Journal Archive

The Korean Journal of Cognitve & Biological Psychology - Vol. 31 , No. 2

[ Original Article ]
The Korean Journal of Cognitve & Biological Psychology - Vol. 31, No. 2, pp. 147-165
Abbreviation: KCBPA
ISSN: 1226-9654 (Print)
Print publication date 30 Apr 2019
Received 06 Dec 2018 Revised 26 Apr 2019 Accepted 27 Apr 2019
DOI: https://doi.org/10.22172/cogbio.2019.31.2.007

신체화 경향군의 신체-질병 관련 단어에 대한 주의와 기억편향
이효숙1 ; 장문선1 ; 곽호완1,
1경북대학교 심리학과

Attentional and Memory Bias with Somatization Tendency Group for Somatic Symptoms Words
HyoSook Lee1 ; MunSeon Chang1 ; Ho-Wan Kwak1,
1Department of Psychology, Kyungpook National University
Correspondence to : 곽호완, 경북대학교, (41566) 대구시 북구 대학로 80 E-mail: kwak@knu.ac.kr


ⓒ The Korean Society for Cognitive and Biological Psychology

초록

본 연구는 신체화 경향 대학생을 대상으로 신체-질병 관련 단어자극에 대해 보이는 주의편향과 기억 특성을 밝히고자 하였다. 연구 1에서는 탐침 과제(probe task)를 사용하여 신체화 집단이 신체-질병 관련 단어 자극에서 주의편향을 보이는지 확인하고자 하였다. 연구 2에서는 인출유도망각 과제를 사용하여 신체화 경향군이 신체-질병 관련 단어 자극에서 망각을 덜 보이는지 알아보고자 하였다. 연구 1, 2 모두 1996년 Rief가 개발한 somatic symptoms index(SSI-3/5)척도를 통해 신체화 경향이 높은 대학생들을 연구 참여자로 선정하였다. 실험 결과 신체화 경향군의 경우 2000m sec에서 신체 증상 단어에 대해 유의미하게 반응 시간이 짧아 주의편향을 보였다. 연구 2 결과, 통제군의 경우 중성단어와 신체-질병 관련 단어에서 인출유도망각 효과가 나타났다. 반면에 경향군의 경우 신체 증상 관련 단어에 대해서는 RIF효과가 유도되지 않았음을 확인하였다. 즉, 신체화 경향군의 경우 중립 단어보다 신체-질병 단어를 더 많이 기억했다. 이러한 결과는 신체화 경향군이 신체 증상 단어에 대해 주의 편향과 기억 편향을 모두 가지고 있음을 시사한다.

Abstract

This study investigated that the somatizing tendency group would have both attentional biases and memory biases for somatic-symptom words. As a result of previous studies, the tendency of somatization consistently showed a tendency of bias in somatic symptoms-related words. The purpose of this study is to investigate the bias of somatic symptoms-related words using probing task. Also, the aim of this study indicates that significant impairment in memory inhibiting affects people of somatizing tendency group differently from the normal people. The subjects were college students who showed high somatizing tendency at Somatic Symptoms Index(SSI-3/5) developed by Rief in 1996. As a result, First, the somatizing tendency group presented significant short reaction time for somatic-symptoms words in 2000m sec. Second, The results of the test show that the RIF effect both types of words(somatic symptoms related & neutral) has been found on control group. The RIF effect of somatic symptoms words, however, has failed to affect the test result of the somatizing group. In other words, the somatizing tendency group more remembered the somatic-symptom words than the neutral words. These results suggested that the somatizing patients group have both attentional biases and memory biases for somatic-symptom words. Therefore, the hypothesis in which the somatizing patients group would have both attentional biases and memory biases for somatic-symptom words was partly supported


Keywords: somatization, cognitive biases, attention, retrieval induced forgetting
키워드: 신체화, 주의편향, 탐침 탐사 과제, 기억 억제 결함, 인출유도망각(RIF)

