강박성향군의 강박사고 위협자극에 대한 억제기능
Inhibitory Functions for Obsessive Threat Stimuli in Young Adults with Obsessive-Compulsive Traits
이종환 (경북대학교 심리학과)
곽호완 (경북대학교)
장문선 (경북대학교)
구본훈 (영남대학교병원 정신과 임상심리실)
초록
본 연구는 강박성향 집단이 나타내는 개인적 위협자극에 대한 자동적 억제 결함의 특성을 밝히고, 강박성향 집단을 자생성/반응성 강박집단으로 분류하여 자극의 범주에 따른 억제 결함의 차이가 나타나는지를 확인하고자 수행되었다. 연구 1에서는 개인적 위협자극, 중립적, 일반적 위협자극으로 구성된 정서 스트룹 과제를 사용하여 강박성향 집단과 강박성향이 낮은 집단 간 수행차이를 분석하였다. 연구 2에서는 오염·불쾌, 중립적, 성·공격 자극을 사용한 지시된 망각과제를 실시하여 자생성 강박집단, 반응성 강박집단, 강박성향이 낮은 집단에서의 수행차이를 분석하였다. 연구 1의 결과, 강박성향 집단은 정서 스트룹 과제수행에서 개인적 위협자극이 제시되었을 때 간섭에 대한 억제의 결함을 보였다. 연구 2의 결과, 강박사고 하위집단 중 반응성 강박집단은 잊어버리라는 지시에도 불구하고 본인의 강박사고와 관련된 오염·불쾌 단어자극을 망각하는 것에 어려움을 보이는 것으로 나타났다. 이러한 결과는 강박성향 집단이 자신의 강박사고와 관련한 개인적 위협자극에 대하여 주의를 억제하는 것에 결함이 있음을 시사하며, 반응성 강박집단의 오염·불쾌 자극에 대한 시연억제의 손상을 반영한다. 결과적으로 강박장애에서 보이는 자동적, 의도적 억제결함은 강박장애를 가진 개인이 원치 않는 불안한 생각과 이미지에 공격받는 결과를 초래하는 것으로 해석될 수 있다. 또한 강박집단을 강박사고 유형에 따라 자생성 강박집단과 반응성 강박집단으로 나누어 살펴본 결과, 직접적인 자극에 의해 침투사고가 유발되는 반응성 강박집단은 오염·불쾌 단어자극에서 의도적 억제의 결함을 보인 반면 침투사고를 유발하는 자극이 명확하지 않은 자생성 강박집단은 의도적 억제의 결함을 확인하지 못하였다. 이는 두 집단의 이질성을 지지하며, 강박집단 간의 의도적 억제에서 자극의 범주와 유형에 따른 차이가 있음을 시사한다.
- keywords
- 강박장애, 자생성/반응성 강박사고, 억제기능, 정서 스트룹, 지시된 망각과제, obsessive-compulsive disorder, autogenous/reactive obsessions, inhibitory function emotional, emotional Stroop, directed forgetting
Abstract
The objective of this study is to investigate the characteristics of Obsessive-Compulsive(OC) tendencies’ automatic inhibitory dysfunction to personal threats stimuli, and to confirm whether any differences of the inhibitory dysfunction exists according to the different range of stimuli with classifying OC tendencies into its subgroups which are autogenous obsession and reactive obsession. In Study 1, OC tendencies group and OC lower tendencies group performed a stroop test under three conditions: (1) Individual threat, (2) Neutral, (3) General threat. In Study 2, the OC group was divided into two different subtypes: autogenous obsession group and reactive obsession group. Subjects which fell into the autogenous obsession group(AOs), control group(Cs) and reactive obsession(ROs) performed directed forgetting tasks using obsession threat stimuli of OC subtypes. The result of study 1, the OC tendencies group, showed reduced inhibition of individual threat material in the stroop test. The result of study 2, In spite of directed forgetting, showed the ROs impaired forgetting for contamination/unpleasant word related own obsession compared to the Cs and AOs, The results of this study suggest that individuals with obsessive-compulsive traits have attentional inhibition dysfunction in obsession-congruent individual threatening words. Also the results of this study reflect the ROs impaired rehearsal inhibition for contamination/unpleasant word. In conclusion, OC tendencies group’s failure to inhibitory control ability undesirable stimuli results in the person being bombed with recurrent unwanted and disturbing thoughts and images. Furthermore, classifying OC tendencies into its subgroups which are ROs and AOs demonstrate the ROs showed impaired forgetting for contamination/unpleasant word. On the other hand, the performance patterns indirected forgetting task using contamination/unpleasant word of the AOs were similar to those of the Cs. These findings support a partial heterogeneity in the OC group and the usefulness of classifying stimuli in an intentionally inhibited study.
