바로가기메뉴

본문 바로가기 주메뉴 바로가기

Effects of Acceptance and Commitment Therapy(ACT) on Social Avoidance and Self-Focused Attention or College Student with Speech Anxiety

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2013, v.18 no.2, pp.267-283
https://doi.org/10.17315/kjhp.2013.18.2.002


  • Downloaded
  • Viewed

Abstract

The purpose of this study is to explore effects of Acceptance and Commitment Therapy(ACT) on Social Avoidance and Self-Focused Attention of College Student with Speech Anxiety. Four hundred students of colleges located in Chonbuk province completed Social Avoidance and Distress Scale, Self Focused Attention, Speech Anxiety Scale, 22 students who selected by those scales were randomly assigned to 11 in the ACT group and 11 in the control group. ACT program was administered for 8 session. Self-Focused Attention, and Social Avoidance, speech Anxiety were assessed at pre-test, post-test, and 1-month follow-up periods. The results of this study were as follow: Social Avoidance, Self-Focused Attention, and Speech Anxiety of therapy group was decreased more than those of the control group. Finally, the implications and the limitations of this study, and the suggestions for future study were also discussed.

keywords
Acceptance Commitment Therapy(ACT), Social Avoidance, Self-Focused Attention, Speech Anxiety, 수용 전념 치료(ACT), 사회적 회피, 자기-초점적 주의, 발표불안

Reference

1.

김기평 (2011). 인지적 탈융합 처치가 발표불안의 부정적인 자동적 사고와 불안반응에 미치는 효과.중앙대학교 석사학위 청구 논문.

2.

김소정 (2006). 사회공포증에 대한 과제집중훈련 의 효과. 고려대학교 대학원 석사학위 청구 논문.

3.

김은정 (1999). 사회공포증집단의 사회적 자기 처리 및안전행동. 서울대학교 박사학위청구 논문.

4.

김종우 (1999). 사회공포증의 인지적, 생리적, 행동적 요인에 대한 연구. 고려대학교 대학원 석사학위청구논문.

5.

문현미 (2005). 인지행동치료의 제3동향. 한국심리학회지: 상담 및 심리치료, 17(1), 15-33.

6.

문현미 (2006). 심리적 수용 촉진 프로그램의 개발과 효과: 수용-전념 치료 모델을 중심으로. 가톨릭대학교 대학원 박사학위 청구논문.

7.

박기환, 안창일 (2001). 사회공포증의 인지행동집단치료효과에 대한 연구. 한국심리학회지: 임상, 20(1),1-18.

8.

박성신 (2006). 수용처치가 대학생의 발표불안 감소에미치는 영향. 한림대학교 대학원석사학위 청구논문.

9.

이시형, 신영철, 오강섭 (1994). 사회공포증에 관한 10년간의 임상연구. 신경정신의학, 33(2), 305-312.

10.

이정윤, 최정훈 (1997). 한국판 사회공포증 척도 (K-SAD, K-FNE)의 신뢰도 및 타당도 연구, 한국심리학회지 : 임상, 16(2), 251-264.

11.

이정은, 조용래 (2004). 걱정에 대한 부정적 신념과 일반화된 불안증상간의 관계에서 경험적 회피의매개효과검증. 한림대학교 대학원 석사학위 청구 논문.

12.

조용래 (1998). 역기능적 신념과 부적응적인 자동적 사고가 사회공포증상에 미치는 영향. 서울대학교대학원 박사학위 청구논문.

13.

조용래 (1999). 한국판 발표불안 척도의 신뢰도와 타당도에 관한 연구. 한국심리학회지: 임상, 18(2),165-178.

14.

조용래 (2006). 역기능적 신념과 발표상황의 불안반응과의 관계에서 부정적인 자동적 사고의 매개효과. 한국심리학회지: 임상, 25(1), 205-219.

15.

조용래 (2007). 발표불안에 대한 비디오 피드백의 효과:중재변인과 매개변인. 한국심리학회지: 임상,26(2), 293-322.

