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  • P-ISSN1226-9654
  • E-ISSN2733-466X
  • KCI

ISSN : 1226-9654

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Vol.21 No.3

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정신분열병 환자의 부정 정서 자극에 대한 생리적 반응

Physiological responsivity to negative emotional stimuli in patients with schizophrenia

한국심리학회지: 인지 및 생물 / The Korean Journal of Cognitive and Biological Psychology, (P)1226-9654; (E)2733-466X
2009, v.21 no.3, pp.215-232
https://doi.org/10.22172/cogbio.2009.21.3.004
박성원 (혜천대학교)
박성원. (2009). 정신분열병 환자의 부정 정서 자극에 대한 생리적 반응. 한국심리학회지: 인지 및 생물, 21(3), 215-232, https://doi.org/10.22172/cogbio.2009.21.3.004

초록

본 연구는 정상집단과 정신분열병 환자 집단의 부정적 정서자극에 대한 주관적인 정서경험 수준과 생리적 반응의 변화를 비교하는 것을 목적으로 한다. 분노, 혐오, 공포, 슬픔 및 정서를 유발하는 네 가지 부정적인 동영상 자극을 이용하여 자극이 제시되기 전과 제시되는 동안에 피부전도반응(SCR), 피부전도수준(SCL), 심박률(HR), 호흡(RESP), 추미근(CM)과 구륜근(OM)을 측정하였다. 환자집단은 정상집단에 비해 분노와 혐오 자극에 대해 낮은 강도의 주관적 정서경험을 보고 하였고, 분노정서에서 정서경험 인식의 정확률이 낮았다. 생리적인 반응의 경우 환자집단은 정상집단에 비해 분노(HR, CM), 공포(SCR, RESP, CM), 슬픔(HR, RESP)의 지표에서 낮은 수준의 생리적 변화를 보였다. 각각의 집단 내에서 안정상태와 정서 유발상태간의 생리반응을 비교하여 보면, 정상집단의 경우 분노(HR, RESP, CM), 혐오(OM), 공포(SCR, SCL, RESP, CM, OM), 및 슬픔(HR, RESP)에서 유의한 변화가 나타났고, 환자집단에서는 혐오(HR), 공포(SCR) 그리고 슬픔(RESP)에서 유의한 변화가 관찰되었다. 본 연구는 부정적인 정서 유발상황에서 정신분열병 환자의 생리적 반응은 정상인과 뚜렷하게 다른 양상을 나타내고 있지만 정서를 주관적으로 경험하는 수준은 크게 다르지 않음을 보여 주었다.

keywords
정신분열병, 정서, 자율신경계, 정신생리, Schizophrenia, Emotion, Autonomic nervous system, Psychophysiology, Schizophrenia, Emotion, Autonomic nervous system, Psychophysiology

Abstract

The purpose of this study was to investigate the physiological reactions and subjective experiences of schizophrenic patients against negative emotional stimuli such as anger, disgust, fear, and sadness. The responses to the emotional stimuli of each subjects were assessed by measuring and analysing the physiological signals before and during presenting negative emotional movie scenes; the parameters were the heart rate (HR), respiration(RESP), skin conductance level (SCL), skin conductance response (SCR), corrugator muscle (CM), and orbicularis muscle (OM), respectively. Patients reported that they have experienced strong emotions in responses to the stimuli of disgust, fear and sadness. The identification rate of anger only was distinguishable between the patients and the controls. The changes in the physiological responses of the patients between the resting periods and emotion-induced state in anger (HR, CM), fear (SCR, RESP, CM), sadness (HR, RESP) were less significant compared to the changes in the control group. The control subjects exhibited significantly-increased values in eleven parameters; anger (HR, RESP, CM), disgust(OM), fear(SCR, SCL, RESP, CM, OM), and sadness(HR, RESP), while the patients showed significant changes only in three parameters; disgust (HR), fear (SCR), and sadness (RESP). This study show that the physiological responses in patients apparently differ from in controls while the subjective experience cannot tell the difference between the two groups.

keywords
정신분열병, 정서, 자율신경계, 정신생리, Schizophrenia, Emotion, Autonomic nervous system, Psychophysiology, Schizophrenia, Emotion, Autonomic nervous system, Psychophysiology

참고문헌

1.

