نقش حساسیت به پاداش و بینش شناختی در بهبودی از اختلال دوقطبی نوع یک با نقش میانجی حافظه‌‌ی‌‌کاری

پژوهش های روان شناسی بالینی و مشاوره

مقاله 7، دوره 12، شماره 2 - شماره پیاپی 24، آذر 1401، صفحه 119-139   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2022.74700.1242

نویسندگان

نگین انباری میبدی¹؛ سجاد بشرپور^{* 2}؛ محمد نریمانی²

¹دانشجو دکتری روان شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

²استاد گروه روان شناسی، دانشگاه محقق اردبیلی، اردبیل، ایران

چکیده

هدف: هدف این پژوهش بررسی نقش حساسیت به پاداش و بینش شناختی در بهبودی از اختلال دوقطبی نوع یک با نقش میانجی حافظه‌‌ی ‌کاری 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، موردسنجش مجدد شدت مانیا قرار گرفتند. داده‌ها با مدل معادلات ساختاری و با نرم‌افزار Smartpls-3 تحلیل شدند.
یافته‌ها: نتایج نشان می‌دهند حساسیت به پاداش بر بهبودی از اختلال و حافظه‌‌ی ‌کاری تأثیر معنی‌دار و منفی دارد. همچنین حافظه‌‌ی ‌کاری بر بهبودی از اختلال تأثیر معنی‌دار و مثبت دارد. بینش شناختی بر حافظه‌‌ی ‌کاری و بهبود از اختلال تأثیر معنی‌دار ندارد.

کلیدواژه‌ها

حساسیت به پاداش؛ بینش شناختی؛ اختلال دوقطبی نوع یک؛ حافظه‌‌ی ‌کاری

مراجع

Alloy, L. B., Bender, R. E., Whitehouse, W. G., Wagner, C. A., Liu, R. T., Grant, D. A.,... Harmon-Jones, E. (2012). 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, 121(2), 339-351.

Alloy, L. B., Nusslock, R., & Boland, E. M. (2015). The development and course of bipolar spectrum disorders: An integrated reward and circadian rhythm dysregulation model. Annual review of clinical psychology, 11, 213-250.

Alloy, L. B., Olino, T., Freed, R. D., & Nusslock, R. (2016). Role of reward sensitivity and processing in major depressive and bipolar spectrum disorders. Behavior therapy, 47(5), 600-621.

Association, A. P. (2019). American psychiatric association.

Baddeley, A. (2013). Working memory and emotion: Ruminations on a theory of depression. Review of General Psychology, 17(1), 20-27.

Baddeley, A., Banse, R., Huang, Y.-M., & Page, M. (2012). Working memory and emotion: Detecting the hedonic detector. Journal of Cognitive Psychology, 24(1), 6-16.

Bauer, I. E., Diniz, B. S., Meyer, T. D., Teixeira, A. L., Sanches, M., Spiker, D.,... Soares, J. C. (2018). Increased reward-oriented impulsivity in older bipolar patients: A preliminary study. Journal of affective disorders, 225, 585-592.

Bearden, C. E., Hoffman, K. M., & Cannon, T. D. (2001). The neuropsychology and neuroanatomy of bipolar affective disorder: a critical review. Bipolar disorders, 3(3), 106-150.

Beck, A. T., Baruch, E., Balter, J. M., Steer, R. A., & Warman, D. M. (2004). A new instrument for measuring insight: the Beck Cognitive Insight Scale. Schizophrenia research, 68(2-3), 319-329.

Carver, C. S. (2004). Negative affects deriving from the behavioral approach system. Emotion, 4(1), 3-22 .

Choi, J. M., Padmala, S., & Pessoa, L. (2015). Counteracting effect of threat on reward enhancements during working memory. Cognition and Emotion, 29(8), 1517-1526.

Cooke, M. A., Peters, E. R., Fannon, D., Aasen, I., Kuipers, E., & Kumari, V. (2010). Cognitive insight in psychosis: the relationship between self-certainty and self-reflection dimensions and neuropsychological measures. Psychiatry research, 178(2), 284-289.

Daneman, M., & Carpenter, P. A. (1980). Individual differences in working memory and reading. Journal of verbal learning and verbal behavior, 19(4), 450-466.

