The Relationship between Performance of Attention Task and Suicidal Ideation in Korean Patients with Mood Disorders
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective We examined the performance of attention tests related to suicidal ideation in mood disorder patients and to explain the difference of attention test performance in relation to suicidal ideation after controlling clinical and psychological variables of mood disorder patients. Methods Seventy-three in- and outpatients with major depressive disorder (n=41) or bipolar disorder (n=32) completed a self-rating questionnaire assessing socio-demographic characteristics, and clinical and psychological variables. Comprehensive Attention Test (CAT) also was conducted. Results Thirty-three patients were the high-suicidal ideation (SI) group, and forty patients were the low-SI group. The errors of commission (CEs) of visual sustained attention in the high-SI group was 6.3 times higher on average than that of the low-SI group. After controlling for sex, age, and diagnosis, a higher number of CEs on visual sustained attention tasks predicted higher SI score. However, after controlling for sex, age, diagnosis, and depressive mood, this predictive ability was no longer observed. Conclusion This study showed that CE on the visual sustained attention task seems to influence suicidal ideation as a result of interaction with depressive symptoms.
Abstract
Objective We examined the performance of attention tests related to suicidal ideation in mood disorder patients and to explain the difference of attention test performance in relation to suicidal ideation after controlling clinical and psychological variables of mood disorder patients. Methods Seventy-three in- and outpatients with major depressive disorder (n=41) or bipolar disorder (n=32) completed a self-rating questionnaire assessing socio-demographic characteristics, and clinical and psychological variables. Comprehensive Attention Test (CAT) also was conducted. Results Thirty-three patients were the high-suicidal ideation (SI) group, and forty patients were the low-SI group. The errors of commission (CEs) of visual sustained attention in the high-SI group was 6.3 times higher on average than that of the low-SI group. After controlling for sex, age, and diagnosis, a higher number of CEs on visual sustained attention tasks predicted higher SI score. However, after controlling for sex, age, diagnosis, and depressive mood, this predictive ability was no longer observed. Conclusion This study showed that CE on the visual sustained attention task seems to influence suicidal ideation as a result of interaction with depressive symptoms.
참고문헌 (53)
- "OECD Data" (2016)[URL]
- KOSIS. Korean Statistical Information Service, "Vital Statistics of Korea", Statistics Korea, ~ (2018)
- Blair-West GW, "Down-rating lifetime suicide risk in major depression", Acta Psychiatr Scand, 95, pp.259~263 (1997)
- Porter RJ, "The neurocognitive profile of mood disorders-a review of the evidence and methodological issues", Bipolar Disord, 17(Suppl 2), pp.21~40 (2015)
- Malenka RC, "Molecular Neuropharmacology: A Foundation for Clinical Neuroscience", pp.155~157 (2009), McGraw-Hill Medical
- Diamond A, "Executive functions", Annu Rev Psychol, 64, pp.135~168 (2013)
- Chan RC, "Assessment of executive functions : review of instruments and identification of critical issues", Arch Clin Neuropsychol, 23, pp.201~216 (2008)
- Schotte DE, "Problem solving skills in suicidal psychiatric patients", J Consult Clin Psychol, 55, pp.49~54 (1987)
- Marzuk, PM, "Executive functioning in depressed patients with suicidal ideation", Acta Psychiatr Scand, 112, pp.294~301 (2005)
- Richard-Devantoy S, "A meta-analysis of neuropsychological markers of vulnerability to suicidal behavior in mood disorders", Psychol Med, 44, pp.1663~1673 (2014)
- Siegle GJ, "Pupillary assessment and computational modeling of the stroop task in depression", Int J Psychophysiol, 52, pp.63~76 (2004)
- Chaves OC, "Association of clinical symptoms and neurocognitive performance in bipolar disorder : a longitudinal study", Bipolar Disord, 13, pp.118~123 (2011)
- Riccio CA, "The continuous performance test : a window on the neural substrates for attention", Arch Clin Neuropsychol, 17, pp.235~272 (2002)
- Greenberg LM, "Developmental normative data on the test of variables of attention (T.O.V.A.)", J Child Psychol Psychiatry, 34, pp.1019~1030 (1993)
- Roebuck H, "Continuous performance tasks : not just about sustaining attention", J Speech Lang Hear Res, 59, pp.501~510 (2016)
- 유한익, "국내 아동 및 청소년 주의력 평가를 위한 종합주의력검사의 표준화 연구", Journal of the Korean Academy of Child and Adolescent Psychiatry, 20(2), pp.68~75 (2009), 대한소아청소년 정신의학회
- Kim SJ, "The relationship between poor performance on attention tasks and increased suicidal ideation in adolescents", Eur Child Adolesc Psychiatry, 24, pp.1361~1368 (2015)
- VandenBos GR, "APA Dictionary of Psychology" (2007), American Psychiatric Association
- Edman G, "Impulsivity and speed and errors in a reaction time task : a contribution to the construct validity of the concept of impulsivity", Acta Psychologica, 53, pp.1~8 (1983)
