创伤后应激障碍中的执行功能:它们与创伤后应激障碍严重程度和日常功能之间的关系
Nehal Safi1,2, Elias Jahjah2, Eyal Bergmann2
1Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Frontiers in psychiatry
|December 3, 2025
概括
执行功能困难在创伤后应激障碍 (PTSD) 中很常见,并影响日常生活. 像VAP-S 2这样的生态有效评估对于理解和改善PTSD患者的日常功能至关重要.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 临床研究 临床研究
背景情况:
- 执行功能 (EF) 缺陷经常在患有创伤后应激障碍 (PTSD) 的个人中观察到.
- 这些EF困难可以显著损害日常功能和行为.
- 关于EF缺陷对日常生活的具体影响以及反映功能限制的评估有效性的研究有限.
研究的目的:
- 调查执行功能困难对患有PTSD的个体日常工作的影响.
- 利用模拟现实生活活动的生态有效评估来衡量这些影响.
主要方法:
- 这项研究包括66名参与者 (26名患有PTSD,40名健康对照),年龄在18-65岁之间.
- 参与者完成了执行功能-成人版本 (BRIEF-A) 的行为评级清单,以获得自我报告的EF影响.
- 执行职能在虚拟购物任务中使用基于绩效的生态有效工具虚拟行动计划超市 (VAP-S 2) 进行评估.
主要成果:
- 与对照人群相比,PTSD患者表现出明显更多的执行功能困难.
- 简报指出,PTSD中的EF缺陷表现为影响日常功能的行为失调.
- 在虚拟购物任务期间,VAP-S 2显示PTSD患者的冲动性增加,策略使用减少和性能效率降低.
- 在BRIEF-A得分和VAP-S 2表现之间发现了相关性,高的PTSD严重程度与更大的EF困难有关.
结论:
- 创伤后应激障碍的执行功能障碍与症状严重程度有关,并可能限制日常功能.
- 从生态上有效的评估对于评估PTSD中的EF和理解现实世界的功能影响至关重要.
- VAP-S 2在PTSD的现实场景中提供了客观的,基于绩效的EF测量,补充了自我报告.
- 将自我报告措施与VAP-S 2等基于绩效的评估相结合,可以加强对现实生活背景的干预重点,改善患者的功能和福祉.
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