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The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

The Effects of Mindfulness Meditation on the Suicidal Ideation, Depression, and Subjective Well-being in High School Students with Suicidal Tendencies

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2018, v.23 no.1, pp.37-55
https://doi.org/10.17315/kjhp.2018.23.1.003



Abstract

The purpose of this study was to evaluate the effects of a mindfulness meditation program on the identified suicidal ideation, depression and subjective well-being among female high school students with noted suicidal tendencies. The participants to the study were freshmen from a girls’ high school in Seoul, South Korea and were recruited based on their depression and suicidal ideation scores on the AMPQ-Ⅱ. Among the volunteers, there were 17 students with BHS scores above 10 or with a reported past suicidal attempt who were selected. The participants were randomly assigned to either a treatment group (n=10) or a waiting-list control group (n=7). The treatment group received a 60-minute mindfulness program once to twice per week, over a 6-week period of time. All participants to the study completed the following scales at pre-treatment, post-treatment, and follow-up. The major findings were as follows. The treatment group showed noted decreases in suicidal ideation and negative emotions compared to the waiting-list control group. There were no significant differences that were found between the groups at post treatment on depression, life satisfaction, expectation of life satisfaction, or positive emotion. At the 4-week follow-up analysis, the decreases in suicidal ideation and negative emotions were maintained in the treatment group. These results suggest that the use of mindfulness meditation can help to decrease suicidal ideation and negative emotions among the high school students with exhibited or identified suicidal tendencies. Finally, the implications and limitations of the study were discussed.

keywords
Suicidal ideation, mindfulness meditation, hopelessness, depression, subjective well-being, 자살, 마음챙김명상, 무망감, 우울, 주관적 웰빙

Reference

1.

교육부·보건복지부·질병관리본부 (2016). 2016년 청소년 건강행태온라인조사 통계. 충북: 질병관리본부.

2.

김도연, 손정락 (2012). 마음챙김에 기반한 청소년 자살방지 프로그램이 자살사고, 우울 및 자기존중감에 미치는 효과. 한국심리학회지: 건강, 17(2), 323-339.

3.

김상대 (2013). 마음챙김 명상이 유방암 환자의 스트레스, 수용, 삶의 질 및 주관적 웰빙에 미치는 영향. 덕성여자대학교 대학원 석사학위 청구논문.

4.

김정호 (2004). 마음챙김이란 무엇인가: 마음챙김의 임상적 및 일상적 적용을 위한 제언. 한국심리학회지: 건강, 9(2), 511-538.

5.

김정호 (2006). 동기상태이론: 스트레스와 웰빙의 통합적 이해. 한국심리학회지: 건강, 11(2), 453-484.

6.

김정호 (2007a). 삶의 만족 및 삶의 기대와 스트레스 및 웰빙의 관계. 한국심리학회지: 건강, 12(2), 325-345.

7.

김정호 (2007b). 긍정정서와 부정정서 척도. 미출판 원고, 덕성여자대학교 임상건강심리연구실, 서울, 대한민국.

8.

김정호 (2008). 행복이 건강에 미치는 영향. 스트레스硏究, 16(2), 123-141.

9.

김정호 (2010). 마음챙김과 긍정심리학 중재법의 통합프로그램을 위한 제언. 한국심리학회지: 건강, 15(3), 369-387.

10.

김정호 (2011). 마음챙김 명상 멘토링. 서울: 불광출판사.

11.

김정호 (2014). 스무 살의 명상책. 서울: 불광출판사.

12.

김정호 (2016). 마음챙김 명상 메뉴얼. 서울: 불광출판사.

13.

김정호, 김미리혜, 윤경희 (2012). 수용행동 척도-Ⅱ. 미출판 원고, 덕성여자대학교 임상건강심리연구실, 서울, 대한민국.

14.

김정호, 유제민, 서경현, 임성견, 김선주, 김미리혜, 공수자, 강태영, 이지선, 황정은 (2009). "삶의 만족"은 만족스러운가: 주관적 웰빙 측정의 보완. 한국심리학회지: 사회문제, 15(1), 187-205.

15.

김주희, 김미리혜, 김정호 (2013). 마음챙김 명상이 여대생들의 기능성 소화불량증 증상과 심리적 특성에 미치는 효과. 한국심리학회지: 건강, 18(1), 53-68.

