نقش میانجیگر حساسیت به پاداش در روابط سوگیری حافظه ای مرتبط با مانیا و حافظه ی کاری بر بهبودی از اختلال دوقطبی نوع یک
الموضوعات :
نگین انباری میبدی
1
,
سجاد بشرپور
2
,
محمد نریمانی
3
1 - دانشجو دکتری روان‎شناسی، دانشکده روان‎شناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران.
2 - استاد گروه آموزشی روان‎شناسی، دانشکده روان‎شناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران
3 - استاد گروه آموزشی روان‎شناسی، دانشکده روان‎شناسی و علوم تربیتی، دانشگاه محقق اردبیلی، اردبیل، ایران
الکلمات المفتاحية: "حساسیت به پاداش", "سوگیری حافظهای مرتبط با مانیا", "حافظه کاری", "اختلال دوقطبی نوع یک",
ملخص المقالة :
مقدمه: هدف پژوهش حاضر بررسی نقش میانجیگر حساسیت به پاداش در روابط سوگیری حافظهای مرتبط با مانیا و حافظهی کاری بر بهبودی از اختلال دوقطبی نوع یک است.
روش: این مطالعهی مقطعی با روش نمونهگیری در دسترس روی 126 بیمار مبتلا به اختلال دوقطبی نوع یک در فاز شیدایی که به مطبهای روانپزشکی مراجعه کرده بودند، انجام شد. افراد نمونه 30 روز پس از پر کردن پرسشنامهها و سنجش اولیه، مورد سنجش مجدد شدت مانیا قرار گرفتند. برای سنجش افراد از پرسشنامه محقق ساخته، مقیاس برداشت کلی بالینی برای اختلال دوقطبی، مقیاس درجه‌بندی مانیای یانگ، آزمون یادگیری کلامی شنیداری هیجانی، آزمون حافظهی کاری دانیمن و کارپنتر و مقیاس حساسیت به پاداش و تنبیه استفاده شد. دادهها با مدل معادلات ساختاری و با نرمافزار Smartpls-3 تحلیل شدند.
یافته ها: نتایج نشان میدهند سوگیری حافظهای مرتبط با مانیا بر بهبودی از اختلال تاثیر معنیدار ندارد ولی بر حساسیت به پاداش تاثیر مثبت و معنیدار دارد. همچنین حافظهی کاری بر حساسیت به پاداش تاثیر معنیدار ندارد ولی بر بهبودی از اختلال تاثیر معنیدار و مثبت دارد. حساسیت به پاداش، تحت تاثیر سوگیری حافظهای مرتبط با مانیا بر بهبودی از اختلال تاثیر معنیدار و منفی دارد.
نتیجه گیری: میتوان با راهکارهایی در جهت کاهش حساسیت به پاداش و افزایش حافظهی کاری برای بهبود اختلال دوقطبی نوع یک سود جست.
واژه های کلیدی: حساسیت به پاداش، سوگیری حافظهای مرتبط با مانیا، حافظه کاری، اختلال دوقطبی نوع یک
1. Association, A.P., American psychiatric association. 2019.
2. Grande, I., Berk, M., Birmaher, B., Vieta, E., Bipolar disorder. The Lancet. 2016;387(10027):1561-72.
3. Escamilla, M.A., Zavala, J.M., Genetics of bipolar disorder. Dialogues in clinical neuroscience. 2008;10(2):141.
4. Merikangas K.R, Jin R, He J-P, Kessler RC, Lee S, Sampson, NA., et al. Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Archives of general psychiatry. 2011;68(3):241-51.
5. Perlis, R.H., Ostacher, M.J., Patel, J.K., Marangell, L.B., Zhang, H., Wisniewski, S.R., et al. Predictors of recurrence in bipolar disorder: primary outcomes from the Systematic Treatment Enhancement Program for Bipolar Disorder (STEP-BD). American Journal of Psychiatry. 2006;163(2):217-24.
