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      수용 대 억제처치와 불안민감성이 과잉호흡 도전 절차에 대한 대학생의 불안반응 변화에 미치는 효과 = The Effects of Acceptance versus Suppression and of Anxiety Sensitivity on Changes in Anxious Rresponses to a Hyperventilation Challenge Procedure in University Students

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      https://www.riss.kr/link?id=A104696643

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      This study examined the effects of acceptance versus suppression and of anxiety sensitivity(AS) on changes in anxious responses to a hyperventilation challenge. The sample consisted of 36 undergraduates high in AS and 36 others low in AS, who we selec...

      This study examined the effects of acceptance versus suppression and of anxiety sensitivity(AS) on changes in anxious responses to a hyperventilation challenge. The sample consisted of 36 undergraduates high in AS and 36 others low in AS, who we selected based on their respiratory sensation concern scores of the Korean version of the Anxiety Sensitivity Inventory-Revised. Half the participants in each AS group were randomly assigned to either acceptance or suppression conditions. Participants in the acceptance condition listened to a rationale for accepting their internal experiences, and those in the suppression condition listened to a rationale for suppressing their internal experiences. After undergoing each training corresponding to the treatment conditions, participants applied the instructions during and after the hyperventilation challenge. Participants in the acceptance condition decreased their anxiety responses on most measures to a greater extent than did those in the suppression condition. The superior efficacy of the acceptance condition as compared to the suppression condition was more prominent in the low AS group than in the high AS group on subjective anxiety and pulse rate measures. In addition, there were no differences between the two AS groups in terms of the acceptance condition's relative benefits on systolic and diastolic blood pressure. These results suggest that acceptance may be a useful intervention for decreasing anxious responses to a voluntary hyperventilation challenge in a sample of non-treatment seeking undergraduates. Finally, the implications of these results as well as the limitations of this study are discussed.

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      참고문헌 (Reference)

      1 김수진, "한국판 단축형 신체감각 해석 질문지의 신뢰도와 타당도" 한국임상심리학회 28 (28): 475-494, 2009

      2 최예종, "정서조절곤란과 수용처치가 대학생의 우울기분 변화에 미치는 효과" 한국임상심리학회 28 (28): 1107-1134, 2009

      3 문현미, "심리적 수용 촉진 프로그램의 개발과 효과: 수용-전념 치료 모델을 중심으로" 가톨릭대학교 일반대학원 2006

      4 윤현정, "불안민감성과 대처 전략이 통증 지각 및 전기피부반응에 미치는 효과" 한국건강심리학회 11 (11): 797-815, 2006

      5 조용래, "불안민감성 차원: 한국판 개정된 검사의 요인 구조" 연세대학교 상경관 107-108, 2003

      6 조용래, "발표불안에 대한 비디오 피드백의 효과:중재변인과 매개변인" 한국임상심리학회 26 (26): 293-322, 2007

      7 조용래, "공황발작을 보이는 대학생들의 임상적 및 심리사회적 특징" 한국임상심리학회 23 (23): 937-948, 2004

      8 민병배, "강박사고와 걱정: 침투사고 대처과정 및 관련 성격특성에서의 유사점과 차이점" 서울대학교 일반대학원 2000

      9 Twohigh, M. P., "for OCD: Abbreviated treatment manual" University of Nevada 2004

      10 Cioffi, D., "costs of suppressed pain" 64 : 274-282, 1993

      1 김수진, "한국판 단축형 신체감각 해석 질문지의 신뢰도와 타당도" 한국임상심리학회 28 (28): 475-494, 2009

      2 최예종, "정서조절곤란과 수용처치가 대학생의 우울기분 변화에 미치는 효과" 한국임상심리학회 28 (28): 1107-1134, 2009

      3 문현미, "심리적 수용 촉진 프로그램의 개발과 효과: 수용-전념 치료 모델을 중심으로" 가톨릭대학교 일반대학원 2006

      4 윤현정, "불안민감성과 대처 전략이 통증 지각 및 전기피부반응에 미치는 효과" 한국건강심리학회 11 (11): 797-815, 2006

      5 조용래, "불안민감성 차원: 한국판 개정된 검사의 요인 구조" 연세대학교 상경관 107-108, 2003

      6 조용래, "발표불안에 대한 비디오 피드백의 효과:중재변인과 매개변인" 한국임상심리학회 26 (26): 293-322, 2007

      7 조용래, "공황발작을 보이는 대학생들의 임상적 및 심리사회적 특징" 한국임상심리학회 23 (23): 937-948, 2004

      8 민병배, "강박사고와 걱정: 침투사고 대처과정 및 관련 성격특성에서의 유사점과 차이점" 서울대학교 일반대학원 2000

      9 Twohigh, M. P., "for OCD: Abbreviated treatment manual" University of Nevada 2004

      10 Cioffi, D., "costs of suppressed pain" 64 : 274-282, 1993

      11 Greenberg, L., "acceptance in experiential therapy. in: Acceptance and change: Content and context in psychotherapy" context Press 53-72, 1994

      12 Wegner, D. M., "When the antidote is the poison: Ironic mental control processes" 8 : 148-153, 1997

      13 Rodebaugh, T. L., "The role of self-efficacy rating for specific tasks in social anxiety" 2003

      14 Reiss, S., "The expectancy model of fear. in: Theoretical issues in behavior therapy" Academic Press 107-121, 1985

      15 Levitt, J. T., "The effects of acceptance versus suppression of emotion on subjective and psychophysiological response to carbon dioxide challenge in patients with panic disorder" 35 : 747-766, 2004

