마음챙김 기반 인지치료(MBCT)가 역기능적 분노에 미치는 효과
The Effects of Mindfulness-Based Cognitive Therapy on Dysfunctional Anger
손정락 (전북대학교)
초록
본 연구에서는 마음챙김 기반 인지치료(MBCT)가 대학생의 역기능적 분노에 미치는 효과를 알아보았다. 연구의 참여자는 프로그램에 대한 자발적인 참여의사를 밝힌 대학생 24명을 MBCT집단, 대기통제집단에 각각 12명씩 할당하였다. 마음챙김 기반 인지치료는 매주 1회 2시간씩 총 8회기를 실시하였다. 프로그램의 전반부(1-4회)에는 마음챙김을 수행하고 분노와 관련된 심리적 현상을 자각하는데 중점을 두었으며, 후반부(5-8회기)에는 마음챙김을 통해 분노를 조절할 수 있는 능력을 향상시키는데 중점을 두었다. 마음챙김 기반 인지치료 집단에 참여하여 사후검사를 받은 대학생은 9명이었고, 대기통제집단은 10명이었다. 연구 결과, 마음챙김 기반 인지치료 집단은 대기통제집단에 비해 분노억제에서는 큰 변화가 없었지만, 분노표출과 특성분노 수준은 유의하게 감소하였다. 반복측정 매개효과를 검증한 결과, 분노반추는 마음챙김과 분노표출, 마음챙김과 분노억제, 마음챙김과 특성분노와의 관계를 매개하는 것으로 나타났다. 끝으로, 본 연구의 의의, 제한점 그리고 후속 연구를 위한 시사점을 논의하였다.
- keywords
- mindfulness, anger rumination, dysfunctional anger, Mindfulness-Based Cognitive Therapy (MBCT), 마음챙김, 분노반추, 역기능적 분노, 마음챙김 기반 인지치료(MBCT)
Abstract
The aims of this study were to examine the influence of Mindfulness-Based Cognitive Therapy (MBCT) on dysfunctional anger and also to investigate the repeated measure mediated effects of anger rumination on dysfunctional anger. Half of the twenty four undergraduate students were assigned to the group of Mindfulness-Based Cognitive Therapy, whereas the other half were assigned to the waiting control group. Both of these groups participated in a voluntary program. Mindfulness-Based Cognitive Therapy iss composed of eight sessions administered every week, lasting two hours per session. The first part of the program(1-4 sessions) is focused on the fact that subjects have a mindfulness meditation and are aware of the psychological symptoms associated with anger. The latter of the program (5-8 sessions) is focused on improving the ability to control anger through mindfulness. The number of undergraduate students who completed the assessment at termination was 9 in the Mindfulness-Based Cognitive Therapy and 10 in the waiting control group. The results of the study are as follows: First, the treatment group reported significantly a lower score level of anger-out and trait anger compared to the control group. No significant changes have occurred regarding the level of anger-in. Second, the results indicated that anger rumination mediate the relationship between mindfulness and dysfunctional anger. Finally, we discussed the implications and limitations of this study and provided suggestions for future studies.
- keywords
- mindfulness, anger rumination, dysfunctional anger, Mindfulness-Based Cognitive Therapy (MBCT), 마음챙김, 분노반추, 역기능적 분노, 마음챙김 기반 인지치료(MBCT)
참고문헌
고영인 (1994). 대학생의 분노 표현양식과 우울 및 공격성과의 관계. 부산대학교 대학원 박사학위청구논문.
권석만 (2006). 위빠싸나 명상의 심리치유적 기능. 불교와 심리, 1. 9-49.
박성현 (2006). 마음챙김 척도 개발. 가톨릭대학교 대학원 박사학위청구 논문.
염승훈 (2008). 분노수용집단 개발 및 효과 검증 -ACT모델을 중심으로-. 아주대학교 대학원 석사학위청구 논문.
이근배, 조현춘 (2008). 한국판 분노반추척도의 타당화연구. 정서˙행동장애연구, 24(1), 1-22.
이영순, 이현림, 천성문 (2000). 신경증적 비행 청소년의분노조절을 위한 인지행동적 집단치료 효과.한국심리학회지: 상담, 12, 53-82.
이지영,손정락(2011).역기능적 분노의 조절을 위한 Siegel의 대인신경생물학적 모형에 기반한 절 충적 프로그램의 효과검증. 한국심리학회지: 건강, 16(2), 243-261.
전겸구, 한덕웅, 이장호(1997). 한국판 STAXI 척도 개발: 분노와 혈압. 한국심리학회지: 건강, 2,60-78.
