Stress (스트레스연구)

The Korean Society of Stress Medicine (대한스트레스학회)
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The Effects of the Acceptance-Commitment Group Therapy (ACT) on the Self-Control, Psychological Well-Being, Experiential Avoidance and Cognitive Fusion in Alcoholics

수용-전념 집단치료가 알코올중독 입원환자들의 심리적안녕감과 경험회피 및 인지적융합에 미치는 효과

  • Lee, Jeong Hwa (Department of Psychology, Chonbuk National University) ;
  • Son, Chong Nak (Department of Psychology, Chonbuk National University)
  • Published : 2013.03.01
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Abstract

The purpose of the this study was to develop the acceptance-commitment group therapy (ACT) for alcoholics and to evaluate the effects of the acceptance-commitment group therapy (ACT) on the self-Control, psychological well-being, experiential avoidance and cognitive fusion. For this study, 7 alcoholics were assigned into treatment group (ACT) and 10 assigned into control group. The time of each session was 2-hours and the program was held 2 times a week for 5 weeks. Both the treatment group and the control group were had pre-treatment, post-treatment, and the 1 month follow-up assesment with The psychological well-being, experiential avoidance and cognitive fusion. The results showed that at the post-treatment assesment (ACT), the treatment group reported significantly higher psychological well-being compared to the control group. At the follow-up assessment, the effects of the treatment group was maintained. In addition, the treatment group reported significantly lower scores in level of cognitive fusion and experiential avoidance. but significant changes in experiential avoidance was not occurred. Results indicated that the treatment group showed more treatment effect than the control group in experiential avoidance, psychological well-being and cognitive fusion. These results suggest that the acceptance-commitment group therapy can be applied effectively for alcoholics.

본 연구는 알코올중독 입원환자들의 심리적안녕감과 경험회피 및 인지적융합에 긍정적 영향을 줄 것으로 여겨진 수용-전념치료(ACT)에 근거한 집단프로그램을 적용하였고, 이 프로그램에 대한 효과를 평가하기 위한 목적으로 연구되었다. 이 연구를 위해 7명의 알코올중독 입원환자들은 약물치료와 ACT 집단치료에 참여하였고, 10명의 환자들은 약물치료만 하는 통제집단에 할당되었다. 프로그램은 10회기가 진행되었다. 치료집단과 통제집단 모두 심리적안녕감과 경험회피 및 인지적융합 평가가 사전-사후 이루어졌고, 1달 후 추적검사가 이루어졌다. 연구결과 치료집단이 통제집단에 비해 심리적안녕감이 유의미한 상승을 보였고, 인지적융합과 경험회피에서도 감소를 보였다. 그러나 추적검사에서는 경험회피가 유의미한 변화를 보이지 않았다. 이는 적용된 ACT집단프로그램이 심리적안녕감과 경험회피 및 인지적융합에 긍정적인 효과를 시사하며, ACT집단프로그램이 알코올중독 환자들에게 효과적으로 응용될 수 있음을 시사한다.

