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创伤后应激障碍症状个体中,知觉刺激与创伤相关信息之间的关联增强。

Enhanced association between perceptual stimuli and trauma-related information in individuals with posttraumatic stress disorder symptoms.

作者信息

Lin Muyu, Hofmann Stefan G, Qian Mingyi, Li Songwei

出版信息

J Behav Ther Exp Psychiatry. 2015 Mar;46:202-7. doi: 10.1016/j.jbtep.2014.10.008.

Abstract

BACKGROUND AND OBJECTIVES

Intrusive memories in traumatized individuals are often triggered by stimuli that are perceptually (rather than conceptually) similar to those present just before or during the trauma. The present study examined whether those individuals with high levels of Posttraumatic Stress Disorder (PTSD) symptoms show a memory bias recall to perceptual cues and trauma target words compared to those with low levels of PTSD.

METHODS

The sample consisted of 30 adult participants who were involved in motor-vehicle or work-related accidents; 15 of the participants endorsed clinically elevated symptoms of PTSD, while a comparison group of 15 participants reported low levels of symptoms. Participants performed an associative recognition task with conceptual or perceptual cue words and trauma-related or neutral target words. Participants were tested for their recognition accuracy by reporting the corresponding target when a cue was given.

RESULTS

Both groups performed better for the perceptual word pairs than for the conceptual word pairs, irrespective of the target word type. However, only the high PTSD symptoms group exhibited an additional enhancement in performance for the perceptual word pairs with trauma-related target words.

LIMITATIONS

A nonclinical sample was utilized for this study; although PTSD was assessed, diagnoses were not confirmed. In addition, there was lack of a healthy non-traumatized control group.

CONCLUSIONS

These results provide partial support for the cognitive model and the notion that intrusive memories are specific to the trauma-related event rather than to a general associative learning bias.

摘要

背景与目的

创伤个体的侵入性记忆通常由与创伤发生前或期间出现的刺激在感知上(而非概念上)相似的刺激所触发。本研究调查了与创伤后应激障碍(PTSD)症状水平较低的个体相比,PTSD症状水平较高的个体是否对感知线索和创伤目标词存在记忆偏差性回忆。

方法

样本包括30名成年参与者,他们均遭遇过机动车或与工作相关的事故;其中15名参与者认可PTSD的临床症状有升高,而另一组由15名参与者组成的对照组报告的症状水平较低。参与者针对概念性或感知性提示词以及与创伤相关或中性的目标词执行了一项联想识别任务。当给出提示时,通过报告相应目标来测试参与者的识别准确性。

结果

无论目标词类型如何,两组对感知性词对的表现均优于概念性词对。然而,只有PTSD症状高分组在与创伤相关目标词的感知性词对方面表现出额外的提升。

局限性

本研究使用了非临床样本;尽管对PTSD进行了评估,但诊断未得到确认。此外,缺乏健康的未受创伤对照组。

结论

这些结果为认知模型以及侵入性记忆特定于创伤相关事件而非一般联想学习偏差这一观点提供了部分支持。

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