open access
메뉴
open access
메뉴
E-ISSN : 2733-4538
This study examined the effects of the acceptance and cognitive restructuring treatments for moderating social anxiety induced from an impromptu speech in a laboratory situation. The sample consisted of 60 undergraduates who scored high in social anxiety. Participants in each group were assigned to one of three conditions: acceptance(20), cognitive restructuring(21), or neutral(19) treatment conditions. Through videos a rationale and exercise corresponding to each condition were given to participants in the acceptance and cognitive restructuring conditions, and a documentary about nature was given to participants in the neutral condition. Following that course, all participants were asked to give an impromptu speech. The acceptance group showed a lower increase in heart rate in a speech from baseline than the cognitive restructuring and neutral groups, and there was no difference between the cognitive restructuring and neutral groups. There were no differences in subjective anxiety responses between the three groups. In addition, the acceptance group showed an increase in acceptance of social anxiety and a decrease in negative cognition, and the cognitive restructuring group showed a decrease in negative cognition only. These results suggest that acceptance is most effective for moderating social anxiety from a speech. Finally, the implication of this study and direction for future study were discussed.
김기환, 권석만 (2013). 한국판 사회불안 수용 행동 질문지의 타당화 연구. 인지행동치료, 13(3), 489-510.
김향숙 (2001). 사회공포증 하위유형의 기억편향. 서울대학교 대학원 석사학위청구논문.
노현진, 조용래 (2010). 수용 대 억제처치와 불안민감성이 과잉호흡 도전 절차에 대한 대학생의 불안반응 변화에 미치는 효과. 한국심리학회지: 임상, 29(3), 799-819.
박성신, 조용래 (2005). 수용처치가 대학생의 발표불안 감소에 미치는 영향. 한국임상심리학회 추계학술대회 발표논문집. 40-45.
오주용, 권석만 (2011). 심리적 수용이 신체적 불안 반응에 대한 두려움에 미치는 영향. 한국심리학회지: 임상, 30(4), 1003-1026.
조용래 (2001). 불안장애에 대한 노출치료: 비판적 분석, 작용기제 및 개선방안. 한국심리학회지: 일반, 20(1), 229-257.
조용래 (2004). 한국판 발표불안 사고 검사의 신뢰도와 타당도. 한국심리학회지: 임상, 23(4), 1109-1125.
조용래 (2010). 상위인지와 수용처지가 수행불안에 미치는 효과. 한국심리학회지: 임상, 29(4), 1087-1115.
한덕웅, 이장호, 전겸구 (1996). Spielberger의 상태-특성 불안검사 Y형의 개발. 한국심리학회지: 건강, 1(1), 1-14.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders-5th edition(DSM-5). Washington, DC: Author.
Arch, J. J., & Craske, M. G. (2008). Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clinical Psychology: Science and practice, 15, 263-279.
Arch, J. J., Eifert, G. H., Davies, C., Vilardaga, J. C. P., Rose, R. D., & Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy(CBT) versus acceptance and commitment therapy(ACT) for mixed anxiety disorders. Journal of consulting and clinical psychology, 80(5), 750.
Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 70, 1129-1139.
Block, J. A., & Wulfert, E. (2000). Acceptance or change: Treating socially anxious college students with ACT or CBGT. A Context for Science with a Commitment to Behavior Change, 1, 3-10.
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, 1057-1067.
Bὅgels, S. M., Sijbers, G. F. V. M., & Voncken, M. (2006). Mindfulness and task concentration training for social phobia: A pilot study. Journal of Cognitive Psychotherapy, 20, 33-44.
Brown, E. J., Turovsky, J., Heimberg, R. G., Juster, H. R., Brown, T. A., & Barlow, D. H. (1997). Validation of the Social Interaction Anxiety Scale and the Social Phobia Scale across the anxiety disorders. Psychological Assessment, 9(1), 21.
Cho, Y., Smits, J. A., & Telch, M. J. (2004). The Speech Anxiety Thoughts Inventory: scale development and preliminary psychometric data. Behaviour research and therapy, 42(1), 13-25.
Dahl, JA., Wilson, K. G., & Nilsson, A. (2004). Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior Therapy, 35, 785-801.
Dalrymple, K. L., & Herbert, J. D. (2007). Acceptance and commitment therapy for generalized social anxiety disorder: A pilot study. Behavior Modification, 31, 543-568.
