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Psychophysiological assessment: clinical applications for PTSD
1Veterans Affairs Medical Center, Veterans Affairs Research Service, 228 Maple St., Second Floor, Manchester, NH 03103, USA. scott_orr@hms.harvard.edu
Journal of Affective Disorders
|February 13, 2001
Summary
Physiological measures offer valuable insights into anxiety disorders, particularly posttraumatic stress disorder (PTSD). Incorporating these objective assessments can improve diagnostic accuracy and treatment effectiveness for PTSD.
Area of Science:
- Psychophysiology
- Clinical Psychology
- Trauma Studies
Background:
- Anxiety disorder descriptions acknowledge physiological symptoms, but clinical practice underutilizes physiological measurement.
- This neglect limits the accuracy, completeness, and reliability of emotional experience assessments.
- Concerns about reliability, validity, utility, and complexity may explain the underuse of physiological measures.
Purpose of the Study:
- To provide an overview of psychophysiological findings in posttraumatic stress disorder (PTSD).
- To explore potential clinical applications of psychophysiological assessment for PTSD.
Main Methods:
- Review of numerous studies on physiological reactivity to trauma-related cues in PTSD.
- Examination of research on startle response, aversive conditioning, and brain potentials in PTSD patients.
- Analysis of physiological tests for predicting PTSD development, persistence, and treatment response.
Main Results:
- Heightened physiological reactivity to trauma cues is a strong indicator for PTSD diagnosis.
- Physiological tests show success in predicting PTSD trajectory and treatment outcomes.
- Distinct psychophysiological differences are identified between PTSD patients and control groups.
Conclusions:
- Psychophysiological assessment offers valuable clinical and theoretical insights into PTSD.
- Integrating physiological measures can enhance diagnostic accuracy and treatment evaluation for PTSD.
- Further research and clinical application of psychophysiology are warranted for anxiety disorders.