Memory fragmentation in posttraumatic stress disorder: content specific or generalised
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| Main Author: | |
|---|---|
| Format: | Thesis Book |
| Language: | English |
| Published: |
Berlin
wvb, Wiss. Verl.
2007
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Physical Description: | XV, 184 S. Ill., graph. Darst. |
| ISBN: | 9783865732606 3865732607 |
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| adam_text | Table of Contents
1. Introduction 1
2. Theoretical Background 4
2.1 Posttraumatic Stress Disorder (PTSD) 4
2.1.1 Diagnostic Criteria 4
2.1.2 Epidemiology 6
2.1.3 Comorbidity 8
2.1.4 Risk Factors 9
2.1.5 Aetiology 10
2.2 Non Autobiographical Memory in PTSD 13
2.2.1 Declarative Memory Performance in PTSD 14
2.2.1.1 Verbal Narrative Memory Performance in PTSD 21
2.2.1.2 Verbal Memory Performance for Word Lists 23
2.2.1.3 Summary and Review 26
2.2.2 Sequence Memory Performance in PTSD 28
2.2.3 Aetiological Considerations Regarding Memory Impairment
in PTSD 30
2.2.4 Information Processing Biases in PTSD 33
2.2.4.1 Attentional Bias 33
2.2.4.2 Memory Biases 35
2.3 Autobiographical Memory in PTSD 38
2.3.1 Characteristics of Traumatic Memory 38
2.3.2 Traumatic Memory in Models of PTSD 40
2.3.3 Empirical Studies Testing the Fragmentation Hypothesis 42
2.3.3.1 Studies Using a Subjective Approach (Self Report) 43
2.3.3.2 Studies Using an Objective Approach (Analysis of
Narratives) 50
2.3.3.3 Summary and Discussion of Findings 55
2.4 Objectives of the Thesis 56
3. Methods 59
3.1 Sample 59
3.2 Measures and Tasks 60
iv
3.2.1 Psychopathological Assessment 60
3.2.1.1 Mini International Neuropsychiatric Interview 60
3.2.1.2 Structured Clinical Interview for the DSM IV 61
3.2.1.3 Posttraumatic Diagnostic Scale 61
3.2.1.4 Peritraumatic Dissociative Experiences Questionnaire ...62
3.2.1.5 Beck Depression Inventory 62
3.2.1.6 Hamilton Depression Rating Scale 63
3.2.1.7 Dissociative Experience Scale 63
3.2.1.8 Toronto Alexithymia Scale 64
3.2.2 Assessment of Non Autobiographical Memory 64
3.2.2.1 Narrative Memory Test 64
3.2.2.2 Self Assessment Manikin 67
3.2.3 Assessment of Autobiographical Memory 67
3.2.3.1 Objective Memory Fragmentation 67
3.2.3.2 Self Reported Memory Fragmentation 71
3.2.4 Further Neuropsychological Tasks 71
3.2.4.1 Selective Attention 71
3.2.4.2 Verbal Intelligence 72
3.3 Procedure 72
3.4 Ethical Considerations 75
3.5 Data Reduction and Strategy of Data Analyses 75
3.5.1 Calculation of Memory Scores 75
3.5.2 Statistical Analyses 78
4. Results 80
4.1 Description of the Sample 80
4.1.1 Traumatised Participants 80
4.1.2 Non Traumatised Participants 83
4.2 Non Autobiographical Memory Performance 84
4.2.1 Story Design 85
4.2.2 Content Memory 86
4.2.2.1 Global Model 86
4.2.2.2 Retention 88
4.2.2.3 Confounding Variables 88
4.2.2.4 Recognition Task 89
4.2.3 Memory Fragmentation of Non Autobiographical Material 90
4.2.3.1 Global Model 90
4.2.3.2 Sequence Memory 91
4.2.3.3 Self Reported Memory Fragmentation 93
4.2.4 Influence of Arousal, Valence, and Biographical
Resemblance 94
4.2.4.1 Content Memory 94
4.2.4.2 Sequence Memory 96
4.2.5 Relation Between Content Memory and Sequence Memory 96
4.2.6 Additional Analyses 97
4.3 Autobiographical Memory Performance 99
4.3.1 Severity of Events and Time Since Incidents 99
4.3.2 Length of Narratives 100
4.3.3 Global Model 100
4.3.4 Self Reported Memory Fragmentation 102
4.3.5 Content Analyses: Single Coding Categories 103
4.3.6 Confounding Variables 104
4.3.7 Prevalence of Fragmented Trauma Memories 105
4.3.8 Correlations With Psychopathology 106
4.3.9 Correlations Between Fragmentation Scores 107
5. Discussion 108
5.1 General Summary 108
5.2 Non Autobiographical Memory 108
5.2.1 Content Memory 109
