종합병원 의료사회복지사의 퇴원환자 지역사회연계 활동 경험에 대한 질적 연구

이유진 경북대학교 대학원 2022 국내석사

This study aims to examine the experience of general hospital medical social workers, of connecting discharged patients with integrated health, medical, and welfare services of communities, as the scope of medical social workers’ consultation on discharged planning is expanded into communities owing to the implementation of community care. Using purposive sampling and snowball sampling, in-depth interviews were conducted with ten medical social workers who worked for general hospitals for at least three years. Interview results were analyzed with general qualitative research methods, and were divided into four categories and 14 sub categories: (ⅰ) the introduction of community care projects increased the importance of connecting discharged patients to community; (ⅱ) the increased importance of connecting discharged patients to community led to confusion and difficulties for medical social workers; (ⅲ) success factors were discovered through the experience of connecting patients with health, medical, and welfare institutions of communities; and (ⅳ) the objectives of medical social workers came to be reviewed. Amid a paradigm shift in health and medical environment, this study made a few suggestions about the objectives of medical social workers and the efficient connection of discharged patients to integrated health, medical, and welfare services in communities. 본 연구의 목적은 커뮤니티케어의 추진으로 의료사회복지사의 퇴원계획 상담의 범위가 지역사회로 확대됨에 따라, 종합병원 의료사회복지사의 퇴원환자 지역사회연계 활동에서의 보건・의료・복지 서비스를 통합 연계하는 경험을 연구하는 것이다. 이에 의도적 표집과 눈덩이 표집을 활용하여 종합병원에 최소 3년 이상 재직 중인 의료사회복지사 10명을 대상으로 개별 심층 인터뷰를 진행하였다. 면담의 자료는 일반적 질적 연구 방법을 활용하여 분석하였다. 연구 결과는 ‘커뮤니티케어 사업의 도입으로 퇴원환자 지역사회연계 활동의 중요성이 확대됨’, ‘의료사회복지사의 퇴원환자 지역사회연계 활동의 중요성이 확대되면서 다양한 혼란과 어려움이 발생함’, ‘지역사회 보건・의료・복지 기관과의 연계 경험을 통해 성공요인을 발견함’, ‘의료사회복지사가 나아가야 할 방향을 다시 생각하게 됨’과 같은 4개의 범주와 14개의 하위범주로 정리하였다. 이러한 연구 결과를 바탕으로 보건의료 환경의 변화라는 패러다임의 전환기에 의료사회복지사가 나아가야 할 방향과 퇴원환자를 위한 원활한 지역사회의 보건・의료・복지 서비스의 통합 연계를 위한 몇 가지 제언을 함께 언급하였다.

