최근 외상을 경험한 초등학교 아동들에 대한 정동 조절 집단치료의 치료 반응

• 영문명: Treatment Response of Affect Regulation Group Therapy for Recently Traumatized School Children
• 발행기관: 대한신경정신의학회
• 저자명: 정정엽 김대호 김석현 배활립 이건석 고복자
• 간행물 정보: 『신경정신의학』제53권 제3호, 171~177쪽, 전체 7쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2014.05.29

영문 초록

ObjectivesZZThe aim of this study was to investigate the treatment effect and predictors of response of affect regulation group therapy (ARGT) delivered to a group of recently traumatized children. MethodsZZA total of 464 school children, who had witnessed or confronted a tragic accident at school, were given a single-session of affect regulation group therapy, that which included psychoeducation and affect regulation elements from eye movement desensitization and reprocessing. Of 213 children whose with initial score of Subject Unit of Disturbance Scale (SUDS) score over 4, we compared pre- and post-treatment scores and performed conducted the responder vs. non-responder comparison. The pPost-traumatic disorder (PTSD) symptom scores measured by using Child Reaction to Traumatic Events Scale-Revised (CRTES-R), demographic variables, and clinical variables were considered. ResultsZZAffect regulation group therapy was effective for children who had experienced an acute traumatic event (t=16.3, p<0.001). Baseline SUDS score of for non-responder were was significantly higher (t=-2.89, p<0.001) and CRTES-R score approached a level of significance level (t=-1.72, p=0.09). However, results of logistic regression analysis identified showed that the pretreatment SUDS score was the only significant predictor of non-response. ConclusionZZAffect regulation group therapy appeared to be effective for children who had undergone experienced an acute traumatic event. And in addition, the survivors’ subjective distress was more important to treatment response than severity of PTSD symptoms severity

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키워드

Trauma Acute stress disorder Group therapy Affect regulation EMDR Children