본문 바로가기
KERD
논문KCI 등재

수용적 긍정심리치료가 우울한 대학생의 우울 증상 및 행복에 미치는 효과: 경험 회피와 정서비율의 매개효과

Effects of the Acceptance-Positive Psychotherapy on Happiness and Depressive Symptoms of Depressive College students: Mediation effect of Experiential avoidances and Emotion rates

0

조회

0

다운로드

27

인용

0

참고문헌

키워드

주제분류심리과학

초록

본 연구에서는 긍정성에 대한 개입과 부정성에 대한 수용적 개입을 통합하여 ‘수용적 긍정심리치료’를 개발하여, 우울한 대학생을 대상으로 그 효과를 검증하고 변화기제를 규명하고자 하였다. 수용적 긍정심리치료란, 우울증에 수반되는 정서적 고통을 수용하고, 지금 여기에서 긍정 정서를 온전히 경험할 수 있도록 개입 하는 것이다. 변화기제로는 선행연구들을 참고하여 경험 회피와 정서비율을 매개 변인으로 상정하여, 그 매개효과를 검증하였다. 수용적 긍정심리치료집단 36명은 개입 전후에 우울, 행복, 긍정 정서, 부정 정서, 경험 회피 및 수용에 대한 사전, 사후, 추후 평가를 받았다. 무처치 통제집단 41명은 동일한 기간에 사전, 사후, 추후 평가를 받았다. 연구결과, 수용적 긍정심리치료집단은 무처치 통제집단에 비해 우울 증상이 호전되었으며, 행복이 증진되었다. 또한 본 치료의 효과에 영향을 미치는 매개모형을 검증한 결과, 수용적 긍정심리치료가 우울 증상 완화에 미치는 경로를 경험 회피의 감소와 긍정 정서비율의 증가가 순차적으로 매개하였다. 논의 부분에서는 연구 결과와 수용적 긍정심리치료의 의의 및 제한점에 대해 논의하였다.

Abstract

The purpose of this study was to examine the effectiveness and the mechanisms of ‘Acceptance-Positive Psychotherapy (APPT)’ which was designed to integrate Acceptance-based psychotherapy with Positive psychotherapy. APPT involves acceptance of an emotional distress associated with depression and then fully experiencing a positive emotion as well. Based on literature review, the mechanisms of changes in APPT proposed both experiential avoidance and emotion rates as mediators of treatment changes. Thirty-six participants in the APPT group completed the measures of depression, happiness, positive affect, negative affect, experiential avoidance, and acceptance before, after, and four weeks-after the program. Forty-one participants in the non-treatment group also completed all of the same scale during the same period as the APPT group. The main results were: 1) APPT group showed significant alleviation of depressive symptoms as well as significant enhancement of happiness and acceptance, compared with the non-treatment group. These effects continued to a four-week follow-up. 2) The decrease of experiential avoidance and increase of positive emotion rates mediated sequentially between APPT and alleviation of depressive symptoms. Finally, implications of APPT, limitations of the study, and future research options were discussed.

참고문헌 (53)

