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

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소아당뇨 아동을 위한 절충적 부모-자녀 놀이치료의 효과: 심리사회적 적응, 치료순응, 대사조절을 중심으로

The Effects of Eclectic Filial Therapy on Psychosocial Adjustment, Treatment Adherence, and Metabolic Control in Children with Insulin-Dependent Diabetes Mellitus

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2012, v.17 no.1, pp.99-121
https://doi.org/10.17315/kjhp.2012.17.1.006
송수미 (중앙대학교)
현명호 (중앙대학교)
유재호 (동아대학교)
  • 다운로드 수
  • 조회수

초록

본 연구에서는 인슐린-의존형 당뇨병 아동의 심리사회적 부적응 문제를 완화 및 예방하기 위한 중재 프로그램으로 절충적 부모-자녀 놀이치료를 실시하고 효과를 검증하였다. 연구대상은 초등학교 1학년-4학년 사이의 인슐린-의존형 당뇨병 아동 17명과 어머니 17명으로 실험집단 5쌍, 비교집단 5쌍, 통제집단 7쌍으로 구성되었다. 연구 결과, 절충적 부모-자녀 놀이치료를 실시한 집단에서 어머니와 아동의 부모-자녀관계가 향상되었고, 아동의 총문제행동, 외현화문제행동, 우울/불안감이 감소하였으며, 아동의 내적 통제소재 및 자기효능감의 하위척도인 자기조절 효능감과 과제난이도 선호 역시 향상되었다. 아동 자신이 보고하는 치료순응에서는 유의한 변화가 나타나지 않았으나 어머니가 보고한 치료순응은 향상된 것으로 나타났고, 인슐린-의존형 당뇨병 아동의 대사조절을 나타내는 당화혈색소 수치(HbA1C level)도 향상되었다. 본 연구는 절충적 부모-자녀 놀이치료가 인슐린-의존형 당뇨병 아동의 심리사회적 적응을 향상시키는데 효과적인 프로그램임을 입증하였으며 치료순응과 대사조절에도 영향을 줄 수 있음을 확인하였다.

keywords
Insulin-dependent diabetes mellitus, eclectic filial therapy, 인슐린-의존형 당뇨병, 절충적 부모-자녀 놀이치료

Abstract

This study inspected the effect of eclectic filial therapy on children with Insulin-Dependent Diabetes Mellitus(IDDM), and showed that the improved psychosocial adjustment affects treatment adherence and metabolic control of the children with IDDM in this study. Seventeen elementary school students ranging from first-grade to fourth-grade, and their mothers participated in this study. Five pairs of experimental groups, five pairs of comparative groups, and seven pairs of control groups were implemented. The results obtained were as follows: First, eclectic filial therapy was an effective intervention for children diagnosed with IDDM in strengthening the parent-child relationship, and the children's total behavioral problems, externalizing problems, and depression/anxiety were significantly decreased. Second, then children's internal loci of control, preference for task difficulty, and self-control (which is a subscale of self-efficacy) were significantly increased. Third, treatment adherence reported by mothers was significantly increased, but treatment adherence reported by children did not show any noteworthy change. Last, the HbA1C level of the children in the experimental group was significantly decreased, which indicates that metabolic control was improved. In conclusion, this study confirmed that eclectic filial therapy is an effective psychotherapeutic intervention program for improving psychosocial adjustment in children with IDDM and also found out that this therapy can affect treatment adherence and metabolic control.

keywords
Insulin-dependent diabetes mellitus, eclectic filial therapy, 인슐린-의존형 당뇨병, 절충적 부모-자녀 놀이치료

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