open access
메뉴
open access
메뉴
E-ISSN : 2733-4538
The purpose of this study was to evaluate the effects of Mindfulness-Based Cognitive Therapy (MBCT) for emotion regulation in a patient group. The MBCT group and treatment as usual group were assessed (pre/ post/ follow-up) in cognitive modes associations with negative emotions such as cognitive avoidance, ruminative response, difficulties in emotion regulation, depression, and anxiety. The results indicated that the MBCT group (n = 9) showed a significant improvement in observation and acceptance of mindfulness, and reduced cognitive avoidance, ruminative response, difficulties in emotion regulation, depression, anxiety, compared with the treatment as usual group (n = 9). These results continued to a six week follow-up. Further, the cohen`d of the MBCT group was large (.72-1.87). Overall, these results imply the applicability of the MBCT for emotion-regulation in a patient groups, MBCT can facilitate a change in cognitive modes which are associated with negative emotions. Futher, we have discussed therapeutic factors of MBCT for emotion-regulation, and suggested therapeutic processes for further study.
김명식, 이임순, 이창선 (2007). 한국판 BDI-Ⅱ의 타당화 연구Ⅰ: 여대생을 대상으로. 한국심리학회지: 임상, 26(4), 997-1014.
김소정, 김지혜, 윤세창 (2010). 한국판 반추적 반응 척도(K-RRS)의 타당화 연구. 한국심리학회지: 임상, 29(1), 1-19.
김은정 (1993). 우울증상의 지속에 영향을 주는 인지 및 행동요인들: 3개월 간 추적 연구. 연세대학교 일반대학원 박사학위 청구논문.
김정모 (2006). 한국판 켄터키 마음챙김기술 척도의 타당화 연구. 한국심리학회지: 임상, 25(4), 1123-1139.
김정모, 전미애 (2009). 마음챙김에 기초한 인지치료가 일반 대학생의 정서조절에 미치는 효과. 한국심리학회지: 임상, 28(3), 741-759.
육성필, 김중술 (1997). 한국판 Beck Inventory의 임상적 연구. 한국심리학회지: 임상, 16, 185-197.
전미애, 김정모 (2009). 마음챙김에 기초한 인지치료가 대학생의 사고억제에 미치는 효과. 한국심리학회지: 건강, 14, 795-813.
조용래 (2007). 정서조절곤란의 평가: 한국판 척도의 심리측정적 속성. 한국심리학회지: 임상, 26, 1015-1038.
조용래 (2008). 시험불안에서 상위인지의 역할: 우울수준, 실수에 대한 완벽주의적 염려, 학습기술 및 학업적 자기 효능감의 영향을 넘어서. 한국심리학회지: 임상, 27, 709-727.
조용래, 채숙희, 최연숙 (2009). 우울과 불안증상 및 안녕감에서 경험 회피와 마음챙김 주의 자각의 역할. 한국심리학회지: 임상, 28, 1135-1154.
Abba, N., Chadwick, P., & Stevenson, C. (2008). Responding mindfully to distressing psychosis: A grounded theory analysis. Psychotherapy Research, 18(1), 77-87.
Arch, J. J., & Craske, M. G. (2006). Mechanism of mindfulness: Emotion regulation following a focused breathing induction. Behavior Research and Therapy, 44, 1849-1858.
Astin, J. A. (1997). Stress reduction through mindfulness meditation: Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychotherapy & Psychosomatics, 66(2), 97-106.
Baer, R. A., Fischer S., & Huss, D. B. (2005a). Mindfulness-based cognitive therapy applied to binge eating: A case study. Cognitive and Behavioral Practice, 12, 351-358.
Baer, R. A., Fischer S., & Huss, D. B. (2005b). Mindfulness and acceptance in the treatment of disordered eating. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 23, 281-300.
Baer, R. A., Smith G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report the kentucky inventory of mindfulness skills. Assessment, 11, 191-206.
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, 366-373.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory(2nd Manual). San Antonio, TX: Psychological Corporation.
Beck, A., Rush, J., Shaw, B. F., & Emery, G. (1997). 우울증의 인지치료. (원호택, 박현순, 신경진, 이훈진, 조용래, 신현균, 김은정 역). 서울: 학지사. (원전은 1979에 출판)
Berking, M., Wupperman, P., Reichardt, A., Pejic, T., Dippel, T., Dippel, A., & Znoj, H. (2008). Emotion-regulation skills as a treatment target in psychotherapy. Behaviour Research and Therapy, 46, 1230-1237.
Campos, J. J., Frankel, C. B., & Camras, L. (2004). On the nature of emotion regulation. Child Development, 75, 377-394.
Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (2003). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosomatic Medicine, 65, 571–581.
Carmody, J., Baer, R. A., Lykins, E. L. B., & Olendzki, N. (2009). An empirical study of the mechanism of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65, 613-626.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences(2nd ed.). New York: Academic Press.
Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., & Haglin, D. (2008). Mindfulness -based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorders, 22, 716-721.
