수용전념치료(ACT)가 사회불안장애 경향이 있는 대학생의 사회불안, 거절민감성 및 수용에 미치는 효과
Effects of Acceptance and Commitment Therapy(ACT) on Social Anxiety, Rejection Sensitivity and Acceptance of Social Anxiety Disorder-prone College Students
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초록
본 연구는 수용 전념 치료(ACT) 프로그램이 사회불안장애 경향이 있는 대학생의 사회불안, 거절민감성, 수용에 미치는 효과를 알아보고자 하였다. 4년제 대학교의 400명 대학생들에게 사회적 회피 및 불안척도(SADS)를 실시하였고, 이를 토대로 대학생 16명을 참가자로 선정하여 치료집단에 8명, 통제집단에 8명씩 무선 할당하였다. 수용 전념 치료(ACT)프로그램은 주 2회씩 총 8회에 걸쳐 진행되었다. 모든 참가자들에게 사전, 사후 및 5주 추적 검사에서 사회적 회피 및 불안척도(SADS), 거절 민감성 질문지(RSQ), 수용행동질문지-Ⅱ(AAQ-Ⅱ)를 실시하였다. 그 결과, 수용 전념 치료 프로그램에 참여한 집단이 통제 집단보다 사회불안, 거절민감성이 유의하게 더 감소되었고, 수용은 유의하게 증가되었으며 추적 조사까지 그 효과가 유지되었다. 마지막으로, 본 연구의 의의, 제한점 및 후속 연구에 대한 제언이 논의되었다.
Abstract
The purpose of this study is to examine the effects of Acceptance and Commitment Therapy (ACT) on social anxiety, rejection sensitivity, and acceptance of social anxiety disorder-prone college students. A total of 400 students of four-year colleges who lived in Chonbuk province completed the Social Avoidance and Distress Scale (SADS). The 16 participants who were selected by the scale were randomly assigned to 8 in the acceptance and commitment therapy group and 8 in the control group. The ACT program was administered for 8 sessions. All participants completed the Social Avoidance and Distress Scale (SADS), Rejection Sensitivity Questionnaire(RSQ), and Acceptance Action Questionnaire-Ⅱ(AAQ) at pre-treatment, post-treatment, and 5-week follow-up period. The results of this study were as follows: Social anxiety, and rejection sensitivity were significantly decreased in the therapy group compare with the control group, while acceptance was significantly increased compared with the control group. The effect of social anxiety, rejection sensitivity and, experiential avoidance were maintained up to follow-up. Finally, the implications and the limitations of this study, and the suggestions for future study were also discussed.
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