مقایسه بازشناسی هیجان تنفردر بیماران مبتلا به اختلال وسواس فکری-عملی شدید با افراد غیربیمار

نویسندگان
الهام موسویان
نورالله محمدی
دانشگاه شیراز
10.18869/acadpub.rph.9.4.17
چکیده
هدف از پژوهش حاضر مقایسه بازشناسی هیجان تنفر در بیماران مبتلا به اختلال وسواس فکری و عملی شدید و افراد غیر بیمار و بررسی رابطه ی شدت اختلال وسواس فکری –عملی با توانایی بازشناسی هیجان ها است. در این پژوهش علی مقایسه ای، بازشناسی هیجان در چهره در دو گروه متشکل از 15 فرد بهنجار و 15 فرد مبتلا به اختلال وسواس فکری و عملی شدید بررسی شد. بازشناسی هیجان­های مرتبط با چهره، توسط 41 تصویر اکمن و فرایزن (1976) که 6 حالت هیجانی گوناگون (غم، شادی، ترس و خشم، تنفر، تعجب) و حالت خنثی را می­سنجند، ارزیابی شد. بین دو گروه از نظر بازشناسی هیجان تنفر تفاوت معناداری وجود دارد ( 04 / 0= p، 3=F). از آنجاییکه موقعیت هایی که در آن بیماران وسواس فکری - عملی، تنفر را تجربه می کنند، از آنهایی که در آن افراد عادی تنفر را تجربه می­کنند متفاوت است، در نتیجه می توان ادراک متفاوت این افراد از هیجان تنفر را یکی از علل زیر بنایی ابتلای این گروه ازافراد به علائم اختلال وسواس مخصوصاً اشتغال فکری نسبت به آلودگی دانست. به نظر می­رسد نقص بازشناسی هیجان تنفر فقط در بیماران دارای اختلال وسواس فکری و عملی شدید وجود دارد.
کلیدواژه‌ها
بازشناسی هیجان در چهره
اختلال وسواس فکری و عملی
تنفر

عنوان مقاله English

A Comparison of the Recognition of Disgust between Patients with Severe Obsessive-Compulsive Disorder and Healthy People

نویسندگان English

elham Mousavyan
Nooroallah Mohammadi
چکیده English

The goal of this research was to compare the recognition of disgust between patients with severe obsessive-compulsive disorder and healthy people, and to study the relationship between the intensity of this disorder and the ability of the recognition of disgust. In this causal-comparative research, facial emotion recognition has been studied in two groups consisting of 15 normal people and 15 people with severe OCD. Facial emotion recognition was assessed by using of 41 pictures of Ekman and Friesen (1979) that evaluates 6 different emotion styles (sadness, happiness, fear, anger, disgust, surprise) and neutral emotion. The results showed that there was a significant difference between the two groups in terms of the recognition of disgust ( F=3, P=0/04).Since the situation in which OCD patients experienced disgust was different from the situations in which the normal people experienced disgust, we can consider the different perception of disgust in these individuals as one of the underlying causes of having the symptoms of OCD, specially preoccupation about the air pollution. It seems that there is a defect of the recognition of disgust only in people with severe obsessive-compulsive disorder.

کلیدواژه‌ها English

Facial Emotion Recognition
Obsessive-compulsive disorder
Disgust
Beck, A.T., Steer, R.A. & Garbin G.K. (1996). Beck Depression Inventory Manual (2nd Ed.) San Antonio, Psychological Corporation.
Beucke, J.C., Sepulcre, J., Talukdar, T., Linman, C., Zschenderlein, K., Endrass, T., Kaufman, Ch., & kathmann, N. (2013). Abnormally high degree connectivity of the orbitofrontal cortex in obsessive compulsive disorder. Achieve of General Psychiatry,70(6), 619-629.
Buhlmann, U., McNally, R. J., Etcoff, N. L., Tuschen-Caffier, B., & Wilhelm, S. (2004). Emotion recognition deficits in body dysmorphic disorder. Journal of Psychiatric Research, 38, 201–206.
Corcoran, K.M., Woody, S.R., & Tolin, D.F. (2008). Recognition of facial expressions in obsessive–compulsive disorder. Journal of Anxiety Disorders 22, 56–66.
Dalili, M.N., Penton-Voak, I.S., Harmer, C.J., & Munafo, M.R. (2015). Meta-analysis of emotion recognition deficits in major depressive disorder. Psychological Medicine, 45, 1135-1144.

