성폭력 피해 아동에 대한 외상초점 인지행동 치료의효과 검증: 탐색적 연구

국문 초록 (Abstract)

본 연구는 성학대 피해 아동을 대상으로 외상초점 인지행동치료의 효과성을 확인하고, 각 증상의 호전에 영향을 미치는 요인들을 탐색하고자 하였다. 외상초점 인지행동치료는 노출, 인지․정서적 처리, 건강한 성과 자기보호기술에 대한 심리교육 등의 요소로 구성되었다. 연구대상은 성학대 피해로 아동성폭력 전담센터인 서울해바라기 아동센터를 방문하여 정신과 진료와 심리평가를 거쳐 후유증이 심각하다고 판단되어 치료에 의뢰된 만 8세에서 13세의 여자 아동 27명이었다. 그 결과 아동이 보고한 외상후증상, 해리증상, 성관련 문제와 부모가 보고한 내・외현화 행동문제에서 모두 유의한 호전을 보였다. 한편, 아동의 성학대 피해정도, 성학대 이전의 복합외상, PTSD진단, 가족형태, 그리고 치료 회기수 중에서 증상 호전에 가장 유의한 영향을 주는 요인은 PTSD진단이었으며 복합외상 여부, 가족형태, 회기수도 몇몇 증상 호전에 영향을 주었다. 본 연구의 시사점과 제한점을 논의하였다.

다국어 초록 (Multilingual Abstract)

The purpose of the study was to examine the effectiveness of trauma-focused cognitive behavioral therapy for sexually abused children, and to identify the factors affecting treatment outcome. TF-CBT was comprised of exposure, cognitive and affective processing, and psycho-education regarding childhood sexual abuse, health sexuality and personal safety skills. The participants consisted of 27 sexually abused girls between the ages of 8 and 13 who were referred to psychotherapy by psychiatrists because their symptoms were severe enough to be in need of intervention. They received 8-24 sessions (mean=13 sessions) individually on a weekly base. The results showed PTSD symptom, dissociative symptom, sexual concern, anxiety and depression as children's self-reported symptoms improved following therapy. There was also a significant improvement in internalizing problems and externalizing problems as reported by the parent. This results support the treatment effectiveness of TF-CBT. In addition, the study identified that PTSD diagnosis was the most significant predictor of treatment outcome of TF-CBT. Complex trauma, family structure, and number of sessions were also significant predictors. Clinical implications and limitations of this study were discussed.

목차 (Table of Contents)

• 국문초록
• 방 법
• 연구대상
• 외상초점 인지행동 치료 프로그램
• 도구
• 자료분석 방법
• 결 과
• 치료전 변인과 사전측정치와의 관계
• 외상초점 인지행동치료의 효과
• 논 의
• 참고문헌
• abstract

참고문헌 (Reference)

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