본문 바로가기
KERD
논문KCI 등재

Aberrant Tendency of Noncurrent Emotional Experiences in Individuals at Ultra-High Risk for Psychosis

2

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective This study aimed to investigate whether aberrant tendency of noncurrent emotion was present in individuals at ultra-high risk (UHR) for psychosis and to explore its associations with various clinical profiles. Methods Fifty-seven individuals at UHR and 49 normal controls were enrolled. The tendency of experiencing noncurrent emotion was assessed using various noncurrent emotional self-reported formats, including trait [Neuroticism and Extraversion of the Eysenck Personality Questionnaire], hypothetical (Chapman’s Revised Physical and Social Anhedonia Scales), and retrospective [Anhedonia- Asociality Subscale of the Scale for the Assessment of Negative Symptoms (SANS)] measures. Self-related beliefs (Self-Perception Scale), clinical positive and negative symptoms (SA Positive Symptoms and SANS), psychosocial function (Global Functioning Scale: Role Function and Global Functioning Scale: Social Function) were also examined. Results Subjects at UHR for psychosis reported more trait unpleasant and less trait pleasant emotions, more hypothetical physical and social anhedonia, and more retrospective anhedonia than normal controls. In UHR, self-perception was correlated to trait unpleasant emotion and hypothetical physical and social anhedonia. Negative symptoms in UHR were associated with hypothetical physical anhedonia and retrospective anhedonia. Global social functioning was related to trait pleasant emotion, hypothetical physical and social anhedonia, and retrospective anhedonia. Neurocognitive function, positive symptoms, and global role functioning were not related with any noncurrent emotional experience measures in UHR. Conclusion These findings suggest that the aberrant tendency of noncurrent emotional experience may be present at the ‘putative’ prodromal phase and are grossly associated with self-related beliefs and psychosocial functioning but not neurocognitive functioning.

Abstract

Objective This study aimed to investigate whether aberrant tendency of noncurrent emotion was present in individuals at ultra-high risk (UHR) for psychosis and to explore its associations with various clinical profiles. Methods Fifty-seven individuals at UHR and 49 normal controls were enrolled. The tendency of experiencing noncurrent emotion was assessed using various noncurrent emotional self-reported formats, including trait [Neuroticism and Extraversion of the Eysenck Personality Questionnaire], hypothetical (Chapman’s Revised Physical and Social Anhedonia Scales), and retrospective [Anhedonia- Asociality Subscale of the Scale for the Assessment of Negative Symptoms (SANS)] measures. Self-related beliefs (Self-Perception Scale), clinical positive and negative symptoms (SA Positive Symptoms and SANS), psychosocial function (Global Functioning Scale: Role Function and Global Functioning Scale: Social Function) were also examined. Results Subjects at UHR for psychosis reported more trait unpleasant and less trait pleasant emotions, more hypothetical physical and social anhedonia, and more retrospective anhedonia than normal controls. In UHR, self-perception was correlated to trait unpleasant emotion and hypothetical physical and social anhedonia. Negative symptoms in UHR were associated with hypothetical physical anhedonia and retrospective anhedonia. Global social functioning was related to trait pleasant emotion, hypothetical physical and social anhedonia, and retrospective anhedonia. Neurocognitive function, positive symptoms, and global role functioning were not related with any noncurrent emotional experience measures in UHR. Conclusion These findings suggest that the aberrant tendency of noncurrent emotional experience may be present at the ‘putative’ prodromal phase and are grossly associated with self-related beliefs and psychosocial functioning but not neurocognitive functioning.

