open access
메뉴본 연구에서는 온라인 심리치료에 관한 문헌연구를 바탕으로 온라인 심리치료의 특성을 이해하고 그 가능성과 한계를 살펴보았다. 온라인 심리치료를 주제로 진행된 학술논문을 중심으로 검색된 298건의 연구물 중 132건이 사용되었다. 분석결과를 토대로 온라인 심리치료의 정의, 온라인 치료와 대면 치료의 차이, 효과성 비교, 온라인 심리치료의 적용사례들이 제시되었다. 온라인 심리치료는 웹사이트, 화상, 휴대용기기, 가상현실(Virtual Reality: VR)을 이용한 접근들이 이루어지고 있으며, 연구결과들을 통해 심리적 증상을 감소하는데 전반적으로 효과적인 것으로 나타났다. 온라인 심리치료는 치료 접근성, 효율성, 익명성에 있어 장점이 있으며, 심리치료를 받을 수 없는 개인들에게 치료적 접근성을 높인다는 점에서 긍정적이었다. 반면 치료적, 방법론적, 기술적, 윤리적, 효과성 검증 측면에서 한계가 제시되었는데 어떻게 심리적 위기를 발견하며, 치료과정에서 이러한 위기들이 효과적으로 관리가 되는가 하는 점이 한계로 드러났다. 온라인 심리치료는 심각한 거식증이나 공황장애, 우울증 등 자살 위험이 높은 장애에는 적용되기 어렵지만 불안, 섭식, 사회공포증, 외상 후 스트레스장애에서는 대면 심리치료보다 더 효과적이거나, 동일한 효과를 보이는 것으로 나타났다. 연구결과에 대한 논의와 시사점이 제시되었다.
This study was intended to understand characteristics of online psychotherapy and to present its possibilities and limitations. The objectives were achieved through literature reviews. A total of 132 academic articles was reviewed and analyzed. The differences between online and traditional (i.e., face to face) psychotherapy, definition, efficiency, effectiveness, and examples were presented. Currently, various kinds of online treatments are experimented by using web-site, videoconference, handheld devices, and virtual reality. Generally, online treatments showed significant positive effects on decreasing psychological symptoms. The benefits of online psychotherapy are accessibility, efficiency, and anonymity. Limitations are provided and discussed in terms of its therapeutic, technical, ethical, and inherent effects. Disorders such as serious anorexia, panic disorder or depression leading to suicidal risk could be inappropriate while anxiety, eating disorder, social phobia, and PTSD exhibited great treatment effects, compared to face-to-face therapy.
고대곤, 남윤희 (2007). 화상교육 시스템을 이용한 사이버 집단 상담의 효과 분석. 한국콘텐츠학회논문지, 7(4), 213-223.
박성희, 이동렬 (2008). 한국문화와 상담. 서울: 학지사.
심혜숙, 이현진 (2003). 사이버 상담에서 상담자의 경력에 따른 자기 대화 및 가설형성 차이 분석. 한국심리학회지: 상담 및 심리치료, 15(1), 1-16.
오혜영, 지승희, 허지은 (2010). 청소년내담자와 상담자의 채팅상담 경험에 대한 인식. 상담학연구, 11(4), 1433-1450.
유정이, 박성수 (1998). 한국 학교상담 형성과정연구: 해방 후 중등학교 상담을 중심으로. 한국심리학회지: 상담 및 심리치료, 10(1), 297-312
이영선, 박정민, 최한나, 임은미 (2001). 사이버상담의 기법과 윤리. 한국청소년상담원.
이영선, 김경민, 유춘자, 차진영, 전소연 (2013). 사이버상담경향 보고서. 한국청소년상담원.
이재영, 정영윤 (2001). 사이버 집단상담 효과에 관한 연구: 공업계고교생을 위한 진로탐색 프로그램을 중심으로. 한국심리학회지: 상담 및 심리치료, 13(2), 143-160.
이지연, 정숙영, 방혜진 (2009). 사이버 진로상담 장기내담자 유형 및 효과적 상담 접근 방식 탐색. 상담학연구, 10(4), 2169-2186.
임은미, 김지은, 박승민 (1998). 청소년 사이버상담의 실제와 발전방안. 한국청소년상담복지개발원: 청소년상담연구, 6(1), 115-132
장현아, 안창일 (2003). 사회공포증의 사이버 집단상담 효과. 한국심리학회지: 임상, 22(1), 93-108.
