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외상 경험 아동에 대한 근거기반치료

Evidence-Based Treatments of Traumatized Children

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참고문헌

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초록

본 연구의 목적은 국내외 외상 경험 아동에 대한 근거기반치료의 현황을 고찰하여 이를 바탕으로 외상 경험 아동을 위한 치료 가이드라인을 제안하는 것이다. 외상 경험 아동의 경우 PTSD에 국한되지 않는 다양한 정신병리와 관련되기 때문에 치료적 개입 역시 다양한 요소와접근들이 포함된다. 먼저, 몇몇 메타분석 연구들과 고찰 연구들을 바탕으로 해외에서 시행된 외상 아동을 위한 심리치료에 대한 효과성 연구들을 검토하였으며, 대표적인 근거기반치료들을 간략하게 소개하였다. 국내의 경우에는 1997년에서 2017년까지 출간된 외상 아동을 위한 개입의 효과성 연구 12편을 검토하였다. 마지막으로 외상 경험 아동 치료의 권고안을 제안하였으며, 향후 치료와 연구를 위한 제언을 논의하였다.

Abstract

The purpose of this study is to review the current status of evidence-based treatments for traumatized children in Korea and other countries and to suggest guidelines for child trauma practice. Because exposure to trauma in childhood has been associated with a broad range of psychopathology, including posttraumatic stress disorder (PTSD), therapeutic approaches could focus on various therapeutic components according to target symptoms and types of trauma. First, foreign treatment effectiveness studies were reviewed and a brief summary of available evidence-based interventions for traumatized children was provided, along with contexts for their uses. Second, 12 studies on the effectiveness of interventions for traumatized children and adolescents, published in Korea from 1997 to 2017 were investigated. Finally, recommendations for child trauma practice and suggestions for future research are discussed in terms of evidence-based practice.

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