수용전념치료(ACT)에서 과정변인이 여성의 우울증에 미치는 효과 = The Effects of Process Variables in Acceptance Commitment Therapy for Women's Depression

다국어 초록 (Multilingual Abstract)

The present study examined the effectiveness of group therapy based on acceptance commitment therapy for women’s depression. In screening evaluation for depression, thirty one young adult females with depression were selected as participants in group therapy from volunteers. Sixteen of them attended group therapy of acceptance commitment therapy for depression, which consisted of 10 weekly 120 min sessions. The other fifteen were assigned to waiting list control. Participants completed a self-report questionnaire comprised of Beck’s depression inventory, acceptance action questionnaire, self-compassion scale, and mindfulness attention awareness scale at pretreatment, middle term, and posttreatment. In the ACT group, outcome variable (depression) and process variables (acceptance, self-compassion, and mindfulness) were assessed at two week intervals for ten weeks, as well as twice at follow up. The ACT group not only showed remarkable reduction of depression, but also process variables (acceptance, self-compassion, and mindfulness) showed significantly greater change at the time of entry. Further, their changes were maintained until follow up after a four month lapse. In particular, mediational analysis verified that change of acceptance and self-compassion mediated the effect of intervention on depression at follow up. The results of this study suggest that group therapy of ACT for depression is not only effective for reduction of women’s depression, but also contributes to prevention of relapse of women's depression because of the persisting effect of acceptance commitment therapy. Finally, implication and limitation of this study, and recommendation for a future study were discussed.

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