초록

본 연구는 암 환자를 위한 국내외 심리사회적 개입에 관한 연구를 개관한 것이다. 암 환자들은 진단을 받는 순간에서 치료를 받는 동안, 또한 치료종결 이후에도 지속적인 심리적 문제를 경험한다. 암 환자들에게 일차적으로 의학적 치료가 중요하지만, 수술이나 항암요법, 방사선 치료만으로 충분히 이들을 돌볼 수가 없다. 최근에는 심리사회적 개입법들이 암 환자의 삶의 질 향상이나 정서적 고통 완화, 대처기술의 향상, 대인관계 증진과 같은 심리적 효과뿐만 아니라, 면역기능 향상, 스트레스 호르몬의 감소 등과 같은 긍정적인 생리적 효과를 낳는다는 연구결과가 발표되고 있어 더욱 심리사회적 개입법의 중요성이 인정되고 있는 상황이다. 이에 본 연구에서는 먼저 암 환자들의 심리적인 어려움을 간략히 기술한 후 이를 극복하도록 도와주기 위한 여러 심리사회적 개입법의 효과검증 연구들을 유형별로 개관하였다. 심리사회적 개입법의 대표적인 유형을 교육, 지지-표현(경험-실존) 치료, 인지-행동 치료, 통합 치료 등 4가지로 구분하였다. 교육적 개입에는 질병과 치료, 부작용 등에 대한 건강교육 및 증상관리기술, 스트레스 관리가 주요 내용으로 포함되며, 지지-표현 치료에서는 감정 표현 및 사회적 지지가 중요한 치료 요인으로 죽음과 삶의 의미, 책임감 등 실존적인 문제에 대한 직면이 포함된다. 인지-행동 치료에는 인지적 재구조화, 이완훈련, 문제해결훈련이 주요 치료요인으로 포함되며, 통합 치료는 이상의 여러 치료적 접근을 함께 적용한 경우를 일컫는다. 또한 예술치료를 포함하여 기타 접근을 추가로 고찰하였다. 마지막으로, 국내의 최근 연구 동향을 정리하였고 앞으로의 연구방향과 관련된 제언을 제시하였다.

키워드

암, 심리사회적 개입, 교육, 지지-표현 치료, 인지-행동 치료, 통합 치료

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