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E-ISSN : 2733-4538
본 연구는 우울장애와 불안장애 청소년의 부정적 자기도식을 변화시키고 대인관계에서 요구되는 사회적 기술의 습득을 목표로 하는 집단 인지행동치료 프로그램의 효과에 관한 예비연구로서 치료 프로그램을 제작 후 시행하여 효과를 검증하고 6개월 후 추후조사에서도 그 효과가 유지되는지를 비교하였다. 지역사회에서 설문조사를 통해 높은 우울증상과 불안증상을 보고한 중학생 279명을 선별한 후 진단적 면접에서 우울장애와 불안장애로 진단된 중학생 8명(남자 2명, 여자 6명)을 대상으로 2시간씩 1주에 2회, 총 6회기의 집단 인지행동치료 프로그램을 실시하였다. 치료 후 청소년의 우울증상과 불안증상이 유의하게 감소되었으며 사회불안 영역에서 수행과 관련한 불안과 부정적 평가 두려움이 유의하게 감소되었다. 자기개념도 긍정적으로 변화하였고 부정적 또래 표상도 감소되었다. 부정적 사고 영역에서 우울 인지, 사회불안 인지, 신체적 위협인지가 감소되었다. 집단 인지행동치료의 효과는 6개월 후 추후평가에서도 유지되어 우울증상은 물론 사회불안 영역의 수행불안, 부정적 평가에 대한 두려움의 감소가 유지되었고 자기개념도 긍정적으로 유지되었다. 이와 같은 결과에 대해 치료효과 영역별로 논의하였고 청소년기 우울장애와 불안장애 치료에 대한 임상적 시사점과 연구의 제한점 그리고 후속연구에 대해 제언하였다.
This preliminary study aimed to develop a group Cognitive Behavioral Therapy(CBT) program for the adolescents with depression and anxiety disorders. The CBT program intended to alter the negative self- scheme and to train the social skills of the adolescents, which is required in the interpersonal relationships. Through a screening survey, 279 junior high school students with high scores in depression and anxiety was selected and then eight students(2 male, 6 female) among them was selected through detailed diagnostic interview. The CBT program was conducted to 8 students: two 2-hour-sessions per week, for three weeks. The subjects showed significantly lower scores in depression and anxiety after the treatment, and they also showed significantly lower level of social anxiety, especially in the subcategories of the performance anxiety and of the fear of negative feedback. And the subjects reported positive change of self concept, and the level of their depressive cognition, social anxiety cognition, and negative peer representation were decreased. The effects in depressive symptoms, performance anxiety, fear of negative feedback, and positive self-concept maintained at six months follow up. Lastly we discussed the results by subcategories and the clinical implications for the adolescents' depression and anxiety. Limitations and suggestions for future study were mentioned.
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