사회불안의 자기초점주의 치료 모듈 효과 검증 연구: 과제 집중 훈련과 주의 피드백 인식 및 조절 훈련의 비교를 중심으로
Comparison of Task-Concentration Training and Attentional Feedback Awareness and Control Training in Treating Self-Focused Attention in Social Anxiety
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본 연구는 사회불안 치료 모듈인 과제 집중 훈련과 주의 피드백 인식 및 조절 훈련의 효과를 비교하였다. 고사회불안군 성인 40명을 두 집단에 20명씩 무선 배정해 2회기 훈련을 실시하고, 사회불안, 부정적 평가에 대한 두려움, 자기초점주의, 주의력 조절을 사전, 사후, 추후 시점에서 측정하였다. 주요 결과는 다음과 같다. 1) 사회불안은 시간에 따른 주효과가 유의했으나, 시간과 집단의 상호작용 효과는 유의하지 않았다. 2) 부정적 평가에 대한 두려움은 시간의 주효과와 시간과 집단의 상호작용 효과 모두 유의하였다. 두 집단 모두 사전-사후 증상이 유의하게 개선되었으며, 사후값의 집단 간 차이는 유의하지 않았으나 과제 집중 훈련이 더 큰 효과크기와 평균 차이를 보였다. 3) 자기초점주의는 시간에 따른 주효과만 유의하였다. 4) 주의력 조절 역시 시간에 따른 주효과만 유의하였다. 두 모듈은 사회불안 및 자기초점주의 증상 개선에 효과적이었으며, 라포가 중요한 상황에서는 과제 집중 훈련을, 시간·장소 제약이 있는 경우에는 주의 피드백 인식 및 조절 훈련을 활용할 수 있음을 시사한다.
Abstract
This study compared Task-Concentration Training (TCT) and Attention Feedback Awareness and Control Training (AFACT) in treating self-focused attention in social anxiety. Forty adults with high social anxiety were randomly allocated to one of two training sessions. Results showed that the main effect of time on social anxiety was significant. The effect of time and group interaction on fear of negative evaluation was significant, and the main effect of time was also significant. Post hoc tests showed that both trainings significantly improved symptoms from pre- to post-test. The between-group differences in post-test values were insignificant. However, TCT led to larger effect sizes and mean differences in symptom changes compared to AFACT. The main effect of time on self-focused attention was significant. The main effect of time on attentional control was also significant. Both trainings effectively reduce social anxiety and self-focused attention. TCT is recommended when therapist-client rapport is needed, while AFACT is suited for time- and place-independent therapy.
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