Science of Emotion and Sensibility (감성과학)

Korean Society for Emotion and Sensibility (한국감성과학회)
권호 표지
DOI QR코드

DOI QR Code

Variability in the Visuo-spatial Attention Ability and Emotional Perception Ability Related with Bipolar Disorder Tendency in the Normal Population

일반인들의 양극성 장애 경향성에 따른 시공간 주의집중력과 정서 지각 능력의 차이

  • 김상엽 (고려대학교 심리학과) ;
  • 정재범 (고려대학교 지혜과학연구센터) ;
  • 남기춘 (고려대학교 심리학과)
  • Received : 2018.03.14
  • Accepted : 2018.06.29
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to investigate the visuo-spatial attention ability and the emotional perception ability of people across the normal range of the scores on the bipolar disorder scale. The Korean version of the Mood Disorder Questionnaire (K-MDQ) was used to measure the bipolar disorder tendency of normal people. A useful field of view (UFOV) task and an emotional perception task were used to measure visuo-spatial attention and emotional perception ability, respectively. The participants did not have any mental illness history or other medical problems. The participants were divided into three groups according to K-MDQ score (low, normal, and high), and their performances were compared. In the UFOV task, the high K-MDQ score group had lower level of performance than the other groups, suggesting that a high bipolar tendency is associated with reduction of visuo-spatial attention ability. In the emotional perception task, the group with the high K-MDQ score showed higher perception of negative emotion bias than the other groups, suggesting a high bipolar tendency to associate with reduction of emotional perception ability. These results suggest that visuo-spatial and emotional attention abilities are related with bipolar disorder tendency even in the normal population.

본 연구의 목적은 정신 질환을 진단받지 않은 일반인들이 양극성 장애 경향성에 따라 변화하는 시공간 주의집중력과 정서 지각 능력을 탐구하는 것이다. 양극성 장애 경향성을 측정하기 위해 한국형 자기보고형 양극성 장애 검사(K-MDQ)를 사용하였고, 시공간 주의집중력와 정서 지각 능력을 측정하기 위해서는 시공간 주의 과제(useful field of view task)와 정서 지각 과제(emotional perception task)를 사용하였다. 또한 본 연구에는 정신 질환 혹은 기타 의학적 문제가 없는 참가자들만 참여하였고 K-MDQ 점수에 따라 세 집단으로 나뉘어졌다. 시공간 주의 과제 수행 결과, K-MDQ 점수가 높은 집단이 다른 집단들에 비해 수행 수준이 낮았다. 이는 양극성 장애 경향성이 높은 일반인은 시공간 주의집중력의 저하가 나타난 것을 의미했다. 또한 정서 지각 과제 수행 결과, K-MDQ 점수가 높은 집단이 다른 집단들에 비해 부정적 정서 지각 편향성이 높게 나타났다. 이는 양극성 장애 경향성이 높은 일반인은 부정적 정서 지각 편향성이 높게 나타났으며 즉, 양극성 장애 경향성이 높은 일반인은 정서 지각 능력이 저하되었음을 의미했다. 이러한 결과는 양극성 장애 환자가 아닌 일반인이 양극성 장애 경향성이 높아지면 양극성 장애 환자에게 나타난 시공간 주의집중력과 정서 지각 능력의 저하가 점진적으로 나타난다는 것을 함의한다.