전현숙, 손정락 (2010). 마음챙김, 특성분노 및 비합리적신념의 관계. 한국심리학회지: 임상, 29(4),989-1007.
전현숙, 손정락 (2011). 역기능적 분노표현 및 비합리적신념과 마음챙김의 관계. 한국심리학회지: 일반,29(4), 989-1007.
정선화 (2004). 특성분노를 보이는 여대생들의 인지 행동적 치료 효과. 덕성여자대학교 대학원 석사학위청구 논문.
정은의, 송현주 (2010). 한국 청소년 대상 분노반추척도의 타당화 연구. 한국심리학회지: 임상, 29(1),223-239.
조긍호, (2003). 한국인 이해의 틀. 서울: 나남
천성문, 김경순, 김정남 (2006). 호흡명상이 신경증적 고등학생의 분노와 집착에 미치는 영향. 제주대학교 직업능력개발원 학생생활연구, 27(1),125-144.
Baer, R. A. & Krietemeyer, J. (2006). Overview of mindfulness- and acceptance -based treatment approaches. In R. A. Baer. Mindfulness-based treatment approaches: Clinician's guide to evidence base and applications. New York: Academic Press.
Baer, R. A., Fische, S., & Huss, D. B. (2005a). Mindfulness-based cognitive therapy applied to binge eating: A case study. Cognitive and Behavioral Practice, 12, 351-358.
Baer, R. A., Fischer, S., & Huss, D. B. (2005b). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational- Emotive & Cognitive-Behavior Therapy, 23, 281-300.
Beck, R. & Fernandez, E. (1998). Cognitive-behavioral therapy in the treatment of anger: a metaanalysis. Cognitive Therapy and Research, 22, 63-74.
Bushman, B. J., Bonacci, A. M., Pedersen, W. C., Vasquez, E. A., & Miller, N. (2005). Chewing on it can chew you up: Effects of rumination on triggered displaced aggression. Journal of Personality and Social Psychology, 88(6), 969-983.
Collins, K. & Bell, R. (1997). Personality and aggression: the Dissipation-Rumination Scale. Personality and Individual Differences, 22(5), 751-755.
Deffenbacher, J. L. & McKay, M. (2000). Overcoming situational and general anger. Oakland: New Harbinger.
Diebold, J. C. (2003). Mindfulness in the machine: A mindfulness-basedcognitive therapy for the reduction of driving anger. Unpublished doctoral dissertation. Hofstra University: New York.
DiGiuseppe, R. (1995). Developing the therapeutic alliance with angry clients. In H. Kassinove(Eds.), Anger disorder; Definition, diagnosis and treatment(pp. 131-149). Washington, DC: Taylor & Francis.
DiGiuseppe, R. & Tafrate, R. C. (2007). Understanding anger disorders. NY: Oxford University Press.
Evans, S., Ferrando, S. Findler, M., Stowell, C., Smart, C., & Haglin, D. (2008). Mindfulness-based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorders, 22, 716-721.
Finucane, A. & Mercer, S. W. (2006). An exploratory mixed methods study of the acceptability and effectiveness of mindfulness-based cognitive therapy for patients with active depression and anxiety in primary care. BioMed Central Psychiatry, 6, 1-14.
Furlong, M. J. & Smith, D. C. (1998). Raging Rick to tranquil Tom: An empirically based multidimensional anger typology for adolescent males. Psychology in the Schools, 35, 229-245.
Goleman, D. J. & Schwartz, G. E. (1976). Meditation as an intervention in stress reactivity. Journal of Consulting and Clinical Psychology, 44, 456-466.
Gottlieb, M. M. (1999). The angry self: A comprehensive approach to anger management. Phoenix, Arizona: Zeig, Tucker & Co. Press.
Greenberg, L. (1995). Cognitive processing in trauma: The role of intrusive thoughts and reappraisals. Journal of Applied Social Psychology, 25, 1262-1296.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Emotional avoidance and behavioral disorders; A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.
Judd, C. M., Kenny, D. A., & McClelland, G. H.(2001). Estimation and testing medication andmoderation in within-subject design.Psychological Methods, 6(2), 115-134.
Kemp, S. & Stongman, K. T. (1995). Anger theory and management: a historical analysis. American Journal of Psychology, 108, 397-417.
Lau, M. A. & McMain, S. F. (2005). Integrating mindfulness meditation with cognitive and behavioral therapies: The challenge of combining acceptance- and change -based strategies. Canadian Journal of Psychiatry, 50(13), 863-869.
Lewis, M. (1993). Self-conscious : Embarrassment, pride, shame, and guilt. In M. Lewis & J. M. Haviland(Eds.), Handbook of emotions(pp. 563-573). New York : Guilford.
