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Associations between self-reported impulsivity and a latent variable of impulsive action constructed from three laboratory tasks 从三个实验任务构建的自我报告冲动与冲动行为潜变量之间的联系
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719861894
Akira Hasegawa, Keita Somatori, Haruki Nishimura, Yosuke Hattori, Yoshihiko Kunisato
Previous research on relationships between self-reported impulsivity and behavioral impulsivity has been limited because behavioral impulsivity was assessed using individual tasks. To alleviate the task-impurity problem and the low reliability of laboratory tasks assessing impulsivity, the present study examined the correlations between a latent variable constructed from the performances of three laboratory tasks assessing impulsive action and each dimension of self-reported impulsivity. University students in Japan (N = 176) responded to the UPPS-P Impulsive Behavior Scale assessing five dimensions of self-reported impulsivity that included the following: negative urgency, lack of premeditation, lack of perseverance, sensation seeking, and positive urgency. They also conducted laboratory tasks for assessing impulsive action: the go/no-go task, stop signal task, and Conners continuous performance test 3rd edition (CCPT). Results indicated weak correlations between each dimension of self-reported impulsivity and the latent variable named impulsive action constructed from the performances of three laboratory tasks (mean r = .10) and with the performances of individual laboratory tasks (mean r = .03). The latent variable of impulsive action and the commission error rate in the CCPT were significantly correlated with sensation seeking. However, this association disappeared after controlling for the influence of gender. These findings suggested that measures of self-reported and behavioral impulsivity might assess different constructs.
先前关于自我报告的冲动性和行为冲动性之间关系的研究受到限制,因为行为冲动性是通过个人任务来评估的。为了缓解任务杂质问题和评估冲动性的实验室任务的低可靠性,本研究检验了由评估冲动行为的三个实验室任务的表现构建的潜在变量与自我报告的冲动性的各个维度之间的相关性。日本大学生(N=176)对UPPS-P冲动行为量表进行了回应,该量表评估了自我报告的冲动的五个维度,包括以下方面:消极紧迫感、缺乏预谋、缺乏毅力、寻求感觉和积极紧迫感。他们还进行了评估冲动行为的实验室任务:通过/不通过任务、停止信号任务和康纳斯连续性能测试第三版(CCPT)。结果表明,自我报告的冲动性的各个维度与由三项实验室任务的表现构建的名为冲动行动的潜变量(平均r=.10)和单个实验室任务的成绩(平均r=.03)之间存在弱相关性寻求感觉。然而,在控制了性别的影响后,这种联系消失了。这些发现表明,自我报告和行为冲动的测量可能会评估不同的结构。
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引用次数: 7
Does craving for cocaine mediate cocaine use? Analysis of a randomized controlled pilot trial of memory-focused cognitive therapy 对可卡因的渴望会调节可卡因的使用吗?以记忆为中心的认知疗法的随机对照试验分析
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719860714
Camille Goetz, Tim Meynen, L. Mitcheson, N. Grey, B. Eastwood, J. Strang, J. Marsden
Cocaine use disorder (CUD) is a debilitating psychopathology, with no recommended medication therapy or specific psychological intervention. Memory-focused cognitive therapy (MFCT) is a novel psychotherapy for CUD, theorized to modify and reconsolidate cocaine craving-related memories for cognitive and behavioral control. A pilot randomized controlled trial indicated that this therapy is associated with reduced craving and cocaine use. With an 80% confidence interval (CI) set for null hypothesis testing, we conducted an exploratory causal mediation analysis with confounder adjustment to determine whether increased cocaine abstinence following MFCT is mediated by reduced craving experience and increased emotion regulation. Participant data on the Difficulties in Emotion Regulation Scale did not meet screening evaluation as a potential mediator. Cocaine craving (assessed by the frequency version of the Craving Experiences Questionnaire) was associated with a total treatment effect of MFCT on cocaine abstinence at follow-up (1.499; 80% CI 1.114 to 1.970; p = .012). A significant natural indirect effect indicated that reductions in cocaine use were strongly mediated by reduced frequency of craving experience (1.753; 80% CI: 1.334 to 2.936; p < .0001). This study provides exploratory evidence in support of the theoretical action for MFCT and underscores the importance of craving as a therapeutic target.
