부정정서 상황에서 자살의도 없는 자해시도자의 억제조절 결함
Inhibitory Control Deficits of Non-Suicidal Self-Injurer in Negative Emotional Situation
현명호 (중앙대학교)
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
참고문헌
권혁진, 권석만 (2017). 한국판 자해기능 평가지(The Functional Assessment of Self-Mutilation)의 타당화 연구: 대학생을 중심으로. 한국심리학회지: 임상심리 연구와 실제, 3(1), 187-205.
김봉석 (2003). 자해 증상을 가진 발달장애아의 약물치료. 소아청소년정신의학, 14(1), 53-63.
김지혜, 이은호, 황순택, 홍상황 (2014a). Psychometric properties of the Beck Depression Inventory-II in Korea. 한국임상심리학회 가을학술대회 포스터.
김지혜, 이은호, 황순택, 홍상황 (2014b). Psychometric properties of the Beck Anxiety Inventory among adult population in Korea. 한국임상심리학회 가을학술대회 포스터.
민정향 (2017). 비자살적 자해와 폭식에 대한 정서홍수모델의 검증: 부정조급성과 정서홍수 유발요인을중심으로. 서울대학교 대학원 석사학위 청구논문.
이동귀, 함경애, 배병훈 (2016). 청소년 자해행동: 여중생의 자살적 자해와 비자살적 자해. 한국심리학회지: 상담 및 심리치료, 28(4), 1171-1192.
임선영 (2014). 부정 긴급성, 부정정서 및 정서조절곤란이 폭식과 자해행동에 미치는 영향. 카톨릭대학교대학원 박사학위 청구논문.
임영식 (2004). 청소년 자살행동에 영향을 미치는 위험요인과 평가 그리고 예방. 미래청소년학회지. 1(1), 81-109.
최윤경 (2006). 경계선 정신병리와 자기 파괴성의 위험요인. 고려대학교 대학원 박사학위청구논문.
Allen, K. J. D. & Hooley, J. M. (2015). Inhibitory control in people who self-injure: Evidence for impairment and enhancement. Psychiatry Research, 225(3), 631-637.
Allen, K. J. D. & Hooley, J. M. (2019). Negative emotional action termination(NEAT): Support for a cognitive mechanism underlying negative urgency in non-suicidal self-injury. Behavior Therapy, 50(5), 924-937.
Anestis, M. D., & Joiner, T. E. (2011). Examining the role of emotion in suicidality: Negative urgency as an amplifier of the relationship between components of the interpersonal-psychological theory of suicidal behavior and lifetime number of suicide attempts. Journal of Affective Disorders, 129(1–3), 261–269.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Publishing.
Anestis, M. D., Selby, E. A., & Joiner, T. E. (2007). The role of urgency in maladaptive behaviors. Behavior Research and Therapy, 45(12), 3018-3029.
Barrocas, A. L., Hankin, B. L., Young, J. F., & Abela, J. R. Z. (2012). Rates of nonsuicidal self-injury in youth: Age, sex, and behavioral methods in a community sample. Pediatrics, 130(1), 39–45.
Bender, T. W., Gordon, K. H., Bresin, K., & Joiner, T. E. (2011). Impulsivity and suicidality: The mediating role of painful and provocative experiences. Journal of Affective Disorders, 129(1), 301-307.
Berg, J. M., Latzman, R. D., Bliwise, N. G., & Lilienfeld, S. O. (2015). Parsing the heterogeneity of impulsivity: A meta-analytic review of the behavioral implications of the UPPS for psychopathology. Psychological Assessment, 27(4), 1129-1146.
Bresin, K., Carter, D. L., & Gordon, K. H. (2013). The relationship between trait impulsivity, negative affective states, and urge for non-suicidal self-injury: A daily diary study. Psychiatry Research, 205(3), 227-231.
Chester, D. S., Lynam, D. R., Richard, M. & DeWall, N. (2017). Social rejection magnifies impulsive behavior among individuals with greater negative urgency: An experimental test of urgency theory. Journal of Experimental Psychology: General, 146(7), 962-967.
Cyder, M. A., Flory, K., Rainer, S., & Smith, G. T. (2009). The role of personality dispositions to risky behavior in predicting first-year college drinking. Addiction, 104(2), 193-202.
Cyder, M. A., Smith, G. T., Spillane., N. S., Fischer, S., Annus. A. M., & Peterson, C. (2007). Integration of impulsivity and positive mood to predict risky behavior: Development and validation of a measure of positive urgency. Psychological Assessment, 19(1), 107–118.
Dillon, D. G. & Pizzagalli, D. A. (2007). Inhibition of action, thought, and emotion: A selective neurobiological review. Applied and Preventive Psychology, 12, 99-114.
Eysenck, S. B. G., Easting, G., & Pearson, P. R. (1984). Age norms for impulsiveness, venturesome, and empathy in children. Personality and Individual Differences, 5(3), 315-321.
