急性给予皮质醇对创伤相关材料知觉启动的影响。
Effects of acute cortisol administration on perceptual priming of trauma-related material.
作者信息
Holz Elena, Lass-Hennemann Johanna, Streb Markus, Pfaltz Monique, Michael Tanja
机构信息
Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrucken, Germany.
Division of Psychiatry and Psychotherapy, University Hospital Zurich, Zurich, Switzerland.
出版信息
PLoS One. 2014 Sep 5;9(9):e104864. doi: 10.1371/journal.pone.0104864. eCollection 2014.
Intrusive memories are a hallmark symptom of posttraumatic stress disorder (PTSD). They reflect excessive and uncontrolled retrieval of the traumatic memory. Acute elevations of cortisol are known to impair the retrieval of already stored memory information. Thus, continuous cortisol administration might help in reducing intrusive memories in PTSD. Strong perceptual priming for neutral stimuli associated with a "traumatic" context has been shown to be one important learning mechanism that leads to intrusive memories. However, the memory modulating effects of cortisol have only been shown for explicit declarative memory processes. Thus, in our double blind, placebo controlled study we aimed to investigate whether cortisol influences perceptual priming of neutral stimuli that appeared in a "traumatic" context. Two groups of healthy volunteers (N = 160) watched either neutral or "traumatic" picture stories on a computer screen. Neutral objects were presented in between the pictures. Memory for these neutral objects was tested after 24 hours with a perceptual priming task and an explicit memory task. Prior to memory testing half of the participants in each group received 25 mg of cortisol, the other half received placebo. In the placebo group participants in the "traumatic" stories condition showed more perceptual priming for the neutral objects than participants in the neutral stories condition, indicating a strong perceptual priming effect for neutral stimuli presented in a "traumatic" context. In the cortisol group this effect was not present: Participants in the neutral stories and participants in the "traumatic" stories condition in the cortisol group showed comparable priming effects for the neutral objects. Our findings show that cortisol inhibits perceptual priming for neutral stimuli that appeared in a "traumatic" context. These findings indicate that cortisol influences PTSD-relevant memory processes and thus further support the idea that administration of cortisol might be an effective treatment strategy in reducing intrusive reexperiencing.
侵入性记忆是创伤后应激障碍(PTSD)的一个标志性症状。它们反映了创伤性记忆的过度且不受控制的提取。已知皮质醇的急性升高会损害已存储记忆信息的提取。因此,持续给予皮质醇可能有助于减少PTSD中的侵入性记忆。与“创伤性”情境相关的中性刺激的强烈知觉启动已被证明是导致侵入性记忆的一种重要学习机制。然而,皮质醇对记忆的调节作用仅在明确的陈述性记忆过程中得到证实。因此,在我们的双盲、安慰剂对照研究中,我们旨在调查皮质醇是否会影响出现在“创伤性”情境中的中性刺激的知觉启动。两组健康志愿者(N = 160)在电脑屏幕上观看中性或“创伤性”图片故事。中性物体呈现在图片之间。在24小时后,通过知觉启动任务和明确记忆任务对这些中性物体的记忆进行测试。在记忆测试之前,每组一半的参与者接受25毫克皮质醇,另一半接受安慰剂。在安慰剂组中,处于“创伤性”故事条件下的参与者对中性物体的知觉启动比处于中性故事条件下的参与者更多,这表明在“创伤性”情境中呈现的中性刺激具有强烈的知觉启动效应。在皮质醇组中,这种效应不存在:皮质醇组中处于中性故事条件下的参与者和处于“创伤性”故事条件下的参与者对中性物体的启动效应相当。我们的研究结果表明,皮质醇会抑制出现在“创伤性”情境中的中性刺激的知觉启动。这些发现表明皮质醇会影响与PTSD相关的记忆过程,从而进一步支持了给予皮质醇可能是减少侵入性再体验的有效治疗策略这一观点。
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