Davidson, R. J., & Irwin, W. (1999). The functional neuroanatomy of emotion and affective style. Trends in cognitive sciences, 3(1), 11-21.

Dell'Osso, L., Pini, S., Cassano, G. B., Mastrocinque, C., Seckinger, R. A., Saettoni, M.,... Amador, X. F. (2002). Insight into illness in patients with mania, mixed mania, bipolar depression and major depression with psychotic features. Bipolar disorders, 4(5), 315-322.

Depue, R. A., & Collins, P. F. (1999). Neurobiology of the structure of personality: Dopamine, facilitation of incentive motivation, and extraversion. Behavioral and brain sciences, 22(3), 491-517.

Depue, R. A., & Iacono, W. G. (1989). Neurobehavioral aspects of affective disorders. Annual review of psychology, 40(1), 457-492.

Dias, V. V., Brissos, S., Frey, B. N., & Kapczinski, F. (2008). Insight, quality of life and cognitive functioning in euthymic patients with bipolar disorder. Journal of affective disorders, 110(1-2), 75-83.

Di Rosa, E., Brigadoi, S., Cutini, S., Tarantino, V., Dell’Acqua, R., Mapelli, D., ... & Vallesi, A. (2019). Reward motivation and neurostimulation interact to improve working memory performance in healthy older adults: a simultaneous tDCS-fNIRS study. Neuroimage, 202, 116062.

Drapier, D., Surguladze, S., Marshall, N., Schulze, K., Fern, A., Hall, M.-H.,... McDonald, C. (2008). Genetic liability for bipolar disorder is characterized by excess frontal activation in response to a working memory task. Biological psychiatry, 64(6), 513-520.

Ebrahimi, A., Neshatdoost, H. T., Mousavi, S. G., Asadollahi, G. A., & Nasiri, H. (2013). 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, 2. 53.

Edge, M. D., Johnson, S. L., Ng, T., & Carver, C. S. (2013). Iowa gambling task performance in euthymic bipolar I disorder: A meta-analysis and empirical study. Journal of affective disorders, 150(1), 115-122.

Escamilla, M. A., & Zavala, J. M. (2008). Genetics of bipolar disorder. Dialogues in clinical neuroscience, 10(2), 141-152.

Finn, P. R., Mazas, C. A., Justus, A. N., & Steinmetz, J. (2002). Early‐onset alcoholism with conduct disorder: go/no go learning deficits, working memory capacity, and personality. Alcoholism: Clinical and Experimental Research, 26(2), 186-206.

Fulford, D., Johnson, S. L., Llabre, M. M., & Carver, C. S. (2010). Pushing and coasting in dynamic goal pursuit: Coasting is attenuated in bipolar disorder. Psychological Science, 21(7), 1021-1027.

Gualtieri, C. T., & Johnson, L. G. (2006). Comparative neurocognitive effects of 5 psychotropic anticonvulsants and lithium. Medscape General Medicine, 8(3), 46.

Haber, S. N., & Knutson, B. (2010). The reward circuit: linking primate anatomy and human imaging. Neuropsychopharmacology, 35(1), 4-26.

Hair, J. F., Ringle, C. M., Gudergan, S. P., Fischer, A., Nitzl, C., & Menictas, C. (2019). Partial least squares structural equation modeling-based discrete choice modeling: an illustration in modeling retailer choice. Business Research, 12(1), 115-142.

Harmon-Jones, E., & Sigelman, J. (2001). 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, 80(5), 797-803.

Hendricks, M. A., & Buchanan, T. W. (2016). Individual differences in cognitive control processes and their relationship to emotion regulation. Cognition and Emotion, 30(5), 912-924.

Henseler, J., Hubona, G., & Ray, P. A. (2016). Using PLS path modeling in new technology research: updated guidelines. Industrial management & data systems.

Hu, L. t., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural equation modeling: a multidisciplinary journal, 6(1), 1-55.

Joas, E., Karanti, A., Song, J., Goodwin, G. M., Lichtenstein, P., & Landen, M. (2017). Pharmacological treatment and risk of psychiatric hospital admission in bipolar disorder. The British Journal of Psychiatry, 210(3), 197-202.‏

Johnson, S. L., Swerdlow, B. A., Treadway, M., Tharp, J. A., & Carver, C. S. (2017). Willingness to expend effort toward reward and extreme ambitions in bipolar I disorder. Clinical Psychological Science, 5(6), 943-951.