Fedoroff, I. C., & Taylor, S. (2001). Psychological and pharmacological treatments of social phobia: A meta-analysis. Journal of Clinical Psychopharmacology, 21, 311-324.
Feske, U., & Chambless, D. L. (1995). Cognitive behavioral versus exposure only treatment for social phobia: A meta-analysis. Behavior Therapy, 25, 695-720.
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior modification, 31, 772-799.
Gifford, E., Kohlenberg, B., Hayes, S. C., Antonuccio, D., Piasecky, M., Rasmussen-Hall, M., & Palm, K. M. (2004). Acceptance-based treatment for smoking cessation. Behavior Therapy, 35, 689-705.
Greenberg, L. S., & Safran, J. D. (1989). Emotion in psychotherapy. American Psychologist, 44, 19-29.
Gregg, J. A., Callaghan, G. M., Hayes, S. C., & Glenn-Lawson, J. L. (2007). Improving diabetes self-management through acceptance, mindfulness, and vlaues: A randomized contolled trial. Journal of Consulting and Clinical Psychology, 75, 336-343.
Gunaratana, H. (1991). Mindfulness in plain English. Boston: Shambhala.
Hanh, T. N. (1976). The miracle of mindfulness: A manual on meditation. Boston, Beacon Press.
Hayes, S. C., Luoma, J., Bond, F., Masuda, A., & Lillis, J. (2006). Acceptance and Commitment Therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44, 1-25.
Hayes, S. C., & Smith, S. (2010). 마음에서 빠져나와 삶 속으로 들어가라: 새로운 수용전념치료 [Get out of your mind and into your life: The new acceptance and commitment therapy]. (민병배, 문현미 역). 서울: 학지사. (원전은 2005에 출판)
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy, second edition: The process and practice of mindful change. New York: Guilford Press.
Hayes, S. C., Strosahl, K., Wilson, K. G., Bissett, R. T., Pistorello, J., Toarmino, D., ... McCurry, S. M. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553-578.
Hayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 1152-1168.
Heimberg, R. G., & Becker, R. E. (2007). 사회공포증의 인지행동집단치료: 이론과 실제 [Cognitive-behavioral group therapy for social phobia: Basic mechanisms and clinical strategies]. (최병휘 역). 서울: 시그마프레스. (원전은 2002에 출판)
Heimberg, R. G., Mueller, G. P., Holt, C. S., Hope, D. A., & Liebowitz, M. R. (1992). Assessment of anxiety in social interaction and being observed by others: The Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior Therapy, 23, 53-73.
Herbert, J. D., & Cardaciotto, L. A. (2005). An acceptance and mindfulness-based perspective on social anxiety disorder. In S. M. Orsillo, & L. Roemer. (Eds.), Acceptance and mindfulness- based approaches to anxiety (pp.189-212). NY: Springer.
Herbert, J. D., Rheingold, A. A., & Brandsma, L. L. (2001). Assessment of social anxiety and social phobia. In S. G. Hofmann & P. M. DiBartolo (Eds.), From social anxiety to social phobia: Multiple perspectives (pp.20-45). New York: Allyn & Bacon.
Hofmann, S. G., & Bὅgels, S. M. (2006). Recent advances in the treatment of social phobia: Introduction to the special issue. Journal of Cognitive Psychotherapy. Special Issue: Recent advances in the treatment of social phobia, 20, 3-5.
Hofmann, S. G., Heering, S., Sawyer, A. T., & Asnaani, A. (2009). How to handle anxiety: The effects of reappraisal, acceptance, and suppression strategies on anxious arousal. Behaviour Research and Therapy, 47, 389-394.
Hope, D. A., Heimberg, R. G., & Bruch, M. A. (1995). Dismantling cognitive-behavioral group therapy for social phobia: Behavior Research and Therapy, 33, 637-650.
Hope, D. A., Heimberg, R. G., Juster, H. R., & Turk, C. L. (2006). 사회불안증의 인지행동치료: 사회불안 다스리기 [Managing social anxiety: A cognitive-behavioral therapy approach]. (최병휘 역). 서울: 시그마프레스. (원전은 2000에 출판)
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593-602.
