Attentional processes in posttraumatic stress disorder and the associated changes in neural functioning

Block, Stefanie R.; Liberzon, Israel

doi:10.1016/j.expneurol.2016.05.009

Cited by 52Posttraumatic Stress Disorder ResearchTraumatic Brain Injury ResearchCognitive Functions and Memory

Attentional processes in posttraumatic stress disorder and the associated changes in neural functioning

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Block, Stefanie R., Liberzon, Israel·2016·Experimental Neurology

DOI 10.1016/j.expneurol.2016.05.009

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Abstract

Posttraumatic Stress Disorder (PTSD) is associated with alterations in attention at the behavioral and neural levels. However, there are conflicting findings regarding the specific type of attention impairments present in PTSD, as the commonly used tests of attention do not isolate the mechanisms behind attention abnormalities, and the constructs measured do not map onto the neurocircuits governing attention. Here, we review the literature on attention processing in PTSD and offer directions for future research to clarify these unanswered questions. First, using instruments that allow assessment of behavioral and neurophysiological attention components will be necessary to understand attention deficits in PTSD. Second, focus on intra-individual variability in addition to assessment of central tendency may help clarify some of the mixed findings. Third, longitudinal studies on attentional processes are warranted to determine how attention contributes to the development and maintenance of PTSD. Integration of behavioral and neural measures of attention will be useful in understanding the pathophysiology of PTSD.

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At the center of the cognitive control disturbance in PTSD is difficulty disengaging attention from salient stimuli that may be interpreted as potentially threatening, even if neutral or positively valenced.
“At the center of the cognitive control disturbance is difficulty disengaging attention from salient stimuli that may be interpreted as potentially threatening, even if neutral or positively valenced”
From Exercise Intervention in PTSD: A Narrative Review and Rationale for Implementation (2019) · cites this paper as [76]
There is evidence of dysfunctions in threat detection, executive functioning, emotion regulation, and contextual processing in PTSD.
“There is also evidence of dysfunctions in threat detection, executive functioning, emotion regulation, and contextual processing 60,61 .”
From Post‐traumatic stress disorder: a state‐of‐the‐art review of evidence and challenges (2019) · cites this paper as [61]

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Authors: Block, S. R., & Liberzon, I.
Affiliations: University of Michigan (US)
Corresponding author: Block, Stefanie R.
ORCID: Block, Stefanie R.
Liberzon, Israel
Venue: Experimental Neurology
Publisher: Elsevier BV
Published: 2016-10
Volume: 284
Issue: Pt B
Pages: 153-167
ISSN: 0014-4886 (ISSN-L)
DOI: 10.1016/j.expneurol.2016.05.009
OpenAlex: W2386144038
Cited by: 52
References: 208
Citations by year: 2026: 2 · 2025: 4 · 2024: 4 · 2023: 8 · 2022: 5 · 2021: 5 · 2020: 7 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 1
FWCI: 0.84
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (am, 369 d)
Locations: Experimental Neurology (acceptedVersion)
PubMed (publishedVersion)
Funders: U.S. Department of Defense (W81XWH082020a8)
Mind and Life Institute
University of Michigan
Department of Defense
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords: post-traumatic stress disorder, attention, attention deficits, neural mechanisms of attention, within-person variability, PTSD pathophysiology, attentional processes
MeSH terms: Attention, Brain, Cognition, Humans, Magnetic Resonance Imaging, Nerve Net, Neuropsychological Tests, Stress Disorders, Post-Traumatic

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Attentional processes in posttraumatic stress disorder and the associated changes in neural functioning

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