  1. 김근향, "정신과 입원환자의 적응기능 향상을 위한 긍정심리치료 프로그램의 효과", 박사, 심리학, pp.2011
  2. 김정호, "마음챙김과 긍정심리학 중재법의 통합 프로그램을 위한 제언", 한국심리학회지: 건강, 15(3), pp.369~387 (2010), 한국건강심리학회
  3. 김미하, "수용전념 집단치료가 발달장애아동 어머니의 심리적 안녕감과 우울에 미치는 효과", Korean Journal of Clinical Psychology, 30(1), pp.207~223 (2011), 한국임상심리학회
  4. 김진영, "긍정 임상심리학: 멘탈 휘트니스(mental fitness)와 긍정 심리치료(positive psychotherapy)", 한국심리학회지: 문화 및 사회문제, 15(1), pp.155~168 (2009), 한국문화및사회문제심리학회
  5. 김환, "경험적 회피(Experiential Avoidance)와 회피적 반응의 관계: 행동적 회피, 감추기 및 거리두기를 중심으로", 한국심리학회지:일반, 26(2), pp.225~243 (2007), 한국심리학회
  6. 문현미, "심리적 수용 촉진 프로그램의 개발과 효과 : 수용-전념 치료 모델을 중심으로", 박사, 상담심리학, pp.2006
  7. 유성진, "위험회피 기질과 불안증상의 관계에서 체험회피 시도의 매개효과", Korean Journal of Clinical Psychology, 32(1), pp.217~241 (2013), 한국임상심리학회
  8. 윤성민, "한국판 긍정심리치료척도의 타당화 연구", 한국심리학회지: 상담 및 심리치료, 22(3), pp.707~732 (2010), 한국상담심리학회
  9. 이현희, "한국판 정적 정서 및 부적 정서 척도 (Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구", Korean Journal of Clinical Psychology, 22(4), pp.935~946 (2003), 한국임상심리학회
  10. 이훈진, "수용(Acceptacne)이 심리적 증상, 자존감 및 삶의 만족도에 미치는 여향", 인지행동치료, 9(1), pp.1~23 (2009), 한국인지행동치료학회
  11. 임영진, "성격 강점과 긍정 심리치료가 행복에 미치는 영향", 박사, 임상ㆍ상담심리학, pp.2010
  12. 전겸구, "통합적 한국판 CES-D 개발", 한국심리학회지 : 건강, 6(1), pp.59~76 (2001)
  13. 조현석, "향유하기와 주관적 웰빙의 관계", 석사, 임상·상담심리학, pp.2008
  14. 홍세희, "구조방정식 모형의 적합도 지수 선정기준과 그 근거", 한국심리학회지 : 임상, 19(1), pp.161~177 (2000)
  15. Baumeister, R. F., "Bad is stronger than good", Review of General Psychology, 5, pp.323~370 (2001)
  16. Bentler, P. M., "Significance tests and goodness of fit in the analysis of covariance structure", Psychological Bulletin, 88(3), pp.588~606 (1980)
  17. Bohlmeijer, E. T., "Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology : Evaluation in a randomized controlled trial", Behaviour Research and Therapy, 49(1), pp.62~67 (2011)
  18. Campbell-Sills, L., "Acceptability and suppression of negative emotion in anxiety and mood disorders", Emotion, 6, pp.587~595 (2006)
  19. Cohen, J., "Statistical power analysis for the behavioral sciences" (1988), Lawrence Erlbaum Associates
  20. Davis, C. G., "Making sense of loss and benefiting from the experience", Journal of Personality and Social Psychology, 75(2), pp.561~574 (1998)
  21. Diener, E., "Beyond Money : Towards an economy of well-being", Psychological Science in Public Interest, 5, pp.31~62 (2004)
  22. Emmons, R. A., "Counting blessings versus burdens : an experimental investigation of gratitude and subjective well-being in daily life", Journal of personality and social psychology, 84(2), pp.377~ (2003)
  23. Fredrickson, B., "긍정의 발견" (2009), 21세기북스
  24. Fredrickson, B. L., "The role of positive emotions in positive psychology : The broaden-and-build theory of positive emotions", American Psychologist, 56(3), pp.218~226 (2001)
  25. Fredrickson, B. L., "The broaden-and-build theory of positive emotions", Philosophical Transactions of the Royal Society B : Biological Sciences, 359(1449), pp.1367~1377 (2004)
  26. Fredrickson, B. L., "Positive emotions broaden the scope of attention and thought-action repertoires", Cognition and Emotion, 19(3), pp.313~332 (2005)
  27. Fredrickson, B. L., "Positive Emotions Speed Recovery from the Cardiovascular Sequelae of Negative Emotions", Cognition and Emotion, 12(2), pp.191~220 (1998)
  28. Flaxman, P. E., "A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training", Behaviour Research and Therapy, 48(8), pp.816~820 (2010)
  29. Garland, E. L., "Upward spirals of positive emotions counter downward spirals of negativity : Insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology", Clinical psychology review, 30(7), pp.849~864 (2010)