Alleman, R. J. (2002). Online Counseling: The Internet and Mental Health Treatment. Psychotherapy, 39(2), 199-209.
American Counseling Association. (2001). Ethical Standards for Internet On-line Counseling. http://bobswriting.com/psych/ethical.html에서 2015, 02, 14 자료 얻음.
Andersson, G. (2002). Psychological aspects of tinnitus and the application of cognitive- behavioral therapy. Clinical Psychology Review, 22, 977-990.
Andersson, G., Strömgren, T., Ström, L., & Lyttkens, L. (2002). Randomized controlled trial of internet-based cognitive behavior therapy for distress associated with tinnitus. Psychosomatic medicine, 64(5), 810-816.
Andersson, G., Carlbring, P., Holmstrom, A., Sparthan, E., Furmark, T., Nilsson-Ihrfelt, E., Buhrman, M., & Ekselius, L. (2006). Internet- based self-help with therapist feedback and in vivo group exposure for social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 677-686.
Andersson, G., & Kaldo, V. (2004). Internet-based cognitive behavioral therapy for tinnitus. Journal of Clinical Psychology, 60, 171-178.
Anderson, J., & Rainie, L. (2008). The Future of the Internet Ⅲ. Pew Internet & American Life Project.
Barnett, J. E., & Scheetz, K. (2003). Technological advances and telehealth: Ethics, law and the practice of psychotherapy. Psychotherapy: Therapy, Practice, Research, Training, 40, 86-93.
Bastien, C. H., Morin, C. M., Ouellet, M. C., Blais, F. C., & Bouchard, S. (2004). Cognitive-Behavioral Therapy for Insomnia: Comparison of Individual Therapy, Group Therapy, and Telephone Consultations. Journal of Consulting and Clinical Psychology, 72, 653- 659.
Beck, J. G., Palyo, S. A., Winer, E. H., Schwagler, B. E., & Ang, E. J. (2007). Virtual reality exposure therapy for PTSD symptoms after a road accident: an uncontrolled case series. Behavior Therapy, 38, 39-48.
Befort, C. A., Donnelly, J. E., Sullivan, D. K., Ellerbeck, E. F., & Perri, M. G. (2010). Group Versus Individual Phone-Based Obesity Treatment for Rural Women. Eating Behaviors, 11, 11-17.
Bendelin, N., Hesser, H., Dahl, J., Carlbring, P., Zetterqvist Nelson, K., & Andersson, G. (2011). Experiences of Guided Internet-based Cognitive Behavioural Treatment for Depression: A Qualitative Study. BMC Psychology, 11(107), 1-10.
Bessell, T. L., McDonald, S., Silagy, C. A., Anderson, J. N., Hiller, J. E., & Sansom, L. N. (2002). Do Internet interventions for consumers cause more harm than good? A systematic review. Health Expectations, 5, 28-37.
Boettcher, J., Rozental, A., Andersson, G., & Carlbring, P. (2014). Side effects in internet- based interventions for social anxiety disorder. Internet Interventions, 1(1), 3-11.
Borowitz, S. M., & Ritterband, L. M. (2001). Using the Internet to teach parents and children about constipation and encopresis. Medical Informatics and the Internet in Medicine, 26, 283-295.
Bouchard, S., Paquin, B., Payeur, R., Allard, M., Rivard, V., Fournier, T., Renaud, P., & Lapierre, J. (2004). Delivering Cognitive- Behavior Therapy for Panic Disorder with Agoraphobia in Videoconference. Telemedicine Journal and e-Health, 10, 13-25.
Bradac, J. J., Bowers, J. W., & Courtright, J. A. (1979). Three Language Variables in Communication Research: Intensity, Immediacy, and Diversity. Human Communication Research, 5(3), 257-269.
Carlbring, P., & Anderson, G. (2006). Internet and psychological treatment. How well can they be combined? Computers in Human Behavior, 22, 545-553.
Carr, A. C., Ghosh, A., & Ancill, R. J. (1983). Can a computer take a psychiatric history? Psychological Medicine, 13(1), 151-158.
Celio, A., Winzelberg, A. J., Wilfley, D., Eppstein- Herald, D., Springer, E., Dev, P., & Taylor, C. B. (2000). Reducing risk factors for eating disorders: Comparison of an Internet- and a classroom-delivered psychoeducational program. Journal of Consulting and Clinical Psychology, 68, 650-657.
