한국어판 개정된 아동발현불안척도 2판의 심리측정적 속성에 대한 연구

차윤지,이은호,황순택,홍상황,김지혜 한국임상심리학회 2020 Korean Journal of Clinical Psychology Vol.39 No.3

The purpose of the study was to examine the psychometric properties of the Revised Children’s Manifest Anxiety Scale, Second Edition (RCMAS-2) in a community sample of Korean elementary students. The Revised Children’s Manifest Anxiety Scale (RCMAS) has been widely used to measure manifest anxiety levels among children and adolescents. Its reliability and validity have been extensively investigated across cultures. Recently, the RCMAS-2 was developed to improve the psychometric characteristics by removing old items and changing the ambiguous sentences. A total of 940 Korean elementary students participated in to examine the reliability and validity of the Korean version of the Revised Children’s Manifest Anxiety Scale, Second Edition (K-RCMAS-2). To determine the structural validity, the four-factor model was found to be the best model in terms of model complexity and parsimony. Internal consistency of each scale was acceptable within the range of .65–.88. The test-retest reliability of each scale was good in the range of .80–.88. Concurrent and convergent validity was good, as shown by the correspondence of the Children’s Depression Inventory 2 and Spielberger Trait Anxiety Inventory for Children. The impact of gender and grade on anxiety level were found to be minimal, indicating the importance of emphasizing individuals’ manifest anxiety. The implications of the study findings and suggestions for future studies are discussed.

우울증을 위한 행동활성화 치료의 적용가능성 : 사례연구

이가영,차윤지,서호준,최기홍 한국인지행동치료학회 2016 인지행동치료 Vol.16 No.3

본 연구는 우울증 감소를 위한 행동활성화 치료가 국내에 적용가능하며 치료효과가 있는지 예비적으로 알아보고자 하였다. 이를 위해 행동활성화(Behavioral Activation) 치료의 원리와 과정에 대해 설명하였으며, 치료를 실시하여 각 사례의 결과를 척도별로 제시하였다. 행동활성화는 우울증 환자의 삶에서 적응적 활동의 빈도를 증가시키고 보상 획득에 방해가 되는 활동을 감소시키는 것을 목표로 한다. 행동활성화는 다수의 대규모 효과성 검증 연구 및 메타분석연구를 통해 우울장애에 대한 단독 치료로서 인정받았으며, 미국심리학회에 의해 우울증의 근거기반치료 중 하나로 채택되었다. 그러나 국내에서는 우울증 환자에게 행동활성화를 적용한 사례가 아직까지 보고되지 않았다. 따라서 행동활성화 치료의 보급을 위해 국내 우울증 환자에게도 적용이 가능한지 그리고 해외의 연구결과와 유사한 효과를 나타내는지 알아보고자 하였다. 본 연구에서는 지역사회 정신건강증진센터에서 의뢰된 우울증 환자 6명 중 연구 포함 및 제외기준을 만족하는 5명을 대상으로 행동활성화 치료 프로그램을 실시하였으며, 치료 사전 및 사후에 2개의 우울증상 평가 척도, 1개의 행동활성화 척도, 2개의 기능 평가 척도를 실시하고 그 결과를 분석하였다. 5명 가운데 4명이 10회기의 그룹치료를 완수하였으며, 그 중 2명이 행동활성화 치료에 반응하였다. 효과 크기는 중간에서 큰 수준 정도로 나타났으며, 이는 국내 지역사회 장면에서 행동활성화 치료를 적용하는 것이 가능함을 시사한다. 앞으로 대규모 무선통제연구를 통해 본 연구의 결과를 재검증하고 타당화 할 필요성이 요구된다. The purpose of this study was to provide the rationale and procedures of Behavioral Activation (BA) treatment for depression and to examine feasibility in patients with depression in Korea. The basic principle of the BA is to increase the frequency of adaptive behavior and to decrease engagement in activities that limit access to reward by integrating activity monitoring and activity scheduling into its main therapeutic components. Despite a number of large-scaled effectiveness trials and meta-analysis studies supporting the BA as an independent and efficacious treatment for depressive disorders, none has been reported in this country. To evaluate feasibility of the BA in Korean adults with depressive symptoms, the current study recruited participants from a community mental health center and delivered the 10-session group format BA to five individuals who met the study inclusion and exclusion criteria. At pre- and post-treatment, depressive symptoms, level of functioning, and behavioral activation level were assessed. With minimum drop-out rates (1 out of 5), 50% of the completers showed a large effect size for depressive symptoms, a medium to large for level of functioning, and a medium effect size for behavioral activation level. The current case study supports feasibility and thus future work should replicate the current findings with a larger sample in a controlled manner.