Finucane, A., & Mercer, S. W. (2006). An exploratory mixed methods study of the acceptability and effectiveness of mindfulness -based cognitive therapy for patients with active depression and anxiety in primary care. BioMed Central Psychiatry, 6, 1-14.
Fronsdal, G. (2009). 현재, 이 순간을 알기. (위오기, 안희영 역). 경기도: 보리수 선원. (원전년도 미상)
Gilson, M., & Freeman, A. (2006). 우울증의 인지치료. (최병휘, 이종선 역). 서울: 시그마프레스. (원전은 2006에 출판)
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54.
Gross, J. J., & Munoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology and Social Practice, 2, 151-164.
Gross, J., & John, O. (2003). Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being. Journal of Personality and Society Psychology, 85, 348-362.
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57, 35-43.
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavior therapy. Behavior Therapy, 35, 639-665.
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy. New York: Guilford Press.
Hayes, S. C., Wilson, K. W., Gifford, E., Follette, V. M., & Strosahl, K. (1996). Emotional avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.
Huss, D. B., & Baer, R. A. (2007). Acceptance and change: The integration of mindfulness -based cognitive therapy into ongoing dialectical behavior therapy in a case of borline personality disorder with depression. Clinical Case Studies, 6, 17-33.
Juarascio, A. S., Forman, E. M., & Herbert, J. D. (2010). Acceptance and commitment therapy versus cognitive therapy for the treatment of comorbid eating pathology. Behavior Modification, 34, 175–190.
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chromic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33-47.
Kabat-Zinn, J. (1998). 명상과 자기치유. (장현갑, 김교헌 역). 서울: 학지사. (원전은 1990에 출판)
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144-156.
Kabat-Zinn, J., Wheeler, E., Light, T., Skillings, A., Scharf, M., Cropley, T., G., et al. (1998). Influence of a mindfulness-based stress reduction intervention on rates of skin clearing in patients with moderate to severe psoriasis undergoing phototherapy (UVB) and photochemotherapy (PUVA). Psychosomatic Medicine, 60, 625-632.
Kenny, M. A., & Williams, J. M. G. (2007). Treatment-resistant depressed patients show a good response to mindfulness-based cognitive therapy. Behaviour Research and Therapy, 45, 617-625.
Kim, Y. W., Lee, S., Choi, T. K., Shin, Y. S., Kim, B., Kim, C. M., Cho, S. J., Kim, M, J., Yook, K., Ryu, M., Song, S. K., & Yook, K. (2009). Effectiveness of mindfulness-based cognitive therapy as an adjuvant to pharmacotherapy in patients with panic disorder or generalized anxiety disorder. Depression and Anxiety, 26, 601-606.
Kingston, T., Dooley, B., Bates, A., Lawlor, E., & Malone, K. (2007). Mindfulness-based cognitive therapy for residual depressive symptoms Psychology and Psychotherapy: Theory, Research and Practice, 80, 193–203.
Kring, A. M., & Werner, K. H. (2004). Emotion regulation and psychopathology, In P. Philippot, & R. S. Feldman (Eds.), The regulation of emotion (pp.359-385). Lawrence Erlbaum Associates.
Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge-eating disorder. Journal of Health Psychology, 4, 357-363.
Kuyken, W., Byfold, S., Taylor, R. S., Watkins, E., Holden, E., White, K., Barrett, B., Byng, R., Evans, A., Mullan, E., & Teasdale, J. D. (2008). Mindfulness-based cognitive therapy to prevent relapse in recurrent depression. Journal of Consulting and Clinical Psychology, 76, 966-978.
Lee, L., Semple, R. J., Rosa, E., & Miller, L. (2008). Mindfulness-based cognitive therapy for children: Results of a pilot study. Journal of Cognitive Psychotherapy, 22, 15-28.
Linehan, M. M. (1993a). Dialectical behavioral therapy for borderline personality disorder: Implications for the treatment of substance abuse. National Institute for Drug Abuse Research Monographs, 137, 201-216.
Linehan, M. M. (1993b). Cognitive behavioral treatment of borderline personality disorder. New York: Guilford.
Linehan, M. M., Heard, H. L., & Armstrong, H. E. (1993). Naturalistic follow-up of a behavioral treatment for chronically parasuicidal borderline patients. Archives of General Psychiatry, 50, 971-974.
Lykins, E. L. B., & Baer, R. A. (2009). Psychologial functioning in a sample of long-term practitioners of mindfulness meditation. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 226-241.
Ma, S. H., & Teasdale, J. D. (2004). Mindfulness -based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72, 30-40.
Marlatt, G. A. (1994). Addiction, mindfulness, and acceptance. Content, context, and the types of psychological acceptance. In s. c. Hayes, N. S. Jacobson, V. M. Follette, & M. J. Dougher (Eds.), Acceptance and change: Content and context in psychotherapy (pp.175-197). Reno, NV: Context Press.
Mason, O. M., & Hargreaves, I. (2001). A qualitative study of mindfulness-based cognitive therapy for depression. British Journal of Medical Psychology, 74, 197-212.
