open access
메뉴
open access
메뉴
E-ISSN : 2733-4538
The purpose of this study was to examine the effectiveness and the mechanisms of ‘Acceptance-Positive Psychotherapy (APPT)’ which was designed to integrate Acceptance-based psychotherapy with Positive psychotherapy. APPT involves acceptance of an emotional distress associated with depression and then fully experiencing a positive emotion as well. Based on literature review, the mechanisms of changes in APPT proposed both experiential avoidance and emotion rates as mediators of treatment changes. Thirty-six participants in the APPT group completed the measures of depression, happiness, positive affect, negative affect, experiential avoidance, and acceptance before, after, and four weeks-after the program. Forty-one participants in the non-treatment group also completed all of the same scale during the same period as the APPT group. The main results were: 1) APPT group showed significant alleviation of depressive symptoms as well as significant enhancement of happiness and acceptance, compared with the non-treatment group. These effects continued to a four-week follow-up. 2) The decrease of experiential avoidance and increase of positive emotion rates mediated sequentially between APPT and alleviation of depressive symptoms. Finally, implications of APPT, limitations of the study, and future research options were discussed.
김근향 (2010). 정신과 입원환자의 적응기능 향상을 위한 긍정심리치료 프로그램의 효과. 고려대학교 일반대학원 박사학위 청구논문.
김정호 (2010). 마음챙김과 긍정심리학 중재법의 통합 프로그램을 위한 제언. 한국심리학회지: 건강, 15(3), 369-387.
김미하, 손정락 (2011). 수용전념 집단치료가 발달장애아동 어머니의 심리적 안녕감과 우울에 미치는 효과. 한국심리학회지: 임상, 30(1), 207-223.
김진영, 고영건 (2009). 긍정 임상심리학: 멘탈 휘트니스(mental fitness)와 긍정심리치료(positive psychotherapy). 한국심리학회지: 사회문제, 15(1), 155-168.
김 환, 이훈진 (2007). 경험 회피와 회피적 반응의 관계: 행동적 회피, 감추기 및 거리두기를 중심으로. 한국심리학회지: 일반, 26(2), 225-243
문현미 (2006). 심리적 수용 촉진 프로그램의 개발과 효과: 수용-전념 치료 모델을 중심으로. 가톨릭대학교 일반대학원 박사학위 청구논문.
유성진, 권석만 (2013). 위험회피 기질과 불안증상의 관계에서 체험회피 시도의 매개효과. 한국심리학회지 임상, 32(1), 217-241.
윤성민, 신희천 (2010). 한국판 긍정심리치료척도의 타당화연구. 한국심리학회지 상담 및 심리치료, 22(3), 707-732.
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.
이훈진 (2009). 수용(Acceptance)이 심리적 증상, 자존감 및 삶의 만족도에 미치는 영향. 인지행동치료, 9(1), 1-23.
임영진 (2010). 성격 강점과 긍정 심리치료가 행복에 미치는 영향. 서울대학교 일반대학원 박사학위 청구논문.
전겸구, 최상진, 양병창 (2001). 통합적 한국판 CES-D 개발. 한국심리학회지: 건강, 6(1), 59-76.
조현석 (2008). 향유하기와 주관적 웰빙의 관계. 서울대학교 일반대학원 석사학위 청구논문.
홍세희 (2000). 구조방정식 모형의 적합도 지수 선정기준과 그 근거. 한국심리학회지: 임상, 19(1), 161-177.
Baumeister, R. F., Bratslavsky, E., Finkenauer, C., & Vohs, K. (2001). Bad is stronger than good. Review of General Psychology, 5, 323-370.
Bentler, P. M., & Bonett, D. G. (1980), Significance tests and goodness of fit in the analysis of covariance structure. Psychological Bulletin, 88(3), 588-606.
Bohlmeijer, E. T., Fledderus, M., Rokx, T. A. J. J., & Pieterse, M. E. (2011). Efficacy of an early intervention based on acceptance and commitment therapy for adults with depressive symptomatology: Evaluation in a randomized controlled trial. Behaviour Research and Therapy, 49(1), 62-67.
Campbell-Sills, L., Barlow, D. H., Brown, T. A., & Hofmann, S. G. (2006). Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion, 6, 587-595.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
Davis, C. G., Nolen-Hoeksema, S., & Larson, J. (1998). Making sense of loss and benefiting from the experience. Journal of Personality and Social Psychology, 75(2), 561-574.
Diener, E., & Seligman, M. E. P. (2004). Beyond Money: Towards an economy of well-being. Psychological Science in Public Interest, 5, 31-62.
Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: an experimental investigation of gratitude and subjective well-being in daily life. Journal of personality and social psychology, 84(2), 377.
Fredrickson, B. (2009). 긍정의 발견 [Positivity] (최소영 역). 서울: 21세기북스. (원전은 2009에 출판)
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218-226.
Fredrickson, B. L. (2004). The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society B: Biological Sciences, 359(1449), 1367-1377.
Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition and Emotion, 19(3), 313-332.
Fredrickson, B. L., & Levenson, R. W. (1998). Positive Emotions Speed Recovery from the Cardiovascular Sequelae of Negative Emotions. Cognition and Emotion, 12(2), 191-220.
Flaxman, P. E., & Bond, F. W. (2010). A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behaviour Research and Therapy, 48(8), 816-820.
Garland, E. L., Fredrickson, B., Kring, A. M., Johnson, D. P., Meyer, P. S., & Penn, D. L. (2010). Upward spirals of positive emotions counter downward spirals of negativity: Insights from the broaden-and-build theory and affective neuroscience on the treatment of emotion dysfunctions and deficits in psychopathology. Clinical psychology review, 30(7), 849-864.
Gaudiano, B. A., & Herbert, J. D. (2006). Acute treatment of inpatients with psychotic symptoms using Acceptance and Commitment Therapy: Pilot results. Behaviour Research and Therapy, 44(3), 415-437.
Hayes, S. C., & Strosahl, K. D. (2004). A Practical Guide to Acceptance and Commitment Therapy: Springer.
Hayes, S. C., Wilson, K. W., 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(6), 1152-1168.
Jackson, D. L. (2003). Revisiting sample size and number of parameter estimates: Some support for the N: q hypothesis. Structural Equation Modeling, 10(1), 128-141.
Kahneman, D. (2000). Experienced utility and objective happiness: A moment-based approach. In D. Kahneman & A. Tversky (Eds.), Choices, values and frames (pp. 673-692). New York: Cambridge University Press and the Russell Sage Foundation.
Kashdan T. B., Barrios V., Forsyth J. P., & Steger M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: comparisons with coping and emotion regulation strategies. Behaviour Research and Therapy, 44, 1301-1320.
Kashdan, T. B., Uswatte, G., & Julian, T. (2006). Gratitude and hedonic and eudaimonic well-being in Vietnam war veterans. Behaviour Research and Therapy, 44, 177-199.
Kocovski, N. L., Fleming, J. E., & Rector, N. A. (2009). Mindfulness and Acceptance-Based Group Therapy for Social Anxiety Disorder: An Open Trial. Cognitive and Behavioral Practice, 16(3), 276-289.
Meevissen, Y., Peters, M. L., & Alberts, H. J. (2011). Become more optimistic by imagining a best possible self: Effects of a two week intervention. Journal of behavior therapy and experimental psychiatry, 42(3), 371-378.
Peterson, C., Ruch, W., Beermann, U., Park, N., & Seligman, M. E. P. (2007). Strengths of character, orientations to happiness, and life satisfaction. The Journal of Positive Psychology, 2(3), 149-156.
Radloff, L. S. (1977). The CES-D Scale, A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1(3), 385-401
Rashid, T. (2008). Positive psychotherapy. Positive psychology, 4, 187-217.
Rozin, P., & Royzman, E. (2001). Negativity bias, negativity dominance, and contagion.. Personality and Social Psychology Review, 5, 296-320.
Rye, M. S., Loiacono, D. M., Folck, C. D., Olszewski, B. T., Heim, T. A., & Madia, B. P. (2001). Evaluation of the psychometric properties of two forgiveness scales. Current Psychology, 20, 260-277.
Seligman, M. E. P. (2008). 학습된 낙관주의 [Learned optimism] (최호영 역). 서울: 21세기북스. (원전은 2006에 출판)
Seligman, M. E. P. (2002). Authentic happiness: Using the new positive psychology to realize your potentional for lasting fulfillment. New York: Free Press.
Seligman, M. E. P., Rashid, T., & Parks, A. C. (2006). Positive psychotherapy. American Psychologist, 61(8), 774-788.
Shearon, D. (2009). Positive Psychology Includes Negative Emotions. Positive Psychology News Daily
Sin, N. L., & Lyubomirsky, S. (2008). Enhancing Well-Being and Alleviating Depressive Symptoms With Positive Psychology Interventions: A Practice-Friendly Meta- Analysis. Journal of Clinical Psychology, 65(5), 467-487.
Strosahl, K. D., J., P., & Robinson. (2010). 우울증 치료를 위한 마음챙김과 수용 워크북 [The Mindfulness & Acceptance Workbook for Depression] (손정락 역). 서울: 시그마프래스.
Tull, M. T., Gratz, K. L., Salters, K., & Roe, L. (2004). The Role of Experiential Avoidance in Posttraumatic Stress Symptoms and Symptoms of Depression, Anxiety, and Somatization. Journal of Nervous and Mental Disease 192(11), 754-761.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070.
Wood, A. M., Froh, J. J., & Geraghty, A. W. (2010). Gratitude and well-being: A review and theoretical integration. Clinical psychology review, 30(7), 890-905.
Wood, A. M., & Tarrier, M. (2010). Positive Clinical Psychology: A New vision and strategy for integrated research and practice. Clinical Psychology Review, 30, 819-829.