• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.4113-4116
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• 2016

Background: Acceptance and commitment therapy (ACT) increases the psychological flexibility of people afflicted with cancer, and consequently improves their adaptability. The present research was conducted with the aim of determining the effectiveness of ACT for people afflicted with cancer. Materials and Methods: The present research was of semi-pilot type with a pre-test and post-test plan for the proof group. The demographics of the community were composed of all the women with cancer who were under treatment in Tehran's Dehshpour therapeutic center in 2015. The sample was composed of 24 people who were selected as available and chosen randomly in two groups of test and proof. All the participants responded to Snyder questionnaire in two pre-test and post-test stages, and the test group participated in treatment sessions after conducting the pre-test. Results: After collecting the information, data analysis was conducted in two description and inferential levels. The test results of covariance analysis showed that the two groups' hope was meaningfully different. Hope in the test group, compared to the proof group, increased meaningfully. Conclusions: The results show that the ACT is effective in increasing hope of patients with cancer.

• 지역사회간호학회지
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• 제33권4호
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• pp.446-455
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• 2022

Purpose: This study investigated the mediating effects of acceptance action on the relationship between diabetes distress and self-stigma in older adults with diabetes. Methods: A descriptive research approach was adopted using 187 patients diagnosed with diabetes mellitus by an endocrinology doctor. The data were collected from 26 to 31 March, 2020 and were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and hierarchical multiple regression. Results: The mean scores for diabetes distress, self-stigma, and acceptance action were 2.98±0.64, 2.54±0.74, and 4.16±0.35, respectively. Acceptance action partially mediated the relationship between diabetes distress and self-stigma (z=1.98, p=.024), with an explanatory power of 51.0%. Conclusion: To reduce diabetes self-stigma among old adults in diabetes distress situations, it is necessary to improve their acceptance action and develop step-by-step differentiated acceptance action enhancement programs through multidisciplinary collaborations.

• 디지털융복합연구
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• 제16권4호
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• pp.343-354
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• 2018

본 연구는 수영전념치료(ACT)의 6가지 핵심 치료 과정이 평가염려 완벽주의의 자기비난과 이분법적 사고를 감소시키고, 최종적으로 우울까지 감소시킬 수 있다는 가설을 세우고 이를 검증하고자 하였다. 4년제 대학에 다니고 있는 대학생 400명 중 평가염려 완벽주의와 우울이 높고 사전면담을 통해 프로그램 참여에 동의한 22명을 최종적으로 선별하였다. 참가자들은 무작위로 수용전념치료 집단과 통제집단에 각각 11명씩 할당되었다. 수용전념치료 집단에는 총 8회기의 수용전념치료 프로그램을 진행 하였으며, 통제집단에는 어떠한 처치도 행해지지 않았다. 수용전념치료 집단과 통제집단은 프로그램 전, 프로그램이 종료되는 시점 및 프로그램 종결 6주 후에 평가염려 완벽주의, 자기비난, 이분법적 사고, 우울, 수용행동에 대한 질문지에 응답하였다. 그 결과, 수용전념치료(ACT) 프로그램에 참여한 참가자는 통제 집단보다 프로그램 후 평가염려 완벽주의, 자기비난, 이분법적 사고 및 우울 수준이 유의하게 더 감소하였고, 수용 행동은 유의하게 더 증가하였으며, 이것이 추적까지 유지되었다. 반면에 통제 집단에서는 사전, 사후, 추적에서 유의한 변화가 없었다. 본 논문의 마지막에 연구의 의의, 제한점 및 후속 연구에 대한 제언이 논의되었다.

• 한국콘텐츠학회논문지
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• 제19권12호
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• pp.604-614
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• 2019

