수용-전념 집단치료가 알코올중독 입원환자들의 심리적안녕감과 경험회피 및 인지적융합에 미치는 효과

Abstract

Objective The purpose of this study was to develop a program for alcoholics on the bases of the acceptance-commitment group therapy(ACT) and to evaluate the effects of the acceptance-commitment group therapy(ACT) on the psychological well-being, experiential avoidance and cognitive fusion in alcoholics. Methods For this study, the program was developed on based the Acceptance and Commitment therapy model that was based on the analysis of experiential avoidance. The program was modified and finalized through the preliminary study. And for evaluate the effects of the developed program, 7 alcoholics were assigned into treatment group(ACT) and 10 assigned into control group. The time of each session was 2-hours and the program was held 2 times a week for 5 weeks. Both the treatment group and the control group had pre-treatment, post-treatment, and the 1 month follow-up assesment on psychological well-being, experiential avoidance and cognitive fusion. Results The results showed that at the post-treatment assesment, the treatment group(ACT) reported significantly higher psychological well-being compared to the control group, but, At the follow-up assessment, significant changes was not occurred. In addition, the treatment group reported significantly lower scores in level of experiential avoidance and cognitive fusion compared to the control group. At the follow-up assessment, the effects of experiential avoidance and cognitive fusion of the treatment group was maintained for 1 month. Conclusions Results indicated that the treatment group showed more treatment effect than the control group in experiential avoidance and cognitive fusion. These results suggest that the acceptance-commitment group therapy can be applied effectively to be lower experiential avoidance and cognitive fusion on alcoholics.