Allé Mélissa C, Berna Fabrice, Danion Jean-Marie, Berntsen Dorthe
Department of Psychology and Behavioral Sciences, Center on Autobiographical Memory Research, Aarhus University, Aarhus, Denmark.
Inserm U1114, Strasbourg University, University Hospital of Strasbourg, Strasbourg, France.
Front Psychiatry. 2020 Oct 9;11:567189. doi: 10.3389/fpsyt.2020.567189. eCollection 2020.
Involuntary autobiographical memories are mental representations of personally experienced past events that come to mind spontaneously, with no preceding attempt to recall them. They have been showed to be more frequent and more emotional in the psychosis continuum. Although schizophrenia is strongly associated with thought disorders, including cognitive intrusions of thought, images, semantic knowledge, research on patients' involuntary autobiographical memories is limited. We undertook two studies to compare involuntary and voluntary remembering in schizophrenia and the conditions in which involuntary memories occurs in those patients, both in daily life ( = 40), using a diary method, and in an experimental context ( = 50). Overall, results showed that the conditions of elicitation of involuntary memories differ in patients, as patients were more sensitive to memory triggers, especially internal triggers, in comparison to controls. Relatedly, patients' involuntary memories-mostly related to mundane events with low emotional load-were experienced more frequently. Although patients' involuntary and voluntary memories were less clear, more poorly contextualized and associated with a lower belief in occurrence than those of controls, patients considered them as more central to the self, in comparison to controls. The results are discussed in relation to patients' self-reflective impairments.
非自愿性自传体记忆是对个人经历过的过去事件的心理表征,这些事件会自发地出现在脑海中,之前没有试图回忆它们。研究表明,在精神病连续体中,它们出现得更频繁且更具情感性。尽管精神分裂症与思维障碍密切相关,包括思维、图像、语义知识的认知侵入,但对患者非自愿性自传体记忆的研究却很有限。我们进行了两项研究,以比较精神分裂症患者的非自愿性记忆和自愿性记忆,以及这些患者在日常生活中(n = 40,采用日记法)和实验情境中(n = 50)出现非自愿性记忆的情况。总体而言,结果表明,患者非自愿性记忆的引发条件有所不同,因为与对照组相比,患者对记忆触发因素,尤其是内部触发因素更为敏感。相关地,患者的非自愿性记忆——大多与情绪负荷较低的日常事件有关——出现得更为频繁。尽管与对照组相比,患者的非自愿性记忆和自愿性记忆不那么清晰,情境化程度更低,且对其发生的相信程度也更低,但患者认为这些记忆对自我更重要。我们结合患者的自我反思障碍对结果进行了讨论。