만성통증자의 정서 억제가 통증 관련 정보에 대한 주의편향에 미치는 영향
The Effect of Emotional suppression on Attentional Bias toward Pain-related information in Individuals with Chronic Pain
이장한 (중앙대학교)
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초록
본 연구에는 만성통증 환자의 정서적 억제 전략이 통증 표정에 대한 주의 편향에미치는영향을확인하였다. 실험은 만성통증군과 비통증군을 대상으로 각각 인지 재평가 집단 또는 표현 억제 집단으로 분류되어 진행되었다. 실험은 두 단계로 진행이 되었다. 먼저 정서조절전략에 대한 지시 없이 부정적 정서 유발 영상을 본 후 통증 표정에 대한 주의편향이 측정되었으며, 두번째는 정서조절전략에 대한 지시를 한 후 부정적 정서 유발 영상을 본 후 통증 표정에 대한 주의편향이 측정되었다. 실험결과, 정서적 억제를 사용한 만성통증 집단은 정서 재평가를 사용한 만성통증 집단에 비해 통증 표정을 더 오랜 시간 보았으나, 비통증군에서는 정서조절 조건에 따른 유의한 차이는 보이지 않았다. 이러한 결과는 정서조절전략으로 정서적 억제를 사용하는 만성통증자들이 통증 관련 자극에 대해 주의를 더 많이 기울인다는 것을 알 수 있다.
- keywords
- 만성통증, 정서조절, 인지적 재평가, 정서적 억제, 주의편향, 통증 강도, 부정적 정서성, Chronic pain, Emotion Regulation Strategy, Attentional Bias, Negative affectivity, emotional suppression
Abstract
This study investigated the effects of the emotion regulation strategy of emotion suppression on attentional bias toward painful stimuli in individuals with chronic pain. The participants were divided into a chronic pain group (N = 55) and a healthy control group (N = 55), and they were asked to practice one of two emotion regulation strategies (cognitive reappraisal and emotional suppression). The results showed that the chronic pain group that using emotional suppression showed more extended duration of painful expressions than the control group. Using cognitive reappraisal, the chronic pain group exhibited relatively short durations of painful expressions. This suggests that emotional suppression increases attention to pain–related information in individuals with chronic pain. To use of adaptive emotion regulation strategies is essential to reduce attention biases leading to a better adaptive daily life.
- keywords
- 만성통증, 정서조절, 인지적 재평가, 정서적 억제, 주의편향, 통증 강도, 부정적 정서성, Chronic pain, Emotion Regulation Strategy, Attentional Bias, Negative affectivity, emotional suppression
참고문헌
Allport, A. (1989). Visual attention. In M. I. Posner (Ed.), Foundations of cognitive science (pp. 631-682). Cambridge: MIT Press.
Asmundson, G. J., Carleton, R. N., & Ekong, J. (2005). Dot-probe evaluation of selective attentional processing of pain cues in patients with chronic headaches. Pain, 114(1-2), 250-256.
Asmundson, G. J., Wright, K. D., &Hadjistavropoulos, H. D. (2005). Hypervigilance and attentional fixedness in chronic musculoskeletal pain: consistency of findings across modified stroop and dot-probe tasks. The Journal of Pain, 6(8), 497-506.
Baum, C., Schneider, R., Keogh, E., & Lautenbacher, S. (2013). Different stages in attentional processing of facial expressions of pain: A dot-probe task modification. The Journal of Pain, 14(3), 223-232.
Chan, F. H., Suen, H., Jackson, T., Vlaeyen, J. W., &Barry, T. J. (2020). Pain-related attentional processes: A systematic review of eye-tracking research. Clinical Psychology Review, 80, 101884.
Dehghani, M., Sharpe, L., & Nicholas, M. K. (2003). Selective attention to pain-related information in chronic musculoskeletal pain patients. Pain, 105(1-2), 37-46.
De Raedt, R. & Koster, E. H. (2010). Understanding vulnerability for depression from a cognitive neuroscience perspective: A reappraisal of attentional factors and a new conceptual framework. Cognitive, Affective, and Behavioral Neuroscience, 10(1), 50-70.
Gross, J. J. (2002). Emotion regulation: Affective, cognitive, and social consequences. Psychophysiology, 39(3), 281-291.
Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes:implications for affect, relationships, and well-being. Journal of personality and social psychology, 85(2), 348.
Gross, J. J. & Thompson, R. A. (2007). Emotion regulation: Conceptual foundations. In J. J. Gross (Ed.), Handbook of emotion regulation (pp. 3-24). Washington, DC: The Guilford Press.
Haggman, S. P., Sharpe, L. A., Nicholas, M. K., &Refshauge, K. M. (2010). Attentional biases toward sensory pain words in acute and chronic pain patients. The Journal of Pain, 11(11), 1136-1145.
Hofmann, S. G., Heering, S., Sawyer, A. T., &Asnaani, A. (2009). How to handle anxiety: The effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behaviour research and therapy, 47(5), 389-394.
Jang, S. L., Park. S. M., & Lee, J. H. (2012) The Effects of Individual Differences in Emotion Regulation Strategies on Emotional Responses. Korean journal of health psychology, 17(1), 201-216.