Chester, A., & Glass, C. A. (2006). Online counselling: A descriptive analysis of therapy services on the Internet. British Journal of Guidance & Counselling, 34(2), 145-160.
Childress, C. A. (2000). Ethical issues in providing online psychotherapeutic interventions. Journal of Medical Internet Research, 2(1).
Childress, C. A. (2001). Internet psychology: defining the parameters of a new field. Unpublished doctorial dissertation, Ann Arbor, Michigan: Pepperdine University, USA.
Childress, C. A., & Asamen, J. K. (1998). The emerging relationship of psychology and the Internet: proposed guidelines for conducting Internet intervention research. Ethics and Behavior, 8, 19-35.
Cohen, G. E., & Kerr, B. A. (1999). Computer- mediated counseling: An empirical study of a new mental health treatment. Computers in human services, 15(4), 13-26.
Dagoo, J., Asplund, R. P., Bsenko, H. A., Hjerling, S., Holmberg, A., Westh, S., Oberg, L., Ljotsson, B., Carlbring, P., Furmark, T., & Andersson, G. (2014). Cognitive Behavior Therapy Versus Interpersonal Psychotherapy for Social Anxiety Disorder Delivered Via Smartphone and Computer: A Randomized Controlled Trial. Journal of Anxiety Disorders, 28(4), 410-417.
Day, S. X., & Schneider, P. L. (2002). Psychotherapy using distance technology: A comparison of face-to-face, video, and audio treatment. Journal of Counseling Psychology, 49(4), 499.
Difede, J., Cukor, J., Jayasinghe, N., Patt, I., Jedel, S., Spielman, L., Giosan, C., & Hoffman, H. G. (2007). Virtual reality exposure therapy for the treatment of posttraumatic stress disorder following September 11, 2001. Journal of Clinical Psychiatry, 68(11), 1639-1647.
Difede, J., & Hoffman, H. G. (2002). Virtual reality exposure therapy for world trade center post-traumatic stress disorder: a case report. Cyber Psychology & Behavior, 5(6), 529-535.
Donnelly, J. E., Smith, B. K., Dunn, L., Mayo, M. M., Jacobsen, D. J., Stewart, E. E., Gibson, C., & Sullivan, D. K. (2007). Comparison of a Phone vs Clinic Approach to Achieve 10% Weight Loss. International Journal of Obesity, 31, 1270-1276.
Farrell, A. D., Camplair, P. S., & McCullough, L. (1987). Identification of target complaints by computer interview: Evaluation of the computerized assessment system for psychotherapy evaluation and research. Journal of Consulting and Clinical Psychology, 55(5), 691.
Ferriter, M. (1993). Computer aided interviewing in psychiatric social work. Computers in Human Services, 9(1-2), 59-66.
Fisher, C. B., & Fried, A. L. (2003). Internet- mediated psychological services and the American Psychological Association ethics code. Psychotherapy: Theory, Research, Practice, Training, 40, 103-111.
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: exposure to corrective information. Psychological Bulletin, 99(1), 20-35.
Frueh, C. B., Monnier, J., Grubaugh, A. L., Elhai, J. D., Yim, E., & Knapp, R. (2007). Therapist Adherence and Competence With Manualized Cognitive-Behavioral Therapy for PTSD Delivered via Videoconferencing Technology. Behavior Modification, 31(6), 856- 866.
Gerardi, M., Cukor, J., Difede, J., Rizzo, A., & Rothbaum, B. O. (2010). Virtual reality exposure therapy for post-traumatic stress disorder and other anxiety disorders. Current psychiatry reports, 12(4), 298-305.
Germain, V., Marchand, A., Bouchard, S., Guay, S., & Drouin, M. (2010). Assessment of the therapeutic alliance in face-to-face or videoconference treatment for posttraumatic stress disorder. Cyberpsychology, Behavior and Social Networking, 13, 29-35.
Ghosh, A., Marks, I. M., & Carr, A. C. (1988). Therapist contact and outcome of self-exposure treatment for phobias. A controlled study. The British Journal of Psychiatry, 152(2), 234-238.
Gollings, E. K., & Paxton, S. J. (2006). Comparison of internet and face-to-face delivery of a group body image and disordered eating intervention for women: A pilot study. Eating Disorders: The Journal of Treatment & Prevention, 14, 1-15.
