Skip to main content
Erschienen in: Cognitive Therapy and Research 1/2019

01.10.2018 | Original Article

Cognitive Processing and Regulation Modulates Analogue Trauma Symptoms in a Virtual Reality Paradigm

verfasst von: T. Schweizer, Fritz Renner, Dali Sun, Christian Becker-Asano, Brunna Tuschen-Caffier

Erschienen in: Cognitive Therapy and Research | Ausgabe 1/2019

Einloggen, um Zugang zu erhalten

Abstract

To date, few studies have examined stress responses during or shortly after potentially traumatic events in real-time. In this study, a prospective Virtual Reality analogue trauma paradigm was used to assess peri- and post-traumatic stress responses in healthy individuals (N = 80). Here we compared a range of peri-traumatic psychophysiological responses following analogue trauma to a control condition. Furthermore, we aimed to identify essential regulatory mechanisms in response to an analogue trauma and their effects on subsequent analogue trauma symptoms. Therefore, we examined the impact of subjective and physiological emotional responses, cognitive processing, cognitive regulation and appraisal as well as flexible emotion regulation on analogue trauma symptoms. Results of the hierarchical multiple regression analyses revealed that cognitive processing as well as cognitive regulation and appraisal predicted analogue trauma symptoms beyond psychophysiological responses, while flexible emotion regulation was uniquely predictive only directly afterwards. The findings provide evidence that flexible emotion regulation might be in particular protective directly after trauma exposure and highlight the general importance of peri- and post-traumatic cognitive factors in the development and maintenance of stress-associated psychopathology, thereby supporting cognitive models of PTSD.
Literatur
Zurück zum Zitat Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio: Psychological Corporation. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II. San Antonio: Psychological Corporation.
Zurück zum Zitat Becker-Asano, C., Sun, D., Kleim, B., Scheel, C. N., Tuschen-Caffier, B., & Nebel, B. (2011). Outline of an empirical study on the effects of emotions on strategic behavior in virtual emergencies. In S. D’Mello, A. Graessner, B. Schuller & J.-C. Martin (Eds.), Affective computing and intelligent interaction (pp. 508–517). Berlin: Springer. https://doi.org/10.1007/978-3-642-24571-8_64.CrossRef Becker-Asano, C., Sun, D., Kleim, B., Scheel, C. N., Tuschen-Caffier, B., & Nebel, B. (2011). Outline of an empirical study on the effects of emotions on strategic behavior in virtual emergencies. In S. D’Mello, A. Graessner, B. Schuller & J.-C. Martin (Eds.), Affective computing and intelligent interaction (pp. 508–517). Berlin: Springer. https://​doi.​org/​10.​1007/​978-3-642-24571-8_​64.CrossRef
Zurück zum Zitat Berntson, G. G., Cacioppo, J. T., Binkley, P. F., Uchino, B. N., Quigley, K. S., & Fieldstone, A. (1994). Autonomic cardiac control. III. Psychological stress and cardiac response in autonomic space as revealed by pharmacological blockades. Psychophysiology, 31(6), 599–608.PubMedCrossRef Berntson, G. G., Cacioppo, J. T., Binkley, P. F., Uchino, B. N., Quigley, K. S., & Fieldstone, A. (1994). Autonomic cardiac control. III. Psychological stress and cardiac response in autonomic space as revealed by pharmacological blockades. Psychophysiology, 31(6), 599–608.PubMedCrossRef
Zurück zum Zitat Boucsein, W. (2012). Electrodermal activity (2nd ed.). New York: Springer.CrossRef Boucsein, W. (2012). Electrodermal activity (2nd ed.). New York: Springer.CrossRef
Zurück zum Zitat Bradley, M. M., & Lang, P. J. (2000). Measuring emotion: Behavior, feeling, and physiology. In R. D. Lane & L. Nadel (Eds.), Cognitive neuroscience of emotion (pp. 242–276). New York: Oxford University Press. Bradley, M. M., & Lang, P. J. (2000). Measuring emotion: Behavior, feeling, and physiology. In R. D. Lane & L. Nadel (Eds.), Cognitive neuroscience of emotion (pp. 242–276). New York: Oxford University Press.
Zurück zum Zitat Cohen, J. (1988). Statistical power analysis for the behavioural sciences (2nd ed.). Hillsdale: Lawrence Earlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioural sciences (2nd ed.). Hillsdale: Lawrence Earlbaum Associates.
