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情绪相关且模态特异的双重任务:对 PTSD 创伤后应激障碍个体的自愿回忆和前摄性干扰的影响。

Emotionally valenced and modality-specific dual tasks: Effects on voluntary reminding and proactive interference in trauma-exposed individuals suffering from PTSD.

机构信息

Department of Clinical Psychology.

School of Psychological Sciences.

出版信息

Psychol Trauma. 2021 Jul;13(5):586-595. doi: 10.1037/tra0000599. Epub 2021 Jan 21.

DOI:10.1037/tra0000599
PMID:33475403
Abstract

People suffering from posttraumatic stress disorder (PTSD) often experience distressing traumatic memories. Therapeutic methods that apply a secondary task while clients recall a trauma memory may further assist in modifying the vividness and emotionality of the trauma memory and in reducing intrusions. In this experiment, we aimed to investigate whether the emotional valence (positive vs. neutral) and sensory modality (visual vs. auditory) of a secondary task reduces the vividness and emotionality of the trauma memory and the proactive interference. Sixty PTSD patients exposed to road traffic accident traumas were randomized to one of four groups in a 2 (emotional valence: positive, neutral) × 2 (modality: visual, auditory) design. Participants were then exposed to a positive or a neutral clip that was visual or auditory and were required to recall the trauma memory during exposure to the clip. Vividness and emotionality of the trauma memory and proactive interference were assessed before and after exposure to the clip and at a 1-week follow-up. Results revealed that participants who recalled the trauma memory while exposed to the positive clip reported their trauma memory as being less distressing (but not less vivid) and indicated less proactive interference than did participants exposed to the neutral clip. Nevertheless, modality had no significant effect in attenuating the proactive interference under conditions of modality congruence. Inducing positive emotion while performing a dual task may be an effective module in therapeutic approaches. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

创伤后应激障碍(PTSD)患者常经历痛苦的创伤记忆。在患者回忆创伤记忆时应用次要任务的治疗方法可能进一步有助于修改创伤记忆的生动性和情感性,并减少侵入。在这项实验中,我们旨在研究次要任务的情绪效价(积极与中性)和感觉模态(视觉与听觉)是否会降低创伤记忆的生动性和情感性,以及是否会减少前摄干扰。60 名因道路交通事故而遭受创伤的 PTSD 患者被随机分配到 2(情绪效价:积极,中性)×2(模态:视觉,听觉)设计的四个组之一。然后,参与者被暴露在视觉或听觉的积极或中性剪辑中,并被要求在观看剪辑时回忆创伤记忆。在观看剪辑之前、之后和 1 周随访时评估创伤记忆的生动性和情感性以及前摄干扰。结果表明,与观看中性剪辑的参与者相比,回忆创伤记忆时暴露在积极剪辑中的参与者报告其创伤记忆的痛苦程度较低(但不那么生动),前摄干扰较小。然而,在模态一致的情况下,模态对减轻前摄干扰没有显著影响。在执行双重任务时引起积极情绪可能是治疗方法中的一个有效模块。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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