조현병에서 인지행동치료의 적용

이동은 대한신경정신의학회 2012 신경정신의학 Vol.51 No.6

Objectives Cognitive behavioral therapy for treatment of schizophrenia was designed as a psychological therapy for treatment of drug resistant patients with schizophrenia. This therapy is currently being widely applied from early psychosis to chronic condition. The aim of this article is to review the main results of research articles on cognitive behavioral therapy of schizophrenia and prompt practicing the therapy in Korean mental health services. Methods The important original and review articles were referred in order to understand the main results of research from published international books, and the English website Pubmed was searched in order to update recent findings. This article reviewed the results of four areas of different phases and types of cognitive behavioral therapy for treatment of schizophrenia: drug resistant chronic patients, acute psychotic state, prodromal phase, and group cognitive behavioral therapy. Results Cognitive behavioral therapy for treatment of drug resistant patients with schizophrenia can attenuate the positive and general symptoms more than that for patients who receive supportive psychotherapy or treatment as usual. However, the effect appears to be less than previously expected, small to moderate. Cognitive behavioral therapy for patients of acute psychotic state can reduce the time of recovery from acute psychotic symptoms by approximately 25%. The result of cognitive behavioral therapy for patients of prodromal phase shows that the therapy can reduce the rate of transition to schizophrenia by up to one third. Group behavioral therapy has recently been tested. Group therapists have suggested that the therapy should be applied through the way of groups with relatively homogenous symptoms. However, whether the therapy can reduce the severity of hallucination in the voice hearer group is inconclusive. Conclusion Alongside pharmacotherapy for treatment of schizophrenia, cognitive behavioral therapy is a distinct psychological therapy for attenuation of psychotic symptoms. The effect of cognitive behavioral therapy appears to last for one year and requires additional therapeutic sessions after one year. The effect is not still clear in group cognitive behavioral therapy for treatment of schizophrenia. Cognitive behavioral therapy for treatment of schizophrenia should be practiced widely in the Korean mental health system. 조현병의 인지행동치료는 약물치료와 더불어 정신병적증상을 효과적으로 다룰 수 있는 가장 체계적인 심리학적 치료 방법이다. 조현병의 인지행동치료를 통하여 전구기 정신증 환자부터 약물저항성 만성 환자까지 망상과 환청과 같은정신병적 증상에 일정 부분 호전을 가져올 수 있으며 사회적기능 회복에도 도움이 될 수 있다. 인지행동치료의 효과는 약1년 정도 지속되는 것으로 보이며 이후에는 부가적인 치료가필요하다. 집단 인지행동치료의 정신병적 증상에 대한 효과는 명확하지 않지만 비교적 동질적인 증상 집단을 대상으로치료를 시도하였을 때, 사회적 기능 회복에 대한 효과는 있는것으로 보인다. 조현병의 인지행동치료는 국내의 임상과 지역사회에서 활발하게 적용되어야 할 것이다.

