본문 바로가기
KERD
논문KCI 등재

우울 개선을 위한 국내 산림치유프로그램 유형 분석

Analysis of the Types of Depression-related Forest Therapy Programs in Korea

2

조회

0

다운로드

7

인용

0

참고문헌

키워드

초록

본 연구는 우울 개선을 위한 국내 산림치유프로그램 현황을 파악하고 활동내용을 분석하여 향후 우울증 환자를 위한 산림치유프로그램 개발을 위한 기초자료를 제공하는 것을 목적으로 하였다. 우울 관련 산림치유프로그램 분석을 위해 국내 학위논문과 2018년부터 2020년까지 한국산림복지진흥원 산하기관에서 개발된 프로그램 및 산림치유프로그램 경진대회 입상작을 대상으로 수집한 결과, 49개의 전체프로그램과 249개의 세부프로그램이 도출되었다. 조사양식에 따라 대상자, 활동 목표, 활동 유형, 6대 요법, 오감, 계절, 활동 기간, 활동시간 등을 분석하였다. 분석결과, 우울 관련 산림치유프로그램을 구성할 때 대상자는 코로나 블루 증상자 및 생애주기별 대상자가 많았으며, 활동목표는 심리·정서적 영역이 가장 많이 고려되었다. 활동유형은 신체활동이 가장 많이 활용되었으며, 6대 요법으로는 정신요법이 가장 많이 적용되었다. 프로그램 개발 시, 단일요법만이 아닌 다양한 요법이 포함되었는데 특히 2개 요법을 동시에 활용하는 프로그램이 많았다. 오감요소로는 촉각요소가 가장 많이 활용되었고, 계절은 봄, 여름, 가을에 대부분의 프로그램이 운영되었다. 활동기간 및 시간은 다회기성 프로그램이 높은 비중을 차지하였으며, 120분 이하로 진행되는 경우가 많았다. 활동장소는 대부분이 숲길을 활용하여 진행되었으며, 코로나-19 대유행으로 인해 비대면 프로그램도 개발되었다. 하지만 지금까지 우울 관련 산림치유프로그램은 우울증을 겪고 있는 환자를 대상으로 하기보다 우울감을 호소하거나 우울증에 노출될 가능성이 있는 전 연령을 대상으로 진행되었다. 그러므로 향후에는 우울증 환자에 적합한 산림치유프로그램 개발의 전문화가 이루어 질 수 있도록 다면적 연구가 필요할 것으로 사료된다.

Abstract

The purpose of this study was to provide primary data for the development of forest therapy programs for patients with depression in the future by grasping the current status of forest therapy programs related to depression in Korea and analyzing the contents of compositional activities. In order to analyze depression-related forest therapy programs, as a result of collecting thesis and winners of the program and forest therapy program competition developed by the Korea Forest Welfare Institute from 2008 to 2020, 49programs and 249 detailed programs were derived. The subject, activity goal, activity type, therapeutic approach, five senses, season, activity period, activity time, and activity location were analyzed according to the survey form. As a result of the analysis, when composing depression-related forest therapy program activities, the subjects were those with COVID-19 symptoms and those with each life cycle, and the psychological and emotional areas were considered the most. As for the activity type, physical activity was most frequently used, psychotherapy was the most applied as the therapeutic approach, and various therapies were included, not just monotherapy, especially in programs that used two therapies simultaneously. Tactile elements are the most widely used as the five senses elements, most programs were operated in spring, summer, and autumn in the season, and the activity period and time were organized to take less than 120 minutes as multiple-time programs. Most activity sites were conducted outdoors using forest roads, and non-face-to-face programs were also developed due to the COVID-19 pandemic. However, so far, depression-related forest therapy programs have been conducted for all ages who are likely to complain of depression or be exposed to depression rather than for patients suffering from depression. Therefore, in the future, it is considered that a multi-faceted study is needed so that forest therapy programs suitable for depressive patients can be conducted through specialization in the development of forest therapy programs.