      16 Eifert, G. H., "The effects of acceptance versus control contexts on avoidance of panic-related symptoms" 34 (34): 293-312, 2003

      17 Park, S., "The effect of an acceptance-based treatment on speech anxiety reduction in college students" 2006

      18 Schmidt, N. B., "Role of fear of fear and safety information in moderating the. effects of voluntary hyperventilation" 25 : 197-208, 1994

      19 Harrington, P. H., "Prospective evaluation of panic potentiation following 35% CO2 challenge in a nonclinical sample.American Journal of" 153 : 823-825, 1996

      20 Abramowitz, J. S., "Paradoxical effects of thought suppression: A meta-analysis of controlled studies" 21 : 683-703, 2000

      21 Teasdale, J. D., "Metacognitive awareness and prevention of relapse in depression: Empirical evidence" 70 : 275-287, 2002

      22 Ehlers, A., "Maintenance of intrusive thoughts in posttraumatic stress disorder: A cognitive approach" 23 : 217-249, 1995

      23 Hofmann, S. G., "How to handle anxiety: The effects of reappraisal, acceptance, and suppression strategies on anxious arousal" 47 (47): 389-394, 2009

      24 Taylor, S., "How does sensitivity vary across the anxiety disorders?" 6 : 249-259, 1992

      25 Gross, J .J., "Hiding feelings: The acute effects of inhibiting negative and positive emotion" 106 : 95-103, 1997

      26 Rapee, R. M., "Fear of physical sensations and trait anxiety as mediators of the response to hyperventilation in nonclinical subjects" 103 : 693-699, 1994

      27 Reiss, S., "Expectancy model of fear, anxiety and panic" 11 : 141-155, 1991

      28 Gross, J. J., "Emotion regulation: Past, present, and future" 13 : 551-573, 1999

      29 Liverant, G. I., "Emotion regulation in unipolar depression: The effects of acceptance and suppression of subjective emotional experience on the intensity and duration of sadness and negative affect" 46 : 1201-1209, 2008

      30 Campbell-Sills, L., "Effects of suppression and acceptance on emotional responses of individuals with anxiety and mood disorders" 44 : 1251-1263, 2006

      31 Holloway, W., "Effects of anxiety sensitivity on the response to hyperventilation" 98 : 100-102, 1987

      32 Telch, M. J., "Effects of anxiety sensitivity and perceived control on emotional responding to caffeine challenge" 10 : 21-35, 1996

      33 Becker, E. S., "Don't worry and beware of white bears: Thought suppression in anxiety patients" 12 : 39-55, 1998

      34 Borkovec, T. D., "Credibility of analogue therapyrationales" 3 : 257-260, 1972

      35 Pennebaker, J. W., "Confronting a traumatic event: Toward an understanding of inhibition and disease" 95 : 274-281, 1986

      36 Lilienfeld, S. O., "Comment on Holloway and McNally's (1987) “Effects of anxiety sensitivity on the response to hyperventilation”" 98 : 100-102, 1989

      37 Strosahl, K, "Cognitive and behavioral treatment of personality disordered patient. in: The optimal use of time and resources" American Psychological Association 185-201, 1991

      38 Salkovskis, P. M., "Cognition-behaviour links in the persistence of panic" 34 : 453-458, 1996

      39 Spira, A. P., "Avoidance-oriented coping as a predictor of panic-related distress: A test using biological challenge" 16 : 1-15, 2002

      40 Beidel, D. C., "Assessment of social phobia: Reliability of an Impromptu Speech Task" 3 : 149-158, 1989

      41 Herbert, J. D., "Assessment of social anxiety and social phobia. in: From social anxiety to social phobia: Multiple perspectives" Allyn & Bacon 20-45, 2001

      42 Asmundson,G.J.,& Norton,G.R, "Asmundson, G. J., & Norton, G. R. (1993). Anxiety sensitivity and its relationship to spontaneousand cued panic attacks in college students" 31 : 199-210, 1993

      43 Reiss, S., "Anxiety, sensitivity, anxiety frequency, and the prediction of fearfulness" 24 : 1-8, 1986

      44 Maller, R. G., "Anxiety sensitivity in 1984 and panic attacks in 1987" 6 : 241-247, 1992

      45 Schmidt, N. B., "Anxiety sensitivity and the pathogenesis of anxiety and depression: Evidence for symptom specificity" 36 : 165-177, 1998

      46 Barlow, D. H., "Anxiety and its disorders: The nature and treatment of anxiety and panic(2nd ed.)" Guilford Press 2002

      47 Peterson, R. A., "Anxiety Sensitivity Index" International Diagnostic Systems 1987

      48 Singer, A. R., "An experimental investigation of the cognitive vulnerability to depression" 45 : 563-575, 2007

      49 Taylor, S., "An expanded Anxiety Sensitivity Index: Evidence for a hierarchic structure in a clinical sample" 12 : 463-483, 1998

      50 Marlatt, G. A., "Addiction, mindfulness, and acceptance. Content, context, and the types of psychological acceptance. in: Acceptance and Change: Content and context in psychotherapy" Context Press 175-197, 1994

      51 Cordova, J., "Acceptance and the therapeutic relationship. in: Acceptance and change: Content and context in psychotherapy" Context Press 125-140, 1994

      52 Hayes, S. C., "Acceptance and commitment therapy: An experiential approach to behavior change" Guilford Press 1999

      53 Bond, F., "ACT at work. in: Handbook of brief cognitive behaviour therapy" Wiley 2002

      54 Clark, D. M., "A cognitive approach to panic" 24 : 461-470, 1986

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