Keywords

References

  1. Addington, J., & Addington, D. (1998). Facial affect recognition and information processing in schizophrenia and bipolar disorder. Schizophrenia Research, 32, 171-181. DOI: 10.1016/S0920-9964(98)00042-5
  2. Adolphs, R., Tranel, D., Damasio, H., & Damasio, A. (1994). Impaired recognition of emotion in facial expressions following bilateral damage to the human amygdala. Nature, 372, 669. https://doi.org/10.1038/372669a0
  3. American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-V). American Psychiatric Association: Washington, DC.
  4. Austin, E. J. (2004). An investigation of the relationship between trait emotional intelligence and emotional task performance. Personality and Individual Differences, 36, 1855-1964. DOI: 10.1016/j.paid.2003.07.006
  5. Ball, K. K., Beard, B. L., Roenker, D. L., Miller, R. L., & Griggs, D. S. (1988). Age and visual research: expanding the useful field of view. Journal of the Optical Society of America A, 5, 2210-2219. https://doi.org/10.1364/JOSAA.5.002210
  6. Ball, K. K., Owsley, C., Sloane, M., Roenker, D. & Bruni, J. (1993). Visual attention problems as a predictor of vehicle crashes in older drivers. Investigative Ophthalmology & Visual Science October, 34, 3110-3123.
  7. Bozikas, V. P., Tonia, T., Fokas, K., Karavatos, A., & Kosmidis, M. H. (2006). Impaired emotion processing in remitted patients with bipolar disorder. Journal of Affective Disorders, 91, 53-56. DOI: 10.1016/j.jad.2005.11.013
  8. Bowden, C. L. (2005). A different depression: Clinical distinctions between bipolar and unipolar depression. Journal of Affective Disorders, 84(2), 117-125. DOI: 10.1016/S0165-0327(03)00194-0
  9. Cao, Q., Zang, Y., Zhu, C., Cao, X., Sun, L., Zhou, X., & Wang, Y. (2008). Altering deficits in children with attention deficit/hyperactivity disorder: eventrelated fMRI evidence. Brain Research, 1219, 159-168. DOI: 10.1016/j.brainres.2008.04.028
  10. Chang, K., Adleman, N. E., Dienes, K., Simeonova, D. I., Menon, V., & Reiss, A. (2004). Anomalous Prefrontal-Subcortical Activation in Familial Pediatric BipolarDisorder: A Functional Magnetic Resonance Imaging Investigation. Archives of General Psychiatry, 61(8), 781-792. DOI: 10.1001/archpsyc.61.8.781
  11. Clark, L., Iversen, S. D., & Goodwin, G. M. (2002). Sustained attention deficit in bipolar disorder. The British Journal of Psychiatry, 180, 313-319. DOI: 10.1192/bjp.180.4.313
  12. Clark, L., & Goodwin, G. M. (2004). State- and trait-related deficits in sustained attention in bipolar disorder. European Archives of Psychiatry and Clinical Neuroscience, 254, 61-68. DOI: 10.1007/s00406-004-0460-y
  13. Cubillo, A., Halari, R., Giampietro, V., Taylor, E., & Rubia, K. (2011). Fronto-striatal underactivation during interference inhibition and attention allocation in grown up children with attention deficit/hyperactivity disorder and persistent symptoms. Psychiatry Research: Neuroimaging, 193, 17-27. DOI: 10.1016/j.pscychresns.2010.12.014
  14. Das, A. K., Olfson, M., Gameroff, M. J., Pilowsky, D. J., Blanco, C., Feder, A., Gross, R., Neria, Y., Lantigua, R., Shea, S., & Weissman, M. M. (2005). Screening for bipolar disorder in a primary care practice. Jama, 293(8), 956-963. DOI: 10.1001/jama.293.8.956
  15. da Silva, J., Goncalves-Pereira, M., Xavier, M., & Mukaetova-Ladinska, E. B. (2013). Affective disorders and risk of developing dementia: Systematic review. Britisch Journal of Psychiatry, 202, 177-186. DOI: 10.1192/bjp.bp.111.101931
  16. Derntl, B., Seidel, E. M., Kryspin-Exner, I., Hasmann, A., & Dobmeier, M. (2009). Facial emotion recognition in patients with bipolar I and bipolar II disorder. British Journal of Clinical Psychology, 48, 363-375. DOI:10.1348/014466509X404845
  17. Edwards, J., Pattison, P. E., Jackson, H. J., & Wales, R. J. (2001). Facial effect and affective prosody recognition in first-episode schizophrenia. Schizophrenia Research, 48, 235-253. DOI: 10.1016/S0920-9964(00)00099-2
