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Global–local visual processing in posttraumatic stress disorder

Published online by Cambridge University Press:  01 September 2004

JENNIFER J. VASTERLING
Affiliation:
Veterans Affairs Medical Center, New Orleans, Louisiana Tulane University School of Medicine, New Orleans, Louisiana
LISA M. DUKE
Affiliation:
Veterans Affairs Medical Center, New Orleans, Louisiana
HOLLY TOMLIN
Affiliation:
Veterans Affairs Medical Center, New Orleans, Louisiana
NATASHA LOWERY
Affiliation:
Veterans Affairs Medical Center, New Orleans, Louisiana
EDITH KAPLAN
Affiliation:
Boston University School of Medicine, Boston, Massachusetts Suffolk University, Boston, Massachusetts

Abstract

The purpose of this study was to examine a behavioral index of hemispheric asymmetry (i.e., visual hierarchical attention) in posttraumatic stress disorder (PTSD), a disorder characterized by anxiety and other emotional symptoms. A reaction time based, computerized, global–local visual paradigm was administered to 26 PTSD-diagnosed and 22 psychopathology-free right-handed, male Vietnam War zone veterans. Results indicated that PTSD-diagnosed veterans displayed slower reaction times to all targets than the no-mental disorders comparison sample. However, findings also revealed a Group × Target location interaction in which the PTSD group was slower than the no-disorders comparison sample to respond to local, but not global, targets. Moreover, relative global bias was greater among PTSD-diagnosed veterans than their no-diagnosis counterparts. Findings provide partial support for the hypothesis that PTSD may be associated with a functional cerebral asymmetry favoring the right hemisphere. (JINS, 2004, 10, 709–718.)

Type
Research Article
Copyright
2004 The International Neuropsychological Society

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References

REFERENCES

Basso, M.R., Schefft, B.K., Ris, M.D., & Dember, W.N. (1996). Mood and global–local visual processing. Journal of the International Neuropsychological Society, 2, 249255.CrossRefGoogle Scholar
Beck, A.T., Steer, R.A., & Garbin, M.G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77100.CrossRefGoogle Scholar
Beers, S.R. & DeBellis, M.D. (2002). Neuropsychological function in children with maltreatment-related posttraumatic stress disorder. American Journal of Psychiatry, 159, 483486.CrossRefGoogle Scholar
Blanca, M.J. & Alarcon, R. (2002). Hemispheric differences in global and local processing with orientation classification tasks. Neuropsychologia, 40, 957963.CrossRefGoogle Scholar
Borod, J.C., Koff, E., & Caron, H. (1983). Right hemispheric specialization for the expression and appreciation of emotion: A focus on the face. In E. Perecman (Ed.), Cognitive processing in the right hemisphere (pp. 83110). New York: Academic Press.
Brandes, D., Ben-Schachar, G., Gilboa, A., Bonne, O., Freedman, S., & Shalev, A.Y. (2002). PTSD symptoms and cognitive performance in recent trauma survivors. Psychiatry Research, 110, 231238.CrossRefGoogle Scholar
Bremner, J.D. (2002). Neuroimaging studies in post-traumatic stress disorder. Current Psychiatry Reports, 4, 254263.CrossRefGoogle Scholar
Bremner, J.D., Randall, P., Scott, T.M., Bronen, R.A., Seibyl, J.P., Southwick, S.M., Delaney, R.C., McCarthy, G., Charney, D.S., & Innis, R.B. (1995). MRI-based measurement of hippocampal volume in patients with combat-related posttraumatic stress disorder. American Journal of Psychiatry, 152, 973981.Google Scholar
Bremner, J.D., Scott, T.M., Delaney, R.C., Southwick, S.M., Mason, J.W., Johnson, D.R., Innis, R.B., McCarthy, G., & Charney, D.S. (1993). Deficits in short-term memory in posttraumatic stress disorder. American Journal of Psychiatry, 150, 10151019.Google Scholar
Bremner, J.D., Southwick, S.M., & Charney, D.S. (1999). The neurobiology of posttraumatic stress disorder: An integration of animal and human research. In P.A. Saigh & J.D. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive text (pp. 103143). Boston: Allyn & Bacon.
