대한감각통합치료학회지 (The Journal of Korean Academy of Sensory Integration)

  • 제22권1호
  • /
  • Pages.15-24
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  • 2024
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  • 1738-0405(pISSN)
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  • 2384-115X(eISSN)
대한감각통합치료학회 (Korean Academy of Sensory Integration)
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내수용 감각과 촉각처리 및 심박변이도 간의 관계

Relationship Between Interoceptive Awareness, Tactile Processing, and Heart Rate Variability

  • 김지희 (순천향대학교 작업치료학과 ) ;
  • 김은영 (순천향대학교 작업치료학과)
  • Kim, Ji-Hee (Department of Occupational Therapy, Soonchunhyang University) ;
  • Kim, Eun Young (Department of Occupational Therapy, Soonchunhyang University)
  • 투고 : 2024.04.10
  • 심사 : 2024.06.19
  • 발행 : 2024.06.30
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초록

목적 : 본 연구의 목적은 내수용 감각(interoception)과 감각처리, 그리고 자율신경계의 균형을 반영하는 심박변이도와의 관계를 알아보는 것이다. 연구방법 : 젊은 성인을 대상으로 청소년/성인 감각프로파일(Adolescent/Adult Sensory Profile; AASP)과 다차원 내수용 자각 척도(Multidimensional Assessment of Interoceptive Awareness; MAIA)를 사용하여 감각처리와 내수용 감각을 평가하였다. 심박은 안정상태 심전도로 기록되었고, 심전도에서 심박표준편차(Standard Deviation of Normal to Normal interval; SDNN)를 추출하였다. AASP 감각영역과 MAIA 하위척도 간 상관을 분석하였고, 높은 SDNN과 낮은 SDNN 집단 간의 감각처리 및 내수용 감각의 차이를 비교하였다. 결과 : AASP 촉각 영역이 MAIA 하위척도와 상대적으로 강한 상관을 나타내었다. AASP 촉각 영역의 점수가 높을수록 MAIA 걱정하지 않음과 주의 조절 점수가 낮은 반면, 정서자각 점수는 높았다. 높은 SDNN 집단은 낮은 SDNN 집단과 비교하였을 때 내수용 감각이 높은 경향성을 나타냈다. 결론 : 본 연구는 촉각 처리와 내수용 감각의 관련성을 확인하였으며, 심박변이도가 높은 그룹은 내수용 자각이 높은 경향성이 있음을 제시하였다. 본 연구는 최근 작업치료와 감각통합에서 강조되는 내수용 감각에 대한 정보를 제공하고, 감각통합의 신경과학적 기전에 대한 이해를 심화시킨다.

Objective : The aim of this study was to investigate the relationship between interoceptive awareness, sensory processing, and heart rate variability which reflects the function of the autonomic nervous system. Methods : Young adults completed the Adolescent/Adult Sensory Profile (AASP) and the Multidimensional Assessment of Interoceptive Awareness (MAIA) for sensory processing and interoceptive awareness, respectively. Heart rate was recorded using electrocardiograms during the resting period, and the standard deviation of normal-to-normal interval (SDNN) was extracted. The correlation between sensory sections of the AASP and subscales of the MAIA was analyzed, and the differences in touch and interoceptive awareness between groups with high and low SDNN were compared. Results : The touch of the AASP showed a relatively strong correlation with the subscales of the MAIA. Higher touch scores were associated with lower scores of not-worrying and attention regulation, but higher emotional awareness. The high SDNN group showed a tendency of higher interoceptive awareness compared to the low SDNN group. Conclusion : This study demonstrated the tactile processing has the relationship with interoceptive awareness and individuals with higher heart rate variability tend to have greater interoceptive awareness. This study provides information on interoceptive awareness, which is emphasized in recent occupational therapy and sensory integration practices, and deepens the understanding of neurophysiological mechanism of sensory integration.

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과제정보

본 연구는 순천향대학교 연구지원사업에 의하여 수행되었음

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