  30. Gaudiano, B. A., "Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy : Pilot results", Behaviour Research and Therapy, 44(3), pp.415~437 (2006)
  31. Hayes, S. C., "A Practical Guide to Acceptance and Commitment Therapy" (2004), Springer
  32. Hayes, S. C., "Experiential avoidance and behavioral disorders : A functional dimensional approach to diagnosis and treatment", Journal of Consulting and Clinical Psychology, 64(6), pp.1152~1168 (1996)
  33. Jackson, D. L., "Revisiting sample size and number of parameter estimates : Some support for the N : q hypothesis", Structural Equation Modeling, 10(1), pp.128~141 (2003)
  34. Kahneman, D., "Choices, values and frames", pp.673~692 (2000), Cambridge University Press and the Russell Sage Foundation
  35. Kashdan T. B., "Experiential avoidance as a generalized psychological vulnerability : comparisons with coping and emotion regulation strategies", Behaviour Research and Therapy, 44, pp.1301~1320 (2006)
  36. Kashdan, T. B., "Gratitude and hedonic and eudaimonic well-being in Vietnam war veterans", Behaviour Research and Therapy, 44, pp.177~199 (2006)
  37. Kocovski, N. L., "Mindfulness and Acceptance-Based Group Therapy for Social Anxiety Disorder : An Open Trial", Cognitive and Behavioral Practice, 16(3), pp.276~289 (2009)
  38. Meevissen, Y., "Become more optimistic by imagining a best possible self : Effects of a two week intervention", Journal of behavior therapy and experimental psychiatry, 42(3), pp.371~378 (2011)
  39. Peterson, C., "Strengths of character, orientations to happiness, and life satisfaction", The Journal of Positive Psychology, 2(3), pp.149~156 (2007)
  40. Radloff, L. S., "The CES-D Scale, A Self-Report Depression Scale for Research in the General Population", Applied Psychological Measurement, 1(3), pp.385~401 (1977)
  41. Rashid, T., "Positive psychotherapy", Positive psychology, 4, pp.187~217 (2008)
  42. Rozin, P., "Negativity bias, negativity dominance, and contagion", Personality and Social Psychology Review, 5, pp.296~320 (2001)
  43. Rye, M. S., "Evaluation of the psychometric properties of two forgiveness scales", Current Psychology, 20, pp.260~277 (2001)
  44. Seligman, M. E. P., "학습된 낙관주의" (2006), 21세기북스
  45. Seligman, M. E. P., "Authentic happiness: Using the new positive psychology to realize your potentional for lasting fulfillment" (2002), Free Press
  46. Seligman, M. E. P., "Positive psychotherapy", American Psychologist, 61(8), pp.774~788 (2006)
  47. Shearon, D., "Positive Psychology Includes Negative Emotions", Positive Psychology News Daily, ~ (2009)
  48. Sin, N. L., "Enhancing Well-Being and Alleviating Depressive Symptoms With Positive Psychology Interventions : A Practice-Friendly Meta-Analysis", Journal of Clinical Psychology, 65(5), pp.467~487 (2008)
  49. Strosahl, K. D., "우울증 치료를 위한 마음챙김과 수용 워크북" (2010), 시그마프래스
  50. Tull, M. T., "The Role of Experiential Avoidance in Posttraumatic Stress Symptoms and Symptoms of Depression, Anxiety, and Somatization", Journal of Nervous and Mental Disease, 192(11), pp.754~761 (2004)
  51. Watson, D., "Development and validation of brief measures of positive and negative affect : The PANAS scales", Journal of Personality and Social Psychology, 54(6), pp.1063~1070 (1988)
  52. Wood, A. M., "Gratitude and well-being : A review and theoretical integration", Clinical psychology review, 30(7), pp.890~905 (2010)
  53. Wood, A. M., "Positive Clinical Psychology : A New vision and strategy for integrated research and practice", Clinical Psychology Review, 30, pp.819~829 (2010)

관련 논문AI추천

이 간행물의 다른 논문 (10건)