자살성 사건을 경험한 청소년의 Sandplay Therapy(SPT) 임상효과

Clinical Effect of SPT in Adolescents Experiencing Suicidal Events

본 연구는 자살시도, 자살사고, 자해 등 자살성 사건을 경험한 22명의 청소년을 대상으로 MMPI-2를 통해 Sandplay Therapy(SPT)의 임상적 치료 효과를 검증하고자 한 연구이다. 이를 위해 2019년부터 2021년까지 20주간 천안, 아산 소재 중·고등학교에서 자살성 사건을 경험한 청소년 22명을 대상으로 SPT 15회기를 시행하였다. 본 연구의 참여자는 남자 6명(27.3%), 여자 16명(72.7%)이었고 평균 연령은 16.32±1.25세였다. 평가도구는 역학 설문지와 MMPI-2를 base line과 치료종료 후 사용하였다. MMPI-2 임상척도와 세부평가척도에 따른 점수를 15회기 전후 비교한 결과 통계적으로 유의한 변화가 있었다. 임상척도 가운데 Hs(Hypochondriasis, t=3.298, p= .003), D(Depression, t=4.402, p=<.001), Hy(Hysteria, t= 4.034, p=.001), Pd(Psychopathic Deviate, t=3.139, p=.005), Pa(Paranoia, t=3.505, p=.002), Pt(Psychathenia, t=2.861, p=.009), Sc(Schizophrenia, t=3.491, p=.002), Si(Social Introversion, t=5.081, p=<.001)에서 통계적으로 유의한 변화가 있는 것으로 나타났다. 또한 LSE(Low Self Esteem, t=4.158, p=<.001), Es(Ego Strength, t=-2.626, p=.016), PK(Post-Traumatic Stress Disorder, t=3.324, p=.003), DEP3(Self-Depreciation, t=4.124, p<.001), DEP4(Suicidal Ideation, t=4.102, p=.001) 등에서 유의한 변화가 보고되었다. SPT는 자살충동, 자해 및 자살시도와 같은 자살성 사건을 경험한 청소년에서 외상, 자존감, 정신과적 상태와 같은 위험인자에 긍정적인 영향을 미치는 것으로 여겨진다.

This study aims to verify the clinical treatment effect of Sandplay Therapy (SPT) through MMPI-2 for 22 adolescents who have experienced suicidal events such as suicide attempts, suicide accidents, and self-injury. To this end, for 20 weeks from 2019 to 2021, SPT 15 sessions were conducted for 22 teenagers who experienced suicide cases at middle and high schools in Cheonan and Asan. The subjects of this study were 6 males (27.3%) and 16 females (72.7%) with an average age of 16.32±1.25 years. As the evaluation instruments, MMPI-2 were used during the baseline phase and after the termination of the therapy. The comparison of the scores according to MMPI-2 clinical scales and detailed evaluation scales before and after the 15 session showed that there are statistically significant changes. There was a statistically significant difference among Clinical Scales: Hs(Hypochondriasis, t=3.298, p= .003), D(Depression, t=4.402, p= <.001), Hy(Hysteria, t= 4.034, p=.001), Pd(Psychopathic Deviate, t=3.139, p=.005), Pa(Paranoia, t=3.505, p=.002), Pt(Psychathenia, t=2.861, p=.009), Sc(Schizophrenia, t=3.491, p=.002), Si (Social Introversion, t=5.081, p=<.001). In addition, there was a statistically significant changes: LSE (low self-esteem, t=4.158, p=<.001) of Content scales, Es (Ego Strength, t=-2.626, p=.016), PK(Post-Traumatic Stress Disorder, t=3.324, p=.003) of Supplementary Scales, DEP3 (Self-Depreciation, t=4.124, p<.001), DEP4 (Suicidal Ideation, t=4.102, p=.001)in Content Component Scales. It is believed that SPT provided a positive effect on risk factors such astrauma, self-esteem and psychiatric status in adolescents who experienced suicidality episodes such as suicidal ideation and self-injury and suicidal attempt.