무쾌감성 우울 및 정서자극에 대한 접근-회피 동기의 관계
Relationship between Anhedonic Depression and Approach-Avoidance Tendencies towards Emotional Stimuli
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구의 목적은 무쾌감증이 우울 장애를 불안 장애로부터 구분짓는 핵심적인 특성임을 규명하는 것이며, 실험 연구를 통해 무쾌감증과 정서 자극에 대한 접근-회피 동기의 관계를 검증하고자 했다. 이를 위해 한국판 불안-우울-고통 척도의 점수를 기준으로 무쾌감성 우울 집단(n=17)과 불안 집단(n=16) 및 통제 집단(n=19)을 모집하여 접근-회피 과제(Approach-Avoidance Task; AAT)를 실시했으며, 정서 자극의 정서가 및 각성가에 따른 개인의 접근-회피 경향성을 측정했다. 통계 분석 결과, 무쾌감성 우울 집단은 불안 집단 및 통제 집단에 비해 긍정 정서 자극에 대한 접근 동기가 유의미하게 감소되어 있었다. 또한 긍정 정서 자극의 각성가 변화에 따른 접근-회피 동기의 변화에 있어 무쾌감성 우울 집단은 불안 및 통제집단보다 덜 민감한 반응을 보였다. 본 연구의 결과는 긍정적 정서에 대한 접근 동기의 감소, 즉 무쾌감증이 우울 장애를 구성하는 핵심적인 특성임을 시사하며, AAT 과제를 통해 보다 암묵적인 접근-회피 동기를 수정 및 훈련할 수 있도록 개입에 대한 기초를 제공한다.
Abstract
The study aimed to identify anhedonia as a significant feature of depressive disorder. As a part of this study, the relationship between anhedonic depression and approach-avoidance tendencies towards emotional stimuli was examined through experiments. Participants with anhedonic depression and anxiety were selected based on the scores of Anxiety Depression Distress Inventory-27(ADDI-27). A total of 52 participants were divided into three groups: Anhedonic Depression (n=17), Anxiety (n=16) and Healthy Control (n=19). These groups were made to complete an approach-avoidance task. Consequently, approach motivation for positive emotional stimuli was significantly lower in the Anhedonic Depression group. Additionally, the Anhedonic Depression group reacted less sensitively to changes in arousal of positive stimuli than the Anxiety and Healthy Control groups. This study suggests that anhedonia is a critical factor that distinguishes depressive disorder from anxiety disorder and provides a basis for intervention using approach-avoidance tasks to modify the implicit approach-avoidance tendencies.
참고문헌 (81)
- 박선희, "자극과 맥락의 정서성이 기억 부호화에 미치는 영향: ERP 연구", 인지과학, 21(2), pp.387~408 (2010), 한국인지과학회[DOI]
- 신은지, "무쾌감성 우울과 정서자극에 대한 접근-회피 동기의 관계", 석사, pp.2019
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Association
- Ascheid, S., "Effects of valence and arousal on implicit approach", avoidance tendencies: A fMRI study, 2019, pp.131, 333~341
- Bartoszek, G., "Spider-fearful individuals hesitantly approach threat, whereas depressed individuals do not persistently approach reward", Journal of Behavior Therapy and Experimental Psychiatry, 46, pp.1~7 (2015)
- Berghorst, L., "Next generation antidepressants: Moving beyond monoamines to discover novel treatment strategies for mood disorders" (2010), Cambridge University Press
- Becker, E. S., "Always approach the bright side of life: A general positivity training reduces stress reactions in vulnerable individuals", Cognitive Terapy and Research, 40(1), pp.57~71 (2016)
- Bonanno, G. A., "Regulatory flexibility: an individual differences perspective on coping and emotion regulation", Perspectives on Psychological Science, 8(6), pp.591~612 (2013)
- Buckner, J. D., "Implications of the DSM's emphasis on sadness and anhedonia in major depressive disorder", Psychiatry Research, 159(1), pp.25~30 (2008)
- Cacioppo, J. T., "Rudimentary determinants of attitudes: II. Arm flexion and extension have differential effects on attitudes", Journal of Personality and Social Psychology, 65(1), pp.5~17 (1993)
- Carl, J. R., "Positive emotion regulation in emotional disorders: A theoretical review", Clinical Psychology Review, 33(3), pp.343~360 (2013)