Gorman, J. M., & Coplan, J. D. (1996). Comorbidity of depression and panic disorder. Journal of Clinical Psychiatry, 57, 34-41.
Gulec, H., Moessner, M., Mezai, A., Kohls, E., Tury, F., & Bauer, S. (2011). Internet-based maintenance treatment for patients with eating disorders. Professional Psychology: Research and Practice, 42, 479-486.
Himle, J. A., Fischer, D. J., Muroff, J. R., Van Etten, M. L., Lokers, L. M., Abelson, J. L., & Hanna, G. L. (2006). Videoconferencing- Based Cognitive-Behavioral Therapy for Obsessive-Compulsive Disorder. Behaviour Research and Therapy, 44(12), 1821-1829.
Hirschfeld, R. M. A. (1996). Panic disorder: diagnosis, epidemiology, and clinical course. Journal of Clinical Psychiatry, 57, 3-8.
Humphrey, K., Winzelberg, A. J., & Klaw, E. (2000). Psychologists' ethical responsibilities in Internet-based groups: Issues, strategies, and a call for dialogue. Professional Psychology: Research and Practice, 31, 493-496.
Jerome, L. W., DeLeon, P. H., James, L. C., Folen, R., Earles, J., & Gedney, J. J. (2000). The coming age of telecommunications in psychological research and practice. American Psychologist, 55, 407-421.
Joinson, A. N. (2001). Self‐disclosure in computer mediated communication: The role of self awareness and visual anonymity. European journal of social psychology, 31(2), 177-192.
Josman, N., Somer E., Reisberg A., Weiss P. L., Garcia-Palacios, A., & Hoffman, H. (2006). BusWorld: Designing a virtual environment for post-traumatic stress disorder in israel: a protocol. Cyber Psychology & Behavior, 9, 241- 244.
Kanani, K., & Regehr, C. (2003). Clinical, ethical, and legal issues in e-therapy. Families in Society: The Journal of Contemporary Social Services, 84(2), 155-162.
Kim, P. W., Kim, S. Y., Shim, M., Im, C. H., & Shon, Y. M. (2013). The influence of an educational course on language expression and treatment of gaming addiction for massive multiplayer online role-playing game (MMORPG) players. Computers & Education, 63, 208-217.
Klein, B., & Richards, J. C. (2001). A brief Internet-based treatment for panic disorder. Behavioural and Cognitive Psychotherapy, 29, 113-117.
Klinger, E., Bouchard, S., Légeron, P., Roy, S., Lauer, F., Chemin, I., & Nugues, P. (2005). Virtual reality therapy versus cognitive behavior therapy for social phobia: A preliminary controlled study. Cyberpsychology & behavior, 8(1), 76-88.
Knaevelsrud, C., & Maercker, A. (2010). Long- term effects of an Internet-based Treatment for Posttraumatic Stress. Cognitive Behaviour Therapy, 39(1), 72-77.
Kolata, G. (2000). Web research transforms visit to the doctor. New York Times, 6.
Koocher, G. P., & Morray, E. (2000). Regulation of telepsychology: A survey of state attorneys general. Professional Psychology: Research and Practice, 31, 503-508.
Lange, A., van de Ven, J. P., Schrieken, B., & Emmelkamp, P. (2001). Interapy. Treatment of posttraumatic stress through the Internet: A controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 32, 73-90.
Lenert, L., Muñoz, R. F., Stoddard, J., Delucchi, K., Bansod, A., Skoczen, S., & Pérez-Stable, E. J. (2003). Design and pilot evaluation of an internet smoking cessation program. Journal of the American Medical Informatics Association, 10(1), 16-20.
Litz, B. T., Williams, L., Wang, J., Bryant, R., & Engel, C. C., (2004). A Therapist Assisted Internet Self-help Program for Traumatic Stress. Professional Psychology: Research and Practice, 35, 628.
Litz, B. T., Engel, C. C., Bryant, R. A., & Papa, A. (2007). A randomized, controlled proof-of- concept trial of an Internet-based, therapist- assisted self-management treatment for posttraumatic stress disorder. American Journal of Psychiatry, 164, 1676-1684.
