emotional working memory capacity in posttraumatic stress disorder (ptsd) susanne schweizer, tim...
TRANSCRIPT
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Emotional working memory capacity in posttraumatic stress disorder
(PTSD)
Susanne Schweizer, Tim Dalgleish*
Behaviour Research and TherapyImpact Factor: 2.957
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Behaviour Research and Therapy
The focus is on the following: theoretical and experimental analyses of psychopathological processes with direct implications for prevention and treatment……
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Outline
Abstract Introduction Methods Results Discussion
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Abstract
WMC 與 PTSD 、 depressive 、 anxiety disorders
eWMC 的操弄
運用在臨床治療的成效
未來可以發展的方向
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Introduction
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影響 PTSD 患者的因素
Emotionally-laden thoughts
Intrusive thought
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“Hot” and “Cold” psychology --------Heath A. Demaree
People differ with regard to how well they can control their emotions, and one factor that predicts it is non-emotional in nature – it is a ‘cold’ cognitive construct
“Hot” psychology---------emotional psychology
Working memory capacity ---------------- 保有短暫訊息的能力
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WMC(working memory capacity) 的重要性Define對於 PTSD 的影響 ? For example, a woman suffering from posttraumatic stress
who………… 如何操弄 ?WMC eWMCRegulate expressive and experiential
aspects of emotion.
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選用有長期 PTSD 病史的受試者 ?
Show substantive and significant biases on a wide range of cognitive measures indexing difficulties in processing trauma-related material
problem with proactive interference
Maladaptive intrusivetrauma-related appraisals
Risk of PTSD reactivation
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Central study hypothesis
Trauma survivors with a lifetime history of PTSD would show impaired WMC on our novel emotional reading span task when the operation component (the sentences) was PTSD-related, compared with a control sample of trauma survivors who had never had PTSD, and relative to their performance with neutral control sentences as the operation component.
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Methods
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Methods
Participants(aged 17 to 65 years)
(PTSD LT; n = 25) and ( PTSD C; n= 14)
(Controls; n = 21)
Measures The Posttraumatic Cognitions Inventory (PTCI; Foa et al.,1999) The emotional working memory capacity (eWMC) task. EX.“I often carpet feel like a meaningless object not a person”
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Emotional working memory capacity task
trauma-related EX. The trauma happened to me because of the sort of person I am
emotionally-neutral EX. In public libraries there are many different books that can be borrowed
Sentence: from PTCI Trials: 8 in each condition Trial size: 4 、 5 、 6 、 7 neutral-valance word Irrelevant word: 11 sentences in each condition
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Group(sentence) trails Trail size words
dysfunctional beliefs 8 4 、 5 、 6 、 7 44 sentence-Word pairing
emotionally-neutral facts
8 4 、 5 、 6 、 7 44 sentence-Word pairing
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Words(neutral)
Medical Research Council Psycholinguistics Databaselength (4 to 6 letters)number of syllables (one)familiarity (550 to 700)Imageability (450 to 600)
Did not relate to the sentence they were paired with.
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Pilot study
Healthy community volunteers (n = 20)
sentences: size 4 - Mdifference=.08, SD=.17,t=2.16, P=.04; size 5 - Mdifference=.08, SD=.19, t=1.97; p=.06;size 6 - Mdifference=.07, SD=.16, t=1.95; P=.07; size 7 - Mdifference=0, SD=.12; t < 1.
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Procedure
informed consent
eWMC task(trauma-related )
National Adult Reading
Test
eWMC task(neutral)
(1) Beck Depression
Inventory-II
(2) Impact of Event Scale
(3) Spielberger State-Trait
Anxiety Inventory
(4) SCID
End
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Results
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Participant characteristics
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PTSDLT group showed impaired WMC in the context of trauma-related sentences, t(44) = 2.66, P = .005, Cohen’s d = .80,
but not significantly in the context of neutral sentences, t(44)=1.30,P=.13, Cohen’s d=.39,
Sentence Type (trauma vs. neutral) by Group (PTSDLT vs. Controls) interaction between these two effects, F(1,44) =4.15, P=.048,
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Emotional working memory capacity (eWMC)
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Discussion
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Discussion
eWMC task : History of PTSD = Current
PTSD< Trauma-exposed controls
Trauma survivors who, at any time, have struggled with PTSD suffer from significantly greater WMC impairments in emotional contexts compared with those survivors who have never suffered from PTSD and relative to non-significant group differences in performance in a valence-neutral context.
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Clinical implications
Training program : CBM
Regulate emotion
Using images rather than sentences
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Potential study limitations
Refine components of the experimental sentences clarify is whether the effects are confined to mid-
sized trials as the exploratory analyses indicate Healthy participants for WMC to be greater in the
face of trauma-related sentences, relative to neutral sentences
Did not assess depression and anxiety diagnostically sample
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Thank for your attention