정서행동장애의 인지적 모델에 관한 10문 10답

이승희 ( Seung Hee Lee ) 한국정서·행동장애아교육학회(구 한국정서학습장애아교육학회) 2013 정서ㆍ행동장애연구 Vol.29 No.4

정서행동장애의 개념적 모델 중 하나인 인지적 모델은 근래 인지적 행동치료와 더불어 학계와 현장에서 높은 관심을 받고 있다. 그러나 이러한 높은 관심에 비해 문헌에 나타나는 인지적 모델의 관련 용어나 내용에서는 다소 혼란스럽고 모호한 측면들이 있다. 따라서 본 연구는 이러한 측면들을 다음과 같은 10개의 연구질문으로 설정하여 체계적으로 살펴봄으로써 인지적 모델에 대한 혼란과 모호성을 줄여 보고자 하였다: 첫째, cognitive model의 가장 적절한 번역어는 무엇인가? 둘째, cognitive behavior therapy의 가장 적절한 번역어는 무엇인가? 셋째, cognitive behavior modification의 가장 적절한 번역어는 무엇인가? 넷째, cognitive therapy의 가장 적절한 번역어는 무엇인가? 다섯째, cognitive behavior therapy와 cognitive behavior modification의 관계는 어떠한가? 여섯째, cognitive behavior therapy와 cognitive therapy의 관계는 어떠한가? 일곱째, cognitive behavior therapy와 cognitive intervention의 관계는 어떠한가? 여덟째, cognitive behavior therapy와 두 가지 대표적인 행동주의 이론(Pavlov의 반응적 조건형성 이론, Skinner의 조작적 조건형성 이론)의 관계는 어떠한가? 아홉째, cognitive behavior therapy의 표적행동은 무엇인가? 열째, 인지적 중재에서 사용되는 기법들의 종류와 분류는 어떠한가? 인지적 모델의 연대적 고찰과 관련문헌에 근거하여 10개 질문을 논의한 후 10개 답을 결론으로 제시하였다. The cognitive model, one of the conceptual models of emotional and behavioral disorders, has received considerable attention along with cognitive behavior therapy. Compared with the considerable attention, however, there are some confusing and ambiguous aspects in related terms and contents. Therefore, this study aimed to reduce the confusion and ambiguity by transforming those aspects into 10 research questions and examining them systematically. The 10 research questions were as follows: a) What is the most appropriate translated word for cognitive model? b) What is the most appropriate translated word for cognitive behavior therapy? c) What is the most appropriate translated word for cognitive behavior modification? d) What is the most appropriate translated word for cognitive therapy? e) What is the relationship between cognitive behavior therapy and cognitive behavior modification? f) What is the relationship between cognitive behavior therapy and cognitive therapy? g) What is the relationship between cognitive behavior therapy and cognitive intervention? h) What is the relationship between cognitive behavior therapy and two representative behavioral theories(Pavlov`s respondent conditioning theory and Skinner`s operant conditioning theory)? i) What is the target behavior of cognitive behavior therapy? j) What are the types and classification of techniques used in cognitive intervention? After discussing the 10 questions based on the chronological review and literature review of cognitive model, 10 answers were presented as the conclusions of this study.

음악요법이 정신질환자의 우울과 정신병적 행동에 미치는 영향

박영숙,김금순 서울대학교 간호대학 간호과학연구소 1996 간호학 논문집 Vol.10 No.1

The purpose of this study was to identify the effects of singing & listening of music therapy for the inpatients with depressive mood and psychiatric behavior. Music therapy was programmed of listening and singing using rhythmic instruments systemmatically. The study was designed with nonequivalent control group repeated measures design. The subjects were selected from the 2 neuropsychiatric wards of Seoul National University Hospital. They were composed of 44 patients: 22 patients were assigned to the experimental group in the one ward and the rests of them to control group in the other ward. The experimental group was received the music therapy for 35-45 minutes 8 times during 2 weeks. On the other hand, the control group had the tea time instead of music therapy. The tools of this study were Brief Psychiatric Rating Scale(BPRS), Depressive Adjective Mood Scale, Music Preference Questionnaire and Music Therapy Evaluation Questionnaire. BPRS consists of 18 items, including 4 factors: anxious depression behavior, withdrawal-retardation behavior, hostile suspiciousness behavior and thinking disturbance behavior. The data were collected from December, 26, 1994 to January, 17, 1995. The data were analyzed using the SPSS/PC+ program: Chi-Square Test and t-test were used to test the homogeneity of the general characteristics, extraneous variable, depressive mood and psychiatric behavior before intervention between the two group ; Chronbach's (-model was used to test reliability of BPRS and between the raters; ANCOVA, t-test and paired t-test were used to test the homogeneity of the depressive mood and psychiatric behavior after intervention between the two groups. The results of the study were as follows: There was no significant difference in the general characteristics, extraneous variable, depressive mood and psychiatric behavior before intervention between the experimental and the control group except anxious depression behavior. There was significant difference in depressive mood and some psychiatric behavior after intervention between the two groups. That is, there was significant difference in withdrawalretardation behavior, hostile suspiciousness behavior and thinking disturbance behavior at 8th session. And there was significant difference in depressive mood at only 1st session between the two groups and the therapeutic effects maintained. Experimental group had more anxious depression behavior than control group at 2nd and 4th sessions temporarily. But we should remember one point that there was no significant difference after that time. In conclusion, the finding of this study showed that group music therapy, systematically programmed of listening and singing using rhythmic instruments, had therapeutic effects for the inpatients with depressive mood and psychiatric behavior. The data in this study suggest that music therapy requires at least 8 sessions and is good nursing intervention of neuropsychiatric inpatient. Finally, I suggest that further researches for the effects of music therapy in contrast to other therapeutic activities should be followed.