Zurück zum Zitat Cunningham, K. C., Davis, J. L., Wilson, S. M., & Resick, P. A. (2017). A relative weights comparison of trauma-related shame and guilt as predictors of DSM-5 posttraumatic stress disorder symptom severity among US veterans and military members. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12163.PubMedCrossRef Cunningham, K. C., Davis, J. L., Wilson, S. M., & Resick, P. A. (2017). A relative weights comparison of trauma-related shame and guilt as predictors of DSM-5 posttraumatic stress disorder symptom severity among US veterans and military members. British Journal of Clinical Psychology. https://​doi.​org/​10.​1111/​bjc.​12163.PubMedCrossRef
Zurück zum Zitat Ehlers, A. (2002). Processing styles questionnaire. Ehlers, A. (2002). Processing styles questionnaire.
Zurück zum Zitat Franke, G. H. (2000). Brief Symptom Inventory (BSI). Göttingen: Beltz Test GmbH. Franke, G. H. (2000). Brief Symptom Inventory (BSI). Göttingen: Beltz Test GmbH.
Zurück zum Zitat Galatzer-Levy, I. R., Burton, C. L., & Bonanno, G. A. (2012). Coping flexibility, potentially traumatic life events, and resilience: A prospective study of college student adjustment. Journal of Social and Clinical Psychology, 31(6), 542–567.CrossRef Galatzer-Levy, I. R., Burton, C. L., & Bonanno, G. A. (2012). Coping flexibility, potentially traumatic life events, and resilience: A prospective study of college student adjustment. Journal of Social and Clinical Psychology, 31(6), 542–567.CrossRef
Zurück zum Zitat Hair, J. F., Black, W. C., Babin, B. J., & Anders, R. E. (2010). Multivariate data analysis: A global perspective (7th ed.). Upper Saddle River: Pearson. Hair, J. F., Black, W. C., Babin, B. J., & Anders, R. E. (2010). Multivariate data analysis: A global perspective (7th ed.). Upper Saddle River: Pearson.
Zurück zum Zitat Jänig, W., & Häbler, H. J. (2000). Specificity in the organization of the autonomic nervous system: A basis for precise neural regulation of homeostatic and protective body functions. Progress in Brain Research, 122, 351–367.PubMedCrossRef Jänig, W., & Häbler, H. J. (2000). Specificity in the organization of the autonomic nervous system: A basis for precise neural regulation of homeostatic and protective body functions. Progress in Brain Research, 122, 351–367.PubMedCrossRef
Zurück zum Zitat Kinateder, M., Ronchi, E., Nilsson, D., Kobes, M., Müller, M., Pauli, P., et al. (2014). Virtual reality for fire evacuation research. In A. Krasuski & G. Rein (Eds.), Federated conference on computer science and information systems. (pp. 313–321). New York: IEEE. https://doi.org/10.15439/2014F94.CrossRef Kinateder, M., Ronchi, E., Nilsson, D., Kobes, M., Müller, M., Pauli, P., et al. (2014). Virtual reality for fire evacuation research. In A. Krasuski & G. Rein (Eds.), Federated conference on computer science and information systems. (pp. 313–321). New York: IEEE. https://​doi.​org/​10.​15439/​2014F94.CrossRef
Zurück zum Zitat Laux, L., Glanzmann, P., Schaffner, P., & Spielberger, C. (1981). Das State-Trait-Angstinventar (STAI) [State-Trait-Anxiety Inventory (STAI)]. Weinheim: Beltz. Laux, L., Glanzmann, P., Schaffner, P., & Spielberger, C. (1981). Das State-Trait-Angstinventar (STAI) [State-Trait-Anxiety Inventory (STAI)]. Weinheim: Beltz.
Zurück zum Zitat Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer Publishing Company. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal and coping. New York: Springer Publishing Company.
Zurück zum Zitat Loch, N., Hiller, W., & Witthöft, M. (2011). Der cognitive emotion regulation questionnaire (CERQ). Erste teststatistische Überprüfung einer deutschen Adaption. Zeitschrift fur Klinische Psychologie und Psychotherapie, 40(2), 94–106.CrossRef Loch, N., Hiller, W., & Witthöft, M. (2011). Der cognitive emotion regulation questionnaire (CERQ). Erste teststatistische Überprüfung einer deutschen Adaption. Zeitschrift fur Klinische Psychologie und Psychotherapie, 40(2), 94–106.CrossRef
Zurück zum Zitat Maercker, A., & Schützwohl, M. (1998). Erfassung von psychischen Belastungssfolgen: Die impact of event Skala—Revidierte Version. Diagnostica, 44, 130–141. Maercker, A., & Schützwohl, M. (1998). Erfassung von psychischen Belastungssfolgen: Die impact of event Skala—Revidierte Version. Diagnostica, 44, 130–141.
Zurück zum Zitat Margraf, J., & Ehlers, A. (2007). Beck Angst-Inventar (BAI). Frankfurt am Main: Harcourt Test Services GmbH. Margraf, J., & Ehlers, A. (2007). Beck Angst-Inventar (BAI). Frankfurt am Main: Harcourt Test Services GmbH.
Zurück zum Zitat Mc Farlane, A. C. (2000). Posttraumatic stress disorder: A model of the longitudinal course and the role of risk factors. The Journal of Clinical Psychiatry, 61(5), 15–20. Mc Farlane, A. C. (2000). Posttraumatic stress disorder: A model of the longitudinal course and the role of risk factors. The Journal of Clinical Psychiatry, 61(5), 15–20.
