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메뉴This study is a qualitative case study that contextualizes experiences through the Acceptance and Commitment Therapy (ACT) on the mothers of pediatric cancer patients. The previous study focused on program effectiveness. It was difficult to analyze the details of the change of attitude in the context of life with respect to ACT. The purpose of this study is to provide basic data for clinic intervention to improve the wellbeing of the mothers of pediatric cancer patients by analyzing their attitude of the changed life. Five mothers of pediatric cancer patients participated in the study for six sessions, 90 minutes a week for individual therapy. The method of data analysis used were those used by Stake(1995). Assessing the results of the case analysis, the subjects of the study were reported to have a difficult and stressful life as well as a changed outlook on life. Between the case analysis, similarities and differences of experiences were analyzed in the context of each participant. The results of this study discussed the mothers’ expectations, difficulties, effective practice, self-reflection, and seeking value through the ACT program and suggested implications for future clinical practices for mothers of pediatric cancer patients.
고미영 (2009). 질적 사례연구. 서울: 청록출판사.
김랑순, 박인혜 (2006). 일 대학병원 암환아 어머니의 스트레스와 대처. 종양간호학회지, 6(1), 66-75.
김미하 (2007). 수용-전념 집단치료가 발달장애 아동 어머니의 심리적 안녕감과 우울에 미치는 효과. 전북대학교 박사학위논문.
김성희 (2014). 암환아를 둔 어머니의 돌봄 역할 경험. 한양대학교 박사학위논문.
문현미 (2006). 심리적 수용 촉진 프로그램의 개발과 효과: 수용-전념 치료 모델을 중심으로. 카톨릭 대학교 박사학위 논문.
박호란, 박선남, 정경희, 김혜자 (2001). 암 환아 어머니의 희망, 부담감과 가족기능. Child Health Nursing Research, 7(1), 51-61.
심미경, 김희순, 신윤정 (2010). 소아암생존 청소년과 어머니의 외상 후 스트레스. 한국모자보건학회, 14(2), 215-224.
Best, M., Streisand, R., Catania, L., & Kazak, A. E. (2001). Parental distress during pediatric leukemia and posttraumatic stress symptoms (PTSS) after treatment ends. Journal of Pediatric Psychology, 26(5), 299-307.
Biglan, A., Hayes, S. C., & Pistorello, J. (2008). Acceptance and commitment: Implications for prevention science. Prevention Science, 9(3), 139-152.
Bruce, M. (2006). A systematic and conceptual review of posttraumatic stress in childhood cancer survivors and their parents. Clinical psychology review, 26(3), 233-256.
Compton, W. C. (2005). Introduction to Positive Psychology. Thomson Wadsworth.
Creswell, J. W. (2007). Qualitative enquiry and research design: Choosing among five approaches. Sage. (조흥식, 정선욱, 김진숙, 권지성 공역. (2010). 질적 연구 방법론: 다섯가지 접근. 서울: 학지사).
Dolgin, M. J., Phipps, S., Fairclough, D. L., Sahler, O. J., Askins, M., Noll, R. B., Butler, R. W., Varni, J. W., & Katz, E. R. (2007). Trajectories of adjustment in mothers of children with newly diagnosed cancer: a natural history investigation. Journal of Pediatric Psychology, 32(7), 771-782.
Eiser, C., Eiser, J. R., & Stride, C. B. (2005). Quality of life in children newly diagnosed with cancer and their mothers. Health and Quality of life outcomes, 3(1), 29.
Garfield, S. L. (1995). Psychotherapy: An eclectic- integrative approach. John Wiley & Sons.
Greenberg, L. S. (2002). Integrating an Emotion- Focused Approach to Treatment Into Psychotherapy Integration. Journal of Psychotherapy Integration, 41(2), 154-189.
Harris, R. (2009). ACT made simple: An easy-to-read primer on acceptance and commitment therapy. New Harbinger Publications. (김동구, 송향주 공역 (2014), 수용전념치료 핵심과 적용. 서울: 연세대학교 대학출판문화원)
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(6), 1152-1168.
Hayes, S. C., Follette, V. M., & Linehan, M. (Eds.). (2004). Mindfulness and acceptance: Expanding the cognitive-behavioral tradition. Guilford Press.
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), 1-25.
Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180-198.
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), 1-25.