헤드스파테라피 계획행동 연구

한현정,박철호 한국미용예술경영학회 2023 미용예술경영연구 Vol.17 No.2

This study analyzed the effects of head spa therapy planning behavior (attitude, subjective norms, perceived behavioral control) and intention to use head spa therapy on practice behavior. The planned behavior theory is a theory that predicts the intention to use and practice behavior from three factors, such as attitude, perceived behavioral control, and subjective norm, and has been proven in various studies (Lam & Hsu, 2004; Dawkins & Frass, 2005). ). The purpose of this study is to identify the differences between the factors of planned behavior and practical behavior of Head Spa Therapy by predicting the factors of planned behavior and practical behavior of Head Spa Therapy based on the attitude, subjective norm and perceived behavioral control of the theory of planned behavior. The survey period was from August 12, 2021 to September 14, 2021, and adult men and women in their 20s or older living in Seoul, Incheon, and Gyeonggi Province were surveyed, and 600 copies were used as the final analysis data. For the collected data, frequency analysis was conducted to examine the general characteristics of the sample using the SPSS 23.0 program, and an independent t- test (test), one-way ANOVA was performed. As a result of applying Ajzen’s planned behavior theory model to the practice behavior of Head Spa Therapy and analyzing it, it was composed of perceived behavioral control, behavioral intention, attitude, and subjective norm. The feasibility of the behavioral theory model was confirmed. In addition, it has been proven that attitudes, subjective norms, and perceived behavioral control, which are planned behaviors, can increase the intention to use Head Spa Therapy and practice behavior. Therefore, it will be possible to provide basic data in the field of head spa therapy behavior, which is a strategy for promoting scalp and hair health care.

국내 행동치료관련 인력 양성, 배치 및 서비스 제공 현황

박계신 ( Gye Shin Park ) 한국정서·행동장애아교육학회(구 한국정서학습장애아교육학회) 2014 정서ㆍ행동장애연구 Vol.30 No.2

본 연구는 발달재활 서비스 및 치료지원 관련 법률, 정책 자료, 정부 및 공공기관의 행정 자료, 관련 논문 등을 근거로 국내 행동치료관련 인력의 양성, 배치 및서비스 제공 현황을 분석하였다. 본 연구를 통해 도출된 결론은 다음과 같다. 우리나라에서는 그동안 민간자격관리기관과 정규 대학 및 대학원을 통해 행동치료관련 인력이 양성되어 왔으며, 대부분 민간자격관리기관을 통해 양성되어 왔다. 민간자격관리기관 중 자격체계가 미흡하거나 운영의 질이 의심이 가는 기관이 다수 발견되었고, 민간자격증의 직무내용이 행동치료와 관련성이 적은 자격증도 다수 조사되었다. 국내 대학원 및 학부과정을 통한 행동치료 관련 인력 양성 기관은 향후 개정된 발달재활서비스 제공 가능인력 자격기준에 의거 매우 전망이 있을 것으로 예측되나 기관수가 극소수에 불과했다. 행동치료관련 인력은 바우처와 비바우처를 포함한 다양한 재활치료 서비스 제공기관에 배치되어 서비스를 제공하고 있었으나, 행동치료는 언어치료, 음악치료, 심리.운동치료 등의 다른 발달재활 서비스에 비해서비스 이용률이 다소 낮은 것으로 분석되었다. 또한 특수교육관련 서비스로서 치료지원 분야에서의 행동치료는 선행연구 분석결과 치료지원 분야에서 제외되고 있음을 알 수 있었다. 본 연구에서는 국내 행동치료관련 인력 양성, 배치 및 서비스 제공을 위한 몇 가지 방안들을 제언하였다. This study is to investigate the current state of behavior therapy professional training programs, placement and service offerings. In South Korea, behavior therapy related professionals are trained by private institutions, academies, associations and graduate and undergraduate schools. Some private institutions, academies and associations don``t have sufficient training systems. For example, there may be no qualification requirements, very short education periods, just on-line courses, no guidelines for academic approaches and so on. And job specifications of a lot of private institutions, academies and associations are unsuitable for the nature of behavior therapy. Undergraduate and graduate schools for fostering behavior therapy related professionals are few. But their training programs are appropriate to cultivate the behavior therapy professionals as a developmental rehabilitation services personnel accepted by the Ministry of Health and Welfare, 2014. The behavior therapy related professionals work in many different fields. But the user rate of behavior therapy is lower than any other developmental rehabilitation service such as speech/language therapy, art therapy and so on. Usually, in the field of therapeutic support as a special education related service, the user rate of behavior therapy is not calculated in any advanced research studies. In this study, some suggestions are addressed about the current training programs for behavior therapy related professionals, and some further research studies are suggested for investigating the cause of behavior therapy’s low user rate.

