바로가기메뉴

본문 바로가기 주메뉴 바로가기

ACOMS+ 및 학술지 리포지터리 설명회

  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

logo

메뉴

인지적 재구성 처치가 자기비난 대학생에게 미치는 효과

The Effect of Cognitive Restructuring on Self-Criticism

초록

본 연구는 자기비난 경향이 있는 대학생을 대상으로 인지적 재구성 처치가 자기비난, 우울, 불안, 부정적 자동적 사고와 긍정적 자동적 사고, 내면화된 수치심에 미치는 효과를 알아보기 위해 수행되었다. 연구 대상은 대구경북 소재의 대학교에서 게시판과 인터넷 공고를 통해 모집한 학생들에게 자기비난 척도를 실시하여 자기비난 점수가 20점 이상인 40명을 대상으로 하였다. 이들은 실험집단과 대기통제집단에 무선할당 되었으며, 실험집단에게는 인지적재구성 교육 후에 1주일간 인지적 재구성 처치를 적용하고 대기통제집단에게는 아무런 처치도 하지 않았다. 이후 대기통제집단은 실험집단과 똑같은 절차로 인지적 재구성 처치를 받았다. 연구결과, 실험집단은 통제 집단보다 사후 및 추후 자기보고 측정치에서 자기비난, 우울, 불안, 부정적 자동적 사고, 내면화된 수치심은 감소하고, 긍정적 자동적 사고는 증가한 것으로 나타났다. 이러한 연구 결과는 인지적 재구성 처치가 자기비난 경향이 있는 대상에게 효과적인 개입방법이 될 수 있다는 것을 시사하며, 이러한 연구결과에 대해 논의하였다.

keywords
self-criticism, cognitive restructuring, depression, anxiety, automatic thought, internal shame, 자기비난, 인지적 재구성, 우울, 불안, 자동적 사고, 내면화된 수치심

Abstract

The purpose of this study was to examine whether Cognitive Restructuring affects self-criticism, automatic thought, anxiety, depression, and internal shame. Participants were 40 students, recruited through paper or internet bulletins, who had self-criticism scores of 20 or higher on the self-criticism scale. Participants were randomly assigned to one of two groups using a wait list control group design. The experimental group received cognitive restructuring treatment for one week, while the control group received no treatment. The control group then received cognitive restructuring treatment using the same procedure as the experimental group. Participants in the experimental group displayed greater decreases in self-criticism, automatic negative thoughts, depression, anxiety, and internal shame, and greater increases in positive automatic thoughts than the control group. The results of this study suggest that cognitive restructuring may be an effective intervention for individuals with elevated levels of self-criticism.

keywords
self-criticism, cognitive restructuring, depression, anxiety, automatic thought, internal shame, 자기비난, 인지적 재구성, 우울, 불안, 자동적 사고, 내면화된 수치심

참고문헌

1.

권석만, 윤호균 (1994). 한국판 자동적 사고척도의 개발과 활용. 학생연구, 29(1), 10-25.

2.

김민주, 이민규 (2016). 자기자비 글쓰기가 평가염려 완벽주의를 가진 대학생의 자기비난 및 정서에 미치는 효과. 한국심리학회지: 건강, 21(2), 299-316.

3.

김유미, 송미경 (2017). 대학생의 자기비난과 우울. 한국심리학회지: 건강, 22(4), 1055- 1074.

4.

박미정, 유하나 (2018). 대학생의 취업스트레스와 우울의 관계에서 전공만족도의 매개효과: 인문사회계열과 자연공학계열 비교를 중심으로. 한국학교보건학회지, 31(1), 29-38.

5.

박세희, 박 경 (2016). 자기비난과 이상섭식행동의 관계에서 반추의 매개효과. 한국심리학회지: 임상심리 연구와 실제, 2(1), 19-37.

6.

성경주, 김재철 (2016). 대학생의 대상관계와 자살생각 간의 관계에서 자기 비난적 우울과 의존적 우울의 매개효과. 청소년학연구, 23(4), 473-499.

7.

오세만, 민경준, 박두병 (1999). 병원 불안-우울 척도에 관한 표준화 연구. J Korean Neuropsychiatr Assoc, 38(2).

8.