참고문헌 (51)

  1. Kraepelin E, "Dementia Praecox and Paraphrenia" (1971), Robert E Krieger Publishing Company
  2. Bleuler E, "Dementia Praecox or the Group of Schizophrenias" (1950), International University Press
  3. Simonsen E, "Personality and Psychosis;Evolving Psychosis", pp.35~48 (2006), Routledge
  4. Smith TE, "Personality traits in schizophrenia", Psychiatry, 58, pp.99~112 (1995)
  5. Horan WP, "Affective traits in schizophrenia and schizotypy", Schizophr Bull, 34, pp.856~874 (2008)
  6. Krause R, "Expression and experience of affects in paranoid schizophrenia", Eur Rev Appl Psychol, 42, pp.131~140 (1992)
  7. Hooley JM, "Psychopathology and marital distress: the positive side of positive symptoms", J Abnorm Psychol, 96, pp.27~33 (1987)
  8. Torrey FT, "Schizophrenia and Manic Depressive Disorder: The Biological Roots of Mental Illness" (1994), Basic Books
  9. Hulbert CA, "Relationship between personality and course and outcome in early psychosis: A review of the literature", Clin Psychol, 8, pp.707~727 (1996)
  10. Strauss GP, "A new perspective on anhedonia in schizophrenia", Am J Psychiatry, 169, pp.364~373 (2012)
  11. Robinson MD, "Belief and feeling: evidence for an accessibility model of emotional self-report", Psychol Bull, 128, pp.934~960 (2002)
  12. Horan WP, "Anhedonia in schizophrenia: a review of assessment strategies", Schizophr Bull, 32, pp.259~273 (2006)
  13. Lysaker PH, "Neuroticism and visual memory impairments as predictors of the severity of delusions in schizophrenia", Psychiatry Res, 119, pp.287~292 (2003)
  14. Lysaker PH, "Personality dimensions in schizophrenia: associations with symptoms and coping", J Nerv Ment Dis, 191, pp.80~86 (2003)
  15. Lysaker PH, "Personality and psychopathology in schizophrenia: the association between personality traits and symptoms", Psychiatry, 62, pp.36~48 (1999)
  16. Herran A, "Can personality traits help us explain disability in chronic schizophrenia", Psychiatry Clin Neurosci, 60, pp.538~545 (2006)
  17. Blanchard JJ, "Diagnostic differences in social anhedonia: a longitudinal study of schizophrenia and major depressive disorder", J Abnorm Psychol, 110, pp.363~371 (2001)
  18. Blanchard JJ, "Affective and social behavioral correlates of physical and social anhedonia in schizophrenia", J Abnorm Psychol, 103, pp.719~728 (1994)
  19. Katsanis J, "Clinical correlates of anhedonia and perceptual aberration in first-episode patients with schizophrenia and affective disorder", J Abnorm Psychol, 101, pp.184~191 (1992)
  20. Horan WP, "Does anhedonia in schizophrenia reflect faulty memory for subjectively experienced emotions?", J Abnorm Psychol, 115, pp.496~508 (2006)
  21. Kentros MK, "The relationship between personality and quality of life in persons with schizoaffective disorder and schizophrenia", Qual Life Res, 6, pp.118~122 (1997)
  22. Hansson L, "Determinants of quality of life in people with severe mental illness", Acta Psychiatr Scand Suppl, (429), pp.46~50 (2006)
  23. Lysaker PH, "Personality and psychosocial dysfunction in schizophrenia: the association of extraversion and neuroticism to deficits in work performance", Psychiatry Res, 80, pp.61~68 (1998)
  24. Blanchard JJ, "Anhedonia, positive and negative affect, and social functioning in schizophrenia", Schizophr Bull, 24, pp.413~424 (1998)
  25. Schuck J, "Physical anhedonia and schizophrenia", J Abnorm Psychol, 93, pp.342~344 (1984)
  26. Herbener ES, "What aspects of emotional functioning are impaired in schizophrenia?", Schizophr Res, 98, pp.239~246 (2008)
  27. Blanchard JJ, "Affect and Social Functioning in Schizophrenia;Handbook of Social Functioning in Schizophrenia", pp.181~196 (1998), Allyn & Bacon, Inc.