잠언에 나타난 기독교 인지행동치료의 원리

박기영 한국실천신학회 2023 신학과 실천 Vol.- No.87

This paper is aimed at studying the principles of Christian cognitive behavior therapy shown in “Proverbs” and providing data to effectively help Christian clients. The researcher began the study on the assumption that the words of encouragement and admonition found in “Proverbs” could assist in Christian cognitive behavior therapy. In the introduction, efforts were made to examine previous research on the awareness of Christian counseling which has been spreading in churches and on previous studies on Christian cognitive behavior therapy. In the main body of the text, the researcher studied the outline and themes of Proverbs, and the psychopathology shown in Proverbs, and considered the characteristics of Christian cognitive behavior therapy while comparing “traditional” cognitive behavior therapy and Christian cognitive behavior therapy. Furthermore, the researcher pointed out the limitations of the concept of cognitive distortion in cognitive behavior therapy and redefined cognitive distortion mentioned in terms of Christian cognitive behavior therapy. In other words, the researcher considered cognitive distortion in Christian cognitive behavior therapy as thoughts contaminated with sin that is hated by God, and selected seven related themes of cognitive distortion. Christian counselors should face or encourage clients using the words in “Proverbs” to refute the cognitive distortion of those clients stained with sin. For this purpose, Christian counselors should have five counseling abilities: they are spiritual wisdom, listening, emphasizing, facing and encouraging. The researcher described the effect of refutation mentioned in Christian cognitive behavior therapy as changes to thoughts, words and behaviors which please God, and specifically suggested the words of Proverbs related to this. This paper has some limitations. First, the themes of cognitive distortion are limited to those mentioned in Proverbs. Second, it doesn’t deal with how clients’ attitudes towards counseling can change their cognitive distortion. Regarding this, additional research is necessary.

