open access
메뉴E-ISSN : 2733-4538
The purpose of the current study was to examine the effects of a cognitive defusion intervention for undergraduates with de pressive symptoms. Forty-two undergraduates who showed mild or more severe depression were randomly allocated to one of three conditions: cognitive defusion (n= 15), distraction (n= 15), or a non-treatment control (n= 12). The two active inter ventions (cognitive defusion and distraction interventions) consisted of three weekly 60- or 90-minute-long sessions. The cognitive defusion intervention group showed significantly greater reductions in the believability of negative automatic thoughts than did the distraction intervention and control groups. Also, the cognitive defusion intervention group showed greater reductions in psychological inflexibility and rumination and greater increases in decentering than the control group. These improvements were maintained at a 2-week follow-up. Effect size analyses indicated that the cognitive defusion inter vention group showed larger effect sizes for depressive symptoms and frequency of negative automatic thoughts than the dis traction or control groups. In conclusion, these results suggest that cognitive defusion intervention is an effective treatment for undergraduates with depressive symptoms. Lastly, the implications and limitations of this study are discussed.
Beck, A. T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9, 324-333.
Beck, A. T. (1964). Thinking and depression: II. Theory and therapy. Archives of General Psychiatry, 10, 561-571.
Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York, NY: Hoeber, 1967.
Bond, F. W., Hayes, S. C., Baer, R. A., Capenter, K. M., Guenole, N., Orcutt, H. K., . . . Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire-II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676-688.
Borkovec, T. D., & Nau, S. D. (1972). Credibility of analogue therapy rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3, 257-260.
Cho, Y. R. (2007). The effects of video feedback on public speaking anxiety: Moderators and mediators. Korean Journal of Clinical Psychology, 26, 293-322.
Chon, K. K., Choi, S. C., & Yang, B. C. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6, 59-76.
Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.
Fresco, D. M., Moore, M. T., van Dulmen, M. H., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. G. (2007). Initial psychometric properties of the experiences questionnaire: Validation of a self-report measure of decentering. Behavior Therapy, 38, 234-246.
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35, 639-665.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes, and outcomes. Behaviour Research and Therapy, 44, 1-25.
Hayes, S. C., & Strosahl, K. D. (2004). A practical guide to acceptance and commitment therapy. New York: Springer Science & Business Media.
Hedges, H., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press.
Heo, J. H., Choi, M. S., & Jin, H. J. (2009). Study on the reliability and validity of Korean translated Acceptance-Action Questionnaire-2. Korean Journal of Counseling and Psychotherapy, 21, 861-878.
Hollon, S. D., & Kendall, P. C. (1980). Cognitive self-statements in depression: Development of an automatic thoughts questionnaire. Cognitive Therapy and Research, 4, 383-395.
Hooper, N., & McHugh, L. (2013). Cognitive defusion versus thought distraction in the mitigation of learned helplessness. The Psychological Record, 63, 209-218.
Jang, A. L. (2013). The effects of cognitive behavior therapy for nursing college students with irritable bowel syndrome. (doctoral dissertation). Retrieved from http://www.riss.kr/search/detail/DetailView. do?p_mat_type=be54d9b8bc7cdb09&control_no=3fdf b86511e43508ffe0bdc3ef48d419
Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43, 207-222.
Kim, B. N., Lim, Y. J., & Kwon, S. M. (2010). The role of decentering in the relationship between rumination and depressive symptoms. Korean Journal of Clinical Psychology, 29, 573-596.
Kim, E. J., & Oh, K. J. (1994). Cognitive and behavioral factors associated with persistence of depressive symptoms: 3 months’ follow-up study. Korean Journal of Clinical Psychology, 13, 1-19.
