables were accounted for. Consistent with the metacognitive model of PTSD, the use of rumination mediated the relationship between beliefs about the trauma memory and PTSD symptoms. The findings provide preliminary support for the role of meta-memory in the maintenance of PTSD symptoms and question the importance of memory disorganization.
本研究旨在评估记忆紊乱和创伤记忆信念在预测创伤后应激症状方面的相对贡献。一个由 95 名护生和助产士组成的样本讲述了他们对经历过的最痛苦的实习相关事件的记忆。研究中使用了包括为该研究设计的记忆信念问卷（BAMQ）在内的几个问卷。对数据进行了 Pearson 相关分析、层次分析和中介分析。BAMQ 的信度和效度得到了初步支持。在控制了变量后，关于创伤记忆的信念，但不是创伤叙述中的记忆紊乱，预测了创伤后应激症状的显著差异。与 PTSD 的元认知模型一致，反刍思维的使用中介了创伤记忆和 PTSD 症状之间的关系。研究结果初步支持了元记忆在维持 PTSD 症状中的作用，并质疑了记忆紊乱的重要性。
