관계상실을 경험한 청소년 대상 TF-CBT 기반 애도 집단상담 프로그램 개발 및 효과 = Development and Effects of TF-CBT Based Group Therapy on Adolescents with Relationship Loss

다국어 초록 (Multilingual Abstract)

Korean adolescents are increasingly experiencing traumatic loss from suicide, school violence, family breakdown, and national disaster; however, little research on Korean adolescents with grief issues has been conducted. The current study aimed to develop a group counseling program based on Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and to verify its effectiveness. Participants included volunteering 31 9th graders from two different schools who have experienced relationship loss. Students were randomly assigned to one of the following three groups based on gender and type of loss experienced: a treatment group (TF-CBT group), an active comparison group (Supportive Therapy group), and a wait-list control group. Repeated Two-way ANOVA revealed significant differences among the groups in all areas; treatment group reported significantly lower grief, internalizing symptoms, externalizing symptoms, and posstraumatic stress, and significantly higher posstraumatic growth. Treatment effects were found to last 4 weeks after program completion. Implications and suggestions for future research were discussed based on the findings.

국문 초록 (Abstract)

우리나라 청소년은 높은 자살률, 학교폭력, 가족붕괴, 각종 재난 및 재해로 인한 사고까지 다양한 외상적인 상실을 경험하고 있다. 하지만 아직까지 국내에는 청소년 애도와 관련된 연구가 매우 부족한 실정이다. 본 연구에서는 상실을 경험한 아동․청소년을 위한 근거기반 치료모델인 외상중심 인지행동치료(Trauma-Focused Cognitive Behavioral Therapy: TF-CBT)를 바탕으로 애도 집단상담 프로그램을 개발하고 효과를 검증하였다. A광역시 소재 중학교 2개교에서 관계상실을 경험한 중학교 3학년 31명을 모집한 후, 처치집단(TF-CBT 기반 애도 집단상담 프로그램), 적극적 대조집단(지지적 집단상담 프로그램), 대기통제집단에 성별과 상실유형을 고려해 무선할당 하였다. 반복측정 이원변량분석을 실시한 결과, 처치집단은 적극적 대조집단이나 대기통제집단에 비해 애도슬픔, 내재화 및 외현화 증상, 외상후 스트레스 문제 점수가 유의미하게 감소되었고 외상후 성장 점수는 유의미하게 증가되었다. 이러한 처치효과는 프로그램 종료 4주 후에도 유지되는 것으로 나타났다. 연구결과를 바탕으로 TF-CBT 기반 애도 집단상담 프로그램 효과 검증에 대한 한계와 후속연구에 대한 제언을 논의하였다.

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