Michalak, J., Heidenreich, T., Meiber, P., & Schulte, D. (2008). Mindfulness predicts relapse/recurrence in major depressive disorder after mindfulness-based cognitive therapy. The Journal of Nervous and Mental Disease, 196, 630-633.
Nolen-Hoksema, S. (1987). Sex difference in unipolar depression: Evidence and theory. Psychological Bulletin, 101, 259-281.
Nolen-Hoksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569-582.
Roemer, L., & Orsillo, S. M. (2007). An open trial of an acceptance-based behavior therapy for generalized anxiety disorder. Behavioral Therapy, 38, 72-85.
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2006). 마음챙김 명상에 기초한 인지치료. (이우경, 조선미, 황태연 역). 서울: 학지사. (원전은 2002에 출판)
Seiffge-Krenke, I. (2000). Causal links between stressful events, coping style, and adolescent symptomatology, Journal of Adolescence, 23, 675-691.
Semple, R. J., & Reid, E. F. G., & Miller, L. (2005). Treating anxiety with mindfulness: An open trial of mindfulness training for anxiety children. Cognitive Psychotherapy, 19, 379-392.
Sexton, K. A., & Dugas, M. J. (2007). The cognitive avoidance questionnaire validation of the english translation. Anxiety Disorder, ANXDIS-770.
Shapiro, S. L., Bootzin, R. R., Figueredo, A. J., Lopez, A. M., & Schwartz, G. E. (2003). The efficacy of mindfulness-based stress reduction in the treatment of sleep disturbance in women with breast cancer: An exploratory study. Journal of Psychosomatic Research, 54, 85–91.
Shapiro, S. L., Oman, D., Thoresen, C., Plante, T. G., & Flinders, T. (2008). Cultivating mindfulness: Effects on well-being. Journal of Clinical Psychology, 64, 840-862.
Shapiro, S. L., Schwartz, G. E. R., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21, 581-599.
Smith, A., Graham, L., & Senthinathan, S. (2007). Mindfulness-based cognitive therapy for recurring depression in older people: A qualitative study. Aging and Mental Health, 11, 346-357.
Speca, M., Carlson, L. E., Goodey, E., & Anmen, M. (2000). A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients. Psychosomatic Medicine, 2, 613-622.
Sugiura, Y. (2004). Detached mindfulness and worry: a meta-cognitive analysis. Personality and Individual Differences, 37, 169-179.
Swenson, C. R., Sanderson, C., Dulit, R. A., & Linehan, M. M. (2001). The application of dialectical behavior therapy for patients with borderline personality disorder on inpatient units. Psychiatric Quarterly, 72, 307-324.
Teasdale, J. D. (1988). Cognitive vulnerability to persistent depression. Cognition and Emotion, 2, 247-274.
Teasdale, J. D. (1999). Metacognition, mindfulness and the modification of mood disorders. Clinical Psychology and Psychotherapy, 6, 146-155.
Teasdale, J. D., Moore, R. G., Hayhurst, H., Pope, M., Williams, S., & Segal, Z. V. (2002). Metacognitive awareness and prevention of relapse in depression: Empirical evidence. Journal of Consulting and Clinical Psychology. 70, 275-287.
Teasdale, J. D, Segal, Z. V., Williams, J. M. G, Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68(4), 615-623.
Telch, C. R., Agras, W. S., & Linehan, M. M. (2001). Dialectical behavior therapy for binge eating disorder. Journal of consulting and Clinical Psychology, 69, 1061-1065.
Thompson, R. A. (1991). Emotional regulation and emotional development. Educational Psychology Review, 3, 269-307.
Turner, R. M. (2000). Naturalistic evaluation of Dialectical behavior therapy-oriented treatment for borderline personality disorder. Cognitive and Behavioral Practice, 7, 413-419.
Wells, A. (2002). GAD, metacognition, and mindfulness: An information processing analysis. Clinical Psychology: Research and Therapy, 37, 585-594.
Williams, J. M. G., Alatiq, Y., Crane, C., Barnhofer, T., Fennell, M. J. V., Duggan, D. S., Hepburn, S., & Goodwin, G. M. (2008). Mindfulness-based cognitive therapy (MBCT) in bipolar disorder: Preliminary evaluation of immediate effects on between-episode functioning. Journal of affective disorders, 107, 275-279.
Williams, J. M. G., Duggan, D. S., Crane, C. & Fennell, M. J. V. (2006). Mindfulness-Based Cognitive Therapy for Prevention of Recurrence of Suicidal Behavior. Journal of Clinical Psychology, 62(2), 201-210.
Yook, K., Lee, S. H., Ryu, M., Kim, K. H., Choi, T. K., Suh, S. Y., Kim, B., Kim, M. Y., & Kim, M. (2008). Usefulness of mindfulness-based cognitive therapy for treating insomnia in patients with anxiety disorders: A pilot study. The Journal of Nervous and Mental Disease, 196(6), 501-503.