참고문헌 (66)

  1. 안정훈, "한국의 비약물적 치료와 항우울제 투약순응도의 관계", 대한의사협회지, 54(4), pp.381~385 (2011), 대한의사협회
  2. AlAmmar, W. A., "Food and mood: the corresponsive effect", Current Nutrition Reports, 9(3), pp.296~308 (2020)
  3. Bielinis, E., "The effects of a forest therapy programme on mental hospital patients with affective and psychotic disorders", International Journal of Environmental Research and Public Health, 17(1), pp.118~ (2020)
  4. Bostwick, J. M. A., "Generalist’s Guide to Treating Patients With Depression with an Emphasis on Using Side Effects to Tailor Antidepressant Therapy", Mayo Clin. Proc, 85, pp.538~550 (2010)
  5. Carvalho, A. F., "The safety, tolerability and risks associated with the use of newer generation antidepressant drugs: a critical review of the literature", Psychother, Psychosom, 85, pp.270~288 (2016)
  6. Evidence based non pharmacological clinical guideline for depression in Korea, "Clinical Research Center for Depression", ML Communication, ~ (2009)
  7. Chesney, E., "Risks of all-cause and suicide mortality in mental disorders: A meta-review", World Psychiatry, 13, pp.153~160 (2014)
  8. Cho, Y. M, "A Meta-Analysis on Effects of Forest Therapy Program", doctor, pp.2019
  9. Choi, J. W., "Suicide risk after discharge from psychiatric care in South Korea", J. Afect. Disord, 251, pp.287~292 (2019)
  10. Cuijpers, P., "The effects of psychotherapy for adult depression are overestimated: A metaanalysis of study quality and effect size", Psychol Med, 40(2), pp.211~223 (2010)
  11. De Mello, M. T., "Relationship between physical activity and depression and anxiety symptoms: a population study", Journal of Affective Disorders, 149(1-3), pp.241~246 (2013)
  12. Dolling, A., "Stress recovery in forest or handicraft environments–An intervention study", Urban For, Urban Green, 27, pp.162~172 (2017)
  13. "Encyclopedia of Korean Culture" (2022)[URL]
  14. Firth, J., "The effects of dietary improvement on symptoms of depression and anxiety: a meta-analysis of randomized controlled trials", Psychosomatic Medicine, 81(3), pp.265~ (2019)
  15. Fried, E. I., "The 52 symptoms of major depression:lack of content overlap among seven common depression scales", J. Affect. Disord, 208, pp.191~197 (2017)
  16. Furuhashi, S., "Physiological evaluation of the effects of shinrinyoku (taking in the atmosphere of the forest) in kayanodaira highland, kijimadaira village, nagano prefecture", Kanto J for Res, 58, pp.219~222 (2007)
  17. Gainsbury, S., "Online selfguided interventions for the treatment of problem gambling", Int. Gambl. Stud, 11(3), pp.289~308 (2011)
  18. 홍재윤, "치유의 숲 산림치유 프로그램의 활동 내용 분석", 한국산림휴양학회지, 22(4), pp.1~9 (2018), 한국산림휴양복지학회[DOI]
  19. Hu, M. X., "Exercise interventions for the prevention of depression: a systematic review of meta-analyses", BMC Public Health, 20(1), pp.1~11 (2020)
  20. Ikei, H., "Physiological Effects of Touching Wood", Int. J. Environ. Res. Public Health, 14, pp.7~ (2017)
  21. Jung, W., "Effect of a forest therapy program and the forest environment on female workers’stress", Urban. For. Urban. Gree, 14, pp.274~281 (2015)