인지행동 집단미술치료프로그램이 중학생의 학업스트레스에 미치는 효과

하애희,이수연 한국미술치료학회 2012 美術治療硏究 Vol.19 No.6

The purpose of this study is to examine the effects of cognitive behavior art therapy on learning stress of middle school students. The cognitive behavior art therapy program is consisted to degrade the main factors of learning stress such as academic factors, human relationship factors, environmental factors and career factors based on theory of cognitive behavior therapy. Among the whole 3rd grade of middle school students at C-city in Gyeongsangnam-do, the authors selected 16 students with the top 16 stress scores for learning stress and classified them into experimental group and controlled group. The experimental group underwent 12 sessions of cognitive art therapy program for 50 minutes at twice a week. In order to verify the results of this study, the authors underwent learning stress questionnaire at both pre-therapy and post-therapy as analysis of covariance (ANCOVA) for statistical analysis. Also, for the qualitative analysis, the authors underwent PITR (person-in-the-rain) projection picture for comparison and analysis. The summaries of results of the study are as followed. First, the cognitive behavior art therapy showed significant effects on decrease of learning stress of middle school students. The cognitive behavior art therapy showed significant effects on decreased of expectation and inside stress among the 3 subfactors (expectation, inside, expression) for learning stress. Second, the cognitive behavior art therapy showed positive changes in the qualitative analysis, likewise, PITR (person-in-the-rain) projection picture. It was verified that the cognitive behavior art therapy lessens stress recognition and improve the score of stress coping ability by improving the stress coping sources in the end. This is the similar results with the quantitative study which showed that the cognitive behavior art therapy showed significant decrease of learning stress. 본 연구의 목적은 인지행동 집단미술치료프로그램이 중학생의 학업스트레스에 미치는 효과를 알아보는데 있다. 미술치료프로그램은 인지행동치료 이론을 토대로 학업스트레스의 주요 요인인 학사적, 대인관계 및 환경적, 그리고 진로적인 요소들을 고려하여 구성되었다. 경상남도 C시에 소재한 S중학교 3학년생 전체를 설문조사하여 학업스트레스 점수가 높은 상위 16명을 선발하여, 실험집단과 통제집단에 각각 무작위배치하였다. 실험집단에게는 각 50분간의 회기를 주2회씩 총 12회기의 인지행동 미술치료프로그램을 실시하였으며 통제집단은 처치를 가하지 않았다. 프로그램 사전과 사후에 학업스트레스 척도를 사용하여 자료수집 하였으며, 공분산분석을 실시하였다. 또한, 질적 분석을 위하여 PITR 투사그림을 사용하였다. 연구결과, 첫째, 인지행동 미술치료프로그램은 학업스트레스 감소에 유의미한 효과가 있었다. 학업스트레스 하위 척도 가운데 기대스트레스와 내면스트레스 감소에 유의미한 효과가 있었다. 둘째, 인지행동 미술치료프로그램은 PITR 투사그림에도 긍정적인 변화를 나타냈다. 스트레스 지각을 감소시키고, 스트레스 대처 자원을 향상시킴으로써 궁극적으로 스트레스 대처 능력 점수를 향상시킨 것으로 확인되었다.

외상후 스트레스 장애 유아를 위한 통합적 치료 적용 사례연구

조정숙,김상희 한국인간발달학회 2010 人間發達硏究 Vol.17 No.1

This study was designed for six-year-old girls with posttraumatic stress disorder caused by traffic accidents. The effect of integrative therapy, (which implemented sand play, art, and music therapy separately in each different session for the whole treatment period), on problem behaviors and anxiety accompanied with posttraumatic stress disorder and enhancing adaptive behavior was investigated by observing target behavior (target behavior observation method). The number of sessions was twelve for sand play therapy, twelve for music therapy and six for art therapy, and all sessions were implemented on a one to one basis in each therapy room. Analysis of behavior changes after the therapy using the Posttraumatic Diagnostic Scale showed that most symptoms were improved after terminating the therapy and these improvements were sustained when assessed after a one-month follow-up session. Additionally, behavior checklist assessment before and after the therapy was conducted, and led to the following findings. First, the problem behaviors including fear of cars and playgrounds, fearful dreams, sleep problems, and limping were either eradicated or reduced. Second, withdrawal, tension, anxiety, irregular breathing caused by hypertension was considerably reduced and emotions became normalized and stabilized. Third, relationships with family members and peers, and adaptive behaviors in social relationships was remarkably enhanced. These results demonstrated that integrative therapy is effective in reducing problem behaviors and anxiety caused by posttraumatic stress disorder and is effective in improving adaptive behaviors.

