Implicit and explicit memory bias for threat in post-traumatic stress disorder

We investigated explicit (cued recall) and implicit (word completion) memory in Vietnam combat veterans with (n = 24) and without (n = 24) post-traumatic stress disorder (PTSD). Half of the subjects in each group encoded combat, social threat, positive, and neutral words elaboratively, whereas the others encoded these words nonelaboratively. On the cued recall test, under both encoding conditions, both groups recalled more combat words than other words. However, difference scores obtained by subtracting the mean recall for neutral words from the mean recall scores for the other words revealed that PTSD patients exhibited a relative explicit memory bias for combat words. That is, PTSD patients tended to exhibit poor memory for everything but combat words. On the word completion test, only PTSD subjects exhibited an implicit memory bias for combat words. This bias was greater for primed than for unprimed words, thereby ruling out a response bias. Such memory bias may underlie the 'reexperiencing' symptoms characteristic of PTSD (e.g. intrusive thoughts, nightmares).