- keywords
- 강박장애, 자생성/반응성 강박사고, 억제기능, 정서 스트룹, 지시된 망각과제, obsessive-compulsive disorder, autogenous/reactive obsessions, inhibitory function emotional, emotional Stroop, directed forgetting
참고문헌
김빛나, 김명선 (2009). 아임상 강박성향군의 세부-편향적 시지각 특성에 관한 연구. 한국심리학회지: 임상, 28(3), 911-928.
박희정, 박기환 (2012). 시공간 점화과제에서 강박성향집단의 촉진과 억제효과. 한국심리학회지: 임상, 31(1), 25-41.
백민정, 현명호 (2008). 강박사고 유형에 따른 의미점화효과. 한국심리학회지: 임상, 27(1), 85-102.
설순호 (2004). 걱정과 강박사고에 대한 인지적 평가와통제방략. 서울대학교 일반대학원 석사학위 논문.
이민규, 원호택 (1988). 강박장애의 인지적 특성. 심리학의 연구문제, 3, 375-399. 서울대학교 심리과학연구소.
이세용 (2013). 강박성향 및 강박사고 유형 간 사고-행위 융합, 중화행동, 사고억제 결함의 차이. 강원대학교 일반대학원 석사 학위 논문.
이영호, 송종용 (1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지: 임상, 10(1), 98-113.
이정흠, 안창일. (2000). 불안장애 환자의 선택적 주의편향 특성. 한국심리학회지: 임상, 19(3), 453-471.
이종환, 곽호완, 이상일, 장문선. (2013). 경계선 성격장애 성향군의 정서조절 능력: 억제 기능, 과민반응, 조절곤란을 중심으로. 한국심리학회지: 임상, 32(3), 543-565.
이한주, 신민섭, 김중술, 권준수 (2002). 자생성 강박사고와 반응성 강박사고; 임상집단 연구. 한국심리학회지: 임상, 21(1), 57-74.
조남호 (2002). 현대 국어 사용 빈도 조사: 한국어학습용 어휘 선정을 위한 기초 조사. 서울: 국립국어연구원.
American Psychiatric Association (2013). The Diagnostic and Statistical Manual of Mental Disorders DSM- 5. Washington, D.C. : American Psychiatric Association.
Anderson, M. C., & Hanslmayr, S. (2014). Neural mechanisms of motivated forgetting. Trends in cognitive sciences, 18(6), 279-292.
Antony, M. M., Downie, F., & Swinson, R. P. (1998). Diagnostic issues and epidemiology in obsessive-compulsive disorder. In Swinson, R. P., Antony, M. M., Rachman, S., & Richter, M. A (Eds.). Obsessive-compulsive disorder: Theory, research, and treatment (pp. 3-32). New York :Guilford.
Aydin, P. C., & Oyekcin, D. G. (2013). Cognitive Functions in Patients with Obsessive Compulsive Disorder. Turk Psikiyatri Dergisi, 24(4), 266-274..
Basden, B. H., & Basden, D. R. (1998). Directed forgetting: A contrast of methods and interpretations. In J. M Golding & C. M. MacLeod (Eds). Intentional forgetting Interdisciplinary approaches (pp. 139-172). New Jersey : Psychology.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. K. (1961). An inventory for measuring depression. Archives of general psychiatry, 4(6), 561-571.
Burns, G. L., Keortge, S. G., Formea, G. M., & Sternberger, L. G. (1996). Revision of the Padua Inventory of obsessive compulsive disorder symptoms: distinctions between worry, obsessions, and compulsions. Behaviour research and therapy, 34(2), 163-173.
Carr, A. T. (1974). Compulsive neurosis: a review of the literature. Psychological bulletin, 81(5), 311-319.