Bremner, J.D., Vythilingam, M., Vermetten, E., Southwick, S.M., McGlashan, T., Nazeer, A., Khan, S., Vaccarino, L.V., Soufer, R., & Garg, P.K. (2003). MRI and PET study of deficits in hippocampal structure and function in women with childhood sexual abuse and posttraumatic stress disorder. American Journal of Psychiatry, 160, 924932.CrossRefGoogle Scholar
Breslau, N., Davis, G.C., Peterson, E.L., & Schultz, L.R. (2000). A second look at comorbidity in victims of trauma: The posttraumatic stress disorder-major depression connection. Biological Psychiatry, 48, 902909.CrossRefGoogle Scholar
Bruder, G.E., Fong, R., Tenke, C.E., Leite, P., Towey, J.P., Stewart, J.E., McGrath, P.J., & Quitkin, F.M. (1997). Regional brain asymmetries in major depression with or without an anxiety disorder: A quantitative electroencephographic study. Biological Psychiatry, 41, 939948.CrossRefGoogle Scholar
Cahill, L. & van Stegeren, A. (2003). Sex-related impairment of memory for emotional events with β-adrenergic blockage. Neurobiology of Learning and Memory, 79, 8188.CrossRefGoogle Scholar
Carter, C.S., Robertson, L.C., Nordahl, T.E., Chaderjian, M., & Oshora-Celaya, L. (1996). Perceptual and attentional asymmetries in schizophrenia: Further evidence for a left hemisphere deficit. Psychiatry Research, 62, 111119.CrossRefGoogle Scholar
Davidson, R.J. (1993). Cerebral asymmetry and emotion: Methodological conundrums. Cognition and Emotion, 7, 115138.CrossRefGoogle Scholar
Davidson, R.J. (1998). Affective style and affective disorders: Perspectives from affective neuroscience. Cognition and Emotion, 12, 307330.CrossRefGoogle Scholar
Derryberry, D. & Reed, M.A. (1998). Anxiety and attentional focusing: Trait, state, and hemispheric influences. Personality and Individual Differences, 25, 745761.CrossRefGoogle Scholar
Ferman, T.J., Primeau, M., Delis, D., & Jampala, C.V. (1999). Global-local processing in schizophrenia: Hemispheric asymmetry and symptom-specific interference. Journal of the International Neuropsychological Society, 5, 442451.CrossRefGoogle Scholar
Filoteo, J.V., Delis, D.C., Massman, P.J., Demadura, T., Butters, N., & Salmon, D.P. (1992). Directed and divided attention in Alzheimer's disease: Impairment in shifting of attention to global and local stimuli. Journal of Clinical and Experimental Neuropsychology, 14, 871883.CrossRefGoogle Scholar
Filoteo, J.V., Delis, D.C., Roman, M.J., Demadura, T., Ford, E., Butters, N., Salmon, D.P., Paulsen, J., Shults, C.W., Swenson, M., & Swerdlow, N. (1995). Visual attention and perception in patients with Huntington's disease: Comparisons with other subcortical and cortical dementias. Journal of Clinical and Experimental Neuropsychology, 17, 654667.CrossRefGoogle Scholar
Fink, G.R., Halligan, P.W., Marshall, J.C., Frith, C.D., Frackowiak, R.S.J., & Dolan, R.J. (1996). Where in the brain does visual attention select the forest and the trees? Nature, 382, 626628.Google Scholar
Fink, G.R., Halligan, P.W., Marshall, J.C., Frith, C.D., Frackowiak, R.S.J., & Dolan, R.J. (1997). Neural mechanisms involved in the processing of global and local aspects of hierarchically organized visual stimuli. Brain, 120, 17791791.CrossRefGoogle Scholar
First, M.B., Spitzer, R.L., Gibbon, M., & Williams, J.B.W. (1996). Structured Clinical Interview for DSM–IV. New York: Biometrics Research, New York State Psychiatric Institute.
Foa, E.B., Riggs, D.S., Dancu, C.V., & Rothbaum, B.O. (1993). Reliability and validity of a brief instrument for assessing post-traumatic stress disorder. Journal of Traumatic Stress, 6, 459463.CrossRefGoogle Scholar
Gilbertson, M.W., Gurvits, T.V., Lasko, N.B., Orr, S.P., & Pitman, R.K. (2001). Multivariate assessment of explicit memory function in combat veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 14, 413432.CrossRefGoogle Scholar
Gilbertson, M.W., Shenton, M.E., Ciszewski, A., Kasai, K., Lasko, N.B., Orr, S.P., & Pitman, R.K. (2002). Nature Neuroscience, 11, 12421247.
