외상 후 스트레스 장애의 근거기반치료
Evidence-based Treatment of Posttraumatic Stress Disorder
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참고문헌
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초록
이 연구의 목적은 외상 후 스트레스 장애에 관한 국내외에서 수행된 근거기반 치료를 고찰하고 향후 연구의 방향을 제시하는 것이었다. 이를 위해 먼저, 외상 후 스트레스 장애의 임상 특징과 진단과 관련된 쟁점들, 외상 후 스트레스 장애의 임상적 치료 가이드라인에서 추천되는 일차 및 이차 심리적 개입, 그리고 ICT 기반의 치료들(예: 인터넷 기반 인지행동치료, 스마트폰 어플리케이션, 가상현실 노출)이 검토되었다. 다음으로, 한국의 연구 현황을 파악하기 위해 한국의 외상 생존자들을 대상으로 실시된 1997년부터 2017년까지 출간된 심리적 개입에 관한 12편의 연구가 검토되었다. 마지막으로, 외상 후 스트레스 장애의 치료 권고안이 제안되고 향후 치료적 접근과 연구의 방향성이 근거기반실천의 관점에서 논의되었다.
Abstract
The purposes of the present study are to review evidence-based treatment of posttraumatic stress disorder (PTSD) in Korea and other countries and to suggest directions for further research. First, clinical features of PTSD, diagnosis-related issues in PTSD, first- and second-line psychological interventions recommended from clinical practice guidelines of PTSD, and ICTbased therapy (e.g., internet based Cognitive Behavioral Therapy, smartphone applications, and virtual reality exposure) were reviewed. Second, 12 studies of psychological interventions for Korean trauma survivors, published in academic journals between 1997 and 2017, were investigated to identify the current status of research in Korea. Finally, recommendations were made for PTSD treatment, and future directions for research and therapeutic approaches were discussed in terms of evidence- based practice.
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