16.

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

17.

박경 (2011). 수용, 외상 후 성장, 우울과 자살사고의 관계. 스트레스硏究, 19(4), 281-292.

18.

박병금 (2007). 청소년의 가족환경요인과 자살생각-자아존중감과 우울의 매개효과를 중심으로. 생활과학연구논총: 11(1), 1-17.

19.

박준희 (2011). 자살행동 예방을 위한 핵심마인드풀니스 인지행동치료 프로그램 개발 및 효과 : 자살고위험 여대생집단을 대상으로. 명지대학교 대학원 박사학위 청구논문.

20.

서은성, 김미리혜, 김정호 (2014). 마음챙김 명상이 중증원형탈모증 환자의 우울, 불안 및 삶의 질에 미치는 효과. 한국심리학회지: 건강, 19(2), 533-551.

21.

신민섭 (1992). 자살기제에 대한 실증적 연구: 자기도피척도의 타당화. 연세대학교 박사학위 청구논문.

22.

신민섭, 박광배, 오경자 (1991). 우울증과 충동성이 청소년들의 자살 행위에 미치는 영향. 한국심리학회지: 임상, 10(1), 286-297.

23.

신민섭, 박광배, 오경자, 김중술 (1990). 고등학생의 자살 성향에 관한 연구. 한국심리학회지: 임상, 9(1), 1-19.

24.

신민정, 정경미, 김은성 (2012). 한국 청소년들의 우울 및 불안에 대한 성차 연구: 발현시기와 연령별 변화를 중심으로. 한국심리학회지: 임상, 31(1), 93-114.

25.

이희영, 김정호, 김미리혜, (2012). 마음챙김에 기반한 인지치료(MBCT)가 여자대학생의 우울과 웰빙에 미치는 효과. 한국심리학회지: 건강, 17(1), 43-63.

26.

임은미, 정성석 (2009). 청소년의 스트레스와 우울의 변화 및 우울에 대한 스트레스의 장기적 영향. 청소년학연구, 16(3), 99-121.

27.

전겸구, 최상진, 양병창 (2001). 통합적 한국판 CES-D 개발. 한국심리학회지: 건강, 6(1), 59-76.

28.

정묘순, 서수균 (2014). 청소년 자살시도 예측변인. 한국청소년연구, 25(2), 145-171.

29.

조명한, 차경호 (1998). 삶의 질에 대한 국가간 비교. 서울: 집문당.

30.

통계청 (2017). 2017년 청소년 통계. 서울: 통계청.

31.

Barnhofer, T., Crane, C., Hargus, E., Amarasinghe, M., Winder, R., & Williams, J. M. G. (2009). Mindfulness-based cognitive therapy as a treatment for chronic depression: A preliminary study. Behaviour research and therapy, 47(5), 366-373.

32.

Baumeister, R. F. (1990). Suicide as escape from self. Psychological review, 97(1), 90.

33.

Beck. A. T. (1986). Hopelessness as a predictor of eventural suicide. Annals of the New York Academy of Science, 487, 90-96.

34.

Beck, A. T., Steer, R. A., & Brown, G. (1993). Dysfunctional attitudes and suicidal ideation in psychiatric outpatients. Suicide and Life-Threatening Behavior, 23(1), 11-20.

35.

Beck, A. T., Brown, G., Berchick, R. J., Stewart, B. L., & Steer, R. A. (1990). Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients. The American journal of psychiatry, 147(2), 190.

36.

Beck, A. T., Steer, R. A., Kovacs, M., & Garrison, B. (1985). Hopelessness and eventual suicide: A 10-year prospective study of patients hospitalized with suicidal ideation. American Journal of Psychiatry, 142, 559–563.

37.

Beck, A. T., Weissman, A., Lester, D., & Trexler, L. (1974). The measurement of pessimism: the hopelessness scale. Journal of consulting and clinical psychology, 42(6), 861.

38.

Bond, F. W., & Bunce, D. (2000). Mediators of change in emotion-focused and problem-focused worksite stress management interventions. Journal of occupational health psychology, 5(1), 156.

39.

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(6), 1057.

40.

Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior therapy, 42(4), 676-688.

41.

Bonner, R. L. (1990). A "MAP" to the clinical assessment of suicide risk. Journal of Mental Health Counseling, 12, 232–236.

42.

Carlson, G. A., & Cantwell, D. P. (1982). Suicidal behavior and depression in children and adolescents. Journal of the American Academy of child psychiatry, 21(4), 361-368.

43.

Chiesa, A., & Serretti, A. (2010). A systematic review of neurobiological and clinical features of mindfulness meditations. Psychological medicine, 40(8), 1239-1252.

44.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hilsdale. NJ: Lawrence Earlbaum Associates, 2.

45.

Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American Psychologist, 55, 34-43.

46.

Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of personality assessment, 49(1), 71-75.

47.

Dori, G. A., & Overholser, J. C. (1999). Depression, Hopelessness, and Self‐Esteem: Accounting for Suicidality in Adolescent Psychiatric Inpatients. Suicide and Life-Threatening Behavior, 29(4), 309-318.

48.

Fredrickson, B. (1998). What good are positive emotion? Review of general psychology, 2(3), 300-319.

49.

Fredrickson, B., & Joiner, T. (2002). Positive emotions trigger upward spirals toward emotional well-being. Psychological Science, 13(2), 172.

50.

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

51.

Jacobs, D. G., Baldessarini, R. J., Conwell, Y., Fawcett, J. A., Horton, L., Meltzer, H., ... Simon, R. I. (2010). Assessment and treatment of patients with suicidal behaviors. APA Pract Guidel.

52.

Kabat-Zinn, J. (1994). Wherever you go, there you are. Mindfulness meditati on in everyday life. New York: Hyperion.

53.

Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of general psychiatry, 52(12), 1048-1060.

54.

Knieper, A. (1999). The suicide survivors grief and recovery. Suicide and Life Threatening Behavior, 29, (4), 353-364.

55.

Ma, S. H., & Teasdale, J. D. (2004). Mindfulnessbased cognitive therapy for depression: replication and exploration of differential relapse prevention effects. Journal of consulting and clinical psychology, 72(1), 31.

56.

Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American Journal of Psychiatry, 156(2), 181-189.

57.

Masuda, A., Price, M., & Latzman, R. D. (2012). Mindfulness moderates the relationship between disordered eating cognitions and disordered eating behaviors in a non-clinical college sample. Journal of psychopathology and behavioral assessment, 34(1), 107-115.

58.

McLaughlin, J., Miller, R., & Warwick, H. (1996). Deliberate self-harm in adolescents: Hopelessness, depression, and problem solving. Journal of Adolescence, 19, 523-532.

59.

McMillan, D., Gilbody, S., Beresford, E., & Neilly, L. I. Z. (2007). Can we predict suicide and non-fatal self-harm with the Beck Hopelessness Scale? A meta-analysis. Psychological medicine, 37(6), 769-778.

60.

Organization for Economic Co-operation and Development (2017). OECD Health Data 2017. Retrieved from http://www.oecd.org /els/healthsystems/health-data.htm

61.

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied psychological measurement, 1(3), 385-401.

62.

Reynolds, W. M. (1988). SIQ, Suicidal ideation questionnaire: Professional manual. Odessa, FL: Psychological Assessment Resources.

63.

Roberts, C., Kane, R., Thomson, H., Bishop, B., & Hart, B. (2003). The prevention of depressive symptoms in rural. school children: a randomised controlled trial. Journal of Consulting and Clinical Psychology 71(3), 622-628.

64.

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of personality and social psychology, 57(6), 1069.

65.

Seligman, M. E., & Csikszentmihalyi, M. (2000). Positive psychology: An introduction. American Psychologist, 55(1), 5-14.

66.

Thompson, B. L., & Waltz, J. (2010). Mindfulness and experiential avoidance as predictors of posttraumatic stress disorder avoidance symptom severity. Journal of anxiety disorders, 24(4), 409-415.

67.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology, 54(6), 1063.

68.

Weissman, M. M., Wickramaratne, P., Nomura, Y., Warner, V., Pilowsky, D., & Verdeli, H. (2006). Offspring of depressed parents: 20 years later. American Journal of Psychiatry, 163(6), 1001-1008.

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