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Short-Term Effects of and Mechanism of Changes in a Group Positive Psychology Intervention for Improving Psychological Health: Mediating Role of Strengths Use

Abstract

The current study examined the short-term effects of a group positive psychology intervention (PPI) on psychological health in a Korean sample of university students. In addition, to shed light on the mechanism of changes in the PPI, this study proposed strengths use as a potential mediator of treatment changes on the basis of literature review. A group PPI consisted of 8 weekly 120-min sessions. Forty-four participants in the PPI group and 49 in a psychoeducation group completed the measures of psychological health and utilization of character strengths at pre-intervention, after session 4, and post-intervention. Compared to the participants in the psychoeducation group, those in the PPI group showed decreases in negative affect and depressive symptoms, as well as increases in positive affect, mental well-being, psychological well-being, life satisfaction, and strengths use. However, there was a weak change in perceived stress following a group PPI. Early increase in strengths use partially mediated the short-term effects of the PPI on positive affect, negative affect, depressive symptoms, mental well-being, and life satisfaction. In conclusion, these findings suggest that a group PPI can lead to improvements in psychological health of university students, which are mediated through changes in strengths use. Finally, implications and limitations of the current study, and directions for future research are discussed.

keywords
긍정심리개입, 강점 활용, 변화기제, 심리적 건강, 매개, positive psychology intervention, strengths use, mechanism of change, psychological health, mediation

Reference

1.

김근향 (2010). 정신과 입원환자의 적응기능 향상을 위한 긍정심리치료 프로그램효과. 고려대학교 박사학위청구논문.

2.

김명소, 김혜원, 차경호 (2001). 심리적 안녕감의 구성개념 분석: 한국 성인 남녀를 대상으로. 한국심리학회지: 사회 및 성격, 15, 19-39.

3.

김지영, 권석만 (2013). 성격강점의 인식과 활용이 정신건강에 미치는 효과. 한국심리학회지: 임상, 32(4), 783-802.

4.

성미혜 (2011). 긍정심리치료 프로그램이 우울성향 초등학생의 우울, 자아존중감 및 학교생활 적응에 미치는 효과. 경성대학교 석사학위논문.

5.

성형모, 김정범, 박영남, 배대석, 이선희, 안현의 (2008). 한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구. 생물치료정신의학, 14(2), 201-212.

6.

유은영, 손정락 (2013). 긍정 심리치료가 우울경향이 있는 청소년의 행복감, 낙관성, 무망감 및 우울에 미치는 효과. 한국심리학회지: 건강, 18(4), 669-685.

7.

이성훈 (2010). 긍정심리치료에 근거한 집단상담이 청소년의 자아탄력성, 학교생활 적응력및 심리적 안 녕감에 미치는 효과. 경성대학교 석사학위논문.

8.

이우경 (2008). 중년기 여성의 스트레스, 마음챙김, 자기-자애, 정서적 안녕감 간의 관계 구조분석과 마음챙김 증진 프로그램의 효과연구. 이화여자대학교 일반대학원 박사학위 청구논문.

9.

이정은, 이민규 (2005). 자기복잡성과 자기효능감이 우울과 지각된 스트레스에 미치는 영향. 2005년 한국심리학회 학술대회 자료집, 422-423.

10.

이진주, 이은정 (2015). 수용적 긍정심리치료가우울한 대학생의 우울 증상 및 행복에 미치는 효과: 경험 회피와 정서비율의 매개효과. 한국심리학회지: 임상, 34(2), 477-503.

11.

이현희, 김은정, 이민규 (2003). 한국판 정적정서 및 부적 정서 척도의 타당화 연구. 한국심리학회지: 임상, 22(4), 935-946.

12.

임영진 (2010). 성격강점과 긍정심리치료가 행복에 미치는 영향. 서울대학교 박사학위 청구논문.

13.

임영진 (2012). 주요우울장애 대학생을 대상으로 한 긍정심리치료의 효과. 한국심리학회지: 임상, 31(3), 679-692.

14.

임영진, 고영건, 신희천, 조용래 (2010). 한국인의 정신건강. 2010 한국심리학회 연차학술발표 논문집. 233-257.

15.

임영진, 고영건, 신희천, 조용래 (2012) 정신적웰빙 척도(MHC-SF)의 한국어판 타당화 연구. 한국심리학회지: 일반, 31(2), 369-386.

16.

전지영 (2011). 행복증진에 미치는 긍정심리치료의 효과: 비자발적인 내담자를 중심으로. 대구대학교 석사학위논문.

17.

정지현, 손정락 (2014). 긍정심리치료가 학교부적응 청소년의 우울, 자기존중감 및 낙관성에 미치는 효과. 한국심리학회지: 건강, 19(1), 99-117.

18.

조명한, 차경호 (1998). 삶의 질에 대한 국가 간비교. 아산재단 연구총서.

19.

조용래 (2007). 정서조절곤란의 평가: 한국판척도의 심리측정적 속성. 한국심리학회지:임상, 26(4), 1015-1038.

20.