- Carver, C. S., "Behavioral Inhibition, behavioral activation and affective responses to impending reward and punishment: The BIS", BAS Scale, 1994, pp.67(2), 319~333
- Chen, M., "Consequences of automatic evaluation: immediate behavioral predispositions to approach or avoid the stimulus", Personality and Social Psychology Bulletin, 25, pp.215~224 (1999)
- Clark, L. A., "Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications", Journal of Abnormal Psychology, 100(3), pp.316~336 (1991)
- Cohen, J. B., "On the Consumption of Negative Feelings", Journal of Consumer Research, 34(3), pp.283~300 (2007)
- Cousijn, "Reaching out towards cannabis: approach-bias in heavy cannabis users predicts changes in cannabis use", Addiction, 106(9), pp.1667~1674 (2011)
- Craske, M. G., "The R-DOC initiative: Science and Practice", Depression and Anxiety, 29(4), pp.253~256 (2012)
- Cuijpers, P., "Adding psychotherapy to antidepressant medication in depression and anxiety disorders: a meta‐analysis", World Psychiatry, 13(1), pp.56~67 (2014)
- Dantzig, S., "Approach and avoidance as action effects", Quarterly Journal of Experimental Psychology, 61(9), pp.1298~1306 (2008)
- Dickson, J, M., "Approach and Avoidance Goals and Plans: Their Relationship to Anxiety and Depression", Cognitive therapy and research, 28(3), pp.415~432 (2004)
- Derntl, B., "Neural correlates of social approach and withdrawal in patients with major depression", Social Neuroscience, 6(5-6), pp.482~501 (2011)
- Elliot, A. J., "The hierarchical model of approach-avoidance motivation", Motivation and emotion, 30(2), pp.111~116 (2006)
- Feldman, L. A., "Distinguishing depression and anxiety in self-report: Evidence from confirmatory factor analysis on nonclinical and clinical samples", Journal of Consulting and Clinical Psychology, 61(4), pp.631~638 (1993)
- Field, M., "Alcohol approach tendencies in heavy drinkers: comparison of effects in a relevant stimulus-response compatibility task and an approach", avoidance Simon task, 2011, pp.25(4), 697~701
- Frijda, N. H., "The emotions" (1986), Cambridge University Press
- Gollan, J. K., "Identifying differences in biased affective information processing in major depression", Psychiatry Research, 159(1), pp.18~24 (2008)
- Gorman, M. D., "Comorbid depression and anxiety spectrum disorders", Depression and Anxiety, 4(4), pp.160~168 (1996)
- Gotlib, I. H., "Frontal EEG alpha asymmetry, depression, and cognitive functioning", Cognition & Emotion, 12(3), pp.449~478 (1998)
- Gottesman, I. I., "The endophenotype concept in psychiatry: etymology and strategic intentions", Americal Journal of Psychiatry, 160(4), pp.636~645 (2003)
- Hackenbracht, J., "Preferences for sadness when eliciting help: Instrumental motives in sadness regulation", Motivation and Emotion, 34(3), pp.306~315 (2010)
- Henriques, J. B., "Left Frontal Hypoactivation in Depression", Journal of abnormal psychology, 100(4), pp.535~545 (1965)
- Heuer, K., "Avoidance of emotional facial expressions in social anxiety: The Approach-Avoidance Task", Behaviour Research and Therapy, 45(12), pp.2990~3001 (2007)
- Hollon, S. D., "Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety", Annual Review of Psychology, 57, pp.285~315 (2006)
- Hyman, S. E., "Can neuroscience be integrated into the DSM-Ⅴ?", Nature Reviews Neuroscience, 8(9), pp.725~732 (2007)
- Insel, T. R., "Endophenotypes: Bridging genomic complexity and disorder heterogeneity", Biological Psychiatry, 66(11), pp.988~989 (2009)
