Individuals with posttraumatic stress disorder show a selective deficit in generalization of associative learning.
Abstract
Objective Drawing on two different populations, Israeli police and Hungarian civilians, the present study assessed the ability of individuals with posttraumatic stress disorder (PTSD) to generalize previous learning to novel situations. Past neuroimaging studies have demonstrated diminished medial temporal lobe (MTL) activation and/or reduced hippocampal volume in individuals with PTSD. Our earlier computational models of cortico-hippocampal function and subsequent experimental tests of these models in MTL-impaired clinical populations argue that even mild hippocampal dysfunction may result in subtle impairments in generalization. Therefore, we predicted that individuals with PTSD would show impaired generalization. Method We compared the performance of five groups from two countries, including 19 Israeli police with PTSD and 22 trauma-exposed police without PTSD, and 22 Hungarian civilians with PTSD, 25 trauma-exposed civilians without PTSD, and 25 individuals without PTSD unexposed to the same trauma. Participants were tested on a two-phase learning paradigm, the Acquired Equivalence Task, which measures the ability to generalize past learning to novel situations. Results We found that both PTSD and non-PTSD participants were capable of learning the initial stimulus-outcome associations, F(4, 108) = 1.79, p = .14. However, as predicted, only individuals with PTSD showed a selective deficit in generalization of this learning to novel situations (F(4, 108) = 8.35, p Conclusio…
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PTSD patients are equivalent to controls in learning initial stimulus-outcome associations but show a selective deficit in generalizing this learning to novel situations.
“The prediction that PTSD patients should therefore be equivalent to controls in learning initial stimulus-outcome associations but show a selective deficit in generalizing this learning to novel situations was recently confirmed”
From Episodic memory, perceptual memory, and their interaction: Foundations for a theory of posttraumatic stress disorder. (2014) · cites this paper as Levy-Gigi et al., 2012
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Self-citationZabag, R., Deri, O., Gilboa‐Schechtman, E., Richter‐Levin, G., & Levy‐Gigi, E. (2019) · Stress · doi:10.1080/10253890.2019.1645113 · Cited by 15 · see citing works
Self-citationHaim‐Nachum, S., & Levy‐Gigi, E. (2019) · Cognition · doi:10.1016/j.cognition.2019.104021 · Cited by 13 · see citing works
Self-citationLevy‐Gigi, E., Sudai, E., & Bar, M. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102765 · Cited by 9 · see citing works
Self-citationLevy‐Gigi, E., & Kéri, S. (2015) · Psychology and Aging · doi:10.1037/a0039181 · Cited by 8 · see citing works
Self-citationLevy‐Gigi, E., Haim‐Nachum, S., Hall, J. M., Crouse, J. J., Winwood-Smith, R., Lewis, S. J. G., & Moustafa, A. A. (2018) · Neuroscience Letters · doi:10.1016/j.neulet.2018.11.006 · Cited by 7 · see citing works
Self-citationLevy‐Gigi, E., Kéri, S., Shapiro, A. R., Sason, A., Adelson, M., & Peles, E. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.08.016 · Cited by 7 · see citing works
Self-citationNizri, H., Catz, O., Siman-Tov, Y., Farchi, M. U., & Levy‐Gigi, E. (2025) · Cognitive Therapy and Research · doi:10.1007/s10608-025-10605-1 · Cited by 6 · see citing works
Self-citationDibaj, I. S., Halvorsen, J. Ø., Kennair, L. E. O., & Stenmark, H. I. (2020) · Torture Journal · doi:10.7146/torture.v30i2.119788 · Cited by 5 · see citing works
Mnemonic discrimination is associated with individual differences in anxiety vulnerability
Caulfield, M. D., Vogel, A. L., Coutinho, M. R., & Kan, I. P. (2020) · Behavioural Brain Research · doi:10.1016/j.bbr.2020.113056 · Cited by 3 · see citing works
Caulfield, M. D., & Myers, C. E. (2018) · PeerJ · doi:10.7717/peerj.4701 · Cited by 3 · see citing works
Self-citationThe overlap of PTSD and chronic pain: a challenge for rehabilitation interventions
López-Martínez, A. E. (2014) · Physical Therapy Reviews · doi:10.1179/1743288x14y.0000000159 · Cited by 2 · see citing works
The role of school climate and flexibility in promoting well-being in educators
Nizri, H., Hemi, A., & Levy-Gigi, E. (2025) · Current Psychology · doi:10.1007/s12144-025-08799-4 · Cited by 1 · see citing works
Self-citationThe effects of trauma on feedback processing: an MEG study
Sawalma, A., Kiefer, C. M., Boers, F., Shah, N. J., Khudeish, N., Neuner, I., Herzallah, M. M., & Dammers, J. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1172549 · Cited by 1 · see citing works
Trauma and Restorative Landscapes in Higher Education
Douglass, L. L. (2022) · Emerald Group Publishing Limited eBooks · doi:10.1108/978-1-64802-723-920251008
Context Memory Discrimination and Recognition in Humans: Development of a Novel Cognitive Task
Joshi, S. A., John, R., Tso, I. F., Lasagna, C. A., Hicks, A., Stark, C. E. L., Stark, S. M., King, A. P. J., Abelson, J. L., Duval, E. R., et al. (2026) · JMIR Formative Research · doi:10.2196/87362
The role of hippocampus-based developmental changes in paediatric post-traumatic stress disorder
Foster, J. C., Goldfarb, E. V., & Gee, D. G. (2026) · Nature Reviews Psychology · doi:10.1038/s44159-026-00595-6
- Authors
- Levy-Gigi, E., Kéri, S., Myers, C. E., Lencovsky, Z., Sharvit-Benbaji, H., Orr, S. P., Gilbertson, M. W., Servatius, R. J., Tsao, J. W., & Gluck, M. A.
- Affiliations
- University of Szeged (HU)
- Rutgers, The State University of New Jersey (US)
- Harvard University (US)
- United States Department of Veterans Affairs (US)
- United States Department of the Navy (US)
- Venue
- Neuropsychology
- Published
- 2012
- Volume
- 26
- Issue
- 6
- Pages
- 758-767
- ISSN
- 0894-4105 (ISSN-L)
- 1931-1559
- OpenAlex
- W2115514898
- Cited by
- 45
- References
- 75
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 2 · 2019: 3 · 2018: 7 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 7 · 2013: 3
- FWCI
- 5.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Keywords
- post-traumatic stress disorder, associative learning, generalization, hippocampal dysfunction, medial temporal lobe, learning disabilities, trauma-exposed individuals, police officers, computational models of learning
- MeSH terms
- Workforce, Adult, Association Learning, Cognition Disorders, Cross-Cultural Comparison, Female, Generalization, Psychological, Hippocampus, Humans, Hungary, Israel, Male, Neuropsychological Tests, Psychiatric Status Rating Scales, Stress Disorders, Post-Traumatic, Temporal Lobe, Police
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