付記する学位プログラム名: 霊長類学・ワイルドライフサイエンス・リーディング大学院 / 京都大学 / 0048 / 新制・課程博士 / 博士(理学) / 甲第22034号 / 理博第4538号 / 新制||理||1652(附属図書館) / 京都大学大学院理学研究科生物科学専攻 / (主査)教授 友永 雅己, 准教授 宮地 重弘, 教授 濱田 穣 / 学位規則第4条第1項該当 / Doctor of Science / Kyoto University / DFAM

Posttraumatic Stress Disorder (PTSD) is marked by avoidance, arousal, re-experiencing, and negative mood and cognition. To date, these symptoms are assessed using self-report measures (e.g., the PCL-5) and clinician administered assessments (e.g., the CAPS-5). While these are the present gold-standard assessments for PTSD, they still are prone to bias on behalf of both the administrator and the patient. Presently, there is evidence that individuals with PTSD perform differently than individuals without PTSD on certain cognitive tasks that measure attention bias and avoidance behaviors. As such, creating a battery of these tasks may be a viable route for objectively measuring PTSD. In an effort to provide preliminary evidence for such a battery, we used three cognitive assessments [the Emotional Stroop Task (EST), the Visual Search Task (VST), and the Approach Avoidance Task (AAT)] to assess cognitive performance in veterans with PTSD, and veterans and civilians without PTSD. We hypothesized that veterans with PTSD would perform worse than the other groups (as measured by reaction times and accuracy scores) following the presentation of combat-related stimuli compared to negative and positive stimuli. The results indicated that veterans with PTSD were generally slower across all conditions in the EST, had lower accuracy scores on the VST, and were slower in the combat condition compared to the other control groups in the AAT. This study provides preliminary support for the hypothesis that a battery of cognitive tasks may be an effective tool for objectively identifying PTSD. Furthermore, we discuss important methodological ways in which future studies could improve the sensitivity of these tasks.

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根據恐懼管理理論（Terror Management Theory, 1986）人們會適時地管理死亡想法的威脅，故Pyszczynski、Greenberg及Solomon（1999）依據此理論提出了一套雙元歷程模式來解釋人們的防衛方式：近端防衛與遠端防衛。在遠端防衛中文化世界觀尤為重要，在過去的西方研究之中，發現人們常以對自身文化世界觀持正向或偏好的態度，來防衛死亡想法的威脅；然而這樣的現象卻在亞洲研究中難以得到驗證，因此本研究的目的即在於重新檢驗文化世界觀的防衛方式。本研究操弄參與者的死亡想法，並藉由分心作業的方式，使其死亡想法掉入意識邊陲之中，以探究遠端防衛的本質。本研究除了以偏好的評估作為依變項外，且從認知的注意力面向出發，探討文化世界觀與防衛死亡想法之間的關係。本研究設計兩個實驗：實驗一以視覺搜尋作業的派典進行研究，以對自身文化的偏好、正確率與反應時間當作依變項。結果發現當參與者進行遠端防衛時，會對於與自身文化有關的線索，表現出較高的正確率，但在對自身文化的偏好，與反應時間的變項上，未能發現有顯著差異。實驗二以眼動追蹤儀器當作研究工具，並以眼動指標中首次凝視位置的數量，以及凝視時間作為依變項。結果發現當參與者進行遠端防衛時，會對於與自身文化有關的線索，表現出較長的凝視時間，但在首次凝視位置的數量上，亦未能發現有顯著差異。因此，綜合以上兩個實驗，本研究並未能完全支持文化世界觀的遠端防衛效果。 / According to terror management theory (1986), people can manage the threat from death thought. Thus, Pyszczynski, Greenberg, & Solomon (1999) proposed a dual-process model to explain how people defend the death. There are two defense routes: the proximal defense and the distal defense. The culture-worldview is an important function in the distal defense. In the western research, it was found that people were more positive or preferred to self-culture-worldview. However, there are mixed findings in the eastern research. In order to investigate the distal defense mechanism, this study manipulated participants’ death thought, and let the thought drop into the unconscious level via a distracting task. Furthermore, this study examined the relationship between the culture-worldview and the death defense from attentional paradigms. We conducted two experiments. In the first experiment, we adopted the visual search paradigm, and the dependent variables were self-cultural preference, reaction time and the rate of accuracy. We found it was more accurate when participants were asked to search the self-related cultural cue after reminding one’s death comparing to those are not reminding about death. But they were no significant difference in the self-cultural preference and reaction time. In the second experiment, we adopted the eye-tracker as the instrument, and the dependent variables were the index of number of first fixation and the duration of fixations. We found the fixation duration was longer for the self-related cultural cues than for the non-self-related cultural cues when participants being reminded about one’s death. But it was no significant difference in the number of first fixation. So, through these two experiments we found an inconsistent result in the distal defense.