CAJ | 학술논문

目的：本研究的目的是社会技能训练在减少精神障碍患者的暴力与攻击行为的有效性。方法：采用随机信封法，试验组入组40例，对照组入组40例，在实验开始前1周，使用修改版外显攻击行为量表（MOAS），对入组的住院男性精神障碍患者的暴力与攻击性行为作评估，然后对试验组施行社会技能训练，每两周对所有患者进行1次MOAS量表评估。结果：进行社会技能训练4周后，试验组攻的攻击性行为分数下降，对照组的分数显示增加。结论：社会技能训练能有效地减少住院男性精神障碍患者攻击性行为的发生率。在同时，此项结果应该有助于减少使用强制措施或药物治疗来控制住院精神障碍患者的暴力与攻击行为。
목적：본연구적목적시사회기능훈련재감소정신장애환자적폭력여공격행위적유효성。방법：채용수궤신봉법，시험조입조40례，대조조입조40례，재실험개시전1주，사용수개판외현공격행위량표（MOAS），대입조적주원남성정신장애환자적폭력여공격성행위작평고，연후대시험조시행사회기능훈련，매량주대소유환자진행1차MOAS량표평고。결과：진행사회기능훈련4주후，시험조공적공격성행위분수하강，대조조적분수현시증가。결론：사회기능훈련능유효지감소주원남성정신장애환자공격성행위적발생솔。재동시，차항결과응해유조우감소사용강제조시혹약물치료래공제주원정신장애환자적폭력여공격행위。
Objective The aim of this research was to test the effectiveness of using Social Skills Training to reduce the violence and aggressive behavior of male psychiatric patients.Methods Eighty male in patients with mental disorders recruited to participate in the study,which were randomly equally divided into two groups,experimental group (n=40) and a control group (n=40). the behavior modification,assessment on aggressive behavior was done by using the modified overt aggression scale (MOAS) (including verbal attack,attack,attack to the property,physical attack) before the intervene. then the experimental group was token into Social Skills Training ,meanwhile evaluated all of the patients by using MOAS every weeks.Results The aggressive behavior scores of the experimental group decreased, those of the control group, scores showed an increase after the four-week behavior modification program utilizing token Social Skills Training.Conclusion The results of the research indicated that token Social Skills Training was effective in reducing the incidence of aggressive behavior among male inpatients in psychiatric hospitals. The outcome of this study should be helpful in reducing the use of coercive measures or psychoactive medication in controlling the violent behavior among inpatients in hospitals.