Daros, A.R., Zakzanis, K.K., & Rector, N.A. (2013). A quantitative analysis of facial emotion recognition in obsessive compulsive disorder. Psychiatry Research, 14, 235-249.

Ekman, P. (1992). An argument for basic emotions. Cognition and Emotion, 6, 169–200.
Ekman, P., & Friesen,W.V. (1976). Pictures of facial affect. Palo Alto, CA: Consulting Psychologists Press.
Ekman, P., Levenson, R. W., & Friesen, W. V. (1983). Autonomic nervous system activity distinguishes among emotions. Science, 221, 1208–1210.
Ekman, P., Sorenson, E. R., & Friesen, W. V. (1969). Pan-cultural elements in facial displays of emotion. Science, 164, 86–88.
Goodarzi, M.A. (2000). Reliability and validity of Beck Depression Inventory in students of Shiraz University. Journal of Social Science of Shiraz University, 36, 26-32. [Persian].
Goodman, W.K., Price, L.H., & Rasmussen, S.A (1989). The Yale-Brown Obsessive Compulsive Scale (Y-Bocs), Part 1. Development, use and reliability. Journal of Achieves of general Psychiatry, 46, 1006-1011.
Hargrave, R., Maddock, R. J., & Stone, V. (2002). Impaired recognition of facial expressions of emotion in Alzheimer’s disease.Journal of Neuropsychiatry and Clinical Neurosciences, 14, 64–71.
Harrison, B.J., Pujol, J., Cardoner, N., Deus, J., Alonso, P., Lopez-Sola, M. (2013). Brain corticostriatal systems and major clinical symptom dimension of obsessive compulsive disorder. Biological Psychiatry, 73 (4), 321-328.

Hezel, D.M., & Mcnally, R.J. (2015). A theoretical review of cognitive biases and deficits in obsessive- compulsive disorder. Biological Psychology, in press.


Narayanaswamy, J.C., Jose, D.A., Kalmady, S.V., Venkatasubramanian, G., & Janardan Ressy, Y.C. (2013). Clinical correlates of caudate volume in drug naïve adult patients with obsessive-compulsive disorder. Psychiatry Research, 212 (1), 7-13.

Olatunji, B.O., Williams, N.L., Tolin, D.F., Abramowitz, J.S., Sawchuk, C.N., Lohr, J.M., Elwood, L.S., (2007). The Disgust Scale: item analysis, factor structure, and suggestions for refinement. Psychological Assessment 19, 281–297.
Parker, H. A., McNally, R. J., Nakayama, K., & Wilhelm, S. (2004). No disgust recognition deficit in obsessive–compulsive disorder. Journal of Behavior Therapy and Experimental Psychiatry, 35, 183–192
Parmer, A., Sharan, P., Khanelwal, U., sharma, N., & Jagannathan, N. (2016). Caudate neurochemistry in unmedicated obsessive compulsive disorder patients: a magnetic resonance spectrodcopy study. Europen Psychiatry, 33, 14-29.

Perrett, D.I., Rowland, D., Williams, S.C., Gray, J.A., & David, A.S., (1997). A specific neural substrate for perceiving facial expressions of disgust. Nature 389, 495–498.
Plana, I., Lavoie, M-A., Battaglia, M., & Achim, A.M. (2013). A meta-analysis and scoping review of social cognition performance in social phobia, posttraumatic stress disorder and other anxiety disorder. Journal of Anxiety disorder, 17, 9-20.

Posener, J., Marsh, R., Maia, T.V., Peterson, B.S., Gruber, A., & Blairson, H. (2014). Reduced functional connectivity whithin the limbic cortico-striato-thalamo- cortical loop in unmedicated adults with obsessive compulsive disorder. Human Brain, 36 (6), 2852-2860.

