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자녀가 상담을 받고 있는 부모의 양육스트레스와 타액 코티졸에 미치는 모래놀이치료 효과

The Effects of Sand Play Therapy on Parenting Stress and Saliva Cortisol Levels of Parents Undergoing Child Counseling Programs

  • 김영미 (남서울대학교 아동상담.심리치료대학원, 어우러기 아동발달센터) ;
  • 장미경 (남서울대학교 아동복지학과) ;
  • 김민경 (남서울대학교 아동복지학과) ;
  • 김진경 (남서울대학교 아동복지학과)
  • 투고 : 2012.02.28
  • 심사 : 2012.05.31
  • 발행 : 2012.06.30

초록

The purpose of this study is to investigate the effects of sand play therapy on the parenting stress and saliva cortisol levels of parents undergoing child counseling programs. The study was conducted with 13 parents who were undergoing child counseling programs. The sessions were held every week for 45 minutes from July, 2011 to September, 2011. To evaluate the effects of sand play therapy, pre test and post test were conducted and the results were then analyzed. The therapy sessions consist of parents making sand boxes, and this was done without consideration of any particular theme. The instrument used was Abidin (1990)'s Parenting Stress Instrument (PSI). Saliva cortisol levels were obtained at the pre-post stage of the sand play therapy. The data were analyzed by means of frequency and the Wilcoxon Rank Sum Test was conducted by the SPSS. The major findings were as follows; There were significant differences in terms of the decreases in the areas of perception of all the parenting stresses examined, including daily life stress, child temperament stress, child relationship stress, and learning-expectation stress, as well as in saliva cortisol levels. Finally, this study suggests that parenting stress and saliva cortisol levels have a positive relationship, and the effects of sand play therapy were significant with decreases in parenting stress and saliva cortisol levels. There is a clear need for parents undergoing child counseling programs to engage in sand play therapy to decrease parenting stress and saliva cortisol levels.