16.

조용래, 이민규, 박상학 (1999). 한국판 발표불안척도의신뢰도와 타당도에 관 한 연구. 한국 심리학회지: 임상, 18(2), 165-178.

17.

조용래, 원호택 (1999). 사회공포증에 대한 인지적 평가 Ⅲ: 역기능적 신념검사 의 개발 및 타당화. 한 국심리학회지: 임상, 18(1), 141-162.

18.

최명심, 손정락 (1992). HR 바이오피드백 훈련이 발표불안과 자기-초점적 주의에 미치는 영향. 한국심리학회지: 임상, 11(1), 249-263.

19.

최영인, 권정혜 (2009). 관찰자 관점이 발표불안과 발표수행에 미치는 영향. 한국심리학회지, 28(1),147-166.

20.

허재홍 (2005). 사회불안 치료기제 모형 검증: 자동적신체반응 체험과 자각을 중심으로. 연세대학교대학원 박사학위 청구논문.

21.

Block. J. (2002). Acceptance or change ofprivate experiment: A comparative analysis in college students with public speaking anxiety. Doctoral dissertation. University at Albany, State University of NewYork.

22.

Blöte, A. W., Kint, M. J. W., & Westenberg, P. M. (2007). Peer behavior toward socially anxious adolescents: Classroom observations. Behaviour Research & Therapy, 45, 2773-2779.

23.

Bögels, S, M., Mulkens, S., & De Jong, P, J. (1997). Task concentration training and fear of blushing. Journal of Clinical. Psychology & Psychotherapy, 5, 251-258.

24.

Chamberlain, J. M. & Haaga, D. A, F. (2001). Unconditional self-acceptance and responses to negative feedback. Journal of Rational -Emotive & Cognitive-Beehavior Therapy, 19, 177-189.

25.

Cioffi, D. & Holloway, J. (1993). Delayed costs of suppressed pain. Journal of Personality & Social Psychology, 64, 274-282.

26.

Clark, D. M., Ball, S., & Pape, D. (1991). An experimental investigation of thought suppression. Behaviour Research & Therapy, 29, 253-257.

27.

Clark, D. M. & Wells, A. (1995). A cognitive Model of Social Phobia. R. G. Heimberg, M. R. Liebowitz, D. A. Hope, F. R. Schneier(Eds). Social Phobia: diagnosis, assessment, & treatment. New York: The Guilford Press.

28.

Cunningham, V., Lefkoe, M., & Sechrest, L. (2006). Eliminating Fears: An intervention that permanently eliminates the fear of public speaking. Clinical Psychology & Psychotherapy, 13, 183-193.

29.

Daly, J. A., Vangelisti, A. L., & Lawrence, S. G. (1989). Self-focused attention and public speaking anxiety. Personality & Individual Differences, 10, 903-913.

30.

Fenigstein, A., Scheier, M. F., & Buss, A. H. (1975). Public and private self- consciouness: Assessment and theory. Journal of Consulting & Clinical Psychology, 43, 522-527.

31.

Fremouw, W. J., & Breitensteinm J. L. (1990). Speech anxiety. In H. Leitengerg Ed.), Handbook of social & evaluation anxiety (pp. 455-474). New york: Plenum press.

32.

Hayes, S. C. (1994). Content, context, and the types of psychological acceptance. In S. C. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher(Eds.), Acceptance and change: Content and context in psychotherapy (pp.13-32). Reno, NV: Context Press.

33.

Hayes, S. C. & Smith, S. (2010). 마음에서 빠져나와삶 속으로 들어가라 [Get out of your mind& into your life]. (문현미, 민병배 역). 서울:학지사. (원전은 2005년에 출판)

34.

Hayes, S. C., Stenven, C., Kirk, D., & Strosahl, K. D. (2004). A practical guide to acceptance and commitment therapy. New York: Springer.

35.

Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and Commitment therapy: An experiential approach to behavior change. New York; Guilford.

