정신증적 장애로 입원 중인 정신건강의학과 환자의 심리적 수용 및 회복을 위한 구조화된 집단 수용전념치료의 효과: 예비 연구
Effects of Structured Group Acceptance and Commitment Therapy for Psychological Acceptance and Recovery Among Inpatients With Psychotic Disorder: A Pilot Study
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Objectives: Psychosocial intervention method is very important for clinical recovery and personal recovery for psychosis. Ac- ceptance and Commitment Therapy (ACT) is a trans-diagnostic approach that has been proven effective in the recovery for psy- chosis but there are few studies in South Korea testing its effects. In this paper, the structured protocol, ‘Group Acceptance and Commitment Therapy for Psychosis Recovery (G-ACTp)’ was adopted and a systematized manual was developed to investigate the effects on psychological acceptance and recovery. Methods: 17 patients receiving treatment for psychotic symptoms were randomly assigned to the treatment group and control group, respectively. The treatment group (n=9) received G-ACTp for 5 weeks in addition to the treatment as usual, and the con- trol group (n=8) waited with only the treatment as usual, and the scores of pre assesment, post assesment, and follow-up assess- ment for acceptance, recovery, mindfulness, psychotic symptoms, depression, anxiety, and quality of life were all compared. Results: As a result, there was a significant interaction effect of time and group in acceptance and recovery variables. Also, in the mindfulness variable, there was a significant trend in the time and group interaction. There were no significant effects on psy- chotic symptoms, depression and anxiety symptoms, and quality of life variables. Conclusion: As a result of this study, it was mentioned that the ACT for psychosis can be widely used as an effective method in the personal recovery of psychosis, and that results can be linked to the application of mental health services in South Korea. Fi- nally, the significance and limitations of the studies were discussed.
Abstract
Objectives: Psychosocial intervention method is very important for clinical recovery and personal recovery for psychosis. Ac- ceptance and Commitment Therapy (ACT) is a trans-diagnostic approach that has been proven effective in the recovery for psy- chosis but there are few studies in South Korea testing its effects. In this paper, the structured protocol, ‘Group Acceptance and Commitment Therapy for Psychosis Recovery (G-ACTp)’ was adopted and a systematized manual was developed to investigate the effects on psychological acceptance and recovery. Methods: 17 patients receiving treatment for psychotic symptoms were randomly assigned to the treatment group and control group, respectively. The treatment group (n=9) received G-ACTp for 5 weeks in addition to the treatment as usual, and the con- trol group (n=8) waited with only the treatment as usual, and the scores of pre assesment, post assesment, and follow-up assess- ment for acceptance, recovery, mindfulness, psychotic symptoms, depression, anxiety, and quality of life were all compared. Results: As a result, there was a significant interaction effect of time and group in acceptance and recovery variables. Also, in the mindfulness variable, there was a significant trend in the time and group interaction. There were no significant effects on psy- chotic symptoms, depression and anxiety symptoms, and quality of life variables. Conclusion: As a result of this study, it was mentioned that the ACT for psychosis can be widely used as an effective method in the personal recovery of psychosis, and that results can be linked to the application of mental health services in South Korea. Fi- nally, the significance and limitations of the studies were discussed.
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