Kline, R. B. (2015). Principles and practice of structural equation modeling: Guilford publications.

Lam, D., Wong, G., & Sham, P. (2001). Prodromes, coping strategies and course of illness in bipolar affective disorder–a naturalistic study. Psychological medicine, 31(8), 1397-1402.

Larson, E. R., Shear, P. K., Krikorian, R., Welge, J., & Strakowski, S. M. (2005). Working memory and inhibitory control among manic and euthymic patients with bipolar disorder. Journal of the International Neuropsychological Society, 11(2), 163-172.

Levin, H. S., Eisenberg, H. M., & Benton, A. L. (1991). Frontal lobe function and dysfunction: Oxford University Press, USA.

Liu, R. T., Burke, T. A., Abramson, L. Y., & Alloy, L. B. (2018). 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, 46(6), 1333-1349.

Martin, J. M., Warman, D. M., & Lysaker, P. H. (2010). Cognitive insight in non-psychiatric individuals and individuals with psychosis: an examination using the Beck Cognitive Insight Scale. Schizophrenia research, 121(1-3), 39-45.

Mason, L., O'Sullivan, N., Blackburn, M., Bentall, R., & El-Deredy, W. (2012). I want it now! Neural correlates of hypersensitivity to immediate reward in hypomania. Biological psychiatry, 71(6), 530-537.

Merikangas, K. R., Jin, R., He, J.-P., Kessler, R. C., Lee, S., Sampson, N. A.,... Karam, E. G. (2011). Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative. Archives of general psychiatry, 68(3), 241-251.

Miller, K. (2006). Bipolar disorder: Etiology, diagnosis, and management. Journal of the American Academy of Nurse Practitioners, 18(8), 368-373.

Minassian, A., Paulus, M. P., & Perry, W. (2004). Increased sensitivity to error during decision-making in bipolar disorder patients with acute mania. Journal of affective disorders, 82(2), 203-208.

Murphy, F., Sahakian, B., Rubinsztein, J., Michael, A., Rogers, R., Robbins, T., & Paykel, E. (1999). Emotional bias and inhibitory control processes in mania and depression. Psychological medicine, 29(6), 130-137.

Murphy, F. C., Rubinsztein, J. S., Michael, A., Rogers, R. D., Robbins, T. W., Paykel, E. S., & Sahakian, B. J. (2001). Decision-making cognition in mania and depression. Psychological medicine, 31(4), 679-693.

Murray, C. J., & Lopez, A. D. (1996). Evidence-based health policy--lessons from the Global Burden of Disease Study. Science, 274(5288), 740-743.

Niu, X., Veeranki, P., Dennen, S., Dembek, C., Laubmeier, K., Liu, Y., ... & Loebel, A. (2021). Hospitalization risk among adults with bipolar I disorder treated with lurasidone versus other oral atypical antipsychotics: a retrospective analysis of Medicaid claims data. Current Medical Research and Opinion, 37(5), 839-846.‏

Nusslock, R., Young, C. B., & Damme, K. S. (2014). Elevated reward-related neural activation as a unique biological marker of bipolar disorder: assessment and treatment implications. Behaviour Research and Therapy, 62, 74-87.

Oscar-Berman, M. (1991). Clinical and experimental approaches to varieties of memory. International journal of neuroscience, 58(3-4), 135-150.

Pedrelli, P., McQuaid, J. R., Granholm, E., Patterson, T. L., McClure, F., Beck, A. T., & Jeste, D. V. (2004). Measuring cognitive insight in middle-aged and older patients with psychotic disorders. Schizophrenia research, 71(2-3), 297-305.

Pizzagalli, D. A., Goetz, E., Ostacher, M., Iosifescu, D. V., & Perlis, R. H. (2008). Euthymic patients with bipolar disorder show decreased reward learning in a probabilistic reward task. Biological psychiatry, 64(2), 162-168.

Pomarol-Clotet, E., Alonso-Lana, S., Moro, N., Sarro, S., Bonnin, M. C., Goikolea, J. M.,... Vieta, E. (2015). Brain functional changes across the different phases of bipolar disorder. The British Journal of Psychiatry, 206(2), 136-144.

