Behavior treatment for diurnal enuresis

주뇨증은 깨어있는 시간 동안에 실금을 보이는 것을 특징으로 하는 아동기 장애로 적절한 치료가 이루어 지지 않을 경우 신체적, 심리적 문제를 일으킬 가능성이 있다. 본 연구는 기질적, 기능적 원인으로 인해 주뇨 증상을 보이고 있는 여아 5명을 대상으로 단일 피험자 설계를 이용하여 행동치료를 실시하였다. 행동치료는 ‘특정한 시간간격으로 소변을 보는 훈련’과 정적강화를 근간으로 하여 이루어졌으며 소변을 본 시간, 소변량, 속옷 젖은 정도, 수분 섭취량이 직접관찰을 통해 측정되었다. 치료결과, 모든 참가자들이 실금 빈도와 속옷 젖은 정도에 있어 향상을 보였으며, 5명의 환아 중 3명이 수분 섭취량, 혹은 평균 소변량의 증가를 보였다. 이 같은 결과는 주뇨증에 대한 행동치료의 효과성과 임상장면에서의 행동치료 확산의 필요성을 지지하고 있다. 이와 함께 본 연구의 한계점, 추후 연구에 대한 제안이 논의되고 있다.

keywords: Diurnal enuresis, behavior treatment, single-subject design, 주뇨증, 행동치료, 특정한 시간간격으로 소변보는 훈련, 단일 피험자 설계

Abstract

Diurnal enuresis is characterized by incontinence during waking hours and can lead to some physical and psychological problems if adequate treatment does not follow. In this study, a behavior treatment was conducted to five girls presenting with diurnal enuresis due to organic and functional factors. The behavior treatment was represented by a single-subject design and used timed voiding and positive reinforcement. Time at urination, amount of urination, degree of wet pants, and fluid intakes were collected during waking time. As a result, all the patients showed a decrease in the degree of wet pants and three patients displayed an increase in the amount of urination or in fluid intakes. The results of this study support the effectiveness of the behavior treatment and the need for a wider use of behavior treatment. Limitations of this study and suggestions for future studies are discussed.

keywords: Diurnal enuresis, behavior treatment, single-subject design, 주뇨증, 행동치료, 특정한 시간간격으로 소변보는 훈련, 단일 피험자 설계

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논문 상세

Vol.13 No.1

주뇨증에 대한 행동치료

Behavior treatment for diurnal enuresis

초록

Abstract

참고문헌

한국심리학회지: 건강