  22. 김일두, "걷기, 경관감상 그리고 향기를 이용한 산림치유프로그램이 독거노인의 치매예방에 미치는 효과 연구", 한국환경생태학회지, 33(1), pp.107~115 (2019), 한국환경생태학회[DOI]
  23. Kim, M, "Research Trends of", Proceedings of the Korean Society for Information Management Conference, Korean Society for Information Management, pp.143~146 (2012)
  24. 김원, "산림활동 심리프로그램이 우울증 환자들의 우울감에 미치는 영향 : 예비적 연구", 한국산림과학회지, 98(1), pp.26~32 (2009), 한국산림과학회
  25. Kim, Y., "The Analysis of Needs for the Development of Forest therapy program", doctor, pp.2015
  26. 김영규, "숲활동 중재가 암환자의 불안, 우울, 기분상태 및 희망에 미치는 영향", 한국산림휴양학회지, 19(1), pp.65~74 (2015), 한국산림휴양복지학회[DOI]
  27. 김윤희, "산림치유 프로그램 개발을 위한 프로그램 선호도 분석", 한국환경생태학회지, 30(1), pp.118~129 (2016), 한국환경생태학회
  28. 김윤희, "국내 산림치유 프로그램 유형화", 한국산림휴양학회지, 23(1), pp.43~58 (2019), 한국산림휴양복지학회[DOI]
  29. Kobayashi, H., "Analysis of individual variations in autonomic responses to urban and forest environments", Evid. Based Complementary Altern. Med (2015)
  30. Koga, K., "Psychological and physiological effect in humans of touching plant foliage – using the semantic differential method and cerebral activity as indicators", Journal of Physiological Anthropology, 32(1), pp.7~ (2013)
  31. "Forest Culture and Recreation law" (2015)[URL]
  32. Korean Medication Algorithm Project for Depressive Disorder:KMAP-DD 2021, "Korean Medication Algorithm for Depressive Disorder Working Committee", Korean Society for Affective Disorders·Clin Psychopharmacol Neurosci, ~ (2021)
  33. 이으뜸, "국내 산림치유 프로그램의 구성활동 내용 분석", 한국산림휴양학회지, 15(2), pp.101~109 (2011), 한국산림휴양복지학회[DOI]
  34. 이은진, "도시공원을 활용한 산림치유프로그램이 고령노인의 우울과 기억감퇴에 미치는 영향 -곤지암 도자공원을 사례로", 인문사회 21, 11(6), pp.1089~1102 (2020), 인문사회 21
  35. 이효은, "편백정유향 흡입이 대학생의 스트레스 및 우울에 미치는 영향", 한국산림휴양학회지, 15(2), pp.61~68 (2011), 한국산림휴양복지학회[DOI]
  36. Lee, I. S., "An exploratory study of diffusion of health promotion programs using forests", Perspectives in Nursing Science, 11(1), pp.30~38 (2014)
  37. Lee, I., "Effects of forest therapy on depressive symptoms among adults: A systematic review", International Journal of Environmental Research and Public Health, 14(3), pp.321~ (2017)
  38. 이주은, "산림치유 프로그램이 대학생의 정서안정과 긍정적 사고에 미치는 영향", 한국환경생태학회지, 33(6), pp.748~757 (2019), 한국환경생태학회[DOI]
  39. 이정희, "산림치유 프로그램 개선방안 도출을 위한 치유의 숲 이용객 특성 분석", 한국산림휴양학회지, 20(4), pp.73~80 (2016), 한국산림휴양복지학회[DOI]
  40. Li, Q., "A forest bathing trip increases human natural killer activity and expression of anti-cancer proteins in female subjects", J. Biol. Regul. Homeost Agents, 22(1), pp.45~55 (2008)
  41. Morita, E., "Psychological effects of forest environments on healthy adults:Shinrin-yoku (forest-air bathing, walking) as a possible method of stress reduction", Public Health, 121(1), pp.54~63 (2007)
  42. Statusof forest healing program analysis anddevelopment, "National Institute of Forest Science", ~, pp.Research Report vol. 8(23) (2008)
  43. Ochiai, H., "Relaxing Effect Induced by Forest Sound in Patients with Gambling Disorder", Sustainability, 12(15), pp.5969~ (2020)
  44. "Organization for Economic Cooperation and Development" (2021)[URL]