可卡因使用障碍(CUD)是一种使人衰弱的精神病理,没有推荐的药物治疗或特定的心理干预。记忆聚焦认知疗法(MFCT)是一种治疗CUD的新型心理疗法,其理论基础是修改和重新巩固与可卡因渴望相关的记忆,以实现认知和行为控制。一项试点随机对照试验表明,这种疗法与减少渴望和可卡因使用有关。采用80%的置信区间(CI)进行零假设检验,我们进行了探索性因果中介分析,并进行了混杂校正,以确定MFCT后可卡因戒断是否由减少的渴望体验和增加的情绪调节介导。情绪调节困难量表的参与者数据不符合筛选评估作为潜在的中介。可卡因渴望(通过渴望经历问卷的频率版本评估)与MFCT对可卡因戒断的总治疗效果相关(1.499;80% CI 1.114 - 1.970;P = .012)。一个显著的自然间接效应表明,可卡因使用的减少是由渴望体验频率的降低强烈介导的(1.753;80%置信区间:1.334 - 2.936;P < 0.0001)。本研究为支持MFCT的理论作用提供了探索性证据,并强调了渴望作为治疗靶点的重要性。
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引用次数: 1
Tinnitus perception mediates the relationship between physiological and psychological problems among patients 耳鸣感知在患者生理和心理问题之间起中介作用
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719858559
Jaffar Abbas, M. Aqeel, A. Jaffar, M. Nurunnabi, S. Bano
The current study is the first substantial investigation to determine whether tinnitus perception mediates the relationship between physiological and psychological problems (PP). Simple random sampling, with a cross-sectional design, was used to collect data from 100 adult patients (males = 60; females = 40) diagnosed with chronic tinnitus. Subjects were approached through various public and private hospitals, at their respective Audiology and Ear, Nose, and Throat departments in Rawalpindi and Lahore, Pakistan. Participants underwent complete physiological and psychological tinnitus evaluations, such as tinnitus matching and audiometry, as well as assessments using standardized tinnitus instruments. The mediation analyses revealed an indirect relationship with hearing loss (HL) and PP (e.g., anxiety, stress, depression, mood swings) in tinnitus patients. These findings suggest that physiological problems such as tinnitus and HL might contribute to the development of psychological symptoms.
目前的研究是首次对耳鸣感知是否介导生理和心理问题(PP)之间的关系进行实质性调查。采用简单随机抽样,采用横断面设计,收集100例成年患者(男60例;女性= 40例,诊断为慢性耳鸣。通过巴基斯坦拉瓦尔品第和拉合尔各公立和私立医院各自的听力学和耳鼻喉科与受试者进行接触。参与者接受了完整的耳鸣生理和心理评估,如耳鸣匹配和听力学,以及使用标准化耳鸣仪器的评估。中介分析揭示了耳鸣患者听力损失(HL)和PP(如焦虑、压力、抑郁、情绪波动)之间的间接关系。这些发现表明,耳鸣和HL等生理问题可能有助于心理症状的发展。
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引用次数: 23
Prediction of disability in schizophrenia: Symptoms, cognition, and self-assessment 精神分裂症致残的预测:症状、认知和自我评估
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719865693
Philip D. Harvey, M. Strassnig, Juliet Silberstein
Schizophrenia is associated with wide-ranging disability across multiple functional domains. There are several determinants of disability that have been identified to date, including cognitive and social cognitive impairments, impairments in everyday functional skills and social skills, difficulties in self-assessment of abilities, and negative symptoms. These impairments are related to different elements of disability, and disability and its predictors are not a single global dimension. Further, although psychotic symptoms have limited cross-sectional correlations with everyday functioning, emerging evidence suggests that long-term clinical stability, often induced through treatment with long-acting antipsychotic medications, is also associated with improvements in everyday functioning. This review addresses the characteristics and origins of disability, with treatment implications noted in each disability domains.
