Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
권호 표지
DOI QR코드

DOI QR Code

Study on the Persistence of Therapy Program Effectiveness in Foster care : Focusing on K-CBCL

복지시설 아동의 심리치료 프로그램 효과의 지속성 연구:아동 행동평가 척도를 중심으로

  • Ha, Eun Hye (Dept. of Child Welfare Studies, Sookmyung Women's University) ;
  • Shin, Min Jin (Dept. of Child Welfare Studies, The Graduate School, Sookmyung Women's University)
  • 하은혜 (숙명여자대학교 생활과학대학 아동복지학과) ;
  • 신민진 (숙명여자대학교 일반대학원 아동복지학과)
  • Received : 2019.02.01
  • Accepted : 2019.05.14
  • Published : 2019.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : The purpose of this study is to confirm whether the effectiveness of the program is sustainable 9 months after project completion for the children and adolescents participating in a childcare and rehabilitation support project. Methods : This study was carried out in three phases: pre-(2016.5~6), post-(2016.10~12) and follow-up evaluation phases (2017.9) of 120 children and adolescents who participated in a treatment and rehabilitation of children project in 2016. The analysis was conducted using a repeated mesures ANOVA to identify changes in problem behaviors. Results : The problem behavior of preschoolers in middle and high schools decreased after the post-evaluation compared to the pre-evaluation, and the effect of treatment was maintained afterward. Elementary school students displayed fewer problem behaviors after the post-evaluation than in the pre-evaluation, and follow-up more. Conclusions : This study confirms that the effects of therapy are maintained for a long period of time. Furthermore, it has been confirmed that therapeutic intervention is effective for children and adolescents in foster care.

목적 : 본 연구의 목적은 아동복지시설 아동 치료 재활 지원사업에 참여 한 아동, 청소년을 대상으로 사업이 종료 된 9개월 후에도 치료 프로그램의 효과가 지속되는지 여부를 확인하는 것이다. 연구방법 : 본 연구는 2016년 아동복지시설 아동 치료 재활 사업에 참여하였던 아동, 청소년 중 120명을 대상으로 아동 행동평가 척도를 사용하여 사전(2016년 5월~6월), 사후(2016년 10월~12월), 추후(2017년 9월)평가를 실시하였다. 문제행동의 변화를 확인하기 위해 반복측정 ANOVA(Repeated Mesures ANOVA)로 분석하였다. 결과 : 미취학과 중 고등학생은 사전에 비해 사후에 문제행동이 감소되었고, 추후에 치료효과가 유지되었다. 초등학생은 사전에 비해 사후에 문제행동이 감소되었고, 추후에 더 감소하였다. 결론 : 본 연구 결과, 미취학, 초등학생, 중 고등학생 모든 집단에서 치료효과가 치료 종결 9개월 후에도 지속되고 있다는 것을 확인하였다.

Keywords

SGJOBA_2019_v8n2_55_f0001.png 이미지

Figure 1. Change in Preschool Evaluation by Period

SGJOBA_2019_v8n2_55_f0002.png 이미지

Figure 2. Change in Elementary School Evaluation by Period

SGJOBA_2019_v8n2_55_f0003.png 이미지

Figure 3. Change in Middle and High School Evaluation by Period

Table 1. Mean and Standard Deviation of Preschool

SGJOBA_2019_v8n2_55_t0001.png 이미지

Table 2. Mean and Standard Deviation of Elementary School Students

SGJOBA_2019_v8n2_55_t0002.png 이미지

Table 3. Mean and Standard Deviation of Middle and High School Students

SGJOBA_2019_v8n2_55_t0003.png 이미지

References

  1. 신현균 & 원호택. (1998). 신체화 집단의 신체감각에 대한 해석편향. 한국심리학회 학술대회 자료집, 1998(1), 93-108.
  2. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms & profiles. Burlington, VT:University of Vermont, Research Center for Children, Youth, & Families.
  3. Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA school-age Forms & profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families.
  4. Athanasiou, M. S., & Gunning, M. P. (1999). Filial therapy: Effects on two children's behavior and mothers' stress. Psychological Reports, 84(2), 587-590. doi:10.2466/pr0.84.2.587-590
  5. Bruskas, D. (2008). Children in foster care: A vulnerable population at risk. Journal of Child and Adolescent Psychiatric Nursing, 21(2), 70-77. doi: 10.1111/j.1744-6171.2008.00134.x
  6. Child Welfare Association & Ministry for Health and Welfare (2015). Treatment and rehabilitation of child welfare institution for children in 2015 supported a pilot project. Seoul: Ministry of Health and Welfare.
  7. Child Welfare Association & Ministry for Health and Welfare (2016). Treatment and rehabilitation of child welfare institution for children in 2016 supported a pilot project. Seoul: Ministry of Health and Welfare.
  8. Child Welfare Association & Ministry for Health and Welfare (2017). Treatment and rehabilitation of child welfare institution for children in 2017 supported a pilot project. Seoul: Ministry of Health and Welfare.
  9. Choi, J. W., & Choi, S. N.(2013). The effects of group art therapy on the emotional intelligence and problematic behavior of children. Korean Journal of Art Therapy, 20(5), 943-964. https://doi.org/10.35594/KATA.2013.20.5.005
  10. Kim, S., & Ha, E. H. (2011). The mediating effects of cognitive distortions on the relationships between adolescent's trait-anxiety and somatization symptoms. Korean Journal of Play Therapy, 14(2), 57-71.
  11. Kim, Y. A., Lee, J., Moon, S. J., Kim, Y. J., & Oh, K. J. (2009). Standardization study for the Korean version of the child behavior checklist for ages 1.5-5. The Korean Journal of Clinical Psychology, 28(1), 117-136. doi:10.15842/kjcp.2009.28.1.007
  12. Lee, M. H. (2000). Effects of human potential seminar on the mental health and self - concept among juvenile delinquents. Journal of Korean Academy of Psychiatric Mental Health Nursing, 9(1), 5-19.
  13. Lee, H. S. (2005). Effects of foster family functioning on the social adjustment of children in foster care. (Mater's thesis). Pusan University, Pusan.
  14. Lim, E. S., & Jang, S. C. (2016). The effect of group art therapy program on social support and school life adjustment of adolescents with school maladjustment. Journal of Arts Psychotherapy,12(3), 281-301.
  15. McMillen, J. C., Zima, B. T., Scott, J., L. D., Auslander, W. F., Munson, M. R., Ollie, M. T., ... Spitznagel, E. L. (2005). Prevalence of psychiatric disorders among older youths in the foster care system. Journal of the American Academy of Child and Adolescent Psychiatry, 44(1), 88-95. doi: 10.1097/01.chi.0000145806.24274.d2
  16. Oh, K. J., Kim, Y. J., Ha, E. H., Lee, H. R., & Hong, K. E. (2010). Child behavior checklist for ages 6-18: CBCL 6-18. Seoul: Huno.
  17. Park, K. H. (2013). The effect of cognitive-behavioral art therapy on improving sociality and attention of maladjusted children within the school. Korean Association for Clinical Healing Arts, 3, 95-168.
  18. Zlotnick, C., Tam, T. W., & Soman, L. A. (2012). Life course outcomes on mental and physical health: The impact of foster care on adulthood. American Journal of Public Health, 102(3), 534-540. doi:10.2105/ajph.2011.300285