청소년 ADHD와 CD를 위한 가상현실(VR) 활용 심리치료 효과의 함의 = Implications of VR-Based Psychotherapeutic Effects for ADHD and CD among Adolescents

국문 초록 (Abstract)

본 연구의 목적은 청소년 주의력결핍/과잉행동장애(ADHD)와 품행장애(CD) 치료를 위한 다양 한 전통적 심리치료 접근과 가상현실(VR) 활용한 심리치료 방법의 개입 효과를 소개하고 리뷰하 는 데 있다. 특히 본 연구에서는 VR 활용의 잠재적 장점과 효과적인 전통적 심리치료기제들을 고려해 반사회적·공격적 행동장애를 보이는 아동·청소년의 주의강화(attention enhancement) 를 위한 바이오피드백(Biofeedback)을 통해 반동적 공격성, 충동적·공격적·반사회적 행동을 줄이고, 분노인식, 사회기술(사회적 상황 속에서 적절한 해결안을 생성할 수 있는 능력), 강화기반 의사결정, 반응억제, 정서적 공감, 긍정적·사회적 행동/친사회적 행동을 향상을 위한 인지행동 치료(CBT), 약물남용할 가능성이 있는 심각한 범죄를 저지른 청소년을 위한 가족 중심 및 지역사 회기반치료 프로그램인 청소년 범죄예방 다계통치료(MST, Multi-systemic Therapy) 프로그램 등을 제시했다. 아울러 VR을 활용한 공격적 아동·청소년 대상 치료 프로그램인 “YourSkills”는 정서조절(emotion regulation)과 사회정보처리기술(social information processing skills)을 강화하여 아동의 공격적인 행동문제를 줄이는 데 초점을 둔다. 이는 충동적·공격적 행동의 아 동·청소년이 가상의 사회적 상호작용(virtual social interactions) 속에서 분노인식(anger recognition), 분노조절(anger regulation), 사회문제해결(social problem solving)을 중점적 으로 반복연습(repetitive practice)하는 시스템이다. 참여자는 VR을 활용한 중도 이상의 적절한 분노유발상황(relevant anger-provoking situations)에서 반복연습을 실행하게 된다. 이를 통 해 아동·청소년이 새로 배운 기술을 자동화할 수 있다. 즉, VR 속에서 아동·청소년의 분노를 반복적으로 이끌어내 정서적 몰입 상태를 유지하면서 반복적으로 연습할 수 있는 이점이 있다. 마지막으로, 향후 개발될 통합적 분노조절 VR-CBT 내용 구성의 예와 전반적 절차에 관련한 내용 을 제시했다.

다국어 초록 (Multilingual Abstract)

The purpose of this study is to introduce and review the intervention effects of various 3) traditional psychotherapy approaches and using virtual reality (VR) as treatment interventions for attention deficit/hyperactivity disorder (ADHD) and behavioral disorder (CD) among adolescents.
In particular, in this study, considering the potential advantages of VR utilization and effective traditional psychotherapy mechanisms, such as biofeedback for attention enhancement of children and adolescents with antisocial and aggressive behavior disorder, Cognitive Behavior Therapy (CBT) for reducing reactive aggression, impulsive and aggressive behavior and anti-social behavior as well as improving anger awareness, social skills (the ability to create contextual and appropriate solutions to social problems), reinforcement-based decision-making, response suppression, emotional empathy, positive social behavior/prosocial behavior, and Multi-Systemic Therapy (MST) programs for A multi-systemic therapy (MST) program based on family-centered and community-based treatment for adolescents who committed serious crimes that could be abused were presented. In addition, “Your Skills,” a treatment program for aggressive children and adolescents using VR, focuses on reducing children's aggressive behavioral problems by reinforcing emotional regulation and social information processing skills. This is a repetitive practice system in which children and adolescents with impulsive and aggressive behavior focus on anger recognition, anger regulation, and social problem solving in virtual social interactions. Participants practice repeatedly in moderate-level or more appropriate anger-provoking situations using VR. Children and adolescents can automate new technologies they have learned through this repetitive practice procedure. In other words, there is an advantage that it can be repeatedly practiced while maintaining the emotional immersion anger-state of children and adolescents in VR. Finally, an example of integrated anger management VR-CBT content configuration to be developed in the near future was also presented.

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