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不同创伤后成长水平的意外伤害患者的认知加工偏向实验研究

AN EXPERIMENTAL STUDY ON BIASED COGNITIVE PROCESSING IN ACCIDENTALLY INJURED PATIENTS WITH DIFFERENT POSTTRAUMATIC GROWTH LEVELS.

作者信息

Liang ZhenHong, Dong ChaoQun, Liu XiaoHong, Gong ShuMei

机构信息

School of medicine, TaiZhou University, TaiZhou, 317000, PR China.

School of Nursing, Wenzhou Medical University, Wenzhou 325035, PR China.

出版信息

Afr J Tradit Complement Altern Med. 2016 Aug 12;13(5):33-37. doi: 10.21010/ajtcam.v13i5.5. eCollection 2016.

DOI:10.21010/ajtcam.v13i5.5
PMID:28487891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5416642/
Abstract

BACKGROUND

Various studies have assessed the negative and/or positive changes in the aftermath of traumatic events. Accidental injuries (such as accidents, injuries, etc.), for its high incidence and disability rate, is easy to cause serious psychological problems and hinder the physical and psychological rehabilitation of the patients.

MATERIAL AND METHODS

To explore the characteristics of attention bias in accidentally injured patients with different levels of Posttraumatic growth (PTG), total score of PTG was adopted to screen out 15 high-PTG group and low-PTG group respectively among accidentally injured patients. Dot probe task was used with positive, negative and neutral facial expression pictures as experimental materials. An experimental design of 2 (facial expression: positive and negative)x2 (consistency of probe point and facial expression: consistent and inconsistent)×2 (PTG level: high and low) was employed.

RESULTS

Patients with low PTG level had attention bias toward the negative emotional stimuli, and difficulty in distraction from the negative emotional pictures. The value of D and DI were both significantly greater than 0 (<0.05). Patients with high PTG level did not demonstrate significant attention bias toward positive or negative emotional stimuli. The responding time of patients with high PTG level was significantly shorter than that in patients with low PTG level in the incongruent task (<0.05).

CONCLUSION

There are different characteristics of implicit cognitive processing in patients with different level of PTG, suggesting the necessity of psychological intervention on the accidentally injured patients.

摘要

背景

多项研究评估了创伤事件后果中的消极和/或积极变化。意外伤害(如事故、受伤等)因其高发病率和致残率,容易引发严重的心理问题,并阻碍患者的身心康复。

材料与方法

为探究不同创伤后成长(PTG)水平的意外伤害患者的注意偏向特征,采用PTG总分在意外伤害患者中分别筛选出15例高PTG组和低PTG组。以正性、负性和中性面部表情图片为实验材料,采用点探测任务。采用2(面部表情:正性和负性)×2(探测点与面部表情一致性:一致和不一致)×2(PTG水平:高和低)的实验设计。

结果

低PTG水平患者对负性情绪刺激存在注意偏向,难以从负性情绪图片中转移注意力。D值和DI值均显著大于0(<0.05)。高PTG水平患者对正性或负性情绪刺激未表现出明显的注意偏向。在不一致任务中,高PTG水平患者的反应时间显著短于低PTG水平患者(<0.05)。

结论

不同PTG水平患者的内隐认知加工特征不同,提示对意外伤害患者进行心理干预的必要性。

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