디지털융복합연구 (Journal of Digital Convergence)

  • 제17권4호
  • /
  • Pages.345-353
  • /
  • 2019
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

수용-전념 치료(ACT)가 대인불안이 있는 대학생들의 주장성과 대인불안에 미치는 효과

Effects of Acceptance and Commitment Therapy(ACT) on Assertiveness and Interpersonal Anxiety of University Students with Interpersonal Anxiety

  • Lee, GyuBok (Dept. of Psychology, Chonbuk National University) ;
  • Son, ChongNak (Dept. of Psychology, Chonbuk National University)
  • 투고 : 2019.01.14
  • 심사 : 2019.04.20
  • 발행 : 2019.04.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 수용­-전념 치료가 대인불안이 있는 대학생의 주장성과 대인불안에 미치는 효과를 알아보기 위한 것이다. 4년제 대학생 330명을 대상으로 대인불안, 주장성 척도를 실시하였으며, 이를 토대로 12명의 대학생을 치료집단에 6명, 통제집단에 6명씩 배정하였다. 치료집단에는 주 2회, 약 120분씩 총 8회기로 구성된 수용­-전념 치료 프로그램이 실시되었으나, 통제집단에게는 어떠한 처치도 행해지지 않았다. 모든 참가자들은 프로그램 시작 전과 종료 직후 그리고 6주 후에 주장성, 대인불안 척도에 응답하였다. 치료집단에서 수용전념 치료 프로그램 후 주장성은 향상되었으나, 통제집단에서는 그렇지 않았다. 치료집단에서의 이러한 향상은 추적조사까지 유지되었다. 대인불안 검사에서, 치료집단은 통제집단 보다 더 큰 감소를 나타냈고, 이러한 차이점은 추적조사에서도 발견되었다. 끝으로 연구의 의의, 제한점 및 후속 연구에 대한 제언이 논의되었다.

The purpose of this study was to explore effects of acceptance-­commitment therapy on assertiveness and interpersonal anxiety of university students with interpersonal anxiety. Twelve students are selected of three hundred thirty students who completed an assertiveness sacle and a social anxiety scale, and finally six students were assigned to an experiment group and the others to a control group. ACT program consisting of 8 sessions twice a week approximately 120minutes is provided for experiment group, on the other hand, nothing is provided for control group. All participants completed an assertiveness sacle, a social anxiety scale at pre-­test, post-­test, and 6 weeks follow­-up periods. In the experimental group, the assertiveness score was improved after ACT program but not in the control group. The improvement observed in the experimental group was maintained until the follow-­up test. In the anxiety test, the experimental group showed a larger decrease than the control group, and the difference was also found in the follow­-up test. Finally, the implications and limitations of this study, along with suggestions for future study were discussed.

