양극성조증 환자에서 로샤 주요 변인과 실행 인지기능의 관계

Abstract

Objectives : The Rorschach is the commonly used personality and symptom assessment in clinical practices including schizophrenia or bipolar disorder. We investigated the association between the executive functions probably required to respond to the Rorschach task and mania-related Rorschach variables in patients with bipolar mania. Methods : The Rorschach task as well as some subtests of Korean-Wechsler Adult Intelligence Scale (K-WAIS), Trail making test (TMT), Stroop test, and Controlled Oral Word Association Test (COWAT) were performed in 58 inpatients with bipolar mania. Results : There were significant correlations between organizational activities (Zf) and TMT-A and between thought disorder (Wsum6, Sum6) and TMT-B. Semantic fluency of COWAT and ‘block design’ of K-WAIS showed a significant correlation with affective cluster variables (FC, Afr) probably related to emotional regulation. However, Stroop test and the ‘reasoning’ subtest of K-WAIS did not show any significant correlation with the Rorschach variables. Conclusion : Despite some limitations, these findings suggest that cognitive flexibility, verbal fluency and visuoperceptual organization among executive functions may be differentially associated with cognitive processing- or affective regulation-related Rorschach variables in bipolar mania. So this result may support the potential use of the Rorschach in the study of emotion-cognition characteristics in bipolar disorder.