Golier, J., Yehuda, R., Lupien, S.J., Harvey, P.D., Grossman, R., & Elkin, A. (2002). Memory performance in Holocaust survivors with posttraumatic stress disorder. American Journal of Psychiatry, 159, 16821688.CrossRefGoogle Scholar
Gotlib, I.H., Ranganath, C., & Rosenfeld, J.P. (1998). Frontal EEG alpha asymmetry, depression, and cognitive functioning. Cognition and Emotion, 12, 449478.CrossRefGoogle Scholar
Granholm, E., Cadenhead, K., Shafer, K.M., & Filoteo, J.V. (2002). Journal of Abnormal Psychology, 111, 4252.
Grossman, R., Buchsbaum, M.S., & Yehuda, R. (2002). Neuroimaging studies in post-traumatic stress disorder. Psychiatric Clinics of North America, 25, 317340.CrossRefGoogle Scholar
Hans, S., Weaver, J.A., Murray, S.O., Kang, X., Yund, E.W., & Woods, D.L. (2002). Hemispheric asymmetry in global/local processing: Effects of stimulus position and spatial frequency. Neuroimage, 17, 12901299.Google Scholar
Heinz, H.J., Hinrichs, H., Scholz, M., Burchert, W., & Mangun, G.R. (1998). Neural mechanisms of global and local processing: A combined PET and ERP study. Journal of Cognitive Neuroscience, 10, 485498.CrossRefGoogle Scholar
Heller, W. (1993). Neuropsychological mechanisms of individual differences in emotion, personality, and arousal. Neuropsychology, 7, 476489.CrossRefGoogle Scholar
Heller, W., Etienne, M.A., & Miller, G.A. (1995). Patterns of perceptual asymmetry in depression and anxiety: Implications for neuropsychological models of emotion. Journal of Abnormal Psychology, 104, 327333.CrossRefGoogle Scholar
Heller, W. & Nitschke, J.B. (1997). Regional brain activity in emotion: A framework for understanding cognition in depression. Cognition and Emotion, 11, 637661.CrossRefGoogle Scholar
Henriques, J.B. & Davidson, R.J. (1990). Regional brain electrical asymmetries discriminate between previously depressed and healthy control subjects. Journal of Abnormal Psychology, 99, 2231.CrossRefGoogle Scholar
Henriques, J.B. & Davidson, R.J. (1991). Left frontal hypoactivation in depression. Journal of Abnormal Psychology, 100, 535545.CrossRefGoogle Scholar
Hickie, I., Ward, P., Scott, E., Haindl, W., Walker, B., Dixon, J., & Turner, K. (1999). Neo-striatal rCBF correlates of psychomotor slowing in patients with major depression. Psychiatry Research, 92, 7581.CrossRefGoogle Scholar
Hull, A.M. (2002). Neuroimaging findings in post-traumatic stress disorder. British Journal of Psychiatry, 181, 102110.CrossRefGoogle Scholar
Jenkins, M.A., Langlais, P.J., Delis, D., & Cohen, R. (1998). Learning and memory in rape victims with posttraumatic stress disorder. American Journal of Psychiatry, 155, 278279.Google Scholar
Jaeger, J., Borod, J.C., & Peselow, E. (1987). Depressed patients have atypical hemispace biases in the perception of emotional chimeric faces. Journal of Abnormal Psychology, 105, 321324.CrossRefGoogle Scholar
Keane, T.M., Fairbank, J.A., Caddell, J.M., Zimmering, R.T., Taylor, K.L., & Mora, C.A. (1989). Clinical evaluation of a measure to assess combat exposure. Psychological Assessment, 1, 5355.CrossRefGoogle Scholar
Keller, J., Nitschke, J.B., Bhargava, T., Deldin, P.J., Gergen, J.A., Miller, G.A., & Heller, W. (2000). Neuropsychological differentiation of depression and anxiety. Journal of Abnormal Psychology, 109, 310.CrossRefGoogle Scholar
Kentgen, L.M., Tenke, C.E., Pine, D.S., Fong, R., Klein, R.G., & Bruder, G.E. (2000). Electroencephalographic asymmetries in adolescents with major depression: Influence of comorbidity with anxiety disorders. Journal of Abnormal Psychology, 109, 797802.CrossRefGoogle Scholar
Khavari, K.A. & Farber, P.D. (1978). A profile instrument for the quantification and assessment of alcohol consumption: The Khavari Alcohol test. Journal of Studies on Alcohol, 47, 15251539.CrossRefGoogle Scholar
Kimchi, R. (1992). Primacy of wholistic processing and global/local paradigm: A critical review. Psychological Bulletin, 112, 2438.CrossRefGoogle Scholar
Koenen, K.C., Lyons, M.J., Goldberg, J., Simpson, J., Williams, W.M., Toomey, R., Eisen, S.A., True, W.R., Cloitre, M., Wolfe, J., & Tsuang, M.T. (2003). A high risk twin study of combat-related PTSD comorbidity. Twin Research, 6, 218226.CrossRefGoogle Scholar
Kulka, R.A., Schlenger, W.E., Fairbank, J.A., Hough, R.L., Jordan, B.K., Marmar, C.R., & Weiss, D.S. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.