  45. Park, B., "The physiological effects of shinrin-yoku (taking in the forest atmosphere or forest bathing): Evidence from field experiments in 24 forests across Japan", Environ. Health Prev. Med, 15(1), pp.18~ (2010)
  46. 박천보, "산림치유 시설의 운영 및 치유 프로그램 특성에 관한 연구", 한국산학기술학회논문지, 22(2), pp.468~474 (2021), 한국산학기술학회[DOI]
  47. 박충희, "Effects of a Forest Therapy Program on Reducing PTSD and Depression and Improving Mood States in Fire Officers", 인간식물환경학회지, 24(6), pp.693~705 (2021), 인간식물환경학회
  48. 박선아, "치유공간유형에 따른 효과분석", 박사, 조경학과, pp.2014
  49. Seon Joo Park, "The association between dietary pattern and depression in middle-aged Korean adults", Nutrition Research and Practice, 13(4), pp.316~322 (2019), 한국영양학회[DOI]
  50. Park, S., "Evidence-Based Status of Forest Healing Program in South Korea", International Journal of Environmental Research and Public Health, 18(19), pp.10368~ (2021)
  51. 박용천, "우울증의 비약물학적 치료", 대한의사협회지, 54(4), pp.376~380 (2011), 대한의사협회
  52. Robert, T. S., "Sexual Dysfunction Associated with Antidepressant Therapy", Urologic Clinics of North America, 34(4), pp.575~579 (2007)
  53. Rosa, C. D., "Forest therapy can prevent and treat depression:Evidence from meta-analyses", Urban For. Urban Green, 57, pp.126943~ (2021)
  54. Seok, H. D., "Policy of Forest Environmental Service for Happiness" (2013), Korea Rural Economic Insititute
  55. 심남섭, "베이비 부머 은퇴자들을 위한 산림치유 프로그램이 회복 탄력성과 우울에 미치는 영향", 한국환경생태학회지, 35(4), pp.424~434 (2021), 한국환경생태학회
  56. Shin, W. S., "The Relationships Among Forest Experience, Anxiety and Depression", Journal of the Korean Institute of Forest Recreation, 11(1), pp.27~32 (2007)
  57. "Forest Policy and Forest Healing in the Republic of Korea" (2015)[URL]
  58. Song, C., "Physiological and psychological effects of viewing forests on young women", Forests, 10(8), pp.635~ (2019)
  59. "Standard Korean Language Dictionary" (2022)[URL]
  60. Sung, J., "The effect of cognitive Behav Ther-based “forest therapy” program on blood pressure, salivary cortisol level, and quality of life in elderly hypertensive patients", Clin. Exp. Hypertens, 34(1), pp.1~7 (2012)
  61. Yeon, P. S., "Effect of Forest Therapy on Depression and Anxiety: A Systematic Review and Meta-Analysis", International Journal of Environmental Research and Public Health, 18(23), pp.12685~ (2021)
  62. 육영숙, "치유복합 운동프로그램이 우울환자의 불안, 우울 및 삶의 질에 미치는 영향", 한국스포츠심리학회지, 23(4), pp.253~273 (2012), 한국스포츠심리학회
  63. Wang, H., "Physical activity, body mass index and mental health in Chinese adolescents: a population based study", The Journal of Sports Medicine and Physical Fitness, 54(4), pp.518~525 (2014)
  64. 우종민, "산림활동이 우울증 환자들의 호전에 미치는 영향: 산림치유 프로그램 집단과 병원 프로그램 집단, 산림욕 집단, 대조군 비교 연구", 한국산림과학회지, 101(4), pp.677~685 (2012), 한국산림과학회
  65. Depression and Other Common Mental Disorders: Global Health Estimates, "World Health Organization", World Health Organization, ~ (2017)
  66. Zhang, S., "The influence of audio-visual interactions on psychological responses of young people in urban green areas:A case study in two parks in China", International Journal of Environmental Research and Public Health, 16(10), pp.1845~ (2019)

관련 논문AI추천

이 간행물의 다른 논문 (8건)