생물정신의학 (Korean Journal of Biological Psychiatry)

  • 제17권2호
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  • Pages.79-85
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  • 2010
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  • 1225-8709(pISSN)
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  • 2005-7571(eISSN)
대한생물정신의학회 (The Korean Society of Biological Psychiatry)
권호 표지

화상 환자에서 신속 순차 시각 제시를 이용한 주의깜빡임에 관한 예비연구

A Preliminary Study of Attentional Blink of Rapid Serial Visual Presentation in Burn Patients with Posttraumatic Stress Disorder

  • 김대희 (한림대학교 의과대학 한강성심병원 정신과학교실) ;
  • 전보라 (한림대학교 의과대학 한강성심병원 정신과학교실) ;
  • 서정훈 (한림대학교 의과대학 한강성심병원 재활의학과학교실) ;
  • 조용석 (한림대학교 의과대학 한강성심병원 외과학교실) ;
  • 임해준 (한림대학교 의과대학 한강성심병원 외과학교실) ;
  • 허준 (한림대학교 의과대학 한강성심병원 외과학교실) ;
  • 김도헌 (한림대학교 의과대학 한강성심병원 외과학교실) ;
  • 전욱 (한림대학교 의과대학 한강성심병원 외과학교실) ;
  • 김종현 (한림대학교 의과대학 한강성심병원 외과학교실) ;
  • 정명훈 (한림대학교 의과대학 한강성심병원 정신과학교실) ;
  • 최인근 (한림대학교 의과대학 한강성심병원 정신과학교실) ;
  • 이병철 (한림대학교 의과대학 한강성심병원 정신과학교실)
  • Kim, Dae Hee (Department of Psychiatry, Hangang Sacred Heart Hospital) ;
  • Jun, Bora (Department of Psychiatry, Hangang Sacred Heart Hospital) ;
  • Seo, Cheong Hoon (Department of Rehabilitation, Hangang Sacred Heart Hospital) ;
  • Cho, Yongsuk (Department of Surgery, Hangang Sacred Heart Hospital) ;
  • Yim, Haejun (Department of Surgery, Hangang Sacred Heart Hospital) ;
  • Hur, Jun (Department of Surgery, Hangang Sacred Heart Hospital) ;
  • Kim, Dohern (Department of Surgery, Hangang Sacred Heart Hospital) ;
  • Chun, Wook (Department of Surgery, Hangang Sacred Heart Hospital) ;
  • Kim, Jonghyun (Department of Surgery, Hangang Sacred Heart Hospital) ;
  • Jung, Myung Hun (Department of Psychiatry, Hangang Sacred Heart Hospital) ;
  • Choi, Ihngeun (Department of Psychiatry, Hangang Sacred Heart Hospital) ;
  • Lee, Boung Chul (Department of Psychiatry, Hangang Sacred Heart Hospital)
  • 발행 : 2010.05.31
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초록

Objectives : Trauma patients have attentional bias which enforces traumatic memories and causes cognitive errors. Understanding of such selective attention may explain many aspects of the posttraumatic stress disorder(PTSD) symptoms. Methods : We used the rapid serial visual presentation(RSVP) method to verify attentional blink in burn patients with PTSD. International affective picture system(IAPS) was used as stimuli and distracters. In the 'neutral test', patients have been presented series of pictures with human face picture as target stimuli. Each picture had 100ms interval. However the distance between target facial pictures was randomized and recognition of second facial picture accuracy was measured. In the 'stress test', the first target was stress picture which arouses patient emotions instead of the facial picture. Neutral and Stress tests were done with seven PTSD patients and 20 controls. In '85ms test' the interval was reduced to 85ms. The accuracy of recognition of second target facial picture was rated in all three tests. Eighty-five ms study was done with eighteen PTSD patients. Results : Attentional blinks were observed in 100-400ms of RSVP. PTSD patients showed increased recognition rate in the 'stress test' compared with the 'neutral test'. When presentation interval was decreased to 85 ms, PTSD patient showed decrease of attentional blink effect when target facial picture interval was 170ms. Conclusion : We found attentional blink effect could be affected by stress stimulus in burn patients. And attentional blink may be affected by stimulus interval and the character of stimulus. There may be some other specific mechanism related with selective attention in attentional blink especially with facial picture processing.

