The Effects of Cognitive-Behavioral Group Counseling Program for Depression and Aggressiveness in Adolescents with Delinquent Propensity

비행성향 청소년의 우울 및 공격성 감소를 위한 인지행동집단상담 프로그램 개발과 효과

  • Kim, Jung-Min (Dept. of Child Development and Education, Myongji Univ.) ;
  • Park, Jun-Hee (Dept. of Child Development and Education, Myongji Univ.) ;
  • Han, Kyung-Eun (Dept. of Child Development and Education, Myongji Univ.)
  • Published : 2007.08.31

Abstract

This study aimed to develop a cognitive-behavioral group counseling program for depression and aggressiveness in adolescents with delinquent propensity and to examine its efficacy through pre- and post-tests. The program included cognitive restructuring, exposure training, social skills training and relaxation training. Juvenile Delinquency Scale, BDI, K-YSR, and BDHI were administered to 520 3rd grade middle-school female students to assess their levels of delinquency, depression and aggressiveness. Initially 41 students who met all the following criteria were selected: 1) top 15% scores on Juvenile Delinquency Scale, 2) top 30% scores on BDI, K-YSR and BDHI respectively. Individuals currently receiving clinical treatment were excluded. Finally 39 students were selected and randomly assigned to either a treatment group(n=20) or a control group(n=19). Then the students in the treatment group were divided into 4 subgroups. The program consisted of 12 weekly sessions, approximately $1.5{\sim}2$ hours in duration. Pre- and post-tests administered to both groups included Juvenile Delinquency Scale, BDI, K-YSR, BDHI, and CLAB. Additionally, MESSY for teachers was added at pre- and post-tests. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) The students in the treatment group showed a significant reduction in the level of depression and aggressiveness in comparison with those in the control group. 2) Teachers reported a significant reduction in internalizing/externalizing behaviors of the students in the treatment group.

