본문 바로가기
KERD
논문KCI 등재

정신분열증 환자에서 정서유발단어에 의한 정서 반응성

Emotional Responsivity to the Emotional Words in Patients with Schizophrenia

이은|박진영|강지인|안석균|김보라
대한신경정신의학회 (Korean Neuropsychiatric Association)|2009.09|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제48권 제5호|pp. 328-335

3

조회

0

다운로드

1

인용

0

참고문헌

키워드

정신분열증·정서 반응성·정서유발단어·분노·역겨움Schizophrenia·Emotional responsivity·Emotional bias·Emotional word·Anger· Disgust
주제분류정신과학

초록

본 연구는 정서유발단어 자극을 이용하여 정신분열증 환자와 정상인 사이의 정서 경험에 따른 정서 반응성의 차이를 보고자 하였다. 연구 결과 행복, 슬픔, 공포 유발단어의 경우는 각각 해당 정서의 정서 반응성이 정신분열증 환자와 정상 대조군 사이에서 유의미한 차이를 보이지 않았다. 하지만, 분노 및 역겨움 정서유발단어의 경우는 각각 해당 정서의 정서 반응성이 정신분열증 환자가 정상 대조군에 비해 유의미하게 낮거나 혹은 낮은 경향성을 보였다. 또한 정신분열증 환자군은 유의하게 역겨움 정서 및 행복 정서에 대한 증가된 편향 반응성을 보였다. 이는 정신분열증 환자에서 부정적 정서 유발 단어에 의해서 정서 반응성이 정상인과 다른 둔마된 양상을 보이고 있으며, 또한 사회적 정서 자극에 대한 편향된 반응성이 있음을 시사한다. 향후 정신분열증에서 정서 반응성의 둔마와 더불어 반응성의 편향에 대하여, 표정, 단어, 사건 등의 다양한 정서 자극을 사용하여, 체계적으로 재현하는 후속 연구가 필요하다.

Abstract

Objectives: Patients with schizophrenia are reported to exhibited a reduced level of responsivity to highly arousing negative emotional pictures and to demonstrate a threatening bias to facial stimuli. The aim of this study was to investigate whether patients with schizophrenia show impaired and biased responsivity to threatening emotional words stimuli. Methods: Eighteen subjects with schizophrenia (M=10, F=8) and 18 healthy controls (M=8, F=10) were involved in this study. Emotional words stimuli (happy, sad, fearful, angry, surprising, and disgusting words) were selected from a Korean affective words list (Kim et al., Unpublished). All subjects were asked to rate feelings elicited by emotional words, using the seven point Likert scale for each of the six basic emotions. Results: Patients with schizophrenia displayed less emotional responsivity to disgusting and angry words as compared to healthy controls, while there were no significant differences in response to happy, sad, or fearful words. Emotional responsivity bias to disgust and happiness was observed in patients with schizophrenia. Conclusion: Patients with schizophrenia may show reduced responsivity to disgust and anger words stimuli and biased responsivity to disgust and happiness. These findings are in line with previous findings of reduced reactivity to highly arousing emotional picture stimuli, social threatening bias, and Pollyanna tendencird in schizophrenia.

참고문헌 (48)

