유도된 해석 편향과 불안의 관계에 대한 연구들이 누적되면서, 해석 편향이 불안의 발달 및 유지 요인임이 반복 확인되고 있다. 이렇듯 해석 편향이 불안에 중요한 역할을 한다면, 해석 편향이 불안의 한 지표인 심박 수 지각의 정확성에도 영향을 미칠 것으로 기대된다. 따라서 이 연구에서는 해석 편향 수정(Cognitive Bias Modification-Interpretation: CBM) 기법을 활용하여 훈련된 해석 편향과 심박 수 지각의 정확성의 관계를 살펴보고자 했다. 참여자들은 긍정적 혹은 부정적으로 무선 할당된 훈련 조건에 따라 해석 편향 훈련을 수행하였고 스트레스 과제 전후로 심적 추적 과제를 수행하였다. 최종 41명의 참여자의 자료가 분석되었다. 그 결과, 참여자들의 할당된 조건에 따라 해석 편향이 유도되었고, 부정 해석 편향 집단에서 심박 수 지각 오류율이 스트레스 과제 이후에 낮았다. 이러한 결과는 해석 편향이 유도될 수 있고 이렇게 유도된 해석 편향이 심박 수 지각에 영향을 미침을 시사한다.
The cumulative literature of induced interpretive bias and anxiety has repeatedly demonstrated that interpretative bias is a significant element in the development and maintenance of anxiety. If interpretive bias plays a significant role in anxiety, it is expected that it may also affect the accuracy of heart rate perception, an indicator of anxiety. Therefore, the objective of this study was to examine the relationship between trained interpretive bias and accuracy of heartbeat perception, a physical indicator of anxiety. Participants performed interpretative bias training using Cognitive Bias Modification-Interpretation, and then conducted Mental Tracking Tasks before and after the stress task. A total of 41 participants were analyzed. As a result, interpretative bias was induced under the conditions assigned to the participants, and the negatively interpretive bias group had the lower heartbeat perception error rate after the stress task than before. These findings suggests that interpretive bias may be induced and affect heartbeat perception.
박순환 (1986). 시험불안, 성공-실패 경험 및 자기지향적 주의가 과제수행에 미치는 효과. 서울대학교 대학원 석사학위청구논문.
최효임, 송한수, 신미연, 김인석, 현명호 (2005). 특성불안에 따른 공포/비공포 자극이 과제수행에 미치는영향. 한국심리학회지: 건강, 10(1), 31-46.
한덕웅, 이장호, 전겸구 (1996). Spielberger 상태-특성불안검사 Y형의 개발. 한국심리학회지: 건강, 1(1), 1-14.
al’'Absi, M., Bongard, S., Buchanan, T., Pincomb, G. A., Licinio, J., & Lovallo, W. R. (1997). Cardiovascular and neuroendocrine adjustment to public speaking and mental arithmetic stressors. Psychophysiology, 34, 266-275.
Anderson, E. R., & Hope, D. A. (2009). The relationship among social phobia, objective and perceived physiological reactivity, and anxiety sensitivity in an adolescent population. Journal of Anxiety Disorders, 23, 18-26.
Antony, M. M., Brown, T. A., Craske, M. G., Barlow, D. H., Mitchell, W. B., & Meadows, E. A. (1995). Accuracy of heart beat perception in panic disorder, social phobia, and non-anxious subjects. Journal of Anxiety Disorders, 9, 355-371.
Arntz, A., Rauner, M., & Van den Hout, M. (1995). “If I feel anxious, there must be danger”:Ex-consequential reasoning in inferring danger in anxiety disorders. Behaviour Research and Therapy, 33, 917-925.
Asutay, E., & Västfjäll, D. (2012). Perception of loudness is influenced by emotion. PLoS ONE, 7, 1-5.
Becker, M. W. (2009). Panic Search: Fear produces efficient visual searching for nonthreatening objects. Psychological Science, 20, 435-437.
Brosan, L., Hoppitt, L., Shelfer, L., Sillence, A., & Mackintosh, B. (2011). Cognitive bias modification for attention and interpretation reduces trait and state anxiety in anxious patients referred to an out-patient service results from a pilot study. Journal of Behavior Therapy and Experimental Psychiatry, 42, 258-264.
Clark, L. A., & Wells, A. (1995). Social Phobia:Diagnosis, assessment, and treatment. In R. G. Heimberg, M. R. Liebowitz, & D. Hope (Ed.), A cognitive model of social phobia (pp. 69-93). New York: Guilford Press.
Dess, N. K., & Edelheit, D. (1998). The bitter with the sweet: The taste/stress/temperament nexus. Biological Psychology, 48, 103-119.
Domschke, K., Stevens, S., Pfleiderer, B., & Gerlach, A. L. (2010). Intereoceptive sensitivity in anxiety and anxiety disorders: An overview and integration of neurobiological finding. Clinical Psychology Review, 30, 1-11.
Edelmann, R. J., & Baker, S. R. (2002). Self-reported and actual physiological responses in social phobia. British Journal of Clinical Psychology, 41, 1–14.
Ehlers, A., & Breuer, P. (1992). Increased cardiac awareness in panic disorder. Journal of Abnormal Psychology, 101, 371-382.
