수용 전념 치료(ACT)가 폭식장애 경향이 있는 대학생의 폭식행동, 경험회피, 심리적 안녕감에 미치는 효과
Effects of Acceptance– Commitment Therapy(ACT) on Binge Eating Behavior, Experiential Avoidance, and Psychological Well-Being of College Students Prone to Binge Eating Disorder
손정락 (전북대학교)
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초록
수용 전념 치료 프로그램이 폭식장애 경향이 있는 대학생의 폭식행동, 경험회피 및 심리적 안녕감에 미치는 효과를 알아보았다. J지역 내 대학생을 250명 남녀 학생들에게 폭식척도(BES), 수용행동질문지(AAQ-16), 심리적 안녕감 척도(PWBS)를 실시하였다. 이를 토대로 폭식장애 경향이있는 대학생 14명을 참가자로 선정하여 치료 집단에 7명, 통제집단에 7명씩 무선 할당하였다. 수용 전념 치료 프로그램은 주 2회씩 총 8회기에 걸쳐 진행되었다. 프로그램 종료 후 사후 조사가실시되었고 8주 후 추적 조사가 이루어졌다. 그 결과, 수용 전념 치료 프로그램에 참여한 집단이통제집단보다 폭식행동과 경험회피가 유의하게 더 감소되었고, 심리적 안녕감은 유의하게 더 증가되었다. 마지막으로, 본 연구의 의의와 제한점 및 추후 연구에 대한 제언이 논의되었다.
- keywords
- 폭식행동, 경험회피, 심리적 안녕감, 수용 전념 치료(ACT), binge eating behavior, experiential avoidance, psychological well-being, acceptance – commitment therapy(ACT)
Abstract
The purpose of this study is to explore the effects of Acceptance–Commitment Therapy(ACT) on binge eating behavior, experiential avoidance, and psychological well–being of college students prone to binge eating disorders. Two hundred and fifty college students in Chonbuk province completed a Binge Eating Scale(BES), a Acceptance & Action Questionnaire-16 (AAQ-16), and a Psychological Well-Being Scale(PWBS). Fourteen patients selected by those scales were randomly assigned, seven of them to the ACT group and seven to the control group. The ACT program was administered for eight sessions. All participants completed BES, AAQ-16, and PWBS at pre-test, post-test, and at eight week follow-up periods. The results of this study were as follows: Binge eating behavior and experiential avoidance of the therapy group decreased more than for the control group. Psychological well-being of the therapy group increased more than for the control group. Finally, the implications and the limitations of this study, and the suggestions for future study were also discussed.
- keywords
- 폭식행동, 경험회피, 심리적 안녕감, 수용 전념 치료(ACT), binge eating behavior, experiential avoidance, psychological well-being, acceptance – commitment therapy(ACT)
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