Chamberlain, S. R., Blackwell, A. D., Fineberg, N. A., Robbins, T. W., & Sahakian, B. J. (2005). The neuropsychology of obsessive compulsive disorder: the importance of failures in cognitive and behavioural inhibition as candidate endophenotypic markers. Neuroscience &Biobehavioral Reviews, 29(3), 399-419.
Dalgleish, T., Mathews, A., & Wood, J. (1999). Inhibition processes in cognition and emotion: A special case. In Dalgleish, T., & Power, M. J. (Eds.). Handbook of cognition and emotion (pp 243-266). Chichester, England : John Wiley &Sons.
Direnfeld, D. M., Pato, M. T., & Roberts, J. E. (2001, November). Attentional biases in obsessive compulsive disorder: relationship to symptomatology and treatment. In Poster presented at the 2001 Meeting of the Association for the Advancement of Behavior Therapy. Philadelphia, PA
Foa, E. B., Ilai, D., McCarthy, P. R., Shoyer, B., & Murdock, T. (1993). Information processing in obsessive—compulsive disorder. Cognitive Therapy and Research, 17(2), 173-189.
Hashimoto, N., Nakaaki, S., Omori, I. M., Fujioi, J., Noguchi, Y., Murata, Y., & Furukawa, T. A. (2011). Distinct neuropsychological profiles of three major symptom dimensions in obsessive–compulsive disorder. Psychiatry research, 187(1), 166-173.
Hauswald, A., & Kissler, J. (2008). Directed forgetting of complex pictures in an item method paradigm. Memory, 16(8), 797-809.
Hourihan, K. L., & Taylor, T. L. (2006). Cease remembering: control processes in directed forgetting. Journal of Experimental Psychology:Human Perception and Performance, 32(6), 1354-1365.
Jang, J. H., Kim, H. S., Ha, T. H., Shin, N. Y., Kang, D. H., Choi, J. S., & Kwon, J. S. (2010). Nonverbal memory and organizational dysfunctions are related with distinct symptom dimensions in obsessive-compulsive disorder. Psychiatry research, 180(2), 93-98.
Kampman, M., Keijsers, G. P., Verbraak, M. J., Näring, G., & Hoogduin, C. A. (2002). The emotional Stroop: a comparison of panic disorder patients, obsessive–compulsive patients, and normal controls, in two experiments. Journal of anxiety disorders, 16(4), 425-441.
Konishi, M., Shishikura, K., Nakaaki, S., Komatsu, S. I., & Mimura, M. (2011). Remembering and forgetting: directed forgetting effect in obsessive-compulsive disorder. Neuropsychiatric disease and treatment, 7(1), 365-372.
Kyrios, M & lob, MA (1998). Automatic and strategic processing in obsessive-compulsive disorder:attentional bias, cognitive avoidance or more complex phenomena. Journal of Anxiety Disorders, 12(4), 271-292.
Lavy, E., Van Oppen, P., & Van Den Hout, M. (1994). Selective processing of emotional information in obsessive compulsive disorder. Behaviour Research and Therapy, 32(2), 243-246.
Lee, H. J., & Kwon, S. M. (2003). Two different types of obsession: autogenous obsessions and reactive obsessions. Behaviour Research and Therapy, 41(1), 11-29.
Lee, H. J., & Telch, M. J. (2005). Autogenous/reactive obsessions and their relationship with OCD symptoms and schizotypal personality features. Journal of Anxiety Disorders, 19(7), 793-805.
Lee, H. J., Kim, Z. S., & Kwon, S. M. (2005). Thought disorder in patients with obsessivecompulsive disorder. Journal of clinical psychology, 61(4), 401-413.
Lee, H. J., Kwon, S. M., Kwon, J. S., & Telch, M. J. (2005). Testing the autogenous–reactive model of obsessions. Depression and Anxiety, 21(3), 118-129.
Lee, H. J., Yost, B. P., & Telch, M. J. (2009). Differential performance on the go/no-go task as a function of the autogenous-reactive taxonomy of obsessions: Findings from a non-treatment seeking sample. Behaviour research and therapy, 47(4), 294-300.
MacLeod, C. M., Dodd, M. D., Sheard, E. D., Wilson, D. E., & Bibi, U. (2003). In opposition to inhibition. Psychology of learning and motivation, 43(6), 163-214.