  1. Birchwood M, "Pathways to emotional dysfunction in first-episode psychosis", Br J Psychiatry, 182, pp.373~375 (2003)
  2. Edwards J, "Facial affect and affective prosody recognition in first-episode schizophrenia", Schizophr Res, 48, pp.235~253 (2001)
  3. Dickerson F, "Social functioning and neurocognitive deficits in outpatients with schizophrenia: a 2-year follow-up", Schizophr Res, 37, pp.13~20 (1999)
  4. Kucharska-Pietura K, "Perception of facial affect in chronic schizophrenia and right brain damage", Acta Neurobiol Exp (Wars), 62, pp.33~43 (2002)
  5. Hooker C, "Emotion processing and its relationship to social functioning in schizophrenia patients", Psychiatry Res, 112, pp.41~50 (2002)
  6. Kee KS, "Is emotion processing a predictor of functional outcome in schizophrenia?", Schizophr Bull, 29, pp.487~497 (2003)
  7. Kohler CG, "Emotion recognition deficit in schizophrenia: association with symptomatology and cognition", Biol Psychiatry, 48, pp.127~136 (2000)
  8. Sachs G, "Facial recognition deficits and cognition in schizophrenia", Schizophr Res, 68, pp.27~35 (2004)
  9. Whittaker JF, "Face processing in schizophrenia: defining the deficit", Psychol Med, 31, pp.499~507 (2001)
  10. An SK, "Reduced P3 amplitudes by negative facial emotional photographs in schizophrenia", Schizophr Res, 64, pp.125~135 (2003)
  11. Bell M, "Positive and negative affect recognition in schizophrenia: a comparison with substance abuse and normal control subjects", Psychiatry Res, 73, pp.73~82 (1997)
  12. Mandal MK, "Decoding of facial affect in schizophrenia", Psychol Rep, 56, pp.651~652 (1985)
  13. Muzekari LH, "Judgement of emotion among chronic schizophrenics", J Clin Psychol, 33, pp.662~666 (1997)
  14. Walker E, "A cross-sectional study of emotion recognition in schizophrenics", J Abnorm Psychol, 89, pp.428~436 (1980)
  15. Novic J, "Facial affect recognition in schizophrenia: is there a differential deficit?", Br J Psychiatry, 144, pp.533~537 (1984)
  16. Feinberg TE, "Facial discrimination and emotional recognition in schizophrenia and affective disorders", Arch Gen Psychiatry, 43, pp.276~279 (1986)
  17. Salem JE, "More evidence for generalized poor performance in facial emotion perception in schizophrenia", J Abnorm Psychol, 105, pp.480~483 (1996)
  18. Pilowsky I, "Schizophrenia and the response to facial emotions", Compr Psychiatry, 21, pp.236~244 (1980)
  19. Mandal MK, "Affect related response in schizophrenia", Pharmacopsychoecologia, 28, pp.183~187 (1988)
  20. Lee E, "Aberrantly flattened responsivity to emotional pictures in paranoid schizophrenia", Psychiatry Res, 143, pp.135~145 (2006)
  21. Bentall RP, "The cognitive and affective structure of paranoid delusions: a transdiagnostic investigation of patients with schizophrenia spectrum disorders and depression", Arch Gen Psychiatry, 66, pp.236~247 (2009)
  22. Kohler CG, "Facial emotion recognition in schizophrenia: intensity effects and error pattern", Am J Psychiatry, 160, pp.1768~1774 (2003)
  23. Peer JE, "Social cognitive bias and neurocognitive deficit in paranoid symptoms: evidence for an interaction effect and changes during treatment", Schizophr Res, 71, pp.463~471 (2004)
  24. American Psychiatric Association, "Diagnostic and Statistical Manual of Mental disorders. 4th ed. Text revision" (2000), American Psychiatric Association
  25. Kim BR, "Development of the Korean Affective Words. (Unpublished)", ~
  26. 서상규, "현대 한국어의 어휘 빈도" (1998), 연세대학교 언어정보개발연구원
  27. Cohen AS, "Attribution biases in schizophrenia: relationship to clinical and functional impairments", Psychopathology, 42, pp.40~46 (2009)
  28. Kay SR, "The Positive and Negative Syndrome Scale for schizophrenia", Schizophr Bull, 13, pp.261~272 (1987)
  29. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
  30. Spielberger CD, "Manual for the State-Trait Anxiety Inventory" (1969), Consulting Psychologists Press
  31. Bellack AS, "The ability of schizophrenics to perceive and cope with negative affect", Br J Psychiatry, 160, pp.473~480 (1992)
  32. Bellack AS, "Social skills deficits and social skills training: new developments and trends. in: Towards a comprehensive therapy for schizophrenia", pp.137~146 (1997), Hogrefe and Huber Publishers
  33. Jonathan H, "The moral emotion. in: Handbook of affective sciences", pp.852~870 (2003), Oxford University Press
  34. Rozin P, "The CAD triad hypothesis: a mapping between three moral emotions (contempt, anger, disgust) and three moral codes (community, autonomy, divinity)", J Pers Soc Psychol, 76, pp.574~586 (1999)
  35. Haidt J, "Body, Psyche, and Culture: the relationship between disgust and morality", Psychology Developing Societies, 9, pp.107~131 (1997)
  36. Ekman P, "The repertoire of nonverbal behavior: categories, origins, usage, and coding", Semiotica, 1, pp.49~98 (1969)
  37. Friesen WV, "Cultural differences in facial expressions in a social situation: an experimental test of the concept of display rules", 박사, pp.1972
  38. Ekman P, "Universal and cultural differences in facial expression of emotion. in: Nebraska Symposium on Motivation", pp.207~283 (1971), University of Nebraska Press
  39. Montagne B, "Reduced sensitivity in the recognition of anger and disgust in social anxiety disorder", Cognit Neuropsychiatry, 11, pp.389~401 (2006)
  40. Vauth R, "Self-efficacy and empowerment as outcomes of self-stigmatizing and coping in schizophrenia", Psychiatry Res, 150, pp.71~80 (2007)
  41. Boucher J, "The Pollyanna tendency", J Verbal Learn Verbal Behav, 8, pp.1~8 (1969)
  42. An SK, "Development of the social perception scale for cognitive rehabilitation in patients with schizophrenia", J Korean Neuropsychiatr Assoc, 37, pp.261~272 (1998)
  43. Lewis SF, "Treatment and diagnostic subtype in facial affect recognition in schizophrenia", J Psychiatr Res, 29, pp.5~11 (1995)
  44. Schneider F, "Emotional processing in schizophrenia: neurobehavioral probes in relation to psychopathology", Schizophr Res, 17, pp.67~75 (1995)
  45. Mueser DL, "Affect recognition in schizophrenia: a synthesis of findings across three studies", Psychiatry, 60, pp.301~308 (1997)
  46. Lee E, "Is a neutral face really evaluated as being emotionally neutral?", Psychiatry Res, 157, pp.77~85 (2008)
  47. Wagner HL, "On measuring performance in category judgment studies of nonverbal behavior", J Nonverb Behav, 17, pp.3~28 (1993)
  48. Kring AM, "On the broad applicability of the affective circumplex: representations of affective knowledge among schizophrenia patients", Psychol Sci, 14, pp.207~214 (2003)