이인숙, 최해림 (2005). 내면화된 수치심 척도 (ISS)의 타당화 연구-애착, 과민성 자기애, 외로움과의 관계. 한국심리학회지: 상담 및 심리치료, 17(3), 651-670.

9.

조현주 (2011). 한국판 자기비판/자기공격과 자기위안 형태척도의 신뢰도와 타당도 연구. 인지행동치료, 11, 137-154.

10.

조현주, 현명호 (2011). 자기비판과 우울관계에서 지각된 스트레스와 자기자비 효과. 한국심리학회지: 건강, 16(1), 49-62.

11.

Ackerman, S. J., & Hilsenroth, M. J. (2001). A review of therapist characteristics and techniques negatively impacting the therapeutic alliance. Psychotherapy: Theory, Research, Practice, Training, 38

12.

Baião, R., Gilbert, P., McEwan, K., & Carvalho, S. (2015). Forms of self‐criticising/attacking & self‐reassuring scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice, 88(4), 438-452.

13.

Beck, A. T. (Ed.). (1979). Cognitive therapy of depression. Guilford press.

14.

Beck, J. (1995) Cognitive Therapy: Basics and Beyond. Guilford Press.

15.

Beck, J. S. (2007). 인지행동치료: 이론과 실제. (최영희 역). 서울: 하나의학사. (원전은 1997에 출판)

16.

Blatt, S. J. (1974). Levels of object representation in anaclitic and introjective depression. Psychoanalytic Study of the Child, 29, 109-157.

17.

Blatt, S. J. (2004). Experiences of depression: Theoretical, clinical, and research perspectives. American Psychological Association.

18.

Blatt, S. J., & Maroudas, C. (1992). Convergences among psychoanalytic and cognitive-behavioral theories of depression. Psychoanalytic Psychology, 9(2), 157.

19.

Briers, S. (2012). Brilliant Cognitive Behavioural Therapy: How to use CBT to improve your mind and your life. Pearson UK.

20.

Clark, D. A. (2014). Cognitive restructuring. The Wiley handbook of cognitive behavioral therapy.

21.

Cohen, J. (1988). Statistical power analysis for the behavioural sciences.

22.

Cook, D. R. (1989). Internalized shame scale(ISS). University of Wisconsin, Stout.

23.

Cook, D. R. (2001). Internalized shame scale: Technical manual. New York: Multi Health System Inc.

24.

Cox, B. J., Rector, N. A., Bagby, R. M., Swinson, R. P., Levitt, A. J., & Joffe, R. T. (2000). Is self-criticism unique for depression? A comparison with social phobia. Journal of Affective Disorders, 57(1-3), 223-228.

25.

Cox, B. J., Walker, J. R., Enns, M. W., & Karpinski, D. C. (2002). Self-criticism in generalized social phobia and response to cognitive-behavioral treatment. Behavior Therapy, 33(4), 479-491.

26.

de Oliveira, I. R., Hemmany, C., Powell, V. B., Bonfim, T. D., Duran, É. P., Novais, N., & Cesnik, J. A. (2012). Trial-based psychotherapy and the efficacy of trial-based thought record in changing unhelpful core beliefs and reducing self-criticism. CNS spectrums, 17(1), 16-23.

27.

Deldin, P. J., & Chiu, P. (2005). Cognitive restructuring and EEG in major depression. Biological psychology, 70(3), 141-151.

28.

Dobson, K. S., & Hamilton, K. E. (2004). Cognitive restructuring: 15 behavioral tests of negative cognitions. Cognitive Behavior Therapy: Applying Empirically Supported Techniques in Your Practice, 84.

29.

Dozois, D. J., & Dobson, K. S. (2001). Information processing and cognitive organization in unipolar depression: Specificity and comorbidity issues. Journal of abnormal psychology, 110(2), 236.

30.

Fernández, E. N., & Mairal, J. B. (2017). Behavioral activation versus cognitive restructuring to reduce automatic negative thoughts in anxiety generating situations. Psicothema, 29(2), 172-177.

31.

Gilbert, P. (2010). Compassion focused therapy: Distinctive features. Routledge.

32.

Gilbert, P., & Irons, C. (2005). Focused therapies and compassionate mind training for shame and self-attacking. Compassion: Conceptualisations, research and use in psychotherapy, 263-325.