Lovell, K., Cox, D., Haddock, G., Jones, C., Raines, D., Gravey, R., Robert, C., & Hadley, S. (2006). Telephone Administered Cognitive Behaviour Therapy for Treatment of Obsessive Compulsive Disorder: Randomised Controlled Non-inferiority Trial. British Medical Journal, 333, 883.
Lucas, R. W., Mullin, P. J., Luna, C. B., & McInroy, D. C. (1977). Psychiatrists and a computer as interrogators of patients with alcohol-related illnesses: a comparison. The British Journal of Psychiatry, 131(2), 160-167.
Lucas, G. M., Gratch, J., King, A., & Morency, L. P. (2014). It’s only a computer: virtual humans increase willingness to disclose. Computers in Human Behavior, 37, 94-100.
Lynch, D. J., Tamburrino, M. B., & Nagel, R. (1997). Telephone Counseling for Patients with Minor Depression: Preliminary Findings in a Family Practice Setting. Journal of Family Practice, 44, 293-298.
Maheu, M. M., & Gordon, B. L. (2000). Counseling and therapy on the Internet. Professional Psychology: Research and Practice, 31(5), 484.
Mallen, M. J., Day, S. X., & Green, M. A. (2003). Online versus face-to-face conversations: An examination of relational and discourse variables. Psychotherapy: Theory, Research, Practice, Training, 40, 155-163.
Manhal-Baugus, M. (2001). E-therapy: Practical, ethical, and legal issues. CyberPsychology & Behavior, 4(5), 551-563.
McKay, G. H., Glasgow, R. E., Feil, E. G., Boles, S. M., & Barrera, M. (2002a). Internet-based diabetes self-management and support: Initial outcomes from the Diabetes Network Project. Rehabilitation Psychology, 47, 31-48.
McKay, G. H., Glasgow, R. E., Feil, E. G., Boles, S. M., & Barrera, M. (2002b). Do Internet-Based Support Interventions Change Perceptions of Social Support?: An Experimental Trial of Approaches for Supporting Diabetes Self-Management. American Journal of Community Psychology, 30(5), 637-354.
McKay, G. H., King, D., Eakin, E. G., Seeley, J. R., & Glasgow, R. E. (2001). The Diabetes Network Internet-based physical activity intervention. Diabetes Care, 24, 1328-1334.
Metanoia. (2001). E-therapy: History and survey. http://www.metanoia.org/imhs/history.htm에서 2015, 03, 18 자료 얻음.
Mohr, D. C., Hart, S. L., Julian, L., Catledge, C., Honos-Webb, L., Vella, L., & Tasch, E. T. (2005). Telephone Administered Psychotherapy for Depression. Archives of General Psychiatry, 62, 1007-1014.
Mohr, D. C., Hart, S., & Marmar, C. (2006). Telephone Administered Cognitive-Behavioral Therapy for the Treatment of Depression in a Rural Primary Care Clinic. Cognitive Therapy and Research, 30, 29-37.
Mohr, D. C., Hart, S., & Vella, L. (2007). Reduction in Disability in a Randomized Controlled Trial of Telephone-Administered Cognitive Behavioral Therapy. Health Psychology, 26, 554-563.
Mohr, D. C., Siddique, J., Ho, J., Duffecy, J., Jin, L., & Fokuo, J. K. (2010). Interest in Behavioral and Psychological Treatments Delivered Face-to-Face, by Telephone, and by Internet. Annals of Behavioral Medicine, 40, 89-98.
National Board for Certified Counselors. (2000). Standards for the Ethical Practice of WebCounseling. http://www.nbcc.org/ethics/에서 2015, 04, 15 자료 얻음.
Nelson, E. L., Barnard, M., & Cain, S. (2006). Feasibility of telemedicine intervention for childhood depression. Counselling & Psychotherapy Research, 6, 191-195.
Newman, M. G. (2004). Technology in psychotherapy: An introduction. Journal of Clinical Psychology, 60, 141-145.
Newman, M. G., Consoli, A., & Taylor, C. B. (1997). Computers in assessment and cognitive behavioral treatment of clinical disorders: Anxiety as a case in point. Behavior Therapy, 28, 211-235.
Newman, M. G., Consoli, A. J., & Taylor, C. B. (1999). A palmtop computer program for the treatment of generalized anxiety disorder. Behavior Modification, 23, 597-619.