키워드

DJTJBT_2019_v17n4_345_f0001.png 이미지

Fig. 1. Comparing the change in assertiveness by time in groups

DJTJBT_2019_v17n4_345_f0002.png 이미지

Fig. 2. Comparing the change in interpersonal anxiety by time in groups

Table 1. Overview of Acceptance and Commitment Therapy (ACT) sessions

DJTJBT_2019_v17n4_345_t0001.png 이미지

Table 2. Test of homogeneity of variances

DJTJBT_2019_v17n4_345_t0002.png 이미지

Table 3. Descriptive statistics

DJTJBT_2019_v17n4_345_t0003.png 이미지

Table 4. ANOVA result for assertiveness

DJTJBT_2019_v17n4_345_t0004.png 이미지

Table 5. ANOVA result for interpersonal anxiety

DJTJBT_2019_v17n4_345_t0005.png 이미지

참고문헌

  1. Counsel Center of Dankook University. (2013). The report of counsel in 2012. Yongin: Author.
  2. Korea Youth Counselling and Welfare Institute. (2013). Development of intensive program for preventing school violence. Busan: Korea Youth Counselling and Welfare Institute.
  3. Ministry of Health and Welfare. (2014). The survey of suicide. Sejong: Author.
  4. E. H. Erikson. (1959). Identity and the life cycle. New York: International Universities Press.
  5. D. W. Johnson. (1993). Reaching out: interpersonal effectiveness and self-actualization. N. J: Prentice-hall, Inc.
  6. I. Peneva & S. Mavrodiev. (2013). A historical approach to assertiveness. Psychological Thought, 6(1), 3-26. https://doi.org/10.5964/psyct.v6i1.14
  7. W. A. Arrindell, R. Sanderman, J. V. Ende, H. V. Molen & P. P. Mersch. (1988). The structure of assertiveness: a confirmatory approach. Behaviour Research and Therapy, 26(4), 337-339. https://doi.org/10.1016/0005-7967(88)90087-3
  8. F. Herbert & B. Jean. (2009). Don't say yes when you want to say no. (Y. Y. Lee, Trans). Seoul : Words and Book (Original work published 1975).
  9. S. H. Kim. (1990). A comparison of the effects of assertiveness training approaches according to nonassertiveness causes on assertiveness. Education and Research of Students, 24(1), 13-91.
  10. A. A. Lazarus. (1973). On assertive behavior: a brief note. Behavior Therapy, 4, 697-699. https://doi.org/10.1016/S0005-7894(73)80161-3
  11. E. Atwater. (2004). Psychology of adjustment. (Kim, I. J. Trans)Seoul: The Korea Psychological Counsel Lab. (Original work published 1983).
  12. R. F. Rakos & H. E. Schroeder. (1980). Self-directed assertiveness training. New York: Biology Monitoring Application.
  13. T. W. Smith, R. E. Ingram & S. S. Brehm. (1983). Social anxiety, anxious preoccupation, and recall of self-relevant information. Journal of Personality and Social Psychology, 44, 1276-1283. https://doi.org/10.1037/0022-3514.44.6.1276
  14. E. J. Kim & H. T. Won. (1997). Three models of social anxiety: A review. Psychological Science, 6(2), 109-130.
  15. S. H. Lee. (1993). Social phobia. Seoul: Iljogak.
  16. R. M. Arkin, E. A. Lake & A. H. Baumgardner. (1986). Shyness and self-presentation. New York: Plenum.
  17. K. G. A. Meleshko & L. E. Alden. (1993). Anxiety and self-disclosure: Toward a motivational model. Journal of Personality and Social Psychology, 64(6), 1000-1009. https://doi.org/10.1037/0022-3514.64.6.1000
  18. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed). Washington, DC: Author.
  19. K. S. Oh, M. Y. Huh & S. H. Lee. (1999). Correlations of social anxiety and socio-cultural Factors. Journal of The Korean Neuropsychiatric Association, 38(1), 64-76.
  20. G. S. Han, M. Y. Choi, Y. H. Park, M. L. Jung, S. H. Lim, A. R. Cheon, M. S. Um & G. M. Kim. (2008). Effects of self express training on patients with chronic schizophrenia, The Journal of Korean Academy of Psychiatric and Mental Health Nursing, 17(3), 332-341.
  21. J. K. Jeong & J. W. Son. (2002). The Impact of the Self-Expression Training Program on the Self-Concept and Sociality of Underachievers. Journal of special education : theory and practice, 3(2), 45-67.
  22. S. M. Kwon, C. G. Lee & H. R. Lee. (2003). The effect of self-disclosure and assertive training on levels of anxiety in anxiety neuroses. Korean Journal of Counseling and Psychology, 5(1), 17-33.
  23. Y. S. Lee & H. T. Won. (1998). Review : Ironic effects of thought suppression. Psychological Science, 7(1), 1-23. https://doi.org/10.1111/j.1467-9280.1996.tb00657.x
  24. D. W. Han & J. H. Park. (2005). Effects of thought suppression and self-disclosure about the stressful life event on well-being and health. Korean Journal of Health Psychology, 10(2), 183-209.
  25. K. L. Dalrymple & J. D. Herbert. (2007). Acceptance and commitment therapy for generalized social anxiety disorder : A pilot study. Behavior Modification, 31(5), 543-568. https://doi.org/10.1177/0145445507302037
  26. Y. R. Cho. (2001). The Effectiveness of Cognitive - Behavioral Group Therapy for Speech Anxiety. Korean Journal of Clinical Psychology, 20(3), 933-411.
  27. D. A. Hope, R. G. Heimberg & J. F Klein. (1990). Social anxiety and the recall of interpersonal information. Journal of Cognitive Psychotherapy, 4, 185-195. https://doi.org/10.1891/0889-8391.4.2.185