精神分裂症与跨多个功能领域的广泛残疾有关。迄今已确定的残疾的几个决定因素包括认知和社会认知障碍、日常功能技能和社交技能障碍、自我评估能力困难以及阴性症状。这些缺陷与残疾的不同因素有关,残疾及其预测因素不是单一的全球层面。此外,尽管精神病症状与日常功能的横断面相关性有限,但新出现的证据表明,通常通过长效抗精神病药物治疗诱导的长期临床稳定性也与日常功能的改善有关。这篇综述论述了残疾的特征和起源,并在每个残疾领域指出了治疗的意义。
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引用次数: 66
Emotional instability and expressive suppression are related to paranoia in daily life: An electronic mobile assessment study in nonclinical individuals 情绪不稳定和表达抑制与日常生活中的妄想症有关:一项非临床个体的电子移动评估研究
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719868119
C. Nittel, Fabian Lamster, W. Rief, T. Kircher, Daniel Soll, Stephanie Mehl
Although instable negative emotions and problems in emotion regulation (ER) are common in patients with psychosis and are discussed as potential factors involved in the formation and maintenance of paranoia, it is unclear whether they increase the risk of developing paranoia in nonclinical controls. The present study aims to investigate whether the instability of negative emotions leads to paranoia in healthy participants. It should be further analyzed if the application of maladaptive ER strategies enhances subclinical paranoid ideation and if the use of adaptive ER strategies reduces subclinical paranoid ideation. Method: Nonclinical controls (n = 83) repeatedly reported the presence and instability of negative emotions, paranoia, and the use of maladaptive (expressive suppression, rumination) and adaptive (reappraisal, acceptance) ER strategies in their daily life on six consecutive days using electronic mobile assessment. Results: Hierarchical linear regression analysis revealed that nonclinical controls reporting a pronounced instability of negative emotions showed more pronounced paranoia at a subsequent time point. Moreover, participants who used expressive suppression at a certain time experienced more severe paranoia at the subsequent time point. Conclusion: If these findings are confirmed in high-risk samples, ER processes could be considered as an additional factor in theoretical models of paranoia formation.
虽然不稳定的负性情绪和情绪调节(ER)问题在精神病患者中很常见,并被认为是偏执形成和维持的潜在因素,但在非临床对照中,它们是否会增加患偏执的风险尚不清楚。本研究旨在探讨负面情绪的不稳定性是否会导致健康参与者的偏执。应用适应性不良的内质反应策略是否会增强亚临床偏执意识,而使用适应性内质反应策略是否会减少亚临床偏执意识,这有待进一步分析。方法:非临床对照(83例)连续6天使用电子移动评估,反复报告其日常生活中存在负面情绪、偏执、不稳定以及使用不适应(表达抑制、反刍)和适应性(重新评价、接受)ER策略。结果:层次线性回归分析显示,报告负面情绪明显不稳定的非临床对照在随后的时间点表现出更明显的偏执。此外,在某个时间点使用表达抑制的参与者在随后的时间点经历了更严重的偏执。结论:如果这些发现在高风险样本中得到证实,内质网过程可以被认为是偏执形成理论模型中的一个额外因素。
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引用次数: 9
Biased attention to threat and anxiety: On taking a developmental approach 对威胁和焦虑的偏见关注:关于采取发展方法
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719860717
Jessica L. Burris, K. Buss, Vanessa Lobue, Koraly Pérez-Edgar, A. Field
Several researchers have proposed a causal relation between biased attention to threat and the development and maintenance of anxiety disorders in both children and adults. However, despite the widely documented correlation between attention bias to threat and anxiety, developmental research in this domain is limited. In this review, we highlight the importance of taking a developmental approach to studying attention biases to threat and anxiety. First, we discuss how recent developmental work on attention to threat fits into existing theoretical frameworks for the development of anxiety and how attention biases might interact with other risk factors across development. Then we review the developmental literature on attention bias to threat and anxiety and describe how classic methodologies can be modified to study attention biases in even the youngest infants. Finally, we discuss limitations and future directions in this domain, emphasizing the need for future longitudinal research beginning in early infancy that tracks concurrent developments in both biased attention and anxiety. Altogether, we hope that by highlighting the importance of development in the study of attention bias to threat and anxiety, we can provide a road map for how researchers might implement developmental approaches to studying a potential core mechanism in anxiety.