36.

Hayes, S. C. & Wilson, K. G. (1993). Some applied Implications of a contemporary behavior analytic account of verbal behaviour. The Behaviour Analyst, 16, 283-301.

37.

Hayes, S, C., Wilson, K, G., Gifford, E, V., Follette, V, M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting & Clinical Psychology, 64(6), 1152-1168.

38.

Hofemann, S. G. & Asmundson, G. J. G. (2008). Acceptance and mindfulness-based stress reduction and health benefits: A metaanalysis. Journal of Psychosomatic Research, 57, 35-43.

39.

Hope, D. A., Heimberg, R. G., & Klein, J. F. (1990). Psychosocial treatments for Social phobia. Psychosomatics, 29, 27-37.

40.

Ingram, R. E. (1990). Self-focused attention in clinical disorders: Review and a conceptural model. Psychological Bulletin, 107, 156-176.

41.

Kabat-Zinn, J., Massion, A. O., Peterson, L. G., Fletcher, K. E., Loriphbert, D., Lenderking, W. R., & Santorelli, S. F. (1992). Effectiveness of a meditation-based stress reduction program in treatment of anxiety disorders. The American Journal of Psychiatry, 14, 936-940.

42.

Koszychi, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a meditation-based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder. Behaviour Research & Therapy, 45, 2518-2526.

43.

Rapee, R. M. (1995). Descriptive psychophathology of Social phobia. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Scheier (EDs)., Social Phobia: Diagnosis, assessment, & Treatment, 69-94. New York: The Guilford press.

44.

Rapee, R. M. & Abbott, M. J. (2007). Modelling relationships between cognitive variables during and following public speaking in participants with social phobia. Behaviour Research & Therapy, 45, 2977–2989.

45.

Rapee, R. M. & Heimberg, R. G. (1997). A model of Social Phobia. Behaviour Research & Therapy, 35, 741-756.

46.

Rodebaugh T, L. & Rapee, R. M. (2006). Those who think they look worst respond best: Self-observer discrepancy predicts response to video feedback. Cognitive Therapy & Research, 29(6), 705-715.

47.

Scheier, M. F., Craver, C. S., & Gilbbons, F. X. (1981). Self-focused attention and reactions to fear. Journal of Research in Personality, 15, 1-15.

48.

Stein, M. B., Walker, J. R., & Forde, D. R. (1996). Public-speaking fear in a community sample: Prevalence, impact on functioning, and diagnostic classification. Formerly Archives of General Psychiatry, 53(2), 169-174.

49.

Stevens, S., Gerlach, A, L., Cludius, B., Silkens, A., Craske, M, G., & Hermann, C. (2010). Heartbeat perception in social anxiety before and during speech anticipation, Behaviour Research & Therapy, 48, 1-6.

50.

Stopa, L. & Clark, D. M. (1993). Affect, cognition and change. Research & Therapy, 31, 255-267.

51.

Strosahl, K. D., Hayes, S. C., Bergan, J., & Romano, P. (1998). Assessing the field effectiveness of Acceptance and Commitment Therapy: An example of the manipulated training research method. Behavior Therapy, 29, 35-64.

52.

Turner, S. M., Beidel, D. C., Townsley, R. M. (1992). Social Phobia: A comparison of specific and generalized subtype and avoidant personality disorder. Journal of Abnormal Psychology, 101, 326-331.

53.

Watson, D., & Friend, R. (1969). Measurement of social anxiety evaluative anxiety. Journal of Consulting & Clinical Psychology, 33, 448-457.

54.

Wegner, D. M., Schneider, D. J., Knutson, B., & McMahon, S. R. (1991). Polluting the stream of consciousness: The effect of thought suppression on the mind's environment. Cognitive Therapy & Research, 15, 141–152.

55.

Wegner, D, M. & Zanakos, S. (1994). Chronic thought suppression. Journal of Personality, 62(4), 615-640.

The Korean Journal of Health Psychology