The Korean Journal of Health Psychology
- Apply for Authority
- KOREAN
- P-ISSN1229-070X
- E-ISSN2713-9581
- KCI
The Effects of Acceptance and Commitment Therapy on Negative Emotion, Acceptance and Quality of Life among Breast Cancer Patients: A Preliminary Study
- Downloaded
- Viewed
Abstract
The aim of this study was to examine the effects of Acceptance and Commitment Therapy (ACT) on negative emotions, acceptance and quality of life among breast cancer patients. Mindfulness meditation was utilized as the primary tool to promote acceptance. The sample of in this study consisted of 15 patients collected recruited from a community health center and from online forums for breast cancer patients. The treatment group (n=6, M=47.17 years, SD=3.66) participated in an ACT program lasting 8 weeks in addition to routine medical treatment. The control group (n=9, M=50.63 years, SD=4.00) received routine medical treatment only. The results revealed that the levels of acceptance and quality of life of patients in the ACT program improved. The six-month follow-up assessment showed a continuous decrease in negative emotion and increase in acceptance and quality of life. The results suggest that the ACT program can help breast cancer patients develop psychological acceptance as well as increase their quality of life.
- keywords
- 수용전념치료, 마음챙김 명상, 유방암, 부정정서, 수용, 삶의 질, Acceptance and Commitment Therapy, mindfulness meditation, breast cancer, negative emotion, acceptance, quality of life
Reference
국립암센터 (2013). 암 관련 정보. http://www.ncc.re.kr
김미옥 (2013). 수용전념치료(ACT)가 대학생의 대인 불안, 스트레스대처 방식 및 사회적 자기 효능감에 미치는 효과. 한국심리학회지 : 건강, 18(2), 301-324.
김인구 (2008). 심리적 수용과 직무 스트레스:직장인용ACT 프로그램 효과 검증. 아주대학교 대학원 박사학위 논문.
김정호 (1994a). 인지과학과 명상. 인지과학, 4&5, 53-84.
김정호 (1994b). 구조주의 심리학과 불교의 사념처 수행의 비교. 한국심리학회지: 일반, 13. 186-206.
김정호 (1995). 마음챙김 명상의 소집단 수행에 관한 연구. 학생생활연구, 11, 1-35. 덕성여자대학교 학생생활연구소.
김정호 (2004). 마음챙김이란 무엇인가: 마음챙김의 임상적 및 일상적 적용을 위한 제언. 한국심리학회지:건강, 9(2), 511-538.
김정호 (2011). 마음챙김 명상 멘토링. 서울:불광출판사.
김정호 (2014). 스무살의 명상책. 서울:불광출판사.
김정호, 김수진 (2002). 과민성대장증후군을 위한 호흡마음챙김 명상 프로그램의 실제. 학생생활연구, 18, 25-67. 덕성여자대학교 학생생활연구소.
김종남 (2008). 유방암 환자를 위한 통합적 집단치료가삶의 질과 정서상태에 미치는 장기적 효과. 한국심리학회지 : 건강, 13(2), 513-536.
김종남, 권정혜 (2006). 유방암 환자를 위한 통합적 집단 치료가 삶의 질과 면역기능에 미치는 효과. 한국심리학회지 : 임상, 25(3), 639-655.
문임숙 (2013). 수용전념치료(ACT)프로그램이 임상 간호사의 업무 스트레스와 심리적 안녕감에 미치는효과. 한국동서정신과학회, 16(1), 85-102.
문현미 (2006). 심리적 수용 촉진 프로그램의 개발과 효과: 수용-전념 치료 모델을 중심으로. 가톨릭대학교대학원 박사학위 논문.
보건복지가족부 (2014). 보건복지통계연보. http://www. mw.go.kr
송혜정, 손정락 (2011). 수용-전념 집단 프로그램이 폭식장애 경향이 있는 대학생의 분노, 스트레스 및폭식행동에 미치는 효과. 한국심리학회지: 건강, 16(1), 15-27.
