사회공포증의 사이버 집단상담 효과
The effect of cyber group therapy for social phobia
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초록
본 연구에서는 CMC(Computer Mediated Communication)를 기반으로 하여 사회공포증에 대한 사이버 집단치료 효과를 검증하고자 하였다. 인터넷에 사이버 상담실을 마련하고 치료자를 포함하여 4-6명의 소규모 폐쇄집단으로 운영하였다. 총 34명의 내담자가 본 연구에 참여하였는데 치료 프로그램 도중 12명이 탈락하여 치료집단에 총 18명, 대기자집단에 4명이 치료를 마쳤다. 프로그램은 인지행동적 접근으로 한 회기는 약 90분 가량 소요되며 전자 대화 형식의 집단상담이 주 2회 총 10회기동안 진행되었다. 프로그램의 효과를 검증하기 위해서 치료전과 후에 사회적 회피 및 불안 척도(SADS), 부정적 평가에 대한 두려움 척도(FNE), 상태·불안척도, 역기능적 사고 척도 중 부정적 자기개념 척도를 사용하였고, 치료 후에는 프로그램에 대한 전반적인 평가를 위한 개방형 질문지와 집단상담 치료요인 질문지를 작성하도록 하였다. 연구 결과, 치료집단에서 사이버 집단상담 후에 실시한 모든 척도에서 유의미한 향상을 보여 사회공포증의 치료에 인지행동적 접근의 사이버 집단상담의 효과가 검증되었다. 끝으로 본 연구의 제한점과 의의를 논의하였다.
Abstract
The purpose of this study was to evaluate the effectiveness of cyber group therapy for social phobia. The setting was a closed user group on internet site in which 4-6 clients including a counselor were assigned. A total of 34 clients participated at the beginning and 2 dropped, and remaining 22 clients, 18 with social phobia as experimental group and 4 in control group, had been surveyed to the end of the study. Ten 90 minute sessions of cyber group therapy, which was primarily focused on cognitive behavioral treatment, were conducted over a 5-week period. The clients were given e-mailed reading material for review before each session and were assigned homework after the group therapy. An 24 hour accessible cyber-bulletin board was prepared for the clients to post their assignment results. Outcome was assessed on measures of Social Avoidance and Anxiety Scale(SADS), Fear of Negative Evaluation Scale(FNE), State Trait Anxiety Inventory, Dysfunctional Test, based on the client responses on a questionnaire answered at the beginning and closing of the study. After the study, the clients were also asked to answer the open-type questionnaire to evaluate the study in terms of assessment of program. The findings of the study demonstrated that change, in this cyber group therapy, was detected with a significant reduction in phobia symptoms on entire outcome measures. The clients satisfaction with the session program was also high, marking 4 in the questionnaire anchored to 5-point rating scale. The main treatment reason was attributed to easy access to psychological information, self-understanding and then generality of the study. The results are interpreted as supporting the efficiency of group therapy in cyber space, which could induce changes in cognitive, emotional, and behavioral aspects associated with social phobia. Further study is needed to examine the usefulness and a specific role of this group therapy in addition to traditional treatment method for social phobia.