대한불안의학회지 (Anxiety and mood)

  • 제10권1호
  • /
  • Pages.37-43
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  • 2014
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  • 2586-0151(pISSN)
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  • 2586-0046(eISSN)
대한불안의학회 (Korean Academy of Anxiety Disorders)
권호 표지

사회공포증 환자에서 자기 및 타인 얼굴 인식의 행동 특성

Behavioral Characteristics of Face Recognition for Self and Others in Patients with Social Phobia

  • 손인정 (연세대학교 강남세브란스병원 정신건강의학과) ;
  • 윤형준 (연세대학교 강남세브란스병원 정신건강의학과) ;
  • 신유빈 (연세대학교 의과대학 의학행동과학연구소) ;
  • 김재진 (연세대학교 강남세브란스병원 정신건강의학과)
  • Sohn, In-Jung (Department of Psychiatry, Yonsei University Gangnam Severance Hospital) ;
  • Yoon, Hyung-Jun (Department of Psychiatry, Yonsei University Gangnam Severance Hospital) ;
  • Shin, Yu-Bin (Institute of Behavioral Science in Medicine, Yonsei University College of Medicine) ;
  • Kim, Jae-Jin (Department of Psychiatry, Yonsei University Gangnam Severance Hospital)
  • 투고 : 2014.03.26
  • 심사 : 2014.04.18
  • 발행 : 2014.04.30
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초록

Objective : Social Phobia is associated with extensive disability and reduced quality of life. The concept of 'social self' is a representation of the self-reflected in the eyes of others, and is recruited during self-face recognition, which is closely related to self-esteem. The aim of this study was to identify the relationship of face recognition for self and others using measures of social anxiety and self-esteem in patients with social phobia. Methods : Twenty-seven patients with social phobia and twenty-three normal controls were evaluated with scales of self-esteem, depression, anxiety and other psychiatric symptoms. All participants completed the self-face recognition task. Nine self-faces, nine other faces and eighty-one morphed faces were presented randomly for each trial. The participants were instructed to make a decision as to whether the stimuli were self-face or not. The responses and reaction times were recorded during the task. Results : There were no group differences of the morphing composition at the recognition start point as self-face. In patients with social phobia, the mean reaction time at the start point of recognizing as a self-face was 1,037.6 ms, which was significantly longer than that of normal controls (911.3 ms, p<0.05). Patients with social phobia showed a significant negative correlation between the mean reaction time and the severity of depression when the stimuli were recognized as a self-face (r=-0.421, p<0.05). Conclusion : A difficulty in attention rather than avoidance may be an important factor of face recognition in patients with social phobia. When considering self-face recognition in such patients, many factors, such as anxiety, depression, working memory and theory of mind, need to be considered.

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