조현병 환자의 통합예술교육 활동이 속박감과 우울 및 행복에 미치는 효과
CopyrightⒸ 2024 by the Korean Society of Dance Science
초록
이 연구는 조현병 환자의 통합예술교육 활동이 속박감과 우울 및 행복에 미치는 효과를 검증하는데 목적이 있다. 연구대상자는 조현병 환자 10명을 대상으로 2024년 1월 3일부터 2월 21일까지 매주 1회, 120분씩 총 8차시로 통합예술교육을 진행하였으며, 단일집단 사전-사후 검사를 통해 자료를 수집하였다. 수집된 자료는 SPSS 21.0을 통해 대응표본 t-검증을 실시하였다. 그 결과, 조현병 환자들이 경험한 통합예술교육 활동은 속박과 우울감을 낮추고, 행복감을 증가시키는 것으로 확인되었다. 이러한 노력은 통합예술교육이 조현병 환자의 정신적, 정서적 측면에 긍정적인 영향을 미칠 수 있음을 입증한 것으로, 이를 통해 통합예술교육이 조현병 관리에 있어 유효한 보완적 접근으로 자리 잡을 수 있을 것으로 기대한다.
Abstract
The purpose of this study is to examine the effects of integrated arts education activities on the sense of entrapment, depression, and happiness in patients with schizophrenia. The study involved 10 participants diagnosed with schizophrenia, who participated in integrated arts education sessions once a week for 120 minutes each, over a total of eight sessions, from January 3 to February 21, 2024. Data were collected through a single-group pre-test and post-test design, and paired-sample t-tests were conducted using SPSS 21.0. The results indicated that the integrated arts education activities reduced the sense of entrapment and depression while increasing the level of happiness among the participants. These findings demonstrate that integrated arts education can have a positive impact on the mental and emotional well-being of individuals with schizophrenia, suggesting its potential as an effective complementary approach in the management of schizophrenia.
Keywords:
schizophrenia, integrated arts education, entrapment, depression, happiness키워드:
조현병, 통합예술교육, 속박감, 우울감, 행복감References
- 김미영, 하수정, 전성숙(2015). 만성 조현병, 우울증, 조울병 환자의 자살사고 관련 요인. J Korean Acad Psychiatr Ment Health Nurs, 24(4), 217-225.
- 김의태, 우종민, 권준수(2011). 국내 정신분열병 환자의 재발에 의한 의료비용 증가에 관한 연구. 대한정신약물학회지, 22(1), 29-33.
- 김정진(2007). 정신분열병에서 유전자와 환경의 상호작용. 대한정신분열병학회지, 10(2), 95-99.
- 김진희, 나현주(2017). 긍정심리치료 프로그램이 지역사회 조현병 대상자의 긍정정서, 대인관계, 극복력 및 정신건강회복에 미치는 효과. Journal of Korean Academy of Nursing, 47(5), 638-650.
- 나기회, 최승기, 김하늬, 이주연, 김재민, 신일선, 윤진상, 김성환(2017). 정신건강센터 등록 회원 자살사망자 특성. 대한조현병학회지, 20(2), 55-60.
- 문선영(2008). 통합예술치료가 학교 부적응 청소년의 정신건강에 미치는 효과. 한국예술치료학회지, 8(1), 275-301.
- 유병규, 정광조(2016). 통합예술치료가 조현병 환자의 자아존중감 및 사회성 향상에 미치는 영향. 통합심신치유연구, 3(2), 1-15.
- 신미라, 김희경(2022). 조현병 환자의 우울감과 행복감 분석. 한국심리연구, 8(1), 89-105.
- 이영옥, 안동현(2017). 통합적 예술심리치료가 생애 초기 트라우마 경험 여대생의 외상화된 자기체계와 정신건강에 미치는 효과. 예술심리치료연구, 13(4), 141-165.
- 정민영, 배정이(2022). 조현병 환자의 정서지능 증진 프로그램 개발 및 효과. 정신간호학회지, 311(4), 505-519.
- 정수지, 오승진(2015). 인지행동 집단미술치료 프로그램이 만성 조현병 환자의 자아존중감과 공감에 미치는 효과. 예술심리치료연 구, 11(2), 159-178.
- 홍지영(2017). 불안장애의 인지행동 통합예술치료에 대한 내러티브 연구. 미간행 박사학위논문. 한양대학교 대학원.
- 홍혜전(2024). 조현병 환자의 춤 활동이 자아존중감과 내재화된 낙인에 미치는 효과. 한국무용학회지, 24(1), 79-89.
- Argyle, M., & Crossland, J. (1987). The dimensions of positive emotions. British Journal of Psychology, 78(2), 273-279. [https://doi.org/10.1111/j.2044-8309.1987.tb00773.x]
- Argyle, M., Martin, M., & Crossland, J. (1989). Happiness as a function of personality and social encounters. Recent advances in social psychology: An international perspective, 189-203.
- Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science & Medicine, 51(6), 843-857. [https://doi.org/10.1016/S0277-9536(00)00065-4]
- Bolwerk, A., Mack-Andrick, J., Lang, F. R., Dörfler, A., & Maihöfner, C. (2014). How art changes your brain: Differential effects of visual art production and cognitive art evaluation on functional brain connectivity. PloS One, 9(7), e101035. [https://doi.org/10.1371/journal.pone.0101035]
- Brekke, J. S., Raine, A., & Long, J. D. (2003). The etiological role of stressful life events in schizophrenia. Journal of Abnormal Psychology, 112(2), 325-337.