McNally, R. J., Amir, N., Louro, C. E., Lukach, B. M., Riemann, B. C., & Calamari, J. E. (1994). Cognitive processing of idiographic emotional information in panic disorder. Behaviour research and therapy, 32(1), 119-122.
McNeil, D. W., Tucker, P., Miranda Jr, R., Lewin, M. R., & Nordgren, J. C. (1999). Response to depression and anxiety Stroop stimuli in posttraumatic stress disorder, obsessivecompulsive disorder, and major depressive disorder. The Journal of nervous and mental disease, 187(8), 512-516.
Molaei, M., Moradi, A. R., & Gharaei, B. (2007). Executive Function and Neuropsychological Evidence among OCD and GAD. Journal of Behavior Sciences, 1(2), 131-141.
Moritz, S., & von Muehlenen, A. (2008). Investigation of an attentional bias for fear related material in obsessive‐compulsive checkers. Depression and Anxiety, 25(3), 225-229.
Moritz, S., Jacobsen, D., Kloss, M., Fricke, S., Rufer, M., & Hand, I. (2004). Examination of emotional Stroop interference in obsessive–compulsive disorder. Behaviour Research and Therapy, 42(6), 671-682.
Morton, J. (1969). Interaction of information in word recognition. Psychological review, 76(2), 165-178.
Moulding, R., Kyrios, M., Doron, G., & Nedeljkovic, M. (2007). Autogenous and reactive obsessions:Further evidence for a two-factor model of obsessions. Journal of Anxiety Disorders, 21(5), 677-690.
Muller, J., & Roberts, J. E. (2005). Memory and attention in obsessive–compulsive disorder: a review. Journal of anxiety disorders, 19(1), 1-28.
Novara, C., & Sanavio, E. (2001). Compulsive checking and selective processing of threatening information. Psychological reports, 88(3c), 1171-1181.
Omori, I. M., Murata, Y., Yamanishi, T., Nakaaki, S., Akechi, T., Mikuni, M., & Furukawa, T. A. (2007). The differential impact of executive attention dysfunction on episodic memory in obsessive-compulsive disorder patients with checking symptoms vs. those with washing symptoms. Journal of psychiatric research, 41(9), 776-784.
Rachman, S., & de Silva, P. (1978). Abnormal and normal obsessions. Behaviour research and therapy, 16(4), 233-248.
Rao, N. P., Arasappa, R., Reddy, N. N., Venkatasubramanian, G., & Reddy, Y. J. (2010). Emotional interference in obsessive–compulsive disorder: A neuropsychological study using optimized emotional Stroop test. Psychiatry research, 180(2), 99-104.
Rasmussen, S. A., & Tsuang, M. T. (1986). Clinical characteristics and family history in DSM-III obsessive-compulsive disorder. The American journal of psychiatry, 143(3), 317-322.
Sher, K. J., Frost, R. O., Kushner, M., Crews, T. M., & Alexander, J. E. (1989). Memory deficits in compulsive checkers: replication and extension in a clinical sample. Behaviour Research and Therapy, 27(1), 65-69.
Thomas, S. J., Gonsalvez, C. J., & Johnstone, S. J. (2013). Neural time course of threat-related attentional bias and interference in panic and obsessive–compulsive disorders. Biological psychology, 94(1), 116-129.
Tolin, D. F., Hamlin, C., & Foa, E. B. (2002). Directed forgetting in obsessive-compulsive disorder: replication and extension. Behaviour research and therapy, 40(7), 793-803.
Warren, R. E. (1972). Stimulus encoding and memory. Journal of Experimental Psychology, 94(1), 90-100.
Wells, A., & Morrison, A. P. (1994). Qualitative dimensions of normal worry and normal obsessions: A comparative study. Behaviour Research and Therapy, 32(8), 867-870.
Wilhelm, S., Mcnally, R. J., Baer, L., & Florin, I. (1996). Directed forgetting in obsessive-compulsive disorder. Behaviour research and therapy, 34(8), 633-641.
Williams, M., Powers, M. B., & Foa, E. B. (2012). Obsessive‐Compulsive Disorder. Handbook of evidence-based practice in clinical psychology.
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