흡연경고자극에 대한 흡연자들의 자동적 접근-회피 경향성
Approach-Avoidance Bias Among Smokers Towards Pictorial Health Warnings
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구에서는 접근-회피 과제를 활용하여 흡연경고자극에 대한 흡연자의 접근-회피 편향을 검토하고자 하였다. 이를 위해 흡연자(하루20개비 미만 담배 피우는 남자 대학생, n=19)와 비흡연자(평생 5개비 미만 담배 피운 남자 대학생, n=19)를 대상으로, 컴퓨터 기반 접근- 회피 과제(AAT)를 실시한 후, 회피 반응시간과 접근 반응시간에 대한 AAT 지수를 산출하였다. 실험 결과, 흡연자는 비흡연자보다 흡연경고자극에 대해 유의하게 회피 편향성이 높았으며, 중립자극에 대해서는 집단 간 차이가 없었다. 또한 흡연자는 흡연경고자극에 대한 접근편향성이 비흡연자보다 느린 경향이 있는 것으로 나타났다. 마지막으로 연구의 임상적 함의와 제한점 및 후속 연구에 대한 제언을 제시하였다.
Abstract
The purpose of this study was to examine the approach-avoidance bias among smokers towards pictorial health warnings. For this purpose, a computer-based Approach-Avoidance Task (AAT) was conducted for smokers (male college students who smoked less than 20 cigarettes per day, n=19) and non-smokers (male college students who smoked less than 5 cigarettes over their entire lives, n=19), and the AAT score was calculated. Results showed that smokers were significantly more likely to avoid smoking warning stimuli than non-smokers, however, there was no difference between groups for neutral stimuli. Smokers also tended to have slower approach bias to smoking warning stimuli than non-smokers. Finally, we present the clinical implications and limitations of this study and provide suggestions for subsequent studies.
참고문헌 (59)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders-5th edition (DSM-5)" (2013), American Psychiatric Publication
- 안희경, "한국어판 니코틴 의존도 설문 도구(Fagerstrom Tolerance Questionnaire, FTQ and Fagerstrom Test for Nicotine Dependence, FTND)의 신뢰도 및 타당도", Korean Journal of Family Medicine, 23(8), pp.999~1008 (2002), 대한가정의학회
- Amir, N., "The effect of modifying automatic action tendencies on overt avoidance behaviors", Emotion, 13, pp.478~484 (2013)
- Barkley, R. A., "Behavioral inhibition, sustained attention, and executive functions : Constructing a unifying theory of ADHD", Psychological Bulletin, 121, pp.65~94 (1997)
- Baumann, M. R., "Variation in BAS–BIS profiles across categories of cigarette use", Addictive Behaviors, 39, pp.1477~1483 (2014)
- Berridge, K. C., "Liking, Wanting, and the Incentive-Sensitization Theory of Addiction", American Psychologist, 71, pp.670~679 (2016)
- Di Chiara, G., "Role of dopamine in the behavioural actions of nicotine related to addiction", European Journal of Pharmacology, 393, pp.295~314 (2000)
- Duijndam, S., "Social inhibition and approach-avoidance tendencies towards facial expressions", Acta Psychologica, 209, pp.103~141 (2020)
- Cousijn, J., "Reaching out towards cannabis : Approach-bias in heavy cannabis users predicts changes in cannabis use", Addiction, 106, pp.1667~1674 (2011)
- Davidson, R. J., "Emotion, plasticity, context, and regulation : Perspectives from affective neuroscience", Psychological Bulletin, 126, pp.890~909 (2000)
- Fowles, D. C., "The three arousal model : Implications of Gray’s two-factor learning theory for heart rate, electrodermal activity, and psychopathy", Psychophysiology, 17, pp.87~104 (1980)
- Fowles, D. C., "Psychophysiology and psychopathology : A motivational approach", Psychophysiology, 25, pp.373~391 (1988)
- Franken, I. H., "BIS", BAS personality characteristics and college students’ substance use, 2006, pp.40, 1497~1503
- Franken, I. H., "Gray’s model of personality and addiction", Addictive Behaviors, 31, pp.399~403 (2006)
- Gray, J. A., "The psychology of fear and stress" (1987), Cambridge University Press
- Hammond, D., "Health warning messages on tobacco products:A review", Tobacco Control, 20, pp.327~337 (2011)
- Hammond, D., "Graphic Canadian cigarette warning labels and adverse outcomes : Evidence from Canadian smokers", American Journal of Public Health, 94, pp.1442~1444 (2004)
- Heatherton, T. F., "The fargerstrom test for nicotine dependence : A revision of the Fargerstrom Tolerance Questionnaire", British Journal of Addiction, 86, pp.1119~1127 (1991)
- Heuer, K., "Avoidance of emotional facial expressions in social anxiety : The approach-avoidance task", Behaviour Research and Therapy, 45, pp.2990~3001 (2007)
- Hwang, J., "The association between new graphic health warning labels on tobacco products and attitudes toward smoking among south Korean adolescents : A national cross-sectional study", BMC Public Health, 20, pp.1~10 (2020)
- Kakoschke, N., "Impulsivity moderates the effect of approach bias modification on healthy food consumption", Appetite, 117, pp.117~125 (2017)
- Kalivas, P. W., "The neural basis of addiction : A pathology of motivation and choice", American Journal of Psychiatry, 162, pp.1403~1413 (2005)
- Kees, J., "Understanding how graphic pictorial warnings work on cigarette packaging", Journal of Public Policy & Marketing, 29, pp.265~276 (2010)
