心理发展与教育 ›› 2012, Vol. 28 ›› Issue (3): 255-262.

• 论文 • 上一篇    下一篇

PTSD青少年对威胁图片注意偏向的时程特点及习惯化倾向

王海涛1,2, 黄珊珊1, 黄月胜1,3, 孙孝游1, 郑希付1   

  1. 1. 华南师范大学心理应用研究中心, 广州 510631;
    2. 中山大学南方学院学生工作部, 广州 510970;
    3. 湖南第一师范学院教育科学系, 长沙 410205
  • 出版日期:2012-05-15 发布日期:2012-05-15
  • 通讯作者: 郑希付,Email:zhengxf@scnu.edu.cn E-mail:zhengxf@scnu.edu.cn
  • 基金资助:
    国家自然科学基金项目(30970913);华南师范大学心理健康与认知科学广东省重点实验室;广东省突发事件心理援助应急技术研究中心资助

The temporal course and habituation tendency of the attention bias to the threaten stimulus in the adolescents with post-traumatic stress disorder(PTSD)

WANG Hai-tao1,2, HUANG Shan-shan1, HUANG Yue-sheng1,3, SUN Xiao-you1, ZHENG Xi-fu1   

  1. 1. Center for Studies of Psychological Application, South China Normal University, Guangzhou 510631;
    2. The Students' affairs Division of Nanfang College of Sun Yat-sen University, Guangzhou 510970;
    3. The Department of Education Science of Hunan First Normal college, Changsha 410205
  • Online:2012-05-15 Published:2012-05-15

摘要: 探讨创伤后应激障碍(post-traumatic stress disorder,PTSD)青少年(n=20)与创伤控制组(n=20)对威胁图片注意偏向的时间进程特点以及习惯化倾向.在线索提示任务中,图片的呈现时间为100ms、500ms和1250ms.研究表明:(1)在时间进程上,当图片呈现100ms时,创伤控制组对地震图存在注意警觉;当呈现时间为500ms时,两组被试对负性图和地震图存在注意回避;当呈现时间为1250ms时,PTSD组对负性图仍存在注意回避、对地震图的注意偏向消失,创伤控制组对负性图和地震图的注意偏向均消失.(2)在习惯化倾向上,当第六次呈现威胁图片时,PTSD组对负性图和地震图的注意偏向消失,而创伤控制组对负性图和地震图的注意回避仍未消失.

关键词: 青少年, PTSD, 注意偏向, 线索提示任务, 时间进程, 习惯化倾向

Abstract: Since Wenchuan earthquake,researchers paid much attention to individuals with posttraumatic stress disorder(PTSD) in China.And attentional bias has been widely demonstrated in PTSD individuals.However,few studies discussed the change of the bias in PTSD adolescents.In two experiments of present study,we intended to examine the time-course and the habituation in attentional bias to the threatening pictures in 40 children who had experienced the Wenchuan earthquake and counterpart without PTSD as control group by the exogenous cueing paradigm.Threat value,presentation duration and frequency of the cues were systematically varied.Results suggest that:(1) when the presentation duration was 100 ms,the trauma control group showed facilitated attentional engagement to the earthquake related pictures.When the presentation duration was 500 ms,all participants showed avoidance of attention to the earthquake related and negative pictures.When the presentation duration was 1250 ms,PTSD group still showed avoidance of attention to negative pictures,but avoidance to earthquake related pictures disappeared;avoidance of attention in trauma control group disappeared.(2) when the cue presentation frequency was six times(presentation duration was 500 ms),the attentional bias to negative and earthquake related pictures disappeared in PTSD group,while that still existed in control group.The present results support that the cycle of "alert-avoid-difficulties in disengaging " existing in the attentional bias of PTSD adolescents to the threatening information,while their attentional bias will be eliminated with the increase of the presentation frequency.Besides,the control group's attentional bias to threatening stimulus is easier to eliminate with longer present time.