5.2.2 Sequence Memory 114
5.2.3 Issues Concerning Content and Sequence Memory 116
5.3 Autobiographical Memory 117
5.4 General Discussion 123
5.5 Implications 127
5.6 Strengths, Shortcomings, and Future Prospects 129
5.7 Conclusion 132
6. References 135
7. Appendix 151
vi
List of Tables
Table 1. Diagnostic Criteria for PTSD According to the DSM IV 5
Table 2. Studies Investigating Memory Functioning in PTSD 16
Table 3. Studies Investigating Fragmentation of Traumatic Memory. 47
Table 4. Characteristics of Narrative Memory Material 65
Table 5. Single Measure Intraclass Correlation Coefficients for Interrater
Reliability 70
Table 6. Listing of Measures and Tasks Employed in the Study 74
Table 7. Description of Traumatic Events 80
Table 8. Trauma Characteristics for the PTSD and Non PTSD Group:
Number or Mean (Percent or Standard Deviation) 82
Table 9. Psychopathology and Selective Attention in Subjects With and
Without PTSD: Mean (Standard Deviation) 83
Table 10. Demographic Variables in Participants With and Without
PTSD, and Non Traumatised Participants: Number or Mean (Percent
or Standard Deviation) 84
Table 11. Means (Standard Deviations) of Narrative Memory Test (NMT)
Stories With Regard to Valence, Arousal, and Biographical
Resemblance Rated With the Self Assessment Manikin (SAM), N =
110 85
Table 12. Content Recognition: Mean (Standard Deviation) 90
Table 13. Performance in the Seriation Task Indexed by Spearman
Correlations (p): Mean (Standard Deviation) 93
Table 14. Multiple Linear Regression Analyses of Subjective Material
Appraisal on Detail Memory Performance 95
viii
Table 15. Pearson Correlations Between Sequence Memory Total
Scores and Content Memory Total Scores Across Traumatised and
Non Traumatised Participants (N = 110) 97
Table 16. Content Analyses: Means and Standard Deviations of
Percentages of Chunks 104
List of Figures
Figure 1. Content memory performance in the free recall task of the
Narrative Memory Test (NMT) as indexed by Detail Memory in short
term memory and long term memory 87
Figure 2. Sequence memory performance in the free recall task of the
Narrative Memory Test (NMT) as indexed by Sequence Recall Ratio
(SRR) and Adjusted Ratio of Clustering (ARC) in short term memory
(STM) and long term memory (LTM) 92
Figure 3. Global rating of coherence, total fragmentation score, and self
reported memory fragmentation of the traumatic event and the
unpleasant event (UPE) 102
Figure 4. Self reported memory fragmentation of the traumatic event, the
unpleasant event (UPE), and the stories of the Narrative Memory
Test (NMT) in participants with and without PTSD 103
Figure 5. Factors potentially leading to the reproduction of more
fragmented trauma memories in PTSD 124
|
| adam_txt |
Table of Contents
1. Introduction 1
2. Theoretical Background 4
2.1 Posttraumatic Stress Disorder (PTSD) 4
2.1.1 Diagnostic Criteria 4
2.1.2 Epidemiology 6
2.1.3 Comorbidity 8
2.1.4 Risk Factors 9
2.1.5 Aetiology 10
2.2 Non Autobiographical Memory in PTSD 13
2.2.1 Declarative Memory Performance in PTSD 14
2.2.1.1 Verbal Narrative Memory Performance in PTSD 21
2.2.1.2 Verbal Memory Performance for Word Lists 23
2.2.1.3 Summary and Review 26
2.2.2 Sequence Memory Performance in PTSD 28
2.2.3 Aetiological Considerations Regarding Memory Impairment
in PTSD 30
2.2.4 Information Processing Biases in PTSD 33
2.2.4.1 Attentional Bias 33
2.2.4.2 Memory Biases 35
2.3 Autobiographical Memory in PTSD 38
2.3.1 Characteristics of Traumatic Memory 38
2.3.2 Traumatic Memory in Models of PTSD 40
2.3.3 Empirical Studies Testing the Fragmentation Hypothesis 42
2.3.3.1 Studies Using a Subjective Approach (Self Report) 43
2.3.3.2 Studies Using an Objective Approach (Analysis of
Narratives) 50
2.3.3.3 Summary and Discussion of Findings 55