Keywords

References

  1. 곽금주.문은영 (1993). 청소년의 심리적 특징 및 우울과 비행간의 관계. 한국심리학회지, 6(2), 29-43
  2. 곽금주.문은영 (1995). 심리적 특징 및 우울과 비행간의 관계 (II ). 청소년 이전기를 중심으로. 한국심리학회지: 발달, 8(1), 1-11
  3. 김선남 (1994). 청소년비행관련 변인간의 인과적 분석. 전남대학교 대학원 박사학위논문
  4. 김진희.오익수.김광수.전명회 (1995). 비행청소년 상담 지원 정책. 청소년 대화의 광장
  5. 노안영 (1983) 비행청소년에 있어서 공격성과 불안의 감소에 미치는 주장훈련의 효과. 미간행 석사학위논문/ 서울대학교 대학원
  6. 문화관광부(2004). 2004년도 청소년백서
  7. 손지영 (2001). 공격신념, 사회정보처리, 정서조절능력과 공격행동 간의 관계 분석. 성란관대 대학원 박사학 위논문
  8. 신현숙.이경성.이혜경.신경우(2004 ). 비행 청소년의 생활 적응문제에서 우울/불안 및 공격성의 합병 효과와 성차. 한국심리학회지: 상담 및 심리치료, 16(3), 491-510
  9. 오경자.민성길.빅중규.고려원(1998). 이동의 비순응 및 공격행동 개선을 위한 인지행동치료의 개발. 한국심리학회지: 임상, 17(2), 1-15
  10. 오경자.이혜련.홍강의.하은혜(1997). K-CBCL 아동 .청소년 행동 평가척도. 중앙적성출판사
  11. 오경자.하은혜.홍강의.이혜련 (2001). K-YSR 청소년 자기행동평가척도. 중앙적성출판사. 서울
  12. 이은경.지승희.이지은.최수미.정찬석 (2003). 청소년비행 위험요소.보호요소 척도의 개발 연구. 청소년상담연구,11, 57-70
  13. 이주영 (1999). 우울한 비행 청소년 집단의 사회정보처리 특 성 : 비행 집단과 우울 집단과의 비교. 연세대학교 대학원 석사학위논문
  14. 이해경.김혜원(2000). 집단괴롭힘의 가해와 피해행동에 영향을 미치는 사회적, 심리적 변인들. 한국심리학회지: 사회 및 성격, 14(1), 45-64
  15. 천성문.이영순.이현림(2000). 신경증적 비행청소년의 분노조절을 위한 인지행동적 집단치료 효과. 한국심리학회지: 상담 및 심리치료, 12(1), 53-82
  16. 하은혜.오경자.송동호.강지현(2004) 우울장애와 불안장애 청소년을 위한 집단 인지행동치료 효과의 예비연구, 한국심리학회지: 임상, 23(2), 263-279
  17. Achenbach, T.M.(1991). Manual for the Ozild Behavior Checklist/ 4-18 and 1991 Profile. Burlington, VT: University of Vermont, Department of Psychiatry
  18. Achenbach, T. M., & Edelbrock, C.(1993). Manual for the Ozild Behavior Checklist and Revised Ozild Behavior Profile. Burlington, VT: University of Vermont, Department of Psychiatry
  19. Beck, A.T., Steer, RA, & Brown, GK(l996). Manual for Beck Depression Inventmy-II. San Antonio, TX: The Psychological Corporation
  20. Buss, AH., & Durkee, A.(1957). An inventory for assessing different kinds of hostility. Journal of Consulting Psychology, 21, 343-349 https://doi.org/10.1037/h0046900
  21. Bynum, JE., & Thompson, WE.(2002). Juvenile delinquency: A sociological approach. Boston:. Allyn & Bacon
  22. Clarke GN., Lewinsohn, PM., & Hops, H(1990). Adolescent coping. with depression course. The therapist manual and the adolescent workbook may be downloaded for free from the internet at http:// www. kpchr.org/acwd/acwd.html
  23. Clarke, GN., Rohde, P., Lewinsohn, PM., Hops, H, & Seeley, JR,(1999). Cognitive-behavioral treatment of adolescent depression: Efficacy of acute group treatment and booster sessions. J Am Acad Child Adolesc. Psychiatry, 38, 272-279 https://doi.org/10.1097/00004583-199903000-00014
  24. Cunliffe, T.(1992). Arresting youth crime: a review of social skills training with young offenders. Adolescence, 27, 891-900
  25. Curry, J.(2001). Specific psychotherapies for childhood and adolescent depression. Biological Psychiatry, 49, 1091-1100 https://doi.org/10.1016/S0006-3223(01)01130-1
  26. Cynthia, A. Eradley & Steven, R. Asher. (1993). Linkages between aggression and children's legitimacy of aggression beliefs. Paper presented in the symposium 'social relationships 'social beliefs, and aggression' at the annual meeting of the American Psychological Association, Toronto
  27. Domalanta, DD., Risser WL., Roberts, RE., & Risser, JMH. (2003). Prevalence of depression and other psychiatric disorders among incarcerated youths. J Am Acad Child Adolesc Psychiatry, 42, 477-484 https://doi.org/10.1097/01.CHI.0000046819.95464.0B
  28. Henggeler, SW., & Borduin, CM.(1990). Treatment of delinquent behavior. In SW. Henggeler & CM. Borduin (Eds.), Family therapy and beyond: A multisysternic approach to treating the behavior problems of children and adoleseents(219-245). Pacific Grove, CA: Brooks/ Cole