키워드

참고문헌

  1. Abidin, R. R. (1990). Parenting stress index: Professional manual(3rd ed). Odessa:Psycholigical assessment resources.
  2. Ahn, J. Y. (2003). The relationship between current trend of early education and maternal parental beliefs, stress, and achievement pressure. Journal of The Korean Home Economics Association, 41(11), 95-111.
  3. Anastopulos, A. D., Guevremont, D. C., Shelton, T. L., & Dipaul, G. J. (1992). Parenting stress among families of children with attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 20, 503-520. https://doi.org/10.1007/BF00916812
  4. Bae, K. W., & Song, S. C. (1986). A comparative study on parenting stress of parent of children with and without disabilities. Sung Ji Research Journal for Rehabilitation 3, 13-35.
  5. Bae, Y. J. (2011). Analysis of the correlation between classification ability quotient and cortisol-hormonal change. Unpublished master's thesis, Korea national university of education, Korea.
  6. Belsky J. (1984). The determinants of parenting: A process model. Journal of Child Development, 55, 83-96. https://doi.org/10.2307/1129836
  7. Choi, S. Y. (2011). Effect of horticultural therapy on the changes of salivary cortisol density and blood pressure of the hospital staff. Unpublished master's thesis, Horticultural biotechnology Korea graduate school, Korea.
  8. Crnic, K. A., & Greenberg, M. T. (1990). Minor parenting stresses with young. Journal of Children Development, 61, 1628-1637. https://doi.org/10.2307/1130770
  9. Dyson, Lily L. (1993). Response to the presence of a child with disabilities:Parental stress and family functioning over time. American Journal of Mental Retardation, 98(2), Sep, 207-218.
  10. Ellison, P. T. (1988). Human salivary steroids: Methodological considerations and applications in physical anthropology. American Journal of Physical Anthropology, 31(S9), 115-142. https://doi.org/10.1002/ajpa.1330310507
  11. Friedman, M., Green, M. F., & Sharland, D. E. (1969). Assessment of hypothalamic-pituitary-adrenal function in the geriatric age group. Journals of Gerontology, 24, 292-297. https://doi.org/10.1093/geronj/24.3.292
  12. Han, G. J. (2009). Effects of a sand tray for self-growth on parenting stress of mothers with disabled children. Unpublished master's thesis, Daegu university, Korea.
  13. Jang, N. N. (2010). The effect of sandplay therapy on ADHD adults with depression, self-esteem, and personal relationship. Unpublished master's thesis, Namseoul graduate school, Korea.
  14. Jo, E. H. (2004) Baby touch massage. Journal of The Korean Society of Maternal and Child Hearth Symposium 1, 62-69.
  15. Jun, S. Y. (2001). Human physiology. Seoul: Kwangmoomkag Press.
  16. Jung, E. J. (2010). The effect of in-school sand play therapy on Improvement of peer relationships and social skills of children from low-income families. Unpublished master's thesis, Namseoul graduate school, Korea.
  17. Kang, E. J., & Kim, K. W. (2010). Survey research on counseling need of parent in play therapy. Korean Journal of Play Therapy, 13(4), 59-74.
  18. Kang, S. H. (2010). Effects of the group play therapy with sand tray program on selfesteem of children in low-income family. Journal of the Ergonomics Society of Korea , 26(1), 11-18.
  19. Kim, D. S., Chung, Y. S., & Park, S. K. (2004). Relationship between the stress hormone, salivary cortisol level and stress score by self-report measurement. Korean Journal of Health Psychology, 9(3), 633-645.
  20. Kim, J., & Lee, J. H. (2005). The relationship between father's participation in child rearing and mother`s child rearing stress. Korean Journal of Child Studies, 26(5), 245-261.
  21. Kim, S. S. (2009). Analysis of the expression of the sand play therapy in emotionally and socially handicapped children. Unpublished master's thesis, Woosuk university, Korea.
  22. Kim, S. H. (2005). The effects of maternal parenting stress, parenting efficacy, and parenting behavior on young children's resilience. International Journal of Early Childhood Education, 25(4), 179-298.
  23. Kim, T. Y. (2010). The effect of sandplay therapy on adult ADHD symptoms, depression, and anxiety. Unpublished master's thesis, Namseoul graduate school, Korea.
  24. Kirschbaum, C., & Hellhammer, D. H. (1994). Salivary cortisol in psychoneuroendocrine research:Recent developments and applications. Psychoneuroendocinology. 19(4), 313-333. https://doi.org/10.1016/0306-4530(94)90013-2
  25. Lee, I. S. (2006). The relationships between psychological variates and parenting stress of the mothers with handicapped children - Role of model of ego resiliency - Unpublished doctoral dissertation, Kyungnam graduate school, Korea.
  26. Lee, M. S. (2005). The effect of the sand play therapy in emotionally and behavior handicapped children on the changing environment of families. Unpublished master's thesis, Kookmin university, Korea.
  27. Lee, M. S. (2010). Children's use of symbols by age and gender in sand play pictures. Unpublished doctoral dissertation, MyongJi university, Korea.
  28. Lee, S. J. (2006). Effects of sand play therapy on the self-esteem of institutionalized children. Unpublished master's thesis, Daegu university, Korea.
  29. Lupien, S. J., Fiocco, A., Wan, N., Maheu, F., Lord, C., Schramek, T., & Tu, T. (2004). Stress hormones and human memory finction across the lifespan. Psychoneuroendocrinology, 30, 225-242.
  30. Maureen, W., Sharron, G., H., & Pamela, D. H. (1994). Characterizations and psychoneuroimmunologic implication of secretory immuno-globulin and cortisol in preterm and term breast milk. Journal of Perinatal and Neonatal Nursing, 7(4), 42-51. https://doi.org/10.1097/00005237-199403000-00005
  31. McEwen, B. S., Biron, C. A., Brunson, K. W., Bulloch K., Chambes, W. H., Shabhar, F, S., Goldfarb, R. H., Kitson, R., & Weiss, J. M. (1997). The role of adrenocorticoids as modulators of immune funtion in health and disease:Neural, endocrine and immune interactions. Brain Research Review, 23, 79-133. https://doi.org/10.1016/S0165-0173(96)00012-4
  32. Park, S. K., & Kim, D. S. (2007). Relationship between physiological response and salivary cortisol level to life stress. Journal of the Ergononics Society of Korea , 26(1), 11-18. https://doi.org/10.5143/JESK.2007.26.1.011
  33. Park, S. H. (2008). The effects of the sand play therapy on parenting stress of the mothers of developmental disability children. Unpublished master's thesis, Daegu university, Korea.
  34. Joan M. Patterson, Hamilton I. Mccubbin (1983). The impact of family life events and changes on the health of a chronically III child. Journal of Projection Technology, 32, 255-264.
  35. Seo, H. Y. (1991) A study on the effects social support of mothers with challenged children. Unpublished master's thesis, Yonsei university, Korea.
  36. Shin, J. E. (2007). The effect of sandplay therapy on parental stress. Unpublished master's thesis, Ajou university, Korea.
  37. Shin, S. J. (1997). Effects of parenting stress, social support and parenting efficacy on mothers' parenting behaviors. Unpublished doctoral dissertation, Yonsei university, Korea.
  38. Waltman, C., Blackman, M. R., Chrousos, G. P., Reimann, C., & Harman, S. M. (1991). Spontaneous and glucocorticoid-inhibited adrenocorticotropic hormone and cortisol secretion are similar in healthy young and old men. Journal of Clinical Endocrinology and Metabolism, 73, 495-502. https://doi.org/10.1210/jcem-73-3-495
  39. Weinrib, E. L. (2004). Images of the self:The sand play therapy process. Ed. B. Turner. Cloverdale:Temenos Press.