一些研究人员提出,在儿童和成人中,对威胁的偏见关注与焦虑症的发展和维持之间存在因果关系。然而,尽管对威胁的注意偏向与焦虑之间存在广泛的相关记录,但这一领域的发展研究是有限的。在这篇综述中,我们强调了采用发展方法来研究威胁和焦虑的注意偏见的重要性。首先,我们讨论了最近关于威胁注意的发展工作如何符合现有的焦虑发展理论框架,以及注意偏见如何与发展过程中的其他风险因素相互作用。然后,我们回顾了关于威胁和焦虑的注意偏见的发展文献,并描述了如何修改经典的方法来研究即使是最小的婴儿的注意偏见。最后,我们讨论了这一领域的局限性和未来方向,强调需要从婴儿早期开始进行未来的纵向研究,以跟踪偏见注意力和焦虑的同时发展。总之,我们希望通过强调发展在研究威胁和焦虑的注意偏向中的重要性,我们可以为研究人员如何实施发展方法来研究焦虑的潜在核心机制提供一个路线图。
{"title":"Biased attention to threat and anxiety: On taking a developmental approach","authors":"Jessica L. Burris, K. Buss, Vanessa Lobue, Koraly Pérez-Edgar, A. Field","doi":"10.1177/2043808719860717","DOIUrl":"https://doi.org/10.1177/2043808719860717","url":null,"abstract":"Several researchers have proposed a causal relation between biased attention to threat and the development and maintenance of anxiety disorders in both children and adults. However, despite the widely documented correlation between attention bias to threat and anxiety, developmental research in this domain is limited. In this review, we highlight the importance of taking a developmental approach to studying attention biases to threat and anxiety. First, we discuss how recent developmental work on attention to threat fits into existing theoretical frameworks for the development of anxiety and how attention biases might interact with other risk factors across development. Then we review the developmental literature on attention bias to threat and anxiety and describe how classic methodologies can be modified to study attention biases in even the youngest infants. Finally, we discuss limitations and future directions in this domain, emphasizing the need for future longitudinal research beginning in early infancy that tracks concurrent developments in both biased attention and anxiety. Altogether, we hope that by highlighting the importance of development in the study of attention bias to threat and anxiety, we can provide a road map for how researchers might implement developmental approaches to studying a potential core mechanism in anxiety.","PeriodicalId":48663,"journal":{"name":"Journal of Experimental Psychopathology","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2043808719860717","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42087540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 27
Innovations and advances in cognitive behavioral therapy: Insights from experimental psychopathology 认知行为疗法的创新与进展:来自实验精神病理学的见解
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719874966
Allison J. Ouimet, Ryan J. Ferguson
At its core, the goal of experimental psychopathology is to understand what processes or mechanisms cause, maintain, or otherwise contribute to mental health problems (e.g., Zvolensky, Forsyth, & Johnson, 2013). There are countless examples of how this type of research has led to important improvements in treatment for people with psychological disorders. Perhaps most famously, Beck’s (1963) findings that people with depression consistently exhibit systematic thinking errors (i.e., cognitive distortions) and conscious negative automatic thoughts revolutionized how we help people with emotional disorders (see Beck, 2019, for a history of cognitive therapy for depression). Indeed, by spending a bit of time perusing treatment recommendations by the National Institute for Health and Care Excellence (NICE), it becomes clear quickly that cognitive behavioral therapy (CBT) is now—and