우울증의 행동활성화 치료: 체계적 개관

이가영,차윤지,최기홍 한국임상심리학회 2016 Korean Journal of Clinical Psychology Vol.35 No.4

This study systematically reviewed previous theories that are fundamental to behavioral activation and support evidences accumulated over the past 25 years, in order to introduce behavioral activation for depression into the domestic clinical field. Recently, behavioral activation has been recognized as a stand-alone psychotherapy for depression with results supporting comparable effects as antidepressant medications or traditional cognitive therapy. In this comprehensive literature review on behavioral activation, we aimed to introduce the latest definition with a brief history, underlying theories, and core therapeutic components, and to provide information on studies evaluating efficacy, effectiveness, and cost-effectiveness. Moreover, we have also summarized the most recent efforts and studies evaluating its effects that have been made to extensively deliver the behavioral activation in various form (e.g., internet based) and to patient groups with diverse comorbidity disorders. Future directions and implications for clinicians and researchers were also discussed to encourage behavioral activation research, including dissemination to the local community.

한국 상담자의 발달과 관련된 수퍼비전 요소에 대한 질적 메타요약

조은실,이지영,차윤지,백인규,양은주 한국상담심리학회 2022 한국심리학회지 상담 및 심리치료 Vol.34 No.2

This study used a qualitative meta-summary to comprehensively examine the components of supervision that promote or hinder counselor development. Nine papers were chosen from a pool of 52 qualitative studies on supervision in Korea. As a result, 239 statements were extracted, from which 25 abstracted statements were generated. Supervisor, supervisee, and supervision system/environmental components were identified as supervision components affecting counselor development. Furthermore, supervision strengthened the supervisee’s counseling competency and promoted the counselor’s overall development and growth. This was possible when a comfortable and reliable supervision relationship is established. Finally, individual coping could promote counselor development even if the supervisee had a negative experience in supervision. The limitations and recommendations for future research are discussed. 본 연구는 국내에서 수퍼비전을 주제로 한 질적연구를 메타요약하여 상담자 발달을 촉진하거나 저해하는 수퍼비전 요소를 종합적으로 살펴보고자 한다. 이를 통해 향후 수퍼비전 관련 연구의 방향성을 제시하고, 양질의 수퍼비전 제공을 위한 시스템 기반을 마련하는 것을 목적으로 한다. 이를 위해 국내에서 수퍼비전을 주제로 발표된 질적 연구물 52편 중 연구 목적에 맞는 분석대상 연구물 9편을 선정하였다. 선정된 문헌을 분석하여 총 239개 진술문을 추출하였고, 주제가 유사한 진술문끼리 그룹화하여 25개 축약진술문을 산출하였다. 연구결과와 시사점을 요약하면 다음과 같다. 먼저, 상담자 발달에 영향을 미치는 수퍼비전 요소는 수퍼바이저 요소, 수퍼바이지 요소, 수퍼비전 시스템/환경 요소임을 확인하였다. 둘째, 수퍼비전은 수퍼바이지의 상담역량을 강화시키고, 더 나아가 상담자의 전반적인 발달과 성장을 촉진하는 것으로 나타났다. 셋째, 편안하고 진솔한 수퍼비전 관계가 전제될 때 이와 같은 발달과 성장이 가능한 것을 알 수 있었다. 넷째, 수퍼비전에서 수퍼바이지가 부정적인 경험을 하더라도 개인의 대처(예, 개인분석 등)가 상담자의 전반적인 발달을 촉진할 수 있는 것으로 나타났다. 분석 결과를 토대로 추후 연구의 함의와 한계점을 제시하였다.

일상 속 보험 설계 서비스, 보험 카페

박소연,홍영서,차윤지,한혜현 한국서비스경영학회 2022 한국서비스경영학회 학술대회 Vol.2022 No.5

한글판 행동활성화 척도의 신뢰도와 타당도

오지혜,황나리,차윤지,이은별,최기홍,서호준 대한신경정신의학회 2017 신경정신의학 Vol.56 No.2

Objectives The Behavioral Activation of Depression Scale (BADS) has been reported to be a valid tool for assessing the different behavioral aspects of depression, such as activation, rumination or avoidance, and functional impairment. The aim of this study was to assess the reliability and validity of the Korean version of BADS (K-BADS). Methods A sample of 196 outpatients completed the K-BADS and the data were analyzed for internal consistency and factor structures. An additional 51 outpatients re-filled the K-BADS after two weeks for the test-retest reliability. To test for the validity, the Hospital Anxiety and Depression Scale (HADS), Working Alliance Inventory (WAI), Drug Attitude Inventory-10 (DAI-10), and Mindfulness Attention Awareness Scale (MAAS) were administered. Results Internal consistency of K-BADS was good (Cronbach s alpha=0.843) and principal component factor analysis revealed the four-factor structure. The K-BADS showed a reasonable test-retest reliability (r=0.863, p<0.001). The total score of K-BADS correlated significantly with the total scores of the HADS depression (r=−0.694) and HADS anxiety (r=−0.681). No correlations were found between the K-BADS and the K-WAI (r=0.170) and between the K-BADS and the K-DAI-10 (r=0.311). Conclusion The K-BADS is a reliable and valid instrument for measuring the behavioral activation for depression in Korean patients with depressive symptoms