Newman, M. G., Kenardy, J., Herman, S., & Taylor, C. B. (1997). Comparison of palmtopcomputer-assisted brief cognitive- behavioral treatment to cognitive-behavioral treatment for panic disorder. Journal of Consulting and Clinical Psychology, 65, 178-183.
Newman, M. G., Kenardy, J., Herman, S., & Taylor, C. B. (1996). The use of hand-held computers as an adjunct to cognitive-behavior therapy. Computers in Human Behavior, 12, 135-143.
Newman, M. G., Szkodny, L. E., Llera, S. J., & Prezeworski, A. (2011). A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: Is human contact necessary for therapeutic efficacy? Clinical Psychology Review, 31, 89-103.
Nguyen, H. Q., Carrieri-Kohlman, V., Rankin, S. H., Slaughter, R., & Stulbarg, M. S. (2004). Internet-based patient education and support interventions: a review of evaluation studies and directions for future research. Computers in Biology and Medicinine, 34, 95-112.
Nosek, B. A., Banaji, M. R., & Greenwald, A. G. (2002). E-research: ethics, security, design, and control in psychological research on the Internet. Journal of Social Issues, 58, 161-176.
O’Brien, K. (2011). Video Calling Ready to Take Leap into Mainstream. The New York Times. http://www.nytimes.com/2011/02/14/technology/14iht-srvideo14.html에서 2015, 01, 28 자료 얻음.
Olfson, M., Guardino, M., Struening, E., Schneier, F. R., Hellman, F., & Klein, D. F. (2000). Barriers to the treatment of social anxiety. American Journal of Psychiatry, 157, 521-527.
Orlinsky, D. E., Grawe, K., & Parks, B. K. (1994). Process and outcome in psychotherapy: Noch einmal. In. A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behavior change (4th ed.) (pp.270-376). Oxford, England: John Wiley & Sons.
Paxton, S. J., McLean, S. A., Gollings, E. K., Faulkner, C., & Wertheim, E. H. (2007). Comparison of face-to-face and internet interventions for body image and eating problems in adult women: An RCT. The International Journal of Eating Disorders, 40, 692-704.
Pesämaa, L., Ebeling, H., Kuusimäki, M. L., Winblad, I., Isohanni, M., & Moilanen, I. (2004). Videoconferencing in Child and Adolescent Telepsychiatry: A Systematic Review of the Literature. Journal of Telemedicine and Telecare, 10, 187-192.
Pew Research Center. (2002, May 22). Vital decisions: How Internet users decide what information to trust when they or their loved ones are sick. Pew Internet & American Life. http://www.pewinternet.org/2002/05/22/vital-decisions-a-pew-internet-health-report/에서 자료 얻음.
Pfefferbaum, B., Pfefferbaum, R. L., North, C. S., & Neas, B. R. (2002). Does television viewing satisfy criteria for exposure in posttraumatic stress disorder? Psychiatry, 65(4), 306-309.
Pong, R. W., & Hogenbirk, J. C. (2002). Licensing physicians for telehealth practice: issues and policy options. Centre for Rural and Northern Health Research.
Proudfoot, J., Swain, S., Widmer, S., Watkins, E., Goldberg, D., Marks, I., Mann, A., & Gray, J. A. (2003). The development and beta-test of a computer-therapy program for anxiety and depression: hurdles and lessons. Computers in Human Behavior, 19, 277-289.
Przeworski, A., & Newman, M. G. (2004). Palmtop computer-assisted group therapy for social phobia. Journal of Clinical Psychology, 60(2), 179-188.
Ransom, D., Heckman, T. G., Anderson, T., Garske, J., Holroyd, K., & Basta, T. (2008). Telephone-delivered, Interpersonal Psychotherapy for HIV-infected Rural Persons with Depression: A Pilot Trial. Psychiatric Services, 59, 871-877.
Ritterband, L. M., Gonder-Frederick, L. A., Cox, D. J., Clifton, A. D., West, R. W., & Borowitz, S. M. (2003). Internet Interventions: In Review, In Use, and Into the Future. Professional Psychology: Research and Practice, 34(5), 527-534.
Robinson, P., & Serfaty, M. (2008). Getting better byte by byte: A pilot randomised controlled trial of email therapy for bulimia nervosa and binge eating disorder. European Eating Disorders Review, 16, 84-93.
Robson, D., & Robson, M. (1998). Intimacy and Computer Communication. British Journal of Guidance and counselling, 26, 33-41.