Khatibi, A., Dehghani, M., Sharpe, L., Asmundson, G. J., & Pouretemad, H. (2009). Selective attention towards painful faces among chronic pain patients: evidence from a modified version of the dot-probe. Pain, 142(1-2), 42-47.
Kim, H. J., Jung, Y. H., Wang, K. S., & Cho, S. K. (2020). Effects of attentional biases on pain-related words on daily function in patients with chronic pain: a diary study. Korean journal of health psychology, 25(5), 955-974.
Kno, K. & Kwon, H. (2021). Reducing Non-Suicidal Self-Injury Craving by Emotion Regulation Strategies. Cognitive Behavior Therapy in Korea, 21(4), 689-708.
Koole, S. L. (2009). The psychology of emotion regulation: An integrative review. Cognition and Emotion, 23(1), 4-41.
Kowler, E. (1995). Eye movements. In S. M. Kosslyn & D. N. Osheron (Eds.), Visual coginition (pp. 215-265). Cambridge: MIT Press.
Lee, J., Ahn, S. W., Wachholtz, A., & Lee, J. H. (2020). Attentional Patterns Toward Pain-Related Information: Comparison Between Chronic Pain Patients and Non-pain Control Group. Frontiers in Psychology, 11, 1990-1999.
Lee, J., Beom, J., Choi, S., Wachholtz, S. L. A., &Lee, J. H. (2019). Chronic pain patients’ gaze patterns toward pain-related information:comparison between pictorial and linguistic stimuli. Medicina, 55(9), 530-543.
Lee, K. U., Kim, J., Yeon, B., Kim, S. H., & Chae, J. H. (2013). Development and standardization of extended ChaeLee Korean facial expressions of emotions. Psychiatry Investigation, 10(2), 155-163.
Lee, S. J. & Choi, N. D. (2009). Selecting film excerpts optimal for eliciting basic emotions and the systematic understanding of the evoked emotional experiences. Korean Broadcasting Studies, 23(3), 205-246.
Liossi, C., Schoth, D. E., Godwin, H. J., &Liversedge, S. P. (2014). Using eye movements to investigate selective attention in chronic daily headache. Pain, 155(3), 503-510.
Pincus, T. & Morley, S. (2001). Cognitive-processing bias in chronic pain: a review and integration. Psychological bulletin, 127(5), 599.
Priebe, J. A., Horn-Hofmann, C., Wolf, D., Wolff, S., Heesen, M., Knippenberg-Bigge, K., Lang, P., &Lautenbacher, S. (2021). Attentional processing of pain faces and other emotional faces in chronic pain–an eye-tracking study. Plos one, 16(5), 1-15.
Richards, J. M., & Gross, J. J. (2000). Emotion regulation and memory: the cognitive costs of keeping one's cool. Journal of personality and social psychology, 79(3), 410.
Sanchez, A., Vazquez, C., Marker, C., LeMoult, J., &Joormann, J. (2013). Attentional disengagement predicts stress recovery in depression: An eye-tracking study. Journal of Abnormal Psychology, 122(2), 303-313.
Schoth, D. E. & Liossi, C. (2010). Attentional bias toward pictorial representations of pain in individuals with chronic headache. The Clinical Journal of Pain, 26(3), 244-250.
Solberg Nes, L., Roach, A. R., & Segerstrom, S. C. (2009). Executive functions, self-regulation, and chronic pain: A review. Annals of Behavioral Medicine, 37(2), 173-183.
Strauss, G. P., Ossenfort, K. L., & Whearty, K. M. (2016). Reappraisal and distraction emotion regulation strategies are associated with distinct patterns of visual attention and differing levels of cognitive demand. PloS one, 11(11), 1-18.
Svaldi, J., Tuschen-Caffier, B., Trentowska, M., Caffier, D., & Naumann, E. (2014). Differential caloric intake in overweight females with and without binge eating: Effects of a laboratory-based emotion-regulation training. Behaviour Research and Therapy, 56, 39-46.
Szasz, P. L., Szentagotai, A., & Hofmann, S. G. (2012). Effects of emotion regulation strategies on smoking craving, attentional bias, and task persistence. Behaviour Research and Therapy, 50(5), 333-340.
Treede, R. D., Rief, W., Barke, A., Aziz, Q., Bennett, M. I., Benoliel, R., & Giamberardino, M. A. (2015). A classification of chronic pain for ICD-11. Pain, 156(6), 1003-1007.
Van Damme, S., Legrain, V., Vogt, J., & Crombez, G. (2010). Keeping pain in mind: a motivational account of attention to pain. Neuroscience &Biobehavioral Reviews, 34(2), 204-213.
Vlaeyen, J. W. & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85(3), 317-332.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070.
Wong, W. S., Lam, H. M. J., Chen, P. P., Chow, Y. F., Wong, S., Lim, H. S., Jensen, R., & Fielding, R. (2015). The fear-avoidance model of chronic pain: Assessing the role of neuroticism and negative affect in pain catastrophizing using structural equation modeling. International Journal of Behavioral Medicine, 22(1), 118-131.
Zautra, A., Smith, B., Affleck, G., & Tennen, H. (2001). Examinations of chronic pain and affect relationships: Applications of a dynamic model of affect. Journal of Consulting and Clinical Psychology, 69(5), 786-795.
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