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청소년을 대상으로 한 원격 심리치료 프로그램의 체계적 문헌고찰 및 메타분석 연구

Systematic Literature Review and Meta-analysis of Teletherapy on Adolescents

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참고문헌

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주제분류심리과학

초록

본 연구는 청소년을 대상으로 원격 심리치료를 적용한 중재 문헌의 현황과 중재의 특성 및 효과를 알아보기 위해 체계적 문헌고찰 및 메타분석 연구로서, 청소년을 대상으로 한 원격 심리치료 프로그램의 개발을 위한 기초자료에 목적이 있다. 연구 자료의 수집 및 분석은 체계적 문헌고찰 보고기준(PRISMA)에 따라 수행되었으며, 분석대상 논문 선정 기준은 임상 질문 양식인 PICOS에 따라 이루어졌다. 문헌 검색은 Pubmed를 통해 1986년부터 2022년까지의 연구를 대상으로 제목과 초록을 검토하여 최종 23편의 문헌을 결정하였다. 연구의 결과를 통합적으로 검토하기 위해 메타분석을 추가로 실시하였다. 체계적 문헌고찰 결과, 2020년 이후 연구가 활발하게 진행되고 있음을 알 수 있었으며, 인지행동치료기반 원격 심리치료가 가장 많은 것으로 나타났다. 메타분석 결과, 결과지표 중에서 안녕감, 반추, 불안, 우울이 중간 정도의 효과 크기를 나타냈고, 정서조절은 유의한 수준의 효과 크기를 보이지 않았다. 전체 효과 크기는 .448(.374-.522)로 중간 정도의 효과의 크기를 나타내어, 정서행동에 어려움을 경험하는 청소년에게 원격심리치료가 효과적임을 시사한다.

Abstract

This systematic literature review and meta-analysis investigated the current status of literature on teletherapy interventions for adolescents. This study explored characteristics and effects of the interventions to provide a basis for the development of teletherapy program for adolescents. Data collection and analysis were performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, and the articles analyzed were selected according to the PICOS questions commonly used in clinical practice. The titles and abstracts of studies published during1986–2022 were searched on PubMed and reviewed, Twenty-three articles were selected. A meta-analysis was performed to comprehensively review the results of these studies. The systematic literature review showed that research had been actively conducted since 2020, and cognitive behavioral therapy-based teletherapy was the most common. The meta-analysis found that among the outcome indicators, well-being, rumination, anxiety, and depression had moderate effect sizes, whereas the effect size of emotional control was not significant. The overall effect size was .448 (.374–.522), indicating a moderate effect, and suggesting that teletherapy is effective for adolescents who experiencing difficulties with emotional behaviors.

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