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심상재각본 집단 프로그램이 우울증상 감소에 미치는 영향 : 자존감, 자기평가불일치, 자기자비 변화를 중심으로

The Effectiveness of a Group Program using Imagery Rescripting for Reducing Depressive Symptoms: Changes in Self-esteem, Self-discrepancies, and Self-compassion

박재우|서안
한국심리치료학회 (Korean Association of Psychotherapy)|2019.10|한국심리치료학회지|제11권 제2호|pp. 15-32|DOI 10.22831/kap.2019.11.2.002

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참고문헌

키워드

depressionself-esteem자존감우울 증상침습적 기억심상재각본 기법자기평가 불일치imagery rescriptingintrusive memoriesself-discrepancies

초록

본 연구의 목적은 우울 증상군을 대상으로 심상재각본 개입 방법을 기반으로 한 우울 감소 프로그램의 효과를 검증하는 데 있다. 심상재각본 개입 프로그램은 프로그램 개발 모형의 절차에 따라, Arntz와 Weertman의 심상재각본 3단계 모델을 참조하여 4회기로 개발하였다. 우울감과 침습적 기억 정도를 측정하기 위해, CES-D, 침습기억척도를 사용하였으며, 우울증의 보호 요인이자 치료 유지 요인이기도 한 자존감을 로젠버그 자존감 척도로, 자기자비와 자기평가불일치의 변화를 측정하기 위해서는 자기자비척도, 자기질문지를 사용하였다. 우울척도(CES-D) 16점 이상인 우울증상군의 실험 집단 15명과 통제 집단 15명을 대상으로 심상재각본 프로그램의 처치 유무에 따른 결과는 다음과 같다. 통제 집단에 비해 심상재각본 프로그램을 실시한 실험 집단에서 우울 증상이 유의하게 감소하였다. 또한 자존감이 유의하게 향상되었으며, 자기평가불일치가 유의하게 감소하였다. 침습적 기억과 자기자비는 유의한 변화가 없었다. 4주후 실시한 추후검사에 의하면, 우울감 감소, 자존감 향상은 프로그램 실시 4주 후에도 효과가 지속되고 있었다. 본 연구를 통해, 심상재각본 개입 프로그램의 우울 감소 효과를 검증하였으며 우울 증상 치료 후에도 잘 변하지 않던 자존감, 자기평가 불일치와 같은 자기 개념에 관한 변인들에 대한 효과도 검증되었다. 또한 국내에 소개가 덜 된 심상재각본 개입 방법의 구조화된 프로그램을 개발하여 효과를 검증함으로써 현장에서 활용할 수 있다는 점에서 의의가 있다.

Abstract

The purpose of this study was to verify the effectiveness of a group program using Imagery Rescripting (IR) for reduction of depressive symptoms. The development of a IR program was based on Arntz and Weertman's IR three-phase model. To investigate effects, we measured the degree of depression and intrusive memory using the CES-D and Intrusive Memory Scale; we also measured self-esteem, self-compassion, and self-discrepancies. Self-esteem and self-compassion, the protective factors and treatment-maintenance factors for depression, were measured by the Rosenberg Self-Esteem Scale and Self-Compassion Scale. For Self-Discrepancies, Self-Questionnaire Scale was used. The IR program was used in an experimental group (n=15) with a control group (n=15) for comparison. The IR program was significantly effective in reducing depression, self-esteem improvement and self-discrepancies decrease. There were no significant changes in intrusive memory and self-compassion. Four weeks later, reduced depression and self-esteem enhancement remained effective. This study confirmed that the IR program resulted in reducing depression, as well as changing self-concept variables such as self-esteem and self-discrepancies, which might not improve even after long-term treatment. This is the first study of the IR effects for a group intervention.

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