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创伤后应激障碍中的情绪记忆:对对照研究的系统PRISMA综述

Emotional Memory in Post-traumatic Stress Disorder: A Systematic PRISMA Review of Controlled Studies.

作者信息

Durand Florence, Isaac Clémence, Januel Dominique

机构信息

Unité de Recherche Clinique (URC), EPS Ville Evrard, Neuilly-sur-Marne, France.

Laboratory of Neuropsychology and Psychopathology, University of Paris, Saint-Denis, France.

出版信息

Front Psychol. 2019 Mar 5;10:303. doi: 10.3389/fpsyg.2019.00303. eCollection 2019.

Abstract

Emotional memory is an adaptive process that improves the memorization of emotional events or stimuli. In Post-Traumatic Stress Disorder (PTSD), emotional memory may be altered, which in turn may affect symptoms. Having a clearer view of the processes of interaction between memory and emotional stimuli in PTSD may improve our knowledge of this disorder, and could create new therapeutic management tools. Thus, we performed a systematic review of the evidence of specific emotional memory in PTSD patients. Following PRISMA guidelines, a systematic review of MEDLINE, PsycInfo, and ScienceDirect was undertaken to identify controlled studies on emotional memory that used cognitive tasks on PTSD patients. The initial research was conducted from June 2017 to July 2017, and search terms included: Post-Traumatic Stress Disorder; PTSD; emotional memory; emotion; emotional; memory; and episodic memory. Eighteen studies reporting on 387 PTSD patients met the eligibility criteria. Among the studies selected, 11 observed specific memory processing in PTSD patients, such as a greater memorization of negative information, or a trend to false recognition of negative information. In addition, attentional and inhibition processing seem to play an important role in emotional memory in PTSD sufferers. Furthermore, other studies that did not find behavioral differences between PTSD and control groups nevertheless showed differences in both specific cerebral activities and neurohormone levels during emotional memory tasks. This review has several limitations, including a limited number of controlled studies, small sample sizes, different tasks and methods. Nevertheless, the results of this systematic review provide interesting information on emotional memory for clinicians and researchers, as they seem to highlight facilitated memory processing for negative information in PTSD patients. This topic needs further controlled studies with sensitive behavioral tasks. Also, future studies may evaluate emotional memory after symptom amelioration.

摘要

情绪记忆是一个适应性过程,可提高对情绪事件或刺激的记忆能力。在创伤后应激障碍(PTSD)中,情绪记忆可能会发生改变,进而可能影响症状。更清楚地了解PTSD中记忆与情绪刺激之间的相互作用过程,可能会增进我们对这种疾病的认识,并可能创造出新的治疗管理工具。因此,我们对PTSD患者特定情绪记忆的证据进行了系统综述。按照PRISMA指南,我们对MEDLINE、PsycInfo和ScienceDirect进行了系统综述,以确定关于情绪记忆的对照研究,这些研究对PTSD患者使用了认知任务。初步研究于2017年6月至2017年7月进行,检索词包括:创伤后应激障碍;PTSD;情绪记忆;情感;情绪的;记忆;情景记忆。18项报告387例PTSD患者的研究符合纳入标准。在所选研究中,11项观察到PTSD患者存在特定的记忆加工,例如对负面信息的记忆增强,或对负面信息的错误识别倾向。此外,注意力和抑制加工似乎在PTSD患者的情绪记忆中起重要作用。此外,其他未发现PTSD组与对照组之间行为差异的研究,在情绪记忆任务期间,仍显示出特定脑活动和神经激素水平的差异。本综述有几个局限性,包括对照研究数量有限、样本量小、任务和方法不同。尽管如此,本系统综述的结果为临床医生和研究人员提供了关于情绪记忆的有趣信息,因为它们似乎突出了PTSD患者对负面信息的记忆加工更容易。这个主题需要进一步采用敏感行为任务的对照研究。此外,未来的研究可能会评估症状改善后的情绪记忆。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59fd/6411692/63fdbab078cd/fpsyg-10-00303-g0001.jpg

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