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

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

  • 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)
  • 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)
  • 투고 : 2016.02.18
  • 심사 : 2016.04.19
  • 발행 : 2016.04.30

초록

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.

키워드

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