초록 열기/닫기 버튼
외현적 행동장애로 치료 중인 만 6세~11세 아동의 어머니들을 대상으로 6주 과정의 행동적 부모훈련과 인지행동적 부모훈련 프로그램을 시행하고 성과를 비교하였다. 서울의 3개 종합병원 소아정신과에서 내원 아동의 성별과 연령, 외현적 문제행동 수준 등이 유사하도록 모집하였고, 인지행동집단 14명 행동집단 12명을 대상으로 했다. 반복측정 변량분석 결과, 두 집단 모두 사전평가에 비해 프로그램 종료 시점의 사후평가와 종료 6주후의 추수평가에서 아동의 외현적 문제행동과 최초/최종 지시순응도, 어머니의 강압적 양육행동, 어머니의 양육스트레스, 양육효능감, 양육 역기능사고, 가족 구성원에 대한 만족감 등에서 일관되게 유의한 성과를 보였다. 부모훈련은 선행 연구결과와 같이, 아동의 문제행동의 개선뿐만 아니라 양육 스트레스의 감소, 양육 효능감의 증가, 양육 역기능사고의 감소, 부모의 강압적 훈육행동의 감소, 가족 구성원들에 대한 만족감 증진 등의 성과를 보였고 이는 6주 후의 추수평가 때까지 유지되었다. 하지만 집단 별 훈련내용이 상이했음에도 두 집단의 성과의 차이는 나타나지 않았다. 본 연구의 의의와 한계를 지적하였고 후속연구에 대해 제안하였다.
This study evaluated the comparative effects of cognitive-behavioral parent training(CBPT) and behavioral parent training(BPT) on mothers of children(ages 6-11 years) with disruptive behavior disorders. BPT consisted of basic behavior modification procedures such as improving parental selective-attending skills, improving parental deliverance of commands, improving children's play behavior, parental use of time out, behavior contracting with response cost as disciplinary methods, and parental planning/ activity scheduling as problem prevention measures. Additionally, CBPT consisted of BPT procedures and more component such as cognitive reattribution of the disruptiveness of one's children(changing dysfunctional parent thoughts), problem solving training, anger control training, and enhancing communication skills of parents. 26 mothers of children with disruptive behavior disorders were recruited from 3 child psychiatric clinics in Seoul. Among them, 14 mothers were assigned to CBPT and 12 mothers to BPT with consideration of children's similarities on age, sex, and clinical problems. Both of parent training programs have 6 one and half hour sessions over the course of 6 weeks. After 6 weeks of training, there was significant improvement in children's disruptive behaviors, parent stress, dysfunctional thoughts, parent efficacy, and subjective satisfaction of family members in both CBPT and BPT groups with repeated ANOVA procedure, The improvement in both of parent training groups were maintained in the 6 weeks follow-up as supporting clinical effects of parent training. The post and follow-up assessment compared to pre-assessment, there were no differences between the two parent training groups on most of the outcome measures. Finally, limitations of the present study and suggestions were discussed for further studies.
키워드열기/닫기 버튼
cognitive-behavioral parent training, behavioral parent training, disruptive behavior problems, parent stress, dysfunctional parent thoughts, parent efficacy