Rajerzi, S., Moteghadem, Y., Kamkari, K., Zahirdeik, A., & Janbozorgi, M (2012). Reliability and validity of the Persian version of the Yale-Brown obsessive-compulsive scale (Y-BOCS). Iranian Journal of Psychiatry and Clinical Psychology, , 17 (4), 297-303. [Persian].
Repacholi, B.A., Meltzoff, A.N., Toub, T.S., & Ruba, A.L. (2016). Infants generalization about other people’s emotions: foundation for trait-like attributions. Developmental Psychology, 52(3), 364-378.

Richards, A., French, C.C., Calder, A.J., Webb, B., Fox, R., & Young, A. (2002). Anxiety related bias in the classification of emotionally ambiguous facial expressions. Emotion, 2(3), 272-287.

Sorce, J.F., Emde, R.N., Campos, J.J., & Klinnert, M.D. (1985). Maternal emotional signaling: its effect on the visual cliff behavior of 1-year-olds. Developmental Psychology, 21, 195–200.
Sprengelmeyer, R., Rausch, M., Eysel, U.T., & Przuntek, H., (1998). Neural structures associated with recognition of facial expressions of basic emotions. Proceedings, Biological Sciences, 265, 1927–1931.
Sprengelmeyer, R., Young, A.W., Calder, A.J., Karnat, A., Lange, H., Homberg, V., Perrett, D.I., & Rowland, D., (1996). Loss of disgust. Perception of faces and emotions in Huntington's disease. Brain, 119, 1647–1665.
Sprengelmeyer, R., Young, A.W., Pundt, I., Sprengelmeyer, A., Calder, A.J., Berrios, G., Winkel, R., Vollmoeller, W., Kuhn, W., Sartory, G., Przuntek, H., (1997). Disgust implicated in obsessive–compulsive disorder. Proceedings, Biological Sciences, 264, 1767–1773.
Toh, W., Castle, D.J., & Roselle, S.L. (2015). Facial affect recognition in body dysmorphic disorder versus obsessive-compulsive disorder: an eye tracking study. Journal of Anxiety Disorder, 35, 49-59.

Trinkler, I., De Langavante, L.C., & Bachoud-Levi, A.C. (2013). Joint recognition-expression impairment of facial emotions in Hungtington’s disease intact understanding of fellings. Cortex, 49(2), 549-558.

Widen Sherri, C., & Russel James, A. (2013). Children’s recognition of disgust in others. Psychological Bulletin, 139 (2), 271-299.

Williams, A.D., & Grisham, J.R. (2013). Cognitive bias modification of obsessive compulsive beliefs. BMC Psychiatry, 256, 52-64.

Wit, S.J.D., Alonso, P., Schweren, L., Mataix-Cols, D., Lochner, Ch., Menchon, J.M. (2014). Multicenter voxel-based morphometry mega analysis of structural brain scans in obsessive compulsive disorder. American Journal of Psychiatry, 171, 340-349.
Wolwer, w., Lowe, a., Brinkmeyer, J., Streit, M., Habakuck, M., Agelink, M.W. (2014). Repetitive transcranial magnetic stimulation (rTMS) improves facial affect recognition in schizophrenia. Brain Stimulation, 7 (4), 559-563.

Woody, S. R., & Tolin, D. F. (2002). The relationship between disgust sensitivity and avoidant behavior: studies of clinical and nonclinical samples. Journal of Anxiety Disorders, 16(3), 543–559.
Yalcin- Siedentopf, N., Hoetnagl, Ch.M., Baumgartner, S., Deisenhammer, E.A., Hausmann, A., Kaufmann, A. (2014). Facial affect recognition in symptomatically remitted patients with schizophrenia and bipolar disorder. Schizophrenia research, 152 (2-3), 440-445.

Zonnevijlle-Bendek, M.J.S., van Goozen, S.H.M., Cohen-Kettenis, P.T., van Elburg, A., & van Engeland, H. (2002). Do adolescent anorexia nervosa patients have deficits in emotional functioning? European Child and Adolescent Psychiatry, 11(2), 38–42.