청소년 사이버비행관련 요인에 관한 연구

이성직 경북대학교 대학원 2023 국내석사

본 연구는 청소년의 사이버비행과 다양한 요인들의 관계를 살펴보았다. 본 연구에서는 청소년의 사이버비행에 영향을 미치는 요인이 무엇인지 알아보고자 생태체계적 관점을 통해 개인요인(공격성, 우울, 주의집중, 사회적 위축, 괴롭힘, 스마트폰 과의존, 스마트폰 사용빈도), 가족요인(부모관계, 부모양육태도), 학교요인(교사관계, 친구관계), 지역사회요인(공동체 의식, 참여활동)으로 나누어 각각의 변인들이 사이버비행에 어떠한 영향을 미치는지 분석하고자 하였다. 연구방법은 ‘한국아동․청소년패널조사 2018’의 자료를 사용하여 중학교 1학년 2,590명과 그 보호자 2,500여명을 대상으로 실시한 자료를 분석하였다. 개인요인(공격성, 우울, 주의집중, 사회적 위축, 괴롭힘, 스마트폰 과의존, 스마트폰 사용빈도), 가족요인(부모관계, 부모양육태도), 학교요인(교사관계, 친구관계), 지역사회요인(공동체 의식, 참여활동)을 위계적 회귀분석을 실시하여 청소년의 사이버비행의 관련요인이 무엇인지 파악하고 각 요인들의 설명력을 확인하였다. 본 연구결과 개인요인 중 공격성, 사회적 위축, 괴롭힘, 스마트폰 과의존, 스마트폰 사용빈도가 사이버비행과 관련이 있는 것으로 나타났다. 즉, 공격성이 높고, 또래를 괴롭힌 경험과 스마트폰을 많이 사용한 경험이 있을수록 사이버비행이 증가하는 것으로 나타났다. 가족요인인 부모관계와 부모양육태도, 학교요인의 교사관계, 친구관계의 경우 통계적으로 유의한 결과가 나타나지 않았지만 다수의 선행연구에서 유의한 것으로 나타나 이에 대한 연구가 추가적으로 진행될 필요가 있다. 지역사회요인의 경우 분석결과 공동체의식은 사이버비행에 통계적으로 유의하지 못한 것으로 나타났으나 참여활동의 경우 사이버비행과 관계가 있는 것으로 나타났다. 다만, 청소년 참여활동의 경우 사이버비행과 관련성을 밝힌 연구가 부족한 편이며 그 관계성을 명확히 검증해낸 연구가 부재한 상황이기에 이에 따른 추가적인 분석과 연구가 이뤄질 필요가 있다. 본 연구는 기존의 사이버비행을 연구와는 달리 생태체계적 관점을 통해 사이버비행을 살펴보았다는 점에서 의의가 있다. 분석결과를 토대로 다음과 같이 제언하고자 한다. 첫째, 청소년의 사이버비행의 예방 및 감소를 위해서는 청소년의 불안한 정서를 안정시킬 수 있는 개입이 필요하다. 또한, 올바른 미디어 사용환경을 조성할 수 있는 개입과 프로그램이 마련될 필요성이 있다. 둘째, 부모관계개선 프로그램과 미디어 교육프로그램을 제공하여 부모가 올바른 지도를 할 수 있는 능력을 길러줄 필요가 있다. 다수의 선행연구에서 부모와의 관계가 청소년의 사이버비행을 감소하는 요인으로 나타난 만큼 부모관계개선 프로그램과 부모교육 프로그램을 제공할 필요가 있다. 셋째, 학교에서 개별적 개입보다는 또래친구들에게 민감한 청소년의 특성을 고려하여 친구와 함께하는 활동과 같이 집단의 변화를 꾀할 수 있는 적절한 개입이 필요하다. 마지막으로, 지역사회요인의 경우 지역사회 차원에서는 청소년들에게 다양하고 만족도가 높은 활동을 제공하고 청소년 활동을 위한 인프라 조성이 필요하다. 본 연구의 결과를 통해 청소년의 사이버비행과 관련이 있는 요인을 파악하여 개인, 가족, 학교, 지역사회차원에서의 대책과 예방계획을 수립하는데 기여할 것으로 기대한다. This study examined the relationship between cyber delinquency of adolescents and various factors. In this study, we analyzed how each variable affects cyber delinquency by dividing it into individual factors (aggression, depression, attention, social withdrawal, harassment, smartphone addiction, smartphone use frequency), family factors (parent relationship, parenting attitude), school factors (teacher relationship, friend relationship), and community factors (sense of community, participation in activity). The research method analyzed the data conducted on 2,590 first-year middle school students and 2,500 guardians using the data from the Korean Children and Youth Panel Survey 2018. Individual factors (aggression, depression, attention, social withdrawal, harassment, smartphone addiction, smartphone use frequency), family factors (parent relationship, parenting attitude), school factors (teacher relationship, friend relationship), and community factors (sense of community, participation activity) were conducted to identify the factors related to cyber delinquency of adolescents. As a result of this study, it was found that among individual factors, aggression, social withdrawal, bullying, smartphone addiction, and frequency of smartphone use are related to cyber delinquency. In other words, it was found that the more aggressive and experienced bullying of peers and using smartphones, the more cyber delinquency increased. In the case of family factors, parent relationship, parent parenting attitude, teacher relationship, and friend relationship of school factors, there were no statistically significant results, but a number of previou studies showed significant results, so additional studies need to be conducted. In the case of community factors, the analysis showed that sense of community was not statistically significant in cyber delinquency, but participation in activity were found to be related to cyber delinquency. However, in the case of adolescents participation in activity, there is a lack of research that reveals the relationship with cyber delinquency, and there is no research that clearly verified the relationship, so additional analysis and research need to be conducted accordingly. Unlike previous studies, this study is meaningful in that it looked at cyber delinquency through an ecological system perspective. Based on the analysis results, I would like to make the following suggestions. First, in order to prevent and reduce cyber delinquency of adolescents, interventions that can stabilize adolescents' anxious emotions are needed. In addition, there is a need for interventions and programs to create a proper media use environment. Second, it is necessary to develop the ability of parents to provide proper guidance by providing parent relationship improvement programs and media education programs. As the relationship with parents has been shown to be a factor in reducing cyber delinquency of adolescents in a number of previous studies, it is necessary to provide a parent relationship improvement program and a parent education program. Third, there is a need for appropriate intervention to group, such as activities with friends, in consideration of the characteristics of adolescents sensitive to peer friends rather than individual intervention in school. Finally, in the case of community factors, it is necessary to provide youth with various and high-satisfaction activities at the community level and to create infrastructure for youth activities. Through the results of this study, it is expected that it will contribute to establishing countermeasures and prevention plans at the individual, family, school, and community level by identifying factors related to cyber delinquency of adolescents