조용래 (2012). 마음챙김에 기반을 둔 정서조절개입이 심리적 건강의 개선에 미치는효과와 그 변화기제: 정서조절곤란과 마음챙김의 매개역할. 한국심리학회지: 임상, 31(3), 773-799.

21.

최유연, 손정락 (2012). 긍정 심리치료가 사회공포증 경향이 있는 대학생의 사회불안, 낙관성 및 주관적 안녕감에 미치는 영향. 한국심리학회지: 건강, 17(3), 573-588.

22.

한상미, 이봉건 (2012). 긍정심리치료가 노인들의 우울감, 생활만족도 및 삶의 질에 미치는 효과. 한국심리학회지: 임상, 31(4), 971-992.

23.

Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychology research. Journal of Personality and Social Psychology, 51(6), 1173-1182.

24.

Beck, A. T., Steer, R. A., Brown, G. K. (1996). Beck Depression Inventory (2nd Manual). San Antonio, TX: The Psychological Corporation.

25.

Beutler, L. E., & Hamblin, D. L. (1986). Individualized outcome measures of internal change: Methodological considerations. Journal of Consulting and Clinical Psychology, 54(1), 48-53.

26.

Casey, L. M., Newcombe, P. A., Oei, T. P. S.(2005). Cognitive mediation of panic severity:The role of catastrophic misinterpretation of bodily sensations and panic self-efficacy. Cognitive Therapy and Research, 29(2), 187-200.

27.

Cohen, J. (1988). Statistical power analysis for the behavioral science(2nd ed.). Hillsdale, NJ:Lawrence Earlbaum Associates.

28.

Cohen, J., Cohen, P., West, S. G., & Aiken, L. S.(2003). Applied multiple regression/correlation analysis for the behavioral sciences (3rd ed). Mahwah NJ: Erbaum.

29.

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385-396.

30.

Cohen, S., & Williamson, G. M. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The social psychology of health (pp. 31-67). Newbury Park, CA: Sage.

31.

DeRubeis, R. J., Evans, M. D., Hollon, S. D., Garvey, M. J., Grove, W. M., & Tuason, V. B. (1990), How does cognitive therapy work? Cognitive change and symptom change in cognitive and pharmacotherapy. Journal of Consulting and Clinical Psychology, 58(6), 862-869.

32.

Diener, E, Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with life scale. Journal of Personality Assessment, 49(1), 71-75.

33.

Duckworth, A. E., Steen, T. A., & Seligman, M.(2005). Positive psychology in clinical practice. Annual Review of Clinical Psychology, 1, 629-651.

34.

Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389.

35.

Forest, J., Mageau, G. A., Crevier-Braud, L., Bergeron, E., Dubreuil, P., & Lavigne, G. L.(2012). Harmonious passion as an explanation of the relation between signature strengths'use and well-being at work: Test of an intervention program. Human Relations, 65(9), 1233-1252.

36.

Fredrickson, B. L., & Branigan, C. (2005). Positive emotions broaden the scope of attention and thought-action repertoires. Cognition and Emotion, 19(3), 313-332.

37.

Freedman, S. R., & Enright, R. D. (1996). Forgivenness as an intervention goal with incest survivors. Journal of Consulting and Clinical Psychology, 64(5), 983-992.

38.

Gable, S. L., Gonzaga, G., & Strachman, A.(2006). Will you be there for me when things go right? Supportive responses to positive event disclosures. Journal of Personality and Social psychology, 91(5), 904-917.

39.

Gable, S. L., Reis, H. T., Impett, E. A., & Asher, E. R. (2004). What do you do when things go right? The intrapersonal and interpersonal benefits of sharing positive events. Journal of Personality and Social Psychology, 87(2), 228-245.

40.

Giannopoulos, V. L., & Vella-Brodrick, D. A.(2011). Effects of positive interventions and orientations to happiness on subjective well-being. The Journal of Positive Psychology, 6(2), 95-105.

41.

Govindji, R., & Linley, P. A. (2007). Strengths Use, self-concordance and well-being:Implications for strengths coaching and coaching psychologists. International Coaching Psychology Review, 2(2), 143-153.

42.

Hofmann, S. G. (2004). Cognitive mediation of treatment change in social phobia. Journal of Consulting and Clinical Psychology, 72(3), 393-399.

43.

Kazdin, A. E. (2002). Research design in clinical psychology (4th Edition). New York: Pearson.

44.

Kazdin, A. E., & Weisz, J. R. (1998). Identifying and developing empirically supported child and adolescent treatments. Journal of Consulting and Clinical Psychology, 66(1), 19-36.

45.

Keyes, C. L. M. (2002). The mental health continuum: From Languishing to flourishing in life. Journal of Health and Social Behavior, 43(2), 207-222.

46.

Keyes, C. L. M. (2005b). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539-548.

47.

Keyes, C. L. M. (2008). Evaluation of the Mental Health Continuum-Short Form(MHC-SF) in Setswana-Speaking South Africans. Clinical Psychology & psychotherapy, 15(3), 181-192.

48.

Kraemer, H. C., Wilson, T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59(10), 877-883.

49.