Fischer, S. & Smith, G. T. (2008). Binge eating, problem drinking, and pathological gambling:Linking behavior to shared traits and social learning. Personality and Individual Differences, 44(4), 789-800.
Glenn, C. R., & Klonsky, E. D. (2009). Social context during non-suicidal self-injury indicates suicide risk. Personality and Individual Differences, 46(1), 25-29.
Glenn, C. R. & Klonsky, E. D. (2010). A Multimethod analysis of impulsivity in non-suicidal self-injury. Personality Disorders: Theory, Research, and Treatment, 1(1), 67–75.
Glenn, C. R. & Klonsky, E. D. (2013). Nonsuicidal self-injury disorder: An empirical investigation in adolescent psychiatric patients. Journal of Clinical Child & Adolescent Psychology, 42(4), 496–507.
Gratz, K. (2001). Measurement of deliberate self-harm: Preliminary data on the Deliberate Self-Harm Inventory. Journal of Psychopathology and Behavioral Assessment, 23(4), 253–263.
Groschwitz, R. C., Plener, P. L., Groen, G. & Boneberger, M. (2016). Differential neural processing of social exclusion in adolescents with non-suicidal self-injury: An fMRI study. Psychiatry Research, 255, 43-39.
Janis, I. B., & Nock, M. K. (2009). Are self-injurers impulsive?: Results from two behavioral laboratory studies. Psychiatry Research, 169(3), 261-267.
Klonsky, E. D. (2011). Non-suicidal self-injury in United States adults: Prevalence, sociodemographics, topography and functions. Psychological Medicine, 41(9), 1981-1986.
Logan, G. D., & Cowan, P. (1984). On the ability to inhibit thought and action: A theory of an act of control. Psychological Review, 91(3), 295-327.
McCloskey, M. S., Look, A. E., Chen, E. Y., Pajoumand, G., & Berman, M. E. (2012). Non-suicidal self‐injury: Relationship to behavioral and self‐rating measures of impulsivity and self‐aggression. Suicide and Life-Threatening Behavior, 42(2), 197-209.
Nock, M. K. (2010). Self-Injury. Annual Review of Clinical Psychology, 6, 339-363.
Nock, M. K. (2014). The oxford handbook of suicide and self-injury. New York: Oxford University Press.
Nock, M. K. & Favazza, A. R. (2009). Non-suicidal self-injury: Definition and classification. In M. K. Nock(Ed.), Understanding nonsuicidal self-injury:Origines, Assessment, and treatment. Washington, DC: American Psychological. Association.
Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007). Self-injurious thoughts and behaviors interview: Development, reliability, and validity in an adolescent sample. Psychological Assessment, 19(3), 309-317.
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51(6), 768-774.
Riley, E. N., Combs, J. L., Jordan, C. E., & Smith, G. T. (2015). Negative urgency and lack of perseverance:Identification of differential pathways of onset and maintenance risk in the longitudinal prediction of non-suicidal self-injury. Behavior Therapy, 46(4), 439-448.
Schachar, R., Gordon, D. L., Robaey, P., Chen, S., Lckowicz, A. & Barr, C. (2007). Restraint and cancellation: Multiple inhibition deficits in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 35(2), 229–238.
Selby, E. A., Bender, T. W., Gordon, K. H., Nock, M. K. & Joiner, T. E. (2012). Non-suicidal self-injury (NSSI) disorder: a preliminary study. Personality Disorders: Theory, Research and Treatment, 3(2), 167–175.
van Velzen, L. S., Vriend, C., de Wit, S. J. & van den Heuvel, O. A. (2014). Response inhibition and interference control in obsessive-compulsive disorders. Frontiers in Human Neuroscience, 419(8), 1-22.
Verbruggen, F., & Logan, G. D. (2008). Response inhibition in the stop-signal paradigm. Trends in Cognitive Science, 12(11), 418–424.
Whitlock, J., Eckenrode, J. & Silverman, D. (2006). Self-injurious behaviors in a college population. Pediatrics, 117(6), 1939–1948.
Whiteside, S. P., & Lynam, D. R. (2001). The five factor model and impulsivity: Using a structural model of personality to understand impulsivity. Personality and Individual Differences, 30(4), 669-689.
Wilkinson, P., Kelvin, R., Roberts, C., Dubicka, B., & Goodyear, I. (2011). Clinical and psychosocial predictors of suicide attempts and non-suicidal self-injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT). American Journal of Psychiatry, 168(5), 495–501.
Williams, K. D. (2009). Ostracism: A temporal needthreat model. Experimental Social Psychology, 41, 275-314.
Williams, K. S., Yeager, D. S., Cheung, C. K. T., & Choi, W. (2016). Cyberball (version 5.0)[Computer software]. Available from https://cyberball. wikispa ces.com/
Zetterqvist, M., Lundh, L. G., Dahlström, Ö. & Svedin, C. G. (2013). Prevalence and function of non-suicidal self-injury(NSSI) in a community sample of adolescents, using suggested DSM-5criteria for a potential NSSI disorder. Journal of Abnormal Child Psychology, 41(5), 759–773.
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