단기간의 변증법적 행동치료 기술 훈련(Dialectical Behavioral Therapy-Skills Training, DBT-ST)을 적용한 청소년 비자살성 자해 예방 프로그램의 개발 및 효과성 연구
Development and Effectiveness of Non-Suicidal Self-Injury Prevention Program for Adolescents Using Brief Dialectical Behavioral Therapy Skills Training (DBT-ST)
1
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Objectives The purpose of this study was to develop a non-suicidal self-injury (NSSI) prevention program for adolescents and confirm its effectiveness in primary prevention by applying dialectical behavior therapy skills training (DBT-ST). Methods From September to December 2021, 217 first-year students in three middle schools in the Chungcheong Province were tested for changes from before and after the program using the Responses to Depressed Mood Questionnaire and Difficulties in Emotion Regulation Scale-16 using paired t-tests. McNemar’s test was conducted to confirm the changes in the perception and attitude scale of NSSI for each question. Results A comparison of the changes from before and after the program revealed that the response to depressed mood (t=7.93, p<0.001), ruminant response (t=5.18, p<0.001), and distractive response (t=6.07, p<0.001) which are subfactors of the response to depressive moods, were significantly affected. There was a significant decrease in the difficulty in performing goaloriented behavior (t=3.34, p=0.01) and lack of emotional clarity (t=2.52, p=0.012), which are subfactors of emotional regulation difficulties. Also, in the comparison of the perception and attitude towards NSSI, statistically significant changes were confirmed in 7 out of a total of 9 questions (p<0.001). Conclusion It was confirmed that this program developed by applying DBT-ST was effective in the primary prevention of NSSI for adolescents.
Abstract
Objectives The purpose of this study was to develop a non-suicidal self-injury (NSSI) prevention program for adolescents and confirm its effectiveness in primary prevention by applying dialectical behavior therapy skills training (DBT-ST). Methods From September to December 2021, 217 first-year students in three middle schools in the Chungcheong Province were tested for changes from before and after the program using the Responses to Depressed Mood Questionnaire and Difficulties in Emotion Regulation Scale-16 using paired t-tests. McNemar’s test was conducted to confirm the changes in the perception and attitude scale of NSSI for each question. Results A comparison of the changes from before and after the program revealed that the response to depressed mood (t=7.93, p<0.001), ruminant response (t=5.18, p<0.001), and distractive response (t=6.07, p<0.001) which are subfactors of the response to depressive moods, were significantly affected. There was a significant decrease in the difficulty in performing goaloriented behavior (t=3.34, p=0.01) and lack of emotional clarity (t=2.52, p=0.012), which are subfactors of emotional regulation difficulties. Also, in the comparison of the perception and attitude towards NSSI, statistically significant changes were confirmed in 7 out of a total of 9 questions (p<0.001). Conclusion It was confirmed that this program developed by applying DBT-ST was effective in the primary prevention of NSSI for adolescents.
참고문헌 (39)
- 김수진, "부정적 부모양육태도, SNS 중독경향성이 초등학생의 비자살적 자해에 미치는 영향", 한국웰니스학회지, 15(2), pp.89~101 (2020), 한국웰니스학회[DOI]
- 박세훈, "텍스트 마이닝을 활용한 자해 및 자살 관련 인스타그램 게시물 분석", 한국심리학회지: 상담 및 심리치료, 33(3), pp.1429~1455 (2021), 한국상담심리학회
- Klonsky ED, "The functions of deliberate self-injury : a review of the evidence", Clin Psychol Rev, 27, pp.226~239 (2007)
- Nock MK, "Understanding nonsuicidal self-injury:origins, assessment, and treatment", pp.9~18 (2009), American Psychological Association
- Statistical data collection of the 17th 2021 Youth Health Behavior Survey, "The Korea Centers for Disease Control and Prevention", The Korea Centers for Disease Control and Prevention, ~ (2022)
- 배성만, "청소년용 일상적 스트레스 반응 척도 개발과 타당화 연구", 한국심리학회지:학교, 11(1), pp.19~32 (2014), 한국심리학회산하학교심리학회[DOI]
- 이다슬, "청소년의 복합외상이 비자살적 자해에 미치는 영향: 부적응적 인지 정서조절 전략과 생리적 스트레스의 이중매개효과", 청소년학연구, 28(11), pp.235~257 (2021), 한국청소년학회[DOI]
- Briere J, "Treating risky and compulsive behavior in trauma survivors" (2019), Guilford Press
- Korean Academy of Child and Adolescent Psychiatry, "Adolescent development and psychiatry", pp.567~593 (2021), Koonja Publishing Inc
