본문 바로가기
KERD
논문KCI 등재

아동의 성행동문제에 대한 판단 및 평가와 근거기반치료

Identification, Assessment, and Evidence-Based Treatment of Sexual Behavior Problems in Children

0

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류심리과학

초록

본 연구는 아동의 성행동문제에 대한 판단기준과 평가, 그리고 치료에 대한 권고안을 제시하는 것을 목적으로 하였다. 아동의 성행동문제는 그 원인 및 발달 경로에서 아동 후기 및 청소년기에 발견되는 성적 가해 행위나 일탈적 성행동과는 구별된다는 사실은 널리 받아들여지고 있으나 관련 원인 및 효과적인 개입에 대한 경험적 연구는 제한되어 있다. 특히, 국내에서는 아동의 성행동과 관련된 실증적 연구는 물론 중재 방안에 대한 가이드라인도 전무한 상태이다. 따라서 본 연구에서는 해외문헌들을 중심으로 성행동문제에 대한 고찰연구, 평가와개입 방안에 대한 지침서들, 치료 개입에 대한 경험적 연구들을 개관한 후 아동과 부모를 돕는 임상 및 상담 현장의 전문가들이 참고할 만한 성행동문제에 대한 평가와 치료에 대한 접근 방향을 제시하였다.

Abstract

It is widely accepted that sexual behavior problems (SBPs) in children are distinguished from sexual harassment or deviant sexual behaviors associates with late childhood or adolescence – both in terms of their causes and developmental pathways. However, empirical studies on the factors related to SBPs, along with effective interventions, are limited. In Korea, in particular, there are no empirical studies regarding children's sexual behavior, nor are there any guidelines for the evaluation of, and intervention in, SBPs. This study reviewed the assessments and interventions for SBPs in children via foreign literature and proposed practical recommendations that can be referred to by clinicians helping children and their caregivers.

참고문헌 (65)