References
1. American Psychiatric Association (2015). Diagnostic and stational manual of mental disorders(5th ed.). Washington, DC: Author.
2. Amir, N., Coles, M. E., Brigidi, B., & Foa, E. B. (2001). The effect of practice on recall of emotional information in individuals with generalized social phobia. Journal of Abnormal Psychology, 110(1), 76-82.
3. Anderson, M. C., & Spellman, B. A. (1995). On the status of inhibitory mechanisms in cognition: memory retrieval as a model case. Psychological Review, 102(1), 68-100.
4. Anderson, M. C. (2003). Rethinking interference theory: Executive control and the mechanisms of forgetting. Journal of Memory and Language, 49(4), 415-445.
5. Barsky, A. J., Geringer, E., & Wool, C. A. (1988). A cognitive-educational treatment for hypochondriasis. General Hospital Psychiatry, 10(5), 322-327.
6. Bless, H., Bohner, G., Schwarz, N., & Strack, F. (1990). Mood and persuasion: A cognitive response analysis. Personality and Social Psychology Bulletin, 16(2), 331-345.
7. Bradley, B. P., Mogg, K., Falla, S. J., & Hamilton, L. R. (1998). Attentional bias for threatening facial expressions in anxiety: Manipulation of stimulus duration. Cognition & Emotion, 12(6), 737-753.
8. Bradley, B. P., Mogg, K., & Millar, N. H. (2000). Covert and overt orienting of attention to emotional faces in anxiety. Cognition & Emotion, 14(6), 789-808.
9. Bradley, B. P., Mogg, K., Millar, N., Bonham-Carter, C., Fergusson, E., Jenkins, J., & Parr, M. (1997). Attentional biases for emotional faces. Cognition & Emotion, 11(1), 25-42.
10. Brown, H. D., Kosslyn, S. M., Delamater, B., Fama, J., & Barsky, A. J. (1999). Perceptual and memory biases for health-related information in hypochondriacal individuals. Journal of Psychosomatic Research, 47(1), 67-78.
11. Brosschot, J. F. (2002). Cognitive‐emotional sensitization and somatic health complaints. Scandinavian Journal of Psychology, 43(2), 113-121.
12. Brosschot, J. F., Gerin, W., & Thayer, J. F. (2006). The perseverative cognition hypothesis: A review of worry, prolonged stress-related physiological activation, and health. Journal of Psychosomatic Research, 60(2), 113-124.
13. Brosschot, J. F., & Van Der Doef, M. (2006). Daily worrying and somatic health complaints: Testing the effectiveness of a simple worry reduction intervention. Psychology and Health, 21(1), 19-31.
14. Choi, M. N., & Lee, J. H. (2016). The Effects of Acceptance on the Somatosensory Amplification and amplified physiological reactivity in Young Adults with Somatic Symptoms. Korea Journal of Counselling, 17(3), 129-150.
15. Cooper, R. M., & Langton, S. R. (2006). Attentional bias to angry faces using the dot-probe task? It depends when you look for it. Behaviour Research and Therapy, 44(9), 1321-1329.
16. Davey, G. C. (1993). A comparison of three cognitive appraisal strategies: The role of threat devaluation in problem-focussed coping. Personality and Individual Differences, 14(4), 535-546.
17. Dimsdale, J. E., Xin, Y., Kleinman, A., Patel, V., Narrow, W. E., Sirovatka, P. J., & Regier, D. A. (Eds.). (2009). Somatic presentations of mental disorders: refining the research agenda for DSM-V. Psychosomatic Medicine, 69(9), 827-828.
18. Edwards, L. C., Pearce, S. A., & Beard, R. W. (1995). Remediation of pain-related memory bias as a result of recovery from chronic pain. Journal of Psychosomatic Research, 39(2), 175-181.
19. Greg W. (2005). Stress. 1st ed. London: British Medical Association.
20. Ham, J. Y. (2005). Relationship of stress, alexithymia and somatization of adolescents: focused on the highschool student (Master's thesis). Seoul Women's University.
21. Ingram, R. E. (1990). Self-focused attention in clinical disorders: review and a conceptual model. Psychological Bulletin, 107(2), 156-176.