Hayes, S. C., Levin, M. E., Plumb-Vilardaga, J., Villatte, J. L., & Pistorello, J. (2013). Acceptance and commitment therapy and contextual behavioral science: Examining the progress of a distinctive model of behavioral and cognitive therapy. Behavior Therapy, 44(2), 180-198.
Hoekstra-Weebers, J. E. H. M., Heuvel, F., Jaspers, J. P. C., Kamps, W. A., & Klip, E. C. (1998). Brief report: An intervention program for parents of pediatric cancer patients: A randomized controlled trial. Journal of Pediatric Psychology,23(3), 207-214.
Hoff, A. L., Mullins, L. L., Gillaspy, S. R., Page, M. C., Van Pelt, J. C., & Chaney, J. M. (2005). An Intervention to Decrease Uncertainty and Distress Among Parents of Children Newly Diagnosed With Diabetes: A Pilot Study. Families, Systems, & Health, 23(3), 329.
Howlader N, Noone AM, Krapcho M, eyman N, Aminou R, Altekruse SF, Kosary CL, Ruhl J, Tatalovich Z, Cho H, Mariotto A, Eisner MP, Lewis DR, Chen HS, Feuer EJ, & Cronin KA. (2012) SEER Cancer Statistics Review, 1975-2009 (Vintage 2009 populations), National Cancer Institute. Bethesda, MD: http://seer. cancer.gov/csr/1975_2009_pops09.
Kazak, A. E., Alderfer, M., Rourke, M. T., Simms, S., Streisand, R., & Grossman, J. R. (2004). Posttraumatic stress disorder (PTSD) and posttraumatic stress symptoms (PTSS) in families of adolescent childhood cancer survivors. Journal of Pediatric Psychology, 29(3), 211-219.
Kazak, A. E., Simms, S., Alderfer, M. A., Rourke, M. T., Crump, T., McClure, K., & Reilly, A. (2005). Feasibility and preliminary outcomes from a pilot study of a brief psychological intervention for families of children newly diagnosed with cancer. Journal of Pediatric Psychology, 30(8), 644-655.
Landier, W., & Bhatia, S. (2008). Cancer survivorship: a pediatric perspective. The oncologist, 13(11), 1181-1192.
Manne, S. L., Du Hamel, K., Gallelli, K., Sorgen, K., & Redd, W. H. (1998). Posttraumatic stress disorder among mothers of pediatric cancer survivors: diagnosis, comorbidity, and utility of the PTSD checklist as a screening instrument. Journal of pediatric psychology, 23(6), 357-366.
Meyler, E., Guerin, S., Kiernan, G., & Breatnach, F. (2010). Review of family-based psychosocial interventions for childhood cancer. Journal of pediatric psychology, 35(10), 1116-1132.
Pelcovitz, D., Goldenberg, B., Kaplan, S., Weinblatt, M., Mandel, F., Meyers, B., & Vinciguerra, V. (1996). Posttraumatic stress disorder in mothers of pediatric cancer survivors. Psychosomatics, 37(2), 116-126.
Pitceathly, C., & Magurie, P. (2003). The psychological impact of cancer on patients' partners and other key relatives: a review. European Journal of Cancer, 39(11), 1517-1524.
Stake, R. E. (1995). The art of case study research. Calif.: Sage.
Steele, R. G., Dreyer, M. L., & Phipps, S. (2004). Patterns of maternal distress among children with cancer and their association with child emotional and somatic distress. Journal of Pediatric Psychology, 29(7), 507-517.
Tinsley, H. E. A., Bowman, S. L., & Ray S. B. (1988). Mnaipulation of Expectancies About Counseling and Psycholtherapy: Review and Analysis of Expectancy Maniplualtion Strategies and Results. Journal of Counseling psychology, 35(1), 99-108.
Vrijmoet-Wiersma, C. J., van Klink, J. M., Kolk, A. M., Koopman, H. M., Ball, L. M., & Egeler, R. M. (2008). Assessment of parental psychological stress in pediatric cancer: A review. Journal of Pediatric Psychology, 33(7), 694-706.
Yin, R. K. (2003). Case Study Research. Calif: Sage.(신경식, 서아영 공역(2005). 사례연구 방법. 서울: 한경사)
Zettle, R. D., & Rains, J. C. (1989). Group cognitive and contextual therapies in treatment of depression. Journal of Clinical Psychology. 45(3), 438-445.