  1. Amand, A. S., "Meta-analysis of treatment for child sexual behavior problems : Practice elements and outcomes", Child Maltreatment, 13, pp.145~166 (2008)
  2. Allan, A., "Juvenile sexual offenders in Western Australia: Demographic characteristics and offence histories", Psychiatry, Psychology and Law, 9, pp.200~213 (2002)
  3. Allen, B., "Children with sexual behavior problems : clinical characteristics and relationship to child maltreatment", Child Psychiatry & Human Development, 48, pp.189~199 (2017)
  4. Allen, B., "A comparison of selfreported emotional and trauma-related concerns among sexually abused children with and without sexual behavior problems", Child Maltreatment, 20, pp.136~140 (2015)
  5. Allen, B., "Parent-child interaction therapy for sexual concerns of maltreated children : A preliminary investigation", Child Abuse & Neglect, 56, pp.80~88 (2016)
  6. Allen, B., "Implementing trauma-focused cognitive-behavioral therapy(TF-CBT)with preteen children displaying problematic sexual behavior", Cognitive and Behavioral Practice, 25, pp.240~249 (2018)
  7. Baker, A. J. L., "A survey of problematic sexualized behaviors of children in the New York City child welfare system : Estimates of problem, impact on services, and need for training", Journal of Child Sexual Abuse, 10, pp.67~80 (2008)
  8. Bancroft, J., "Sexual Development in Childhood" (2003), Indiana University Press
  9. Barry, S., "The children’s program : A description of a group and family intervention for children engaging in problematic and harmful sexual behavior and their parents", caregivers, 2019, pp.25, 196~206
  10. Berliner, L., "Treating fear and anxiety in sexually abused children : Results of a controlled 2-year follow-up study", Child Maltreatment, 1, pp.294~309 (1996)
  11. Children with sexual behavior problems: Assessment and treatment-final Report, "Bonner, B. L.", Administration of Children, Youth, and Families, Department of Health and Human Services, ~ (1999)
  12. Campbell, C., "Handbook of Child and Adolescent Sexuality (Chapter 6)", pp.145~170 (2013), Academic Press
  13. Carpentier, M. Y., "Randomized trial of treatment for children with sexual behavior problems : Ten-year follow-up", Journal of Consulting and Clinical Psychology, 74, pp.482~488 (2006)
  14. Chaffin, M., "The APSAC Handbook on Child Maltreatment", pp.205~232 (2002), Sage
  15. Chaffin, M., "Report of the ATSA Task Force on Children with Sexual Behavior Problems", Child Maltreatment, 13, pp.199~218 (2008)
  16. Choi, J. Y., "Association of abuse-specific, familial, and post factors with patterns of behavior problems in sexually abused preschoolers", Child Abuse & Neglect, 106, pp.104527~ (2020)
  17. 최지영, "중복대인관계외상이 성폭력 피해 아동의 외상후스트레스 증상, 내․외현화 행동문제, 성행동에 미치는 영향", Korean Journal of Clinical Psychology, 31(3), pp.641~658 (2012), 한국임상심리학회[DOI]
  18. Cohen, J. A., "A treatment outcome study for sexually abused preschool children : Initial findings", Journal of the American Academy of Child and Adolescent Psychiatry, 35, pp.42~50 (1996)
  19. Cohen, J. A., "Interventions for sexually abused children : Initial treatment outcome findings", Child Maltreatment, 3, pp.17~26 (1998)
  20. Cohen, J. A., "A multisite, randomized controlled trial for children with sexual abuse-related PTSD symptoms", Journal of the American Academy of Child and Adolescent Psychiatry, 43, pp.393~402 (2004)
  21. Deblinger, E., "Comparative efficacies of supportive and cognitive behavioral group therapies for young children who have been sexually abused and their nonoffending mothers", Child Maltreatment, 6, pp.332~343 (2001)
  22. DeLago, C., "Children who engaged in interpersonal problematic sexual behaviors", Child Abuse & Neglect, 105, pp.104260~ (2020)
  23. "Responding to problem sexual behaviour in children and young people: Guideline for staff in education an care settings (Dewey No. 306.7)" (2019)[URL]
  24. Elkovitch, N., "Understanding child sexual behavior problems : A developmental psychopathology framework", Clinical Psychology Review, 29, pp.585~598 (2009)
  25. Finkelhor, D., "The traumatic impact of child sexual abuse : A conceptualization", The American Journal of Orthopsychiatry, 55, pp.530~541 (1985)
  26. Friedrich, W., "Sexual behavior problems in preteen children: Developmental, ecological, and behavioral correlates", Annals of the New York Academy of Science, 989, pp.95~104 (2003)
  27. "Child Sexual Behavior Inventory" (1992)[URL]
  28. Friedrich, W. N., "Normative sexual behavior in children : A contemporary sample", Pediatrics, 101, pp.9~16 (1998)
  29. Friedrich, W. N., "Child sexual behavior inventory : Normative and clinical comparisons", Psychological Assessment, 4, pp.303~311 (1992)
  30. Friedrich, W. N., "Psychotherapy outcome of sexually abused boys", Journal of Interpersonal Violence, 7, pp.396~409 (1992)