초기 성인의 아동기 부정적 경험과 자살사고 : 우울의 매개효과와 사회생태학적 레질리언스의 조절된 매개효과

김민아 경북대학교 대학원 2021 국내박사

Suicide is the leading cause of death in early adulthood among 20-year-olds, such a social problem requires active intervention. To date, most studies on suicidality and related factors have been interested in therapeutic approaches to mental health problems such as depression. However, because suicide is not a behavior that is fixed at a particular point in time but affects the entire life cycle, it is necessary to broaden the discussion of interventions for psychological trauma from a life process perspective. Many previous studies have shown that Adverse Childhood Experiences(ACEs) in early childhood have robust associations with suicidal ideation in adulthood. These effects can be cumulative, with a greater number of ACEs progressively associated with suicidal ideation. Thus, to understand suicidality in early adulthood, it is necessary to confirm the association between adverse childhood experiences, suicidal ideation, and depression. Furthermore, through the application of social-ecological resilience, an attempt was made to propose a social work practice strategy for the prevention of suicidal ideation. The purpose of this research was to determine whether depression plays a mediating role between adverse childhood experiences and suicidal ideation in impact relationships and to examine whether social-ecological resilience moderated mediating effects. The study model was designed based on SPSS 16.0 and PROCESS v.3.5 for SPSS by Hayes. A total of 309 samples were selected for the study, which consisted of male and female adults aged 18 to 28 years, and data collected through a survey were used for analysis, and IRB approval was obtained for ethical review of the present study. The main findings of this study are as follows: First, the ACE score had a strong, graded relationship with suicidal ideation. Compared with those without an ACE, those with at least one ACE were significantly more likely to report suicidal ideation. These findings indicate that for prevention and intervention of suicidal ideation, the discussion of interventions on ACEs should be broadened from a life process perspective. In other words, suicidality intervention should address ACEs and, most importantly, seek policy and practice interventions for prevention. In addition, ACE-informed social work practice should be sought. Second, depression had a partial mediating effect in the relationship between adverse childhood experiences and suicidal ideation, such that depression and adverse childhood experiences were significantly positively correlated, and depression and suicidal ideation were positively correlated. This implies that ACEs directly influence suicidal ideation but may also lead to an increase in suicidal ideation via the depression pathway. Third, social ecological resilience moderated the mediation effect of depression between ACEs and suicidal ideation. At all levels of social-ecological resilience (high, mean, low), the moderation effect was significant. The results provide practical implications that, in turn, can be used to prevent or mitigate suicidal ideation in early adulthood by strengthening social-ecological resilience. Thus, it would be useful to apply the social-ecological resilience practice model to intervene the influence of ACEs on suicidal ideation in early adulthood. Despite these efforts, this study was limited by the inability to consider individual and special circumstances in addition to risk and protective factors identified based on previous studies. Therefore, a more in-depth qualitative analysis of suicidality in early adulthood will be helpful in preparing specific suicide prevention strategies in social work practice.

코로나19 시기 긴급돌봄 서비스에 참여한 돌봄제공 인력의 노인돌봄 경험에 관한 연구

조유진 경북대학교 대학원 2021 국내석사

노인은 코로나19 상황에서 다른 연령층에 비해 사망률이 높게 나타나고, 사회적 거리두기로 인한 외출 자제로 노쇠 진행이 빨라지는 등 노인만의 특수한 어려움을 겪고 있다. 또한, 코로나19 확산이 심했던 시기에는 여러 돌봄 서비스가 중단되면서 이로 인한 돌봄 공백을 어떻게 대처해야 하는가에 대한 관심이 높아졌다. 이러한 상황 속에서 긴급돌봄 서비스가 등장했으며, 보건복지부는 2021년 1월 19일에 ‘사회서비스원 코로나19 긴급돌봄 사업’을 시행한다고 발표하였다. 본 연구는 코로나19 시기 긴급돌봄 서비스에 참여한 돌봄제공 인력의 노인돌봄 경험을 질적 연구 방법을 통해 심층적으로 살펴보고자 하였다. 돌봄제공 인력 15명과 행정가 4명을 선정하여 일대일 심층 면담을 실시하였으며 도출된 결과는 다음과 같다. ① 다양한 배경의 사람들이 사명감을 갖고 긴급돌봄 서비스에 참여함, ② 돌봄 사각지대에 처한 어르신에게 긴급돌봄 서비스를 제공함, ③ 현장에서는 긴급돌봄 서비스를 다양한 의미로 정의하고 있었음, ④ 제공된 서비스는 비슷하지만, 제공 주체에 따라 절차 및 체계는 다르게 나타남 ⑤ 앞으로의 긴급돌봄 서비스 및 노인돌봄의 발전을 위해 의견을 제시함. 연구 결과를 바탕으로 앞으로의 긴급돌봄 서비스가 갖추어야 할 네 가지 사항을 제언하였다. 진짜 사각지대에 놓여 있는 노인을 발굴해내는 것, 긴급돌봄 서비스에 대한 체계를 구축하는 것, 돌봄제공 인력의 처우 개선, 노인의 셀프케어를 지향하는 것이 그 내용이다. The elderly are not only known to have a higher mortality rate than other age groups in the Covid-19 situation, but also to suffer more from the difficulties of their daily lives. In addition, at a time when the spread of Covid-19 was severe, various care services were suspended, raising interest in how to deal with the resulting of care-absence. Under these circumstances, emergency care services have emerged. The Ministry of Health and Welfare announced on January 19, 2021 that it would implement the "Social Service Agency Corona 19 Emergency Care Project." This study sought to explore experiences of care workers who participated in the emergency care services during the Covid-19 period through qualitative research methods. Fifteen care workers and four administrators were selected to conduct in-depth one-on-one interviews, and the results were as follows: ① people from various backgrounds participated in emergency care services with a sense of duty, ② they provided emergency care services to older adults who were in emergency situations, ③ although the definition of emergency care services is slightly different, emergency care services could be possible because they recognized this need before Covid-19, ④ although the contents of the services provided are similar, the procedures for providing services to social services and other centers are different, and ⑤ through the experience of participating in emergency care services, they suggested directions for care services to develop.

