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创伤后幸存者对新异和目标刺激的注意。

Attention to novel and target stimuli in trauma survivors.

机构信息

Middlebury College, Department of Psychology, Middlebury, VT 05753, USA.

出版信息

Psychiatry Res. 2010 Aug 15;178(3):501-6. doi: 10.1016/j.psychres.2009.10.009.

Abstract

Trauma and its consequences can have lasting biological and cognitive effects on those who experience them. This study investigated the extent to which trauma, posttraumatic stress disorder (PTSD), and dissociation influenced attention to basic auditory stimuli in a sample of military cadets. After filling out a series of psychometric questionnaires, 27 male military cadets varying in their trauma history participated in the "novelty" oddball task in which participants were asked to count high-pitched tones while ignoring other auditory stimuli. Electroencephalogram (EEG) was continually recorded in order to assess P300 responses, an event-related potential (ERP) associated with attention and memory processes. Trauma history only, and not dissociation or PTSD scores, predicted smaller P300 amplitudes to target tones. To distracting novel sounds, only trauma history and dissociation predicted unique variance in P300 amplitudes. The findings suggest that PTSD may not be central to the attentional disturbances found in traumatized samples, while trauma history and dissociation may play a more important role. Future studies investigating attentional processes post trauma should utilize dissociation scales and a non-trauma sample.

摘要

创伤及其后果会对经历过创伤的人产生持久的生物学和认知影响。本研究调查了创伤、创伤后应激障碍(PTSD)和分离对军事学员样本中基本听觉刺激注意的影响程度。在完成一系列心理计量问卷后,27 名男性军事学员根据其创伤史参加了“新奇”Oddball 任务,要求参与者在忽略其他听觉刺激的情况下对高音调进行计数。连续记录脑电图(EEG)以评估与注意和记忆过程相关的事件相关电位(ERP)P300 反应。只有创伤史,而不是分离或 PTSD 评分,预测了对目标音的 P300 振幅较小。对于分散注意力的新声音,只有创伤史和分离预测了 P300 振幅的独特差异。研究结果表明,PTSD 可能不是创伤后样本中注意力障碍的核心,而创伤史和分离可能起着更重要的作用。未来研究应利用分离量表和非创伤样本来调查创伤后的注意过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db10/2914164/1f59d3d40793/nihms209688f1.jpg

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