관련 논문AI추천

정신분열병 환자의 부정 정서 자극에 대한 생리적 반응박성원한국인지및생물심리학회 · 한국심리학회지: 인지 및 생물2009 · 제21권 제3호정신분열병 환자의 정서경험과 정서표현성의 비교고윤화, 오상우한국임상심리학회 · Korean Journal of Clinical Psychology2012 · 제31권 제1호정신분열증환자의 긍정적 정서와 부정적 정서에 대한 인식배성만, 현명호한국임상심리학회 · Korean Journal of Clinical Psychology2004 · 제23권 제1호정신분열병 환자에서의 감정표현불능증과 얼굴정서인식결핍김경희, 김소율, 노진찬, 박성혁, 신성웅, 이건석대한생물정신의학회 · 생물정신의학2011 · 제18권 제4호정신분열병환자의 안면 표정 인식 능력박영민, 배성만, 오성희, 이승환, 임우영대한생물정신의학회 · 생물정신의학2008 · 제15권 제3호정신분열병 환자의 표정 정서 적절성 판단과 의도 파악 능력김성은, 김지웅, 손애리, 최은애, 황순택한국임상심리학회 · Korean Journal of Clinical Psychology2004 · 제23권 제2호

이 간행물의 다른 논문 (12건)

장수와 치매의 예방전진숙pp. 307-313정신분열병, 정신증 임상적 고위험군 및 대조군에서의 시상 용적에 관한 연구전명욱, 최치훈, 정명훈, 권준수, 최정석, 정위훈, 김지원pp. 314-319높은 초조 또는 낮은 초조 증상을 경험하는 정신분열병 급성기 입원환자의 아리피프라졸 치료 효과사공정규, 신지현, 한영훈, 이광헌pp. 320-327강박장애의 임상적 특징과 충동성의 관련성김찬형, 김세주, 노대영pp. 336-343약물치료력이 없는 주의력결핍 과잉행동장애 소아청소년에서 후두-측두 연결성：확산 텐서 영상 예비 연구권민정, 최지욱, 고효진, 장범석, 이세연, 양보성pp. 344-351
원문 보기