발표불안 경향성이 있는 대학생에 대한 노출절차를 포함한 마음챙김에 기초한 인지치료(MBCT)의 치료효과와 치료과정변인의 변화

Abstract

The purpose of this study is to investigate the effects of Mindfulness-based Cognitive Therapy (MBCT) with add-on exposure procedure among university students with speech anxiety, as well as to examine how their mindfulness levels and emotion regulation ability changes during the therapy process. Thirteen students with speech anxiety without high depression participated in this research, and they were randomly assigned to either the experimental group (7 students) or the wait-list control group (6 students). The pre-test, post-test, and a follow-up test(a month later) were administered. The results showed that the speech anxiety score was reduced more in the experimental group compared with the control group, and the effect was maintained a month later. The mindfulness levels of the experimental group was enhanced more than that of control group. Observation ability and sub-factor of mindfulness was significantly enhanced in the experimental group. As for emotion regulation ability, the experimental group did not improved more compared to the control group, but post-test score was significantly increased more than the pre-test score in the experimental group only. This result was due to the reduction of impulsive control difficulties and inaccessibility to emotional regulation strategies, the sub-factors of emotion regulation difficulties. The results of analyzing the individual cases of the experimental group showed that all participants improved significantly in their mindfulness levels and emotion regulation ability. Almost all participants showed a significant improvement of mindfulness leves after the 7th or 8th session. An improvement of emotion regulation ability was faster than that of the mindfulness level. That is, three participants improved after the 5th session, but there was remarkable variability. This study has significance in finding the effects of MBCT with an add-on exposure procedure against speech anxiety and in exploring the changes of patterns with respect to the mindfulness level and emotion regulation ability during the therapy process.