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정서조절을 위한 MBCT가 임상군 환자들에게 미치는 효과

The Effects of Mindfulness-Based Cognitive Therapy for Emotion Regulation in a Patient Group

전미애|김정모
한국임상심리학회 (Korean Clinical Psychology Association)|2011.02|Korean Journal of Clinical Psychology|제30권 제1호|pp. 113-135|DOI 10.15842/kjcp.2011.30.1.007

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참고문헌

키워드

정서조절우울emotion regulationdepressionanxiety마음챙김mindfulness불안마음챙김에 기초한 인지치료인지회피반추적 반응mindfulness-based cognitive therapy (MBCT)cognitive avoidanceruminative response
주제분류심리과학

초록

본 연구는 만성우울증 재발방지를 위한 Segal, Williams와 Teasdale(2002/2006)의 MBCT 프로그램을 정서조절에 초점을 두어 수정보완한 정서조절 MBCT의 효과를 살펴본 것이다. 임상집단을 대상으로 정서조절곤란 및 부정적 정서와 관련된 인지양식, 우울, 불안에 대한 정서조절 MBCT의 효과를 확인하였다. 연구 결과, 약물치료와 MBCT를 병행한 참여집단(n = 9)은 약물치료만 받은 통제집단(n = 9)에 비해 마음챙김의 주의집중과 수용, 정서조절곤란, 인지회피, 반추적 반응, 우울, 불안, 에서 유의한 차이를 보여주었다. 참여집단의 사전과 사후의 변화에 대한 효과의 크기(d)를 분석한 결과, .72 - 1.51, 사전과 추수의 효과의 크기(d)는 .73 - 1.87이었으며, 사후시점에서 참여집단과 통제집단의 효과의 크기(d)는 1.07 - 2.32로 나타났다. 본 연구의 결과는 정서조절 MBCT가 임상집단에서도 효과적으로 적용될 수 있으며, 정서조절과 부정적 정서관련 인지양식의 변화를 촉진한다는 것을 시사한다. 정서조절 MBCT의 치료적 요소들에 대해 논의되었고, 치료적 과정에 대한 후속 연구의 필요성이 제시되었다.

Abstract

The purpose of this study was to evaluate the effects of Mindfulness-Based Cognitive Therapy (MBCT) for emotion regulation in a patient group. The MBCT group and treatment as usual group were assessed (pre/ post/ follow-up) in cognitive modes associations with negative emotions such as cognitive avoidance, ruminative response, difficulties in emotion regulation, depression, and anxiety. The results indicated that the MBCT group (n = 9) showed a significant improvement in observation and acceptance of mindfulness, and reduced cognitive avoidance, ruminative response, difficulties in emotion regulation, depression, anxiety, compared with the treatment as usual group (n = 9). These results continued to a six week follow-up. Further, the cohen`d of the MBCT group was large (.72-1.87). Overall, these results imply the applicability of the MBCT for emotion-regulation in a patient groups, MBCT can facilitate a change in cognitive modes which are associated with negative emotions. Futher, we have discussed therapeutic factors of MBCT for emotion-regulation, and suggested therapeutic processes for further study.

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