Lee, G.P., Lohring, D.W., Dahl, J.L., & Meador, K.J. (1993). Hemispheric specialization for emotional expression. Neuropsychiatry, Neuropsychology, and Behavioral Neurology, 6, 143148.Google Scholar
Malinowski, P., Hubner, R., Keil, A., & Gruber, T. (2002). The influence or response competition on cerebral asymmetries for processing hierarchical stimuli revealed by ERP recordings. Experimental Brain Research, 144, 136139.CrossRefGoogle Scholar
Martinez, A., Moses, P., Frank, L., Buxton, R., Wong, E., & Stiles, J. (1997). Hemispheric asymmetries in global local processing: Evidence from fMRI. Neuroreport, 8, 16851689.CrossRefGoogle Scholar
Metzger, L.J., Paige, S.R., Carson, M.A., Lasko, N.B., Paulus, L.A., Pitman, R.K., & Orr, S.P. (2004). PTSD arousal and depression symptoms associated with increased right-sided parietal EEG asymmetry. Journal of Abnormal Psychology, 113, 324329.CrossRefGoogle Scholar
National Institute on Alcohol Abuse and Alcoholism. (1993). Eighth special report to the U.S. Congress on alcohol and health (DHHS Publication No. ADM 281-91-003). Alexandria, VA: EEI.
Oldfield, R.C. (1971). The assessment and analysis of handedness: The Edinburgh inventory. Neuropsychologia, 9, 97113.CrossRefGoogle Scholar
Pitman, R.K., Shin, L.M., & Rauch, S.L. (2001). Investigating the pathogenesis of posttraumatic stress disorder with neuroimaging. Journal of Clinical Psychiatry, 62, 4754.Google Scholar
Purdon, S.E. & Flor-Henry, P. (2000). Asymmetrical olfactory acuity and neuroleptic treatment of schizophrenia. Schizophrenia Research, 44, 221232.CrossRefGoogle Scholar
Purdon, S.E., Woodward, N.D., & Flor-Henry, P. (2001). Asymmetrical hand force persistence and neuroleptic treatment in schizophrenia. Journal of the International Neuropsychological Society, 7, 606614.CrossRefGoogle Scholar
Rauch, S.L., Shin, L.M., Segal, E., Pitman, R.K., Carson, M.A., McMullin, K., Whalen, P.J., & Makris, N. (2003). Selectively reduced regional cortical volumes in post-traumatic stress disorder. NeuroReport, 14, 913916.CrossRefGoogle Scholar
Rauch, S.L., van der Kolk, B.A., Fisler, R.E., Alpert, N.M., Orr, S.P., Savage, C.R., Fischman, A.J., Jenike, M.A., & Pitman, R.K. (1996). A symptom provocation study of posttraumatic stress disorder using positron emission tomography and script-driven imagery. Archives of General Psychiatry, 53, 380387.CrossRefGoogle Scholar
Reiman, E.M., Raichle, M.E., Butler, F.K., Herscovitch, P., & Robins, E. (1984). A focal brain abnormality on panic disorder, a severe form of anxiety. Nature, 310, 683685.CrossRefGoogle Scholar
Robertson, L.C. & Rafal, R. (2000). Disorders of visual attention. In M.S. Gazzaniga (Ed.), The new cognitive neurosciences (2nd ed., pp. 633649). Cambridge, MA: MIT Press.
Sachinvala, N., von Scotti, H., McGuire, M., Fairbanks, L., Bakst, K., McGuire, M., & Brown, N. (2000). Memory, attention, function, and mood among patients with chronic posttraumatic stress disorder. Journal of Nervous and Mental Disease, 188, 818823.CrossRefGoogle Scholar
Sapolsky, R.M. (2000). Glucocorticoids and hippocampal atrophy in neuropsychiatric disorders. Archives of General Psychiatry, 57, 925935.CrossRefGoogle Scholar
Schneider, W., Eschman, A., & Zuccolotto, A. (2002). E-Prime User's Guide. Pittsburgh, PA: Psychology Software Tools, Inc.
