Relationships between symptom profiles and memory in posttraumatic stress disorder.
Lucie Da Costa Silva1, Peggy Quinette1, Jacques Dayan2
1Université de Caen Normandie, Inserm, EPHE-PSL, PSL Université Paris, CHU de Caen, GIP Cyceron, U1077, NIMH, 14000 Caen, France.
Journal of Anxiety Disorders
|November 27, 2025
Summary
Posttraumatic stress disorder (PTSD) symptoms influence memory for negative information. Hypervigilance enhances emotional memory, while dissociation improves contextual memory in trauma survivors.
Area of Science:
- Psychology
- Neuroscience
- Trauma Studies
Background:
- Posttraumatic stress disorder (PTSD) involves altered responses to negative information, with hypervigilance increasing attention and dissociation decreasing it.
- These opposing attentional mechanisms may differentially impact memory encoding for emotional and contextual details.
Purpose of the Study:
- To investigate how hypervigilant and dissociative symptoms affect memory for emotional faces and contextual professions in individuals exposed to the Paris terrorist attacks.
- To examine memory biases related to symptom changes over time.
Main Methods:
- Participants exposed (n=99) and unexposed (n=65) to the Paris attacks completed memory tasks at two time points (1.5 and 3.5 years post-event).
- A recognition task assessed recall of emotional faces (positive, neutral, sad) and non-emotional professions paired with them.
- Symptom prominence (hypervigilance, dissociation) was correlated with recognition of emotional vs. contextual information.
Main Results:
- Among trauma-exposed individuals, hypervigilance correlated with better recognition of emotional expressions, while dissociation correlated with better recognition of professions for sad faces.
- Changes in symptom severity between time points predicted shifts in whether emotional or contextual details were better recalled.
- Individuals with PTSD showed a memory bias, either towards or away from emotional content.
Conclusions:
- Hypervigilance and dissociation in PTSD are associated with distinct memory biases for emotional and contextual information.
- These findings highlight the complex interplay between trauma-related symptoms and memory processing.
- Understanding these biases is crucial for developing targeted interventions for individuals with PTSD.
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