Korean Clinical Psychology Association

Korean Journal of Clinical Psychology - Vol. 37 , No. 4

[ Review Article ]
Korean Journal of Clinical Psychology - Vol. 37 , No. 4 , pp.656-670
ISSN: 2733-4538 (Online)
publication date 30 Nov 2018
Received 19 Sep 2018 Revised 19 Nov 2018 Accepted 23 Nov 2018
DOI: https://doi.org/10.15842/kjcp.2018.37.4.015

자폐스페트럼장애(ASD)의 근거기반치료
정경미 1 ; 신나영 2, ; 진동주 1 ; 정은선 1
1연세대학교 심리학과
2한국ABA행동발달연구소

Evidence Based Treatments of Autism Spectrum Disorders
Kyong-mee Chung1 ; Na young Shin2, ; Dongjoo Chin1 ; Eunsun Chung1
1Department of Psychology, Yonsei University, Seoul
2Korea Institute for ABA, Seoul, Korea
Correspondence to : Na young Shin, Korea Institute for ABA, 25 Seocho-daero, Seocho-gu, Seoul, Korea; E-mail: shinna0@gmail.com


© 2018 Korean Clinical Psychology Association
Funding Information ▼

초록

본 연구는 국내외 ASD 치료 관련 논문을 고찰하고, 국내의 ASD 근거기반치료 가이드라인을 제시하는 것을 목적으로 하였다. 이를 위해 먼저, ASD의 진단과 특성, 유병률, 공병률을 살펴보았고, 다음으로 해외에서 진행된 치료효과 고찰 연구들을 정리하여 ASD의 근거기반치료로 제시된 것이 무엇인지, 특정 문제에 대한 구체적인 개입요소에는 어떠한 것이 있는지를 확인하였다. 국내의 경우, 1990년에서 2018년까지 진행된 ASD 치료 관련 연구들을 해외의 고찰 논문과 동일한 기준에 준하여 종합적으로 고찰, 분석하였다. 마지막으로, 최근의 치료흐름을 반영하여 기술 기반 치료 프로그램을 사용한 국내외 문헌들을 고찰하였고, 이에 대한 구체적인 정보도 함께 제공하였다. 고찰 결과, 응용행동분석(applied behavior analysis, ABA)을 이용한 다양한 치료기법과 그 패키지가 ASD의 다양한 증상의 향상과 개선에 효과적인 것으로 밝혀졌다. 이 결과를 토대로 국내 ASD 근거기반치료에 관한 최종 권고안을 제시하였으며, 고찰의 시사점과 추후 연구 방향도 언급하였다.

Abstract

This study aimed to review Korean and foreign treatment outcome studies on autism spectrum disorder (ASD) and to provide treatment guidelines for persons with ASD. After summarizing the diagnostic criteria, clinical features, prevalence, and comorbidity of ASD, reviews of treatment outcome studies on ASD published outside Korea were examined to identify the evidence-based treatments for ASD. Twenty-seven specific intervention techniques were identified. Articles published in Korean journals were then analyzed using the same criteria. Subsequently, findings on the effectiveness of a technology-based intervention, a new form of treatment, were summarized based on treatment outcome studies published abroad and in Korea. The present results showed that treatment programs based on the principles of applied behavior analysis (ABA) are effective in improving the functions and abilities of persons with ASD and in reducing ASD symptoms. Based on these results, treatment guidelines for ASD are provided and future directions for domestic studies are suggested.


Keywords: autism spectrum disorders, ASD, evidence-based treatment, ABA, applied behavior analysis
키워드: 자폐스펙트럼장애, ASD, 근거기반치료, ABA, 응용행동분석

Acknowledgments

This research was supported by the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (Grant No HI18C0458).


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