  18. Edwards, J., Jackson, H. J., & Pattison, P. E. (2002). Emotion recognition via facial expression and affective prosody in schizophrenia: A methodological review. Clinical Psychology Review, 22, 789-832. DOI: 10.1016/S0272-7358(02)00130-7
  19. Ekman, P. (1992). Facial Expression and Emotion. American Psychologist, 48, 384-392. DOI: 10.1037/0003-066X.48.4.384
  20. Ekman, P. (1992). FACIAL EXPRESSIONS OF EMOTION: New Findings, New Questions. Psychological Science, 3, 34-38. https://doi.org/10.1111/j.1467-9280.1992.tb00253.x
  21. Faraone, S. V., Biederman, J., Wozniak, J., Mundy, E., Mennin, D., & O'Donnell, D. (1997a). Is comorbidity with ADHD a marker for juvenile-onset mania?. Journal of the American Academy of Child & Adolescent Psychiatry, 36, 1046-1055. DOI: 10.1097/00004583-199708000-00012
  22. Geller, B., Williams, M., Zimerman, B., Frazier, J., Beringer, L., & Warner, K. L. (1998). Prepubertal and early adolescent bipolarity differentiate from ADHD by manic symptoms, grandiose delusions, ultra-rapid or ultradian cycling. Journal of Affective Disorders, 51, 81-91. DOI: 10.1016/S0165-0327(98)00175-X
  23. Getz, G. E., Shear, P. K., & Strakowski, S. M. (2003). Facial affect recognition deficits in bipolar disorder. Journal of the International Neuropsychological Society, 9, 623-632. DOI: 10.10170S1355617703940021 https://doi.org/10.1017/S1355617703940021
  24. Grant, B. F., Saha, T. D., Ruan, W. J., Goldstein, R. B., Chou, S. P., Jung, J., Zhang, H., Smith, S. M., Pickering, R. P., Huang, B., & Hasin, D. S. (2016). Epidemiology of DSM-5 drug use disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III. JAMA Psychiatry, 73, 39-47. DOI: 10.1001/jamapsychiatry.2015.2132
  25. Green, C. S., & Bavelier, D. (2003). Action video game modifies visual selective attention. Letter to Nature, 423, 534-537. DOI: :10.1038/nature01647
  26. Harmer, C. J., Grayson, L., & Goodwin, G. M. (2002). Enhanced recognition of disgust in bipolar illness. Biological Psychiatry, 51, 298-304. DOI: 10.1016/S0006-3223(01)01249-5
  27. Hirschfeld, R. M. A., Williams, J. B. W., Spitzer, R. L., Calabrese, J. R., Flynn, L., Keck, P. E., Lewis, L., McElroy, S. L., Post, R. M., Rapport, D. J., Russell, J. M., Sachs, G. S., & Zajecka, J. (2000). Development and Validation of a Screening Instrucment for Bipolar Spectrum Disorder: The Mood Disorder Questionnaire. The American Journal of Psychiatry, 157, 1873-1875. DOI: /10.1176/appi.ajp.157.11.1873
  28. Hirschfeld, R. M., Holzer, C., Calabrese, J. R., Weissman, M., Reed, M., Davies, M., Frye, M. A., Keck, P., McElroy, S., Lewis, L., Tierce, J., Wagner, K. D., & Hazard, E. (2003). Validity of the mood disorder questionnaire: a general population study. American Journal of Psychiatry, 160(1), 178-180. DOI: 10.1176/appi.ajp.160.1.178
  29. Hirschfeld, R. M., Cass, A. R., Holt, D. C., & Carlson, C. A. (2005). Screening for bipolar disorder in patients treated for depression in a family medicine clinic. The Journal of the American Board of Family Practice, 18(4), 233-239. DOI: 10.3122/jabfm.18.4.233
  30. Jon, D. I., Yoon, B. H., Jung, H. Y., Ha, K. S., Shin, Y. C., & Bahk, W. M. (2005). A Validation Study of the Korean Version Mood Disorder Questionnaire (K-MDQ). Journal of Korean Neuropsychiatry Association, 44, 583-590.
  31. Joormann, J., & Gotlib, I. H. (2006). Is this happiness I see? Biases in the identification of emotional facial expressions in depression and social phobia. Journal of Abnormal Psychology, 115, 705. DOI: 10.1037/0021-843X.115.4.705
  32. Kent, L., & Craddock, N. (2003). Is there a relationship between attention deficit hyperactivity disorder and bipolar disorder?. Journal of Affective Disorders, 73, 211-221. DOI: 10.1016/S0165-0327(02)00092-7
