인터넷 기반 사회불안장애 인지행동치료 리뷰 : 치료자 개입 수준과 추가적 치료 개입을 중심으로

국문 초록 (Abstract)

본 연구는 사회불안을 경험하는 성인을 대상으로 인터넷 기반 인지행동치료(iCBT)를 진행한 총 20편의 문헌을 개괄하였다. 특히 최대의 치료 효과를 산출하기 위해 참가자의 프로그램 진행에 있어 치료자의 개입 수준을 달리한 연구들을 정리하여 최적의 치료자 개입수준에 대해 논의하였다. 그리고 사회불안장애를 대상으로 한 여러 치료 프로그램들의 세부적인 치료 요소 및 과제의 형태를 살펴보고 이것이 온라인이라는 특수한 환경에서 어떠한 방식으로 내담자에게 전달되고 있는지를 알아보았다. 또한 iCBT의 치료적 효과를 증진하기 위해 기존의 iCBT 프로그램에 추가적 치료 개입을 시행한 연구들을 살펴보고 이러한 시도가 실제 치료 효과성 증대로 이어졌는지 살펴보았다. 이러한 개괄을 통해 최종적으로는 가장 적합하고 효율적인 iCBT 프로그램 구성 및 제공 방식에 대해 논의하였다.

다국어 초록 (Multilingual Abstract)

The aim of the current study is to present a summary of research regarding Internet-Based cognitive behavioral therapy(iCBT) for social anxiety disorder. A total of 20 academic articles that examine the efficacy or effectiveness of iCBT in socially anxious adults were included. The study focuses on reviewing studies that varied across therapist guidances towards iCBT program and discusses the optimal level of guidance that yields the maximum treatment effect. Furthermore, this study throughly summarizes therapeutic elements and homework for different iCBT programs and investigates how these are delivered to clients through an online setting. Last but not least, the study examines articles that provide additional therapeutic element other than iCBT in order to promote treatment effect and discusses whether actual enhancement occurred. Throughout this review, we propose the most effective and efficient way of providing an iCBT program. Limitations and future challenges are discussed.

목차 (Table of Contents)

• 요약
• 방법
• 치료자 변인에 따른 치료효과성
• iCBT 프로그램의 치료 요소
• 심리교육
• 인지 재구조화
• 노출 훈련
• 주의 훈련
• 재발 방지
• 사회 기술 훈련
• iCBT 프로그램 내 과제의 형태 및 과제에의 개입 정도
• Andersson의 “iSOFIE” 프로그램
• Berger의 프로그램
• Botella의 “Talk To Me” 프로그램
• Titov의 “Shyness” 프로그램
• iCBT에서의 과제 순응도와 치료 효과
• iCBT 효과 증진을 위한 추가적 치료 개입
• iCBT + 실제 노출 훈련
• iCBT + 주의 편향 수정(Attention Bias Modification: ABM)
• iCBT + 동기면담
• 논의
• 참고문헌
• Abstract

참고문헌 (Reference)

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