  28. J. A. Block. (2002). Acceptance or change of private experiences: A comparative analysis in college students with public speaking anxiety. Doctoral dissertation, University at Albany, New York, USA.
  29. C. R. Choi & S. N. Son. (2014). The effects of dialectical behavior therapy(DBT) skill training on emotional intelligence, interpersonal problems, and mental health in colleges students with low levels of emotional intelligence. Korean Journal of Health Psychology, 19(2), 469-487. https://doi.org/10.17315/kjhp.2014.19.2.002
  30. J. C. Kim & C. N. Son. (2010). The effects of the mindfulness-based cognitive-behavioral group therapy on reduction of speech anxiety. The Korean Journal of Stress Research, 18(2), 59-68.
  31. K. Sharp. (2012). A review of acceptance and commitment therapy with anxiety disorders. International Journal of Psychology & Psychological, 12(3), 359-372.
  32. S. C. Hayes, K. D. Strosahl & K. G. Wilson. (1999). Acceptance and commitment therapy. An experiential approach to behavior change. New York: Guilford Press.
  33. S. C. Hayes & K. D. Strosahl. (2015). A Practical guide to acceptance and commitment therapy. (C. N. Son & G. D. Lee, Trans). Seoul : Hakjisa (Original work published 2004).
  34. F. R. Huerta, S. M. Gomez, M. A. M. Molina & C. M. Luciano. (1998). Generalized anxiety disorder: A case study. Analisisy Modifcacion de Conducta, 24, 751-766.
  35. M. P. Twohig, S. C. Hayes, J. C. Plumb, L. D. Pruitt, A. B. Collins, S. H. Hazlett & M. R. Woidneck. (2010). A randomized clinical trial of acceptance and commitment therapy vs. progressive relaxation training for obsessive compulsive disorder. Journal of Consulting and Clinical Psychology, 78, 705-716. https://doi.org/10.1037/a0020508
  36. M. O. Kim & C. N. Son. (2013). Effects of acceptance and commitment therapy on interpersonal anxiety, stress coping style, and social self-efficacy of college students with interpersonal anxiety. Korean Journal of Health Psychology, 18(2), 301-321. https://doi.org/10.17315/kjhp.2013.18.2.004
  37. M. J. Seo & D. Y. Kim. (2012). The effect of acceptance and commitment therapy (ACT) on interpersonal relationship stress of low-income children. Korean Journal of Health Psychology, 17(3), 557-572. https://doi.org/10.17315/kjhp.2012.17.3.001
  38. K. G. Cheung & H. N. Choi. (2011). The Effectiveness of an Intensive Nonviolent Communication Group Counseling Program on Employees' Interpersonal Competence, Interpersonal Stress, and Job Satisfaction. Journal of Human Understanding and Counseling, 32(1), 1-16.
  39. H. J. Lee & S. O. Kim. (2010). The development and verification of an experiential couple group therapy program-integration of the satir growth model and non-violent communication. Korea Journal of Counseling, 11(2), 831-854. https://doi.org/10.15703/kjc.11.2.201006.831
  40. S. H. Kim. (1982). The effects of assertiveness training-generalized (AT-G) with high school students. Doctoral dissertation. University of Gyeongbuk, Daegu, Korea.
  41. H. G. Kim. (1992). Program effects for reduction of social anxiety of college students. Doctoral dissertation. University of Chonnam, Gwangju, Korea.
  42. R. Harris. (2009). Act made simple: an easy-to-read primer on acceptance and commitment therapy. NY: New Harbinger Publications.
  43. L. Lue. (2012). Nonviolent communication workbook. (The Korean Center for Nonviolent Communication Trans). Seoul: author. (Original work published 2003).
  44. H. M. Moon. (2006). Development and validation of the program for facilitation of psychological acceptance based on acceptance & commitment therapy model. Doctoral dissertation. University of Catholic, Bucheon, Korea.
  45. J. A. Stoddard & N. Afrai. (2014). The big book of act metaphors: A practitioner's guide to experiential exercises and metaphors in acceptance and commitment therapy. New York: New Harbinger Publications.
  46. W. Ossman, K. G. Wilson, R. D. Storaasli & J. W. McNeill. (2006). A preliminary investigation of the use of acceptance and commitment therapy in group treatment for social phobia. International Journal of Psychology and Psychological Therapy, 6, 397-416.
  47. G. H. Eifert & M. Hefferner. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy, 34(3), 293-312.
  48. S. E. Cassin & N. A. Rector. (2011) Mindfulness and the attenuation of post-event processing in social phobia: an experimental investigation. Cogntive Behavioral Therapy, 40(4), 267-278. https://doi.org/10.1080/16506073.2011.614275
  49. S. I. Kwon & H. H. Jung. (2014). Effects of the acceptance and commitment therapy program on psychological adjustment of university students with a high level of social anxiety. Cognitive Behaviour Therapy, 14(2), 145-164.
  50. K. H. Kim. (2015). The effects of acceptanceon reduction of social anxiety: development and effectiveness of an acceptance-based exposure therapy program for social anxiety. Doctoral dissertation. University of Seoul, Seoul, Korea.