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ISSN : 1226-9654

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Vol.23 No.3

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임산부를 위한 한국형 마음챙김 명상프로그램의 개발과 심리적 효과에 대한 연구

Development of Mindfulness for Pregnant Women (MPW) Program and its Psychological Efficacy

한국심리학회지: 인지 및 생물 / The Korean Journal of Cognitive and Biological Psychology, (P)1226-9654; (E)2733-466X
2011, v.23 no.3, pp.321-337
https://doi.org/10.22172/cogbio.2011.23.3.002
안양규 (동국대학교)
장현갑 (마인드플러스 스트레스 대처연구소)
김도균 (동국대학교)
이관 (동국대학교)
장문선 (경북대학교)
백경임 (동국대학교)
안양규, 장현갑, 김도균, 이관, 장문선, & 백경임. (2011). 임산부를 위한 한국형 마음챙김 명상프로그램의 개발과 심리적 효과에 대한 연구. 한국심리학회지: 인지 및 생물, 23(3), 321-337, https://doi.org/10.22172/cogbio.2011.23.3.002

초록

본 연구에서는 정서적 불안정성과 취약성을 지니고 있지만 약물치료가 극히 제한되어 있는 임산부의 신체적․심리적 건강 증진을 위한 한국형 마음챙김 명상 프로그램(Mindfulness for Pregnant Women; MPW)을 개발하고, 그 효과를 검증해보고자 하였다. 이를 위해 임산부 22명을 대상으로 총 8주 동안 MPW를 시행한 후, 프로그램 시행 전 후의 간이정신진단검사(SCL-90-R), 우울검사(BDI), 불안검사(STAI), 정적-부적 정서상태 검사(PANAS) 및 마음챙김 자각척도(K-MAAS) 상의 점수변화량을 통제집단(n=22)의 변화량과 비교 분석하였다. 연구 결과는 다음과 같다. 첫째, 명상집단은 통제집단에 비해 SCL-90-R의 하위척도 중 강박증상과 우울증상이 유의하게 감소하였다. 둘째, BDI로 측정한 우울수준에 있어서도 명상집단이 통제집단에 비해 유의한 감소를 나타내었다. 셋째, STAI로 측정한 불안의 경우, 상태불안에서는 집단 간 차이가 유의하지 않았지만 지속적인 불안경향성과 관련된 특성불안은 명상집단이 통제집단에 비해 유의하게 감소되었다. 넷째, PANAS로 측정한 부적정서 역시 명상집단이 통제집단에 비해 유의하게 감소한 것으로 나타났다. 다섯째, K-MAAS로 측정한 마음챙김 주의자각의 경우, 명상집단이 통제집단에 비해 자신에 대한 주의 자각이 유의하게 높아진 것으로 나타났다. 요약하면, MPW는 임산부의 우울, 특성불안, 강박증상 및 부적 정서를 감소시키고 자신에 대한 주의자각을 향상시킨 것으로 나타났다. 이러한 결과는 MPW가 임산부의 심리적 안정성과 자각수준을 개선시킬 수 있음을 시사하는 것이다. 끝으로, 이와 관련하여 K-MPW의 효과와 개선방향 및 후속연구의 필요성에 대해 논의하였다.

keywords
임산부를 위한 한국형 마음챙김 명상 프로그램, 우울, 불안, 마음챙김 주의자각, Mindfulness for Pregnant Women (MPW), depression, anxiety, attentive awareness

Abstract

In this study, we develop Mindfulness for Pregnant Women (MPW) Program which aims to enhance psychological and physical well-being of pregnant women who are vulnerable to stress, anxiety and negative affect but limited to pharmacist treatment. We present the result of a pilot study of n=22 pregnant women participating in MPW for 10 weeks. We compare and analyse the difference between the experimental group of 22 pregnant women who participate in MPW and the control group of 22 pregnant women who does not participate in MPW. We work out the difference between the two groups by using such measures as SCL-90-R, BDI, STAI, PANAS and K-MAAS, prior to and immediately after 10-week MPW program training. The results are as follows. First, the experimental group shows its significant decreases in obsessive symptoms and depressive symptoms in SCL-90-R(Symptom Checklist-90-Revised), while the control group does not. Second, the experimental group shows its significant decreases in depression in BDI(Beck Depression Inventory), while the control group does not. Third, in STAI(State-Trait Anxiety Inventory) there is not any significant difference between the two groups with regard to state anxiety, but trait anxiety is significantly decreased among the experimental group, not among the control group. Fourth, the experimental group, in comparison to the control group shows its significant decreases in negative affects in PANAS(the Positive and. Negative Affect Scale). Fifth, the experimental group, in comparison to the control group shows its significant increases in attentive self-awareness in K-MAAS(Korean Mindful Attention Awareness Scale). In short, MPW program helps pregnant women to lessen depression, trait anxiety, obsessive symptoms and negative affection, but, on the other hand, to promote attentive self-awareness. MPW could be utilized as a useful tool to promote psychological well-being of pregnant women and their attentive awareness. In the end, we suggest the future research will focus on MPW's effects on birth outcomes, child development outcomes.

keywords
임산부를 위한 한국형 마음챙김 명상 프로그램, 우울, 불안, 마음챙김 주의자각, Mindfulness for Pregnant Women (MPW), depression, anxiety, attentive awareness

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