Kim, K. P. (2011). The effects of cognitive defusion techniques on negative automatic thought and anxiety response of speech anxiety. (Master’s thesis). Retrieved from http://www.riss.kr/search/detail/DetailView.do?p_mat_type=be54d9b8bc7cdb09&control_no=05999dd73232cd58ffe0bdc3ef48d419
Kim, S. K. (2013). The effects of expressive writing treatment and resilience on depressive symptoms and posttraumatic stress symptoms of traumatized college students. (Master’s thesis). Retrieved from http://www.riss.kr/search/detail/DetailView.do?p_mat_type=be54d9b8bc7cdb09&control_no=02e99f5ca62c9d55ffe0b dc3ef48d419
Kwon, S. M., & Yun, H. K. (1994). Development and utilization of a Korean version of the Automatic Thoughts Questionnaire. Student Research (Seoul National University), 29, 10-25.
Lim, Y. J., Ko, Y. G., Shin, H. C., & Cho, Y. R. (2012). Psychometric evaluation of the mental health continuum-short form (MHCSF)in South Koreans. Korean Journal of Psychology: General, 31, 369-386.
Mandavia, A., Masuda, A., Moore, M., Mendoza, H., Donati, M. R., & Cohen, L. L. (2015). The application of a cognitive defusion technique to negative body image thoughts: A preliminary analogue investigation. Journal of Contextual Behavioral Science, 4, 86-95.
Marks, I. (1986). Behavioural psychotherapy. Bristol, UK: John Wright.
Masuda, A., Feinstein, A. B., Wendell, J. W., & Sheehan, S. T. (2010). Cognitive defusion versus thought distraction: A clinical rationale, training, and experiential exercise in altering psychological impacts of negative self-referential thoughts. Behavior Modification, 34, 520-538.
Masuda, A., Hayes, S. C., Sackett, C. F., & Twohig, M. P. (2004). Cognitive defusion and self-relevant negative thoughts: Examining the impact of a ninety year old technique. Behaviour Research and Therapy, 42, 477-485.
Masuda, A., Twohig, M. P., Stormo, A. R., Feinstein, A. B., Chou, Y. Y., & Wendell, J. W. (2010). The effects of cognitive defusion and thought distraction on emotional discomfort and believability of negative self-referential thoughts. Journal of Behavior Therapy and Experimental Psychiatry, 41, 11-17.
Moon, H. M. (2006). Development and validation of the program for facilitation of psychological acceptance based on acceptance &commitment therapy model. (Doctoral dissertation). Retrieved from http://www.riss.kr/search/detail/DetailView.do?p_mat_type=be54d9b8bc7cdb09&control_no=e50ae5f32cd97011ffe0b dc3ef48d419
Na, Y. J., & Yoo, S. K. (2019, August). Testing the mediator effect of mindfulness, decentering, brooding on relationship between college student’s job-seeking stress and depression. Paper presented at the 73rd annual meeting of the Korean Psychological Association, Seoul, Korea.
Nam, S. A., Cho, Y. R., & Noh, S. S. (2019). Efficacy of a mindfulness-based intervention for smartphone overuse, functional impairment, and mental health among undergraduate students at risk for smartphone addiction and the mediating role of selfregulation. Korean Journal of Clinical Psychology, 38, 29-44.
Noh, S. S., & Cho, Y. R. (2015). The relationship of mental health to suicidal behavior in the elderly based on the complete mental health model. Korean Journal of Clinical Psychology, 34, 1059-1078.
Nolen-Hoeksema, S. (1987). Sex differences in unipolar depression:Evidence and theory. Psychological Bulletin, 101, 259-282.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569.
Oh, E. H., & Cho, Y. R. (2014). Effect of cognitive defusion and psychological flexibility on reduction in anxiety responses to a public-speaking situation and attentional bias among undergraduate students. Korean Journal of Clinical Psychology, 33, 341-364.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.
Rodebaugh, L. T. (2004). I might look OK, but I’m still doubtful, anxious, and avoidant: The mixed effects of enhanced video feedback on social anxiety symptoms. Behaviour Research and Therapy, 42, 1435-1451.
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.
Yoo, J. A., Hyun, M. H., & Lee, S. J. (2013). The effects of cognitive defusion techniques on anger control. Korean Journal of Clinical Psychology, 32, 683-698.