Key words: Adolescent, PTSD, Attention bias, Cue-target task, Temporal course, Habituation tendency

中图分类号: 

  • B844.2
[1] Bryant,R.A.,& Harvey,A.G.(1995).Processing threatening information in posttraumatic stress disorder.Journal of Abnormal Psychology,104,537-541.
[2] Beck,J.G.,Jennifer,B.,Freeman,J.C.,Shipherd,J.L.,Hamblen,& Jeffery,M.L.(2001).Specificity of stroop interference in patients with pain and PTSD.Journal of Abnormal Psychology,110(4),536-543.
[3] Bögels,S.M.,& Mansell,W.(2004).Attention processes in the maintenance and treatment of social phobia:Hypervigilance,avoidance and self focused attention.Clinical Psychology Review,24,827-856.
[4] Bal,A.(2008).Post-traumatic stress disorder in turkish child and adolescent survivors three years after the marmara earth quake.Child and Adolescent Mental Health,3(13),134-139.
[5] Craske,M.G.,& Pontillo,D.C.(2001).Cognitive biases in anxiety disorders and their effect on cognitive behavioral treatment.Bulletin of the Menninger Clinic,65,58-77.
[6] Coles,M.E.,& Heimberg,R.G.(2002).Memory biases in the anxietydisorders:current status.Clinical Psychology Review,22,587-627.
[7] Cooper,R.M.,& Langton,S.R.H.(2006).Attentional bias to angry faces using the dot probe task? It depends when you look for it.Behaviour Research and Therapy,44,1321-1329.
[8] Dalgleish,T.,Moradl,A.R.,Taghavi,M.R.,Neshat-Doostand,H.T.,& Yule,W.(2001).An experimental investigation of hypervigilance for threat in children and adolescents with post-traumatic stress disorder.Psychological Medicine,31,541-547.
[9] Ernst,H.W.,Koster,Bruno,V.,Geert,C.,& Stefaan,V.D.(2005).Time-course of attention for threatening pictures in high and low trait anxiety.Behaviour Research and Therapy,43,1087-1098.
[10] Elhai,J.D.,Gray,M.J.,Kashdan,T.B.,& Franklin,C.L.(2005).Which instruments are most commonly used to assess traumatic event exposure and posttraumatic effects? A survey of traumatic stress professionals.Journal of Traumatic Stress,18(5),541-545.
[11] Ernst,H.W.,Koster,G.C.,Verschuere,B.,Vanvolsem,P.,&Houwer,J.D.(2007).A time course analysis of attentional cueing by threatening scenes.Experimental sychology,54,161-171.
[12] Foa,E.B.,Cashman,L.,Jaycox,L.,& Perry,Kevin.(1997).The Validation of a Self-Report Measure of Posttraumatic Stress Disorder:The Posttraumatic Diagnostic Scale.Psychological Assessment,9(4),445-451.
[13] Freeman,J.B.,& Beck,J.G.(2000).Cognitive interference for trauma cues in sexually abused adolescent girls with posttraumatic stress disorder.Journal of Clinical Child Psychology,29,245-256.
