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重复给予皮质醇并不会减少侵入性记忆 - 一项双盲安慰剂对照实验研究。

Repeated cortisol administration does not reduce intrusive memories - A double blind placebo controlled experimental study.

机构信息

Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Germany.

Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Germany.

出版信息

Eur Neuropsychopharmacol. 2017 Nov;27(11):1132-1143. doi: 10.1016/j.euroneuro.2017.09.001. Epub 2017 Sep 19.


DOI:10.1016/j.euroneuro.2017.09.001
PMID:28935268
Abstract

PTSD is a severe mental disorder, which may develop after exposure to traumatic events and is characterized by intrusive memories. Intrusions are sudden brief sensory memories of the traumatic event, that cause immense distress and impairment in every day functioning. Thus, the reduction of intrusive memories is one of the main aims of PTSD therapy. Recently, the glucocorticoid cortisol has been proposed as a pharmacological option to reduce intrusive memories, because cortisol is known to have memory retrieval inhibiting effects. However, the research on the effects of cortisol administration on intrusive memories is not conclusive. The aim of the present study was to examine if repeated cortisol administration inhibits intrusions and recognition memory in an experimental study using the trauma film paradigm. In a randomized double-blind placebo controlled design participants were exposed to a traumatic film (known to induce intrusions in healthy participants) and received either a low dose of cortisol (20mg) or placebo on the three days following "trauma exposure". Intrusive memories were assessed with an Electronic Diary and an Intrusion Triggering Task. Furthermore, we assessed explicit memory for the traumatic film clip with a recognition test. Contrary to our predictions, the cortisol group did not report fewer intrusions than the placebo group nor did it show diminished performance on the recognition test. Our results show that sole cortisol administration after a traumatic experience cannot reduce intrusive re-experiencing.

摘要

创伤后应激障碍是一种严重的精神障碍,可能在经历创伤性事件后发展而来,其特征是侵入性记忆。侵入性记忆是对创伤性事件的突然短暂的感官记忆,会导致极大的痛苦和日常生活功能受损。因此,减少侵入性记忆是 PTSD 治疗的主要目标之一。最近,糖皮质激素皮质醇被提议作为一种减少侵入性记忆的药物选择,因为皮质醇已知具有记忆检索抑制作用。然而,关于皮质醇给药对侵入性记忆的影响的研究尚无定论。本研究的目的是在使用创伤电影范式的实验研究中,检查重复皮质醇给药是否会抑制侵入性记忆和识别记忆。在一项随机、双盲、安慰剂对照设计中,参与者观看了一部创伤电影(已知会在健康参与者中引起侵入性记忆),并在“创伤暴露”后的三天内分别接受低剂量皮质醇(20mg)或安慰剂治疗。侵入性记忆通过电子日记和侵入性触发任务进行评估。此外,我们还通过识别测试评估了对创伤性电影片段的外显记忆。与我们的预测相反,皮质醇组报告的侵入性记忆并不比安慰剂组少,也没有在识别测试中表现出更差的成绩。我们的研究结果表明,在创伤后单独给予皮质醇并不能减少侵入性再体验。

相似文献

[1]
Repeated cortisol administration does not reduce intrusive memories - A double blind placebo controlled experimental study.

Eur Neuropsychopharmacol. 2017-9-19

[2]
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[3]
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[4]
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[5]
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J Behav Ther Exp Psychiatry. 2016-12

[6]
Effects of acute cortisol administration on perceptual priming of trauma-related material.

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[7]
Visuospatial computer game play after memory reminder delivered three days after a traumatic film reduces the number of intrusive memories of the experimental trauma.

J Behav Ther Exp Psychiatry. 2020-6

[8]
Nitrous oxide speeds the reduction of distressing intrusive memories in an experimental model of psychological trauma.

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[9]
Heightened biological stress response during exposure to a trauma film predicts an increase in intrusive memories.

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[10]
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引用本文的文献

[1]
A systematic review and meta-analysis of experimental methods for modulating intrusive memories following lab-analogue trauma exposure in non-clinical populations.

Nat Hum Behav. 2024-10

[2]
Medication-Enhanced Psychotherapy for Posttraumatic Stress Disorder: Recent Findings on Oxytocin's Involvement in the Neurobiology and Treatment of Posttraumatic Stress Disorder.

Clin Psychol Eur. 2021-12-23

[3]
Accelerated forgetting of a trauma-like event in healthy men and women after a single dose of hydrocortisone.

Transl Psychiatry. 2022-8-31

[4]
Cortisol administration after extinction in a fear-conditioning paradigm with traumatic film clips prevents return of fear.

Transl Psychiatry. 2019-4-8

[5]
Intrusive memories of trauma: A target for research bridging cognitive science and its clinical application.

Clin Psychol Rev. 2018-8-23

[6]
Therapy Dogs as a Crisis Intervention After Traumatic Events? - An Experimental Study.

Front Psychol. 2018-9-4

[7]
Intrusive Memories of Trauma in the Laboratory: Methodological Developments and Future Directions.

Curr Behav Neurosci Rep. 2018

[8]
From neuroscience to evidence based psychological treatments - The promise and the challenge, ECNP March 2016, Nice, France.

Eur Neuropsychopharmacol. 2018-1-19

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