놀이를 활용한 집단예술치료가 초기 성인 조현병 환자의 정서표현과 질병침습도 및 공감능력에 미치는 효과
The effects of group arts therapy using play on the emotional expressivity, illness engulfment and empathy of schizophrenia patients of early adulthood
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본 연구는 조현병 입원환자에게 놀이를 활용한 집단예술치료를 적용하여, 정서표현과 질병침습도, 공감능력에 미치는 효과성을 검증하는 데 목적이 있다. 연구 대상은 S시 H정신건강전문병원에 입원 중인 조현병 환자 12명(실험집단: 6명, 통제집단 6명)으로, 2018년 12월부터 2019년 2월에 걸쳐 집단 상담실에서 주 2회, 회기 당 50분씩 총 12회기의 놀이를 활용한 집단예술치료를 실시하였다. 개입의 효과를 검증하기 위한 평가로써, 버클리 정서표현 척도(BEQ), 질병침습도 척도(MES-K), 공감 척도(BES)를 사전·사후에 실시하였다. 또한, 회기별 정서·행동 변화과정 등을 알아보기 위해 질적 분석을 하였다. 본 연구의 결과는 다음과 같다. 첫째, 놀이를 활용한 집단예술치료가 조현병 환자의 정서표현 중, 정적표현과 부적표현 요인을 향상시키는 데 유의한 효과가 있었다. 둘째, 놀이를 활용한 집단예술치료가 조현병 환자의 질병침습도 중 자기개념에 대한 영향 요인을 감소시키는데 효과가 있는 것으로 나타났다. 셋째, 놀이를 활용한 집단예술치료가 조현병 환자의 공감 능력 중, 정서적 요소 요인에서 긍정적인 변화가 있었다. 이와 같은 결과를 통해 놀이를 활용한 집단예술치료가 조현병 환자의 정서표현, 질병침습도, 공감능력에 효과적인 심리적 개입임을 검증할 수 있었다.
Abstract
The study aimed to examine the effects on emotion expressivity, illness engulfment, and empathy by applying group arts therapy using play to schizophrenic inpatients. The subjects were 12 inpatients with schizophrenia in H hospital (6 experimental groups and 6 control groups). Twelve sessions of group arts therapy using play were conducted twice a week and 50 minutes per session. In order to assessment, Berkeley expressivity questionnaire, Korean version of modified engulfment scale, and Basic empathy scale were conducted. As a result, first, group arts therapy using play had a significant effect on improving the factors of positive and negative expressivity among the emotional expressivity of schizophrenic patients. Second, group arts therapy using play was effective in reducing the factors of impact on self-concept among illness engulfment of schizophrenic patients. Third, group arts therapy using play had a positive effect on the factor of affective empathy among empathy of schizophrenic patients.
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