[14] Gouzoulis-Mayfrank,E.,Arnold,S.,&Heekeren,K.(2006).Deficient inhibition of return in schizophrenia-further evidence from an independent sample.Progress in Neuropsychopharmacology and Biological Psychiatry,30,42-49.
[15] Giannopoulou,I.,Smith,P.,Ecker,C.,Strouthos,M.,Dikaiakou,A.,& Yule,W.(2006).Factor structure of the Children's revised Impact of event scale(CRIES) with children exposed to earthquake.Personality and Individual Differences,40(5),1027-1037.
[16] Harvey,A.G.,Blyant,R.A.,& RaPee,R.M.(1996).Preconscious processing of threat in posttraumatic stress disorder.Cognitive Theraphy and Research,20,613-623.
[17] Hopfinger,J.B.,Buonocore,M.H.,& Mangun,G.R.(2000).The neural mechanisms of top-down attentional control.Nature Neuroscience,3,284-291.
[18] Heinrichs,N.,& Hofmann,S.G.(2001).Information processing in social phobia:A critical review.Clinical Psychology Review,21,751-770.
[19] Koster,E.H.W.,Crombez,G.,Verschuere,B.,& De Houwer,J.(2004).Selective attention to threat in the dot probe paradigm:Differentiating vigilance and difficulty to disengage.Behaviour Research and Therapy,42,1183-1192.
[20] Koster,E.,Versehuere,B.,Crombez.G.,& Stefaan,V.D.(2005).Time-course of attention for threatening picturres In high and low trait anxiety.Behaviour Research and Therapy,43,1087-1098.
[21] McNally,R,J.,Amir,N.,& LiPke,H.J.(1996a).Subliminal Processing of threat cues in Posttraumatic stress disorder? Journal of Anxiety Disorders,10,115-128.
[22] Mathews,A.,& Mackintosh,B.(1998).A cognitive model of selective processing in anxiety.Cognitive Therapy and Research,22,539-560.
[23] MacLeod,C.,Rutherford,E.,Campbell L,Ebsworthy,G.,& Holker,L.(2002).Selective attention and emotional vulnerability:assessing the causal basis of their association through the experimental manipulation of attentional bias.Journal of Abnormal Psychology,111,107-123.
[24] Mogg,K.,Bradley,B.P.,& Miles,F.& Dixon,R.(2004a).Time course of attentional bias for threat scenes:Testing the vigilance-avoidance hyothesis.Cognition and Emotion,18(15),689-700.
[25] Posner,M.I.(1980).Orientation of attention.Quarterly Journal of Experimental Psychology,32,3-25.
[26] Pineles,S.L.,Shipherd,J.C.,Welch,L.P.,& Yovel,I.(2007).The role of attentional biases in PTSD:Is it interference or facilitation?Behaviour Research and Therapy,45,1903-1913.
[27] Pineles,S.L.,Shipherd,J.C.,Mostoufi,S.M.,Abramovitz,S.M.,& Yovel,I.(2009).Attentional biases in PTSD:More evidence for interference.Behaviour Research and Therapy,47(12),995-1102.
[28] Rohner,J.C.(2002).The time course of visual threat progressing:High trait anxious individuals eventually avert their gaze from angry faces.Cognition and Emotion,16(6),837-844.