정신건강사회복지사의 직무스트레스와 주관적 행복감과의 관계 -적응유연성의 효과 파악을 중심으로-

안영심 경북대학교대학원 2021 국내석사

According to the 2020 United Nations (UN) Global Happiness Report, Koreans' happiness index is still at the bottom when compared to other OECD countries. This result suggests that in the rapidly developing modern society with the 4th Industrial Revolution, more attention is being demanded in fields that cannot be replaced by machinery, and overall consideration of the needs, roles, and happiness of human service workers is necessary. Social workers are one of the professions most closely related to human happiness, and since social workers' happiness affects the qualitative level of happiness of those who receive social welfare services, it is necessary to pay attention to the happiness of social workers themselves. Especially, the happiness of psychiatric social workers who work for the mental health of the public is even more important. Therefore, this study defined 'subjective well-being(SWB)', including Hedonia, which refers to the state of temporary and immediate joy or satisfaction experienced by psychiatric social workers while performing their duties, and Eudemonia, which refers to the value and reward of work. On the other hand, the mental health practice field in Korea has a structure and conditions in which it is difficult for psychiatric social workers to fully demonstrate their unique expertise. In addition, psychiatric social workers experience serious job stress because they are being asked for expertise based on roles that overlap with other professionals in mental health fields rather than securing their own independent expertise. Improving these structural problems is a very difficult process in reality, and there is a limit for psychiatric social workers to expect external force or organization to solve this problem in a complex and overloaded work environment. Therefore, it is necessary to find ways to overcome these difficulties at an individual level. In this study, resilience is chosen as an important personal variable that helps to overcome the negative effects of job stress internally, and whether resilience has a mediating effect or a moderating effect in the relationship between job stress and subjective well-being is examined. The subjects of this study are 205 psychiatric social workers working in mental health-related agencies nationwide (psychiatric hospital, mental health welfare centers, mental rehabilitation facilities, mental care facilities, suicide prevention centers, addiction management centers, public institutions). The data collected through the survey was analyzed through the SPSS 22.0 program. The research results are as follows. First, the differences in demographic characteristics, job stress, resilience, and subjective well-being of the subjects were examined. In terms of job stress, there were no significant differences based on demographic characteristics. Statistical differences were observed in the analysis of resilience based on qualification level, mental health career, type of work organization, and annual income. The analysis of subjective well-being indicated that there was a statistically significant difference based on the type of work organization. Second, the result of correlation analyses indicated that there was no significant correlation between job stress and subjective well-being and that there was a significant positive correlation between qualification grade and resilience. Also, it was found that there was a significant negative correlation between resilience and subjective well-being and that resilience has significant positive correlations with subjective well-being. Third, it was proved statistically significant that resilience had a partial mediating effect in the relationship between job stress and subjective well-being. Fourth, resilience was not statistically significant in the moderating effect in the relationship between job stress and subjective well-being. The results of this study suggested that a more comprehensive intervention is necessary for the future such as a program for improving resilience and subjective well-being, and education and support at the institutional level as a way to overcome psychiatric social workers' serious job stress.

