국내 심리치료 무선통제연구: 학회지 및 기간별 분석을 통한 체계적 고찰
Randomized Controlled Trials of Psychological Treatment in Korea: A Systematic Analysis by Journals and Periods
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
무선통제연구 결과는 심리치료가 실제로 목표한 효과를 이끄는지 심리치료와 효과 간의 인과적 해석을 하는데 표준기준이 된다. 이에 무선통제연구결과는 심리치료의 효과성을 검증하는 기초 자료로 활용될 뿐 아니라, 공공정신건강 영역에서 효과적인 심리치료 서비스를 선별하는데 주요 지침이 된다. 본 연구는 국내에 보고된 심리치료 무선통제 연구를 학회지와 기간별(1983-2003, 2004-2006, 2007-2011, 2012- 2015)로 체계적으로 리뷰하고, ‘심리치료 무선통제연구의 질적 평가 척도’(Randomized Controlled Trial of Psychotherapy Quality Rating Scale, RCT-PQRS)를 사용하여 무선할당연구의 질을 평정하였다. 최종적으로 91편의 무선할당 연구가 본 연구에 포함되었으며, 무선통제연구를 적어도 5편 이상 출간한 ‘한국동서정신과학회지’, ‘한국심리학회지: 건강’, ‘한국심리학회지: 상담 및 심리치료’, ‘Korean Journal of Clinical Psychology’가 국내에서 심리치료 무선할당 연구를 보고한 주요 학술지로 선정되었다. 학회지와 기간별로 무선통제연구의 특성(예, 연구 참가자 특성, 심리치료 특성)과 질을 분석한 결과, 국내 심리치료 무선통제연구의 특성은 대부분 기간별로 차이를 보이지 않았다. 그러나 국내 심리치료 무선통제연구는 학회지별로 출판시기, 연구 참가자의 진단 여부와 진단 범주, 처치집단과 비교집단에 대한 처치의종류, 비교집단의 특성에서 모두 차이를 나타냈다. 또한 '한국심리학회'에서 출판된 연구들은 그렇지 않은 학회지의 연구보다 무선통제연구의 질이 더 높았다. 그리고 국내 심리치료 무선통제연구의 전반적인 질은 기간이 지남에 따라 상승하는 것으로 나타났다. 마지막으로 국내 심리치료 연구 결과를 게재하는 주요 학회지와 심리치료 연구자들이 앞으로 고려해야할 사항들을 제시하였으며, 임상가 및 공공 정신건강 정책 관련 전문가들에게 효과적인 심리치료 서비스에 대한 양질의 정보를 제공할 수 있는 방안에 대해서 논의하였다.
Abstract
Randomized controlled trial (RCT) is one of the gold standards of evidence for efficacy of psychotherapy that allows causal interpretations between a specific psychotherapeutic approach and outcomes. Thus, results from the RCTs are considered a basis for determining which psychotherapeutic approaches should be delivered to the public. In the current study, we aimed to systematically review psychotherapy RCTs conducted in South Korea and to analyze them according to the journals published in and their publication periods (i.e., 1983-2003, 2004-2006, 2007-2011, and 2012-2015). In addition, we have evaluated the quality of RCTs by employing the Randomized Controlled Trial of Psychotherapy Quality Rating Scale (RCT-PQRS). A total of 91 RCTs were finally selected for the current analysis. Four journals (i.e., Korean Journal of Counseling and Psychotherapy, Korean Journal of Clinical Psychology, Korean Journal of Health Psychology, and Korean Journal of East West Mind Science) were included in the analysis since they published at least five RCTs. The results showed that there were no differences in study characteristics (e.g., sample characteristics, types of psychotherapy) between the research periods whereas RCT quality scores have increased over time. Overall, RCTs published in Korean Psychological Association (KPA) Journals had greater RCT quality scores than those published in non-KPA Journals. In terms of the analysis of published journals, there were significant differences in study characteristics (e.g., sample characteristics, types of control groups, types of psychotherapy) between journals. Several issues and implications are discussed for researchers and policy makers in order to enhance quality of RCTs and to disseminate evidence-based information about efficient psychotherapeutic approaches to the public.
