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行为抑制系统对健康受试者观看创伤影片后出现创伤后应激障碍样症状的发展的影响。

The influence of the behavioural inhibition system on the development of PTSD-like symptoms after presentation of a traumatic film in healthy subjects.

机构信息

Department of Psychosomatic Medicine and Psychotherapy, LWL-University Hospital Bochum, Ruhr University Bochum, Bochum, Germany.

Department of Neuropsychology, Institute of Cognitive Neuroscience, Faculty of Psychology, Ruhr University Bochum, Bochum, Germany.

出版信息

Eur J Psychotraumatol. 2023;14(2):2172258. doi: 10.1080/20008066.2023.2172258.

DOI:10.1080/20008066.2023.2172258
PMID:37071087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10120539/
Abstract

BACKGROUND

The Behavioural Inhibition System (BIS) as a neural system controlling motivation and behaviour, has previously been linked to multiple mental disorders, including Post-traumatic Stress Disorder (PTSD). BIS-sensitivity could increase the likelihood of PTSD development after trauma. However, previous studies have largely measured BIS-sensitivity retrospectively (i.e. after trauma, or even after onset of PTSD).

OBJECTIVE

The study aims to confirm the relationship between BIS-sensitivity prior to trauma and PTSD symptoms.

METHOD

After assessment of BIS-sensitivity,  = 119 healthy participants watched a film with visually disturbing material. After 72 h, participants completed a questionnaire on PTSD-related symptoms (PCL-5).

RESULTS

In a multiple linear regression model, BIS-sensitivity significantly predicted PTSD symptoms, even after controlling for the decrease in mood, as well as for participants' age and sex, two factors that had previously been shown to influence BIS-sensitivity.

CONCLUSIONS

This is the first study to measure BIS-sensitivity before the occurrence of the (experimental) trauma and strengthens its role as a potential pre-traumatic risk factor.

摘要

背景

行为抑制系统(BIS)作为一个控制动机和行为的神经系统,先前与多种精神障碍有关,包括创伤后应激障碍(PTSD)。BIS 敏感性可能会增加创伤后发生 PTSD 的可能性。然而,先前的研究主要是回顾性地测量 BIS 敏感性(即在创伤后,甚至在 PTSD 发作后)。

目的

本研究旨在证实创伤前 BIS 敏感性与 PTSD 症状之间的关系。

方法

在评估 BIS 敏感性后,=119 名健康参与者观看了一部带有视觉干扰材料的电影。72 小时后,参与者完成了一份关于 PTSD 相关症状的问卷(PCL-5)。

结果

在多元线性回归模型中,BIS 敏感性显著预测 PTSD 症状,即使在控制情绪下降以及参与者年龄和性别(这两个先前被证明会影响 BIS 敏感性的因素)之后也是如此。

结论

这是第一项在(实验)创伤发生之前测量 BIS 敏感性的研究,它加强了 BIS 敏感性作为潜在创伤前风险因素的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05a/10120539/59c0a82f8bfc/ZEPT_A_2172258_F0001_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05a/10120539/59c0a82f8bfc/ZEPT_A_2172258_F0001_OB.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a05a/10120539/59c0a82f8bfc/ZEPT_A_2172258_F0001_OB.jpg

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本文引用的文献

1
Neural Responsivity to Reward Versus Punishment Shortly After Trauma Predicts Long-Term Development of Posttraumatic Stress Symptoms.创伤后不久对奖励和惩罚的神经反应性预测创伤后应激症状的长期发展。
Biol Psychiatry Cogn Neurosci Neuroimaging. 2022 Feb;7(2):150-161. doi: 10.1016/j.bpsc.2021.09.001. Epub 2021 Sep 15.
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Risk factors for posttraumatic stress disorder: An umbrella review of systematic reviews and meta-analyses.创伤后应激障碍的风险因素:系统评价和荟萃分析的伞状综述。
Neurosci Biobehav Rev. 2019 Dec;107:154-165. doi: 10.1016/j.neubiorev.2019.09.013. Epub 2019 Sep 11.
3
Visuospatial computer game play after memory reminder delivered three days after a traumatic film reduces the number of intrusive memories of the experimental trauma.
观看创伤影片后 3 天给予记忆提示再玩视空间电脑游戏可减少实验性创伤后侵入性记忆的数量。
J Behav Ther Exp Psychiatry. 2020 Jun;67:101454. doi: 10.1016/j.jbtep.2019.01.006. Epub 2019 Jan 25.
4
The German version of the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): psychometric properties and diagnostic utility.《DSM-5 创伤后应激障碍检查表德语文本版(PCL-5):心理测量学特性和诊断效用》。
BMC Psychiatry. 2017 Nov 28;17(1):379. doi: 10.1186/s12888-017-1541-6.
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Computer Game Play Reduces Intrusive Memories of Experimental Trauma via Reconsolidation-Update Mechanisms.玩电脑游戏通过重新巩固-更新机制减少实验性创伤的侵入性记忆。
Psychol Sci. 2015 Aug;26(8):1201-15. doi: 10.1177/0956797615583071. Epub 2015 Jul 1.
6
Epidemiology of posttraumatic stress disorder: prevalence, correlates and consequences.创伤后应激障碍的流行病学:患病率、相关因素及后果。
Curr Opin Psychiatry. 2015 Jul;28(4):307-11. doi: 10.1097/YCO.0000000000000167.
7
Reward functioning in PTSD: a systematic review exploring the mechanisms underlying anhedonia.创伤后应激障碍中的奖赏功能:一项探索快感缺乏潜在机制的系统综述。
Neurosci Biobehav Rev. 2015 Apr;51:189-204. doi: 10.1016/j.neubiorev.2015.01.019. Epub 2015 Jan 29.
8
World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.《世界医学协会赫尔辛基宣言:涉及人类受试者的医学研究伦理原则》
JAMA. 2013 Nov 27;310(20):2191-4. doi: 10.1001/jama.2013.281053.
9
PTSD's underlying symptom dimensions and relations with behavioral inhibition and activation.创伤后应激障碍的潜在症状维度及其与行为抑制和激活的关系。
J Anxiety Disord. 2013 Oct;27(7):645-51. doi: 10.1016/j.janxdis.2013.07.007. Epub 2013 Aug 6.
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Episodic memory, perceptual memory, and their interaction: foundations for a theory of posttraumatic stress disorder.情景记忆、知觉记忆及其相互作用:创伤后应激障碍理论基础。
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