학대피해아동을 위한 집단프로그램의 효과연구 : 체계적 고찰과 메타분석

하나영 경북대학교 대학원 2023 국내박사

This study systematically examined group programs for child abuse victims and analyzed factors influencing treatment effectiveness by identifying the characteristics of outcome variables for each group program. Based on the selection criteria of PICOS(Participants, Intervention, Comparison Outcome, Study designs), a total of 31 articles (17 theses and 14 journal papers) were selected as the main focus of the study. The study examined the overall effect size and effect size according to moderating variables. The research findings are as follows: First, the overall effect size of group programs for child abuse victims in terms of positive psychological development was found to be high, with an SMD (standardized mean difference) of 1.48. In terms of sub-variables, self-control (1.82) and self-esteem (1.22) showed the highest effect sizes. Regarding the effect size according to moderating variables, programs conducted once a week showed a higher effect than those conducted twice a week, and in terms of the type of abuse, single abuse showed a higher effect than multiple abuse. Other moderating variables did not show significant influence. Second, the overall effect size of group programs for child victims of negative psychological development was also found to be high, with an SMD of -1.11. In terms of sub-variables, stress (-1.49), internalization (-1.46), and problem behavior (-0.82) showed the highest effect sizes. In terms of the effect size according to moderating variables, out of the protective types, foster care showed the highest effect. Regarding the effect size according to the type of abuse, multiple abuse showed a higher effect than single abuse, and in terms of publication type, journal papers showed a higher effect than theses. Other moderating variables were not significant. Third, the overall effect size of group programs for social development was found to be high, with an SMD of 1.72. In terms of sub-variables, interpersonal relationships (1.73) showed the highest effect size. Regarding moderating variables, facility care showed a higher effect compared to other types of protective care, and artistic media showed a higher effect compared to other types of media used in the programs. Furthermore, journal papers showed a higher effect than theses in terms of publication type, and programs conducted once a week showed a higher effect than those conducted twice a week. Other moderating variables did not show significant influence. Based on the results of this study, the following suggestions are proposed. First, group programs for child victims of abuse are effective in treating and alleviating the aftermath of child abuse experiences, so it is necessary to actively utilize group programs for psychological support of child abuse victims. Second, when implementing group programs for child victims of abuse, there is a need to improve the measurement items of the "Child Mental Health Scale for Child Victims of Abuse" to ensure consistent measurement of intervention effects. Third, when conducting group programs for child victims of abuse residing in temporary care facilities, special consideration should be given to participant-centered approaches rather than provider-centered approaches. Fourth, specialized group programs for child abuse victims should be modularized and widely disseminated, requiring active program development. This study has limitation in that it focused on existing domestic research on child abuse victims, which restricts the generalizability of the findings. Therefore, it is necessary for future research to investigate the integrated intervention effects of group programs targeting a broader range of variables and therapeutic environments, both domestically and internationally. * Keyword: Child Abuse Victims, Group Programs, Psychological Development, Social Development, Systematic Review, Meta-Analysis 본 연구는 그동안 이루어진 국내 학대피해아동을 위한 집단프로그램을 체계적으로 고찰하고, 선행연구에서 제시하는 집단프로그램 개입의 효과크기를 메타분석을 통해 객관적으로 종합하여, 다양한 집단프로그램의 결과 변인에 따른 특성을 파악함으로써 구체적인 치료 효과와 치료 효과에 영향을 주는 요인에 대해 분석하는 데 목적이 있다. 본 연구는 2003년부터 2023년까지 국내에서 발표된 학위논문, 학술지 논문들을 PICOS(Participants, Intervention, Comparison Outcome, Study designs) 선정기준에 맞추어 최종 선정된 31편(학위논문 17편, 학술지 논문 14편)을 중심으로 전체효과크기와 조절변인에 따른 효과크기를 살펴보았으며, 그 결과는 다음과 같다. 첫째, 학대피해아동을 대상으로 한 집단프로그램의 정적 심리적 발달 효과크기에 대한 분석 결과를 바탕으로 보았을 때, 전체효과크기는 SMD=1.48로 높은 수준의 효과크기에 해당하며, 하위변인별로는 자기통제능력(1.82), 자아존중감(1.22) 모두 높은 수준의 효과크기로 자기통제능력이 가장 높게 나타났다. 각 조절변인에 따른 효과크기를 살펴본 결과, 주당 프로그램 진행 횟수가 주 1회 진행이 주 2회 진행보다 높은 효과를 나타냈고, 학대유형에 따른 효과크기는 단일학대가 중복학대보다 높은 효과를 나타냈다. 하지만 그 외 조절변인의 영향력은 유의하지 않은 것으로 나타났다. 둘째, 학대피해아동을 대상으로 한 집단프로그램의 부적 심리적 발달 효과크기 분석 결과를 바탕으로 보았을 때, 전체효과크기는 SMD=-1.11로 높은 수준의 효과크기에 해당하며, 하위변인별로는 스트레스(-1.49), 내재화(-1.46), 문제행동(-0.82) 모두 높은 수준의 효과크기로 스트레스가 가장 높게 나타났다. 각 조절변인에 따른 효과크기를 살펴본 결과, 보호유형에 따른 효과크기는 원가정보호가 다른 보호유형보다 높은 효과를 나타냈고, 학대유형에 따른 효과크기는 중복학대가 단일학대보다 높은 효과를 나타냈으며, 출판유형에 따른 효과크기는 학술지 논문이 학위논문보다 높은 효과를 나타냈다. 하지만 그 외 조절변인의 영향력은 유의하지 않은 것으로 나타났다. 셋째, 학대피해아동을 대상으로 한 집단프로그램의 사회적 발달 효과크기 분석 결과를 바탕으로 보았을 때, 전체효과크기는 SMD=1.72로 높은 수준의 효과크기에 해당하며, 하위변인별로는 대인관계(1.73)가 높은 수준의 효과크기를 나타냈으나 사회적응은 효과크기가 유의하지 않은 것으로 나타났다. 각 조절변인에 따른 효과크기를 살펴본 결과, 보호유형에 따른 효과크기는 시설보호가 다른 보호유형보다 높은 효과를 나타냈고, 프로그램 활용 매체 유형에 따른 효과크기는 예술 매체가 다른 유형의 매체보다 높은 효과를 나타냈다. 그리고 출판유형에 따른 효과크기는 학술지 논문이 학위논문보다 높은 효과를 나타냈고, 주당 프로그램 진행 횟수에 따른 효과크기는 주 1회 진행이 주 2회 진행보다 높은 효과를 나타냈다. 하지만 그 외 조절변인의 영향력은 유의하지 않은 것으로 나타났다. 본 연구 결과를 토대로 제언하면 다음과 같다. 첫째, 학대피해아동을 위한 집단프로그램은 아동기 학대 경험으로 인한 후유증 치료 및 완화에 효과적이므로 학대피해아동의 심리지원에 집단프로그램을 적극적으로 활용할 필요가 있다. 둘째, 학대피해아동에게 집단프로그램을 수행하는 경우 개입의 효과가 일관성 있게 측정될 수 있도록 ‘학대피해아동 마음건강척도’의 측정항목에 대한 개선점을 제안하였다. 셋째, 학대피해아동을 위한 집단프로그램은 일시보호시설의 아동을 대상으로 수행할 때 특히 제공자 중심이 아닌 참여자 중심의 특별한 고려가 필요함을 강조하였다. 넷째, 학대피해아동을 대상으로 특화된 집단프로그램이 모듈화되어 보급될 수 있도록 프로그램 개발이 활발하게 이루어질 필요가 있음을 제언하였다. 하지만, 본 연구에서는 학대피해아동을 위한 국내 기존 연구의 한계점이 존재하여, 본 연구 결과를 일반화 시키는 데에 고려해야 할 사항에 대해 논의하였다. 향후 더 다양한 변인들과 치료적 환경들을 포함한 국내외 집단프로그램 개입 효과를 통합적으로 메타분석 한 연구가 필요할 것이다. * 주제: 아동학대, 집단프로그램, 심리적 발달, 사회적 발달, 체계적 고찰, 메타분석