has been for a while—a first-line evidence-based treatment for almost every psychological disorder. As such, it would be easy to conclude that “our work is done.” However, many people continue to suffer with mental health problems that either are not improved following CBT or relapse following treatment; many more are unable to access evidence-based care. Understanding what mechanisms still need to be targeted, for whom, under which conditions, and developing ways to increase access to these treatments is vital. Experimental psychopathology comprises a framework in which to make that happen. The goal of this Special Collection was thus to bring together experimental psychopathology research that continues to advance CBT for various psychological disorders. Authors were invited to submit manuscripts describing (1) original investigations of underlying mechanisms of psychopathology, (2) original investigations of new (or new variations of) CBT interventions, or (3) reviews/integrations of a body of published experimental psychopathology findings that have led to recent innovations or have the potential to lead to innovations in CBT. The result is an exciting special collection that runs the gamut of mental health problems, experimental psychopathology methods (experiments, case-study designs, and randomized controlled trials [RCTs]), includes both clinical and nonclinical participants, and features reviews of experimental psychopathology literature. Together, these articles suggest that we have learned much, and that we have much to learn about how to advance CBT and its accessibility for people with mental health problems. In their selective review, Gagné, Kelly-Turner, and Radomsky (2018) focused on the science–practice bridge (rather than the gap) to understand both how research has informed the treatment of obsessive– compulsive disorder (OCD) and how clinical experience can inspire experimental research. They provided a broad overview of etiological models of OCD, with a particular focus on diverse cognitive models such as the cognitive appraisal model and the seeking pr
实验精神病理学的核心目标是了解导致、维持或以其他方式导致心理健康问题的过程或机制(例如,Zvolensky, Forsyth, & Johnson, 2013)。有无数的例子表明,这类研究如何在治疗心理障碍患者方面取得了重大进展。也许最著名的是Beck(1963)的发现,即抑郁症患者始终表现出系统性思维错误(即认知扭曲)和有意识的消极自动思维,这一发现彻底改变了我们帮助情绪障碍患者的方式(参见Beck, 2019,抑郁症认知疗法的历史)。事实上,只要花一点时间仔细阅读国家健康与护理卓越研究所(NICE)的治疗建议,就会很快清楚地发现,认知行为疗法(CBT)现在——而且已经有一段时间了——是几乎所有心理障碍的一线循证治疗方法。因此,很容易得出“我们的工作完成了”的结论。然而,许多人继续遭受心理健康问题的困扰,这些问题要么在CBT治疗后没有得到改善,要么在治疗后复发;更多的人无法获得循证护理。至关重要的是,了解仍需要针对哪些机制、针对哪些人、在哪些条件下进行治疗,并制定增加获得这些治疗的方法。实验精神病理学包含了一个框架,在这个框架中实现了这一点。因此,这个特别收藏的目的是汇集实验性精神病理学研究,继续推进CBT治疗各种心理障碍。作者被邀请提交描述以下内容的手稿:(1)精神病理学潜在机制的原创性研究,(2)新的(或新的变体)CBT干预措施的原创性研究,或(3)已发表的实验性精神病理学发现的综述/整合,这些发现导致了最近的创新或有可能导致CBT的创新。结果是一个令人兴奋的特别集合,涵盖了精神健康问题的范围,实验精神病理学方法(实验,案例研究设计和随机对照试验[rct]),包括临床和非临床参与者,以及实验精神病理学文献的特色综述。总之,这些文章表明,我们已经学到了很多东西,关于如何推进认知行为疗法及其对精神健康问题患者的可及性,我们还有很多要学的。gagn、Kelly-Turner和Radomsky(2018)在他们的选择性综述中,重点关注科学与实践之间的桥梁(而不是鸿沟),以了解研究如何为强迫症(OCD)的治疗提供信息,以及临床经验如何启发实验研究。他们对强迫症的病因模型进行了广泛的概述,特别关注了不同的认知模型,如认知评估模型和寻找内部状态代理模型。通过检查、强迫症、污染恐惧和“刚刚好”的症状表现等实验例子,他们为未来的研究和实践提供了思路。事实上,多年来,研究人员已经开展了许多聪明的研究,阐明了引起和维持强迫症的各种认知机制(例如,通过告诉实验组,如果他们想到“苹果”这个词,隔壁房间的人就会受到电击,从而诱导思想-行动融合;Rassin, Merckelbach, Muris, & Spaan, 1999),从而提供了可能富有成效的治疗靶点。在实验文献中也有重要的空白。最值得注意的是,“刚刚好”的体验在很大程度上没有得到充分研究;治疗这种特殊实验精神病理学杂志的临床建议2019年7月至9月:1-5 a作者(s) 2019文章重用指南:sagepub.com/journals-permissions DOI: 10.1177/2043808719874966 journals.sagepub.com/home/jepp