22. Jung, Y. J. (2015). The Effect of Negative Emotional valence of Distinctiveness and associative strength on Retrieval-Induced Forgetting. Korean Journal of Cognitive and Biological Psychology.
23. Karademas, E. C., Christopoulou, S., Dimostheni, A., & Pavlu, F. (2008). Health anxiety and cognitive interference: Evidence from the application of a modified Stroop task in two studies. Personality and Individual Differences, 44(5), 1138-1150.
24. Kim, H. S. (2003). Vocabulary research of modern novel. National Korean Language Institute.
25. Kim, M. S. (2011). Effects of depressive mood induction on attentional and memory bias among undergraduates with somatization tendency (Master's thesis). Chonnam National University.
26. Kim, S. Y. (2008). The mediating effects of somato-sensory amplification and somatic attribution on the relationships between adolescent's stress and somatization (Master's thesis). Sookmyung Women's University.
27. Kim, Yu Jin. (2016). Emotional information processing in older and younger adults with depression: attention and memory bias (Master's thesis). Hallym University.
28. Kim, J. M., & Kim K. I. (1984). Clinical Study of Somatization Disorder. Mental Health Research, 2, p. 137-158.
29. Kirmayer, L. J. (1984). Culture, affect and somatization: Part I. Transcultural Psychiatric Research Review, 21(3), 159-188.
30. Kirmayer, L. J., Robbins, J. M., & Paris, J. (1994). Somatoform disorders: Personality and the social matrix of somatic distress. Journal of Abnormal Psychology, 103(1), 125-136.
31. Korean Neuropsychiatric Association. (2009). Textbook of neuropsychiatry, 2nd. Seoul: Jungangmoonhwasa.
32. Kuhbandner, C., Bäuml, K. H., & Stiedl, F. C. (2009). Retrieval-induced forgetting of negative stimuli: The role of emotional intensity. Cognition and Emotion, 23(4), 817-830.
33. Lee, S. J. (2009). Attentional bias of social phobia group to words and faces stimuli (Master's thesis). Korea University.
34. Lee, H. N. (2015). Inhibitory effects of retrieval-induced forgetting on the memory of each group of people with trait anxiety tendencies with and without depression (Master's thesis). Kyung pook National University.
35. Leiknes, K. A., Finset, A., Moum, T., & Sandanger, I. (2007). Current somatoform disorders in Norway: prevalence, risk factors and comorbidity with anxiety, depression and musculoskeletal disorders. Social Psychiatry and Psychiatric Epidemiology, 42(9), 698-710.
36. Lipowski, Z. J. (1988). Somatization: the concept and its clinical application. American Journal of Psychiatry, 145(11), 1358-1368.
37. Lovas, D. A., & Barsky, A. J. (2010). Mindfulness-based cognitive therapy for hypochondriasis, or severe health anxiety: A pilot study. Journal of Anxiety Disorders, 24(8), 931-935.
38. Lupke, U., & Ehlert, U. (1998). Attentional bias towards cues prejudicial to health in patients with somatoform disorders. Zeitschrift fur klinische Psychologie Forschung und Praxis, 27(3), 163-171.
39. MacLeod, C., & Mathews, A. (1988). Anxiety and the allocation of attention to threat. The Quarterly Journal of Experimental Psychology, 40(4), 653-670.
40. MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders. Journal of Abnormal Psychology, 95(1), 15-20.
41. Mathews, A., Mogg, K., May, J., & Eysenck, M. (1989). Implicit and explicit memory bias in anxiety. Journal of Abnormal Psychology, 98(3), 236-240.
42. Mogg, K., Mathews, A., & Weinman, J. (1987). Memory bias in clinical anxiety. Journal of Abnormal Psychology, 96(2), 94-98.
43. Mogg, K., Bradley, B. P., Williams, R., & Mathews, A. (1993). Subliminal processing of emotional information in anxiety and depression. Journal of Abnormal Psychology, 102(2), 304-311.
