노인 우울증에 대한 문제해결치료(Problem-Solving Treatment)의 효과성 연구 = The Effectiveness of Problem-Solving Treatment on Geriatric Depression

다국어 초록 (Multilingual Abstract)

Research was undertaken to examine the effectiveness of PST for the depression of Korean Elderly. The program and manual for korean elderly was developed based on PST procedures for depression as outlined by Nezu and D'Zurilla(2007). For the purpose, 150 old people over 65 who resided in chunchun were randomly selected. and screened with PHQ-9. 42 elderly who had depression symptom at middle level, were chosen for study and randomly assigned into experimental group(n=23) and control group(n=19). PST is a six session, manual-based conducted over an 6-week period by trained interviewers in the elderly's home. As a results, CES-D and KGDS of the experimental group have been significantly decreased and total SPSI-R has been significantly increased between pre-and post measures while no statically significant change was found in control group. This results suggest that problem-solving therapy program might decrease the depression and enhance the problem solving ability of the elderly and that PST can be suitable to home visit program with social work perspectives.

국문 초록 (Abstract)

본 연구는 외국에서 노인 우울증을 치료하는 유용한 접근으로 검증된 문제해결치료(Problem-Solving Treatment)를 우리나라 노인에 적용하여 그 효과성을 평가하는데 목적을 두고 있다. 춘천시에 거주하는 독거노인 150명을 무작위 선발하여 PHQ-9을 활용한 우울증 스크리닝 검사를 실시하였으며, 중간정도 우울증을 지닌것으로 판명된 노인 42명을 대상으로 무작위로 실험집단 23명, 통제집단 19명을 나누어 프로그램 효과성을 검증하였다. 훈련된 전문 진행요원이 가정을 직접 방문하여 일주일에 1회씩(약60분) 총 6회기에 걸쳐 1:1 면접을실시하였으며, CES-D와 KGDS를 활용하여 사전, 사후, 그리고 종료 3개월 후 추후조사를 통해 우울증의 변화정도를 측정하였다. 연구결과, 사후조사에서 실험집단의 우울수준이 통계적으로 유의미하게 감소되었지만 3개월이 지난 추후조사에서는 다소 증가하는 모습을 보였다. 그렇지만 사전조사와 추후조사를 비교해보면 여전히실험집단의 우울수준이 추후조사에서 유의미한 감소를 보여 문제해결치료가 노인의 우울감소에 효과가 있음을 알 수 있었다. 반면 통제집단에서는 사전, 사후, 추후조사에서 유의미한 변화가 일어나지 않았다. 이러한 연구결과를 바탕으로 본 논문에서는 점차 증가하고 있는 노인 우울증을 감소시키는 유용한 접근법으로 지역사회에 기반을 둔 문제해결치료의 적용을 제안하였다.

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