임상미술치료가 외국인노동자 환자의 우울, 불안 및 삶의 질에 미치는 효과
The Effects of Clinical Art Therapy on Depression, Anxiety and the Quality of Life of Immigrant-Worker Patients
This study examines depression, anxiety and the quality of life of immigrant-worker patients who have been subject to disadvantaged environments as aliens. The purpose of this study is to examine the effects of clinical art therapy on depression, anxiety and the quality of life of disadvantaged immigrant-worker patients. The group of study subjects comprised hospitalized patients and immigrant-worker patients who were receiving outpatient treatment at locations in Seoul. Eight subjects were in the experiment group while another eight were in the control group, making a total group of sixteen. The experiment group received 8 sessions of clinical art therapy program in two times, each session being 60 minutes in average held three times a week from August 2010 to October 2010. For measurement tools, The Beck Depression Measurement (BDI), The Beck Anxiety Measurement (BAI) and The Quality of Life (WHO QOL-BREF) created by WHO which have three forms of self-report questions were utilized. SPSS/WIN 12.0 was applied based on collected data for quantitative analysis and Cronbach’s acoeffi cient was calculated. Also, a t-test was enforced to verify homogeneity between the groups beforehand and analysis of covariance (ANCOVA) was carried out based on the average and standard deviation before and after the clinical art therapy. Draw-a-person (DAP) and Mandala were utilized as well, in order to examine the effects of intervention before starting clinical art therapy and after closing. Changes in the pictures and individual characteristics were analyzed. The following are the results of this study: First, with regards to the effects of clinical art therapy on the depression of immigrant-worker patients, their depression level showed a signifi cant decrease after the program. Second, a signifi cant effect of clinical art therapy on reducing the anxiety of immigrant-worker patients was proven through quantitative analysis first. The group which received clinical art therapy showed a more significant decrease in their levels of anxiety after the program than the group that did not receive the therapy. Third, the effects of clinical art therapy on improving the quality of life of immigrant-worker patients were examined. First, a signifi cant effect was proven through quantitative analysis. The group who received clinical art therapy had a signifi cant improvement in the quality of life after the program than the group that did not. Fourth, effects of clinical art therapy on the general depression, anxiety and quality of life of immigrant- worker patients were examined through qualitative analysis. Results indicated that the group that underwent clinical art therapy showed a signifi cant improvement after the program than the group which did not receive any clinical art therapy. From these results, it could be concluded that clinical art therapy has a positive effect on depression, anxiety and the quality of life of immigrant-worker patients and suggests that clinical art therapy could be used as a practical treatment method in mental rehabilitation, promoting the patients’ psychological happiness and stability.
한국어
본 연구는 외국인노동자 환자들의 우울과 불안에 대해 미치는 영향을 알아보고, 전반적인 삶의 질을 높이는데 있어서 임상미술치료가 미치는 영향을 살펴보는데 그 목적이 있다. 연구의 대상자는 서울에 소재한 I외국인전문병원 의 입원환자와 통원치료를 받고 있는 환자를 대상으로 이루어졌으며, 실험집단 8명과 통제집단 8명으로 총 16명으로 구성되 었다. 실험집단은 2010년 8월부터 2010년 10월까지 8회기씩 2차에 걸쳐 주 3회 평균 60분 동안 임상미술치료 프로그램을 실시하 였다. 본 연구의 결과는 다음과 같다. 첫째, 실험집단의 우울 수준이 임상미술치료 프로그램 이후에 유의미하게 감소되었다. 둘째, 실험집단의 불안 수준이 임상미술치료 프로그램 이후에 유의미하게 감소되었다. 셋째. 실험집단의 삶의 질 수준이 임상미술치료 프로그램 이후에 유의미하게 향상되었다.
목차
ABSTRACT Ⅰ.서론 Ⅱ . 본론 1. 용어의 정의 2. 외국인노동자 환자의 특성 3. 외국인노동자 환자의 미술치료 4. 연구방법 5. 연구결과 Ⅲ. 결론 및 제언 1. 결론의 요약 2. 연구의 고찰 및 후속연구를 위한 제언 REFERENCES 국문초록
키워드
임상미술치료외국인노동자환자우울불안삶의 질clinical art therapydepressionanxietythe quality of lifeimmigrant-worker patients
미술치료는 미술이라는 도구를 통해서 환자의 심신을 안정시키고 긍정적인 에너지를 능동적으로 다시 담아내는 통합의학의 한 분야로서 국내외적으로 점차 그 중요성이 부각되고 있습니다. 통합의학으로서 미술치료가 의의를 갖기 위해서는 가장 중요한 것은 치료전문가간의 유기적인 협력입니다. 진료현장에서 의료인과 더불어 치료에 참여하고 나누어 이를 바탕으로 연구 발전시켜 나갈때에 진정으로 환자에게 도움을 줄 수 있다는 것이 저희의 신념입니다. 이러한 신념을 담고 실천하기 위하여 본 학회를 창립하게 되었습니다.
간행물
간행물명
임상미술치료학연구 [Journal of the Korean academy of clinical art therapy]