- Ito, T. A., "Electrophysiological Evidence of Implicit and Explicit Categorization Processes", Journal of Experimental Social Psychology, 36(6), pp.660~676 (2000)
- Kashdan, T. B., "Psychological flexibility as a fundamental aspect of health", Clinical Psychology Review, 30(7), pp.865~878 (2010)
- Kawakami, K., "(Close) distance makes the heart grow fonder: improving implicit racial attitudes and interracial interactions through approach behaviors", Journal of Personality and Social Psychology, 92(6), pp.957~971 (2007)
- Kring, A. M., "Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment" (2009), The Guilford Press
- International affective picture system (IAPS): Technical manual and affective ratings, "Lang, P. J.", Center for Research in Psychophysiology, ~ (1999)
- Lemke, M. R., "Psychomotor retardation and anhedonia in depression", Acta Psychiatrica Scandinavica, 99(4), pp.252~256 (1999)
- Loijen A., "Biased approach- avoidance tendencies in psychopathology: a systematic review of their assessment and modification", Clinical Psychology Review, 77, pp.101825~ (2020)
- Metcalfe, J., "A hot", cool- system analysis of delay of gratification: Dynamics of willpower, 1999, pp.106(1), 3~19
- Millgram, Y., "Sad as a Matter of Choice? Emotion Regulation Goals in Depression", Psychological Science, 26(8), pp.1216~1228 (2015)
- Moldin, S, O., "Measuring liability to schizophrenia", Schizophrenia Bulletin, 20(1), pp.25~29 (1994)
- Neumann, R., , Journal of Experimental Social Psychology, 40, pp.543~550 (2004)
- Ochsner, K. N., "The cognitive control of emotion", Trends in Cognitive Sciences, 9(5), pp.242~249 (2005)
- Osman, A., "The Anxiety Depression Distress Inventory-27 (ADDI-27): a short version of the Mood and Anxiety Symptom Questionnaire-90", Journal of Clinical Psychology, 67(6), pp.591~608 (2011)
- Parkinson, B., "Classifying Affect-regulation Strategies", Cognition and Emotion, 13(3), pp.277~303 (1999)
- Pelizza, L., "Anhedonia in schizophrenia and major depression: state or trait?", Annals of General Psychiatry, 8(1), pp.22~ (2009)
- Pizzagalli, D. A., "Brain electrical tomography abnormalities in depression: The importance of melancholic features and anxiety", Biological Psychiatry, 52(2), pp.73~85 (2002)
- Pizzagalli, D. A., "Reduced hedonic capacity in major depressive disorder: Evidence from a probabilistic reward task", Journal of Psychiatric Research, 43(1), pp.76~87 (2008)
- Pizzagalli, D. A., "Depression, Stress, and Anhedonia: Toward a synthesis and integrated model", Annual Review of Clinical Psychology, 10, pp.393~423 (2014)
- Radke, S., "Social anxiety modulates Approach-Avoidance tendencies after oxytocin administration", Psychological Science, 24, pp.1573~1578 (2013)
- Radke, S., "In action or inaction? Social approach-avoidance tendencies in major depression", Psychiatry Research, 219(3), pp.513~517 (2014)
- Rinck, M., "Approach and avoidance in fear of spiders", Journal of Behavior Therapy and Experimental Psychiatry, 38(2), pp.105~120 (2007)
- Rizvi, S. J., "Assessing anhedonia in depression: Potentials and pitfalls", Neuroscience & Biobehavioral Reviews, 65, pp.21~35 (2016)
- Robbins, T. W., "Neurocognitive endophenotypes of impulsivity and compulsivity: towards dimensional psychiatry", Trends in Cognitive Sciences, 16(1), pp.81~91 (2012)