Lyubomirsky, S., Sheldon, K. M., & Schkade, D.(2005) Pursuing happiness: The architecture of sustainable change. Review of General Psychology, 9(2), 111-131.

50.

Lyubomirsky, S., Dickerhoof, R., Bohem, J. K., & Sheldon, K. M. (2008). Becoming happier takes both a will and a proper way: Two experimental longitudinal interventions boost well-being. Emotions, 11(2), 391-402.

51.

McCullough, M. E., & Snyder, C. R. (2000). Classical source of human strength: Revisiting an old home and buliding a new one. Journal of social and Clinical Psychology, 19, 1-10.

52.

McCullouch, M. E., Emmons, R. A., & Tsang, J. A. (2002). The grateful disposition: A conceptual and empirical topography. Journal of Personality and Social Psychology, 82(1), 112-127.

53.

Meulenbeek, P., Spinhoven, P., Smit, F., van Balkom, A., & Cuijpers, P. (2010). Cognitive mediation of panic reduction during an early intervention for panic. Acta Psychiatrica Scandinavica, 122(1), 20-29.

54.

Park, N., Peterson, C., & Seligman, M. E. P.(2004). Strengths of Character and well-being. Journal of Social and Clinical Psychology, 23(5), 603-619.

55.

Peterson, C., Ruch, W., Beerman, U., Park, N., & Seligman, M. E. P. (2007). Strengths of character, orientations to happiness, and life satisfaction. Journal of Positive Psychology, 2(3), 149-156.

56.

Peterson, C, & Seligman, M. (2004). Character strengths and virtues: A handbook of classification. Washington, DC: American Psychological Association.

57.

Rashid, T., Anjum, B. L., & Hankin (2008). Handbook of depression in children and adolescents (pp. 250-287). New York, NY: Guilford Press.

58.

Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081.

59.

Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719-720.

60.

Seligman, M. E. P. (1991). Learned optimism. New York: Knopf.

61.

Seligman, M. E. P. (2002). Authentic happiness:Using the new positive psychology to realize your potential for lasting fulfillment. New York: Free Press.

62.

Seligman, M. E. P. (2003). Positive psychology:Fundamental assumptions. The Psychologist, 16(3), 126-144.

63.

Seligman, M. E. P., Steen, T. A., Park, N., & Peterson, C. (2005). Positive psychology progress: Empirical validation of interventions. American Psychologist, 60(5), 410-421.

64.

Seligman, M. E. P., Rashid, T., & Parks, N.(2006) Positive psychotherapy. American psychologist, 61(8), 774-788.

65.

Shahar, B., Britten, W. B., Sbarra, D. A., Figueredo, A. J., & Bootzin, R. R. (2010). Mechanisms of change in mindfulness-based cognitive therapy for depression: Preliminary evidence from a randomized controlled trial. International Journal of Cognitive Therapy, 3(4), 402-418.

66.

Sheldon, K, M., Lyubomirsky, S. (2006). How to increase and sustain positive emotion: The effect of expressing gratitude and visualizing best possible selves. Journal of Positive Psychology, 1(2), 73-82.

67.

Shimai, S., Otake, K., Park, N., Peterson, C., & Seligman, M. E. P. (2006). Convergence of character strengths in American and Japanese young adults. Journal of Happiness Studies, 7, 311-322.

68.

Sin, N. L., & Lyubomirsky, S. (2009). Enhancing well-being and alleviating depressive symptoms with positive psychology intervention: A practice-friendly meta-analysis. Journal of Clinical Psychology: In Session, 65(5), 467-487.

69.

Sinyor, M., Schaffer, A., & Levitt, A. (2010). The Sequenced Treatment Alternatives to Relieve Depression (STAR*D) trial: A review. The Canadian Journal of Psychiatry, 55(3), 126-135.

70.

Smits, J. A. J., Powers, M. B., Cho, Y., Telch, M. J. (2004). Mechanism of change in Cognitive-behavioral treatment of panic disorder: Evidence for the fear of fear mediational hypothesis, Journal of Consulting and Clinical Psychology, 72(4), 646-652.

71.

Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhardt (Ed.), Sociological methodology(pp.290-312). San Francisco:Jossey-Bass.

72.

Steketee, G. S., & Chambless, D. L. (1992). Methodological issues in the prediction of treatment outcome. Clinical Psychology Review, 12(4), 387-400.

73.

Tkach, C. (2005). Unlocking the treasury of human kindness: Enduring improvements in mood, happiness, and self-evaluations. Unpublished doctoral dissertation, University of California, Riverside.

74.

Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070.

75.

Wood, A. M., Linley, P. A., Maltby, J., Kashdan T. B., & Hurling, R. (2011). Using personal and psychological strength leads to increases in well-being over time: A Longitudinal study and development of the strengths use questionnaire. Personality and Individual Differences, 50, 15-19.

76.

World Health Organization (1948). Constitution of the World Health Organization. Geneva, Switzerland: World Health Organization.

77.

World Health Organization (2005). Promoting mental health: Concepts, emerging evidence, and practice. Geneva, Switzerland: World Health Organization.

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