정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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정신건강 고위험군 대학생을 위한 인지행동치료적 개입의 개발 및 효과 확인 예비 연구

A Pilot Study on the Development and the Effect of a Cognitive-Behavioral Intervention for Undergraduates at Mental Health High Risk

  • 김지혜 (인제대학교 서울백병원 정신건강의학과) ;
  • 안선희 (허그맘 허그인 인천주안센터) ;
  • 박유진 (동아대학교병원 정신건강의학과) ;
  • 박세환 (가톨릭관동대학교 국제성모병원 정신건강의학과) ;
  • 정경운 (가톨릭관동대학교 국제성모병원 정신건강의학과)
  • Kim, Jihye (Department of Psychiatry, Inje University Seoul Paik Hospital) ;
  • An, Sun-Hee (Psychology Consultation Center Hugmom Hugin) ;
  • Park, You Jin (Department of Psychiatry, Dong-A University Hospital) ;
  • Park, Sehwan (Department of Psychiatry, Catholic Kwandong University College of Medicine, International St. Mary's Hospital) ;
  • Jhung, Kyungun (Department of Psychiatry, Catholic Kwandong University College of Medicine, International St. Mary's Hospital)
  • 투고 : 2022.06.02
  • 심사 : 2022.06.28
  • 발행 : 2022.06.30
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초록

연구목적 본 연구는 정신건강 고위험군 대학생을 위한 인지행동치료 기반 개입 프로그램의 개발 및 정신건강 요인들에 대한 치료 효과 확인을 목표로 하였다. 방 법 본 프로그램은 대학생 특정 개입으로서 우울 등의 문제 증상을 감소시키고 회복탄력성 및 긍정정서를 증진시키기 위해 개발되었다. 총 26명의 고위험군 대학생을 대상으로 총 8주동안의 집단 프로그램을 진행하여, 우울, 회복탄력성, 삶의 만족도, 긍정 및 부정적 정서의 사전, 사후 변화를 측정하여 비교하였다. 결 과 본 프로그램의 주요 목표 증상인 우울 점수는 개입 전에 비해 개입 후 유의미하게 감소하였다(t=3.51, p=0.002). 또한, 대학생들의 회복탄력성(t=-3.65, p=0.001)과 삶의 만족도(t=-3.00, p=0.006)와 같은 보호 요인 또한 유의미하게 향상되었다. 한편, 부적 정서는 개입 전후 유의미한 차이가 관찰되지 않았으며(t=-0.94, p=0.356), 긍정 정서는 개입 후 감소하였다(t=2.28, p=0.031). 결 론 본 연구는 집단 프로그램 시행 후 참가자들의 우울 증상이 감소하고, 회복탄력성 및 삶의 만족도가 증가함을 확인하였다. 이는 본 프로그램이 대학생 정신건강 고위험군의 문제 증상 및 보호 요인에 효과적으로 개입할 수 있음을 시사한다.

Objectives : The purpose of this study was to develop a cognitive-behavioral intervention for college students at high risk for mental health and to investigate its effect on mental health outcomes. Methods : The program was developed to reduce depressive symptoms and adverse outcomes while promoting resilience and positive effects. It consisted of eight sessions in a small group format for eight weeks. Thirty subjects at high risk for mental health participated in the program. Outcomes on the depressive symptoms, resilience, satisfaction with life, negative affect, and positive affect were evaluated at pre-and post-intervention. Results : Depressive symptom scores reduced significantly post-intervention compared to pre-intervention (t=3.51, p=0.002). Resilience scores (t=-3.65, p=0.001) and satisfaction with life scores (t=-3.00, p=0.006) increased after intervention than pre-intervention. Positive affect scores decreased post-intervention (t=2.28, p=0.031). There was no significant difference between pre-and post-intervention negative affect scores (t=-0.94, p=0.356). Conclusions : Present study demonstrated that group-based cognitive-behavioral intervention could be helpful for college students at high risk for mental health to reduce mental health symptoms and improve healthy protective factors.

키워드

과제정보

본 연구는 대한민국 보건복지부 한국정신건강기술연구개발사업의 지원을 받아 수행되었음(지원번호: HM16C1991). 본 연구결과는 2019년도 대한신경정신의학회 추계학술대회에서 포스터 발표하였음(2019. 10. 18-10. 19.).

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