조현병 치료에 활용되는 요가치료 - 요가치료 프로그램 개발을 위한 예비 연구 -
Yoga Therapy for the Treatment of Schizophrenia: A Preliminary Study for Yoga Therapy Program Development
0
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
본 연구는 심리치료 및 의료계에서 사용되는 요가치료에 관한 조사를 통하여 광의적 의미의 요가가 어떻게 협소한 범위인 요가치료로 변형되어 사용되고 있는지에 대한 전반적 이해와 함께, 특히 조현병 치료에서 요가치료를 어떤 방식으로 활용하고 있는지를 살펴보아 이에 대한 향후의 연구에서 주의해야 할 점을 알아보는 데 목적을 두고 있다. 본 연구는 요가를 활용하는 심리치료 프로그램에 관한 연구의 발전을 위해서 반드시 필요한 선행 절차라는 인식 하에 진행되었다. 국내에서 요가치료는 아직 심리치료 및 의료 분야에서 활용되지 않고 있다. 그래서 요가치료를 정신증 치료에 사용하고 있는 국외의 연구를 중심으로 본 연구를 진행하였다. 국외에서는 미국과 인도의 건강관리 전문가들의 요가치료에 대한 연구가 활발하게 진행되고 있는데, 그들의 연구에서 요가치료의 원리, 보완치료로서 요가의 효과적인 적용 방식, 요가치료 프로그램의 구성요소, 기간 및 운영방식 등에 초점을 맞추어 살펴보았다. 그 결과, 조현병 증상 개선을 위한 독립된 요가치료 프로그램을 개발하고 발전시키기 위해서는 몇 가지 사항에 주의해야 함을 알 수 있었다. 현재 인도와 미국에서 사용되고 있는 조현병 요가치료 프로그램에는 명상이 배제되어 있으며 자세와 호흡, 그리고 이완을 위주로 하는 단기 프로그램이 선호되고 있다는 점, 요가치료의 변수를 명료하게 드러내기 위해 다른 치료 방법과 섞이지 않고 요가치료만을 독립적으로 사용해야 하며 요가치료의 각각의 구성요소 또한 분명하게 드러낼 수 있어야 한다는 점, 향후 실험연구가 학계의 체계적 고찰 및 메타분석에 사용될 수 있도록 포함기준에 맞는 실험 설계와 결과 측정 도구가 엄격한 계획 하에 수립되어야 한다는 점 등을 본 연구를 통해 도출하였다.
Abstract
The purpose of this study was to investigate yoga treatments currently used in the health care field, especially in the psychological and mental health fields, before our future development of the yoga treatment program. The article explored how the broad notion of classic yoga’s healing has been minimized into a narrow range of yoga therapy. This study is thought to be a necessary process for developing a psychotherapy program that utilizes both yoga’s original healing theory and contemporary scientific method of revealing psychological effects of yoga therapy. In Korea, yoga therapy has not yet been used in psychotherapy and medical fields. Therefore, this study was carried out mainly on the results of foreign studies using yoga therapy for the treatment of psychosis. In particular, the US and Indian healthcare professionals focused on how to treat mental disorders through yoga therapy. As a result, it was found that there are some issues to be considered in developing an independent yoga treatment program for the improvement of symptoms. Particularly, it is necessary to exclude meditation and establish a short-term program that focuses on posture, breathing, and relaxation in accordance with the yoga theory. To be used for a meta-analysis in future, measurement of randomized control study or experimental plan for random crossover study should be planned. As well, scientific experiments based on the selection of appropriate scales for evaluation of the program’s feasibility will help in the ongoing yoga therapy research.