청소년 회복탄력성과 삶의 질 영향요인의 구조적 분석 : ARM(Adolescent Resilience Model)의 검증을 중심으로

임주현 경북대학교 대학원 2023 국내석사

본 연구는 청소년 회복탄력성과 삶의 질에 영향을 미치는 외적 및 내적 보호요인과 위험요인 간의 구조를 실증적으로 검증하기 위해 Haase(2004)의 ARM(Adolescent Resilience Model)을 적용한 구조모형 분석을 실시하였다. 이를 위해 대구ㆍ경북 소재의 중ㆍ고등학교에 재학 중인 청소년을 대상으로 설문을 시행하였으며, 최종 425건의 응답을 분석에 활용하였다. 연구 결과, ARM 모형검증을 위하여 설정한 전체 14개의 가설 가운데, 8개의 가설은 지지되었으며, 나머지 6개의 가설은 기각되었다. 따라서 ARM은 우리나라의 청소년들에게 부분적으로만 적용가능한 모형임을 확인하였으며, 분석 결과는 다음과 같다. 첫째, 회복탄력성은 청소년 삶의 질에 직ㆍ간접적인 영향을 미치는 중요한 변수임이 확인되었다. 둘째, 회복탄력성에 직접적인 영향을 미치는 요인은 가족적 보호, 방어적 대처(회피 중심 대처), 희망인 것으로 나타났다. 셋째, 신체증상, 사회적 지지, 적극적 대처(문제해결 중심 대처)는 회복탄력성에 직접적인 영향을 미치지 않았다. 다만, 신체증상은 방어적 대처를 매개한 경로에서, 사회적 지지는 희망을 매개한 경로에서 회복탄력성에 유의한 영향을 미치는 것으로 나타났다. 이러한 연구 결과를 바탕으로 청소년 회복탄력성과 삶의 질 증진을 위한 세 가지 시사점을 제시하였다. The purpose of this study was to test whether Adolescent Resilience Model (ARM) developed by Haase (2004) was applicable to Korean adolescent population. In order to accomplish the study purpose, a survey was conducted to middle and high school students who live in Daegu metropolitan area and a total of 425 subjects participated in the survey. The results of this study indicted that 8 of the 14 hypotheses were supported and the remaining 6 hypotheses were rejected. Therefore, it was concluded that ARM is only partially applicable to Korean adolescent population. More specific results of the study are as follows. First, it was confirmed that resilience is an important variable that directly and indirectly affects the quality of life of adolescents. Second, it was found that family protection, defensive coping (avoidance coping), and hope had a direct effect on resilience. Third, physical symptoms, social support, and active coping (problem-solving coping) did not directly affect resilience. Based on these results, implications for improving resilience and quality of life among Korean adolescents were discussed.