Rochlen, A. B., Zack, J. S., & Speyer, C. (2004). Online therapy: Review of relevant definitions, debates, and current empirical support. Journal of clinical psychology, 60(3), 269-283.
Rothbaum, B. O., Hodges, L., Alarcon, R. D., Ready, D., Shahar, F., Graap, K., Pair, J., Hebert, P., Gotz, D., Wills, B., & Baltzell, D. (1999). Virtual reality exposure therapy for PTSD Vietnam veterans: A case study. Journal of Traumatic Stress, 12(2), 263-271.
Rothbaum, B. O., Smith, S., Hodges, L., Price, L., & Lee, J. H. (2000) A Controlled Study of Virtual Reality Exposure Therapy for the Fear of Flying. Journal of Consulting and Clinical Psychology, 68(6), 1020-1026.
Rothbaum, B. O., Hodges, L. F., Ready, D., Graap, K., & Alacon, R. D. (2001). Virtual reality exposure therapy for Vietnam veterans with posttraumatic stress disorder. Journal of Clinical Psychiatry, 62(8), 617-622.
Rozental, A., Boettcher, J., Andersson, G., Schmidt, B., & Carlbring, P., (2015) Negative Effects of Internet Interventions: A Qualitative Content Analysis of Patients' Experiences with Treatments Delivered Online. Cognitive Behavior Therapy, 44(3), 223-236.
Sampson, J. P., Kolodinsky, R. W., & Greeno, B. P. (1997). Counseling and the information highway: Future possibilities and potential problems. Journal of Counseling & Development, 75, 203-212.
Schneider, S. J., Walter, R., & O’Donnell, R. (1990). Computerized communication as a medium for behavioral smoking cessation treatment: Controlled evaluation. Computers in Human Behavior, 6, 141-151.
Shepherd, L., Goldstein, D., Whitford, H., Thewes, B., Brummell, V., & Hicks, M. (2006). The Utility of Videoconferencing to Provide Innovative Delivery of Psychological Treatment for Rural Cancer Patients: Results of a Pilot Study. Journal of Pain and Symptom Management, 32, 453-461.
Sherwood, N. E., Jeffery, R. W., Pronk, N. P., Boucher, J. L., Hanson, A., Boyle, R., Brelje, K., Hase, K., & Chen, V. (2006). Mail and Phone Interventions for Weight Loss in a Managed-care Setting: Weigh-to-be 2-year Outcomes. International Journal of Obesity, 30, 1565-1573
Shingleton, R. M., Richards, L. K., & Thompson- Brenner, H. (2013). Using Technology Within the Treatment of Eating Disorders: A Clinical Practice Review. Psychotherapy, 50(4), 576-582.
Simpson, S. (2009) Psychotherapy via Videoconferencing: A Review. British Journal of Guidance and Counselling, 37, 271-286.
Smith, M. A., & Senior, C. (2001). The Internet and clinical psychology: A general review of the implications. Clinical Psychology Review, 21, 129-136.
Spence, S. H., Holmes, J. M., March, S., & Lipp, O. V. (2006). The Feasibility and Outcome of Clinic Plus Internet Delivery of Cognitive- Behavior Therapy for Childhood Anxiety. Journal of Consulting and Clinical Psychology, 74(3), 614-621.
Sproull, L., Subramani, M., Kiesler, S., & Walker, J. H. (1996). When the interface is a face. Human-Computer Interaction, 11, 97-124.
Stillman, R., Roth, W. T., Colby, K. M., & Rosenbaum, C. P. (1969). An on-line computer system for initial psychiatric inventory. American Journal of Psychiatry, 125(7), 8-11.
Ström, L., Pettersson, R., & Andersson, G. (2000). A controlled trial of self-help treatment of recurrent headache conducted via the Internet. Journal of Consulting and Clinical Psychology, 68, 722-727.
Swartz, S. H., Cowan, T. M., Klayman, J. E., Welton, M. T., & Leonard, B. A. (2005). Use and effectiveness of tobacco telephone counseling and nicotine therapy in Maine. American Journal of Preventive Medicine, 29, 288-294.
Tate, D. F., Wing, R. R., & Winett, R. A. (2001). Using Internet technology to deliver a behavioral weight loss program. Journal of the American Medical Association, 285, 1172-1177.