  29. Kahn, JS., Kehle, TJ., Jenson, WR., & Clarke, E.(1990). Comparison of cognitive-behavioral, relaxation, and selfmodelling interventions for depression among middle- school students. School Psychology Review, 19, 196-211
  30. Kastner, JW.(1998). Clinical change in adolescent aggressive behavior: A group. therapy approach. Journal of Child and Adolescent Group Therapy, 8, 23-33 https://doi.org/10.1023/A:1022913024361
  31. Leeman, LW., Gibbs, JC., & Fuller, D.(1993). Evaluation of a multi-eomponent group treatment program for juvenile delinquents. Aggressive Behavior, 19, 281-292 https://doi.org/10.1002/1098-2337(1993)19:4<281::AID-AB2480190404>3.0.CO;2-W
  32. Lewinsohn, PM., Clarke, GN., Hops, H, & Andrews, J. (1990) Cognitive-behavioral group treatment of depression in adolescents. Behavior Therapy, 21, 385-401 https://doi.org/10.1016/S0005-7894(05)80353-3
  33. Lipsey, MW., & Wilson, DB.(1998). Effective intervention for serious juvenile offenders: A synthesis of research. In R. Loeber & D. Farrington (Eds.), Serious and violent juvenile offenders: Risk factors and successful interventions(313-345). Thousand Oaks, CA: Sage. Publications
  34. Lachman, JE., & Dodge, KA.(1994). Social-cognitive processes of severely violent, moderately aggressive, and nonaggressive boys. Journal of Consulting and Clinical Psychology, 62, 366-374 https://doi.org/10.1037/0022-006X.62.2.366
  35. Lachman, JE., & Wayland, KK.(1994). Aggression, social acceptance, and race as predictors of negative adolescent outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 1026-1035 https://doi.org/10.1097/00004583-199409000-00014
  36. Lachman, JE., White, KJ., & Wayland, KK.(1991). Cognitive- behavioral assessment and treatment with aggressive children In PC. Kendall (Ed.), Child & adolescent therapy: Cognitive-behavioral procedures(25-66). New York: Guilford Press
  37. McGrath, E., & Repetti, R.(2002). A longitudinal study of children's depressive symptoms, self-perceptions and cognitive distortions about the self. Journal of Abnormal Psychology, 111(1), 77-87 https://doi.org/10.1037/0021-843X.111.1.77
  38. McGuire, J. (Ed.)(1995). What works: Reducing reoffending: guidelines from research and practice. Sussex, UK: Wiley
  39. Teplin, LA., Abram, KM., McClelland, GM., Dulcan, MK., & Mericle, AA.(2002). Psychiatric disorders in youth in juvenile detention. Archives of General Psychiatry 59(12), 1133-1143 https://doi.org/10.1001/archpsyc.59.12.1133
  40. Rohde, P., Clarke, GN., Mace, DE., Jorgensen, JS., & Seeley, JR.(2004). An efficacy/effectiveness study of cognitive- behavioral treatment for adolescents with co-morbid major depression and conduct disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 660-668 https://doi.org/10.1097/01.chi.0000121067.29744.41
  41. Rohde, P., Jorgensen, JS., Seeley, JR., & Mace, DE.(2004). Pilot evaluation of the Coping Course: a cognitivebehavioral intervention to enhance coping skills in. incarcerated youth. J Am Acad Child Adolesc. Psychiatry. 43(6), 669-676 https://doi.org/10.1097/01.chi.0000121068.29744.a5
  42. Rohde, P., Mace, DE., & Seeley, JR.(1997). The association of psychiatric disorders with suicide attempts in a juvenile delinquent sample. Criminal Behaviour and Mental Health, 7, 187-200 https://doi.org/10.1002/cbm.172
  43. Sukhodolsky, DG., Kassinove, H., & Gorman, BS.(2004). Cognitive-behavioral therapy for anger in children and adolescents: a meta-analysis. Aggression and Violent Behavior, 9(3), 247-269 https://doi.org/10.1016/j.avb.2003.08.005
  44. Van Manen, TG., Prins, PJM., & Emmelkamp, PMG.(2004). Reducing aggressive behavior in boys with a social cognitive group treatment: results of a randomized, controlled trial. J Am Acad Child Adolesc Psychiatry, 43, 1478-1487 https://doi.org/10.1097/01.chi.0000142669.36815.3e