Dataset Information

The neural basis of flashback formation: the impact of viewing trauma.

ABSTRACT:

Background

Psychological traumatic events, such as war or road traffic accidents, are widespread. A small but significant proportion of survivors develop post-traumatic stress disorder (PTSD). Distressing, sensory-based involuntary memories of trauma (henceforth 'flashbacks') are the hallmark symptom of PTSD. Understanding the development of flashbacks may aid their prevention. This work is the first to combine the trauma film paradigm (as an experimental analogue for flashback development) with neuroimaging to investigate the neural basis of flashback aetiology. We investigated the hypothesis that involuntary recall of trauma (flashback) is determined during the original event encoding. Method A total of 22 healthy volunteers viewed a traumatic film whilst undergoing functional magnetic resonance imaging (fMRI). They kept a 1-week diary to record flashbacks to specific film scenes. Using a novel prospective fMRI design, we compared brain activation for those film scenes that subsequently induced flashbacks with both non-traumatic control scenes and scenes with traumatic content that did not elicit flashbacks ('potentials').

Results

Encoding of scenes that later caused flashbacks was associated with widespread increases in activation, including in the amygdala, striatum, rostral anterior cingulate cortex, thalamus and ventral occipital cortex. The left inferior frontal gyrus and bilateral middle temporal gyrus also exhibited increased activation but only relative to 'potentials'. Thus, these latter regions appeared to distinguish between traumatic content that subsequently flashed back and comparable content that did not.

Conclusions

Results provide the first prospective evidence that the brain behaves differently whilst experiencing emotional events that will subsequently become involuntary memories - flashbacks. Understanding the neural basis of analogue flashback memory formation may aid the development of treatment interventions for this PTSD feature.

SUBMITTER: Bourne C

PROVIDER: S-EPMC3806039 | biostudies-literature | 2013 Jul

REPOSITORIES: biostudies-literature

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Publications

The neural basis of flashback formation: the impact of viewing trauma.

Bourne C C Mackay C E CE Holmes E A EA

Psychological medicine 20121018 7

<h4>Background</h4>Psychological traumatic events, such as war or road traffic accidents, are widespread. A small but significant proportion of survivors develop post-traumatic stress disorder (PTSD). Distressing, sensory-based involuntary memories of trauma (henceforth 'flashbacks') are the hallmark symptom of PTSD. Understanding the development of flashbacks may aid their prevention. This work is the first to combine the trauma film paradigm (as an experimental analogue for flashback developme ...[more]

PMID: 23171530

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Project description:The well-known gaze cascade hypothesis proposes that as people look longer at an item, they tend to show an increased preference for it. However, using single food images as stimuli, we recently obtained results that clearly deviated from the general proposal that the gaze both expresses and influences preference formation. Instead, the pattern of data depended on the self-determination of exposure duration as well as the type of evaluation task. In order to disambiguate how the type of evaluation determines the relationship between viewing and liking we conducted the present follow-up study, with a fixed response set size as opposed to the varying set sizes in our previous study. In non-exclusive evaluation tasks, subjects were asked how much they liked individual food images. The recorded response was a number from 1 to 3. In exclusive evaluation tasks, subjects were asked for each individual food image to give one of three response options toward a limited selection: include it, exclude it, or defer the judgment. When subjects were able to determine the exposure duration, both the non-exclusive and exclusive evaluations produced inverted U-shaped trends such that the polar ends of the evaluation (the positive and negative extremes) were associated with relatively short viewing times, whereas the middle category had the longest viewing times. Thus, the data once again provided firm evidence against the notion that longer viewing facilitates preference formation. Moreover, the fact that non-exclusive and exclusive evaluation produced similar inverted U-shaped patterns suggests that the response set size is the critical factor that accounts for the observations here versus in our previous study. When keeping the response set size constant, with an equal opportunity to observe inverted U-shaped patterns, the findings are suggestive of a role for the level of decisiveness in determining the length of viewing time. For items that can be categorically identified as positive or negative, the evaluations are soon completed, with relatively brief viewing times. The prolonged visual inspection for the middle category may reflect doubt or uncertainty during the evaluative processing, possibly with an increased effort of information integration before reaching a conclusion.

Project description:Previous research suggested a role of gaze in preference formation, not merely as an expression of preference, but also as a causal influence. According to the gaze cascade hypothesis, the longer subjects look at an item, the more likely they are to develop a preference for it. However, to date the connection between viewing and liking has been investigated predominately with self-paced viewing conditions in which the subjects were required to select certain items from simultaneously presented stimuli on the basis of perceived visual attractiveness. Such conditions might promote a default, but non-mandatory connection between viewing and liking. To explore whether the connection is separable, we examined the evaluative processing of single naturalistic food images in a 2 × 2 design, conducted completely within subjects, in which we varied both the type of exposure (self-paced versus time-controlled) and the type of evaluation (non-exclusive versus exclusive). In the self-paced exclusive evaluation, longer viewing was associated with a higher likelihood of a positive evaluation. However, in the self-paced non-exclusive evaluation, the trend reversed such that longer viewing durations were associated with lesser ratings. Furthermore, in the time-controlled tasks, both with non-exclusive and exclusive evaluation, there was no significant relationship between the viewing duration and the evaluation. The overall pattern of results was consistent for viewing times measured in terms of exposure duration (i.e., the duration of stimulus presentation on the screen) and in terms of actual gaze duration (i.e., the amount of time the subject effectively gazed at the stimulus on the screen). The data indicated that viewing does not intrinsically lead to a higher evaluation when evaluating single food images; instead, the relationship between viewing duration and evaluation depends on the type of task. We suggest that self-determination of exposure duration may be a prerequisite for any influence from viewing time on evaluative processing, regardless of whether the influence is facilitative. Moreover, the purported facilitative link between viewing and liking appears to be limited to exclusive evaluation, when only a restricted number of items can be included in a chosen set.

Dataset Information

The neural basis of flashback formation: the impact of viewing trauma.

Background

Results

Conclusions

Publications

The neural basis of flashback formation: the impact of viewing trauma.

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