염승훈 (2008). 분노수용집단 프로그램 개발 및 효과 검증 : ACT 모델을 중심으로. 아주대 대학원 석사학위 논문.
윤미라 (2014). 유방암 생존자를 위한 마음수련 명상프로그램이 심리적 안녕에 미치는 효과. 서울대학교대학원 박사학위 논문.
이광자, 송영선, 조재경, 전효경 (2007). 유방암 환자의삶의 질 향상을 위한 심리사회적 측면의 자기효능증진프로그램 개발, 정신간호학회지 16(4), 456-468.
이선영 (2004). 유방암 환자의 성격 기질 분석. 이화여자대학교 대학원 석사학위 청구논문.
이영호, 송종용 (1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국 심리학회지: 임상, 10, 98-113.
이윤미 (2006). 자기 발반사 마사지가 중년여성의 우울, 스트레스 반응 및 면역기능에 미치는 효과. 대한간호학회지, 36(1), 179-188.
하은혜, 서주은, 정준, 양정현, 남석진, 이정언, 백혜진(2008). 유방암 환자의 우울 장애 예측변인. 한국심리학회지 : 임상, 27(4), 961-976.
한덕웅, 이창호, 탁진국 (1993). Spielberger 상태-특성불안 검사의 표준화. 학생지도연구, 10(1), 214-222.
황성옥 (2010). 수용전념치료(ACT)프로그램이 중학생의시험불안에 미치는 효과. 한국동서정신과학회, 13(2), 83-95..
황숙연, 이인수, 박병우 (2002). 유방암 환자에 대한 심리교육 집단개입의 효과. 한국사회복지학, 51, 98-118.
Alfano, C. M., & Rowland, J. H.(2006). Recovery issues in cancer survivorship: A new challenge for supportive care. Cancer Journal, 12, 432-443.
Anderson, B. L., Farrar, W., Golden-Kreytz, D., Glaser, R., Emery, C., Crespin, T., et al. (2004). Psychological, behavioral and immune changes after a psychological intervention: A clinical trial. Journal of Clinical Oncology, 22, 3570-3580.
Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients : a randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129-1139.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York:Harper & Row.
Block, J. A. (2002). Acceptance or change of private experiences: A comparative analysis in college students with public speaking anxiety. Doctoral dissertation. University at Albany, State University of New York.
Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057-1067
Bond, F. W., Flaxman, P. E. (2006). Acceptance and commitment therapy(ACT) in the workplace. Mindfulness-Based Treatment Approaches:Clinician's Guide to Evidence Base and Applications.
Cardova, M. J., Andrycowski, M. A., Redd, W. H., Kenady D. E., McGrath, P. C., & Sloan, D. A. (1995). Frequency and correlates of post traumatic stress disorder-like symptoms after treatment for breast cancer. Journal of Consulting and Clinical Psychology, 63, 981-986.
Carpenter, J. S., Elam, J. L., Ridener, S. H., Carney P. H., Cherry, G. J., & Cucullu H. L. (2004). Sleep, fatigue and depressive symptoms in breast cancer survivors and matched healthy woman experiencing hot flashes. Oncol Nurs Forum, 31(3), 591-598.
Carrascoso Lo'pez, F. J. (2000). Acceptance and commitment therapy(ACT) in panic disorder with agoraphobia: A case study. Psychology in Spain, 4, 120-128.
Cohen, S, Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 585-596.
Dorval, M., Maunsell, E., Deschenes, L., Brisson, J., Masse, B. (1998). Long-term quality of life breast cancer: comparison of 8-year survivors with population controls. Journal of Clinical Oncology, 16(2), 487-494.
Eifert, G. H., & Heffner, M. (2003). The effects of acceptance versus control contexts on avoidance of panic-related symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 34, 293-312.
Folke, F., & Parling, T. (2004). Acceptance and Commitment Therapy in group format for individuals who are unemployed and on sick leave suffering from depression: A randomized controlled trial. Unpublished thesis, University of Uppsala, Uppsala, Sweden.
