Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Relationships between Selective Attention Bias for Fear Stimuli and Hallucination in Patients with Schizophrenia : A Preliminary Study

조현병 환자에서 불안자극에 대한 선택적 주의 편향과 환청과의 연관성 : 예비 연구

  • Kim, Han-Suk (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Han, Jin-Hee (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Hong, Seung-Chul (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Jeong, Jong-Hyun (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Lim, Hyun-Kook (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Kim, Tae-Won (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Um, Yoo-Hyun (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Chae, Jeong-Ho (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Lee, Kyoung-Uk (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Seo, Ho-Jun (Department of Psychiatry, College of Medicine, The Catholic University of Korea)
  • 김한석 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 한진희 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 홍승절 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 정종현 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 임현국 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 김태원 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 엄유현 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 채정호 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 이경욱 (가톨릭대학교 의과대학 정신건강의학교실) ;
  • 서호준 (가톨릭대학교 의과대학 정신건강의학교실)
  • Received : 2016.02.18
  • Accepted : 2016.04.19
  • Published : 2016.04.30
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Abstract

Objective : This study was conducted to evaluate the relationships between selective attention bias for fear stimuli and hallucination in patients with schizophrenia Method : A total of 66 patients with schizophrenia admitted to psychiatry clinics were included in the study. Selective attention bias was measured by the dot-probe task. Patient symptoms were measured using the Positive and Negative Symptom Scale, Psychotic Symptom Rating Scale (PSYRATS), Korean version of the Scale to Assess Unawareness of Mental Disorder, and Clinical Global Impression-Severity scale. Results : Selective attention bias was correlated with the hallucination subscale of PSYTATS (r=0.268, p=0.029). No correlation was found between selective attention bias and other clinical measures. There was no significant difference, but a statistical trend was found (p=0.092) in hallucination severities between the biased and non-biased groups. Conclusion : The results suggest that selective attention bias for fear stimuli is associated with auditory hallucination. This preliminary study suggests the possibility of correlation between auditory hallucination in the psychotic domain and anxiety of the affective component.