Tate, D. F., & Zabinski, M. F. (2004). Computer and Internet applications for psychological treatment: update for clinicians. Journal of clinical psychology, 60(2), 209-220.
Taylor, C. B., & Luce, K. H. (2003). Computer- and Internet-based psychotherapy interventions. Current directions in psychological science, 12(1), 18-22.
Taylor, S., Thordarson, D. S., Spring, T., Yeh, A. H., Corcoran, K. M., Eugster, K., & Tisshaw, C. T. (2003). Telephone-Administered Cognitive Behavior Therapy for Obsessive- Compulsive Disorder. Cognitive Behaviour Therapy, 32, 13- 25.
Tuerk, P. W., Yoder, M., Ruggiero, K. J., Gros, D. F., & Acierno, R. (2010). A pilot study of prolonged exposure therapy for posttraumatic stress disorder delivered via telehealth technology. Journal of Traumatic Stress, 23, 116-123.
Turner, C., Heyman, I., Futh, A., & Lovell, K., (2009) A Pilot Study of Telephone Cognitive- Behavioural Therapy for Obsessive-Compulsive Disorder in Young People. Behavioural and Cognitive Psychotherapy, 37, 469-474.
VanWormer, J. J., Martinez, A. M., Martinson, B. C., Crain, A. L., Benson, G. A., Cosentino, D. L., & Pronk, N. (2009). Self-Weighing Promotes Weight Loss for Obese Adults. American Journal of Preventive Medicine, 36, 70-73.
Walther, J. B. (1996). Computer-Mediated Communication: Impersonal, Interpersonal and Hyperpersonal Interaction. Communication Research, 23, 3-43.
Weisband, S., & Kiesler, S. (1996). Self disclosure on computer forms: Meta-analysis and implications (pp. 3-10). New York, NY: ACM.
Weissman, M. M., Klerman, G. L., Markowitz, J. S., & Ouellette, R. (1989). Suicidal ideation and suicide attempts in panic disorder and attacks. New England Journal of Medicine, 321, 1209-1214.
Winett, R. A., Roodman, A. A., Winett, S. G., Bajzek, W., Rovniak, L. S., & Whiteley, J. A. (1999). The Effects of the Eat4Life Internet-Based Health Behavior Program on the Nutrition and Activity Practices of High School Girls. Journal of Gender, Culture and Health, 4(3), 239-254.
Winker, M. A., Flanagin, A., Chi-Lum, B., White, J., Andrews, K., & Kennett, R. L. (2000). Guidelines for medical and health information sites on the Internet: Principles governing AMA Web sites. Journal of the American Medical Association, 283, 1600-1606.
Winzelberg, A. J., Eppstein, D., Eldredge, K. L., Wilfley, D., Dasmahapatra, R., Dev, P., & Taylor, C. B. (2000). Effectiveness of an Internet-based program for reducing risk factors for eating disorders. Journal of Consulting and Clinical Psychology, 68, 346-350.
Yuen, E. K., Herbert, J. D., Forman, E. M., Goetter, E. M., Juarascio, A. S., Rabin, S. J., McGrath, K. B., Goodwin, C. L., Park, J. A., & Bouchard, S. (2010, November). Using Skype videoconferencing and Second Life virtual environments to deliver acceptance-based behavior therapy for social anxiety disorder. In J. Herbert (Chair), New developments in remote and internet-based treatment. Symposium presented at the 44th annual convention of the Association for Behavioral and Cognitive Therapies, San Francisco, CA.
Yuen, E. K., Goetter, E. M., Herbert, J. D., & Forman, E. M. (2012). Challenges and Opportunities in Internet-Mediated Telemental Health. Professional Psychology: Research and Practice, 43(1), 1-8.
Yuen, E. K., Herbert, J. D., Forman, E. M., Goetter, E. M., Comer, R., & Bradley, J. (2013). Treatment of social anxiety disorder using online virtual environments in second life. Behavior Therapy, 44, 51-61.
Zabinski, M. F., Celio, A. A., Wilfley, D. E., & Taylor, C. B. (2003). Prevention of eating disorders and obesity via the internet. Cognitive Behaviour Therapy, 32, 137-150.
Zickuhr, K. (2011). Generations and their gadgets. Pew Internet & American Life Project. http://www. pewinternet.org/2011/02/03/generations-and-their-gadgets/에서 2015, 04, 24 자료 얻음.