아동⋅청소년기 대인외상경험이 있는 폭식장애경향 성인 여성을 위한 이미지 재구성 인지행동치료 프로그램의 효과: 부정적인 자기지각의 인지 내용 및 외상 처리 인지 과정의 변화를 중심으로
The Effectiveness of Cognitive-Behavioral Therapy with Imagery Rescripting for Women with Binge Eating Tendencies and Childhood Interpersonal Trauma: Focused on the Changes in Cognitive Content of Negative Self-Perception and Cognitive Processes of Trauma Processing
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구의 목적은 이미지 재구성 인지행동치료 프로그램이 아동⋅청소년기 대인외상경험이 있는 폭식장애경향 성인 여성의 정서조절과 폭식 증상 감소에 미치는 효과를 부정적인 자기지각의 인지 내용 및 외상 처리 인지 과정의 질적 변화를 토대로 살펴보는 것이다. 연구 대상은 아동⋅청소년기에 대인외상경험이 있으며 폭식장애경향이 있는 20∼30대 성인 여성으로 본 프로그램의 참여에 동의한 7명이며, 2020년 11월부터 2020년 12월까지 주 2회, 매회기 120분씩 총 10회기의 프로그램이 진행되었다. 수집된 자료는 Cockell 등(2004)이 제시한 인지 오류의 범주화된 사례 분석 틀을 근거로 하고, 그 외 연구 대상의 주관적 평정 점수 및 경험 보고를 활용하여 내용분석을 실시하였다. 분석 결과, 이미지 재구성 인지행동치료 프로그램은 연구 대상들의 부정적인 자기지각의 인지 내용 및 외상 처리 인지 과정을 적응적으로 수정시킴으로써 이러한 효과가 정서조절과 폭식 증상의 감소에 긍정적인 영향을 미침을 확인하였다.
Abstract
The purpose of this study was to examine the effect of imagery rescripting cognitive-behavioral therapy program on emotional regulation and reduction of binge eating tendencies in women with a tendency for binge eating and a history of interpersonal trauma during childhood and adolescence based on the qualitative changes in cognitive content of negative self-perception and cognitive processes of trauma processing. The examination was focused on qualitative changes in cognitive content and processes. The participants were 7 adult women in their 20s and 30s who experienced interpersonal trauma during childhood and adolescence and have binge eating tendencies. A total of 10 sessions were held twice a week, with each session lasting for 120 minutes, from November 2020 to December 2020. The collected data were analyzed on the categorized case analysis technique of cognitive errors presented by Cockell et al (2004) along with participants’ subjective rating scores and experiential reports. The results confirmed that the imagery rescripting cognitive-behavioral therapy program had a positive impact on emotion control and reduction of binge eating symptoms by adaptively modifying participants’ cognitive content of negative self- perception and cognitive processes of trauma processing.
참고문헌 (47)
- "생활 속 질병통계 100선" (2018)[URL]
- 안현의, "외상 후 스트레스 장애의 인지-기억 체계", 한국심리학회지: 상담 및 심리치료, 25(1), pp.111~133 (2013), 한국상담심리학회
- 오송인, "사회불안 성향 대학생을 대상으로 하는단일 회기 심상재구성의 치료효과: 인지재구성과 심상재구성이 결합된 집단과심상재구성 단독 집단 비교", 인지행동치료, 18(3), pp.335~354 (2018), 한국인지행동치료학회[DOI]
- 윤혜영, "사회불안장애의 이미지 재구성 훈련: 이론적 배경과 증례 보고", 인지행동치료, 10(2), pp.1~25 (2010), 한국인지행동치료학회
- 한기백, "여자 대학생이 지각한 아동기 모의 양육 태도와 신경증적 폭식 행동의 관계: 자기 존중감, 부적응적 완벽주의, 불안 성인 애착, 우울의 매개 효과", 한국아동심리치료학회지, 16(3), pp.19~40 (2021), 한국아동심리치료학회
- 홍채영, "대학생의 대인외상경험이 정서조절곤란에 미치는 영향: 자기체계손상의 매개효과를 중심으로", 정서·행동장애연구, 33(4), pp.333~353 (2017), 한국정서행동장애학회[DOI]
- Allen, J. G., "Coping with trauma: Hope through understanding" (2008), American Psychiatric Pub
- Arntz, A., "Imagery rescripting for personality disorders", Cognitive and Behavioral Practice, 18(4), pp.466~481 (2011)
- Arntz, A., "Working with emotion in Cognitive-Behavioral Therapy:Techniques for clinical practice", pp.203~215 (2014), Guilford Press
- Arntz, A., "Treatment of PTSD : A comparison of imaginal exposure with and without imagery rescripting", Journal of Behavior Therapy and Experimental Psychiatry, 38(4), pp.345~370 (2007)
- Beck, A. T., "Cognitive therapy and the emotional disorders" (1976), International Universities Press
- Beukes, M., "The role of coping responses in the relationship between perceived stress and disordered eating in a cross cultural sample of female university students", Stress and Health, 26(4), pp.280~291 (2010)
- Clancy, C. P., "Lifetime trauma exposure in veterans with military-related posttraumatic Stress disorder : Association with current symptomatology", Journal of Clinical Psychiatry, 67(9), pp.1346~1353 (2006)
- Cockell, S. J., "Maintaining change following eating disorder treatment", Professional Psychology : Research and Practice, 35(5), pp.527~534 (2004)
- Conway, M., "Images and goals", Memory, 12(4), pp.525~531 (2004)
- Cooper, M. J., "Working with imagery to modify core beliefs in people with eating disorders : A clinical protocol", Cognitive and Behavioral Practice, 18(4), pp.454~465 (2011)
- Cooper, M. J., "The effects of using imagery to modify core emotional beliefs in bulimia nervosa : An experimental pilot study", Journal of Cognitive Psychotherapy, 21(2), pp.117~122 (2007)
- Ehlers, A., "A Cognitive model of posttraumatic stress disorder", Behaviour Research and Therapy, 38(4), pp.319~345 (2000)
- Fairburn, C. G., "Cognitive behaviour therapy for eating disorders : A"transdiagnostic"theory and treatment", Behaviour research and therapy, 41(5), pp.509~528 (2003)
