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认知控制与创伤后应激症状之间的关系。

The relationship between cognitive control and posttraumatic stress symptoms.

机构信息

San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology, San Diego, USA.

出版信息

J Behav Ther Exp Psychiatry. 2012 Jun;43(2):844-8. doi: 10.1016/j.jbtep.2011.12.001. Epub 2011 Dec 13.

Abstract

BACKGROUND AND OBJECTIVES

Recently researchers have theorized that individual differences in cognitive control (i.e., the ability to complete goal-directed behavior by actively maintaining information while inhibiting irrelevant information) may elucidate processes involved in disorders characterized by intrusive thoughts and memories. By this account, the relationship between cognitive control and emotional disorders would be specific to symptoms associated with intrusive cognitions, such as re-experiencing symptoms of posttraumatic stress disorder (PTSD).

METHODS

In the present study, 77 undergraduate participants with a self-reported history of trauma exposure were administered assessments of cognitive control (working memory capacity; WMC), PTSD symptoms, trait anxiety, and depression. PTSD symptoms from each of the three symptom clusters (re-experiencing, avoidance, and hyperarousal) were predicted from trait anxiety, depression, and WMC performance scores using separate regression models.

RESULTS

After controlling for trait anxiety and depression, there was a negative, statistically significant relationship between cognitive control and re-experiencing symptoms but not avoidance or hyperarousal symptoms.

LIMITATIONS

The study was completed cross-sectionally and did not include a diagnostic assessment of PTSD.

CONCLUSIONS

Findings add to extant literature suggesting a relationship between cognitive control and intrusive cognitions. Moreover, the present study expands the current literature by demonstrating the specificity of this relationship within individuals with varying degrees of PTSD symptom severity.

摘要

背景与目的

最近,研究人员提出,认知控制(即通过积极保持信息和抑制无关信息来完成目标导向行为的能力)方面的个体差异可能阐明了与侵入性思维和记忆有关的紊乱过程。按照这种说法,认知控制与情绪障碍之间的关系将特定于与侵入性认知相关的症状,例如创伤后应激障碍(PTSD)的再体验症状。

方法

在本研究中,77 名有创伤暴露史的本科生接受了认知控制(工作记忆容量;WMC)、PTSD 症状、特质焦虑和抑郁的评估。使用单独的回归模型,从特质焦虑、抑郁和 WMC 表现分数预测三个症状群(再体验、回避和过度警觉)的 PTSD 症状。

结果

在控制特质焦虑和抑郁后,认知控制与再体验症状呈负相关且具有统计学意义,但与回避或过度警觉症状无关。

局限性

该研究是横断面完成的,并未包括 PTSD 的诊断评估。

结论

研究结果增加了认知控制与侵入性认知之间存在关系的现有文献,并且通过证明这种关系在 PTSD 症状严重程度不同的个体中的特异性,扩展了当前文献。

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The relationship between cognitive control and posttraumatic stress symptoms.认知控制与创伤后应激症状之间的关系。
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