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전환장애 증상 중 우울감 감소를 위한 통합심리학적 치료 프로그램 개발 및 효과성 검증: 60대 노년 여성 대상

The Development and Effectiveness Verification of Integrative Psychotherapy Program for Relieving Depression among the Symptoms of Conversion Disorder : For Elderly Women in their 60s

  • 황다미자 (신한대학교 대학원 & 숙명여자대학교 미래교육원) ;
  • 이민선 (신한대학교 리나시타대학)
  • Hwang, Tamija (Shinhan University Graduate School & Professor at the Institute of Future Education, Sookmyung Women's University) ;
  • Lee, Min Sun (Rinascita College of Liberal Art and Sciences, Shinhan University)
  • 투고 : 2024.04.22
  • 심사 : 2024.06.20
  • 발행 : 2024.06.28

초록

본 연구는 전환장애 증상 중 우울감을 경험하는 60대 여성 22명을 대상으로 2021년 1월26일부터 2월9일까지 실험집단 대상의 연구를 시행하였다. 60대 노년여성의 우울감 감소와 신체증상 완화를 위해 통합심리학적 치료 프로그램인 집단상담 프로그램을 개발하고, 연구 대상자들의 사전-사후 변화를 비교 분석하여 효과성을 검증하고자 하였다. 이를 위하여 22명의 60대 여성을 대상으로 한국형 노인 우울 검사(K-GDS), 증상해석 질문지(SIQ), Hamilton 우울 평가척도 설문지, PHQ-9 및 대인관계 척도(RCS)를 실시하였다. 이후 사전-사후 대응 표본 t 검정, 상관분석과 다중 회귀 분석을 수행하였다. 연구 결과, 본 연구가 개발한 집단상담 프로그램을 통하여 60대 여성의 우울감 감소, 신체증상 완화, 부정적 정서 및 부정적 신념 감소, 대인관계에 긍정적인 변화가 나타나 그 효과를 실증적으로 입증하였다. 마지막으로, 본 연구의 의의와 한계를 논의하였다.

The aim of this study was to develop a group counseling program as an integrative psychotherapy program to alleviate depression and physical symptoms of 22 women in 60s who experience depression as a symptom of conversion disorder and also tried to prove the effectivity of the program by using comparative analyze of pre-post changes. The Korean-style Elderly Depression Test(K-GDS), Symptom Interpretation Questionnaire(SIQ), Hamilton Depression Assessment Scale Questionnaire, PHQ-9 and interpersonal relationship scale (RCS) were conducted and pre-post-corresponding sample t-test, correlation analysis and multiple regression analysis were performed. The results showed depression reduction, physical symptoms alleviation, decreases in negative emotions and beliefs, and positive changes in interpersonal relationships. The implications and limitations of this study were discussed.

