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E-ISSN : 2733-4538
본 연구의 목적은 정신분열병 환자 중 무쾌감증을 포함한 음성증상이 많은 집단(고-음성증상), 무쾌감증을 포함한 음성증상이 적은 집단(저-음성증상)과 정상인을 대상으로 정서경험과 정서표현성에서 어떤 차이가 있는지 알아보고자 하였다. PANSS와 무쾌감증 척도를 기준으로 고-음성증상집단 15명, 저-음성증상집단 15명을 선정하였고, 정상 집단은 정신건강상태를 알아보기 위해 SCL-90-R과 무쾌감증이 있는 사람들을 배제하기 위해 무쾌감증 척도를 실시하여 15명을 선정하였다. 정서경험은 다양한 범주의 내용들이 포함되어 있는 국제정서사진체계(IAPS)를 이용하여 긍정적 정서사진, 부정적 사진을 참가자들에게 Notebook을 이용하여 6-15 초간 보여주었다. 그 뒤 SAM(Self-Assessment Manikin) 평가방식에 따라 자신이 경험한 정서 상태를 1-9점까지 평정하도록 하였다. 정서표현성은 자기보고식 질문지인 정서표현성 척도(EES)를 이용하였다. 그 결과 정신분열병 환자는 정상인보다 긍정적 정서를 덜 긍정적으로 부정적 정서를 더욱 부정적으로 평정하였고, 정서표현성 점수는 낮았다. 또한 정신분열병 환자 중 고-음성증상 집단은 저-음성증상 집단보다 긍정적 정서를 덜 긍정적으로 부정적 정서를 더욱 부정적으로 평정하였고, 정서표현성 점수는 낮았다. 본 연구 결과의 시사점과 후속 연구를 위한 제안을 논의하였다.
The purpose of this study was to examine how emotional experience and emotional expressivity differ among three groups: a group with high-negative symptoms including anhedonia (high-negative symptoms group), a group with low-negative symptoms including anhedonia (low-negative symptoms group) among patients with schizophrenia, and a normal group. With the criteria of PANSS and anhedonia scales, 15 persons for high-negative symptoms and 15 for low-negative symptoms were chosen. And to examine the mental health status of the normal group, the anhedonia scale was conducted and 15 persons were chosen to the exclusion of those with SCL-90-R and anhedonia. For emotional experience, this study utilized the International Affective Picture System (IAPS) containing various ranges of contents. This research had the participants see positive and negative emotional photos for 6-15 seconds from a notebook. After that, they were made to rate their emotional state they experienced from 1 to 9 according to the appraisal method of SAM (Self-Assessment Manikin). For emotional expressivity, this paper used the Emotional Expressivity Scale (EES), a self-reporting questionnaire. According to the result of this research, schizophrenia patients rated positive emotion less positively and negative emotion more negatively than the normal group, and they gained lower scores in emotional expressivity. And among the schizophrenia patients, the high-negative symptoms group rated positive emotion less positively and negative emotion more negatively than the low-negative symptoms group, and they gained lower scores in emotional expressivity. The implications and limitations were discussed along with some suggestion for the future studies.
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