[29] Rebecca,A.,Hazen,Michael,W.,Vasey,Norman,B.,& Schmidt.(2009).Attentional retraining:A randomized clinical trial for pathological worry.Journal of Psychiatric Research,43,627-633.
[30] Smith,P.,Perrin,S.,Dyregrov,A.,& Yule,W.(2003).Principal components analysis of the impact of event scale with children in war.Personality and Individual Differences,23(3),419-424.
[31] Perrin,S.,Meiser-Stedman,& Smith,P.(2005).The Children's Revised Impact of Event Scale(CRIES):Validity as a Screening Instrument for PTSD.Behavioural and Cognitive Psychotherapy,33,487-498.
[32] Verwoerd,J.,Wessel,I.,& de Jong,P.J.(2012).(in press).Fewer intrusions after an attentional bias modification training for perceptual reminders of analogue trauma.Cognition & emotion,26(1),153-165.
[33] Williams,J.M.G.,Watts,P.N.,MacLeod,C.,& Mathews,A.(1997).Cognitive Psychology and Emotional Disorders.Wiley:NewYork.
[34] 白露,马慧,黄宇霞,罗跃嘉,(2005).中国情绪图片系统的编制——在46名中国大学生中的试用.中国心理卫生杂志,19,(11),719-722.
[35] 中华医学会精神科分会编.(2001).中国精神障碍分类与诊断标准(第三版).山东:山东科学技术出版社.
[36] 刘兴华,钱铭怡,周晓林.(2007).高焦虑个体对威胁性词语的注意偏向及习惯化.中国心理卫生杂志,21(11),769-772.
[37] 刘阳娥,冯正直,戴琴,王凤,廖承菊.(2009)重复呈现情绪面孔对抑郁症状大学生注意偏向的影响.第三军医大学学报,31(9),867-870.
[38] 汪智艳,高隽,邓晶,钱铭怡,刘晓辉,何琴.(2010).修订版儿童事件影响量表在地震灾区初中学生中的信效度.中国心理卫生杂志,24(6),463-466.
[1] 王玉龙, 赵婧斐, 蔺秀云. 家庭风险因素对青少年自伤的累积效应及其性别差异[J]. 心理发展与教育, 2024, 40(2): 240-247.
[2] 王艳辉, 沈梓锋, 赖雪芬. 父母心理控制与青少年外化问题行为的关系:意志控制和越轨同伴交往的链式中介作用[J]. 心理发展与教育, 2024, 40(2): 248-256.
[3] 肖嘉林, 梁凯欣, 黄柳玥, 王恩娜, 黄巧敏, 何韵涵, 卢宝琳, 迟新丽. 积极发展资源在减少青少年抑郁水平中的累积效应、关系模式及特定资源的作用[J]. 心理发展与教育, 2024, 40(2): 257-269.
[4] 魏华, 丁慧敏, 陈武, 郝兴风, 熊婕. 父母低头行为与青少年网络欺负的关系:压力的中介作用与年龄的调节作用[J]. 心理发展与教育, 2024, 40(1): 114-121.
[5] 邹盛奇, 伍新春. 父母冲突与青少年同伴依恋的关系:亲子依恋的中介作用及性别差异[J]. 心理发展与教育, 2023, 39(6): 798-807.
[6] 彭海云, 盛靓, 邱凡硕, 周姿言, 辛素飞. 青少年心理减负从“无聊”开始——无聊倾向对青少年主观幸福感的影响机制[J]. 心理发展与教育, 2023, 39(6): 895-902.
[7] 刘庆, 冯兰. 父母婚姻质量和青少年同胞关系:教养方式的中介作用及其性别差异[J]. 心理发展与教育, 2023, 39(5): 654-662.
[8] 刘思含, 伍新春, 王歆逸. 父母教养方式的潜在类别及其与青少年学习投入和焦虑症状的关系[J]. 心理发展与教育, 2023, 39(5): 673-682.
[9] 沙晶莹, 张向葵, 刘千冬. 人以群分?学业动机比较对青少年同伴选择的影响[J]. 心理发展与教育, 2023, 39(5): 683-690.
[10] 张雯, 王振宏. 负性生活事件与青少年内化问题的关系:社会支持的中介作用和亲子亲和的调节作用[J]. 心理发展与教育, 2023, 39(5): 718-725.
[11] 洪新伟, 苗灵童, 范航, 宋明华, 朱婷婷, 刘燊, 张林. 父母婚姻冲突与青少年攻击行为的关系:情绪安全感和学校联结的作用[J]. 心理发展与教育, 2023, 39(5): 726-734.
[12] 王玉龙, 苏慧娟, 蔺秀云. 青少年自伤的分类:基于潜在剖面分析[J]. 心理发展与教育, 2023, 39(5): 735-742.
[13] 李甜甜, 董会芹. 父母冲突知觉与儿童焦虑情绪:正负性信息注意偏向的中介作用及性别的调节作用[J]. 心理发展与教育, 2023, 39(4): 488-496.
[14] 胡义豪, 徐璐妍, 卞小华, 周颖, 刘俊升. 同伴侵害与青少年抑郁的关系:班级攻击规范凸显性的调节作用[J]. 心理发展与教育, 2023, 39(4): 542-549.
[15] 辛国刚, 张李斌, 常睿生, 张云运. 青少年早期受欺凌发展轨迹:抑郁、自尊和学业成就的预测作用[J]. 心理发展与教育, 2023, 39(4): 568-579.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!