  31. Friedrich, W. N., "Child Sexual Behavior Inventory : Normative, psychiatric, and sexual abuse comparison", Child Maltreatment, 6, pp.37~49 (2001)
  32. "Santé mentale au Québec", 2005, 257~279
  33. "The ‘peer sexual violence’ that increase every year... is it really ‘playing’" (2019)[URL]
  34. Johnson, T. C., "Child perpetrators—children who molest other children : Preliminary findings", Child Abuse & Neglect, 12, pp.219~229 (1988)
  35. 강현미, "아동의 성행동 문제 관련 변인 고찰", 재활심리연구, 28(3), pp.81~101 (2021), 한국재활심리학회[DOI]
  36. Kellogg, N. D., "Clinical report-the evaluation of sexual behaviors in children", Pediatrics, 124, pp.992~998 (2009)
  37. Kendall-Tackett, K. A., "Impact of sexual abuse on children. A review and synthesis of recent empirical studies", Psychological Bulletin, 113, pp.164~180 (1993)
  38. Lévesque, M., "Externalizing problems and problematic sexual behaviors : Same etiology", Aggressive Behavior, 36, pp.358~370 (2010)
  39. Lim, J. Y., "Sexual behaviors in sexually abused children", Journal of Korean Academy of Child and Adolescent Psychiatry, 17, pp.40~50 (2006)
  40. Lopez Sanchez, F., "Prepubertal sexuality", Sexologies, 11, pp.49~58 (2002)
  41. "Children with Sexual Behavior Problems: Research on best practices, current systems and policy and practice recommendations to improve Minnesota’s ability to provide early identification and intervention services" (2017)[URL]
  42. Ministry of Health and Welfare, "Recommendations for Coping with Sex-related Deviation for Children in Daycare Centers", ~ (2020)
  43. "Better lives, through better choices" (2018)[URL]
  44. National Child Traumatic Stress Network Child Sexual Abuse Committee, "Caring for Kids: What Parents Need to Know about Sexual Abuse" (2009), National Center for Child Traumatic Stress
  45. National Children’s Alliance, "What we can do: Understanding Children and Youth with Problematic Sexual Behaviors" (2018)
  46. National Institute for Health and Care Excellence, "Harmful sexual behaviour among children and young people. NICE guideline", ~ (2016)
  47. National Society Prevention of Curelty to Child, "Harmful sexual behavior framework", ~ (2019)
  48. Offermann, B. J., "Get SMART : Effective treatment for sexually abused children with problematic sexual behavior", Journal of Child &Adolescent Trauma, 1, pp.179~191 (2008)
  49. Pithers, W. D., "Children with sexual behavior problems : Identification of five distinct child types and related treatment considerations", Child Maltreatment, 3, pp.384~406 (1998)
  50. Evidence Check Service models for children under 10 with problematic sexual behaviours, "Sax Institute", NSW Ministry of Health, ~ (2019)
  51. South Eastern Centre Against Sexual Assault & Family Violence, "Age Appropriate Sexual Behaviours in Children and Young People (2nd ed.)", South Eastern Centre Against Sexual Attackment & Family Violity, ~ (2017)
  52. Silovsky, J. F., "Treatment for preschool children with interpersonal sexual behavior problems : A pilot study", Journal of Clinical Child and Adolescent Psychology, 36, pp.378~391 (2007)
  53. Silovsky, J. F., "Characteristics of young children with sexual behavior problems : A pilot study", Child Maltreatment, 7, pp.187~197 (2002)
  54. Silovsky, J. F., "Typology of problematic sexual behavior in early childhood: Presenting symptoms and contributing factors", Paper session presented at the meeting of Association for Behavioral and Cognitive Therapies (ABCT)Convention (2013)
  55. Smith, T. J., "Predictors of intrusive sexual behaviors in preschool-aged children", Journal of Sex Research, 56, pp.229~238 (2019)
  56. "Do Children Sexually Abuse Other Children? Preventing sexual abuse among children and youth" (2016)[URL]
  57. Swisher, L. M., "Children with sexual behavior problems", Juvenile and Family Court Journal, 59, pp.49~69 (2008)
  58. Final report on implementation of treatment program for sexually harassing behaviors of children under the age of 10, "Tacteen", ~ (2015)
  59. Tarren-Sweeney, M., "Predictors of problematic sexual behavior among children with complex maltreatment histories", Child Maltreatment, 13, pp.182~198 (2008)
  60. "CEBC Program Registry" (2017)[URL]
  61. Victorian Government of Department of Human Service, "Children with problem sexual behaviours and their families: Best interests case practice model specialist practice resource" (2012), Sovereing Press
  62. Wamser-Nanney, R., "Children’s sexual behavior problems : An ecological model using the LONGSCAN data", Child Abuse & Neglect, 96, pp.104085~ (2019)
  63. Webster, G., "The assessment of problem sexual behaviors amongst children : A human rights centered approach", Sexual Abuse in Australia and New Zealand, 4, pp.22~32 (2012)

관련 논문AI추천

이 간행물의 다른 논문 (10건)