경계선급 지능 자녀를 둔 농어촌지역 어머니의 양육경험에 관한 현상학적 연구

강동여 경북대학교 대학원 2022 국내박사

The purpose of this study was to explore the nature and meaning of the mother's parenting experience in rural areas with borderline intelligence functioning(BIF) children. This study applied Giorgi's phenomenological research method to understand their experiences deeply considering 'as it is' from the mother's point of view. The participants of this study conducted an in-depth interview by selecting seven people using convenience sampling centering on institutions that provide services to children with BIF in rural areas. This study proceeded with the following questions: 'How was the mothers' parenting experience raising BIF children in rural areas?' Data from interviews focused on participants' experiences. The essence and structure of the general experience were derived from the experiences described by the participants. As a result of the study, a total of 394 semantic units were extracted, and 26 subcomponents and 6 components were summarized through the 4th stage analysis processes. Through this process, the components of a mother's parenting experience on borderline intellectual functioning children were <embarrassed when facing with the problem of a child that I tried to ignore>, <the guilt for ruining a child>, <upset watching a wounded and immature child>, <getting stronger at their own pace>, <there was no alternative solution because it was a rural area>, <I gradually gained the power to raise a child with the help of those around me> and <the hope was sprouted out growing with own pace>. Through the result of study, practical and policy suggestions were made to support mothers in rural areas who raised children with BIF. As a practical suggestion, first, emotional support was implemented to reinforce the internal power of mothers who raised children with BIF in a rural area. Second, parental education that provides information about how to raise children with BIF should be strengthened. Third, mothers who raise children with BIF should be provided the opportunity to communicate with a bond. Fourth, case management for children with BIF from vulnerable classes should reinforce since it was a rural area with relatively insufficient resources than the city. Fifth, it is necessary to establish a community network for early detection and support of students with BIF. From the political point of view, first, it was necessary to consider the education policy that strengthened the school adaptive ability of children with BIF since there were few students in rural areas. Second, the family support policy was extended to cover family support policy with disabled children for children with BIF and their parents in rural areas. Third, the system for treatment intervention of children with BIF in rural areas should be strengthened. 본 연구의 목적은 경계선급 지능 자녀를 둔 농어촌지역 어머니의 양육 경험에 담긴 본질과 의미를 탐색하는 것이다. 본 연구는 무엇보다 어머니의 관점으로 ‘있는 그대로’ 그들의 경험을 심층적으로 이해하고자 Giorgi 현상학적 연구방법을 적용하였다. 연구의 참여자는 농어촌지역 경계선급 지능 자녀에게 서비스를 제공하고 있는 기관 중심으로 편의표집하여 7명을 선정하여 심층면담을 실시하였으며, 연구질문은 ‘농어촌지역에서 경계선급 지능 자녀를 양육하는 어머니의 경험은 어떠한가?’로 설정하여 진행하였다. 면담을 통해 수집된 자료는 참여자의 ‘기술’에 집중하고, 참여자의 개별적인 고유경험과 이를 관통하기 위하여 일반적 경험의 본질과 구조를 도출해내기 위해 단계별로 분석을 진행하였다. 연구결과 총 394개의 의미단위를 발췌하였고, 3단계와 4단계 분석과정을 통하여 26개의 하위구성요소와 6개의 구성요소를 정리하였다. 이 과정을 거쳐 경계선급 지능 자녀를 둔 농어촌지역 어머니의 양육 경험의 구성요소는 <애써 모른척 하고 싶었던 아이 문제와 맞닥드려 당황됨>, <아이를 망쳤다는 죄책감>, <상처입고 어리숙한 아이를 보니 속상함>, <시골이라 해결할 수 있는 대안조차 없어 막막함>, <주위의 도움으로 아이를 키우는데 서서히 힘을 얻게됨>, <자신만의 속도로 자라고 있어 희망이 움틈>이다. 이와 같은 연구결과를 통해 경계선급 지능 자녀를 양육하고 있는 농어촌지역 어머니를 지원할 수 있는 실천적, 정책적 제언을 하였다. 실천적 제언으로 첫째, 경계선급 지능 자녀를 둔 농어촌지역 어머니의 내적인 힘을 강화할 수 있도록 정서적 지원을 실행한다. 둘째, 경계선급 지능 자녀를 양육할 수 있는 정보를 어머니에게 제공하는 부모교육이 강화되어야 한다. 셋째, 경계선급지능 자녀를 양육하는 어머니들이 유대감을 가지고 소통할 수 있는 기회가 제공되어야 한다. 넷째, 도시보다 상대적으로 자원이 부족한 농어촌 지역이므로 취약계층의 경계선급 지능 자녀를 위한 사례관리가 강화되어야 한다. 다섯째, 농어촌 지역 경계선급 지능을 가진 아동에 대해 경계선급 지능의 조기발견 및 지원을 위한 지역사회 연계망 구축이 필요하다. 다음으로 정책적 제언은 첫째, 학생 수가 적은 농어촌지역의 특성을 고려하여 경계선급 지능을 가진 아동의 학교적응력을 강화할 수 있는 교육 정책의 고려가 필요하다. 둘째, 농어촌지역 경계선급 지능 자녀와 어머니를 위하여 가족지원정책을 장애아동 가족지원 정책 수준으로 하는 정책이 필요하다. 셋째, 농어촌지역에 특화된 경계선급 지능을 가진 아동의 치료개입을 위한 제도가 강화되어야 한다.

