예술프로그램을 이용한 집단치료가 청소년의 인터넷/스마트폰 중독행위에 미치는 효과 : 예비연구
The Effect of Group Therapy using Art Program on Internet/Smartphone Addictive Behaviors of Adolescents : A Pilot Study
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Objectives：Internet/smartphone addiction among adolescents is an increasingly problematic social issue, but with no current systematic treatment guidelines. In this study, we have evaluated the effect of a group therapy, using art program, on adolescents’ addiction to internet/smartphone. Methods：Screening tests(Young’s Internet Addiction test, YIAT ; Korean Smartphone Addiction Proneness Scale, SAPS) were performed on students from elementary and middle schools in Daegu, the Republic of Korea. Six sessions of group art therapy were conducted among 60 students, 20 showing internet/smartphone addiction(addiction group), and 40 with no addiction to the internet/smartphone(control group). Questionnaires including the sociodemographic information, Children’s Social Support Scale(SSS) scores, and Parent-Adolescent Communication Scale(PACS) scores were completed before the intervention. Clinical scales evaluating internet/smartphone addiction(YIAT, SAPS) among the participants and their psychological dispositions were also assessed before and after the intervention. Results：There were no significant differences in the sociodemographic factors between the addiction and control groups. The averages of the SSS and PACS scores were significantly higher in the control group when compared to those in the addiction group. The addiction group revealed a statistically significant decrease in the SAPS scores and a trend towards decreased YIAT scores. Both groups showed statistically significant decreases in the state anxiety and depression scores. Conclusion：Adolescents with Internet/smartphone addiction showed improvements in addictive behavior, state anxiety, and depression after group art therapy; hence, group art therapy may be considered an alternative treat-ment method for internet/smartphone addiction among adolescents.
Abstract
Objectives：Internet/smartphone addiction among adolescents is an increasingly problematic social issue, but with no current systematic treatment guidelines. In this study, we have evaluated the effect of a group therapy, using art program, on adolescents’ addiction to internet/smartphone. Methods：Screening tests(Young’s Internet Addiction test, YIAT ; Korean Smartphone Addiction Proneness Scale, SAPS) were performed on students from elementary and middle schools in Daegu, the Republic of Korea. Six sessions of group art therapy were conducted among 60 students, 20 showing internet/smartphone addiction(addiction group), and 40 with no addiction to the internet/smartphone(control group). Questionnaires including the sociodemographic information, Children’s Social Support Scale(SSS) scores, and Parent-Adolescent Communication Scale(PACS) scores were completed before the intervention. Clinical scales evaluating internet/smartphone addiction(YIAT, SAPS) among the participants and their psychological dispositions were also assessed before and after the intervention. Results：There were no significant differences in the sociodemographic factors between the addiction and control groups. The averages of the SSS and PACS scores were significantly higher in the control group when compared to those in the addiction group. The addiction group revealed a statistically significant decrease in the SAPS scores and a trend towards decreased YIAT scores. Both groups showed statistically significant decreases in the state anxiety and depression scores. Conclusion：Adolescents with Internet/smartphone addiction showed improvements in addictive behavior, state anxiety, and depression after group art therapy; hence, group art therapy may be considered an alternative treat-ment method for internet/smartphone addiction among adolescents.
참고문헌 (46)
- 2016년 인터넷이용실태조사, "주용완", 미래창조과학부 한국인터넷진흥원, ~ (2016)
- 2015년 인터넷과의존실태조사, "권미수", 미래창조과학부 한국정보화진흥원, ~ (2016)
- Young KS, "Online infidelity: A new dimension in couple relationships with implications for evaluation and treatment", Sex Addict Compulsivity, 7, pp.59~74 (2000)
- Kim K, "Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: a questionnaire survey", Int J Nurs Stud, 43, pp.185~192 (2006)
- Young KS, "The relationship between depression and Internet addiction", Cyberpsychol Behav, 1, pp.25~28 (1998)
- Akin A, "Internet addiction and depression, anxiety and stress", Int Online J Educ Sci, 3, pp.138~148 (2011)
- Cao F, "The relationship between impulsivity and Internet addiction in a sample of Chinese adolescents", Eur Psychiatry, 22, pp.466~471 (2007)
- Mei S, "Problematic Internet use, well-being, self-esteem and self-control:Data from a high-school survey in China", Addict Behav, 61, pp.74~79 (2016)
