Department of Psychiatry, New York University School of Medicine, 145 East 32nd Street, 8th Floor, New York, NY 10016, USA.
J Behav Ther Exp Psychiatry. 2013 Mar;44(1):129-34. doi: 10.1016/j.jbtep.2011.11.004. Epub 2011 Dec 7.
Studies show that individuals with Posttraumatic Stress Disorder (PTSD) tend to recall autobiographical memories with decreased episodic specificity. A growing body of research has demonstrated that the mechanisms involved in recalling autobiographical memories overlap considerably with those involved in imagining the future. Although shared autobiographical deficits in remembering the past and imagining the future have been observed in other clinical populations, this has yet to be examined in PTSD. This study examined whether, compared to combat trauma-exposed individuals without PTSD, those with combat-related PTSD would be more likely to generate overgeneralized autobiographical memories and imagined future events.
Operation Enduring/Iraqi Freedom (OEF/OIF) veterans with and without PTSD were presented with neutral word cues and were instructed to generate memories or imagine future autobiographical events. Responses were digitally recorded and were coded for level of episodic specificity and content related to combat trauma.
Individuals with PTSD were more likely to generate overgeneral autobiographical memories and future events than individuals without PTSD, and were more likely to incorporate content associated with combat when remembering the past or thinking about the future.
Limitations of the study include a cross-sectional design, precluding causality; the lack of a non-trauma exposed group, relatively small sample, and almost all-male gender of participants, limiting the generalizability to other populations.
These findings suggest that individuals with PTSD show similar deficits when generating personal past and future events, which may represent a previously unexamined mechanism involved in the maintenance of PTSD symptoms.
研究表明,创伤后应激障碍(PTSD)患者往往会回忆起自传体记忆,其情节特异性降低。越来越多的研究表明,回忆自传体记忆所涉及的机制与想象未来所涉及的机制有很大的重叠。尽管在其他临床人群中观察到了对过去记忆和对未来想象的共同自传体缺陷,但在 PTSD 中尚未对此进行研究。本研究考察了与没有 PTSD 的经历过战斗创伤的个体相比,患有与战斗相关的 PTSD 的个体是否更有可能产生过度泛化的自传体记忆和想象中的未来事件。
患有 PTSD 和没有 PTSD 的“持久自由/伊拉克自由行动”(OEF/OIF)退伍军人接受了中性词提示,并被指示生成记忆或想象未来的自传体事件。响应被数字记录,并按情节特异性水平和与战斗创伤相关的内容进行编码。
与没有 PTSD 的个体相比,患有 PTSD 的个体更有可能产生过度泛化的自传体记忆和未来事件,并且在回忆过去或思考未来时更有可能纳入与战斗相关的内容。
该研究的局限性包括横断面设计,无法确定因果关系;缺乏非创伤暴露组、样本相对较小以及参与者几乎全是男性,限制了研究结果在其他人群中的推广。
这些发现表明,患有 PTSD 的个体在生成个人过去和未来事件时表现出类似的缺陷,这可能代表了 PTSD 症状维持的一个以前未被研究的机制。