Zurück zum Zitat Meiser-Stedman, R., Dalgleish, T., Glucksman, E., Yule, W., & Smith, P. (2009). Maladaptive cognitive appraisals mediate the evolution of posttraumatic stress reactions: A 6-month follow up of child and adolescent assault and motor vehicle accident survivors. Journal of Abnormal Psychology, 118, 778.PubMedCrossRef Meiser-Stedman, R., Dalgleish, T., Glucksman, E., Yule, W., & Smith, P. (2009). Maladaptive cognitive appraisals mediate the evolution of posttraumatic stress reactions: A 6-month follow up of child and adolescent assault and motor vehicle accident survivors. Journal of Abnormal Psychology, 118, 778.PubMedCrossRef
Zurück zum Zitat Schubert, T., Friedmann, F., & Regenbrecht, H. (2001). The experience of presence: Factor analytic insights. Presence, 10(3), 266–281.CrossRef Schubert, T., Friedmann, F., & Regenbrecht, H. (2001). The experience of presence: Factor analytic insights. Presence, 10(3), 266–281.CrossRef
Zurück zum Zitat Schumm, J. A., Dickstein, B. D., Walter, K. H., Owens, G. P., & Chard, K. M. (2015). Changes in posttraumatic cognitions predict changes in posttraumatic stress disorder symptoms during cognitive processing therapy. Journal of Consulting and Clinical Psychology, 83(6), 1161–1166. https://doi.org/10.1037/ccp0000040.PubMedCrossRef Schumm, J. A., Dickstein, B. D., Walter, K. H., Owens, G. P., & Chard, K. M. (2015). Changes in posttraumatic cognitions predict changes in posttraumatic stress disorder symptoms during cognitive processing therapy. Journal of Consulting and Clinical Psychology, 83(6), 1161–1166. https://​doi.​org/​10.​1037/​ccp0000040.PubMedCrossRef
Zurück zum Zitat Seligowski, A. V., Lee, D. J., Bardeen, J. R., & Orcutt, H. K. (2015). Emotion regulation and posttraumatic stress symptoms: A meta-analysis. Cognitive Behaviour Therapy, 44(2), 87–102.PubMedCrossRef Seligowski, A. V., Lee, D. J., Bardeen, J. R., & Orcutt, H. K. (2015). Emotion regulation and posttraumatic stress symptoms: A meta-analysis. Cognitive Behaviour Therapy, 44(2), 87–102.PubMedCrossRef
Zurück zum Zitat Solberg, Ø, Birkeland, M. S., Blix, I., Hansen, M. B., & Heir, T. (2016). Towards an exposure-dependent model of post-traumatic stress: Longitudinal course of post-traumatic stress symptomatology and functional impairment after the 2011 Oslo bombing. Psychological Medicine, 46(15), 3241–3254. https://doi.org/10.1017/S0033291716001860.PubMedCrossRef Solberg, Ø, Birkeland, M. S., Blix, I., Hansen, M. B., & Heir, T. (2016). Towards an exposure-dependent model of post-traumatic stress: Longitudinal course of post-traumatic stress symptomatology and functional impairment after the 2011 Oslo bombing. Psychological Medicine, 46(15), 3241–3254. https://​doi.​org/​10.​1017/​S003329171600186​0.PubMedCrossRef
Zurück zum Zitat Spielberger, C. D., Gorsuch, R. L., Lushene, P. R., Vagg, P. R., & Jacobs, A. G. (1983). Manual for the state-trait anxiety inventory (STAI). Palo Alto: Consulting Psychologists Press. Spielberger, C. D., Gorsuch, R. L., Lushene, P. R., Vagg, P. R., & Jacobs, A. G. (1983). Manual for the state-trait anxiety inventory (STAI). Palo Alto: Consulting Psychologists Press.
Zurück zum Zitat Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-Revised (IES-R). In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399–411). New York: Guilford Press. Weiss, D. S., & Marmar, C. R. (1997). The Impact of Event Scale-Revised (IES-R). In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399–411). New York: Guilford Press.
Zurück zum Zitat Wilhelm, F. H., & Peyk, P. (2005). ANSLAB: Autonomic Nervous System Laboratory 4.0 [Computer Software]. Basel: Wilhelm & Peyk. Wilhelm, F. H., & Peyk, P. (2005). ANSLAB: Autonomic Nervous System Laboratory 4.0 [Computer Software]. Basel: Wilhelm & Peyk.
Metadaten
Titel
Cognitive Processing and Regulation Modulates Analogue Trauma Symptoms in a Virtual Reality Paradigm
verfasst von
T. Schweizer
Fritz Renner
Dali Sun
Christian Becker-Asano
Brunna Tuschen-Caffier
Publikationsdatum
01.10.2018
Verlag
Springer US
Erschienen in
Cognitive Therapy and Research / Ausgabe 1/2019
Print ISSN: 0147-5916
Elektronische ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-018-9967-9

Weitere Artikel der Ausgabe 1/2019

Cognitive Therapy and Research 1/2019 Zur Ausgabe

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.