- Yen JY, "Family factors of internet addiction and substance use experience in Taiwanese adolescents", Cyberpsychol Behav, 10, pp.323~329 (2007)
- Hisayoshi Morioka OI, "The association between alcohol use and problematic internet use: A large-scale nationwide cross-sectional study of adolescents in Japan", J Epidemiol, 27, pp.107~111 (2016)
- Li W, "The association of Internet addiction symptoms with impulsiveness, loneliness, novelty seeking and behavioral inhibition system among adults with attention-deficit", hyperactivity disorder(ADHD), 2016, pp.243, 357~364
- 권은정, "청소년 인터넷 중독 치료 프로그램의 중독 감소 효과에 관한 메타분석", 한국사회복지조사연구, 48, pp.105~129 (2016), 사회복지연구소[DOI]
- Dies R, "Practical, theoretical, and empirical foundations for group psychotherapy", The American Psychiatric Association Annual Review, 5, pp.659~667 (1986)
- Yalom ID, "Theory and practice of group psychotherapy" (2005), Basic books
- Rutter M, "Juvenile delinquency: Trends and perspectives", ~ (1983)
- Czamanski-Cohen J, "The bodymind model: A platform for studying the mechanisms of change induced by art therapy", Arts Psychother, 51, pp.63~71 (2016)
- Hartz L, "Art therapy strategies to raise self-esteem in female juvenile offenders: A comparison of art psychotherapy and art as therapy approaches", Art Therapy, 22, pp.70~80 (2005)
- Saba L, "Child art psychotherapy in CAMHS: Which cases are referred and which cases drop out?", Springerplus, 5, pp.1816~ (2016)
- Uttley L, "The clinical and cost effectiveness of group art therapy for people with non-psychotic mental health disorders: a systematic review and cost-effectiveness analysis", BMC Psychiatry, 15, pp.151~ (2015)
- Porter S, "Music therapy for children and adolescents with behavioural and emotional problems: a randomised controlled trial", J Child Psychol Psychiatry, 58, pp.586~594 (2016)
- Boehm K, "Arts therapies for anxiety, depression, and quality of life in breast cancer patients: a systematic review and metaanalysis", J Evid Based Complementary Altern Med, pp.103297~ (2014)
- Roden I, "Effects of music and natural science training on aggressive behavior", Learn Instr, 45, pp.85~92 (2016)
- 이정희, "미술치료가 인터넷 중독장애 청소년의 가족관계, 학교생활 및 사회성기술에 미치는 효과", 한국미술치료학회 학술발표대회, 12, pp.163~195 (2005)
- 이혁, "인터넷·게임 중독의 심리 사회적 접근", 생물치료정신의학, 21(2), pp.65~72 (2015), 대한생물치료정신의학회
- Kim D, "Development of Korean smartphone addiction proneness scale for youth", PLoS One, 9, pp.e97920~ (2014)
- Young KS, "Caught in the net: How to recognize the signs of internet addiction--and a winning strategy for recovery" (1998), John Wiley & Sons
- 이혁, "The Effect of Home-based Daily Journal Writing in Korean Adolescents with Smartphone Addiction", Journal of Korean Medical Science, 31(5), pp.764~769 (2016), 대한의학회
- 안동현, "심각한 인터넷중독 청소년의 치료", 재활사업, 2008
- 박지원, "사회적 지지 척도 개발을 위한 일 연구", 박사, pp.1985
- 김명숙, "아동의 사회적 지지 척도의 개발", Fam Environ Res, 33, pp.37~47 (1995)
- Barnes HL, "Parent-adolescent communication and the circumplex model", Child Dev, pp.438~447 (1985)
- Spielberger CD, "Manual for the state-trait anxiety inventory" (1970), Consulting Psychologists Press
- 조수철, "한국형 소아의 상태·특성불안척도의개발", 서울의대정신의학, 14, pp.150~157 (1989)
- 전병재, "Self-esteem: A test of its measurability", 연세총론, 11, pp.107~130 (1974)
- Kovacs M, "The children’s depression inventory(CDI)", Psychopharmacol Bull, 21, pp.995~998 (1985)
- 조수철, "한국형 소아우울척도의 개발", J Korean Neuropsychiatr Assoc, 29, pp.934~956 (1990)
- 반건호, "청소년 ADHD 평가 도구 개발을 위한 예비연구-CASS(S)의 신뢰도 및 타당도 연구", J Korean Acad Child Adolesc Psychiatry, 12, pp.224~ (2001)
- 이소라, "한국판 Barratt Impulsiveness Scale-11-Revised의 신뢰도 및 타당도 연구 ; 일반성인집단을 중심으로", 신경정신의학, 51(6), pp.378~386 (2012), 대한신경정신의학회
- DeLue C, "Physiological effects of creating mandalas", Medical Art Therapy with Children, pp.33~49 (1999)
- Curry NA, "Can coloring mandalas reduce anxiety?", Art Ther(Alex), 22, pp.81~85 (2005)
- Mercer A, "Visual journaling: An intervention to influence stress, anxiety and affect levels in medical students", Arts Psychother, 37, pp.143~148 (2010)
- Sandmire DA, "The influence of art making on anxiety: A pilot study", Art Ther(Alex), 29, pp.68~73 (2012)
- Kazdin AE, "Family experience of barriers to treatment and premature termination from child therapy", J Consult Clin Psychol, 65, pp.453~ (1997)
- Garcia JA, "When youth mental health care stops: therapeutic relationship problems and other reasons for ending youth outpatient treatment", J Consult Clin Psychol, 70, pp.439~ (2002)
- McCabe KM, "Factors that predict premature termination among Mexican-American children in outpatient psychotherapy", J Child Fam Stud, 11, pp.347~359 (2002)
- 서민재, "한국 청소년 정신병리와 스마트폰 중독 및 인터넷 중독의 상관성", 생물치료정신의학, 19(2), pp.154~162 (2013), 대한생물치료정신의학회