- Campbell, D. T., & Stanley, J. C. (1966). Experimental and quasi-experimental designs for research. Houghton Mifflin.
- Choi, M., Choi, E., & Park, H. (2015). Integrating art into education to improve problem-solving skills. Creative Education, 6(7), 927-934.
- Cohen, G. D., Perlstein, S., Chapline, J., Kelly, J., Firth, K. M., & Simmens, S. (2006). The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults. The Gerontologist, 46(6), 726-734. [https://doi.org/10.1093/geront/46.6.726]
- Cuesta, M. J., Peralta, V., & Caro, F. (2024). Schizophrenia and genetics: New evidence for familial risk. Journal of Psychiatry & Neuroscience, 49(2), 55-68.
- Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276-302. [https://doi.org/10.1037//0033-2909.125.2.276]
- Emsley, R., Chiliza, B., Asmal, L., & Harvey, B. H. (2013). The nature of relapse in schizophrenia. BMC psychiatry, 13, 1-8. [https://doi.org/10.1186/1471-244X-13-50]
- Gilbert, P., & Allen, S. (1998). The role of defeat and entrapment (arrested flight) in depression: An exploration of an evolutionary view. Psychological Medicine, 28(3), 585-598. [https://doi.org/10.1017/S0033291798006710]
- Gonzalez-Dalmau, M., Castarlenas, E., & Vidal, F. (2019). Social interaction and self-esteem improvement through art therapy. Art Therapy Research Journal, 12(3), 37-49.
- Hooley, J. M. (2010). Social factors in schizophrenia. Current Directions in Psychological Science, 19(4), 238-242. [https://doi.org/10.1177/0963721410377597]
- Koch, S. C., Kunz, T., Lykou, S., & Cruz, R. (2014). Effects of dance movement therapy and dance on health-related psychological outcomes: A meta-analysis. The Arts in Psychotherapy, 41(1), 46-64. [https://doi.org/10.1016/j.aip.2013.10.004]
- Leask, B. (2004). Stress and social isolation: A recipe for mental illness. The British Journal of Psychiatry, 185(1), 73-74.
- Levine, S. (2016). Art therapy and healing in mental health. Journal of Mental Health Art Therapy, 35(2), 145-156.
- Levy, F., & Rapoport, J. L. (2020). Dance/movement therapy for emotional regulation and self-control. Journal of Movement Therapies, 28(4), 33-45.
- McCaffrey, T., Edwards, J., & Fannon, D. (2019). Music therapy and emotional expression in psychiatric patients. Nordic Journal of Music Therapy, 28(3), 212-225. [https://doi.org/10.1080/08098131.2018.1533573]
- McGlashan, T. H. (1982). The natural history of chronic schizophrenia. Journal of Nervous and Mental Disease, 170(3), 130-134. [https://doi.org/10.1097/00005053-198212000-00006]
- Pedersen, C. B., & Mortensen, P. B. (2001). Evidence of a familial risk for schizophrenia. Schizophrenia Bulletin, 27(1), 103-117.
- Quiroga Murcia, J. A., Kreutz, G., Clift, S., & Bongard, S. (2010). Shall we dance? An exploration of the perceived benefits of dancing on well-being. Arts & Health, 2(2), 149-163. [https://doi.org/10.1080/17533010903488582]
- Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. [https://doi.org/10.1177/014662167700100306]
- Ryff, C. D., & Keyes, C. L. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719-727. [https://doi.org/10.1037//0022-3514.69.4.719]
- Sass, L. A. (2011). Autonomy and schizophrenia: reflections on an ideal. Personality and psychopathology: Critical dialogues with David Shapiro, 99-132. [https://doi.org/10.1007/978-1-4419-6214-0_5]
- Schneider, S. A., & Butler, L. (2017). Integrating the arts in education: Benefits and challenges. Educational Psychology Review, 29(4), 603-622.
- Stilo, S. A., Di Forti, M., & Murray, R. M. (2011). Environmental factors in schizophrenia: The role of urbanicity and stress. Schizophrenia Bulletin, 37(4), 101-107.
- Stuckey, H. L., & Nobel, J. (2010). The connection between art, healing, and public health: A review of current literature. American Journal of Public Health, 100(2), 254-263. [https://doi.org/10.2105/AJPH.2008.156497]
- Stuckless, S., & Parfrey, P. S. (2021). Bias in clinical research. Clinical Epidemiology: Practice and Methods, 17-34. [https://doi.org/10.1007/978-1-0716-1138-8_2]
- Slimoon, R., Sbera, F., & Sleiman, H. (2017). Achievement motivation and its relationship with job satisfaction (A Field study on teachers of art education in Tartous city). Tishreen University Journal-Arts and Humanities Sciences Series, 39(1).
- UNESCO. (2006). Road Map for Arts Education. United Nations Educational, Scientific and Cultural Organization.
- Velthorst, E., Reichenberg, A., Kapra, O., Goldberg, S., Fromer, M., Fruchter, E., ... & Weiser, M. (2016). Developmental trajectories of impaired community functioning in schizophrenia. JAMA psychiatry, 73(1), 48-55. [https://doi.org/10.1001/jamapsychiatry.2015.2253]