2.4 Objectives of the Thesis 56
3. Methods 59
3.1 Sample 59
3.2 Measures and Tasks 60
iv
3.2.1 Psychopathological Assessment 60
3.2.1.1 Mini International Neuropsychiatric Interview 60
3.2.1.2 Structured Clinical Interview for the DSM IV 61
3.2.1.3 Posttraumatic Diagnostic Scale 61
3.2.1.4 Peritraumatic Dissociative Experiences Questionnaire .62
3.2.1.5 Beck Depression Inventory 62
3.2.1.6 Hamilton Depression Rating Scale 63
3.2.1.7 Dissociative Experience Scale 63
3.2.1.8 Toronto Alexithymia Scale 64
3.2.2 Assessment of Non Autobiographical Memory 64
3.2.2.1 Narrative Memory Test 64
3.2.2.2 Self Assessment Manikin 67
3.2.3 Assessment of Autobiographical Memory 67
3.2.3.1 Objective Memory Fragmentation 67
3.2.3.2 Self Reported Memory Fragmentation 71
3.2.4 Further Neuropsychological Tasks 71
3.2.4.1 Selective Attention 71
3.2.4.2 Verbal Intelligence 72
3.3 Procedure 72
3.4 Ethical Considerations 75
3.5 Data Reduction and Strategy of Data Analyses 75
3.5.1 Calculation of Memory Scores 75
3.5.2 Statistical Analyses 78
4. Results 80
4.1 Description of the Sample 80
4.1.1 Traumatised Participants 80
4.1.2 Non Traumatised Participants 83
4.2 Non Autobiographical Memory Performance 84
4.2.1 Story Design 85
4.2.2 Content Memory 86
4.2.2.1 Global Model 86
4.2.2.2 Retention 88
4.2.2.3 Confounding Variables 88
4.2.2.4 Recognition Task 89
4.2.3 Memory Fragmentation of Non Autobiographical Material 90
4.2.3.1 Global Model 90
4.2.3.2 Sequence Memory 91
4.2.3.3 Self Reported Memory Fragmentation 93
4.2.4 Influence of Arousal, Valence, and Biographical
Resemblance 94
4.2.4.1 Content Memory 94
4.2.4.2 Sequence Memory 96
4.2.5 Relation Between Content Memory and Sequence Memory 96
4.2.6 Additional Analyses 97
4.3 Autobiographical Memory Performance 99
4.3.1 Severity of Events and Time Since Incidents 99
4.3.2 Length of Narratives 100
4.3.3 Global Model 100
4.3.4 Self Reported Memory Fragmentation 102
4.3.5 Content Analyses: Single Coding Categories 103
4.3.6 Confounding Variables 104
4.3.7 Prevalence of Fragmented Trauma Memories 105
4.3.8 Correlations With Psychopathology 106
4.3.9 Correlations Between Fragmentation Scores 107
5. Discussion 108
5.1 General Summary 108
5.2 Non Autobiographical Memory 108
5.2.1 Content Memory 109
5.2.2 Sequence Memory 114
5.2.3 Issues Concerning Content and Sequence Memory 116
5.3 Autobiographical Memory 117
5.4 General Discussion 123
5.5 Implications 127
5.6 Strengths, Shortcomings, and Future Prospects 129
5.7 Conclusion 132
6. References 135
7. Appendix 151
vi
List of Tables
Table 1. Diagnostic Criteria for PTSD According to the DSM IV 5
Table 2. Studies Investigating Memory Functioning in PTSD 16
Table 3. Studies Investigating Fragmentation of Traumatic Memory. 47
Table 4. Characteristics of Narrative Memory Material 65
Table 5. Single Measure Intraclass Correlation Coefficients for Interrater
Reliability 70
Table 6. Listing of Measures and Tasks Employed in the Study 74
Table 7. Description of Traumatic Events 80
Table 8. Trauma Characteristics for the PTSD and Non PTSD Group:
Number or Mean (Percent or Standard Deviation) 82
Table 9. Psychopathology and Selective Attention in Subjects With and
Without PTSD: Mean (Standard Deviation) 83
Table 10. Demographic Variables in Participants With and Without
PTSD, and Non Traumatised Participants: Number or Mean (Percent
or Standard Deviation) 84
Table 11. Means (Standard Deviations) of Narrative Memory Test (NMT)
Stories With Regard to Valence, Arousal, and Biographical
Resemblance Rated With the Self Assessment Manikin (SAM), N =
110 85
Table 12. Content Recognition: Mean (Standard Deviation) 90
Table 13. Performance in the Seriation Task Indexed by Spearman
Correlations (p): Mean (Standard Deviation) 93
