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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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암 환자를 위한 심리사회적 개입 연구의 개관

A review of research on the psychosocial interventions for the cancer patients

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2008, v.13 no.2, pp.329-357
https://doi.org/10.17315/kjhp.2008.13.2.003
김종남 (서울여자대학교)
이란 (국립암센터)

초록

본 연구는 암 환자를 위한 국내외 심리사회적 개입에 관한 연구를 개관한 것이다. 암 환자들은 진단을 받는 순간에서 치료를 받는 동안, 또한 치료종결 이후에도 지속적인 심리적 문제를 경험한다. 암 환자들에게 일차적으로 의학적 치료가 중요하지만, 수술이나 항암요법, 방사선 치료만으로 충분히 이들을 돌볼 수가 없다. 최근에는 심리사회적 개입법들이 암 환자의 삶의 질 향상이나 정서적 고통 완화, 대처기술의 향상, 대인관계 증진과 같은 심리적 효과뿐만 아니라, 면역기능 향상, 스트레스 호르몬의 감소 등과 같은 긍정적인 생리적 효과를 낳는다는 연구결과가 발표되고 있어 더욱 심리사회적 개입법의 중요성이 인정되고 있는 상황이다. 이에 본 연구에서는 먼저 암 환자들의 심리적인 어려움을 간략히 기술한 후 이를 극복하도록 도와주기 위한 여러 심리사회적 개입법의 효과검증 연구들을 유형별로 개관하였다. 심리사회적 개입법의 대표적인 유형을 교육, 지지-표현(경험-실존) 치료, 인지-행동 치료, 통합 치료 등 4가지로 구분하였다. 교육적 개입에는 질병과 치료, 부작용 등에 대한 건강교육 및 증상관리기술, 스트레스 관리가 주요 내용으로 포함되며, 지지-표현 치료에서는 감정 표현 및 사회적 지지가 중요한 치료 요인으로 죽음과 삶의 의미, 책임감 등 실존적인 문제에 대한 직면이 포함된다. 인지-행동 치료에는 인지적 재구조화, 이완훈련, 문제해결훈련이 주요 치료요인으로 포함되며, 통합 치료는 이상의 여러 치료적 접근을 함께 적용한 경우를 일컫는다. 또한 예술치료를 포함하여 기타 접근을 추가로 고찰하였다. 마지막으로, 국내의 최근 연구 동향을 정리하였고 앞으로의 연구방향과 관련된 제언을 제시하였다.

keywords
cancer, psychosocial intervention, education, supportive-expressive therapy, cognitive- behavioral therapy, integrative therapy, cancer, psychosocial intervention, education, supportive-expressive therapy, cognitive- behavioral therapy, integrative therapy, 암, 심리사회적 개입, 교육, 지지-표현 치료, 인지-행동 치료, 통합 치료

Abstract

The purpose of this study is to review research on the psychosocial interventions for cancer patients. Cancer patients experience continuing psychological problems from at the moment diagnosed, during medical treatment, and after termination of the treatment. Of course, medical treatment is the critical for them, but surgical operation, chemical therapy, and radiation therapy are not enough for caring cancer patients. Recent research indicates that psychosocial interventions for the cancer patients can not only improve the quality of life, decrease emotional distress, and enhance coping skills and interpersonal relationships, but also result in positive physiological effects such as improvement of immune functions and decrease of stress hormone. Now many researchers admit the importance of the psychosocial interventions for cancer patients. So, we described psychological disturbances of cancer patients at first, and then reviewed research for the validation of the efficacy of psychosocial intervention programs for cancer patients. We discriminated interventions according to the content and major therapeutic factors, and categorized them into 4 types such as education, supportive- expressive(experiential-existential) therapy, cognitive-behavioral therapy, and integrative therapy. Education approach involves health education(for disease, treatment, and side effect), symptom management, and stress management skill. Supportive-expressive therapy primarily encourages emotion expression and social support, and it also involves confrontation of existential problems such as death, dying, meaning of life, responsibility, and so on. Cognitive-behavioral therapy includes cognitive restructuring, relaxation training, and problem-solving training in general. Integrative therapy is labeled in the case of utilizing different therapeutic approaches together. And we also introduced other approaches for cancer patients including art therapy. Finally, we presented recent research accomplished in Korea and suggested some future research tasks.

keywords
cancer, psychosocial intervention, education, supportive-expressive therapy, cognitive- behavioral therapy, integrative therapy, cancer, psychosocial intervention, education, supportive-expressive therapy, cognitive- behavioral therapy, integrative therapy, 암, 심리사회적 개입, 교육, 지지-표현 치료, 인지-행동 치료, 통합 치료

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