부모-자녀 놀이치료의 의사소통행위 변화에 관한 연구

박석원(Park Suk Won) 사단법인 안전문화포럼 2021 안전문화연구 Vol.- No.12

본 연구에서는 유아 발달에서 언어발달은 중요한 부분으로 차지하고 그 중 의사소통 행동, 즉 의사소통행위의 증가를 통해 유아는 의사소통 기능을 발달시킬 수 있다고 보아 유아의 언어기능 발달에 가장 영향을 미치는 모와의 언어 및 의사소통행동을 위한 부모-자녀 놀이치료로 시도하려 한다. 그로인해 유아 및 모의 의사소통 행위의 질적 변화에 대해 검증하고, 부모-자녀 놀이치료가 효과적인 치료방법임을 제시하기 위해 의사소통행위 변화에 관한 연구를 한다. 본 연구의 대상 유아는 발달에 어려움으로 지체를 보이는 유아 5명과 그들의 부모인 모 5명을 대상으로 하였다. 참여대상 유아는 유의미한 발화보다는 발성을 통한 의사소통이 주로 나타났으며 첫 낱말 출현이 나타나기 시작했고 일상적인 구어나 낱말을 사용하는데 어려움을 보이고 있다. 또한 언어적 발달 연령은 언어발달검사(SELSI)결과 20개월 이하이며 생활연령이 32개월에서 40개월 사이에 유아로 선정하였다. 본 연구는 부모들이 유아에게 적용할 수 있는 놀이적 방법을 치료실에서 치료자가 직접 교육을 하고 훈련을 하여 부모가 직접 적용 해 보도록 하고 매회기는 녹화를 통해 유아와 모의 행위를 관찰하고 모에게 피드백을 주는 방식으로 실시하였다. 회기는 주 2회씩 12회기를 실시하였고 연구기간은 약 2개월간 소요 되었다. 사전평가는 부모교육 및 훈련을 실시하기 전 장난감 교구를 이용하여 20분간 녹화하였다. 사후평가는 프로그램 12회기를 모두 마치고 치료사의 개입 없이 유아와 모의 놀이상황을 20분간 녹화를 하여 확인하였다. 연구결과 부모-자녀 놀이치료가 유아 및 모의 의사소통행위의 질적 변화를 가져올 수 있다는 것을 알 수 있었다. 부모나 자녀들의 치료로 인해 빈도가 낮은 행위에 대해 의사소통행위의 주요 13개 요소가 모두 증가함을 알 수 있었고,중재 전후 유아와 모는 의사소통을 위한 행위의 질적인 변화를 볼 수 있었다. 결론으로 첫째, 부모-자녀 놀이치료를 실시한 결과 5명의 유아 모두 의사소통 행위의 빈도수가 증가함을 알 수 있었고 의사소통 유형에서도 분석내용으로 선정한 의사소통 유형들이 증가하고 질적인 변화를 보이는 것을 알 수 있었다. 둘째, 부모-자녀 놀이치료를 실시한 결과 모든 모가 유아와의 부족했던 의사소통행위가 상호작용 상황이 증가하고 행위의 질적인 변화를 나타냈다. 결과를 종합해 볼 때, 부모-자녀 놀이치료가 유아의 의사소통행위에 질적인 변화를 창출할 수 있다는 것을 알게 되었으며 부모나 자녀들의 의사소통행위의 주요요소도 증가함을 알 수 있었다. 그러므로 유아의 의사소통행위를 증진시키고 모의 의사소통행위를 증진 시킬 수 있는 부모-자녀 놀이치료를 통해 의사소통행위의 질적 변화로 언어적 기능의 발달에 부모-자녀 놀이치료가 효과적인 치료방법이 될 것으로 사료된다. This study views linguistic development as a significant part of infantile development and also believes that infants are able to develop communication skills by increasing communication behavior, or the acts of the acts of communication, hoping to attempt parent-child play therapy to promote linguistic and communication behavior with the mother - an act that has the greatest impact on the linguistic development of infants. Therefore, this study aims to conduct a qualitative case study on the changes of communication behavior to verify the qualitative changes of the communication behavior of the infant and the mother and to propose play therapy of the parents-children as an effective treatment method. The subjects of this study are five infants who are showing developmental delay and the five mothers. The infants who participated in the study showed communication through voices rather than significant speech, started speaking their first words, and have difficulty in everyday colloquial language and words. Also, the age of linguistic development of the participants of this study are 20 months or less according to Sequenced Language Scale for Infants (SELSI) and living age between 32 months and 40 months. This study was conducted in the method of the therapist educating and training the mothers on the playful methods that may be applied by the parents to the children in the treatment room, with each session conducted through the method of observing the behavior of the infant and the mother through video recording and providing feedback to the mother. A total of 12 sessions were conducted with two weekly sessions, with the study period extending over approximately 2 months. Preliminary exhibition was conducted by recording for about 20 minutes by using toy teaching aid before carrying out education and training for the parent; post-evaluation was carried out by video-recording the playing of the infant and the mother without the intervention of the therapist after a total of 12 sessions. The study verified that play therapy of the parents and the child could bring qualitative changes to the communication behavior of the infant and the mother. The key 13 factors of communication behavior all increased for the low-frequency behavior due to the treatment of the parents or the children, and qualitative changes for communication behavior were observed after mediation. As a conclusion, firstly, the frequency of communication behavior increased in all five infants as the result of parent-child play therapy, and the frequency of the types of communication selected as the content of analysis increased and showed qualitative change. Secondly, parent-child play therapy increased interaction in the lacking communication behavior of all mothers and infants and furthermore led to qualitative changes of behavior. In summary of the results, play therapy between the parents and children is able to lead to qualitative changes in the communication behavior of infants, and also led to increase of the key factors of communication behavior of parents and children. Therefore, this study considers parent-child play therapy capable of promoting communication behavior of infants and communication behavior of mothers would lead to qualitative changes to communication behavior, with the parent-mother play therapy serving as an effective treatment method for the qualitative changes of communication behavior.

