临时性创伤后应激障碍中注意力、评价和记忆偏差之间的相互作用:探索综合认知偏差假说。

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-09-01 Epub Date: 2024-02-08 DOI:10.1037/tra0001657
Ziyi Zhao, Chunxiao Zhao, Lizu Lai, Congrong Shi, Xu Li, Shan Lu, Siyuan Guo, Zhihong Ren
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引用次数: 0

摘要

目的:理论研究和实证研究都表明,负面认知偏差会对创伤后应激障碍(PTSD)症状的发生和持续产生重大影响。然而,这些认知偏差之间的相互作用及其对创伤后应激障碍症状长期轨迹的共同作用仍未得到充分探索。本研究深入探讨了创伤后应激障碍临时人群中注意力、评价和记忆偏差之间的相互作用,并评估了两个综合模型(最弱联系模型、加法模型)对两个月后报告的创伤后应激症状的预测效果:方法:60 名患有创伤后应激障碍的中国参与者(平均年龄为 20.17 岁,平均年龄为 2.11 岁)进行了乱码句子测试(评价偏差),并记录了他们的眼球运动(注意偏差),然后进行了自由回忆任务(记忆偏差)。在基线和两个月的随访中对创伤后应激症状进行了评估:结果:对负面词语的选择性注意偏差与对乱码句子的负面评价呈正相关,而负面评价随后又与负面记忆偏差密切相关。关于创伤后应激症状的发展,与弱联系法相比,加法法对2个月后自我报告的创伤后应激症状的预测更为可靠:本研究为临时性创伤后应激障碍的综合认知偏差假说提供了初步证据。结论:本研究为创伤后应激障碍的综合认知偏差假说提供了初步证据,同时也强调了加强认知偏差修正技术的潜在途径。在更广泛的临床样本中复制这些发现至关重要。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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Interplay among attention, appraisal, and memory bias in provisional posttraumatic stress disorder: Exploring the combined cognitive biases hypothesis.

Objective: Both theoretical and empirical studies suggest that negative cognitive biases significantly influence the onset and persistence of posttraumatic stress disorder (PTSD) symptoms. However, the interplay among these cognitive biases and their conjoint contribution to the long-term trajectory of posttraumatic stress symptoms remains underexplored. This study delves into the interplay among attention, appraisal, and memory biases within a provisional PTSD population and evaluates the predictive effects of two integrative models (weakest link, additive approach) on posttraumatic stress symptoms reported 2 months later.

Method: Sixty Chinese participants (Mage = 20.17, SDage = 2.11) with provisional PTSD undertook the scrambled sentences test (appraisal bias) with their eye movements recorded (attention bias) and then the free recall task (memory bias). Posttraumatic stress symptom was assessed at baseline and 2-month follow-up.

Results: Selective attention bias toward negative words was positively associated with the negative appraisal of scrambled sentences, which subsequently showed a strong association with negative memory bias. Regarding the progression of posttraumatic stress symptoms, the additive approach was found to be a more reliable predictor of self-reported posttraumatic stress symptoms at 2 months than the weak link approach.

Conclusions: This study provides initial evidence supporting the combined cognitive biases hypothesis in provisional PTSD. It also underscores potential avenues to enhance cognitive bias modification techniques. Replication of these findings in broader clinical samples is essential. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
期刊最新文献
Assessing the existence of trauma-related diagnostic overshadowing in adult populations. A current challenge in classification and treatment of DSM-5-TR prolonged grief disorder. Posttraumatic stress disorder in diverse populations: Testing for assessment bias in a nationally representative sample. Revisiting the hidden wound: Impact of the COVID-19 pandemic on domestic violence and divorce in Taiwan (2020-2021). Testing the nightmare cognitive arousal processing model.
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