Table 14. Multiple Linear Regression Analyses of Subjective Material
Appraisal on Detail Memory Performance 95
viii
Table 15. Pearson Correlations Between Sequence Memory Total
Scores and Content Memory Total Scores Across Traumatised and
Non Traumatised Participants (N = 110) 97
Table 16. Content Analyses: Means and Standard Deviations of
Percentages of Chunks 104
List of Figures
Figure 1. Content memory performance in the free recall task of the
Narrative Memory Test (NMT) as indexed by Detail Memory in short
term memory and long term memory 87
Figure 2. Sequence memory performance in the free recall task of the
Narrative Memory Test (NMT) as indexed by Sequence Recall Ratio
(SRR) and Adjusted Ratio of Clustering (ARC) in short term memory
(STM) and long term memory (LTM) 92
Figure 3. Global rating of coherence, total fragmentation score, and self
reported memory fragmentation of the traumatic event and the
unpleasant event (UPE) 102
Figure 4. Self reported memory fragmentation of the traumatic event, the
unpleasant event (UPE), and the stories of the Narrative Memory
Test (NMT) in participants with and without PTSD 103
Figure 5. Factors potentially leading to the reproduction of more
fragmented trauma memories in PTSD 124 |
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| id | DE-604.BV022872026 |
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| index_date | 2024-07-02T18:47:34Z |
| indexdate | 2024-07-09T21:07:25Z |
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| isbn | 9783865732606 3865732607 |
| language | English |
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| spelling | Jelinek, Lena Verfasser aut Memory fragmentation in posttraumatic stress disorder content specific or generalised Lena Jelinek Berlin wvb, Wiss. Verl. 2007 XV, 184 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Zugl.: Hamburg, Univ., Diss., 2007 Posttraumatisches Stresssyndrom (DE-588)4361388-3 gnd rswk-swf Gedächtnisstörung (DE-588)4156190-9 gnd rswk-swf (DE-588)4113937-9 Hochschulschrift gnd-content Posttraumatisches Stresssyndrom (DE-588)4361388-3 s Gedächtnisstörung (DE-588)4156190-9 s DE-188 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016077108&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Jelinek, Lena Memory fragmentation in posttraumatic stress disorder content specific or generalised Posttraumatisches Stresssyndrom (DE-588)4361388-3 gnd Gedächtnisstörung (DE-588)4156190-9 gnd |
| subject_GND | (DE-588)4361388-3 (DE-588)4156190-9 (DE-588)4113937-9 |
| title | Memory fragmentation in posttraumatic stress disorder content specific or generalised |
| title_auth | Memory fragmentation in posttraumatic stress disorder content specific or generalised |
| title_exact_search | Memory fragmentation in posttraumatic stress disorder content specific or generalised |
| title_exact_search_txtP | Memory fragmentation in posttraumatic stress disorder content specific or generalised |
| title_full | Memory fragmentation in posttraumatic stress disorder content specific or generalised Lena Jelinek |
| title_fullStr | Memory fragmentation in posttraumatic stress disorder content specific or generalised Lena Jelinek |
| title_full_unstemmed | Memory fragmentation in posttraumatic stress disorder content specific or generalised Lena Jelinek |
| title_short | Memory fragmentation in posttraumatic stress disorder |
| title_sort | memory fragmentation in posttraumatic stress disorder content specific or generalised |
| title_sub | content specific or generalised |
| topic | Posttraumatisches Stresssyndrom (DE-588)4361388-3 gnd Gedächtnisstörung (DE-588)4156190-9 gnd |
| topic_facet | Posttraumatisches Stresssyndrom Gedächtnisstörung Hochschulschrift |
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