Fox, E., Russo, R., Bowles, R., & Dutton, K. (2001). Do threatening stimuli draw or hold visual attention in subclinical anxiety? Journal of Experimental Psychology, 130, 681–700.
Gerlach, A. L., Mourlane, D., & Rist, F. (2004). Public and private heart rate feedback in social phobia:A manipulation of anxiety visibility. Cognitive Behaviour Therapy, 33, 36-45.
Hayes, S., Hirsch, C. R., Krebs, G., & Mathews, A. (2010). The effects of modifying interpretation bias on worry in generalized anxiety disorder. Behaviour Research & Therapy, 48, 171-178.
Hoehn-Saric, H., & McLeod, D. R. (2000). Anxiety and arousal: Physiological changes and their perception. Journal of Affective Disorders, 61, 217-224.
Juslin, P., & Va̎sfja̎ll, D. (2008). Emotional responses to music: The need to consider underlying mechanisms. Behavioral and Brain Sciences, 31. 559–621.
Mackintosh, B., Mathews, A., Yiend, J., Ridgeway, V., & Cook, E. (2006). Induced biases in emotional interpretation influence stress vulnerability and endure despite changes in context. Behaviour Therapy, 37, 209-222.
MacLeod, C., Koster, E. H. W., & Fox, E. (2009). Whither cognitive bias modification research? Commentary on the special section articles. Journal of Abnormal Psychology, 11, 89-99.
MacLeod, C., & Mathews, A. (2012). Cognitive bias modification approaches to anxiety. Annual Review of Clinical Psychology, 8, 1-29.
Mathews, A., & Mackintosh, B. (2000). Induced emotional interpretation bias and anxiety. Journal of Abnormal Psychology, 109, 602-615.
Mogg, K., Mathews, A., Bird, C., & McGregor-Morris, R. (1990). Effects of stress and anxiety on the processing of threat stimuli. Journal of Personality and Social Psychology, 59, 1230–1237.
Montoya, P., & Schandry, R. (1994). Emotional experience and heartbeat perception in patients with spinal cord injury and control subjects. Journal of Psychophysiology, 8, 289-296.
Muris, P., Mayer, B., & Bervoets, S. (2010). Listen to your heart beat and shiver! An experimental study of anxiety-related emotional reasoning in children. Journal of Anxiety Disorders, 23, 612-617.
Ouiment, A. J., Gawronski, B. M., & Dozois, D. J. A. (2009). Cognitive vulnerability to anxiety: A review and integrative model. Clinical Psychology Review, 29, 459-470.
Pollatos, O., Traut-Mattausch, E., & Schandry, R. (2009). Differential effects of anxiety and depression on interoceptive accuracy. Depression and Anxiety, 26, 167-173.
Pylyshyn, Z. W. (2003). Explaining mental imagery:Are there really pictures in the brain? Trends in Cognitive Sciences, 7, 113-118.
Salemink, E., van den Hout, M., & Kindt, M. (2007a). Trained interpretive bias and anxiety. Behaviour Research and Therapy, 45, 329-340.
Salemink, E., van den Hout, M., & Kindt, M. (2007b). Trained interpretive bias: Validity and effects on anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 38, 212-224.
Schandry, R. (1981). Heart beat perception and emotional experience. Psychophysiology, 18, 483-488.
Shimizu, M., Seery, M. D., Weisbuch, M., & Lupien, S. P. (2011). Trait social anxiety and physiological activation: Cardiovascular threat during social interaction. Personality and Social Psychology Bulletin, 37, 94-106.
Siegel, E. H., & Stefanucci, J. K. (2011). A little bit louder now: Negative affect increases perceived loudness. Emotion, 11, 1006-1011.
Siess, J., Blechert, J., & Schmitz, J. (2014). Psychophysiological arousal and biased perception of bodily anxiety symptoms in socially anxious children and adolescents: A systematic review. Journal of European Child and Adolescent Psychiatry, 23, 127-142.
Spielgerger, C. D., Gorssuch, R. L., & Lushene, R. E. (1970). Manual for State-Trait Anxiety Inventory. Palo Alto, California: Consulting Psychologists Press.
Stefanucci, J. K., & Proffitt, D. R. (2009). The roles of altitude and fear in the perception of height. Journal of Experimental Psychology: Human Perception & Performance, 35, 424-438.
Steinman, S. A., & Teachman, B. A. (2010). Modifying interpretations among individuals high in anxiety sensitivity. Journal of Anxiety Disorder, 24, 71-78.
Stevens, S., Gerlach, A. L., Cludius, B., Silkens, A., Craske, M. G., & Hermann, C. (2011). Heartbeat perception in social anxiety before and during speech anticipation. Behaviour Research and Therapy, 49, 138-143.
Teachman, B. A., Stefanucci, J. K., Clerkin, E. M., Cody, M. W., & Proffitt, D. R. (2008). A new mode of fear expression: Perceptual bias in height fear. Emotion, 8, 296-301.
Yiend, J., Mackintosh, B., & Mathews, A. (2005). Enduring consequences of experimentally induced biases in interpretation. Behaviour Research and Therapy, 43, 779–797.
Wilson, E. J., Macleod, C., Mathews, A., & Rutherford, E. M. (2006). The causal role of interpretive bias in anxiety reactivity. Journal of Abnormal Psychology, 115, 103-111.