Ganz, P.A., Desmond, K.A., Leedham, B., Rowland, J.H., Meyrowitz, B.E., & Belin, T.R. (2002). Quality of life in long-term, disease-free survivors of breast cacer: A follow-up study. Journal of the National Cancer Institute, 94(1), 39-49.
Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Antonuccio, D. O., Piasecki, M. M., Rasmussen-Hall, M. L., & Palm, K. M. (2004). Acceptance theory-based treatment for smoking cessation: An initial trial of Acceptance and Commitment Therapy. Behavior Therapy, 35, 689-705.
Greenberg, L.(1994). Acceptance in experimental therapy. In S. C. Hayes, N. S. Jacobson, V. M. Follette., & M. J. Dougher(Eds.). Acceptance and change: Content and context in psychotherapy (pp.53-72). Reno, NV: Context Press.
Hayes, S. C., Strosahl, K. D., Wilson, K.G., Bissett, R., Pistorello.J., Tomarmino, D., Polusny, M., Dykstra, T.A., Batten, S.V., Bergan, J., Stewart, S., Zvolensky, M.J., & Eifert, G.H., Bond, F.W., Forsyth, J. P., Karekla, M., & Mccurry, S. M. (2004). Measuring experiential avoidance: A preliminary test od a working model. The psychological Record, 54, 553-578.
Hayes, S. C., Stroshal, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy; An experiential approach to behavior change. New York : Guilford Press.
Henderson, V. P., Lynn Clemow, Massion, A. O., Hurley T. G.,, Susan Druker, Hebert, J. R. (2012). The effects of mindfulness-based stress reduction on psychosocial outcomes and quality of life in early-stage breast cancer patients: a randomized trial. Breast Cancer Reasearch and Treatment, 131(1), 99-109.
Holmberg, S. K., Scott, L. L., Alexy, W., & Fife, B. L. (2001). Relationship issues of woman with breast cancer. Cancer Nurs, 24(1), 53-60.
Jacobson, N. S., & Christensen, A. (1996). Acceptance and Change in Couple Therapy: A Therapist's Guide to Transforming Relationships., New York:Norton.
Jacobson, N. S., & Christensen, A., Prince, S. E., Cordova, J., & Eldridge, K (2000). Integrative couple therapy: An acceptance based, promising new treatment for couple discord. Journal of Consulting and Clinical Psychology, 68, 351-355.
Lillberg, K., Verkasalo, P. K., Kaprio, J., Helenius, H., & Koskenvuo, M. (2002). Personality characteristics and the risk of breast cancer: a prospective cohort study. Int J Cancer, 100(3), 361-366.
Liste, K. H. (1999). Breast cancer, personality and the feminine role. Patient Educ Couns, 36(1), 33-45.
Michael, H. A., Suzanne C. L., Aisha Kazi., Sarsh R. W., Tammy Sifre., Kenya R. U., Kristin Phillips., Stefan Gluck & Charles S. C. (2006). How stress management improves quality of life after treatment for breast cancer, Journal of consulting and clinical psychology 74(6), 1143-1152.
Roberts, C. S., Piper, L., Dennt, J., & Cuddeback, G. A. (1997). Support group intervention to facilitate young adults' adjustment to cancer, Health and Social Work, 22, 133-141.
Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1997). Manual for the State-Trait Anxiety Inventory. Pal. Alto. CA: Consulting Psychologist Press.
Wyatt. G., Kurtz, M. E., Liken, M. (1993). Breast cancer survivors: An exploration of quality of life issues. Cancer Nursing, 16(6), 440-448.
Zettle, R. D. (2003). Acceptance and commitment therapy(ACT) vs systematic desensitization in treatment of mathematic anxiety. Psychological Record, 53, 197-215.
- Downloaded
- Viewed
- 0KCI Citations
- 0WOS Citations