  33. Kim, B., Wang, H. R., Son, J. I., Kim, C. Y., & Joo, Y. H. (2008). Bipolarity in depressive patients without histories of diagnosis of bipolar disorder, and the utility of the MDQ for detecting bipolarity. Journal of Affective Disorders, 107, S109-S110. DOI: 10.1016/j.comppsych.2008.01.002
  34. Kim, S. Y., Kang, J. W., Jung, J. B., Lee H. W., Han, D. H., Choi, M. K., & Nam, K. C. (2017). The research for relationship between self report ADHD test and computerized UFOV and VM tasks. The Korean Journal of Cognitive and Biological Psychology, 29(1), 81-88. DOI: 10.22172/cogbio.2017.29.1.005
  35. Kim, W. W., Kwon, Y. J., Shim, S. H., Jeong, H. Y., Kwon, W. J., & Lee, H. Y. (2012). The Association Study between Mood Disorder Questionnaire and Bipolar Spectrum Disorder in Major Depressive Disorder. Journal of the Korean Neuropsychiatric Association, 51, 291-299. https://doi.org/10.4306/jknpa.2012.51.5.291
  36. Konarski, J. Z., McIntyre, R. S., Kennedy, S. H., Rafi-Tari, S., Soczynska, J. K., & Ketter, T. A. (2008). Volumetric neuroimaging investigations in mood disorders: Bipolar disorder versus major depressive disorder. Bipolar Disorders, 10, 1-37. DOI: 10.1111/j.1399-5618.2008.00435.x
  37. Lembke, A., & Ketter, T. E. (2002). Impaired recognition of facial emotion in mania. American Journal of Psychiatry, 159, 302-304. DOI: 10.1176/appi.ajp.159.2.302
  38. Leibenluft, E. (2011). Severe mood dysregulation, irritability, and the diagnostic boundaries of bipolar disorder in youths. American Journal of Psychiatry, 168, 129-142. DOI: 10.1176/appi.ajp.2010.10050766
  39. Martino, D. J., Samame, C., Ibanez, A., & Strejilevich, S. A. (2015). Neurocognitive functioning in the premorbid stage and in the first episode of bipolar disorder: A systematic review. Psychiatry Research, 226, 23-30. DOI: 10.1016/j.psychres.2014.12.044
  40. McClure, E. B., Treland, J. E., Snow, J., Schmajuk, M., Dickstein, D. P., Towbin, K. E., Charney, D. S., Pine, D. S., & Leibenluft, E. (2005). Deficits in social cognition and response flexibility in pediatric bipolar disorder. American Journal of Psychiatry, 162, 1644-1651. DOI: 10.1176/appi.ajp.162.9.1644
  41. Merikangas, K. R., Jin, R., He, J. P., Kessler, R. C., Lee, S., Sampson, N. A., Viana, M. C., Andrade, L. H., Hu, C., Karam, E. G., Ladea, M., Medina-Mora, M. E., Ono, Y., Posada-Villa, J., Sagar, R., Wells, J. E., & Zarkov, Z. (2011). Prevalence and Correlates of Bipolar Spectrum Disorder in the World Mental Health Survey Initiative. Archives of General Psychiatry, 68, 241-251. DOI: 10.1001/archgenpsychiatry.2011.12
  42. Montagne, B., Kessels, R. P. C., De Haan, E. H. F., & Perrett, D. I. (2007). The emotion recognition task: a paradigm to measure the perception of facial emotional expressions at different intensities. Perceptual and Motor Skills, 104, 589-598. DOI: 10.2466/pms.104.2.589-598
  43. Myers, R. S., Ball, K. K., Kalina, T. D., Roth, D. L., & Goode, K. T. (2000). Relation of useful field of view and other screening tests to on-road driving performance. Perception and Motor Skills, 91, 279-290. DOI: 10.2466/pms.2000.91.1.279
  44. Phillips, M. L., Young, A. W., Senior, C., Brammer, M., Andrew, C., Calder, A. J., Bullmore, E. T., Perrett, D. I., Rowland, D., Williams, S. C. R., Gray, J. A., & David, A. S. (1997). A specific neural substrate for perceiving facial expressions of disgust. Nature, 389, 495-498. DOI: 10.1038/39051
  45. Phillips, M. L., Drevets, W. C., Rauch, S. L., & Lane, R. (2003). Neurobiology of emotion perception II: Impications for major psychiatric disorders. Biological Psychiatry, 54, 515-528. DOI: 10.1016/S0006-3223(03)00171-9
  46. Phillips, M. L., Ladouceur, C. D., & Drevets, W. C. (2008a). A neural model of voluntary and automatic emotion regulation: implications for understanding the pathophysiology and neurodevelopment of bipolar disorder. Molecular Psychiatry, 13, 833-857. DOI: 10.1038/mp.2008.65
