Haim-Nachum Shilat, Sopp M Roxanne, Michael Tanja, Shamay-Tsoory Simone, Levy-Gigi Einat
School of Education, Bar-Ilan University, Ramat-Gan, Israel.
Division of Clinical Psychology and Psychotherapy, Department of Psychology, Saarland University, Saarbrücken, Germany.
Eur J Psychotraumatol. 2021 Apr 9;12(1):1899480. doi: 10.1080/20008198.2021.1899480.
Previous research indicates that PTSD patients may show alterations in interpersonal distance regulation (IDR). However, it is not clear whether altered IDR is correlated with psychopathology after trauma and whether attentional processes might be involved in these alterations. The current study investigated IDR and attentional processing in a sample of Israeli firefighters. Twenty-four participants completed an experimental IDR task as well as measures of PTSD and anxiety. During the task, event-related potentials were recorded to assess attentional processing as reflected in the P1 and N1 components. Participants who did not choose a closer distance towards friends than strangers experienced greater anxiety. Moreover, participants who showed attentional avoidance towards strangers reported more PTSD symptoms. By contrast, participants who showed hypervigilant attention towards strangers reported greater anxiety. Our results demonstrate an association between IDR, PTSD, and anxiety after trauma. Future studies should re-investigate these associations in larger samples and explore potential implications for prevention and treatment.
先前的研究表明,创伤后应激障碍(PTSD)患者可能在人际距离调节(IDR)方面表现出改变。然而,尚不清楚IDR的改变是否与创伤后的精神病理学相关,以及注意力过程是否可能参与这些改变。本研究调查了以色列消防员样本中的IDR和注意力加工情况。24名参与者完成了一项实验性IDR任务以及PTSD和焦虑的测量。在任务期间,记录事件相关电位以评估P1和N1成分所反映的注意力加工情况。比起陌生人,没有选择与朋友保持更近距离的参与者经历了更大的焦虑。此外,对陌生人表现出注意力回避的参与者报告了更多的PTSD症状。相比之下,对陌生人表现出过度警觉注意力的参与者报告了更大的焦虑。我们的结果表明了创伤后IDR、PTSD和焦虑之间的关联。未来的研究应该在更大的样本中重新研究这些关联,并探索其对预防和治疗的潜在影响。