Rathee, R., Luhrmann, T. M., Bhatia, T., & Deshpande, S. N. (2018). Cognitive insight and objective quality of life in people with schizophrenia and auditory hallucinations. Psychiatry research, 259, 223-228.

Rich, B. A., Bhangoo, R. K., Vinton, D. T., Berghorst, L. H., Dickstein, D. P., Grillon, C.,... Leibenluft, E. (2005). Using affect‐modulated startle to study phenotypes of pediatric bipolar disorder. Bipolar disorders, 7(6), 536-545.

Riding, R. J., Dahraei, H., Grimley, M., & Banner, G. (2001). Working memory, cognitive style and academic attainment. Progress in education, 5, 1-19.

Riggs, S. E., Grant, P. M., Perivoliotis, D., & Beck, A. T. (2012). Assessment of cognitive insight: a qualitative review. Schizophrenia bulletin, 38(2), 338-350.

Sagayadevan, V., Jeyagurunathan, A., Lau, Y. W., Shafie, S., Chang, S., Ong, H. L.,... Subramaniam, M. (2019). Cognitive insight and quality of life among psychiatric outpatients. BMC psychiatry, 19(1), 1-9.

Salavert, J., Caseras, X., Torrubia, R., Ramírez, N., Del Moral, E., Arranz, B., & San, L. (2007). Behavioral activation and inhibition systems in bipolar i euthymic patients and its influence in subsequent episodes. European Psychiatry, 22(S1), S258-S258.

Schmeichel, B. J., & Demaree, H. A. (2010). Working memory capacity and spontaneous emotion regulation: high capacity predicts self-enhancement in response to negative feedback. Emotion, 10(5), 739-744.

Schweizer, S., Satpute, A. B., Atzil, S., Field, A. P., Hitchcock, C., Black, M.,... Dalgleish, T. (2019). The impact of affective information on working memory: A pair of meta-analytic reviews of behavioral and neuroimaging evidence. Psychological Bulletin, 145(6), 566-609.

Silva, R. d. A. d., Mograbi, D. C., Camelo, E. V., Bifano, J., Wainstok, M., Silveira, L. A. S., & Cheniaux, E. (2015). Insight in bipolar disorder: a comparison between mania, depression and euthymia using the Insight Scale for Affective Disorders. Trends in psychiatry and psychotherapy, 37, 152-156.

Soraggi-Frez, C., Santos, F. H., Albuquerque, P. B., & Malloy-Diniz, L. F. (2017). Disentangling working memory functioning in mood states of bipolar disorder: A systematic review. Frontiers in psychology, 8, 1-18.

Spearing, M. K., Post, R. M., Leverich, G. S., Brandt, D., & Nolen, W. (1997). Modification of the Clinical Global Impressions (CGI) Scale for use in bipolar illness (BP): the CGI-BP. Psychiatry research, 73(3), 159-171.

Swann, A. C., Lijffijt, M., Lane, S. D., Steinberg, J. L., & Moeller, F. G. (2009). Severity of bipolar disorder is associated with impairment of response inhibition. Journal of affective disorders, 116(1-2), 30-36.

Sweeney, J. A., Kmiec, J. A., & Kupfer, D. J. (2000). Neuropsychologic impairments in bipolar and unipolar mood disorders on the CANTAB neurocognitive battery. Biological psychiatry, 48(7), 674-684.

Torrubia, R., Avila, C., Moltó, J., & Caseras, X. (2001). The Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ) as a measure of Gray's anxiety and impulsivity dimensions. Personality and individual differences, 31(6), 837-862.

Van Camp, L., van den Ameele, S., Sabbe, B., & Oldenburg, J. (2018). The longitudinal course of cognitive insight and mood in bipolar disorder. Psychiatry research, 269, 9-12.

Weintraub, M. J., & de Mamani, A. W. (2015). Effects of sub-clinical psychosis and cognitive insight on psychological well-being: a structural equation model. Psychiatry research, 226(1), 149-155.

Young, R. C., Biggs, J. T., Ziegler, V. E., & Meyer, D. A. (1978). A rating scale for mania: reliability, validity and sensitivity. The British Journal of Psychiatry, 133(5), 429-435.

Yousefi, R., Oreizi, H. R., & Sadeghi, S. (2007). Evaluation of cognitive insight in psychiatric patients, Journl of Psychology, 11 (4): 380-393. (In Persian)