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Scene construction impairment in posttraumatic stress disorder restored following Eye Movement Desensitization and Reprocessing therapy

Bergman, Emma ; Perrin, Sean LU orcid and Johansson, Mikael LU orcid (2023) EMDR Research and Practice Conference 2023
Abstract
The ability to encode, imagine, and remember coherent representations of the world is crucial for everyday life and depends on a brain network involving the hippocampal region. Scene construction tasks, which measure spatial coherence, have been shown to be sensitive to hippocampal integrity in amnesic patients. Hippocampal dysfunction has been implicated in posttraumatic stress disorder (PTSD), a condition characterized by intrusions of the trauma memory, often in a highly sensory, fragmented, and non-coherent state. The present study assesses spatial coherence (beyond the trauma memory) in ¬¬¬¬adults receiving Eye Movement and Desensitization (EMDR) therapy for PTSD and healthy controls and whether reductions in PTSD were associated with... (More)
The ability to encode, imagine, and remember coherent representations of the world is crucial for everyday life and depends on a brain network involving the hippocampal region. Scene construction tasks, which measure spatial coherence, have been shown to be sensitive to hippocampal integrity in amnesic patients. Hippocampal dysfunction has been implicated in posttraumatic stress disorder (PTSD), a condition characterized by intrusions of the trauma memory, often in a highly sensory, fragmented, and non-coherent state. The present study assesses spatial coherence (beyond the trauma memory) in ¬¬¬¬adults receiving Eye Movement and Desensitization (EMDR) therapy for PTSD and healthy controls and whether reductions in PTSD were associated with improvements in spatial coherence. Adults (N=17) with PTSD receiving EMDR completed clinical measures and a scene construction task before and after treatment. Age-matched, healthy controls (N=17) completed the scene construction task over the same interval. PTSD scores improved significantly from pre- to posttreatment; completers no longer meeting criteria for PTSD diagnosis. Patients displayed significant impairments in generating spatially coherent scenes compared to controls at pre-treatment but were similar to controls at post-treatment. This is the first study demonstrating that adults with PTSD have difficulty generating spatially coherent scenes, indicating a general disruption of spatial coherence beyond trauma memories. The present study further suggests that EMDR therapy may restore the hippocampally-dependent capacity for spatial coherence in PTSD. Further studies are warranted involving larger samples, additional tests of hippocampal functioning, and how performances on these tasks are related to symptom severity and change. (Less)
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author
; and
organization
publishing date
type
Contribution to conference
publication status
unpublished
subject
keywords
PTSD, EMDR, Scene construction, Episodic memory, spatial coherence
conference name
EMDR Research and Practice Conference 2023
conference location
Bologna, Italy
conference dates
2023-06-23 - 2023-06-25
language
English
LU publication?
yes
id
5cdd9b94-b293-436b-8e16-45dddb8212ca
date added to LUP
2024-03-15 11:59:40
date last changed
2024-03-15 15:02:13
@misc{5cdd9b94-b293-436b-8e16-45dddb8212ca,
  abstract     = {{The ability to encode, imagine, and remember coherent representations of the world is crucial for everyday life and depends on a brain network involving the hippocampal region. Scene construction tasks, which measure spatial coherence, have been shown to be sensitive to hippocampal integrity in amnesic patients. Hippocampal dysfunction has been implicated in posttraumatic stress disorder (PTSD), a condition characterized by intrusions of the trauma memory, often in a highly sensory, fragmented, and non-coherent state. The present study assesses spatial coherence (beyond the trauma memory) in ¬¬¬¬adults receiving Eye Movement and Desensitization (EMDR) therapy for PTSD and healthy controls and whether reductions in PTSD were associated with improvements in spatial coherence. Adults (N=17) with PTSD receiving EMDR completed clinical measures and a scene construction task before and after treatment. Age-matched, healthy controls (N=17) completed the scene construction task over the same interval. PTSD scores improved significantly from pre- to posttreatment; completers no longer meeting criteria for PTSD diagnosis. Patients displayed significant impairments in generating spatially coherent scenes compared to controls at pre-treatment but were similar to controls at post-treatment. This is the first study demonstrating that adults with PTSD have difficulty generating spatially coherent scenes, indicating a general disruption of spatial coherence beyond trauma memories. The present study further suggests that EMDR therapy may restore the hippocampally-dependent capacity for spatial coherence in PTSD. Further studies are warranted involving larger samples, additional tests of hippocampal functioning, and how performances on these tasks are related to symptom severity and change.}},
  author       = {{Bergman, Emma and Perrin, Sean and Johansson, Mikael}},
  keywords     = {{PTSD; EMDR; Scene construction; Episodic memory; spatial coherence}},
  language     = {{eng}},
  month        = {{06}},
  title        = {{Scene construction impairment in posttraumatic stress disorder restored following Eye Movement Desensitization and Reprocessing therapy}},
  year         = {{2023}},
}