본 연구에서는 우울증이나 불안장애의 치료법으로 알려진 인지행동치료(Cognitive Behavioral Therapy: CBT)와 수용전념치료(Acceptance & Commitment Therapy: ACT)가 각 장애의 취약성 요인인 반추와 걱정을 낮추고 회복력 요인인 수용을 증진시키는지를 검증하였다. 반추와 걱정 수준이 높아 우울증이나 불안장애에 취약하다고 여겨지는 13명을 무선으로 CBT와 ACT에 배정하여 매주 90분 총 8회기 동안 프로그램을 진행하였다. 프로그램 전후에 반추적 반응양식 척도, 펜스테이트 걱정질문지, 상태 불안검사, Beck 우울검사, 수용 및 행동질문지(AAQ), 역기능적 태도 척도(DAS), 자동적 사고 질문지(ATQ)를 실시하였다. 그 결과, CBT와 ACT는 모두 우울과 불안의 취약 요인인 반추와 걱정사고를 감소 시켰고, 회복력 요인인 상위인지적 수용 정도를 증가시켰다. 또한 두 프로그램은 모두 불안과 우울의 증상과 함께 불안과 우울의 인지적 요소로 알려진 역기능적 신념과 부정적 자동사고도 감소시켰다. 이러한 결과들을 바탕으로 이들 치료 프로그램의 취약 집단에 대한 표적치료 효과와 본 연구의 제한점을 논의하였다.
This study compared the effectiveness of CBT and ACT in decreasing vulnerability and increasing resiliency in participants with depression and anxiety disorder. Twelve participants were randomized and treated using either ACT or CBT interventions. They attended an 8-week program consisting of 90 minute sessions each week. The Rumination Response Mode Scale, the Penn State Worry Questionnaire, the State Anxiety Inventory, the Beck Depression Inventory, the Acceptance and Action Questionnaire, the Dysfunctional Attitude Scale, and the Automatic Thought Questionnaire were administered as pre-and posttests. Results of the study found that both programs relieved depression and anxiety symptoms, decreased rumination and worry (known vulnerability factors of depression), increased metacognitive awareness and acceptance (known resiliency factors of both depression and anxiety), and decreased dysfunctional beliefs and negative automatic thoughts (known cognitive factors of depression). Based on these results, the usefulness of traditional treatment programs in preventive programs and the limitations are discussed.
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