- Dougherty DM, "A comparison between adults with conduct disorder and normal controls on a Continuous Performance Test : differences in impulsive response characteristics", Psychol Rec, 50, pp.203~219 (2000)
- Giegling I, "Personality and attempted suicide. Analysis of anger, aggression and impulsivity", J Psychiatr Res, 43, pp.1262~1271 (2009)
- Liu RT, "A behavioral and cognitive neuroscience perspective on impulsivity, suicide, and non-suicidal self-injury : meta-analysis and recommendations for future research", Neurosci Biobehav Rev, 83, pp.440~450 (2017)
- Smith AR, "Revisiting impulsivity in suicide : implications for civil liability of third parties", Behav Sci Law, 26, pp.779~797 (2008)
- Hausman C, "Impulsivity and cognitive flexibility as neuropsychological markers for suicidality : a multimodal investigation among military veterans with alcohol use disorder and PTSD", Arch Suicide Res, 12, pp.1~14 (2019)
- Kim K, "Deformities of the globus pallidus are associated with severity of suicidal ideation and impulsivity in patients with major depressive disorder", Sci Rep, 9, pp.7462~ (2019)
- Beck AT, "Assessment of suicidal intention : the scale for suicide ideation", J Consult Clin Psychol, 47, pp.343~352 (1979)
- Shin MS, "A study of suicidal ideation among high school students : the structural relation among depression, hopelessness, and suicidal ideation", Korean J Clin Psychol, 9, pp.1~19 (1990)
- 최희연, "A Study on Correlation between Anxiety Symptoms and Suicidal Ideation", PSYCHIATRY INVESTIGATION, 8(4), pp.320~326 (2011), 대한신경정신의학회
- Choi HY, "Psychological and genetic risk factors associated with suicidal behavior in Korean patients with mood disorders", J Affect Disord, 235, pp.489~498 (2019)
- Shin MS, "An Empirical Study of the Mechanism of Suicide: Validation of the Scale for Escape from the Self", Ph. D., pp.1993
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Spielberger CD, "Manual for the State-Trait Anxiety Inventory" (1983), Consulting Psychologists Press
- Kim JT, "A study based on the standardization of the STAI for Korea", New Med J, 21, pp.69~75 (1978)
- Lee HS, "Principle of Using the Impulsiveness Scale" (1992), Korea Guidance
- Patton JH, "Factor structure of the Barratt impulsiveness scale", J Clin Psychol, 51, pp.768~774 (1995)
- Luengo MA, "The components of impulsiveness: a comparison of the 1.7 Impulsiveness Questionnaire and the Barratt Impulsiveness Scale", Pers Individ Dif, 12, pp.657~667 (1991)
- Cieślak PE, "The role of NMDA receptor-dependent activity of noradrenergic neurons in attention, impulsivity and exploratory behaviors", Genes Brain Behav, 16, pp.812~822 (2017)
- Esterman M, "Trauma-related psychiatric and behavioral conditions are uniquely associated with sustained attention dysfunction", Neuropsychology (2019)
- Wooten T, "Metabolic risk in older adults is associated with impaired sustained attention", Neuropsychology, 33, pp.947~955 (2019)
- Gobin CM, "Poor sleep quality is associated with a negative cognitive bias and decreased sustained attention", J Sleep Res, 24, pp.535~542 (2015)
- Luz GP, "Impaired sustained attention and lapses are present in patients with mild obstructive sleep apnea", Sleep Breath, 20, pp.681~687 (2016)
- Yun CH, "Daytime sleepiness associated with poor sustained attention in middle and late adulthood", Sleep Med, 16, pp.143~151 (2015)
- Whiteside SP, "The five factor model and impulsivity : using a structural model of personality to understand impulsivity", Pers Individ Dif, 30, pp.669~689 (2001)
- Andrew JD Crow, "Associations between neuroticism and executive function outcomes : response inhibition and sustained attention on a Continuous Performance Test", Percept Mot Skills, 126, pp.623~638 (2019)
- Brodsky BS, "The relationship of childhood abuse to impulsivity and suicidal behavior in adults with major depression", Am J Psychiatry, 158, pp.1871~1877 (2001)
- Halperin JM, "Subtype analysis of commission errors on the Continuous Performance Test", Dev Neuropsychol, 7, pp.207~217 (1991)
- Delgado-Gómez D, "Improving impulsivity assessment using movement recognition : a pilot study", Behav Res Methods, 48, pp.1575~1579 (2016)
- Ravnkilde B, "Cognitive deficits in major depression", Scand J Psychol, 43, pp.239~251 (2002)
- Dotson VM, "Differential association of concurrent, baseline, and average depressive symptoms with cognitive decline in older adults", Am J Geriatr Psychiatry, 16, pp.318~330 (2008)
- Paelecke-Habermann Y, "Attention and executive functions in remitted major depression patients", J Affect Disord, 89, pp.125~135 (2005)
- Reppermund S, "Persistent cognitive impairment in depression : the role of psychopathology and altered hypothalamic-pituitary-adrenocortical(HPA)system regulation", Biol Psychiatry, 62, pp.400~406 (2007)
- Apter A, "Suicidality, depression and conduct disorder", J Am Acad Child Adolesc Psychiatry, 27, pp.696~699 (1988)
- Horesh N, "Self- report vs. computerized measures of impulsivity as a correlate of suicidal behavior", Crisis, 22, pp.27~31 (2001)