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E-ISSN : 2733-4538
The present study examined the effects of a group mindfulness-based emotion regulation intervention(MBERI) on psychological health in a Korean sample of university students. Moreover, to shed light on the mechanisms of changes in the MBERI, this study proposed both emotion dysregulation and mindfulness as potential mediators of treatment changes on the basis of literature review. Forty-five participants in the MBERI group and 50 those in a psychoeducation group completed the measures of psychological health and proposed mediators at pre-intervention, after session 4, and post-intervention. In addition, participants in the MBERI group completed all of the same scales once again at 1-month follow-up. Compared to the participants in the psychoeducation group, those in the MBERI group demonstrated decreases in depressive symptoms, general negative affect, and emotion dysregulation, as well as increases in psychological well-being, life satisfaction, and mindfulness. Early reductions in emotion dysregulation mediated the short-term effects of the MBERI on depressive symptoms, general negative affects, and psychological well-being, but early increases in mindfulness did not. Short-term reductions in emotion dysregulation were significantly associated with long-term changes in depressive symptoms, psychological well-being, and life satisfaction. In addition, short-term improvements in mindfulness were significantly correlated with long-term changes in life satisfaction. In conclusion, these findings suggest that a group MBERI leads to improvements in university students' psychological health, which are mediated through changes in emotion dysregulation, and that some of its long-term effects may be mediated through short-term improvements in mindfulness.
김명소, 김혜원, 차경호 (2001). 심리적 안녕감의 구성개념 분석: 한국 성인 남녀를 대상으로. 한국심리학회지: 사회 및 성격, 15, 19-39.
김정모 (2008). 정서조절을 위한 마음챙김 인지치료. 미발표 원고.
김정모, 전미애 (2009). 마음챙김에 기초한 인지치료가 일반 대학생의 정서조절에 미치는 효과. 한국심리학회지: 임상, 28, 741- 759.
김정호 (2001). 체계적 마음챙김을 통한 스트레스 관리: 정서 마음챙김을 중심으로. 한국심리학회지: 건강, 6, 23-58.
박정현, 서은국 (2005). 사람의 내-외적인 모습에 두는 상대적 비중과 행복관과의 관계. 한국심리학회지: 사회 및 성격, 19, 19-31.
배재홍 (2007). 한국형 마음챙김 명상에 기반한 스트레스 감소 프로그램이 대학생의 정서 반응성에 미치는 영향. 영남대학교 일반대학원 박사학위 청구논문.
원두리, 김교헌 (2006). 한국판 5요인 마음챙김 척도의 타당화 연구. 한국심리학회지: 건강, 11, 871-886.
이수정, 이훈구 (1997). Trait Meta-Mood Scale의 타당화에 관한 연구: 정서지능의 하위요인에 대한 탐색. 한국심리학회지: 사회 및 성격, 11, 95-116.
이영호, 송종용 (1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지: 임상, 10, 98-113.
이우경 (2008). 중년기 여성의 스트레스, 마음챙김, 자기-자애, 정서적 안녕감 간의 관계 구조분석과 마음챙김 증진 프로그램의 효과 연구. 이화여자대학교 일반대학원 박사학위 청구논문.
이현희, 김은정, 이민규 (2003). 한국판 정적 정서 및 부적 정서 척도(Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구. 한국심리학회지: 임상, 22, 935-946.
장현갑 (2006). 마음챙김 명상. 2006년 한국임상심리학회 동계연수회 자료집 Ⅰ, 서울.
장현갑, 김정모, 배재홍 (2007). 한국형 마음챙김 명상에 기반한 스트레스 감소 프로그램의 개발과 SCL-90-R로 본 효과성 검증. 한국심리학회지: 건강, 12, 833-850.
전미애, 김정모 (2009). 마음챙김에 기초한 인지치료가 대학생의 사고억제에 미치는 효과. 한국심리학회지: 건강, 14, 795-813.
전미애, 김정모 (2011a). 마음챙김에 기초한 인지치료(MBCT)가 청소년 수형자의 공격성과 충동성에 미치는 효과. 한국심리학회지: 건강, 16, 63-78.
전미애, 김정모 (2011b). 정서조절을 위한 MBCT가 임상군 환자들에게 미치는 효과. 한국심리학회지: 임상, 30, 113-135.
전종희, 이우경, 이수정, 이원혜 (2007). 한국판 마음챙김 주의 자각 척도의 신뢰도와 타당도 예비 연구. 한국심리학회지: 임상, 26, 201-212.
정준영, 박성현 (2009). 초기 불교의 sati와 현대심리학의 마음챙김: 마음챙김 구성개념 정립을 위한 제언. 2009년 한국명상치유학회 제 2차 정례회 자료집.
조용래 (2007). 정서조절곤란의 평가: 한국판 척도의 심리측정적 속성. 한국심리학회지: 임상, 26, 1015-1038.
조용래 (2009). 한국판 개정된 인지적 및 정서적 마음챙김 척도의 신뢰도와 타당도. 한국심리학회지: 임상, 28, 667-693.
최예종, 조용래 (2009). 정서조절곤란과 수용처치가 대학생의 우울기분 변화에 미치는 효과. 한국심리학회지: 임상, 28, 1107- 1134.
Baer, R. A. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125-143.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychology research. Journal of Personality of Social Psychology, 51, 1173-1182.
Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561-571.
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., & Devins, G. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230-240.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848.
Brown, K., W., Ryan, R., M., & Creswell, J. D. (2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18, 211-237.
Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness -based stress reduction program. Journal of Behavioral Medicine, 31, 23-33.
Carmody, J., Baer, R. A., Lykins, E. L. B, & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65, 613-626.
Carmody, J., Reed, G., Kristeller, J., & Merriam, P. (2008). Mindfulness, spirituality, and health-related symptoms. Journal of Psychosomatic Research, 64, 393-403.
Cicchetti, D., Ackerman, B. P., & Izard, C. E. (1995). Emotions and emotion regulation in developmental psychopathology. Development and Psychopathology, 7, 1-10.
Davidson, R. J. (2000). Affective style, psychopathology, and resilience: Brain mechanisms and plasticity. American Psychologist, 55, 1196-1214.
DeRubeis, R. J., Evans, M. D., Hollon, S. D., Garvey, M. J., Grove, W. M., & Tuason, V. B. (1990). How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 58, 862-869.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction With Life Scale. Journal of Personality Assessment, 49, 71-75.
Ehring, T., Fischer, S., Schnulle, J., Bosterling, A., & Tuschen-Caffier, B. (2008). Characteristics of emotion regulation in recovered depressed versus never depressed individuals. Personality and Individual Differences, 44, 1574-1584.
Feldman, G., Hayes, A., M., Kumar, S., Greeson, J., & Laurenceau, J. (2007). Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised(CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29, 177-190.
Gratz, K, L., & Gunderson, J. G. (2006). Preliminary data on an acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37, 25-35.
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.
Gratz, K, L., & Tull, M. T. (2010). Emotion regulation as a mechanism of change in acceptance- and mindfulness-based treatments. In R. A. Baer(Ed.), Assessing mindfulness and acceptance: Illuminating the processes of change. Oakland, CA: New Harbinger Publications.
Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology, 2, 271-299.
Gross, J. J., & Munoz, R. F. (1995). Emotion regulation and mental health. Clinical Psychology: Science and Practice, 2, 151-164.
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Behaviour Research and Therapy, 57, 35-43.
Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11, 255-262.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
Josefsson, T., Larsman, P., Broberg, A. G., & Lundh, L. (2011). Self-reported mindfulness mediates the relation between meditation experience and psychological well-being. Mindfulness, 2, 49-58.
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33-47.
Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your mind to face stress, pain, and illness. New York: Dell Publishing.
Kraemer, H. C., Wilson, T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877-883.
Lau, M. A., Bishop, Scott. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., & Carmody, J. (2006). The Toronto Mindfulness Scale: Development and validation. Journal of Clinical Psychology, 62, 1445-1467.
Leahey, T. M., Crowther, J. H., & Irwin, S. R. (2008). A cognitive-behavioral mindfulness group therapy intervention for the treatment of binge eating in bariatric surgery patients. Cognitive and Behavioral Practice, 15, 364-375.
Linehan, M. M. (1993). Cognitive-behavioral treatment for borderline personality disorder. New York: Guilford Press.
Lykins, E. B., & Baer, R. A. (2009). Psychological 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, 31-40.
Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009). Mindfulness and emotion regulation difficulties in generalized anxiety disorder: Preliminary evidence for independent and overlapping contributions. Behavior Therapy, 40, 142-154.
Roemer, L., & Orsillo, S. M. (2005). An acceptance-based behavior therapy for generalized anxiety disorder. In S. M. Orsillo & L. Roemer(Eds.), Acceptance and mindfulness- based approaches to anxiety: Conceptualization and treatment (pp.213-240). New York: Springer.
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55, 68-78.
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, 1069-1081.
Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 73, 549-559.
Salovey, P., Mayer, J. D., Goldman, S. L., Turvey, C., & Palfai, T. P. (1995). Emotional attention, clarity, and repair: Exploring emotional intelligence using the trait meta-mood scale. In J. W. Pennbaker(Ed.), Emotion, disclosure, and health(pp.125-154). Washington, DC: APA Books.
Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
Shahar, B., Britten, W. B., Sbarra, D. A., Figueredo, A. J., & Bootzin, R. R. (2010). Mechanisms of change in mindfulness-based cognitive therapy for depression: Preliminary evidence from a randomized controlled trial. International Journal of Cognitive Therapy, 3, 402-418.
Shapiro, S. L., Astin, J. A., Bishop, S. R., & Cordova, M. (2005). Mindfulness-based stress reduction for health care professionals: Results from a randomized trial. International Journal of Stress Management, 12, 164-176.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373-386.
Shapiro, S. L., Oman, D., Throsen, C. E., Plante, T. G., & Flinders, T. (2008). Cultivating mindfulness: Effects on well-being. Journal of Clinical Psychology, 64, 840-862.
Smits, J. A. J., Powers, M. B., Cho, Y., & Telch, M. J. (2004). Mechanism of change in cognitive-behavioral treatment of panic disorder: Evidence for the fear of fear mediational hypothesis. Journal of Consulting and Clinical Psychology,72, 646-652.
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhardt(Ed.), Sociological methodology(pp.290-312). San Francisco: Jossey-Bass.
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.
Tull, M. T., Schulzinger, D., Schmidt, N. B., Zvolensky, M. J., & Lejuez, C. W. (2007). Development and initial examination of a brief intervention for heightened anxiety sensitivity among heroin users. Behavior Modification, 31, 220-242.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measure of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063-1070.
World Health Organization (2005). Promoting mental health: Concepts, emerging evidence, and practice. A report of the World Health Organization, Department of Mental Health and Substance Abuse in collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. World Health Organization. Geneva.
