본문 바로가기
KERD
논문KCI 등재

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

주제분류심리과학

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)

  1. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders-5th edition (DSM-5)" (2013), American Psychiatric Publication
  2. 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
  3. Amir, N., "The effect of modifying automatic action tendencies on overt avoidance behaviors", Emotion, 13, pp.478~484 (2013)
  4. Barkley, R. A., "Behavioral inhibition, sustained attention, and executive functions : Constructing a unifying theory of ADHD", Psychological Bulletin, 121, pp.65~94 (1997)
  5. Baumann, M. R., "Variation in BAS–BIS profiles across categories of cigarette use", Addictive Behaviors, 39, pp.1477~1483 (2014)
  6. Berridge, K. C., "Liking, Wanting, and the Incentive-Sensitization Theory of Addiction", American Psychologist, 71, pp.670~679 (2016)
  7. Di Chiara, G., "Role of dopamine in the behavioural actions of nicotine related to addiction", European Journal of Pharmacology, 393, pp.295~314 (2000)
  8. Duijndam, S., "Social inhibition and approach-avoidance tendencies towards facial expressions", Acta Psychologica, 209, pp.103~141 (2020)
  9. Cousijn, J., "Reaching out towards cannabis : Approach-bias in heavy cannabis users predicts changes in cannabis use", Addiction, 106, pp.1667~1674 (2011)
  10. Davidson, R. J., "Emotion, plasticity, context, and regulation : Perspectives from affective neuroscience", Psychological Bulletin, 126, pp.890~909 (2000)
  11. 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)
  12. Fowles, D. C., "Psychophysiology and psychopathology : A motivational approach", Psychophysiology, 25, pp.373~391 (1988)
  13. Franken, I. H., "BIS", BAS personality characteristics and college students’ substance use, 2006, pp.40, 1497~1503
  14. Franken, I. H., "Gray’s model of personality and addiction", Addictive Behaviors, 31, pp.399~403 (2006)
  15. Gray, J. A., "The psychology of fear and stress" (1987), Cambridge University Press
  16. Hammond, D., "Health warning messages on tobacco products:A review", Tobacco Control, 20, pp.327~337 (2011)
  17. Hammond, D., "Graphic Canadian cigarette warning labels and adverse outcomes : Evidence from Canadian smokers", American Journal of Public Health, 94, pp.1442~1444 (2004)
  18. 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)
  19. Heuer, K., "Avoidance of emotional facial expressions in social anxiety : The approach-avoidance task", Behaviour Research and Therapy, 45, pp.2990~3001 (2007)
  20. 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)
  21. Kakoschke, N., "Impulsivity moderates the effect of approach bias modification on healthy food consumption", Appetite, 117, pp.117~125 (2017)
  22. Kalivas, P. W., "The neural basis of addiction : A pathology of motivation and choice", American Journal of Psychiatry, 162, pp.1403~1413 (2005)
  23. Kees, J., "Understanding how graphic pictorial warnings work on cigarette packaging", Journal of Public Policy & Marketing, 29, pp.265~276 (2010)
  24. 김은수, "청소년의 담뱃갑 경고그림 지각 관련 요인에 대한 탐색적 연구", 보건사회연구, 37(3), pp.568~590 (2017), 한국보건사회연구원[DOI]
  25. 김교헌, "중독과 자기조절: 인지신경과학적 접근", 한국심리학회지: 건강, 11(1) (2006), 한국건강심리학회
  26. Kim, G. H., "Korean Behavior Activation System", Behavior Inhibition System Scale, 2001, pp.6, 19~37
  27. 김희, "담뱃갑 경고그림이 흡연에 미치는 영향: 중국 소비자를 대상으로", 사회과학연구, 30(2), pp.199~224 (2018), 사회과학연구소
  28. Lange, W. G., "Social anxiety and evaluation of social crowds : Explicit and implicit measures", Behaviour Research and Therapy, 46, pp.932~943 (2008)
