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厌恶情境对创伤暴露个体早期威胁检测的影响以及与创伤后应激症状的关联。

The impact of aversive context on early threat detection in trauma exposed individuals and associations with post-traumatic stress symptoms.

作者信息

Shenberger Elyse R, Funkhouser Carter J, Boley Randy, Zalta Alyson K, Shankman Stewart A

机构信息

Department of Psychology, University of Illinois at Chicago, Chicago, IL.

Department of Psychiatry and Behavioral Sciences, Northwestern University, Chicago, USA.

出版信息

J Affect Disord Rep. 2021 Dec;6. doi: 10.1016/j.jadr.2021.100193. Epub 2021 Jul 24.

Abstract

INTRODUCTION

Prolonged attentional bias to threat (AB) is associated with posttraumatic stress symptoms (PTSS). However, it is unclear whether this relationship extends to early threat detection (elicited by masked stimuli) and/or varies if AB is measured during an aversive context.

METHODS

Two trauma-exposed samples of either intervention-seekers ( = 50) or community members ( = 98) completed a masked dot-probe task to measure early AB to angry faces in safe vs. aversive contexts (i.e., during threat of aversive noises).

RESULTS

Linear mixed effects models showed that an aversive context increased the orienting responses in both samples; however, PTSS did not moderate these effects in either sample.

LIMITATIONS

Sample size and heterogeneity of trauma-type may have impacted effect of PTSS on AB.

CONCLUSION

These results highlight the importance of assessing AB in varying contexts and examining generalizability across populations. Given prior research, the results also suggest that increased AB in PTSS may only be present for later attentional processes rather than early threat detection, at least with behavioral methods.

摘要

引言

对威胁的长期注意偏向(AB)与创伤后应激症状(PTSS)相关。然而,尚不清楚这种关系是否延伸至早期威胁检测(由掩蔽刺激引发),以及如果在厌恶情境中测量AB,这种关系是否会有所不同。

方法

两个经历过创伤的样本,一个是寻求干预者(n = 50),另一个是社区成员(n = 98),完成了一项掩蔽点探测任务,以测量在安全与厌恶情境(即在厌恶噪音威胁期间)下对愤怒面孔的早期AB。

结果

线性混合效应模型表明,厌恶情境增加了两个样本中的定向反应;然而,PTSS在两个样本中均未调节这些效应。

局限性

样本量和创伤类型的异质性可能影响了PTSS对AB的作用。

结论

这些结果凸显了在不同情境下评估AB以及检验不同人群中普遍性的重要性。鉴于先前的研究,这些结果还表明,至少在行为方法上,PTSS中增加的AB可能仅出现在后期注意过程中,而非早期威胁检测中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a43/9153266/43ffe0ea9be4/nihms-1810850-f0001.jpg

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