본 연구는 수용-전념치료(ACT) 집단프로그램을 알코올중독자들에게 적용하여 심리적 유연성과 자기-자비 및 알코올중독 회복에 미치는 효과들을 평가하기 위한 목적으로 진행하였다. 수용-전념치료(ACT) 프로그램은 수용과 기꺼이 경험하기, 인지적 탈융합, 맥락적 자기, 현재순간 접촉, 가치명료화, 전념행동을 향상시키는 기술들을 포함한다. 본 연구에서는 ACT 집단프로그램을 통하여 심리적 유연성 증진뿐만 아니라, 자기-자비와 알코올중독자 회복 향상을 기대하였다. 입원 치료중인 알코올의존 환자 중 수용-전념 치료(ACT) 실험집단에 15명, 약물치료만 하는 TAU 통제집단과 CBT 통제집단에 동일하게 15명씩 참여하였다. ACT 집단프로그램은 주 1회, 8회기, 매 회기 90분으로 진행되었다. 수용-전념치료(ACT) 실험 집단과 통제 집단들의 사전, 사후 및 추후 측정치 평균들을 대상으로 반복 측정 다변량 분산분석과 사후 분석을 실시하였다. 프로그램 효과성 검증 결과, 수용-전념치료(ACT) 프로그램은 수용 및 경험하기, 인지적 탈융합, 현재순간 자각, 마음 챙김, 전념행동과 같은 심리적 유연성이 효과적으로 증가하였다. 또한 자기-자비와 알코올중독자 회복 효과가 유의미하게 증가하였음을 확인하였다.

• 융합정보논문지
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• 제11권12호
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• pp.201-210
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• 2021

본 연구목적은 대학 행정직원들의 지각된 스트레스와 우울간의 관계에서 심리적 유연성의 조절효과를 검증하는 것이다. 대상자 186명에게 설문지를 시행했다. 자료는 SPSS 25.0 프로그램을 활용하여 통계 분석했다. 분석결과, 지각된 스트레스, 긍정적 지각, 심리적 유연성이 우울에 영향을 미치는 반면, 부정적 지각은 우울에 영향을 미치지 않았다. 지각된 스트레스와 우울 간의 관계에서 심리적 유연성의 조절효과가 검증되었다. 이러한 결과를 바탕으로 대학 행정직원의 스트레스가 통제 상실과 같은 부정적 지각보다는 긍정적 기능 감소와 같은 긍정적 지각과 더 밀접한 관계를 가진 것으로 논의했다. 또한, 심리적 유연성이 스트레스가 우울에 미치는 영향력을 감소시키고 우울을 예방할 수 있음을 논의했다. 대학 행정직원들의 스트레스와 우울 문제에 대한 개입 방안으로서 심리적 유연성을 향상시키는 수용전념치료를 제안했다.

• 대한불안의학회지
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• 제20권1호
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• pp.27-34
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• 2024

Objective : Cognitive fusion, or believability, in acceptance and commitment therapy (ACT), refers to the tendency to become entangled in one's thoughts or feelings. It is an important factor in the development and maintenance of anxiety disorders. However, there is a lack of validated self-report measures for cognitive fusion and defusion, particularly for individuals with anxiety. To address this gap, this study aimed to evaluate the Korean Version of Believability of Anxious Feelings and Thoughts Questionnaire (K-BAFT). Methods : A total of 608 university students and 85 patients with obsessive-compulsive disorder (OCD) took part in this study. They were asked to complete various psychological measures, including the K-BAFT, other measures of ACT processes, and symptom scales. The researchers then analyzed the psychometric characteristics of the K-BAFT. Results : The results of the exploratory and confirmatory factor analyses indicated that the three-factor structure of the K-BAFT, which was reported in the original study, was also found in the university sample. Additionally, both the student and the OCD group demonstrated strong internal consistency (α=0.86 and 0.91, respectively). In the university sample, the K-BAFT showed a strong correlation with the Cognitive Fusion Questionnaire (r_s=0.53, p<0.001). However, it had a weak correlation with symptoms scales for depression, anxiety, and stress (all r_s<0.32). Furthermore, the OCD group had higher scores on the K-BAFT compared to the university sample. Conclusion : K-BAFT is considered to be a reliable and valid self-report tool for measuring cognitive fusion with anxious thoughts and feelings.

• 대한불안의학회지
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• 제12권2호
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• pp.79-85
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• 2016

Sexually abused victims suffer not only physical damage, but they may also experience an array of additional problems ranging from acute fear, depressed mood, anxiety, shame, or insomnia to long-term psychiatric disorders. Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is known to have excellent therapeutic effects for trauma victims including victims of sexual violence. CBT treatment includes stress immunity training, relaxation training, and acceptance and commitment therapy. In foreign countries TF-CBT is carried out online in order to increase the therapeutic accessibility for the victim and improve the quality of the interview for the therapists. As a result, those victims who have difficulties in requesting external help, who live in remote areas, or who have limited time may now have access to the service and benefit from the online education programs. A website providing an online based TF-CBT program was initiated in Korea also. Through the website, victims and their guardians may obtain therapeutic information without the need for face-to-face meetings with therapists. Our goal is to create a system with this website which will provide therapeutic assistance to sexual violence victims and improve the quality of the counseling provided by the therapist.