  29. 이윤경, "한국의 담배규제정책 관련 근거중심 문헌고찰 및 평가: 젊은 성인을 위한 담배규제정책을 중심으로", 보건사회연구, 40(2), pp.616~650 (2020), 한국보건사회연구원[DOI]
  30. Leshner, G., "Scare’em or disgust’em : The effects of graphic health promotion messages", Health Communication, 24, pp.447~458 (2009)
  31. Loeber, S., "The effect of pictorial warnings on cigarette packages on attentional bias of smokers", Pharmacology Biochemistry and Behavior, 98, pp.292~298 (2011)
  32. 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)
  33. Mackay, J., "The Tobacco atlas" (2012), American Cancer Society, World Lung Foundation
  34. Maynard, O. M., "Avoidance of cigarette pack health warnings among regular cigarette smokers", Drug &Alcohol Dependence, 136, pp.170~174 (2014)
  35. Maynard, O. M., "Visual attention to health warnings on plain tobacco packaging in adolescent smokers and non smokers", Addiction, 108, pp.413~419 (2013)
  36. "Tobacco sales in 2017" (2018)[URL]
  37. "February 2017 Tobacco sales declined for the third month" (2017)[URL]
  38. 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)
  39. 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)
  40. Nabi, R. L., "The theoretical versus the lay meaning of disgust : Implications for emotion research", Cognition & Emotion, 16, pp.695~703 (2002)
  41. Najmi, S., "Automatic avoidance tendencies in individuals with contamination-related obsessivecompulsive concerns", Behaviour Research and Therapy, 48, pp.1058~1062 (2010)
  42. Oh, M. J., "A study on persuasive effect of pictorial warning labels on the cigarette package by smoking status" (2016), Hanyang University Press
  43. 박하나, "담뱃갑경고그림이 대학생 흡연자의 주의편향과 주의편향 수정훈련에 미치는 영향", 보건사회연구, 39(1), pp.259~292 (2019), 한국보건사회연구원[DOI]
  44. 박준우, "담뱃갑 경고그림 효과에 대한 정서 및 인지의 역할: 흡연자와 비흡연자의 비교", 광고학연구, 27(7), pp.7~30 (2016), 한국광고학회
  45. Park, S. M., "The effects of behavioral inhibition", approach system as predictors of Internet addiction in adolescents, 2013, pp.54, 7~11
  46. Rinck, M., "Approach and avoidance in fear of spiders", Journal of Behavior Therapy and Experimental Psychiatry, 38, pp.105~120 (2007)
  47. Stellar, J. R., "The neurobiology of reward and motivation" (1985), Springer-Verlag
  48. Strack, F., "Reflective and impulsive determinants of social behavior", Personality and Social Psychology Review, 8, pp.220~247 (2004)
  49. Struijs, S. Y., "Approach and avoidance tendencies in depression and anxiety disorders", PsychiatryResearch, 256, pp.475~481 (2017)
  50. Taylor, C. T., "Modifying automatic approach action tendencies in individuals with elevated social anxiety symptoms", Behaviour Research and Therapy, 50, pp.529~536 (2012)
  51. Wheeler, R. E., "Frontal brain asymmetry and emotional reactivity : A biological substrate of affective style", Psychophysiology, 30, pp.82~89 (1993)
  52. 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)
  53. 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)
  54. 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)
  55. Wiers, R. W., "Retraining automatic action-tendencies to approach alcohol in hazardous drinkers", Addiction, 105, pp.279~287 (2010)
  56. Wittekind, C. E., "Approach-avoidance modification as an add-on in smoking cessation", Behaviour Research and Therapy, 114, pp.35~43 (2019)
  57. Wittekind, C. E., "Web-based approach bias modification in smokers", Behaviour Research and Therapy, 116, pp.52~60 (2019)
  58. Woody, S. R., "Intersection of disgust and fear : Normative and pathological views", Clinical Psychology : Science and Practice, 7, pp.291~311 (2000)
  59. WHO report on the global tobacco epidemic, "World Health Organization", ~ (2019)

관련 논문AI추천

이 간행물의 다른 논문 (10건)