  28. Velthorst E, "Baseline differences in clinical symptomatology between ultra high risk subjects with and without a transition to psychosis", Schizophr Res, 109, pp.60~65 (2009)
  29. Schlosser DA, "Motivational deficits in individuals at-risk for psychosis and across the course of schizophrenia", Schizophr Res, 158, pp.52~57 (2014)
  30. Cooper S, "Attenuated positive psychotic symptoms and the experience of anhedonia", Early Interv Psychiatry (2017)
  31. McGlashan TH, "Structured Interview for Prodromal Syndromes (SIPS). Version 4.0" (2003), Yale University
  32. PS), Version 2, "Structured Clinical Interview for DSM-IV Axis I Disorders: Non-Patients Edition (SCIDI", pp.1996, First MB
  33. P), Version 2, "Structured Clinical Interview for DSM-IV Axis I Disorders: Patient Edition (SCID-I", pp.1996, First MB
  34. Andreasen NC, "The Scale for the Assessment of Negative Symptoms (SANS)" (1983), University of Iowa
  35. Lee HS, "Korean Version Eysenck Personality Questionnaire" (1997), Hakjisa
  36. Lee JS, "Neuroanatomical correlates of trait anhedonia in patients with schizophrenia: A voxel-based morphometric study", Neurosci Lett, 489, pp.110~114 (2011)
  37. Lee JS, "The relationship between self-referential processing-related brain activity and anhedonia in patients with schizophrenia", Psychiatry Res Neuroimaging, 254, pp.112~118 (2016)
  38. 최수희, "정신분열병 및 우울장애 환자에서 무쾌감증의 특성 비교", 신경정신의학, 49(6), pp.570~577 (2010), 대한신경정신의학회
  39. Lee CH, "Relations of perceived stress, cognitive set, and coping behaviors to depression: a focus on freshmen's stress experiences", Korean J Counsel Psychother, 1, pp.25~45 (1988)
  40. Kim YC, "Likableness and imagery ratings of 400 personality-describing adjectives", J Soc Sci, 2, pp.17~32 (1984)
  41. Bang M, "Neurocognitive impairments in individuals at ultra-high risk for psychosis: Who will really convert?", Aust N Z J Psychiatry, 49, pp.462~470 (2015)
  42. Andreasen NC, "The Scale for the Assessment of Positive Symptoms (SAPS)" (1984), University of Iowa
  43. Cornblatt BA, "Preliminary findings for two new measures of social and role functioning in the prodromal phase of schizophrenia", Schizophr Bull, 33, pp.688~702 (2007)
  44. 이소정, "Impaired Social and Role Function in Ultra-High Risk for Psychosis and First-Episode Schizophrenia: Its Relations with Negative Symptoms", PSYCHIATRY INVESTIGATION, 14(2), pp.186~192 (2017), 대한신경정신의학회[DOI]
  45. Holm S, "A simple sequentially rejective multiple test procedure", Scand J Stat, 6, pp.65~70 (1979)
  46. Kroken RA, "Treatment of schizophrenia with antipsychotics in Norwegian emergency wards, a cross-sectional national study", BMC Psychiatry, 9, pp.24~ (2009)
  47. Jhung K, "Experiential pleasure deficits in the prodrome: a study of emotional experiences in individuals at ultra-high risk for psychosis and recent-onset schizophrenia", Compr Psychiatry, 68, pp.209~216 (2016)
  48. Cohen AS, "The state-trait disjunction of anhedonia in schizophrenia: potential affective, cognitive and social-based mechanisms", Clin Psychol Rev, 31, pp.440~448 (2011)
  49. Strauss GP, "Diminished Hedonic response in neuroleptic-free youth at ultra high-risk for psychosis", Schizophr Res Cogn, 12, pp.1~7 (2018)
  50. Gruber J, "Neuroleptic-free youth at ultrahigh risk for psychosis evidence diminished emotion reactivity that is predicted by depression and anxiety", Schizophr Res, 193, pp.428~434 (2018)
  51. Song YY, "Temperament and character in individuals at ultra-high risk for psychosis and with firstepisode schizophrenia: associations with psychopathology, psychosocial functioning, and aspects of psychological health", Compr Psychiatry, 54, pp.1161~1168 (2013)

관련 논문AI추천

이 간행물의 다른 논문 (11건)