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Cognitive Biases and Decreased Attention and Memory in Somatizing Patients Group

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2012, v.17 no.2, pp.479-500
https://doi.org/10.17315/kjhp.2012.17.2.013


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Abstract

Previous cognitive studies regarding the attentional biases and memory biases for somatic-symptom words in somatizing patient groups have not demonstrated consistent findings. The aim of this study, which was administered to complement these findings was to investigate that the somatizing patients group would have both attentional biases and memory biases for somatic-symptom words because of having both anxiety and depressive states in the clinical setting. Also, the aim of this study was to investigate that the somatizing patients group would have decreased attention and memory such as anxiety and depressive patients. For these purposes, a modified Stroop task, a delayed free recall task, and a recognition task using computer-presented word lists were performed to a clinical sample of 21 patients suffering from multiple somatoform symptoms, as well as 21 healthy controls. The major results and the implication of this study are as follows. First, the somatizing patients group presented significant Stroop interference effects for somatic-symptoms words. Second, the somatizing patients group better remembered and more accurately recognized the somatic-symptom words, and more sensitively responded to the somatic-symptom words than the neutral words. Third, the free-recall ratio of somatic-symptoms words was higher than that of neutral words in the somatization group. These results suggested that the somatizing patients group have both attentional biases and memory biases for somatic-symptom words. Fourth, the somatizing patients group demonstrated decreased attention and memory. However, the hypothesis that the somatizing patients group would show greater Stroop interference effects with somatic-symptom words than the control group was not supported. Also, the hypotheses that the somatizing patients group would better remember and more accurately recognize the somatic-symptom words and be more sensitive to the somatic-symptoms words than the positive words were not supported. Therefore, the hypothesis in which the somatizing patients group would have both attentional biases and memory biases for somatic-symptom words was partly supported, and the hypothesis that the somatizing patients group would have the decreased attention and memory was supported in this study. Finally, the significance and limitations of this study as well as directions for future study were also discussed.

keywords
신체화, 수정된 Stroop 과제, 인지 편향, 주의력과 기억력 저하, somatization, modified Stroop task, cognitive biases, decreased attention and memory

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