음악치료가 뇌성마비 성인의 우울감과 불안감에 미치는 효과 = Influence of Music Therapy on Depressive Moods and Sense of Unease of Adult with Cerebral Palsy

다국어 초록 (Multilingual Abstract)

Abstract

Influence of Music Therapy on Depressive Moods and Sense of Unease of Adult with Cerebral Palsy

Um, ji-suk
Majir in music Therapy
The Graduate School of Hansei University
Kyonggi, Korea
Supervised by Professor Shin, Hee-sungg, Ph. D.

The purpose of this study is to provide effective data for rehabilitation and medical treatment of adults with cerebral palsy through test of influence of music therapy program on depressive moods and unease of adults with cerebral palsy.
As a procedure of this study, the music therapy program applied music therapy technique was conducted twice a week, 50 minutes per time, total 10 times for 5 weeks at 00 welfare-center in S city from April 12 2010 to May 20 2010, and configuration of music therapy program was divided into 3 steps according to the intention of cure and was performed.
16 subjects who were attended at program and cooperative in responding to questionnaire were selected through interview with social worker among users who have used this welfare-center, and they were divided into 2 groups, that is, 8 subjects in an experimental group and another 8 subjects in control group with their written consents. There were no dropouts.
Experiment design was Pretest-Posttest Group Design to control group and experiment group, and to examine the influence of experimental treatment on two group, paired samples T-test for significance test of mean-difference in group before and after the program was performed, and One-Way ANOVA was used for mean-differences test in group. In addition, as a post-test procedure, HSD test of Tukey which was a technique for individual comparison of average between groups was used, and as a measurement instrument, CES-D Korean version of Radloff (1977) and self-reported form State Anxiety Inventory (SAI) of Spielberger (1966) was used.
As a result of experiment, the hypothesis that depressive moods and sense of unease will be reduced in the experiment group which attended at music therapy program which was made based on socio-demographic homogeneity between experiment group and control group compared to the control group was turned out to be true(p<.05).
Therefore, this study could be said to be significantly meaningful in that it drew affirmative result in music therapy area by handling 「depression and unease」, which were the hardest problems to be faced with adults with cerebral palsy, as the main subjects based on the theory which analyzed factors in formation process of disability of adult with cerebral palsy.
Furthermore, music therapy showed its possibility to improve psychological stability of adult with cerebral palsy and also to contribute to upgrade their life quality as a member of society.

목차 (Table of Contents)

• 목차
• 논문개요
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• ⅴ
• Ⅰ. 서 론
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 1
• 1. 연구의 필요성 및 목적
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 1
• 2. 연구문제
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 5
• 3. 용어정리
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 5
• 1) 뇌성마비 성인
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 5
• 2) 우울감
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 5
• 3) 불안감
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 6
• 4) 음악치료
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 6
• Ⅱ. 이론적 배경
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 7
• 1. 뇌성마비인의 장애형성과정 이해
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 7
• 2. 뇌성마비 성인의 우울과 불안
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 10
• 3. 우울과 불안감소를 위한 음악치료
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 15
• 1) 우울과 불안 감소에 미치는 음악의 영향 및 음악치료의 효용성
• ․․․․․․․․․․․․․
• 15
• 2) 음악치료의 기법과 치료적 효과
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 18
• 3) 우울과 불안감소를 위한 음악치료 선행연구
• ․․․․․․․․․․․․․․․․․․․
• 25
• Ⅲ. 연구방법
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․
• 28
• 1. 연구대상
• ․․․․․․․․․․․․․․․․․․․․․․․․․․․․․․&