참고문헌 (37)
- 김의태, "치료 저항성 조현병의 이해와 치료", 신경정신의학, 57(3), pp.230~234 (2018), 대한신경정신의학회[DOI]
- 민성길, "최신정신의학" (2015)
- 이헌정, "조현병과 조기 정신증 치료하기", 신경정신의학, 57(3), pp.209~209 (2018), 대한신경정신의학회[DOI]
- 조옥경, "요가치료: 요가의 새로운 흐름", 요가학연구, 5 (2011)
- 왕인순, "요가의 치료적 관점과 효과에 대한 고찰", 요가학연구, 3 (2010)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders – DSM-IV-TR" (2000)
- Barnes, "Complementary and Alternative Medicine Use Among Adults: United States", Advance data from vital and health statistics, ~ (2004)
- Behere RV., "Effect of yoga therapy on facial emotion recognition deficits, symptoms and functioning in patients with schizophrenia", Acta Psychiatroca Scandinavica, 123(2), pp.147~153 (2011)
- Boyer L., "Quality of life among caregivers of patients with schizophrenia: a cross-cultural comparison of Chilean and French families", BMC Fam Pract, 13, pp.42~ (2012)
- Buckley PF., "Pharmacological treatment of negative symp toms of schizophrenia: Therapeutic opportunity or cul-de-sac?", Acta Psychiatroca Scandinavica, 115, pp.93~100 (2007)
- Cabral P., "Effectiveness of yoga therapy as a complementary treatment for major psychiatric disorders: A meta-analysis", Prim Care Companion CNS Disord, 13 (2012)
- Dominguez Mde G., "Are psychotic psychopathology and neurocognition orthogonal? A systematic review of their associations", Psychology Bulletin, 135, pp.157~171 (2009)
- Duraiswamy G., "Yoga therapy as an add-on treatment in the management of patients with schizophrenia—a randomized controlled trial", Acta Psychi atrica Scandinavica, 116(3), pp.226~232 (2007)
- Epstein, "Psychiatric Complications of Meditation Practice", The Journal of Transpersonal Psychology, 13(2) (1981)
- Gangadhar BN., "Yoga therapy for Schizophrenia schizophrenia: A randomized, controlled pilot study", Journal of Alternative Complementary Medicine, 17, pp.601~607 (2011)
- Gangadhar BN., "Therapeutic efficacy of add on yogasana intervention in stabilized outpatient schizophrenia: Randomized controlled comparison with exercise and waitlist", Indian Journal of Pyschi atry, 54(3) (2012)
- Gangadhar Bangalore N., "Yoga Therapy for Schizophrenia", International Journal of Yoga, 5 (2012)
- Hariprasad VR., "Designing, Validation and feasibility of a yoga-based intervention for elderly", Indian Journal of Psychiatry (2013)
- Krisanaprakornkit T., "Meditation therapy for anxiety disorders", Cochrane D atabase Syst Rev (2006)
- Kuijpers, "Meditation-Induced Psychosis", Psychopathology, 40 (2007)
- Yoga as a Complementary and Alternative Treatment for Psychiatric Disorders in India: A Solution to Liberalization, Privatization and Globalization (LPG) of Mental Health Care?, "Jagannathan A.", International Journal of Emergency Mental Health and Human Resilience, ~ (2015)
- Janakiramaiah N., "Antideressant efficacy of Sudarshan Kriya Yoga in melancholia: A randomized comparison with electroconvulsive therapy(ECT) and imipramine", Journal of Affect Disorders, 57, pp.255~259 (2000)
- Louie L., "The effectiveness of yoga for depression: A critical literature review", Issues Mental Health Nursing, 35, pp.265~276 (2014)
- McCabe R., "Patient-reported outcomes in schizophrenia", British Journal of Psychiatry Supplement, 50, pp.21~28 (2007)
- An integrated approach of Yoga therapy for the management of schizophrenia, "Nagendra HR.", Dept. of ISM, Ministry of Health and Family Welfare, Government of India New Delhi, ~ (2000)
- Pitkänen A., "Individual quality of life of people with severe mental disorders", Journal of Psychiatry and Mental Health Nursing, 16 (2009)
- Ross A., "The health benefits of yoga and exercise: A review of comparison studies", Journal of Alternative Complementary Medicine, 16, pp.3~12 (2010)
- Sarris J., "Complementary medicine, self-help, and lifestyle interventions for obsessive compulsive disorder (OCD) and the OCD spectrum: A systematic review", J Affect Disord, 138, pp.213~221 (2012)
- Sheitman BB., "The natural history and pathophysiology of treatment resistant schizophrenia", J Psychiatr Res, 32, pp.43~50 (1998)
- Vancampfort D., "Cardiometabolic effects of physical activity interventions for people with schizophrenia", Physical Therapy Review, 14 (2009)
- Vancampfort D., "A systematic review of correlates of physical activity in patients with schizophrenia", Acta Psychiatrica Scandinavica, 125, pp.352~362 (2012)
- Vancampfort D., "Systematic review of the benefits of physical therapy within a multidisciplinary care approach for people with schizophrenia", Physical Therapy, 92(1) (2012)
- Vancampfort D., "A systematic review of physical therapy interventions for patients with anorexia and bulemia nervosa", Disability and Rehabilitation, 36, pp.628~634 (2014)
- Visceglia E., "Yoga therapy as an adjunctive treatment for schizophrenia: a randomized, controlled pilot study", Journal of Alternative Complement Medicine, 17(7), pp.601~607 (2011)
- Visceglia E., "Yoga in Psychiatry: An Examination of Concept, Efficacy, and Safety", Indian J Psychol Med, 38(4) (2016)
- Walsh R., "Precipitation of acute psychotic episodes by intensive meditation in individuals with a history of schizophrenia", American Journal of Psychiatry, 136 (1979)
- West, M. A., "Physiological effects of meditation: A longitudinal study", British Journal of Social and Clinical Psychology, 18(2) (1979)