Changes in fear-associated learning task brain activation over the COVID-19 pandemic period: a preliminary longitudinal analysis.

Background: The COVID-19 pandemic has had profound impacts on people worldwide. Previous studies have shown that fear learning, extinction, recall, and contextual information processing involve the activation of emotion and sensory brain systems, which can be modified. However, it remains unclear whether brain functions associated with these processes have been altered over the pandemic period. Methods: We compared pre- and peri-pandemic brain activation during a fear-associated learning task (FALT) using previously collected data. The participants were divided into two groups: the pandemic group (n = 16), who completed a baseline FALT before the pandemic and repeated the task during the pandemic, and the non-pandemic group (n = 77), who completed both sessions before the pandemic began. Results: Compared with the non-pandemic group, the pandemic group exhibited significant decreases in brain activation from baseline to follow-up assessments, including activation in the brainstem during early fear learning, the posterior thalamus/hippocampus during late extinction, and the occipital pole during late recall phases for contextual processing. Furthermore, activations associated with retrieving safety cues were reduced in the posterior cingulate, premotor, and calcarine cortices during the early recall phase, and activations associated with retrieving dangerous cues decreased in the occipital pole during the late recall phase. Additionally, correlations between decreased activation and elevated posttraumatic stress symptoms were observed. Conclusion: These findings suggest that activations associated with processing low arousal contextual information, safety cues, and extinguished fear cues decreased during the pandemic. These changes in brain activation may have contributed to the increase in mental health disturbances observed during this time.

The lab discovered: Place-for-institution metonyms appearing in subject position are processed as agents.

"Hospital" can refer to a physical place or more figuratively to the people associated with it. Such place-for-institution metonyms are common in everyday language, but there remain several open questions in the literature regarding how they are processed. The goal of the current eyetracking experiments was to investigate how metonyms are interpreted when they appear as sentence subjects in structures that are temporarily syntactically ambiguous versus unambiguous (e.g., "The hospital [that was] requested by the doctor…"). If comprehenders have a bias to interpret metonyms in subject position as agents (Fishbein & Harris, 2014), they should initially access the figurative (institutional) sense of the metonym. This interpretation is rendered incorrect at the disambiguating by-phrase, which should lead to reanalysis (i.e., garden-path effects). In Experiment 1, larger garden-path effects were observed for metonyms compared to inanimate control nouns that did not have a figurative sense. In Experiment 2, garden-path effects were equivalent for metonyms and animate sentence subjects. In addition, there was some evidence that readers exhibited initial difficulty at the verb (e.g., "requested") when it immediately followed the metonym compared to the inanimate control nouns in Experiment 1. Overall, the results suggest that the subject-as-agent heuristic is a powerful cue during sentence processing, which can prompt the comprehender to access a figurative interpretation of a metonym. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Emotion dysregulation mediates the association between acute sleep disturbance and later posttraumatic stress symptoms in trauma exposed adults.

Background: Sleep disturbance is common within days to weeks following a traumatic event and has been associated with emotion dysregulation, a strong risk factor for PTSD development. This study aims to examine if emotion dysregulation mediates the relationship between early post-trauma sleep disturbance and subsequent PTSD symptom severity.Methods: Adult participants (n = 125) completed questionnaires regarding sleep disturbance (via Pittsburgh Sleep Quality Index Addendum; PSQI-A) and emotion dysregulation (via Difficulties in Emotion Regulation Scale; DERS) within 2 weeks after exposure to traumatic events.Results: PTSD symptom severity was assessed with PTSD Checklist for DSM-5 (PCL-5) at 3-month follow-up. There were strong correlations between PSQI-A, DERS, and PCL-5 (r ranges between .38 and .45). Mediation analysis further revealed significant indirect effects of overall emotion regulation difficulties in the relationship between sleep disturbance at 2 weeks and PTSD symptom severity at 3 months (B = .372, SE = .136, 95% CI: [.128, .655]). Importantly, limited access to emotion regulation strategies emerged as the single, significant indirect effect in this relationship (B = .465, SE = .204, 95% CI [.127, .910]) while modelling DERS subscales as multiple parallel mediators.Conclusions: Early post-trauma sleep disturbance is associated with PTSD symptoms over months, and acute emotion dysregulation explains part of this association. Those with limited emotion regulation strategies are at particular risk of developing PTSD symptoms. Early interventions focusing on the appropriate strategies for emotion regulation may be crucial for trauma-exposed individuals.

Early post-trauma sleep disturbance and emotion dysregulation associated with subsequent posttraumatic stress symptoms.Emotion dysregulation mediates associations between acute sleep disturbance and later posttraumatic stress symptoms.Limited access to effective regulatory strategies was the single, significant contributor to this mediation link.

Early self-reported post-traumatic stress symptoms after trauma exposure and associations with diagnosis of post-traumatic stress disorder at 3 months: latent profile analysis.

BACKGROUND: Trauma exposure can cause post-traumatic stress symptoms (PTSS), and persistently experiencing PTSS may lead to the development of post-traumatic stress disorder (PTSD). Research has shown that PTSS that emerged within days of trauma was a robust predictor of PTSD development. AIMS: To investigate patterns of early stress responses to trauma and their associations with development of PTSD. METHOD: We recruited 247 civilian trauma survivors from a local hospital emergency department. The PTSD Checklist for DSM-5 (PCL-5) and Acute Stress Disorder Scale (ASDS) were completed within 2 weeks after the traumatic event. Additionally, 3 months post-trauma 146 of these participants completed a PTSD diagnostic interview using the Clinician Administered PTSD Scale for DSM-5. RESULTS: We first used latent profile analysis on four symptom clusters of the PCL-5 and the dissociation symptom cluster of the ASDS and determined that a four-profile model ('severe symptoms', 'moderate symptoms', 'mild symptoms', 'minimal symptoms') was optimal based on multiple fit indices. Gender was found to be predictive of profile membership. We then found a significant association between subgroup membership and PTSD diagnosis (χ2(3) = 11.85, P < 0.01, Cramer's V = 0.263). Post hoc analysis revealed that this association was driven by participants in the 'severe symptoms' profile, who had a greater likelihood of developing PTSD. CONCLUSIONS: These findings fill the knowledge gap of identifying possible subgroups of individuals based on their PTSS severity during the early post-trauma period and investigating the relationship between subgroup membership and PTSD development, which have important implications for clinical practice.

Effects of syntactic structure on the processing of lexical repetition during sentence reading.

Previous research has demonstrated that the ease or difficulty of processing complex semantic expressions depends on sentence structure: Processing difficulty emerges when the constituents that create the complex meaning appear in the same clause, whereas difficulty is reduced when the constituents appear in separate clauses. The goal of the current eye-tracking-while-reading experiments was to determine how changes to sentence structure affect the processing of lexical repetition, as this manipulation enabled us to isolate processes involved in word recognition (repetition priming) from those involved in sentence interpretation (felicity of the repetition). When repetition of the target word was felicitous (Experiment 1), we observed robust effects of repetition priming with some evidence that these effects were weaker when repetition occurred within a clause versus across a clause boundary. In contrast, when repetition of the target word was infelicitous (Experiment 2), readers experienced an immediate repetition cost when repetition occurred within a clause, but this cost was eliminated entirely when repetition occurred across clause boundaries. The results have implications for word recognition during reading, processes of semantic integration, and the role of sentence structure in guiding these linguistic representations.