Exploration of stress reactivity and fear conditioning on intrusive memory frequency in a conditioned-intrusion paradigm

IF 1.7 4区 医学 Q3 PSYCHIATRY
Gia Nhi Lam , Jack Cooper , Ottmar V. Lipp , Leah M. Mayo , Luke Ney
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引用次数: 0

Abstract

Background and objectives

The conditioned-intrusion paradigm was designed to provide insight into the relationship between fear conditioning and intrusive memory formation, which is relevant to understanding posttraumatic stress disorder symptoms and treatment. However, boundary conditions of this new paradigm have not been explored and it is currently not known whether findings from this work are valid in a clinical context.

Methods

In the current study, we explored the relationship between stress reactivity to trauma film clips, usual exposure to violent media, renewal of fear conditioning using skin conductance as well as subjective ratings, and the effect of shock versus film clip during conditioning on the frequency of intrusive memories. An adapted fear conditioning paradigm using trauma clips as unconditional stimuli was used, and participants subsequently reported intrusive memories of the trauma clips.

Results

Skin conductance responses to conditioned stimuli paired with shocks and film clips were significantly higher than conditioned stimuli paired with film clips alone. Subjective stress reactivity, previous exposure to violent media, and film valence rating were associated with the frequency of intrusive memories. No aspects of fear conditioning were associated with intrusive memories, and factor analysis suggested the fear conditioning and stress related to film clip viewing were mostly separate constructs. Similarly, content and triggers of intrusive memories were usually film-clip related rather than conditional stimulus related.

Limitations

We did not observe strong conditioning effects of the unconditional stimuli to conditional stimuli, which were shapes rather than high frequency stimuli such as faces.

Conclusions

These findings provide potential boundary conditions for this paradigm and suggest multiple ways in which the validity of the paradigm can be tested in the future.

在条件诱导范式中探讨压力反应性和恐惧条件对侵入性记忆频率的影响。
背景和目的:设计条件性侵入范式的目的是为了深入了解恐惧条件反射与侵入性记忆形成之间的关系,这与了解创伤后应激障碍的症状和治疗有关。然而,这一新范式的边界条件尚未得到探讨,目前尚不清楚这项工作的研究结果是否适用于临床:在当前的研究中,我们探讨了对创伤电影片段的应激反应性、平时接触暴力媒体的情况、使用皮肤电导和主观评价进行的恐惧条件反射的恢复,以及在条件反射过程中电击与电影片段对侵入性记忆频率的影响之间的关系。该研究采用了一种经过调整的恐惧条件反射范式,使用创伤片段作为无条件刺激,参与者随后报告了对创伤片段的侵入性记忆:结果:皮肤对与电击和电影片段配对的条件刺激的传导反应明显高于仅与电影片段配对的条件刺激。主观应激反应性、以前接触暴力媒体的经历和电影价值等级与侵入性记忆的频率有关。恐惧条件反射的任何方面都与侵入性记忆无关,因素分析表明,与观看电影片段有关的恐惧条件反射和压力大多是独立的结构。同样,侵入性记忆的内容和触发因素通常与电影片段有关,而不是与条件刺激有关:局限性:我们没有观察到无条件刺激对有条件刺激的强烈条件作用,有条件刺激是形状而不是高频刺激,如人脸:这些发现为这一范式提供了潜在的边界条件,并为今后检验该范式的有效性提供了多种方法。
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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
48
期刊介绍: The publication of the book Psychotherapy by Reciprocal Inhibition (1958) by the co-founding editor of this Journal, Joseph Wolpe, marked a major change in the understanding and treatment of mental disorders. The book used principles from empirical behavioral science to explain psychopathological phenomena and the resulting explanations were critically tested and used to derive effective treatments. The second half of the 20th century saw this rigorous scientific approach come to fruition. Experimental approaches to psychopathology, in particular those used to test conditioning theories and cognitive theories, have steadily expanded, and experimental analysis of processes characterising and maintaining mental disorders have become an established research area.
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