- Swannell SV, "Prevalence of nonsuicidal self-injury in nonclinical samples: systematic review, meta-analysis and meta-regression", Suicide Life Threat Behav, 44, pp.273~303 (2014)
- 성나경, "청소년의 일상적 스트레스와 자해행동: 인지적 정서조절전략의 조절효과", 한국심리학회지: 상담 및 심리치료, 28(3), pp.855~873 (2016), 한국상담심리학회
- Cole PM, "The development of emotion regulation and dysregulation : a clinical perspective", Monogr Soc Res Child Dev, 59, pp.73~100 (1994)
- Linehan MM, "DBT skills training manual. Second edition, available separately: DBT skills training handouts and worksheets" (2015), Guilford Press
- Linehan MM, "Dialectical behavior therapy for high suicide risk in individuals with borderline personality disorder : a randomized clinical trial and component analysis", JAMA Psychiatry, 72, pp.475~482 (2015)
- Haskell I, "Skills training for emotional problem solving for adolencents (STEP-A): implementation and program evaluation", Paper presented at: The Annual Conference on Advancing Mental Health (2014)
- 이문영, "청소년 자해 관련 국내 연구 동향", 학교사회복지, (50), pp.53~78 (2020), 한국학교사회복지학회[DOI]
- 성요안나, "비자살적 자해에 대한 국내연구 개관: 2000-2018년 연구들을 중심으로", 인지행동치료, 19(2), pp.251~280 (2019), 한국인지행동치료학회[DOI]
- Mazza JJ, "DBT skills in schools : skills training for emotional problem solving for adolescents(DBT STEPS-A)" (2016), Guilford Press
- Nolen-Hoeksema S, "A prospective study of depression and posttraumatic stress symptoms after a natural disaster : the 1989 Loma Prieta Earthquake", J Pers Soc Psychol, 61, pp.115~121 (1991)
- Kim JY, "Two kinds of internally focused attention to depressed mood", pp.2000
- Gratz KL, "Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale", J Psychopathol Behav Assess, 26, pp.41~54 (2004)
- Bjureberg J, "Development and validation of a brief version of the difficulties in emotion regulation scale : the DERS-16", J Psychopathol Behav Assess, 38, pp.284~296 (2016)
- 조용래, "정서조절곤란의 평가: 한국판 척도의 심리측정적 속성", Korean Journal of Clinical Psychology, 26(4), pp.1015~1038 (2007), 한국임상심리학회[DOI]
- Hollander M, "Helping teens who cut: using DBT skills to end selfinjury" (2017), Guilford Press
- 김수진, "비자살적 자해의 위험요인과 보호요인 개관", 청소년학연구, 24(9), pp.31~53 (2017), 한국청소년학회[DOI]
- Lee JH, "Understanding and intervention in self-harm issues of children and adolescents", Lecture presented: Educational training at the Korean Counselling Psychological Association (2021), Korean Counselling Psychological Association
- Buerger A, "DUDE-a universal prevention program for non-suicidal self-injurious behavior in adolescence based on effective emotion regulation : study protocol of a cluster-randomized controlled trial", Trials, 23, pp.97~ (2022)
- "Over 70,000 middle school students report “Selfharm Experiences”... Are our children not affected?" (2018)[URL]
- Prevalence and risk factors of psychiatric disorders in child and adolescent population -school based research-, "Seoul National University Hospital", Korea Mental Health Technology R&D Project, Ministry of Health and Welfare, ~, pp.report no. HM16C1994 (2018)
- Trask PC, "Ruminating and distracting : the effects of sequential tasks on depressed mood", Cognit Ther Res, 23, pp.231~246 (1990)
- 유성경, "반추 및 반성과 우울 및 심리적 안녕감과의 관계에서 마음챙김의 매개 및 조절효과", 아시아교육연구, 21(2), pp.517~545 (2020), 교육연구소[DOI]
- 한송이, "탈중심화 기법이 우울한 기분과 반추적 ‧ 반성적 반응양식에 미치는 효과", 한국심리학회지: 건강, 23(2), pp.327~344 (2018), 한국건강심리학회[DOI]
- Zapolski TCB, "Pilot study : implementing a brief DBT skills program in schools to reduce health risk behaviors among early adolescents", J Sch Nurs, 33, pp.198~204 (2017)
- Krantz LH, "The unique contribution of acceptance without judgment in predicting nonsuicidal self-injury after 20-weeks of dialectical behaviour therapy group skills training", Behav Res Ther, 104, pp.44~50 (2018)
- Salovey P, "Emotion, disclosure, & health", pp.125~154 (1995), American Psychological Association
- 김민아, "적응유연한 청소년의 정서인식 명확성과 인지적 정서조절 전략에 관한 연구", 청소년상담연구, 16(1), pp.15~32 (2008), 한국청소년상담복지개발원[DOI]
- Yoon SK, "The effects of adolescents’ impulsiveness on non-suicidal self-injury: the mediating effects of difficulties in emotion regulation", pp.2021
- Asarnow JR, "Dialectical behavior therapy for suicidal self-harming youth: emotion regulation, mechanisms, and mediators", J Am Acad Child Adolesc Psychiatry, 60, pp.1105~1115 (2021)[DOI]
- Cipriano A, "Non-suicidal self-injury : a school-based peer education program for adolescents during COVID-19 pandemic", Front Psychiatry, 12, pp.737544~ (2022)
