부정정서 상황에서 자살의도 없는 자해시도자의 억제조절 결함
Inhibitory Control Deficits of Non-Suicidal Self-Injurer in Negative Emotional Situation
현명호 (중앙대학교)
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초록
본 연구의 목적은 자해 경험을 보고하는 집단은 건강대조 집단과 달리, 부정정서 상황에서 행동 억제조절 능력의 결함이 있음을 확인하는 것이다. 이를 위해 정서 조작에 효과적인 사회적 배제 패러다임을 사용하여 부정정서와 중립 정서조건에 무선 할당하고, 멈춤신호 과제를 실시하여 행동 억제조절 능력을 측정하였다. 그 결과, 자해보고 집단은 건강대조 집단에 비해 No Signal 시행과 Stop Signal 시행 모두에서 정확률이 낮았고, No Signal 시행에서의 반응 시간이 빠른 것으로 나타났다. 더욱이 자해보고 집단은 부정정서 조건에 할당된 경우 같은 조건에 할당된 건강대조 집단에 비해 No Signal 시행과 Stop Signal 시행 모두에서 정확률이 저조하며, Stop Signal 시행의 멈춤신호 지연시간도 상대적으로 짧았다. 이는 자해 경험자가 부정정서 상황에서 행동 억제조절 능력의 결함이 있음을 반영한다. 이 결과는 자살의도 없는 자해경험자의 억제조절 능력에 대한 자기보고식 측정 연구나 신경생리학적 이미징 연구의 결과를 보완적으로 지지해주며 치료적 함의를 갖는다.
- keywords
- 자살의도 없는 자해, 억제조절 능력, 멈춤신호 과제, non-suicidal self-injury, inhibitory control ability, stop signal task
Abstract
The purpose of this study was to confirm that the non-suicidal self-injury (NSSI) group had deficits of inhibitory control in negative emotional situations, unlike the health control group. To this end, the social exclusion paradigm, effective for emotional manipulation, was applied to randomly assign to the negative and neutral emotional conditions, and the effective stop signal task was conducted to confirm the ability to manifest inhibitory control. We applied an effective stop signal task to identify the inhibitory control, and random assignments to negative and neutral emotional conditions applying the social exclusion paradigm. As a result, the NSSI group showed lower accuracy in no signal and stop signal trials and a faster response in the no signal trial than the control group. Also, the NSSI group was less accurate in no signal and stop signal trials than the control group assigned to the negative emotional conditions, and showed relatively short stop signal delay in the stop signal trials. This supports previous studies and reflects deficits in the inhibitory control of non-suicidal self-injurer in negative emotional situations. This finding complementary supports the findings of self-reported psychological measurements or neurophysiological imaging studies on inhibitory control of the NSSI, and has therapeutic implications.
- keywords
- 자살의도 없는 자해, 억제조절 능력, 멈춤신호 과제, non-suicidal self-injury, inhibitory control ability, stop signal task
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