An exploratory study of emotional forecasting and experience disparities in PTSD: insights from a virtual reality paradigm.

IF 4.1 2区 医学 Q1 PSYCHIATRY
Louise Loisel-Fleuriot, Thomas Fovet, Arnaud Bugnet, Coralie Creupelandt, Marielle Wathelet, Sébastien Szaffarczyk, Stéphane Duhem, Guillaume Vaiva, Mathilde Horn, Fabien D'Hondt
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引用次数: 0

Abstract

Background: Emotional disturbances are central to post-traumatic stress disorder (PTSD) and shape how individuals anticipate and experience events.Objective: This study investigates affective forecasting and emotional experience among PTSD patients, trauma-exposed controls (TEC), and healthy controls (HC) using a novel virtual reality paradigm.Method: Eighty-six participants (30 PTSD, 28 TEC, 28 HC) rated their predicted and actual emotional responses (valence and arousal) to unpleasant, neutral, and pleasant virtual scenarios. Physiological measures included heart rate and skin conductance responses (SCR).Results: PTSD participants showed alterations in their affective forecasting and emotional experience, assigning significantly lower valence scores to pleasant and neutral scenarios and exhibiting amplified SCR to emotionally charged stimuli. Their arousal ratings for neutral stimuli were also more elevated compared to HC. In their forecasting, PTSD participants anticipated more positive  - or less negative  - emotions compared to what they experienced next.Conclusions: These findings reveal critical emotional processing differences in PTSD, both during affective forecasting and emotional experience, supporting cognitive models that emphasize biased processing of emotional information in this psychiatric condition.

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创伤后应激障碍的情绪预测和经验差异的探索性研究:来自虚拟现实范式的见解。
背景:情绪障碍是创伤后应激障碍(PTSD)的核心,影响着个体对事件的预期和体验。目的:利用虚拟现实技术研究创伤后应激障碍(PTSD)患者、创伤暴露对照组(TEC)和健康对照组(HC)的情感预测和情感体验。方法:86名参与者(30名PTSD, 28名TEC, 28名HC)对他们对不愉快,中性和愉快的虚拟场景的预测和实际情绪反应(效价和唤醒)进行评分。生理测量包括心率和皮肤电导反应(SCR)。结果:PTSD参与者在情感预测和情绪体验方面表现出变化,对愉快和中性情景的效价得分显著降低,对充满情绪的刺激表现出放大的SCR。与HC相比,他们对中性刺激的唤醒等级也更高。在他们的预测中,与接下来的经历相比,PTSD参与者预期的积极情绪更多,消极情绪更少。结论:这些发现揭示了创伤后应激障碍在情感预测和情感体验方面的关键情绪加工差异,支持了强调这种精神疾病中情绪信息偏倚加工的认知模型。
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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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