44. Park, M. G. (2011). Mediating effects of worry in the relation of stress and somatization and its attentional biases and memory biases (Doctorial thesis). Chonbuk National University.
45. Park, M. G., & Son, C. N. (2010). Attentional Biases, Memory Biases and Cognitive Characteristics in the Somatization Group. The Korean Journal of Stress Research, 18(2), 69-79.
46. Park, M. G., & Son, C. N. (2011). Cognitive Biases, Decreased Attention and Memory in Somatization Groups. The Korean Journal of Health Psychology, 16(3), 623-642.
47. Parkinson, L., & Rachman, S. (1981). Part III—Intrusive thoughts: The effects of an uncontrived stress. Advances in Behaviour Research and Therapy, 3(3), 111-118.
48. Park. S. Y., & Lee, Y. J, & Hwang, S. H., & Eom, S. Y., & Jeon, W. T. (2006). The Difference in Psychological Characteristics of Patients with Somatic Symptom According to the Presence of Physical Illness. The Korean Journal of Clinical Psychology, 25, 147-167.
49. Pauli, P., & Alpers, G. W. (2002). Memory bias in patients with hypochondriasis and somatoform pain disorder. Journal of Psychosomatic Research, 52(1), 45-53.
50. Pearce, J., & Morley, S. (1989). An experimental investigation of the construct validity of the McGill Pain Questionnaire. Pain, 39(1), 115-121.
51. Pincus, T., Fraser, L., & Pearce, S. (1998). Do chronic pain patients ‘Stroop ‘on pain stimuli?. British Journal of Clinical Psychology, 37(1), 49-58.
52. Rhee, K. Y. (1991). Datum: Korean Category Norms: Survey on Exemplar Frequency Norm, Typicality, and Features. Korean Journal of Cognitive and Biological, 3, 131-160.
53. Rief, W., Hiller, W., & Margraf, J. (1998). Cognitive aspects of hypochondriasis and the somatization syndrome. Journal of Abnormal Psychology, 107(4), 587-595.
54. Robbins, J. M., & Kirmayer, L. J. (1991). Attributions of common somatic symptoms. Psychological Medicine, 21(4), 1029-1045.
55. Schachter, S., & Singer, J. (1962). Cognitive, social, and physiological determinants of emotional state. Psychological Review, 69(5), 379.
56. Shin, H. K. (1998). (The) Interpretation, inference, and memory biases of bodily sensations in somatization group (Doctorial thesis). Seoul National University.
57. Shin, H. K., Won, H. T. (1998). Recall of Self-Relevant Information in Socially Anxious Individuals. The Korean Journal of Clinical Psychology, 17(2), 41-54.
58. Shin, H. K. (2000). The Effect of Negative Affectivity, Alexithymia, Somato-sensory Amplification, and Somatic Attribution on Somatization: Test of a Linear Mediation Model. The Korean Journal of Clinical Psychology, 19(1), 17-32.
59. Shin, H. K. (2006b). Effects of depressive mood state on self-focused attention, somato-sensory amplification, somatic attribution, and somatic symptoms in somatization group. The Korean Journal of Clinical Psychology, 25(2), 467-488.
60. Shin, H. K. (1998). The Effect of Negative Affect and the Moderating Effects of Emotional Expressiveness and Self-Concept on Adolescent`s Experience of Somatic Symptoms. The Korean Journal of Clinical Psychology, 17(2), 41-54.
61. Shin, M. Y., & Hyun, M. H. (2007). Time-Course of Attentional Bias for Threatening Stimulus in Anxiety-Prone Individual. Korean Journal of Psychology, 26(2), 207-223.
62. Steinbrecher, N., Koerber, S., Frieser, D., & Hiller, W. (2011). The prevalence of medically unexplained symptoms in primary care. Psychosomatics, 52(3), 263-271.
63. Steckel W. (1943). The Interpretation of Dreams. New York: Liveright.
64. Ursin, H. (1997). Sensitization, somatization, and subjective health complaints. International Journal of Behavioral Medicine, 4(2), 105-116.
65. Wells, A., & Matthews, G. (2016). Attention and emotion: A clinical perspective. Psychology Press.
66. Williams, J. M. G., Watts, F. N., MacLeod, C., & Mathews, A. (1988). Cognitive psychology and emotional disorders. John Wiley & Sons.