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KMID : 0981220230230020177
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Congnitive Behavior Therapy in Korea
2023 Volume.23 No. 2 p.177 ~ p.200
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Development and effects of mobile app-based Acceptance-Commitment Therapy for clinical outpatients with depressive symptoms
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Jeong Na-Rae
Kim Eun-Jung
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Abstract
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As social costs rise due to the increase in the prevalence of depression, cost-effective and evidence-based psychotherapeutic methods are being tried more diversely than before. Acceptance and Commitment Therapy(ACT) for depression is an effective method that contributes to the reduction of depressive symptoms and helps prevent recurrence by enhancing psychological flexibility, and its effectiveness has been repeatedly tested through a variety of studies. In addition, due to the development of information and communication technology, psychological intervention using mobile technology has been developed, but only a few studies have demonstrated the effects of mobile app-based ACT. Accordingly, this study aimed to develop and test the effectiveness of mobile app-based ACT for clinical outpatients with depressive symptoms. Thirty-eight depressed outpatients receiving treatment were randomly assigned to a treatment group (n=21) and a control group (n=17), respectively. The treatment group underwent mobile app-based ACT for 4 weeks, and the control group waited without treatment, and both pre- and post-assessment scores of the two groups were compared. The pre-dependent measures were used as covariates, and when considering the comparison between the two groups for post assessment scores, the treatment group showed improvement in depressive symptoms compared to the control group, and also improved acceptance, rigidity, cognitive defusion, values, and commitment. Therefore, the developed mobile app-based ACT is suggested as a cost-effective method that not only reduces depression but also contributes to the improvement of key components of ACT. Finally, implications, limitations of the study, and future research options were discussed.
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KEYWORD
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Depression, Acceptance and Commitment Therapy, ACT, mHealth, mobile app based psychotherapy, clinical outpatients, effects
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