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발표불안 경향성이 있는 대학생에 대한 노출절차를 포함한 마음챙김에 기초한 인지치료(MBCT)의 치료효과와 치료과정변인의 변화

The Effects of a Mindfulness-based Cognitive Therapy with add-on Exposure Procedure and The Changes of Process Variables among University Students with Speech Anxiety

신현균|강성지
한국임상심리학회 (Korean Clinical Psychology Association)|2017.02|Korean Journal of Clinical Psychology|제36권 제1호|pp. 118-130|DOI 10.15842/kjcp.2017.36.1.011

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참고문헌

키워드

정서조절emotion regulation마음챙김mindfulness발표불안마음챙김에 기초한 인지치료(MBCT)노출speech anxietymindfulness based cognitive therapy (MBCT)exposure
주제분류심리과학

초록

본 연구는 발표불안을 가진 대학생들에게 노출절차를 포함한 마음챙김에 기초한 인지치료(Mindfulness Based Cognitive Therapy: MBCT)의 치료효과를 확인하고, 치료과정변인으로 마음챙김수준과 정서조절능력이 어떻게 변하는지를 확인하고자 하였다. 연구 참여자는 발표불안이 있으면서 우울감은 크지 않은 대학생 13명으로, 처치집단 7명과 대기통제집단 6명으로 무선할당되었다. 사전검사, 사후검사, 1달 후에 추후검사를 실시한 결과, 처치집단은 대기통제집단에 비해 발표불안이 감소했으며, 이는 1달 이후까지 유지되었다. 마음챙김수준도 대기통제집단에 비해 처치집단에서 유의미하게 향상했는데, 하위요인 중 특히 관찰 능력이 향상했다. 정서조절능력은 대기통제집단에 비해 더 향상하지는 않았지만, 처치집단 내에서는 사전보다 사후에 유의미하게 향상했다. 이런 효과는 하위 요인 중 충동통제 곤란과 정서조절방략에 대한 접근제한이 감소하면서 나타났다. 처치집단의 개별사례분석 결과, 모든 참여자가 마음챙김수준과 정서조절능력의 유의미한 향상을 보였다. 마음챙김수준의 변화 시기에서 개인차가 나타났지만 대부분의 참여자가 7, 8회기부터 유의미한 변화를 보였다. 정서조절곤란의 경우 5회기에 3명의 참여자가 유의미한 향상을 보이며 마음챙김수준보다 빠른 변화를 보였으나 개인차가 더 현저했다. 본 연구의 의의는 발표불안에 대한 노출절차를 포함한 MBCT의 효과를 확인하고, 치료과정변인으로서 마음챙김수준과 정서조절능력의변화 양상을 탐색적으로 확인했다는 것이다.

Abstract

The purpose of this study is to investigate the effects of Mindfulness-based Cognitive Therapy (MBCT) with add-on exposure procedure among university students with speech anxiety, as well as to examine how their mindfulness levels and emotion regulation ability changes during the therapy process. Thirteen students with speech anxiety without high depression participated in this research, and they were randomly assigned to either the experimental group (7 students) or the wait-list control group (6 students). The pre-test, post-test, and a follow-up test(a month later) were administered. The results showed that the speech anxiety score was reduced more in the experimental group compared with the control group, and the effect was maintained a month later. The mindfulness levels of the experimental group was enhanced more than that of control group. Observation ability and sub-factor of mindfulness was significantly enhanced in the experimental group. As for emotion regulation ability, the experimental group did not improved more compared to the control group, but post-test score was significantly increased more than the pre-test score in the experimental group only. This result was due to the reduction of impulsive control difficulties and inaccessibility to emotional regulation strategies, the sub-factors of emotion regulation difficulties. The results of analyzing the individual cases of the experimental group showed that all participants improved significantly in their mindfulness levels and emotion regulation ability. Almost all participants showed a significant improvement of mindfulness leves after the 7th or 8th session. An improvement of emotion regulation ability was faster than that of the mindfulness level. That is, three participants improved after the 5th session, but there was remarkable variability. This study has significance in finding the effects of MBCT with an add-on exposure procedure against speech anxiety and in exploring the changes of patterns with respect to the mindfulness level and emotion regulation ability during the therapy process.

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