여자 청소년의 사회불안 감소를 위한 인지행동집단상담 프로그램과 NLP집단상담 프로그램의 효과 비교 = A Comparison of the Effects of Cognitive-Behavioral Group Counseling and Neuro Linguistic Programming Group Counseling for Social Anxiety in Female Adolescents

다국어 초록 (Multilingual Abstract)

This study aimed to compare the effects of cognitive-behavioral group counseling and neuro linguistic programming group counseling for social anxiety in female adolescents. KSAS-A and SASC-R were administered to 508 2nd grade middle-school female students to assess their social anxiety levels. On the basis of double criteria procedure(top 10% scores on both scales), 59 students were selected initially. Finally, 48 students who volunteered were selected and randomly assigned to either a treatment group or a wait-list control group. Both programs consisted of 6 weekly sessions, approximately 1.5-2 hours in duration. The results of the study were as follows: 1) For the CBT group and the NLP group, a significant decrease in social anxiety was marked at the post-test in relation to the pre-test. For the NLP group only, a significant decrease in social interaction anxiety and performance anxiety was shown. 2) In comparison with the CBT group, the NLP group showed a significant decrease in social interaction anxiety at the post-test.

국문 초록 (Abstract)

본 연구의 목적은 여자 청소년의 사회불안 감소를 위한 인지행동집단상담 프로그램과 NLP집단상담 프로그램의 효과를 비교하는 것이다. 연구대상은 중학교 2학년 여학생 508명에게 한국판 아동․청소년용 사회불안 척도와 개정판 아동용 사회불안 척도를 실시하여 각각 상위 10%에 중복 해당하는 59명을 1차 선발한 후 이 중 참가를 희망한 지원자 48명을 최종 선정하였다. 이들은 각각 CBT집단, NLP집단, 통제집단에 16명씩 무선 배정되었으며, 통제집단을 제외한 두 집단은 각각 2개의 소집단으로 나누어 주 1회 총 6회기 프로그램을 실시하였다. 프로그램 사전과 사후 세 집단을 대상으로 개정판 아동용 사회불안, 자기지각, 대인관계불안, 수행불안 척도를 실시하였다. 수집된 자료는 일원분산분석과 반복측정 분산분석을 사용하여 분석하였다. 연구 결과, 첫째, CBT집단과 NLP집단 모두 사후검사에서 사전검사에 비해 사회불안이 유의하게 감소하였으나, 대인관계불안과 수행불안의 경우 NLP집단만이 유의한 감소를 나타냈다. 반면, 통제집단은 사후검사에서 어떠한 유의한 차이도 보이지 않았다. 둘째, CBT집단은 통제집단에 비해, NLP집단은 CBT집단에 비해 대인관계불안이 유의하게 낮았다.

참고문헌 (Reference)

1 문혜신, "한국판 아동청소년용 사회 불안 척도의 타당화 연구" 한국임상심리학회 21 (21): 429-443, 2002

2 김정민, "청소년의 사회불안 감소를 위한 인지행동집단상담 프로그램의 효과" 한국상담학회 7 (7): 541-556, 2006

3 김정민, "사회불안장애 청소년을 위한 인지행동치료와 인지행동치료·주의훈련의 효과비교" 한국상담심리학회 20 (20): 243-267, 2008

4 조용래, "사회불안장애 청소년에 대한 집단인지행동치료 효과의 예비연구" 한국임상심리학회 24 (24): 243-253, 2005

5 최영숙, "비합리적 신념과 사회적 지지가 청소년의 사회불안에 미치는 영향" 한국가정관리학회 26 (26): 103-114, 2008

6 Bandler,R, "Using your brain - for a change" Real People Press 1985

7 Kendall, P. C., "Therapy for youths with anxiety disorders: A second randomized clinical trial" 65 : 366-380, 1997

8 Spence, S. H., "The treatment of childhood social phobia: The effectiveness of a social skills training-based, cognitive-behavioral intervention, with and without parental involvement" 41 : 713-726, 2000

9 Beidel, D. C., "The treatment of childhood social anxiety disorder" 24 (24): 831-846, 2001

10 Van Ameringen, M., "The impact of anxiety disorders on educational achievement" 17 : 561-571, 2003

11 Bögels,S.M, "Task concentration training versus applied relaxation, in combination with cognitive therapy, for social phobia patients with fear of blushing, trembling, and sweating" 44 : 1199-1210, 2006

