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Peccoralo L, Depierro J, Feingold JH, Feder A, Charney DS, Southwick SM, Ripp J, Pietrzak RH. Building Resilience and Well-Being in Health Care Workers in the COVID-19 Era: Lessons Learned and Next Steps-Reply to Modesto-Lowe et al. J Clin Psychiatry 2021; 82. [PMID: 34320695 DOI: 10.4088/jcp.21lr14035b] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Lauren Peccoralo
- Office of Well-Being and Resilience, Icahn School of Medicine at Mount Sinai, New York, New York.,Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.,Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Jonathan Depierro
- Center for Stress, Resilience, and Personal Growth, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Jordyn H Feingold
- Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Adriana Feder
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Dennis S Charney
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, New York.,Department of Pharmacology, Icahn School of Medicine at Mount Sinai, New York, New York.,Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, New York
| | | | - Jonathan Ripp
- Office of Well-Being and Resilience, Icahn School of Medicine at Mount Sinai, New York, New York.,Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York.,Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York
| | - Robert H Pietrzak
- Department of Psychiatry, Yale School of Medicine, New York, New York.,US Department of Veterans Affairs National Center for Posttraumatic Stress Disorder, VA Connecticut Healthcare System, West Haven, Connecticut.,Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut.,Corresponding author: Robert H. Pietrzak, PhD, MPH, Yale University School of Medicine, National Center for PTSD, 950 Campbell Ave, West Haven, CT 06516
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Depierro J, D'Andrea W, Pole N. Attention biases in female survivors of chronic interpersonal violence: relationship to trauma-related symptoms and physiology. Eur J Psychotraumatol 2013; 4:19135. [PMID: 23467318 PMCID: PMC3589438 DOI: 10.3402/ejpt.v4i0.19135] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2012] [Revised: 01/19/2013] [Accepted: 01/19/2013] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Exposure to chronic interpersonal violence (IPV) has been associated with psychiatric impairment; however, few studies have investigated attention processes and psychophysiology in this population. OBJECTIVE We investigated self-report and physiological correlates of attention biases in 27 IPV-exposed women. METHOD Participants completed self-report measures of trauma history, posttraumatic stress disorder (PTSD) symptoms, and dissociation; were monitored physiologically during baseline; and responded to an emotional dot probe task. RESULTS Participants showed bias away from positive and anxiety words, and toward IPV words. Lower baseline respiratory sinus arrhythmia (RSA) and higher skin conductance levels were associated with bias away from anxiety cues. Greater total PTSD symptoms were associated with bias toward IPV cues, and greater PTSD intrusion and avoidance symptoms were associated with lower RSA. Individuals exposed to more types of trauma had lower heart rates. CONCLUSIONS These data extend the research on emotion-cognition interactions in PTSD and other anxiety disorders to chronic IPV survivors, in part confirming avoidance and intrusion symptom and attention bias relations found in studies. The present work also draws attention to a group that tends to experience a range of severe symptoms associated with apparent blunting in autonomic activity, and suggests that self-report may not be sensitive to physiological and attention alterations in chronic IPV samples.
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Affiliation(s)
- Jonathan Depierro
- Psychology Department, The New School for Social Research, New York, NY, USA
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