- Robinson, M. D., "Running from William James’ bear: A review of preattentive mechanisms and their contributions to emotional experience", Cognition & Emotion, 12(5), pp.667~696 (1998)
- Rottenberg, J., "Emotions in Depression: Why Do We Really Know?", Annual Review of Clinical Psychology, 13, pp.241~263 (2017)
- Rottenberg, J., "Emotion and Psychopathology: Bridging Affective and Clinical Science" (2007), American Psychiatric Association
- Segerstrom, S. C., "Worry and Rumination; Repetitive thought as a concomitant and predictor of negative mood", Cognitive Therapy and Research, 24(6), pp.671~688 (2000)
- Seidel, E. M., "Implicit and explicit behavioral tendencies in male and female depression", Psychiatry Research, 177(1), pp.124~130 (2010)
- Shankman, S. A., "Reward sensitivity in depression: A biobehavioral study", Journal of Abnormal Psychology, 116(1), pp.95~104 (2007)
- Sheppes, G., "Emotion regulation and psychopathology", Annual Review of Clinical Psychology, 11, pp.379~405 (2015)
- Solarz, "Latency of instrumental responses as a function of compatibility with the meaning of eliciting verbal signs", Journal of Experimental Psychology, 59(4), pp.239~245 (1960)
- Spijker, J., "Determinants of poor 1‐year outcome of DSM‐III‐R major depression in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS)", Acta Psychiatrica Scandinavica, 103(2), pp.122~130 (2001)
- Strack, F., "Reflective and impulsive determinants of social behaviour", Personality and Social Psychology Review, 8(3), pp.220~247 (2004)
- Surguladze, S. A., "Recognition accuracy and response bias to happy and sad facial expressions in patients with major depression", Neuropsychology, 18(2), pp.212~218 (2004)
- Tamir, M., "Why do people regulate their emotions? A Taxonomy of Motives in Emotion Regulation", Personality and Social Psychology Review, 20(3), pp.199~222 (2016)
- Taylor, C. T., "Modifying automatic approach action tendencies in individuals with elevated social anxiety symptoms", Behaviour Research and Therapy, 50(9), pp.529~536 (2012)
- Treadway, M. T., "Reconsidering anhedonia in depression: lessions from translational neuroscience", Neuroscience & Biobehavioral Reviews, 35(3), pp.537~555 (2011)
- Trew, J. L., "Exploring the roles of approach and avoidance in depression: An integrative model", Clinical Psychology Review, 31(7), pp.1156~1168 (2011)
- Volman, I., "Anterior prefrontal cortex inhibition impairs control over social emotional actions", Current Biology, 21(20), pp.1766~1770 (2011)
- Vrijsen, J. N., "Approach and Avoidance of emotional faces in happy and sad mood", Cognitive Therapy and Research, 37(1), pp.1~6 (2013)
- Wager, T. D., "Prefrontal-subcortical pathways mediating successful emotion regulation", Neuron, 59(6), pp.1037~1050 (2008)
- Watson, D., "Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples", Journal of Abnormal Psychology, 104(1), pp.15~25 (1995)
- Watson, D., "Testing a tripartite model. I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales", Journal of Abnormal Psychology, 104(1), pp.3~14 (1995)
- Walla, P., "Emotion Ownership: Different Effects on Explicit Ratings nd Implicit Responses", Psychology, 4(3), pp.213~216 (2013)
- Werner-Seidler, A., "An investigation of the relationship between positive affect regulation and depression", Behaviour Research and Therapy, 51, pp.46~56 (2013)
- Wittekind, C. E., "Web-based approach bias modification in smokers: A randomized-controlled study", Behaviour Research and Therapy, 116, pp.52~60 (2019)