Keywords

References

  1. Bleuler E. Dementia Praecox or the group of schizophrenias. New York, International Universities Press 1950.
  2. Kraepelin E. Dementia praecox and paraphrenia. The Journal of Nervous and Mental Disease 1921;54:384. https://doi.org/10.1097/00005053-192110000-00104
  3. Hoekert M, Kahn RS, Pijnenborg M, Aleman A. Impaired recognition and expression of emotional prosody in schizophrenia: review and meta-analysis. Schizophrenia Research 2007;9:135-145.
  4. Badcock JC, Paulik G, Maybery MT. The role of emotion regulation in auditory hallucinations. Psychiatry Research 2011;185:303-308. https://doi.org/10.1016/j.psychres.2010.07.011
  5. Lysaker PH, Salyers MP. Anxiety symptoms in schizophrenia spectrum disorders: associations with social function, positive and negative symptoms, hope and trauma history. Acta Psychiatrica Scandinavica 2007;116:290-298. https://doi.org/10.1111/j.1600-0447.2007.01067.x
  6. Freeman D, Garety PA. Connecting neurosis and psychosis: the direct influence of emotion on delusions and hallucinations. Behaviour Research and Therapy 2003;41:923-947. https://doi.org/10.1016/S0005-7967(02)00104-3
  7. Bar-Haim Y. Research review: attention bias modification (ABM): a novel treatment for anxiety disorders. Journal of Child Psychology and Psychiatry 2010;51:859-870. https://doi.org/10.1111/j.1469-7610.2010.02251.x
  8. Dalgleish T, Moradi, AR, Taghavi MR, Neshat-Doost HT, Yule W. An experimental investigation of hypervigilance for threat in children and adolescents with post-traumatic stress disorder. Psychological Medicine 2001;31:541-547. https://doi.org/10.1017/S0033291701003567
  9. Teachman BA, Smith-Janik SB, Saporito J. Information processing biases and panic disorder: relationships among cognitive and symptom measures. Behaviour Research and Therapy 2007;45:1791-1811. https://doi.org/10.1016/j.brat.2007.01.009
  10. Mogg K, Bradley BP, Millar N, White J. A follow-up study of cognitive bias in generalized anxiety disorder. Behaviour Research and Therapy 1995;33:927-935. https://doi.org/10.1016/0005-7967(95)00031-R
  11. Beck AT, Clark DA. An information processing model of anxiety: automatic and strategic processes. Behaviour Research and Therapy 1997;35:49-58. https://doi.org/10.1016/S0005-7967(96)00069-1
  12. Fear CF, Sharp H, Healy D. Cognitive processes in delusional disorders. Br J Psychiatry 1996;168:61-67. https://doi.org/10.1192/bjp.168.1.61
  13. Kaney S, Wolfenden M, Dewey ME, Bentall RP. Persecutory delusions and the recall of threatening and non-threatening propositions. Br J Clin Psychol 1992;31:85-87. https://doi.org/10.1111/j.2044-8260.1992.tb00971.x
  14. Green MJ, Phillips ML. Social threat perception and the evolution of paranoia. Neurosci Biobehav Rev 2004;28:333-342. https://doi.org/10.1016/j.neubiorev.2004.03.006
  15. Hooker C, Park S. Emotion processing and its relationship to social functioning in schizophrenia patients. Psychiatry Res 2002;112:41-50. https://doi.org/10.1016/S0165-1781(02)00177-4
  16. Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull 1987;13:261-276. https://doi.org/10.1093/schbul/13.2.261
  17. Yi JS, Ahn YM, Shin HK, An SK, Joo YH, Kim SH, et al. Reliability and validity of the Korean version of the poisitive and negative syndrome scale. J Korean Neuropsychiatr Assoc 2001;40:1090-1105.
  18. Haddock G, McCarron J, Tarrier N, Faragher EB. Scales to measure dimensions of hallucinations and delusions: the psychotic symptom rating scales (PSYRATS). Psychological Medicine 1999;29:879-889. https://doi.org/10.1017/S0033291799008661
  19. 정순민. 한국어판 정신증상평가척도의 신뢰도와 타당도. 대한신경정신의학회 2007;46:201-213.
  20. Amador XF, Strauss DH, Yale SA, Flaum MM, Endicott J, Gorman JM. Assessment of insight in psychosis. Am J Psychiatry 1993;150: 873-879. https://doi.org/10.1176/ajp.150.6.873
  21. Song JY, Kim KT, Lee SK, Kim YH, Noh JH, Kim JW, et al. Reliability and validity of the Korean version of the Scale to assessment Unawareness of Mental Disorder (SUMD-K). J Korean Neuropsychiatr Assoc 2006;45:307-315.
  22. Busner J, Targum SD. The clinical global impressions scale: applying a research tool in clinical practice. Psychiatry (Edgmont) 2007; 4:28-37.
  23. Lee KU, Kim J, Yeon B, Kim SH, Chae JH. Development and standardization of extended ChaeLee Korean facial expressions of emotions. Psychiatry Investigation 2013;10:155-163. https://doi.org/10.4306/pi.2013.10.2.155
  24. Price RB, Siegle GJ, Silk JS, Ladouceur CD, McFarland A, Dahl RE, et al. Looking under the hood of the dot-probe task: an fMRI study in anxious youth. Depression and Anxiety 2014;31:178-187. https://doi.org/10.1002/da.22255
  25. Allen PP, Johns LC, Fu CH, Broome MR, Vythelingum GN, McGuire PK. Misattribution of external speech in patients with hallucinations and delusions. Schizophrenia Research 2004;69:277-287. https://doi.org/10.1016/j.schres.2003.09.008
  26. Tsoi DT, Lee KH, Khokhar WA, Mir NU, Swalli JS, Gee KA, et al. Is facial emotion recognition impairment in schizophrenia identical for different emotions? A signal detection analysis. Schizophrenia Research 2008;99:263-269. https://doi.org/10.1016/j.schres.2007.11.006
  27. Cohen AS, Minor KS. Emotional experience in patients with schizophrenia revisited: meta-analysis of laboratory studies. Schizophrenia Bulletin 2010;36:143-150. https://doi.org/10.1093/schbul/sbn061
  28. Aleman A, Kahn RS. Strange feelings: Do amygdala abnormalities dysregulate the emotional brain in schizophrenia? Progress in Neurobiology 2005;77:283-298.
  29. Aleman A, Laroi F. Hallucinations: The Science of Idiosyncratic Perception. Washington, DC: American Psychological Association; 2008.
  30. Grossberg S. How hallucinations may arise from brain mechanisms of learning, attention, and volition. J Int Neuropsychol Soc 2000;6: 583-592. https://doi.org/10.1017/S135561770065508X
  31. Kveraga K, Ghuman AS, Bar M. Top-down predictions in the cognitive brain. Brain Cogn 2007;65:145-168. https://doi.org/10.1016/j.bandc.2007.06.007
  32. Behrendt RP. Underconstrained perception: a theoretical approach to the nature and function of verbal hallucinations. Compr Psychiatry 1998;39:236-248. https://doi.org/10.1016/S0010-440X(98)90067-0
  33. Baker C, Morrison AP. Metacognition, intrusive thoughts and auditory hallucinations. Psychological Medicine 1998;28:1199-1208. https://doi.org/10.1017/S0033291798007314
  34. Chadwick PD, Birchwood M. The omnipotence of voices: A cognitive approach to auditory hallucinations. British Journal of Psychiatry 1994;164:190-201. https://doi.org/10.1192/bjp.164.2.190
  35. Stephan FT, Israel L. A functional anatomic study of emotion in schizophrenia. Schizophrenia Research 2002;58:159-172. https://doi.org/10.1016/S0920-9964(01)00403-0
  36. Nayani TH, David AS. The auditory hallucination: a phenomenological survey. Psychological Medicine 1996;26:177-189. https://doi.org/10.1017/S003329170003381X
  37. Morrison AP, Haddock G. Self-focused attention in schizophrenic patients with and without auditory hallucinations and normal subjects: a comparative study. Personality and Individual Difference 1997;23:937-941. https://doi.org/10.1016/S0191-8869(97)00130-X
  38. Christian GK, Travis HT. Facial emotion recognition in schizophrenia: Intensity effects and error pattern. Am J Psychiatry 2003;160:1768-1774. https://doi.org/10.1176/appi.ajp.160.10.1768