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一项关于过度泛化记忆的元分析综述:创伤史、情绪和创伤后应激障碍的存在的作用。

A meta-analytic review of overgeneral memory: The role of trauma history, mood, and the presence of posttraumatic stress disorder.

机构信息

School of Applied Psychology.

出版信息

Psychol Trauma. 2016 Mar;8(2):157-64. doi: 10.1037/tra0000027. Epub 2015 May 11.

Abstract

A number of studies suggest that a history of trauma, depression, and posttraumatic stress disorder (PTSD) are associated with autobiographical memory deficits, notably overgeneral memory (OGM). However, whether there are any group differences in the nature and magnitude of OGM has not been evaluated. Thus, a meta-analysis was conducted to quantify group differences in OGM. The effect sizes were pooled from studies examining the effect on OGM from a history of trauma (e.g., childhood sexual abuse), and the presence of PTSD or current depression (e.g., major depressive disorder). Using multiple search engines, 13 trauma studies and 12 depression studies were included in this review. A depression effect was observed on OGM with a large effect size, and was more evident by the lack of specific memories, especially to positive cues. An effect of trauma history on OGM was observed with a medium effect size, and this was most evident by the presence of overgeneral responses to negative cues. The results also suggested an amplified memory deficit in the presence of PTSD. That is, the effect sizes of OGM among individuals with PTSD were very large and relatively equal across different types of OGM. Future studies that directly compare the differences of OGM among 4 samples (i.e., controls, current depression without trauma history, trauma history without depression, and trauma history and depression) would be warranted to verify the current findings.

摘要

许多研究表明,创伤史、抑郁和创伤后应激障碍(PTSD)与自传体记忆缺陷有关,特别是过度概括记忆(OGM)。然而,是否存在 OGM 的性质和程度的任何群体差异尚未得到评估。因此,进行了荟萃分析以量化 OGM 的群体差异。从创伤史(例如,儿童性虐待)和 PTSD 或当前抑郁(例如,重度抑郁障碍)对 OGM 的影响研究中汇总了效应大小。使用多个搜索引擎,本综述纳入了 13 项创伤研究和 12 项抑郁研究。在 OGM 上观察到抑郁的影响,其效应量较大,并且由于缺乏特定记忆,尤其是对积极提示的记忆,这种影响更为明显。创伤史对 OGM 的影响表现为中等效应量,这主要表现在对负性提示的过度概括反应上。研究结果还表明,在 PTSD 存在的情况下,记忆缺陷会加剧。也就是说,PTSD 个体的 OGM 效应量非常大,并且在不同类型的 OGM 之间相对相等。为了验证当前的发现,有必要进行直接比较 4 个样本(即对照组、无创伤史的当前抑郁、无抑郁的创伤史和创伤史及抑郁)之间 OGM 差异的未来研究。

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