키워드

참고문헌

  1. E. R. Goh (2017). Understanding and Treatment of Somatic Symptom Disorder-According to Diagnostic Criteria from DS. Stress, 25(4), 213-219. DOI : 10.17547/kjsr.2017.25.4.213 
  2. S. M. Kwon (2013). Modern abnormal psychology. Seoul: Hakjisa. 
  3. H. K, S. Y. Suh, J. H. Kwon, B. J. Ham & J. W. Paik (2010). Psychosocial Functioning in Depression. Korean Journal of Clinical Psychology, 29(4), 1117-1133. DOI : 10.15842/kjcp.2010.29.4.011 
  4. Korea Institute for Health and Affairs (2004). The 2004 Survey on the Living Profile and Welfare Service Needs of Older Persons: Results and Policy Implications. Seoul: Korea Institute for Health and Affairs. 
  5. K. M. Seol (2002). NEURO-LINGUISTIC PROGRAMMING. Seoul: Hakjisa. 
  6. H. K. Shin (2006). The Effect of Negative Affect and the Moderating Effects of Emotional Expressiveness and Self-Concepton Adolescent's Experience of Somatic Symptoms. Korean Journal of Clinical Psychology, 25(3), 727-746. UCI : G704-000007.2006.25.3.014 
  7. H. K. Shin & H. T. Won (1997). A Study on the development of the Korean Alexithymia Scale. Korean Journal of Clinical Psychology, 16(2), 219-231. UCI I410-ECN-0102-2009-180-006950991 
  8. M. H. Lee (1981). Clinical Studies on Multiple Somatier -For The Clinical Application of Somatoform Disrder in Korea (I). Journal of the Korean Neuropsychiatric Association, 20(4), 423-432. KMID : 0368819810200040423 
  9. S. P. Lee (1978). A Clinical Study of Hospitalized Hysterias. Journal of the Korean Neuropsychiatr Association, 17, 423-430. 
  10. H. D. Lee & S. M. Moon (1980). a Study on the Effect of Human Relations Training of University Students. Journal of Gyeongsang National University, 19, 195-203. 
  11. G. S. Jeon (2007). NLP. Seoul: Hakjisa. 
  12. G. S. Jeon (2003). NLP. Seoul: Hakjisa. 
  13. G. S. Jeon (1995). The World of the Mind: Psychological and Physiological Understanding of Human Behavior, Seoul: Central Adaptability Publishing 
  14. Y. H. Jung (2019). A hermeneutic phenomenological study on older adults' experience with psychological counseling. Doctoral Dissertation, Korea National University of Education. 
  15. S. S. Jung & K. S. Ha (2014). Study of the Influence of the Depressive mood of the Elderly : Focused on the mediating effect of Communication between families and self-estee. Journal of the Korea Academia-Industrial cooperation Society, 15(9), 5525-5533. DOI : 10.5762/KAIS.2014.15.9.5525 
  16. H. S. Jung (1977). Somatic Complaints of the Depressives. Journal of the Korean Neuropsychiatric Association, 16(4), 358-365. 
  17. H. Y. Jung, J. H. Park & S. I. Lee (2004). The Cognitive Characteristics of Somatizer according to Depressive Symptoms and Sex. Journal of the Korean Neuropsychiatric Association, 43(2), 165-171. KMID : 0368820040430020165 
  18. Statistics Korea (2023). 2023 Statistics on the Aged. Dajeon Statistics Korea. 
  19. Statistics Korea. (2019). Population Projections for Korea : 2017~2067. Dajeon Statistics Korea. 
  20. R. Barr & V. Abernathy. (1977). Single case study: Conversion reaction. Differential diagnosis in the light of biofeedback research. Journal of Nervous and Mental Disease, 164, 287-292.  https://doi.org/10.1097/00005053-197704000-00010
  21. L. A. Clark & D. Watson. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316-336. DOI : 10.1037/0021-843X.100.3.316 
  22. L. A. Clark, D. Watson & S. Mineka. (1994). Temperament, personality, and the mood and anxiety disorders. Journal of Abnormal Psychology, 103, 103-116. DOI : 10.1037/0021-843X.103.1.103 
  23. M. W. Greg et al. (2005). Creatinine measurement: state of the art in accuracy and interlaboratory harmonization. Archives of pathology & laboratory medicine, 129(3), 297-304. DOI : 10.5858/2005-129-297-CMSOTA 
  24. C. Hammen. & P. A. Brennan. (2002). Interpersonal dysfunction in depressed women: impairments independent of depressive symptoms. Journal of Affective Disorders, 72(2), 145-156. DOI : 10.1016/S0165-0327(01)00455-4 
  25. S. G. Kornstein et al. (2000). Gender differences in chronic major and double depression. Journal of Affective Disorders, 60(1), 1-11. DOI : 10.1016/S0165-0327(99)00158-5 
  26. Z. J. Lipowski. (1987). Somatization: The experience and communication of psychological distress as somatic symptoms. Psychotherapy and Psychosomatics, 47(3-4), 160-167. DOI : 10.1159/000288013 
  27. J. M. Robbins & L. J. Kirmayer. (1991). Attributions of common somatic symptoms. Psychol Med, 21(4), 1029-1045. DOI : 10.1017/S0033291700030026