Keywords

References

  1. Armeli S, Mohr CD, Tennen H et al. (2003) A daily process examination of the stress-response dampening effects of alcohol. Psychology of Addictive Behaviors 17:266-276. https://doi.org/10.1037/0893-164X.17.4.266
  2. Booth BM, Yates WR, Pretty F et al. (1991) Patients factors predicting early acohol-related readmission for alcoholics: Role of alcoholism severity and psychiatric comorbidity. Study Alcohol 52:37-43. https://doi.org/10.15288/jsa.1991.52.37
  3. Blackledge JT (2004) Using Acceptance and commitment therapy in the support of parents of children diagnosed with autism. University of nevada, Reno. Doctoral dissertation.
  4. Carver CS, Scheier MF (1982) Control theory: A useful conceptual framework for personality-social, clinical, and health psychology. Psychological Bulletin 92:111-135. https://doi.org/10.1037/0033-2909.92.1.111
  5. Cordova J, Kohlenberg R (1994) Acceptance and the therapeutic relationship. In: Hayes SC, Jacobson NS, Follette VM, Dougher MJ. (Eds.) Acceptance and change: Content and context in psychotherapy. P125-140. Context Press, Reno, NV.
  6. Cooper ML, Frone MR, Russell et al. (1995) Drinking to regulate positive and negative emotions: a motivational model of alcohol use. Journal of Personality and Social Psychology 69:990-1005. https://doi.org/10.1037/0022-3514.69.5.990
  7. Dougher MJ, Markham MR (1994) Stimulus equivalence, functional equivalence and the transfer of function. In: Hayes SC, Hayes LJ, Sato M, Ono K. (Eds.) Behavior analysis of language and cognition. P71-80.
  8. Finney JW, Moos RH (1991) The long-term course of treated alcoholic. Study Alcohol 152:44-54.
  9. Forsyth JP, Parker JD, Finlay CG (2003) Anxiety sensitivity, and experiential avoidance and their relation to drug of choice and addiction severity in residential sample of substance-abusing veterans. Addictive Behaviors 28:851-870. https://doi.org/10.1016/S0306-4603(02)00216-2
  10. Haas JR (1994) The elusive a nature of acceptance. In S.C. Hayes, N.S.
  11. Hayes SC (2004) Acceptance and commitment therapy. Springer, New York.
  12. Hayes SC, Strosahl KD (2004) A Practical guide to acceptance and commitment therapy. Springer Science Business Media, LLC.
  13. Hayes SC, Wilson KG, Gifford EV et al. (1996) Experiential avoidance and behavioral disorders; A Functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology 64:1152-1168. https://doi.org/10.1037/0022-006X.64.6.1152
  14. Hayes SC, Strosahl KD, Wilson KG (1999) Acceptance and commitment therapy: An Experiential Approach to behavior Change. Guilford Press, New York.
  15. Hayes SC, Strosahl KD, Wilson KG et al. (2004) Measuring experiential avoi dance: A preliminary testofa working model. The Psychological Record 54:553-578. https://doi.org/10.1007/BF03395492
  16. Hollen SD, Kendall PC (1980) Cognitive self-statements indepression: Development of an Automatic Thoughts Questionnaire. Cognitive Therapy and Research 4:383-395. https://doi.org/10.1007/BF01178214
  17. Kelly G, Wilson TS, Michelle R et al. (2004) Act for substance Abuse and dependence. Journal of Studies on Alcohol 18:153-183.
  18. Kim GB, Han GS, Lee JG et al. (1991) Pilot research for korean-alcohol addiction selection test development (III). Seoul National Mental Hospital Alcohol Addiction Selection Test Neuropsychiatry 30:569-581.
  19. Kim MS, Kim HW, Cha GH (2001) Constuct analysis of psychological well-being: for Korea adult men and women. Korea Psychology: Jouranl of Personality and Social Psychology 15:19-39.
  20. Kim MH, Son JR (2006) The effects of accptance-commitment group therapy on the psychological well-being and depression in mothers of children with developmental disabilities. Jouranl of Stress of Korean 14:9-16.
  21. Kwon SM, Yun HG (1994) Korean-automatic thought scale development and application. Seoul National University College life Center Student Research 29:10-25.
  22. Lee JE, Jo YR (2007) The mediational effect of experiential avoidance in the relationship between negative beliefs about worry and generalized anxiety. x26:937-961.
  23. Lim YR (2000) The Effectiveness of cognitive behavial therapy for alcoholic and molecular model analysis of risk factors. Dissertation Written for Doctoral Degree in Korea University.
  24. Marlatt JA, Gordon JR (1985) Relapse prevention: maintenance strategies in the in treatment of additive behaviors. Guilford, New York.
  25. Moon HM (2006) Developmental and effect of psychological accptance promo tion program: with accptance-commitment therapy model. Dissertation Written for Doctoral Degree in Catholic University.
  26. Korea-Ministry of Health (2001) Tool development and pilot research for the actual condition survey of the nationwide mental patient.
  27. Ryff CD (1989) Happiness is everything or is it? explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology 57:1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  28. Sadock BJ (1998) Sadock VA synopsis of psychiatry. 8th ed. Lippincott Williams & Wilkins. P395-413.
  29. Samit CJ (1996) A Group for parents of autistic children. Handbook of short-term therapy groups. P23-37. Jason Aronson, Northval, NJ.
  30. Schuckit MA (1998) Biological, psychological and environmental predictors of the alchoholism risk: a longitudinal study. Journal of Studies on Alcohol 59:485-494. https://doi.org/10.15288/jsa.1998.59.485
  31. Zettle RD, Hayes SC (2002) Brief ACT treatment of depression. In: Bond FW, Dryden W. (Eds.) Handbook of brief cognitive behaviour therapy. P35-54. Wiley, Chichester.