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创伤后应激障碍患者的效价双重任务

Valenced dual tasking in patients with posttraumatic stress disorder.

作者信息

IJdema Tom, Laceulle Odilia M, Thomaes Kathleen, Korrelboom Kees

机构信息

Department of Medical and Clinical Psychology, Centre of Research on Psychological Disorders and Somatic Diseases, Tilburg University.

Department of Developmental Psychology, Utrecht University.

出版信息

Psychol Trauma. 2024 Sep;16(6):892-902. doi: 10.1037/tra0001470. Epub 2023 Mar 30.

Abstract

OBJECTIVE

Dual-tasking studies show that emotionality and vividness of aversive memory decrease by engaging in a working memory task and simultaneous recall of that memory. Adding positive valence to a dual task might be a promising innovation in the amelioration of lab-induced memory. However, studies aiming to translate these findings into autobiographical memory of a posttraumatic stress disorder (PTSD) population find conflicting results or show methodological flaws. The current study assesses the benefit of adding positive valence to a dual-tasking procedure in PTSD patients.

METHOD

In a cross-over design PTSD patients ( = 33) recalled their traumatic memory and received the following three conditions in randomized order: rating positive pictures + exposure, rating neutral pictures + exposure, and exposure only. Each of the three conditions consisted of four sets of 1 min. In the first cycle, participants were exposed to each condition in a randomized order, which was then repeated in a second cycle. Before and after each condition, emotionality and vividness were rated on a visual analog scale (VAS), resulting in seven measurement timepoints in total.

RESULTS

Firstly, repeated measures ANOVAs showed a time effect: memories were less emotional and vivid after our summed (three) interventions. Secondly, repeated measures ANCOVAs indicated no evidence for differences between the conditions.

CONCLUSIONS

We did not find evidence for a benefit of adding positive valence to a dual-task procedure in PTSD patients. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

双任务研究表明,通过执行工作记忆任务并同时回忆厌恶记忆,厌恶记忆的情感性和生动性会降低。在双任务中加入积极效价可能是改善实验室诱导记忆的一项有前景的创新。然而,旨在将这些发现转化为创伤后应激障碍(PTSD)人群自传体记忆的研究结果相互矛盾或存在方法学缺陷。本研究评估了在PTSD患者的双任务程序中加入积极效价的益处。

方法

采用交叉设计,PTSD患者(n = 33)回忆他们的创伤记忆,并按随机顺序接受以下三种条件:对积极图片评分 + 暴露、对中性图片评分 + 暴露和仅暴露。三种条件中的每一种都由四组1分钟组成。在第一个周期中,参与者按随机顺序接触每种条件,然后在第二个周期中重复。在每种条件之前和之后,使用视觉模拟量表(VAS)对情感性和生动性进行评分,总共产生七个测量时间点。

结果

首先,重复测量方差分析显示出时间效应:在我们的总和(三种)干预后,记忆的情感性和生动性降低。其次,重复测量协方差分析表明没有证据表明各条件之间存在差异。

结论

我们没有发现证据表明在PTSD患者的双任务程序中加入积极效价有好处。(PsycInfo数据库记录(c)2024美国心理学会,保留所有权利)

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