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引用次数: 1
Evidence for an attention bias toward disgust in contamination fear 污染恐惧中注意力偏向厌恶的证据
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-07-01 DOI: 10.1177/2043808719870043
R. Ólafsson, A. E. Friðriksdóttir, Sigrún Þ. Sveinsdóttir, Á. Kristjánsson
Although attention biases are common in various anxiety disorders, there is no consensus yet regarding attentional bias in obsessive–compulsive disorder. We assessed attention bias toward images involving contamination and disgust using an emotional attentional blink paradigm in a sample of university students high (HCF) or low (LCF) in contamination fear. Neutral, general-threat-, contamination-, and disgust-related images (T1) were presented followed by a discrimination task (T2) 200, 500, or 800 ms later within a rapid serial visual presentation stream of 20 images. The HCF group was overall less accurate on the attentional blink task. Response accuracy differed by image type and lag in the two groups at the trend level and revealed a large drop in performance 200 ms following presentation of disgusting images in the HCF group. No such differences were observed at later lags in the task. There were increases in negative affect following the task for the HCF but not the LCF group, which were correlated with contamination fear scores. The results suggest that a disgust-related attention bias may be present at early stages of information processing in people with contamination fear.
尽管注意力偏差在各种焦虑症中很常见,但对于强迫症中的注意力偏差还没有达成共识。我们使用情绪注意眨眼范式,在对污染恐惧感高(HCF)或低(LCF)的大学生样本中评估了对涉及污染和厌恶的图像的注意力偏见。呈现中性、一般威胁、污染和厌恶相关的图像(T1),然后在200、500或800毫秒后,在20张图像的快速序列视觉呈现流中进行辨别任务(T2)。HCF组在注意力眨眼任务上总体上不太准确。在趋势水平上,两组的反应准确度因图像类型和滞后而不同,并显示HCF组在呈现恶心图像后200毫秒的表现大幅下降。在任务的后期滞后中没有观察到这种差异。任务完成后,HCF组的负面影响有所增加,但LCF组没有,这与污染恐惧评分相关。研究结果表明,在有污染恐惧症的人的信息处理的早期阶段,可能存在与厌恶相关的注意力偏差。
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引用次数: 2
Video-Based Analysis of Bodily Startle and Subsequent Emotional Facial Expression in Posttraumatic Stress Disorder. 基于视频的创伤后应激障碍患者身体惊吓及随后面部表情的分析。
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-05-21 DOI: 10.5127/jep.030712
Jens Blechert, Tanja Michael, Frank H Wilhelm

Exaggerated startle is a core hyperarousal symptom of Posttraumatic Stress Disorder (PTSD). Observational studies on the characteristics of this response are strikingly lacking. Previous research has demonstrated that detailed video analysis of facial and bodily responses to startling stimuli enables the differentiation of an initial, primarily reflexive response and a secondary, primary emotional response. We exposed PTSD patients (n = 34) and trauma-exposed but healthy participants (TE group, n = 26) to startling electric stimuli while acquiring observational behavioral, psychophysiological, and experiential measures. Videographic results indicate that PTSD patients' initial bodily startle response was stronger than in the TE group, and their secondary facial expression was more negatively valenced, largely due to elevated anger expression. Videographic assessment of primary and secondary startle responses provides a new window into reflexive and emotional functioning of PTSD and may therefore complement existing startle measures. PTSD treatments should address bodily startle, negative symptom appraisals, and anger more specifically.