박성원, 김소야자, 이영창 (2008). 정서유발에 따른 정신분열병 환자의 자율신경계 및 안면근육반응 정신간호학회지, 17(2), 227- 236.

2.

이중서, 안용민, 신현균, 안석균, 주연호, 김승현, 윤도준, 조경형, 구영진, 이지연, 조인희, 박영환, 김광수, 김용식 (2002). 한국판 양성 및 음성증후군 척도(Positive and Negative Syndrome Scale)의 신뢰도와 타당도. 신경정신의학, 40(6), 1090-1105.

3.

Blanchard, J. J., Panzarella, C., Mueser, K. T., & Tarrier, N. (1998). Affect and social functioning in schizophrenia. Handbook of social functioning in schizophrenia, p. 181-196.

4.

Bosch, J. A., de Geus, E. J., Kelder, A., Veerman, E. C., Hoogstraten, J., & Amerongen, A. V. (2001). Differential effects of active versus passive coping on secretory immunity. Psychophysiology, 38, 836–846

5.

Bradley, M . M., & Lang, P. J. (2000). Affective reactions to acoustic stimuli. Psychophysiology, 37, 204-215.

6.

Buchanan, R. W., & Carpenter, W. T. (2004). Domains of psychopathology: an approach to the reduction of heterogeneity in schizophrenia. Journal of Nervous & Mental Disease, 182(4), 193-204

7.

Christie, I. C., & Friedman, B. H. (2004). Autonomic specificity of discrete emotion and dimensions of affective space: a multivariate approach. International Journal of Psychophysiology, 51(2), 143-53.

8.

Collet, C., Vernet-Maury, E., Delhomme, G., & Dittmar, A. (1997). Autonomic nervous system response patterns specificity to basic emotions. Journal of the Autonomic Nervous System, 62(1-2), 45-57.

9.

Dawson, M. E., & Schell, A. M. (2002). What does electrodermal activity tell us about prognosis in the schizophrenia spectrum?. Schizophrenia Research, 54(1-2), 87-93.

10.

Dawson, M. E., Nuechterlein, K. H., Schell, A. M., Gitlin, M., & Ventura, J. (1994). Autonomic abnormalities in schizophrenia: state or trait indicator? Archives of General Psychiatry, 51, 813-824.

11.

Ekman, P., Levenson, R. W., & Friesen, W. V. (1983). Autonomic nervous system activity distinguishes among emotions. Science., 221(4616), 1208-10.

12.

Ernst, K. S., Kring, A. M., Kadar, M. A., Salem, J. E., Shepard, D. A., & Loosen, P. T. (1996). Facial expression in schizophrenia. Biological Psychiatry, 40, 556-558.

13.

Hagemann, D., Waldstein, S. R., & Thayer, J. F. (2003). Central and autonomic nervous system integration in emotion. Brain & Cognition. 52(1), 79-87.

14.

Hempel, R. J., Tulen, J. H. M, van Beveren, N. J. M., van Steenis, H. G., Mulder, P. G. H & Hengeveld, M. W. (2005). Physiological responsivity to emotional pictures in schizophrenia, J Psychiatric Research, 39, 509-518.

15.

Hempel, R. J., Tulen, J. H. M, van Beveren, N. J. M., Mulder, P. G. H & Hengeveld, M. W. (2007). Subjective and physiological responses to emotion-eliciting pictures in male schizophrnia patients. International Journal of Psychopybsiology, 64, 174-183.

16.

Kay, S. R., Fiszbein, A., & Opler, L. A. (1987). The positive and negative syndrome scale(PANNS) for schizophrenia. Schizophrenia Bulletin, 13, 261-275.

17.

Kohler, C. G., & Martin, E. A. (2006). Emotional processing in schizophrenia. Cognitive Neuropsychiatry, 11(3), 250-271.

18.

Kohler, C. G., Martin, E. A., Stolar, N., Barrett, F. S., Verma, R., Brensinger, C., & Bilker, W. (2008). Static posed and evoked facial expressions of emotions in schizophrenia. Schizophrenia research, 105 .49-60

19.

Kreibig, S. D., Wilhelm, F. H., Roth, W. T., & Gross, J. J. (2007). Cardiovascular, electrodermal, and respiratory response patterns to fear- and sadness-inducing films. Psychophysiology,. 44(5), 787-806.