6. Meyer, T.D., Hautzinger, M., Bauer, I.E., A mania-related memory bias is associated with risk for relapse in bipolar disorder. Journal of affective disorders. 2018;235:557-64.
7. King, M.J., MacDougall, A.G., Ferris, S., Herdman, K.A., Bielak, T., Smith, J.R., et al. Impaired episodic memory for events encoded during mania in patients with bipolar disorder. Psychiatry research. 2013;205(3):213-9.
8. Delgado, V.B., Chaves, M.L., Mood congruence phenomenon in acutely symptomatic mania bipolar I disorder patients with and without psychotic symptoms. Cognitive neuropsychiatry. 2013;18(6):477-90.
9. García-Blanco, A.C., Perea, M., Livianos, L., Mood-congruent bias and attention shifts in the different episodes of bipolar disorder. Cognition & emotion. 2013;27(6):1114-21.
10. Lyon, H.M., Startup, M., Bentall, R.P. Social cognition and the manic defense: attributions, selective attention, and self-schema in bipolar affective disorder. Journal of Abnormal Psychology. 1999;108(2):273.
11. Latalova, K., Prasko, J., Diveky, T., Velartova, H. Cognitive impairment in bipolar disorder. Biomedical Papers of the Medical Faculty of Palacky University in Olomouc. 2011;155(1).
12. Pomarol-Clotet, E., Alonso-Lana, S., Moro, N., Sarro, S., Bonnin, M.C., Goikolea, J.M., et al. Brain functional changes across the different phases of bipolar disorder. The British Journal of Psychiatry. 2015;206(2):136-44.
13. Goldman-Rakic, P.S. Regional and cellular fractionation of working memory. Proceedings of the National Academy of Sciences. 1996;93(24):13473-80.
14. Jha, A., Joshi, D., Kattel, P., Koirala, P. Working Memory Impairment in Euthymic State of Bipolar Disorder. Journal of Psychiatrists' Association of Nepal. 2019;8(1):50-4.
15. Sweeney, J.A., Kmiec, J.A., Kupfer, D.J. Neuropsychologic impairments in bipolar and unipolar mood disorders on the CANTAB neurocognitive battery. Biological psychiatry. 2000;48(7):674-84.
16. Murphy, F., Sahakian, B., Rubinsztein, J., Michael, A., Rogers, R., Robbins, T., et al. Emotional bias and inhibitory control processes in mania and depression. Psychological medicine. 1999;29(6):1307-21.
17. Larson, E.R., Shear, P.K., Krikorian, R., Welge, J., Strakowski, S.M. Working memory and inhibitory control among manic and euthymic patients with bipolar disorder. Journal of the International Neuropsychological Society. 2005;11(2):163-72.
18. Salavert, J., Caseras, X., Torrubia, R., Ramírez, N., Del Moral, E., Arranz, B., et al. Behavioral activation and inhibition systems in bipolar i euthymic patients and its influence in subsequent episodes. European Psychiatry. 2007;22(S1):S258-S.
19. Depue, R.A., Iacono, W.G. Neurobehavioral aspects of affective disorders. Annual review of psychology. 1989;40(1):457-92.
20. Johnson, S.L., Edge, M.D., Holmes, M.K., Carver, C.S. The behavioral activation system and mania. Annual review of clinical psychology. 2012;8:243-67.
21. Alloy, L.B., Nusslock, R., Boland, E.M. The development and course of bipolar spectrum disorders: An integrated reward and circadian rhythm dysregulation model. Annual review of clinical psychology. 2015;11:213-50.
22. Swann, A.C., Lijffijt, M., Lane, S.D., Steinberg, J.L., Moeller, F.G. Severity of bipolar disorder is associated with impairment of response inhibition. Journal of Affective Disorders. 2009;116(1-2):30-6.
23. Pizzagalli, D.A., Goetz, E., Ostacher, M., Iosifescu, D.V., Perlis, R.H. Euthymic patients with bipolar disorder show decreased reward learning in a probabilistic reward task. Biological psychiatry. 2008;64(2):162-8.