• 디지털융복합연구
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• 제16권3호
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• pp.505-512
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• 2018

이 연구는 하이쿠 시 짓기가 임상심리학 전공 대학원생들의 마음챙김과 감정이입을 함양하는데 유용할 것이며, 이와 관련된 자기 자비와 수용도 함께 증진될 것이라는 가설을 검증하기 위해 수행되었다. 22명의 임상심리학 전공 대학원생들이 한 학기 동안 자연, 상황, 자신에 대한 하이쿠 시 짓기를 하였다. 하이쿠 시 짓기 프로그램 전과 후에 마음챙김, 감정이입, 자기자비 및 수용을 측정하고 분석하였으며, 프로그램이 끝난 후의 주관적인 소감에 대한 질적 분석을 하였다. 연구결과는 다음과 같다: 먼저, 양적 분석 결과로 하이쿠 시 짓기는 마음챙김, 감정이입, 자기자비 및 수용에 유의한 효과가 있었다. 질적 분석 결과에서도 하이쿠 짓기는 이들 구성개념에서 아주 긍정적인 변화가 있는 것으로 나타났다. 끝으로, 이 연구의 의의, 제한점 및 앞으로의 연구 제언이 논의되었다.

• 대한통합의학회지
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• 제5권1호
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• pp.55-66
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• 2017

Purpose : The purpose of this study was to investigate whether mindful meditation programs conducted in ACT(Acceptance &Commitment Therapy) and MBCT(Mindfulness-Based Cognitive Therapy) were effective in changing in depression and anxiety. Methods : In order to achieve this, we have performed meta-analysis of the studies on ACT and MBCT among studies published in the national academic journals, master thesis, and doctoral thesis. Dependent variables were limited to depressive and anxiety symptoms. By using meta analysis method, we retrieved journal articles published in Korea between 2009 and 2015 using keyword searches of electronic databases. Result : The results of the analysis showed that both ACT and MBCT had a significant effect on reducing depressive symptoms (Hedges' g = -0.71, p < 0.01). Both also had a significant effect on reducing anxiety symptoms (Hedges' g = -1.134, p < 0.01). These results imply that both ACT and MBCT interventions can be useful interventions for both depressive and anxiety symptoms. In the case of interventions for depressive symptoms, the college student group showed better results than the adult group. In addition, the ACT program had a stronger effect on reducing depressive symptoms than the MBCT program. In the case of interventions for anxiety symptoms, the mixed gender group showed better results than the female group. Conclusion : The results showed significant differences with regard to the following factors: participant gender, target participants, mindfulness technique availability, session number, and session duration.

• 대한불안의학회지
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• 제12권1호
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• pp.47-55
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• 2016

30% of patients with panic disorder (PD) show treatment-resistant and chronic waxing and waning course. Therefore, adequate treatment strategies for PD by evidence based pharmacotherapy and combined cognitive behavioral therapy (CBT) are recommended. Regarding how and why CBT for PD works, three hypotheses include the cognitive theory, anxiety control theory, and behavioral theory were discussed. The recent findings that the altered activation in frontal lobe is normalized after CBT, suggest a reduction of an altered top-down fear processing in the neural correlates of CBT in PD. In order to improve accessibility to CBT, brief CBT and internet based CBT for PD were suggested. Despite limitations of sample sizes and study design, most of studies suggest that brief CBT is more effective than control conditions, and even as equally effective as standard CBT. The evidences suggest that internet based CBT may not be significantly different from face-to-face CBT in reducing anxiety. Several advances within the field of third-wave CBT for PD have led to the development of new techniques based on mindfulness, such as mindfulness-based cognitive therapy and acceptance and commitment therapy. Based on Korean algorithm project for panic disorder, especially the psychological education and cognitive reconstruction components were recommended in CBT with PD.