  47. Raes, F., Hermans, D., & Williams, J. M. G. (2006). Negative bias in the perception of others' facial emotional expressions in major depression: The role of depressive rumination. The Journal of Nervous and Mental Disease, 194, 796-799. DOI: 10.1097/01.nmd.0000240187.80270.bb
  48. Rich, B. A., Schmajuk, M., Perez-Edgar, K. E., Fox, N. A., Pine, D. S., & Leibenluft, E. (2007). Different Psychophysiological and behavioral responses elicited by frustration in pediatric bipolar disorder and severe mood dysregulation. American Journal of Psychiatry, 164, 309-317. DOI: 10.1176/ajp.2007.164.2.309
  49. Rubia, K., Smith, A. B., Brammer, M. J., & Taylor, E. (2007). Temporal lobe dysfunction in medicationnaive boys with attention-deficit/hyperactivity disorder during attention allocation and its relation to response variability. Biological Psychiatry, 62, 999-1006. DOI: 10.1016/j.biopsych.2007.02.024
  50. Rubia, K., Halari, R., Smith, A. B., Mohammad, M., Scott, S., & Brammer, M. J. (2009). Shared and disorder-specific prefrontal abnormalities in boys with pure attention-deficit/hyperacitivity disorder compared to boys with pure CD during interference inhibition and attention allocation. Journal of Child Psychology and Psychiatry, 50, 669-678. DOI: 10.1111/j.1469-7610.2008.02022.x
  51. Sachs, G. S., Baldassano, C. F., Truman, C. J., & Guille, C. (2000). Comorbidity of attention deficit hyperactivity disorder with early- and late-onset bipolar disorder. American Journal of Psychiatry, 157, 466-468. DOI: 10.1176/appi.ajp.157.3.466
  52. Sprengelmeyer, R., Young, A. W., Calder, A. J., Karnat, A., Lange, H., H?mberg, V., Perrett, D. I., & Rowland, D. (1996). Loss of disgust Perception of faces and emotions in Huntington's disease. Brain, 119, 1647-1665. DOI: 10.1093/brain/119.5.1647
  53. Strakowski, S. M., Adler, C. M., de Almeida, J. C. R., Altshuler, L. L., Blmberg, H. P., & Chang, K. D. (2012). The functional neuroanatomy of bipolar disorder: a consensus model. Bipolar Disorders, 16, 471-477. DOI: 10.1111/j.1399-5618.2012.01022.x
  54. Surguladze, S. A., Young, A. W., Senior, C., Br? bion, G., Travis, M. J., & Phillips, M. L. (2004). Recognition accuracy and response bias to happy and sad facial expressions in patients with major depression. Neuropsychology, 18, 212. DOI: 10.1037/0894-4105.18.2.212
  55. Tabares-Seisdedos, R., Balanza-Martinez, V., Sanches-Moreno, J., Martines-Aran, A., Slazar-Fraile, J., Selva-Vera, G., Rubio, C., Mata, I., Comez-Beneyto, M., & Vieta, E. (2008). Neurocognitive and clinical predictors of functional outcome in patients with schizophrenia and bipolar I disorder at one-year follow-up. Journal of Affective Disorder, 109, 286-299. DOI: 10.1016/j.jad.2007.12.234
  56. Venn, H. R., Gray, J. M., Montagne, B., Murray, L. K., Burt, D. M., Frigerio, E., Perrett, D. I., & Young, A. H. (2004). Perception of facial expressions of emotion in bipolar disorder. Bipolar Disorders, 6, 286-293. DOI: 10.1111/j.1399-5618.2004.00121.x
  57. Wang, H. R., Woo, Y. S., Ahn, H. S., Ahn, I. M., Kim, H. J., & Bahk, W. M. (2015). The validity of the mood disorder questionnaire for screening bipolar disorder: A meta-analysis. Depression and Anxiety, 32(7), 527-538. DOI: 10.1002/da.22374
  58. West, S. A., McElroy, S. L., Strakowski, S. M., Keck, P. E., & McConville, B. (1995). Attention deficit hyperactivity disorder in adolescent mania. The American Journal of Psychiatry, 152, 271. https://doi.org/10.1176/ajp.152.2.271
  59. West, S. A., Strakowski, S. M., Sax, K. W., McElroy, S. L., Keck, P. E., & McConville, B. (1996). Phenomenology and comorbidity of adolescents hospitalized for the treatment of acute mania. Biological Psychiatry, 39, 458-460. DOI: 10.1016/0006-3223(95)00525-0
  60. Yurgelun-Todd, D. A., Gruber, S. A., Kanayama, G., Killgore, W. D., Baird, A. A., & Young, A. D. (2000). fMRI during affect discrimination in bipolar affective disorder. Bipolar Disorders, 2, 248. DOI: 10.1034/j.1399-5618.2000.20304.x