20.

Kring, A. M. (1999). Emotion in schizophrenia: Old mystery, new understanding. Current directions in psychological science, 8, 160-163.

21.

Kring, A. M., & Moran, E. K. (2008). Emotional response deficits in schizophrenia: Insights from affective science. Schizophrenia Bulletin, 34(5), 819-834.

22.

Kring A. M., Kerr S. L., Smith, D. A., & Neale, J. M. (1993). Flat affect in schizophrenia does not reflect diminished subjective experience of emotion. Journal of Abnormal Psychology, 102, 507–517.

23.

Kring, A. M., & Neal, J. M. (1996). Do schizophrenic patients show a disjunctive relationship among expressive, experiential, and psychophysiological components of emotion? Journal of Abnormal Psychology, 105, 249-257.

24.

Lacey, J. I., & Lacey, B., C. (1970). Some autonomic-central nervous system interrelationships. In: Black, P. (Ed). Physiological Correlates of Emotion. Academic Press, New York.

25.

Larsen, J. T., Norris, C. J., & Cacioppo, J. T. (2003). Effects of positive and negative affect on electromyographic activity over zygomaticus major and corrugator supercilii, Psychophysiology 40(5). 776–785.

26.

Levenson R. W., Carstensen L. L., & Friesen W. V. (1991). Ekman P. Emotion, physiology, and expression in old age. Psychology & Aging, 6(1), 28-35.

27.

Mandal, M. K., & Palchoudhury, S. (1989). Identifying the components of facial emotion and schizophrenia. Psychopathology, 22, 295-300.

28.

Mandal, M .K., Pandey, R., & Prasad, A. B. (1998). Facial expressions of emotions and schizophrenia: A review. Schizophrenia Bulletin, 24(3), 399-412.

29.

Myin-Germeys, I., Van Os, J., Schwartz, J. E., Stone, A. A., Delespaul, P. A. (2001). Emotional reactivity to daily life stress in psychosis. Archives of general psychiatry, 58, 1137-1144.

30.

Ohira, H., Nomura, M., Ichikawa, N., Isowa, T., Iidaka, T., Sato, A., Fukuyama, S., Nakajima, T., & Yamada, J. (2006). Association of neural and physiological responses during voluntary emotion suppression. Neuroimage,. 29(3), 721-33.

31.

Palomba, D., Sarlo, D., Angrilli, A., Mini, A., & Stegagno, L. (2000). Cardiac responses associated with affective processing of unpleasant film stimuli, International Journal of Psychophysiology 36, 45–57.

32.

Philippot, P., Chapelle, C., & Blairy, S. (2002). Respiratory feedback in the generation of emotion. Cognition and Emotion, 16, 605–627.

33.

Sison, C. E., Alpert. M., Fudge. R., & Stern, R. M. (1996) Constricted expressiveness and psychophysiological reactivity in schizophrenia. Journal of Nervous & Mental Disease. 184(10), 589-97.

34.

Sass, L. (2007). Contradictions of emotion in schizophrenia. Cognition & Emotion, 21(2), 351-390.

35.

Schell, A. M., Dawson, M.. E.,H. Nuechterlein, K. H., Subotnik, K. & Ventura, J. (2002). The temporal stability of electrodermal variables over a one-year period in patients with recent-onset schizophrenia and in normal subjects, Psychophysiology, 39, 124–132.

36.

Straube, E. R., & Oades, R. D. (1992). Schizophrenia: Empirical research and findings. San Diego, CA: Academic Press.

37.

Toichi, M., Sugiura, T., Murai, T., & Sengoku, A. (1999). A new method of assessing cardiac autonomic function and its comparison with spectral analysis and coefficient of variation of R-R internal. Journal of the Autonomic Nervous System, 62, 79-84.

38.

Williams, L. M., Das, P., Liddell B. J., Olivieri, G., Peduto, A. S. & David A. S. (2007). Gordon E. Harris AW. Fronto-limbic and autonomic disjunctions to negative emotion distinguish schizophrenia subtypes. Psychiatry Research, 155(1), 29-44.

39.

Zahn, T. P., & Pickar, D. (2005). Autonomic activity in relation to symptom ratings and reaction time in unmedicated patients with schizophrenia. Schizophrenia Research, 79, 257-270.

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