우울증 내담자의 가족치료에 관한 질적 메타분석연구

A Qualitative Meta-Analysis Study on Family Therapy for Clients with Depression

본 연구의 목적은 우울증 내담자에 대한 국내 가족치료 사례연구들을 중심으로 우울증의 발병 요인, 치료자의 개입방식, 가족치료의 효과를 탐색하는 데 있다. 이를 위해 국내 가족치료 사례연구 13편을 선정하여 질적 메타분석 절차에 따라 분석하였다. 분석 결과는 다음과 같다. 첫째, 가족치료에서 나타난 우울증의 발병 요인에는 ‘내담자 내면적 요인 및 심리적 특성’, ‘가족관계 및 상호작용’, ‘외부 환경적 스트레스’로 나타났다. 둘째, 치료자의 개입방식은 ‘치료적 관계 형성과 개입준비’, ‘문제개입 및 변화촉진’, ‘변화 유지 및 종결준비’ 세 단계로 구분되었으며, 각 단계에서 다양한 치료 전략이 활용되었다. 셋째, 가족 및 내담자에게 미치는 치료 효과는 ‘가족의 변화’, ‘내담자의 변화’로 나타났다. 본 연구는 우울증 내담자에 대한 가족치료의 구조적 흐름과 개입 전략을 통합적으로 제시하고, 가족 요인을 고려한 상담 실천의 중요성을 시사한다.

Objectives: This study aimed to conduct a qualitative meta-analysis of domestic case studies on family therapy for clients with depression, focusing on the onset factors of depression, therapeutic interventions, and therapeutic outcomes. Methods: Thirteen Korean family therapy case studies were selected and analyzed using qualitative meta-analysis procedures. Through repeated comparative analysis, recurring patterns and structural themes were identified to provide an integrative understanding of the processes and outcomes of family therapy. Results: The analysis revealed three major categories of onset factors: (1) intrapersonal and psychological characteristics, (2) family relationships and interaction patterns, and (3) external environmental stressors. Therapeutic interventions were organized into three phases: (1) establishing a therapeutic relationship and preparing for intervention, (2) addressing problems and facilitating change, and (3) maintaining change and preparing for termination. The therapeutic outcomes were observed at two levels: systemic changes within the family, such as improved communication, boundary restructuring, and role readjustment; and individual changes in clients, including symptom reduction, cognitive restructuring, emotional independence, and personal growth. Conclusions: The findings indicate that family therapy functions not merely as a supplementary approach but as a central and effective intervention for depression. By demonstrating structured pathways of systemic and individual change, this study underscores the importance of incorporating family dynamics into clinical practice and provides foundational insights for future intervention strategies.