24. Johnson, S.L., Swerdlow, B.A., Treadway, M., Tharp, J.A., Carver, C.S. Willingness to expend effort toward reward and extreme ambitions in bipolar I disorder. Clinical Psychological Science. 2017;5(6):943-51.
25. Edge, M.D., Johnson, S.L., Ng, T., Carver, C.S. Iowa gambling task performance in euthymic bipolar I disorder: A meta-analysis and empirical study. Journal of affective disorders. 2013;150(1):115-22.
26. Murphy, F.C., Rubinsztein, J.S., Michael, A., Rogers, R.D., Robbins, T.W., Paykel, E.S., et al. Decision-making cognition in mania and depression. Psychological medicine. 2001;31(4):679-93.
27. Miller, K. Bipolar disorder: Etiology, diagnosis, and management. Journal of the American Academy of Nurse Practitioners. 2006;18(8):368-73.
28. Kline, R.B. Principles and practice of structural equation modeling: Guilford publications; 2015.
29. Spearing, M.K., Post, R.M., Leverich, G.S., Brandt, D., Nolen, W. Modification of the Clinical Global Impressions (CGI) Scale for use in bipolar illness (BP): the CGI-BP. Psychiatry research. 1997;73(3):159-71.
30. Young RC, Biggs JT, Ziegler VE, Meyer DA. A rating scale for mania: reliability, validity and sensitivity. The British journal of psychiatry. 1978;133(5):429-35.
31. Ebrahimi, A., Neshatdoost, H.T., Mousavi, S.G., Asadollahi, G.A., Nasiri, H. Controlled randomized clinical trial of spirituality integrated psychotherapy, cognitive-behavioral therapy and medication intervention on depressive symptoms and dysfunctional attitudes in patients with dysthymic disorder. Advanced biomedical research. 2013;2.
32. Lex, C., Hautzinger, M., Meyer, T.D. Cognitive styles in hypomanic episodes of bipolar I disorder. Bipolar Disorders. 2011;13(4):355-64.
33. Lex, C., Meyer, T.D. Is there evidence for an emotion-related bias in verbal learning or memory in individuals putatively high at risk for mania? Psychiatry research. 2013;210(3):891-5.
34. Daneman, M., Carpenter, P.A. Individual differences in working memory and reading. Journal of verbal learning and verbal behavior. 1980;19(4):450-66.
35. Riding, R.J., Dahraei, H., Grimley, M., Banner, G. Working memory, cognitive style and academic attainment. Progress in education. 2001;5:1-19.
36. Torrubia, R., Avila, C., Moltó, J., Caseras, X. The Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ) as a measure of Gray's anxiety and impulsivity dimensions. Personality and individual differences. 2001;31(6):837-62.
37. Liu, R.T., Burke, T.A., Abramson, L.Y., Alloy, L.B. The behavioral approach system (BAS) model of vulnerability to bipolar disorder: Evidence of a continuum in BAS sensitivity across adolescence. Journal of abnormal child psychology. 2018;46(6):1333-49.
38. Hair, J.F., Ringle, C.M., Gudergan, S.P., Fischer, A., Nitzl, C., Menictas, C. Partial least squares structural equation modeling-based discrete choice modeling: an illustration in modeling retailer choice. Business Research. 2019;12(1):115-42.
39. Formal, C., Larker, D.F. Evaluating structural equations models with unobservable variables and measurement error. 1981.
40. Henseler, J., Hubona, G., Ray, P.A. Using PLS path modeling in new technology research: updated guidelines. Industrial management & data systems. 2016.
41. Hu, L.t., Bentler, P.M. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: a multidisciplinary journal. 1999;6(1):1-55.
42. Levy, B., Medina, A.M., Manove, E., Weiss, R.D. The characteristics of a discrete mood episode, neuro-cognitive impairment and re-hospitalization in bipolar disorder. Journal of psychiatric research. 2011;45(8):1048-54.