Linehan, M. M., (1993). Cognitive-behavioralntreatment of borderline personality disorder. New York: Guilford Press.
Mattew, K. A., Glass, D. C., Roseman, R. H., & Bortner, R. W. (1977). Competitive drive, Pattern A., and coronary heart disease; A further analysis of some data form the Western Collaborative Group Study. Journal of Chronic Disease, 30, 489-498.
Nirbhay, N. S., Robert, G. W., Angela, D. A., & Rachel, E. N. (2003). Sole of The Feet: A mindfulness-based self-control intervention for aggression by an individual with mild mental retardation and mental illness. Research in Developmental Disabilities, 24, 158-169.
Perlis, R. H., Smoller, J. W., Fava, M., Rosenbaum, J. F., Nierenberg, A. A., & Sachs, G. S. (2002). The prevalence and clinical correlation of anger attacks during depressive episodes in bipolar disorder. Journal of Affective dsorders, 1, 1-5.
Rusting, C. L. & Nolen-Hoeksema, S. (1998). Regulating responses to anger: Effects of rumination and distration on angry mood. Journal of Personality and Social Psychology, 74(3), 790-803.
Segal, Z. V., Williams, J. G., & Teasdale, J. D.(2002). 마음챙김 명상에 기초한 인지치료[Mindfulness-based cognitive therapy fordepression. New York: The Guilford Press❳.(이우경, 조선미, 황태연 공역). 서울: 학지사.(원전은 2006에 출판).
Semple, R. J., Lee, J., & Miller, L., (2006). Mindfulness-based cognitive therapy for children. In R. Baer (Ed.), Mindfulness-based cognitive approaches: Clinican's guide to evidence base and applications (pp. 143-166). San Diego: Elsevier.
Shapiro, S. L., & Schwartz, G. E. (2000). The role of intention in self_regulation: Toward intentional systemic mindfulness. In M. Boekaerts, P. R. Pintrich, & M. Zeidner (Eds.), Handbook of self-regulation(PP. 253-273). New York: Academic Press.
Sharkin, B. S. (1988). The measurement and treatment of client anger counseling. Journal of Counseling and Development, 66, 361-365.
Silva, J. (2007). Mindfulness bssed cognitive therapy for the reduction of anger in married men. Unpublished doctorial dissertation. Hofstra University: New York.
Smith, A., Graham, L., & Senthinathan, S. (2007). Mindfulness-based cognitive therapy for recurring depression in older people: A qualitative study. Aging and Mental Health, 11, 346-357.
Spielberger, C. D., & London, P. (1982). Rage boomerangs. American Health, 1, 52-56.
Spielberger, C. D., Jacobs, G. A., Russell, S., & Crane, R. S. (1983). Assessment of anger: The State-Trait Anger Scale. Advances in Personality Assessment, 2. N. J ; LEA., 159-187.
Spielberger, C. D., Johnson, E. H., Russell, S., Crane, R. S., Jacobs, G. A., & Worden, T. J. (1985). The experience and expression of anger: Construction and validation of an anger expression scale. In M. A. Chesney, & R. H. Rosenman(Eds.), Anger and hostility in cardiovascular amd behavioral disorder(pp. 5-30). NY: Hemisphere.
Spielberger, C. D., Krasner, S. S., & Solomon, E. P.(1988). The expression and control of anger.In M. P. Janisse (Ed.), Health psychology:Individual differences and stress (pp. 89-108).New York: Springer-Verlag.
Spielberger, C. D., Reheiser, E. C., & Sydman, S. J.(1995). Measuring the experience, expression,and control of anger. Issues inComprehensive Pediatric Nursing, 18,207-232.
Sukhodolsky, D. G., Golub, A., & Cromwell, E. N.(2001). Development and validation of theanger rumination scale. Personality andIndividual Differences, 31(5), 689-700.
Tafrate, R. C., Kassinove, H., & Dundin, L. (2002). Anger Episodesnin high- and low-trait-anger community adults. Journal of Clinical Psychology, 58, 1573-1590.
Thomsen, D. K. (2006). The association between rumination and negative affect: A review. Cognition and Emotion, 20(9), 1216-1235.
Williams, J. M. G., Alatig, Y., Crane, C., Barnhofer, T., Fennell, M. J. V., Duggan, D. S., Hepburn, S., & Goodwin, G. M. (2008). Mindfulness-based cognitive therapy (MBCT) in bipolar disorder: Preliminary evaluation of immediate effects on between-episode functioning. Journal of Affective Disorders, 107, 275-279.
Wright S., Day. A., & Howells, K. (2009). Mindfulness and the treatment of anger problems. Aggression and Violent Behavior, 14, 396-401.
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