33.

Gilbert, P., & Irons, C. (2009). Shame, self-criticism, and self-compassion in adolescence. Adolescent emotional development and the emergence of depressive disorders, 1, 195-214.

34.

Gilbert, P., Clarke, M., Hempel, S., Miles, J. N., & Irons, C. (2004). Criticizing and reassuring oneself: An exploration of forms, styles and reasons in female students. British Journal of Clinical Psychology, 43(1), 31-50.

35.

Gkika, S., & Wells, A. (2015). How to deal with negative thoughts? A preliminary comparison of detached mindfulness and thought evaluation in socially anxious individuals. Cognitive Therapy and Research, 39(1), 23-30.

36.

Harman, R., & Lee, D. (2010). The role of shame and self‐critical thinking in the development and maintenance of current threat in post‐traumatic stress disorder. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 17(1), 13-24.

37.

Herzog, D. B., Keller, M. B., Sacks, N. R., Yeh, C. J., & Lavori, P. W. (1992). Psychiatric comorbidity in treatment-seeking anorexics and bulimics. Journal of the American Academy of Child & Adolescent Psychiatry, 31(5), 810-818.

38.

Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive therapy and research, 4(4), 383-395.

39.

Hope, D. A., Burns, J. A., Hayes, S. A., Herbert, J. D., & Warner, M. D. (2010). Automatic thoughts and cognitive restructuring in cognitive behavioral group therapy for social anxiety disorder. Cognitive Therapy and Research, 34(1), 1-12.

40.

Hope, D. A., Heimberg, R. G., Juster, H. R., & Turk, C. L. (2006). 사회불안증의 인지행동치료: 사회불안 다스리기. (최병휘 역). 서울: 시그마프레스. (원전은 2000에 출판)

41.

Howard, K. I., Kopta, S. M., Krause, M. S., & Orlinsky, D. E. (1986). The dose–effect relationship in psychotherapy. American psychologist, 41(2), 159.

42.

Ingram, R. E., & Wisnicki, K. S. (1988). Assessment of positive automatic cognition. Journal of consulting and clinical psychology, 56(6), 898.

43.

Kannan, D., & Levitt, H. M. (2013). A review of client self-criticism in psychotherapy. Journal of Psychotherapy Integration, 23(2), 166.

44.

Leary, M. R. (1995). Self-presentation: Impression management and interpersonal behavior. Brown & Benchmark Publishers.

45.

Levenson, H. (2012). Time-limited dynamic psychotherapy. The Art and Science of Brief Psychotherapies: An Illustrated Guide(pp.195-237).

46.

Luyten, P., Sabbe, B., Blatt, S. J., Meganck, S., Jansen, B., De Grave, C., & Corveleyn, J. (2007). Dependency and self‐criticism: relationship with major depressive disorder, severity of depression, and clinical presentation. Depression and Anxiety, 24(8), 586-596.

47.

McIntyre, R., Smith, P., & Rimes, K. A. (2018). The role of self-criticism in common mental health difficulties in students: A systematic review of prospective studies. Mental Health & Prevention.

48.

Rector, N. A., Bagby, R. M., Segal, Z. V., Joffe, R. T., & Levitt, A. (2000). Self-criticism and dependency in depressed patients treated with cognitive therapy or pharmacotherapy. Cognitive Therapy and Research, 24(5), 571-584.

49.

Segal, Z. V., Shaw, B. F., Vella, D. D., & Katz, R. (1992). Cognitive and life stress predictors of relapse in remitted unipolar depressed patients: Test of the congruency hypothesis. Journal of Abnormal Psychology, 101(1), 26.

50.

Shahar, B., Doron, G., & Szepsenwol, O. (2015). Childhood maltreatment, shame‐proneness and self‐criticism in social anxiety disorder: A sequential mediational model. Clinical psychology & psychotherapy, 22(6), 570-579.

51.

Shiota, M. N., & Levenson, R. W. (2012). Turn down the volume or change the channel? Emotional effects of detached versus positive reappraisal. Journal of Personality and Social Psychology, 103(3), 416.

52.

Whelton, W. J., & Greenberg, L. S. (2005). Emotion in self-criticism. Personality and individual differences, 38(7), 1583-1595.

53.

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370.

logo