43. Torres, I.J., DeFreitas, V.G., DeFreitas, C.M., Kauer-Sant, M., Bond, D.J., Honer, W.G., et al. Neurocognitive functioning in patients with bipolar I disorder recently recovered from a first manic episode. The Journal of clinical psychiatry. 2010;71(9):0-.
44. Baddeley, A. Working memory and emotion: Ruminations on a theory of depression. Review of General Psychology. 2013;17(1):20-7.
45. LeDoux, J.E. Emotion circuits in the brain. Annual review of neuroscience. 2000;23(1):155-84.
46. Schweizer. S,, Satpute, A.B., Atzil, S., Field, A.P., Hitchcock, C., Black, M., et al. The impact of affective information on working memory: A pair of meta-analytic reviews of behavioral and neuroimaging evidence. Psychological Bulletin. 2019;145(6):566.
47. Soraggi-Frez, C., Santos, F.H., Albuquerque, P.B., Malloy-Diniz, L.F. Disentangling working memory functioning in mood states of bipolar disorder: A systematic review. Frontiers in psychology. 2017;8:574.
48. Oscar-Berman, M. Clinical and experimental approaches to varieties of memory. International journal of neuroscience. 1991;58(3-4):135-50.
49. Oh DH, Lee S., Kim, SH., Ryu, V., Cho, H-S. Low working memory capacity in euthymic bipolar I disorder: No relation to reappraisal on emotion regulation. Journal of affective disorders. 2019;252:174-81.
50. Meyer, B., Johnson, S.L., Winters, R. Responsiveness to threat and incentive in bipolar disorder: Relations of the BIS/BAS scales with symptoms. Journal of psychopathology and behavioral assessment. 2001;23(3):133-43.
51. Lozano, B.E., Johnson, S.L. Can personality traits predict increases in manic and depressive symptoms? Journal of affective disorders. 2001;63(1-3):103-11.
52. Scott, J., Stanton, B., Garland, A., Ferrier, I. Cognitive vulnerability in patients with bipolar disorder. Psychological medicine. 2000;30(2):467-72.
53. Segal, Z.V., Kennedy, S., Gemar, M., Hood, K., Pedersen, R., Buis, T. Cognitive reactivity to sad mood provocation and the prediction of depressive relapse. Archives of general psychiatry. 2006;63(7):749-55.
54. Gray, J.A., Van Goozen, S., Van de Poll, N.E., Sergeant, J. Framework for a taxonomy of psychiatric disorder. Emotions: Essays on emotion theory. 1994;12:29-59.
55. Nusslock, R., Young, C.B., Damme, K.S. Elevated reward-related neural activation as a unique biological marker of bipolar disorder: assessment and treatment implications. Behaviour research and therapy. 2014;62:74-87.
56. Mason, L., O'Sullivan, N., Blackburn, M., Bentall, R., El-Deredy, W. I want it now! Neural correlates of hypersensitivity to immediate reward in hypomania. Biological psychiatry. 2012;71(6):530-7.
57. Fulford, D., Johnson, S.L., Llabre, M.M., Carver, C.S. Pushing and coasting in dynamic goal pursuit: Coasting is attenuated in bipolar disorder. Psychological Science. 2010;21(7):1021-7.
58. Alloy, L.B., Bender, R.E., Whitehouse, W.G., Wagner, C.A., Liu, R.T., Grant, D.A., et al. High Behavioral Approach System (BAS) sensitivity, reward responsiveness, and goal-striving predict first onset of bipolar spectrum disorders: a prospective behavioral high-risk design. Journal of abnormal psychology. 2012;121(2):339.
59. Carver, C.S. Negative affects deriving from the behavioral approach system. Emotion. 2004;4(1):3.
60. Harmon-Jones, E., Sigelman, J. State anger and prefrontal brain activity: evidence that insult-related relative left-prefrontal activation is associated with experienced anger and aggression. Journal of personality and social psychology. 2001;80(5):797.
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