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创伤后应激障碍中自传体记忆和想象未来事件的情景和语义成分。

Episodic and semantic components of autobiographical memories and imagined future events in post-traumatic stress disorder.

机构信息

a Department of Psychiatry , New York University School of Medicine , USA.

出版信息

Memory. 2014;22(6):595-604. doi: 10.1080/09658211.2013.807842. Epub 2013 Jun 25.

DOI:10.1080/09658211.2013.807842
PMID:24712772
Abstract

Individuals with post-traumatic stress disorder (PTSD) tend to retrieve autobiographical memories with less episodic specificity, referred to as overgeneralised autobiographical memory. In line with evidence that autobiographical memory overlaps with one's capacity to imagine the future, recent work has also shown that individuals with PTSD also imagine themselves in the future with less episodic specificity. To date most studies quantify episodic specificity by the presence of a distinct event. However, this method does not distinguish between the numbers of internal (episodic) and external (semantic) details, which can provide additional insights into remembering the past and imagining the future. This study employed the Autobiographical Interview (AI) coding scheme to the autobiographical memory and imagined future event narratives generated by combat veterans with and without PTSD. Responses were coded for the number of internal and external details. Compared to combat veterans without PTSD, those with PTSD generated more external than internal details when recalling past or imagining future events, and fewer internal details were associated with greater symptom severity. The potential mechanisms underlying these bidirectional deficits and clinical implications are discussed.

摘要

创伤后应激障碍(PTSD)患者往往会检索出情节细节较少的自传体记忆,这种现象被称为过度泛化的自传体记忆。与自传体记忆与想象未来的能力重叠的证据一致,最近的研究也表明,PTSD 患者在想象未来时,情节细节也较少。迄今为止,大多数研究通过特定事件的存在来量化情节特异性。然而,这种方法并不能区分内部(情节)和外部(语义)细节的数量,这可以为了解过去的记忆和想象未来提供更多的见解。本研究采用自传体访谈(AI)编码方案对 PTSD 患者和非 PTSD 患者的自传体记忆和想象未来事件的叙述进行了编码。对内部和外部细节的数量进行了编码。与没有 PTSD 的参战老兵相比, PTSD 患者在回忆过去或想象未来事件时产生的外部细节多于内部细节,而内部细节较少与症状严重程度较高有关。讨论了这些双向缺陷的潜在机制及其临床意义。

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