- Feinson, M. C., "Binge eating & childhood emotional abuse : The mediating role of anger", Appetite, 105, pp.487~493 (2016)
- Fischer, S., "Short-term cognitive-behavioral therapy for binge eating disorder : long-term efficacy and predictors of long-term treatment success", Behaviour Research and Therapy, 58, pp.36~42 (2014)
- Gilbert, P., "Compassionate mind training for people with high shame and self criticism : Overview and pilot study of a group therapy approach", Clinical Psychology & Psychotherapy : An International Journal of Theory &Practice, 13(6), pp.353~379 (2006)
- Groleau, P., "Childhood emotional abuse and eating symptoms in bulimic disorders : An examination of possible mediating variables", International Journal of Eating Disorders, 45(3), pp.326~332 (2012)
- Hannes, K., "Supplementary guidance for inclusion of qualitative research in Cochrane systematic reviews of interventions", pp.1~14 (2011), Cochrane Qualitative Research Methods Group
- Heatherton, T. F., "Binge eating as escape from self-awareness", Psychological Bulletin, 110(1), pp.86~108 (1991)
- Hope, D. A., "Automatic thoughts and cognitive restructuring in cognitive behavioral group therapy for social anxiety disorder", Cognitive Therapy and Research, 34, pp.1~12 (2010)
- Hudson, J. I., "The epidemiology of eating disorders: Results from the National Comorbidity Survey Replication", 11th Annual Meeting of the Eating Disorders Research Society (2005)
- Hudson, J. I., "The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication", Biological Psychiatry, 61(3), pp.348~358 (2007)
- Kadriu, F., "Imagery rescripting of autobiographical memories versus intrusive images in individuals with disordered eating", Cognitive Therapy and Research, 46, pp.764~775 (2021)
- Kleim, B., "Investigating cognitive pathways to psychopathology: Predicting depression and posttraumatic stress disorder from early responses after assault", Psychological Trauma: Theory, Research, Practice, and Policy, 4(5), pp.527~537 (2012)
- Lee, S. W., "The efficacy of imagery rescripting(IR)for social phobia : A randomized controlled trial", Journal of Behavior Therapy and Experimental Psychiatry, 44, pp.351~360 (2013)
- Mas, N., "Coping styles and vulnerability to eating disorders in adolescent girls, by age", Terapia Psicológica, 33(3), pp.161~168 (2015)
- Monica, D., "Assessment of executive functions in obese individuals with binge eating disorder", Brazilian Journal of Psychiatry, 32(4), pp.381~388 (2010)
- Monteleone, A. M., "The connection between childhood maltreatment and eating disorder psychopathology: A network analysis study in people with bulimia nervosa and with binge eating disorder", Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 28(1), pp.1~9 (2021)
- Norton, A. R., "The efficacy of imagery rescripting compared to cognitive restructuring for social anxiety disorder", Journal of Anxiety Disorders, 40, pp.18~28 (2016)
- Pearson, J., "Mental imagery : Functional mechanisms and clinical applications", Trends in Cognitive Sciences, 19(10), pp.590~602 (2015)
- Racine, S. E., "Emotion dysregulation and anorexia nervosa : An exploration of the role of childhood abuse", International Journal of Eating Disorders, 48(1), pp.55~58 (2015)
- Spoor, S. T., "Relations between negative affect, coping, and emotional eating", Appetite, 48(3), pp.368~376 (2007)
- Stopa, L., "Imagery and the threatened self: Perspectives on mental imagery and the self in cognitive therapy" (2009), Routledge
- Stopa, L., "Images of the self in social anxiety : Effects on the retrieval of autobiographical memories", Journal of Behavior Therapy and Experimental Psychiatry, 38(4), pp.459~473 (2007)
- Van der Kolk, B., "Posttraumatic stress disorder and the nature of trauma", Dialogues in Clinical Neuroscience, 2(1), pp.7~22 (2022)
- Van der Kolk, B. A., "Pierre Janet and the breakdown of adaptation in psychological trauma", American Journal of Psychiatry, 146(12), pp.1530~1540 (1989)
- Whiteside, U., "Difficulties regulating emotions : Do binge eaters have fewer strategies to modulate and tolerate negative affect", Eating Behaviors, 8(2), pp.162~169 (2007)
- Wild, J., "Rescripting early memories linked to negative images in social phobia : A pilot study", Behavior Therapy, 39(1), pp.47~56 (2008)
- Wild, J., "Imagery rescripting of early traumatic memories in social phobia", Cognitive and Behavioral Practice, 18(4), pp.433~443 (2011)
- Wolpe, J., "The practice of behavior therapy" (1969), Pergamon
- Wright, M. O. D., "Childhood emotional maltreatment and later psychological distress among college students : The mediating role of maladaptive schemas", Child Abuse & Neglect, 33(1), pp.59~68 (2009)