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참고문헌

  1. American Psychiatry Association. Diagnostic and statistical manual of mental disorder. 3 rd ed. Washington: American Psychiatry Press;1980.
  2. Brewin CR, Kleiner JS, Vasterling JJ, Field AP. Memory for emotionally neutral information in posttraumatic stress disorder: A meta-analytic investigation. J Abnorm Psychol 2007;116:448-463. https://doi.org/10.1037/0021-843X.116.3.448
  3. Grillon C, Pine DS, Lissek S, Rabin S, Bonne O, Vythilingam M. Increased anxiety during anticipation of unpredictable aversive stimuli in posttraumatic stress disorder but not in generalized anxiety disorder. Biol Psychiatry 2009;66:47-53. https://doi.org/10.1016/j.biopsych.2008.12.028
  4. Michael T, Ehlers A, Halligan SL. Enhanced priming for trauma-related material in posttraumatic stress disorder. Emotion 2005;5:103-112. https://doi.org/10.1037/1528-3542.5.1.103
  5. Buckley TC, Blanchard EB, Neill WT. Information processing and PTSD: a review of the empirical literature. Clin Psychol Rev 2000;20:1041-1065. https://doi.org/10.1016/S0272-7358(99)00030-6
  6. Williams JM, Mathews A, MacLeod C. The emotional Stroop task and psychopathology. Psychol Bull 1996; 120:3-24. https://doi.org/10.1037/0033-2909.120.1.3
  7. Paunovi N, Lundh LG , Ost LG . Attentional and memory bias for emotional information in crime victims with acute posttraumatic stress disorder(PTSD). J Anxiety Disord 2002;16:675-692. https://doi.org/10.1016/S0887-6185(02)00136-6
  8. Raymond JE, Shapiro KL, Arnell KM. Temporary suppression of visual processing in an RSVP task: an attentional blink? J Exp Psychol Hum Percept Perform 1992; 18:849-860. https://doi.org/10.1037/0096-1523.18.3.849
  9. Chun MM, Potter MC. A two-stage model for multiple target detection in rapid serial visual presentation. J Exp Psychol Hum Percept Perform 1995;21:109-127. https://doi.org/10.1037/0096-1523.21.1.109
  10. Keil A, Ihssen N. Identification facilitation for emotionally arousing verbs during the attentional blink. Emotion 2004;4:23-35. https://doi.org/10.1037/1528-3542.4.1.23
  11. Smith SD, Most SB, Newsome LA, Zald DH. An emotioninduced attentional blink elicited by aversively conditioned stimuli. Emotion 2006;6:523-527. https://doi.org/10.1037/1528-3542.6.3.523
  12. Lee BY, Kim Y, Yi SM, En HJ, Kim DI, Kim JY. A reliability and validity study of a clinician administered PTSD scale. J Korean Neuropyschiatr Assoc 1999;38: 514-522.
  13. Yi JS, Bae SO, Ahn YM, Park DB, Noh KS, Shin HK, et al. Validity and reliability of ther korean version of the hamilton depresssion rating scale. J Korean Neuropyschiatr Assoc 2005;44:456-465.
  14. Amir N, Taylor CT, Bomyea JA, Badour CL. Temporal allocation of attention toward threat in individuals with posttraumatic stress symptoms. J Anxiety Disord 2009;23:1080-1085. https://doi.org/10.1016/j.janxdis.2009.07.010
  15. Mikels JA, Fredrickson BL, Larkin GR, Lindberg CM, Maglio SJ, Reuter-Lorenz PA. Emotional category data on images from the International Affective Picture System. Behav Res Methods 2005; 37:626-630. https://doi.org/10.3758/BF03192732
  16. Cisler JM, Ries BJ, Widner RL Jr. Examining information processing biases in spider phobia using the rapid serial visual presentation paradigm. J Anxiety Disord 2007;21:977-990. https://doi.org/10.1016/j.janxdis.2006.10.011
  17. Itier RJ, Taylor MJ. N170 or N1? Spatiotemporal differences between object and face processing using ERPs. Cereb Cortex 2004;14:132-142. https://doi.org/10.1093/cercor/bhg111
  18. Leppanen JM, Moulson MC, Vogel-Farley VK, Nelson CA. An ERP study of emotional face processing in the adult and infant brain. Child Dev 2007;78:232-245. https://doi.org/10.1111/j.1467-8624.2007.00994.x
  19. Masten CL, Guyer AE, Hodgdon HB, McClure EB, Charney DS, Ernst M, et al. Recognition of facial emotions among maltreated children with high rates of posttraumatic stress disorder. Child Abuse Negl 2008;32: 139-153. https://doi.org/10.1016/j.chiabu.2007.09.006
  20. Pourtois G, Thut G, Grave de Peralta R, Michel C, Vuilleumier P. Two electrophysiological stages of spatial orienting towards fearful faces: early temporoparietal activation preceding gain control in extrastriate visual cortex. Neuroimage 2005;26:149-163. https://doi.org/10.1016/j.neuroimage.2005.01.015