使用网络模型来探索创伤后应激障碍症状与主观认知功能之间的关联
Mia Maria Günak1, Omid V Ebrahimi2, Robert H Pietrzak3
1Department of Clinical Psychology, Leiden University, Pieter de la Court Building, Wassernaarseweg 52, 2333 AK Leiden, the Netherlands; Department of Psychology, LMU Munich, Leopoldstr. 13, 80802 Munich, Germany.
Journal of anxiety disorders
|September 16, 2023
概括
创伤后应激障碍 (PTSD) 与主观认知功能 (SCF) 的降低有关. 特定的创伤后应激障碍症状,如难以集中注意力,在时间上的认知障碍之前和相关.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 创伤后应激障碍 (PTSD) 经常与认知缺陷有关.
- 了解PTSD症状与主观认知功能 (SCF) 之间的特定关系对于有针对性的干预至关重要.
研究的目的:
- 研究主观认知功能 (SCF) 与创伤后应激障碍 (PTSD) 的各个方面之间的横截面关联.
- 检查这些协会在3年的时间稳定性.
主要方法:
- 利用来自全国退伍军人健康和弹性研究 (NHRVS) 的数据,其中有1484名参与者.
- 采用部分相关联网络来分析DSM-5 PTSD症状和SCF在基线和随访时.
- 评估了PTSD总分,症状域,个体症状和SCF之间的关联.
主要成果:
- 在整体PTSD总分和SCF之间发现了负相关性.
- SCF一直与PTSD症状领域"明显的兴奋和反应性变化"和"认知和情绪的负面变化"有负面联系.
- 诸如"难以集中注意力"和"难以体验积极情绪"之类的特定症状与SCF有着强烈的负面关系,在3年随访后在很大程度上得到复制.
结论:
- 某些PTSD症状暂时先发,并且在统计学上与减少的SCF的发展或持续有关.
- 检查特定的PTSD症状领域及其与SCF的关系比仅专注于PTSD诊断或总分比更有信息.
- 需要进一步研究PTSD和SCF之间的关系背后的机制.
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