Kessler, R. C., McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H., & Kendler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Study. Archives of General Psychiatry, 51, 8-19.
Kocovski, N. L., Fleming, J., & Rector, N. A. (2009). Mindfulness and acceptance-based group therapy for social anxiety disorder: An open trial. Cognitive and Behavioral Practice, 16, 276-289.
Kollman, D. M., Brown, T. A., & Barlow, D. H. (2009). The construct validity of acceptance: A multitrait-multimethod investigation. Behavior therapy, 40, 205-218.
Koszycki, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a meditation- based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder. Behaviour Research and Therapy, 45, 2518-2526.
Levitt, J. T., Brown, T. A., Orsillo, S. M., & Barlow, D. H. (2004). The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder. Behavior therapy, 35(4), 747-766.
Liebowitz, M. R., Heimberg, R. G., Schneier, F. R., Hope, D. A., Davies, S., Holt, C. S., Goetz, D., Juster, H. R., Lin, S. H., Bruch, M. A., Marshall, R. D., & Klein, D. F. (1999). Cognitive-behavioral group therapy versus phenelzine in social phobia: Long term outcome. Depression and Anxiety, 10, 89-98.
MacKenzie, M. B., & Kocovski, N. L. (2010). Self-reported acceptance of social anxiety symptoms: Development and validation of the social anxiety-acceptance and action questionnaire. International Journal of Behavioral Consultation & Therapy, 6, 214-232.
Mattick, R. P., & Clarke, J. C. (1989). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behavior Research and Therapy, 36, 455-470.
McEvoy, P. M. (2007). Effectivness of cognitive behavioral group therapy for social phobia in a community clinic: A benchmarking study. Behaviour Research and Therapy, 45, 3030-3040.
Newman, M. G., Hofmann, S. G., Trabert, W., Roth, W. T., & Taylor, C. B. (1994). Does behavioral treatment of social phobia lead to cognitive changes? Behavior Therapy, 25, 503-517.
Ossman, W. A., Wilson, K. G., Storaasli, R. D., & McNeill, J. W. (2006). A preliminary investigation of the use of acceptance and commitment therapy in a group treatment for social phobia. International Journal of Psychological Therapy, 6, 397-416.
Otto, M. W., Pollack, M. H., Gould, R. A., Worthington, J. J. Ⅲ., McArdle, E. T., Rosenbaum, J. F., et al. (2000). A comparison of the efficacy of clonazepam and cognitive- behavioral group therapy for the treatment of social phobia. Journal of anxiety Disorders, 14, 345-358.
Quilty, L. C., Ameringen, M. V., Mancini, C., Oakman, J., & Farvolden, P. (2003). Quality of life and the anxiety disorders. Journal of Anxiety Disorders, 17, 405-426.
Roemer, L., & Orsillo, S. M. (2002). Expanding our conceptualization of and treatment for generalized anxiety disorder: Integrating mindfulness/acceptance-based approaches with existing cognitive-behavioral models. Clinical Psychology: Science and Practice, 9, 54-68.
Rogers, C. (2012). On becoming a person: A therapist's view of psychotherapy. Boston: Houghton Mifflin Harcourt.
Segal, Z. V., Williams, J. G., & Teasdale (2002). Mindfulness-based cognitive therapy for depression. New York, London: Guilford Press.
Spielberger, C. D., Gorsuch, R., & Lushene, R. E. (1970). Manual for the state-trait inventory. Consulting Psychologists, California: Palo Alto.
Taylor, S. (1996). Meta-analysis of cognitive- behavioral treatments for social phobia. Journal of Behavior Therapy and Experimental Psychiatry. 27, 1-9.
Twohig, M. P., Hayes, S. C., Plumb, J. C., Pruitt, L. D., Collins, A. B., Hazlett-Stevens, H., & Woidneck, M. R. (2010). A randonmized clinical trial of acceptance and commitment therapy versus progressive relaxation training for obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 78, 705-716.
Wittchen, H. U., Fuetsch, M., Sonntag, H., Muller, N., & Liebowitz, M. (2000). Disability and quality of life in pure and comorbid social phobia: Findings from a cotrolled study. European Psychiatry, 15, 46-58.
Yalom, I. D. (1980). Existential psychotherapy. New York: Basic Books.
Zettle, R. D., & Rains, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology, 45, 436-445.