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우울증의 근거기반치료에 대한 고찰

Evidence-Based Treatments of Depression

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참고문헌

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주제분류심리과학

초록

우울증은 만성적이고 재발적인 경과뿐 아니라 자살의 영향력과 관련하여 중요한 사회적 문제로 간주되고 있다. 전 세계의 여러 연구자들은 우울증의 심각성을 인식하고, 다양한 치료의 개발과 그 효과 검증에 관심을 집중하고 있다. 본 연구에서는 그동안의 연구를 통해 우울증 치료에 있어서 그 효과가 강력하게 지지된 인지치료, 행동활성화치료, 대인관계치료, 문제해결치료의 치료 요인과 과정, 국내 치료효능연구를 개관하였다. 또한 국내 우울증의 심리치료 결과를 요약하여, 이를 바탕으로 우울증에 대한 근거기반치료의 권고안을 제시하였다. 본 연구에서는 국내 연구결과를 기반으로 인지행동치료와 수용전념치료, 마음챙김에 기반한 인지치료를 효과가 있음직한 치료로 제안하였다. 이를 통해 향후 심리치료 연구에 대한 제언을 하였으며, 국내의 근거기반 우울증 치료의 연구 및 보급을 촉진하고자 하였다.

Abstract

Depression is of great individual and social importance because of its devastating course and risk for future suicide attempts. Researchers globally have recognized the seriousness of depressive disorder and thus have participated in the development and evaluation of treatments. In this study, we reviewed the basic assumptions, treatment factors, and efficacy trials of cognitive therapy, behavior activation therapy, interpersonal therapy, and problem-solving therapy. In addition, the results of psychological treatment of depression in Korea are summarized, based on which recommendations for evidence-based treatment for depression are suggested. In this study, based on the results of a domestic study, cognitive behavioral therapy, acceptance commitment therapy, and mindfulness-based cognitive therapy are proposed as treatments that might be effective. Finally, this article highlights future directions for evidence-based depression treatment research in Korea.

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