12 Seligman,L, "Systems, strategies, and skills of counseling and psychotherapy" Merrill Prentice-Hall 2001

13 Hofmann, S. G., "Subtypes of social phobia in adolescents" 9 : 15-18, 1999

14 Wittchen, H. U., "Social fears and social phobia in a community sample of adolescents and young adults: Prevalence, risk factors and co-morbidity" 29 : 309-323, 1999

15 Morris,T.L, "Social development. In Anxiety Disorders in Children and Adolescents" Guilford 141-163, 2004

16 La Greca, A. M., "Social anxiety scale for children-revised: Factor structure and concurrent validity" 22 : 17-27, 1993

17 Hofmann, S. G., "Recent advances in the treatment of social phobia: Introduction to the special issue" 20 (20): 3-5, 2006

18 Wittchen, H. U., "Prevalence of mental disorders and psychosocial impairments in adolescents and young adults" 28 : 109-126, 1998

19 Costello, E. J., "Prevalence and development of psychiatric disorders in childhood and adolescence" 60 : 837-844, 2003

20 Childers,J.H, "Neurolinguistic Programming in the Context of Group Counseling" 11 (11): 221-227, 1986

21 Fromme, D. K., "Neuroliguistic programming examined: Imagery, sensory mode, and communication" 3 (3): 387-390, 1984

22 Andreas, S., "NLP: the new technology of achievement" William Morrow 1994

23 Faulkner, C., "NLP in action [video recording]: success strategies for rapid change / NLP Comprehensive" Nightingale-Conant 1993

24 Bögels, S. M., "Mindfulness and task Concentration Training for Social Phobia: A pilot study" 20 (20): 33-44, 2006

25 O'Connor, J., "Introducing Neuro-Linguistic Programming: The new psychology of personal excellence" Harper Collins 1994

26 Flanery-Schroeder, E. C., "Group and individual cognitive-behavioral treatment for youth with anxiety disorders: A randomized clinical trial" 24 : 251-278, 2000

27 Mulkens, S., "Fear of blushing: Effects of task concentration training versus exposure in vivo on fear and physiology" 15 : 413-432, 2001

28 Barrett,P.M, "Evaluation of cognitive -behavioral group treatment for childhood anxiety disorders" 27 (27): 459-468, 1998

29 Wittchen, H. U., "Epidemiology, patterns of comorbidity, and associated disabilities of social phobia" 24 : 617-641, 2001

30 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" APA 2000

31 Matticks, R. P, "Development and validation of measure of Social Phobia and Security and Social Interaction Anxiety" 36 : 455-470, 1998

32 Essau. C. A., "Course and outcome of anxiety disorders in adolescents" 16 : 67-81, 2002

33 Andreas, C., "Core Transformation" Real People Press 1994

34 Hayward, C, "Cognitive-behavioral group therapy for social phobia in female adolescents: Results of a pilot trial" 39 : 721-726, 2000

35 Rudolph, K. D., "Cognitive representation of self, family, and peers in school-age children: Link with social competence and sociometric status" 66 : 1385-1402, 1995

36 Albano, A. M., "Cognitive -behavioral group treatment for social phobia in adolescents: A preliminary study" 183 : 649-656, 1995

37 Friedberg, R. D., "Clinical practice of cognitive therapy with children and adolescents" the Guilford Press 2002

38 Dilts,R, "Changing belief systems with NLP" Meta Publication 1990

39 Stein, M. B., "Bringing up bashful baby: Developmental pathways to social phobia" 24 : 661-675, 2001

40 Mulkens, S., "Attentional focus and fear of blushing: A case study" 27 : 153-164, 1999

41 Douglas,V.I, "Attentional and cognitive problem. Developmental Neuropsychiatry" Guliford 1983

42 Bögels, S. M., "Attention processes in the maintenance and treatment of social phobia: Hypervigilance, avoidance and self-focused attention" 24 (24): 827-856, 2004

43 김종운, "ADHD 아동의 행동변화와 학교적응에 미치는 인지적 NLP 집단상담과 행동적 NLP 집단상담의 효과비교" 한국상담학회 6 (6): 777-788, 2005

44 Beidel, D. C., "A new inventory to assess childhood social anxiety and phobia: The Social Phobia and Anxiety Inventory for Children" 7 : 73-79, 1995

45 Brown,Nigel, "A comparison of the dominant meta programme patterns in accounting undergraduate students and accounting lectures at a UK business school" 12 (12): 159-175, 2003

46 A comparison between socially anxious and depressive symptomatology in youth: a focus on perceived family environment, "A comparison between socially anxious and depressive symptomatology in youth:a focus on perceived family environment.Anxiety" 19 (19): 423-442, 2005