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An Exploratory Study on the Application of Goal Attainment Scale to Improve Individual Goal Attainment of Schizophrenia

조현병 환자의 개별목표달성 향상을 위한 목표달성척도의 적용에 관한 탐색적 연구

  • Kim, Myo-Jung (Department of Social Welfare, The Catholic University of Korea) ;
  • Lee, Sok-Ho (Hanwool Social Welfare Research Institute) ;
  • Kim, Yong-Seok (Department of Social Welfare, The Catholic University of Korea)
  • 김묘정 (가톨릭대학교 사회복지학과) ;
  • 이석호 (한울사회복지연구소) ;
  • 김용석 (가톨릭대학교 사회복지학과)
  • Received : 2019.06.28
  • Accepted : 2019.09.20
  • Published : 2019.09.28

Abstract

This study focused on application and examination of the goal attainment scale(GAS) to participants diagnosed as schizophrenia spectrum and other psychotic disorders. The participants were instructed to set their own goals and evaluate them using the GAS. Scores of each participant's GAS were later calculated to determine the level of goal attainment. A single group pre-post test design and linear mixed effects models were used to examine application and effectiveness of the GAS. The results found that the average GAS scores increased along with observations and the rate of the increase were statistically significant. In addition, this study indicated the importance of self-determined goal setting, goal attainment, and supports of the process. Practical implication and limitation of this study were also discussed.

본 연구는 조현병스펙트럼 및 기타정신병적장애 진단을 받은 환자들(이하 조현병 환자)을 대상으로 목표달성척도를 적용하고 효과성을 평가하는데 있다. 연구 대상자들은 목표달성척도를 활용하여 자신의 개별목표를 설정하고 목표의 달성 정도를 정기적으로 자가 평가하였다. 연구 대상자들의 목표달성점수를 계산하여 목표달성 정도를 나타냈다. 평가를 위해 사전-사후검사를 실시하였고 선형혼합효과모형을 사용하여 목표달성척도 적용의 효과를 분석하였다. 평가결과, 연구 대상자들의 목표달성점수는 측정시점에 따라 점차 증가하였고 이러한 증가는 통계적으로도 유의미하였다. 본 연구는 조현병 환자들을 위해 자기결정을 통한 목표 설정, 목표성취 그리고 그 과정을 지원하는 것이 중요하다는 것을 보여준다. 본 연구결과를 통해 도출된 임상적 함의, 연구의 한계 등이 추가로 논의되었다.

Keywords

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