인지행동이론을 기반으로 한 집단미술치료가 소년원재소 비행청소년의 부정적 자동적 사고와 공감능력에 미친 영향

오승주(Seung-Ju Oh),최세민(Choi Se Min) 한국교정복지학회 2015 교정복지연구 Vol.- No.38

본 연구는 인지행동이론을 기반으로 한 집단미술치료가 소년원 재소 비행청소년의 부정적 자동적 사고와 공감능력에 미치는 영향을 알아보는데 목적을 두고있다. 연구대상은 C시 00소년원에서 보호관찰 처분을 받고 재소중인 청소년 30명으로 하였으며 이들 중 10명은 실험집단에 나머지 10명은 통제집단에 배치하였다. 실험집단은 주 2회 90분씩 총 18회기로 인지행동이론을 기반으로 한 집단미술치료를 시행하였으며, 통제집단은 무처치 하였다. 실험집단과 통제집단 간의 동질성을 알아보기 위해 독립 t검증을 실시하였다. 또한, 인지행동이론을 기반으로 한 집단미술치료의 효과를 알아보기 위해 혼합변량분석을 실시하여 집단 간의 차이, 측정시기 간의 차이, 집단과 측정시기 간의 상호작용을 확인하였다. 이와 같은 절차와 방법을 거쳐 나타난 결과를 요약 정리하면 다음과 같다. 첫째, 집단미술치료는 소년원 재소 비행청소년의 부정적 자동적 사고를 변화시키는데 긍정적인 영향을 미치는 것으로 나타났다. 자동적 사고의 하위변인 중 사회불안 인지,신체적 위협 인지, 적대적 인지가 모두 유의하게 감소되었다. 그러나, 우울인지는 유의한 변화가 없었다. 둘째, 집단미술치료는 소년원 재소 비행청소년의 공감능력에 긍정적인 영향을 미치는 것으로 나타났다. 이러한 결과는 인지행동 이론을 기반으로 한 집단미술치료가 향후 소년원 재소 비행청소년의 부정적 사고를 감소시키고 공감능력을 향상시키는데 유용하게 적용될 수 있다는 점을 시사한다. This study was conducted to investigate the effects of group cognitive behavior therapy-based group art therapy on automatic thought, and empathy of juvenile delinquents. 10 people were selected out of juvenile delinquents on probation in OO Youth Detention Center of OO city and were allocated randomly into the experimental group (10 people) and the control group (10 people). Group art therapy based on cognitive behavior therapy sessions were performed to the experimental group Each session lasted for 90 minutes, and was conducted twice a week for 18 sessions in total. No treatment was performed to control group. K-CATS and IRI were used as assessment scales. Independent T-test was conducted to investigate the homogeneity between the experimental group and the control group, and differences between groups, differences between measure timings, and interactions between groups and measure timings were measured by performing mixed ANOVA to find out the effects of group art therapy based on cognitive behavioral therapy. The results of group art therapy based on cognitive behavior therapy are as follows. First, there was no significant difference in verifying homogeneity in advance between the experimental group and the control group. Second, all of negative automatic thought except depressive cognition of experimental group was significantly decreased compared to the control group after the group art therapy based on cognitive behavior therapy. Third, empathy of experimental group was significantly increased compared to the control group after group art therapy based on cognitive behavior therapy. Group art therapy based on cognitive behavior therapy significantly decreasing negative automatic thought. Group art therapy also increased empathy of juvenile delinquents in prison on probation. Thus it is expected that this program could be applied to psychosocial interventions program for juvenile delinquents.