- 김은수, "청소년의 담뱃갑 경고그림 지각 관련 요인에 대한 탐색적 연구", 보건사회연구, 37(3), pp.568~590 (2017), 한국보건사회연구원[DOI]
- 김교헌, "중독과 자기조절: 인지신경과학적 접근", 한국심리학회지: 건강, 11(1) (2006), 한국건강심리학회
- Kim, G. H., "Korean Behavior Activation System", Behavior Inhibition System Scale, 2001, pp.6, 19~37
- 김희, "담뱃갑 경고그림이 흡연에 미치는 영향: 중국 소비자를 대상으로", 사회과학연구, 30(2), pp.199~224 (2018), 사회과학연구소
- Lange, W. G., "Social anxiety and evaluation of social crowds : Explicit and implicit measures", Behaviour Research and Therapy, 46, pp.932~943 (2008)
- 이윤경, "한국의 담배규제정책 관련 근거중심 문헌고찰 및 평가: 젊은 성인을 위한 담배규제정책을 중심으로", 보건사회연구, 40(2), pp.616~650 (2020), 한국보건사회연구원[DOI]
- Leshner, G., "Scare’em or disgust’em : The effects of graphic health promotion messages", Health Communication, 24, pp.447~458 (2009)
- Loeber, S., "The effect of pictorial warnings on cigarette packages on attentional bias of smokers", Pharmacology Biochemistry and Behavior, 98, pp.292~298 (2011)
- Machulska, A., "“A cigarette a day keeps the goodies away”: smokers show automatic approach tendencies for smoking—but not for foodrelated stimuli", PloS One, 10, pp.e0116464~ (2015)
- Mackay, J., "The Tobacco atlas" (2012), American Cancer Society, World Lung Foundation
- Maynard, O. M., "Avoidance of cigarette pack health warnings among regular cigarette smokers", Drug &Alcohol Dependence, 136, pp.170~174 (2014)
- Maynard, O. M., "Visual attention to health warnings on plain tobacco packaging in adolescent smokers and non smokers", Addiction, 108, pp.413~419 (2013)
- "Tobacco sales in 2017" (2018)[URL]
- "February 2017 Tobacco sales declined for the third month" (2017)[URL]
- Mogg, K., "Attentional and approach biases for smoking cues in smokers : An investigation of competing theoretical views of addiction", Psychopharmacology, 180, pp.333~341 (2005)
- Munafò, M. R., "Plain packaging increases visual attention to health warnings on cigarette packs in non-smokers and weekly smokers but not daily smokers", Addiction, 106, pp.1505~1510 (2011)
- Nabi, R. L., "The theoretical versus the lay meaning of disgust : Implications for emotion research", Cognition & Emotion, 16, pp.695~703 (2002)
- Najmi, S., "Automatic avoidance tendencies in individuals with contamination-related obsessivecompulsive concerns", Behaviour Research and Therapy, 48, pp.1058~1062 (2010)
- Oh, M. J., "A study on persuasive effect of pictorial warning labels on the cigarette package by smoking status" (2016), Hanyang University Press
- 박하나, "담뱃갑경고그림이 대학생 흡연자의 주의편향과 주의편향 수정훈련에 미치는 영향", 보건사회연구, 39(1), pp.259~292 (2019), 한국보건사회연구원[DOI]
- 박준우, "담뱃갑 경고그림 효과에 대한 정서 및 인지의 역할: 흡연자와 비흡연자의 비교", 광고학연구, 27(7), pp.7~30 (2016), 한국광고학회
- Park, S. M., "The effects of behavioral inhibition", approach system as predictors of Internet addiction in adolescents, 2013, pp.54, 7~11
- Rinck, M., "Approach and avoidance in fear of spiders", Journal of Behavior Therapy and Experimental Psychiatry, 38, pp.105~120 (2007)
- Stellar, J. R., "The neurobiology of reward and motivation" (1985), Springer-Verlag
- Strack, F., "Reflective and impulsive determinants of social behavior", Personality and Social Psychology Review, 8, pp.220~247 (2004)
- Struijs, S. Y., "Approach and avoidance tendencies in depression and anxiety disorders", PsychiatryResearch, 256, pp.475~481 (2017)
- Taylor, C. T., "Modifying automatic approach action tendencies in individuals with elevated social anxiety symptoms", Behaviour Research and Therapy, 50, pp.529~536 (2012)
- Wheeler, R. E., "Frontal brain asymmetry and emotional reactivity : A biological substrate of affective style", Psychophysiology, 30, pp.82~89 (1993)
- World Health Organization, "Guidelines for implementation of Article 11 of the WHO Framework Convention on Tobacco Control (Packaging and labelling of tobacco products)", World Health Organization, ~ (2008)
- Wiers, R. W., "Retraining automatic action tendencies changes alcoholic patients’ approach bias for alcohol and improves treatment outcome", Psychological Science, 22, pp.490~497 (2011)
- Wiers, R. W., "Cognitive bias modification and cognitive control training in addiction and related psychopathology : Mechanisms, clinical perspectives, and ways forward", Clinical Psychological Science, 1, pp.192~212 (2013)
- Wiers, R. W., "Retraining automatic action-tendencies to approach alcohol in hazardous drinkers", Addiction, 105, pp.279~287 (2010)
- Wittekind, C. E., "Approach-avoidance modification as an add-on in smoking cessation", Behaviour Research and Therapy, 114, pp.35~43 (2019)
- Wittekind, C. E., "Web-based approach bias modification in smokers", Behaviour Research and Therapy, 116, pp.52~60 (2019)
- Woody, S. R., "Intersection of disgust and fear : Normative and pathological views", Clinical Psychology : Science and Practice, 7, pp.291~311 (2000)
- WHO report on the global tobacco epidemic, "World Health Organization", ~ (2019)