Seidman, L.J., Pepple, J.R., Faraone, S.V., Kremen, W.S., Green, A.I., Brown, W.A., & Tsuang, M.T. (1993). Neuropsychological performance in chronic schizophrenia in response to neuroleptic dose reduction. Biological Psychiatry, 33, 575584.CrossRefGoogle Scholar
Shaw, M.E., Strother, S.C., McFarlane, A.C., Morris, P., Anderson, J., Clark, C.R., & Egan, G.F. (2002). Abnormal functional connectivity in posttraumatic stress disorder. NeuroImage, 15, 661674.CrossRefGoogle Scholar
Shin, L.M., Kosslyn, S.M., McNally, R.J., Alpert, N.M., Thompson, W.L., Rauch, S.L., Macklin, M.L., & Pitman, R.K. (1997). Visual imagery and perception in posttraumatic stress disorder: A positron emission tomography investigation. Archives of General Psychiatry, 54, 479487.CrossRefGoogle Scholar
Silberman, E.K. & Weingartner, H. (1986). Hemispheric lateralization of functions related to emotion. Brain and Cognition, 5, 322353.CrossRefGoogle Scholar
Spielberger, C.D., Gorsuch, R.L., & Lushene, R.E. (1970). STAI: Manual for the State–Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
Sutker, P.B., Uddo-Crane, M., & Allain, A.N. (1991). Clinical and research assessment of posttraumatic stress disorder. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 3, 520530.CrossRefGoogle Scholar
Tomarken, A.J. & Keener, A.D. (1998). Frontal brain asymmetry and depression: A self-regulatory perspective. Cognition and Emotion, 12, 387420.CrossRefGoogle Scholar
Tomarken, A.J., Simien, C., & Garber, J. (1994). Resting frontal brain asymmetry discriminates children of depressed mothers from low-risk controls. Psychophysiology, 31, 597598.Google Scholar
Tucker, D.M. & Williamson, P.A. (1984). Asymmetric neural control systems in human self-regulation. Psychological Review, 91, 210220.CrossRefGoogle Scholar
Vasterling, J.J., Duke, L.M., Brailey, K., Constans, J.I., Allain, A.N., Jr., & Sutker, P.B. (2002). Attention, learning, and memory performance and intellectual resources in Vietnam veterans: PTSD and no disorder comparisons. Neuropsychology, 16, 514.CrossRefGoogle Scholar
Vasterling, J.J., Rogers, C., & Kaplan, E. (2000). Qualitative block design analysis in posttraumatic stress disorder. Assessment, 7, 217226.CrossRefGoogle Scholar
Vermetten, E. & Bremner, J.D. (2002). Circuits and systems in stress II: Applications to neurobiology and treatment in posttraumatic stress disorder. Depression and Anxiety, 16, 1438.CrossRefGoogle Scholar
Villarreal, G., Petropoulos, H., Hamilton, D.A., Rowland, L.M., Horan, W.P., Griego, J.A., Moreshead, M., Hart, B.L., & Brooks, W.M. (2002). Proton magnetic resonance spectroscopy of the hippocampus and occipital white matter in PTSD: Preliminary results. Canadian Journal of Psychiatry, 47, 666670.CrossRefGoogle Scholar
Watson, D., Clark, L.A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 10631070.CrossRefGoogle Scholar
Wechsler, D. (1997). Wechsler Memory Scale–Third Edition. San Antonio, TX: The Psychological Corporation.
White, D., Myerson, J., & Hale, S. (1997). How cognitive is psychomotor slowing in depression? Evidence from a meta-analysis. Aging, Neuropsychology, and Cognition, 4, 166174.CrossRefGoogle Scholar
Yamasue, H., Kasai, K., Iwanami, A., Ohtani, T., Yamada, H., Abe, O., Kuroki, N., Fukuda, R., Tochigi, M., Furukawa, S., Sadamatsu, M., Sasaki, T., Aoki, S., Ohtomo, K., Asukai, N., & Kato, N. (2003). Voxel-based analysis of MRI reveals anterior cingulate gray-matter volume reduction in posttraumatic stress disorder due to terrorism. PNAS, 100, 90399043.CrossRefGoogle Scholar
Yehuda, R. (2000). Biology of posttraumatic stress disorder. Journal of Clinical Psychiatry, 61, 1421.Google Scholar
Yehuda, R., Keefe, R.S.E., Harvey, P.D., Levengood, R.A., Gerber, D.K., Geni, J., & Siever, L.J. (1995). Learning and memory in combat veterans with posttraumatic stress disorder. American Journal of Psychiatry, 152, 137139.Google Scholar