코로나 19 시기 지역아동센터 종사자의 아동돌봄 경험에 관한 연구

김민주 경북대학교 대학원 2021 국내석사

The purpose of this study was to examine the experience of child care workers in the local community child care centers during the Corona 19. It intended to explore how they have provided care services, what kind of difficulties they have had and how they have responded to, and how they thought about the role of local community child care centers in the future. In-depth interviews were conducted with 13 care workers in the community child care centers with an average of 8.2 years of working experience recruiting using purposive sampling and maximum variation sampling methods. Data from the interview were analyzed through thematic analysis method. The results were as follows: ‘intensifies confusion and exhaustion as new work is added to the situation where outside personnel are restricted from entering the center’, ‘provision of services is becoming more difficult due to administrative tasks that have to be done as usual’, ‘new ways are being sought to take care of children at the center as well as at home’ and ‘reflecting on the role and meaning of the community child care centers’. Based on the results, it suggesteed what the community child care centers would do in the Corona-With era. 본 연구의 목적은 코로나 19 시기 지역아동센터 종사자의 아동돌봄 경험을 살펴보는 것이다. 코로나 19 이후 지역아동센터 종사자가 돌봄 서비스를 어떻게 제공하고 있는지, 그 과정에서 어떠한 어려움을 겪으며, 이를 어떻게 대응하고 있는지, 그리고 향후 지역아동센터의 역할에 대해 어떻게 생각하는지에 대해 탐색하고자 하였다. 목적성 표본 및 최대 변량 표본 방법을 통해 모집한 평균 8.2년 경력을 지닌 지역아동센터 종사자 13명과 심층면담을 진행하였다. 면담의 자료는 중심주제분석과 지속적 비교분석을 통하여 분석하였다. 연구 결과는 ‘외부인력의 센터 출입이 제한된 상황 속 새로운 업무가 추가되면서 혼란과 소진이 심화됨’, ‘관행처럼 해야 하는 행정업무는 서비스 제공을 더욱 어렵게 만들고 있음’, ‘새로운 방법을 찾아가고 있으며, 이로 인하여 실천 현장이 변화되고 있음’, ‘지역아동센터의 역할과 의미를 되돌아봄’와 같은 4개의 중심 주제와 16개의 하위범주로 정리하였다. 이와 같은 연구 결과를 바탕으로 코로나 위드 시대에 지역아동센터가 나아갈 방향과 실천 방법에 관해 여섯 가지로 나누어 살펴보았다.

청소년의 애착, 자기통제력, 스마트폰 의존이 사이버 비행에 미치는 영향 : 경로분석을 중심으로

하유진 경북대학교 대학원 2020 국내석사

This study is a adolescent’s cyber delinquency path analysis study based on the integrated approach of the social bonding theory, self-control theory, and opportunity theory. This study attempts to understand various aspects of cyber delinquency among adolescent by establishing and analyzing a structural model using the attachment of social bond theory, self-control of self-control theory, and smartphone dependence of opportunity theory. In addition, by identifying the path of cyber delinquency, this study intends to use it as empirical data for social welfare intervention and prevention measures. For the data analysis, Korea Children and Youth Panel Survey 2018 panel data was used, and 2,541 students in the first year of middle school were selected for the study. The analysis of the data was performed using SPSS 23.0 for technical statistics and correlation analysis, and the AMOS 22.0 program was used to analyze structural equation models. The main results of this study are as follows: First, parental attachment, friend attachment, self-control, and smartphone dependence have been shown to have a direct impact on adolescent cyber delinquency. Second, parental attachment, friend attachment, and teacher attachment have been shown to have a direct impact on self-control. Parental attachment also showed a direct impact on smartphone dependence. Third, self-control has been shown to have a direct impact on smartphone dependence. Fourth, self-control has been shown to mediate between parental attachment and cyber delinquency, friend attachment and cyber delinquency. Fifth, smartphone dependence has been shown to mediate between parental attachment and cyber delinquency, self-control and cyber delinquency. Sixth, self-control and smartphone dependence have been shown to double-mediate between parental attachment and cyber delinquency. The significance of this study is as follows: First, this study is meaningful in confirming the usefulness of cyber delinquency intervention based on theory by analyzing the relationships and paths between the social bonding theory, self-control theory, and opportunity theory. Second, this study is meaningful in applying an integrated approach to delinquency theory to identify the factors that affect cyber delinquency, the path that causes cyber delinquency behavior, and the appropriate intervention factors. Third, since the parameters are effective in intervening in juvenile behavior, it is meaningful that intervening in self-control, smartphone dependence, which are parameters verified through this study, can be effective intervention measures that reflect the characteristics of today's adolescent.