참고문헌 (27)
- American Psychological Association, "Template for developing guidelines: Interventions for mental disorders and psychosocial aspects of physical disorders" (1995), American Psychological Association
- APA Presidential Task Force on Evidence-based Practice, "Evidence-based practice in psychology", American Psychologist, 61, pp.271~285 (2006)
- Chambless, D. L., "Defining empirically supported therapies", Journal of Consulting and Clinical Psychology, 66, pp.7~18 (1998)
- Department of Health, "Improving access to psychological therapies implementation plan: Curriculum for high-intensity therapies workers", DoH, ~ (2008)
- Editorial, "Therapy deficit: Studies to enhance psychological treatments are scandalously under-supported", Nature, 489, pp.473~474 (2012)
- Gerber, A. J., "A quality-based review of randomized controlled trials of psychodynamic psychotherapy", American Journal of Psychiatry, 168, pp.19~28 (2011)
- Greenberg, L. S., "An approach to psychotherapy change process research: Introduction to the special section", Journal of Consulting and Clinical Psychology, 64, pp.435~438 (1996)
- Greenhalgh, T., "Papers that summarise other papers (systematic reviews and meta-analyses)", British Medical Journal, 315, pp.672~675 (1997)
- Psychological therapies, annual report on the use of IAPT services: England-2014, "15 Experimental statistics", Health and Social Care Information Centre, 2015
- Hill, C. E., "Trends in psychotherapy process research: Samples, measures, researchers, and classic publications", Journal of Counseling Psychology, 41, pp.364~377 (1994)
- Hofmann, S. G., "The efficacy of cognitive behavioral therapy: A review of meta-analyses", Cognitive Therapy and Research, 36, pp.427~440 (2012)
- 제갈은주, "지난 50년간 국내 심리치료무선통제연구에 대한 체계적 평가", Korean Journal of Clinical Psychology, 33(4), pp.943~958 (2014), 한국임상심리학회
- 조성호, "상담심리학 연구 동향: 상담 및 심리치료학회지 게재논문 분석(1988～2003)", 한국심리학회지: 상담 및 심리치료, 15(4), pp.811~832 (2003), 한국상담심리학회
- Kazdin, A. E., "Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care", American Psychologist, 63, pp.146~159 (2008)
- 김계원, "상담심리학의 최근 연구동향: 상담 및 심리치료학회지 게재논문 분석(2000～2009)", 한국심리학회지: 상담 및 심리치료, 23(3), pp.521~542 (2011), 한국상담심리학회
- Kocsis, J. H., "A new scale for assessing the quality of randomized clinical trials of psychotherapy", Comprehensive Psychiatry, 51, pp.319~324 (2010)
- 구훈정, "국내 아동 청소년 심리 치료 효과 검증 연구의 방법론적 고찰과 메타분석: 학회지 게재 논문을 중심으로(1995-2010)", Korean Journal of Clinical Psychology, 31(1), pp.43~73 (2012), 한국임상심리학회
- Levant, R. F., "Evidence-based practice in psychology", Professional Psychology: Research and Practice, 39, pp.658~662 (2008)
- McHugh, R. K., "The dissemination and implementation of evidence-based psychological treatments: A review of current efforts", American Psychologist, 65, pp.73~84 (2010)
- Moher, D., "The CONSORT statement: Revised recommendations for improving the quality of reports of parallel group randomized trials", Lancet, 357, pp.1191~1194 (2001)
- Mukuria, C., "Cost-effectiveness of an improving access to psychological therapies service", The British Journal of Psychiatry, 202, pp.220~227 (2013)
- Persons, J. B., "Are results of randomized controlled trials useful to psychotherapist", Journal of Consulting and Clinical Psychology, 66, pp.126~135 (1998)
- Rubin, A., "Practitioner's guide to using research for evidence-based practice" (2012), John Wiley & Sons
- Spring, B., "Evidence-based practice in clinical psychology:What it is, why it matters; what you need to know", Journal of Clinical Psychology, 63, pp.611~631 (2007)
- Strippoli, G. F., "The number, quality, and coverage of randomized controlled trials in nephrology", Journal of the American Society of Nephrology, 15, pp.411~419 (2004)
- Thoma, N. C., "A quality-based review of randomized controlled trials of cognitive-behavioral therapy for depression", American Journal of Psychiatry, 169, pp.22~30 (2012)
- 임민경, "근거기반실천과 심리치료", 한국심리학회지:일반, 32(1), pp.251~270 (2013), 한국심리학회