过度惊吓是创伤后应激障碍(PTSD)的核心过度兴奋症状。对这种反应特征的观察研究明显缺乏。先前的研究表明,对面部和身体对惊人刺激的反应进行详细的视频分析,可以区分最初的主要反射性反应和次要的主要情绪反应。我们将创伤后应激障碍患者(n=34)和暴露于创伤但健康的参与者(TE组,n=26)暴露于令人震惊的电刺激,同时获得观察行为、心理生理和经验测量。录像结果表明,创伤后应激障碍患者最初的身体惊吓反应比TE组更强,他们的第二次面部表情更为负面,这主要是由于愤怒表情的增加。对初级和次级惊吓反应的录像评估为了解创伤后应激障碍的反射和情绪功能提供了一个新的窗口,因此可能补充现有的惊吓措施。创伤后应激障碍的治疗应该更具体地解决身体惊吓、负面症状评估和愤怒。
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引用次数: 6
Does self-focused attention in social anxiety depend on self-construal? Evidence from a probe detection paradigm. 社交焦虑患者的自我关注是否依赖于自我解释?来自探针探测范例的证据。
IF 1.4 4区 医学 Q4 PSYCHIATRY Pub Date : 2019-05-21 DOI: 10.5127/jep.041514
Noortje Vriends, Olivia C Bolt, Yasemin Meral, Andrea H Meyer, Susan Bögels, Frank H Wilhelm

Cognitive models of social anxiety disorder propose self-focused attention as a key maintenance factor of the disorder. However, whether this holds true for different cultural contexts has not been investigated. The present experiment investigated the influence of self-construal (interdependent versus independent) on self-focused attention in high and low socially anxious individuals. Eighty-seven participants, divided into high versus low socially anxious and interdependent versus independent self-construal, performed a self-focused attention probe detection paradigm. A reaction time metric relating to attention deployment on the self versus the other served as an index of self-focused attention. In individuals with an interdependent self-construal those who are highly socially anxious showed decreased self-focused attention compared to those who are low socially anxious. In individuals with an independent self-construal the effect of social anxiety was less strong and in the opposite direction (but congruent with cognitive models). These results indicate that self-focused attention in social anxiety depends on self-construal. These findings implicate different therapies for people with social anxiety disorder, depending on their self-construal.

社交焦虑障碍的认知模型认为自我关注是社交焦虑障碍的关键维持因素。然而,这是否适用于不同的文化背景还没有研究。本实验探讨了高、低社交焦虑个体的自我解释(依赖与独立)对自我关注的影响。87名被试被分为高社交焦虑组与低社交焦虑组、相互依赖组与独立自我解释组,进行了自我集中注意探针检测范式。一个与自我和他人的注意力分配有关的反应时间指标作为自我集中注意力的指标。在具有相互依赖自我解释的个体中,高度社交焦虑的人比低社交焦虑的人表现出更少的自我关注。在具有独立自我解释的个体中,社交焦虑的影响较弱且方向相反(但与认知模型一致)。这些结果表明,社交焦虑的自我集中注意力依赖于自我解释。这些发现暗示了针对社交焦虑障碍患者的不同治疗方法,取决于他们的自我理解。
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引用次数: 1
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Journal of Experimental Psychopathology
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