융합예술치료가 뚜렛 장애 아동의 틱 증상 감소와 자기표현 및 자아존중감 향상에 미치는 단일 사례 연구

Abstract

Objectives The purpose of this study is to examine the effects of fusion art therapy on the reduction of tic symptoms and the improvement of self-expression and self-esteem in children with Tourette's disorder through a single case study.
 Methods In this study, Yale tic symptoms were measured for 5th grade girls in elementary school attending D Metropolitan City, and the child's tic symptom reduction and self-expression and self-esteem tests were conducted before and after comparison. In addition, cases of convergence art therapy programs for each session of children were analyzed and recorded.
 Results First, when examining the effect of convergence art therapy on the reduction of tic disorder in children with Tourette's disorder, a total of 26 points decreased from 54 points beforehand to 28 points afterward. Examining this by two subdomains, it was found that the motor tic decreased from 34 points to 20 points in advance, and the vocal tic decreased from 18 points to 10 points. Second, it was found that whether convergence art therapy has an effect on the improvement of self-expression of children with Tourette's disorder improved from 15 points beforehand to 27 points afterward. In addition, in the subdomain, it was found that the vocal expression improved from 14 points beforehand to 23 points afterward, and for non-verbal expression, it was found that more natural gestures were used, from 5 points beforehand to 13 points afterward. Third, the pre-average score of 74 points and the post-test average score of 112 points increased by a total of 38 points for the effect of convergence art therapy on the improvement of self-esteem in children with Tourette's disorder. In addition, it was found that overall self-esteem by sub-domain improved by 8 points, social self-esteem by 12 points, home self-esteem by 10 points, and school self-esteem by 9 points.
 Conclusions Through the results of the study, it was found that convergence art therapy has an effect on reducing tic symptoms and improving self-expression and self-esteem in children with Tourette's disorder. In order to reduce tics in children with Tourette's disorder, continuous attention is required at home and school, and attention and support are needed to continuously maintain convergence art therapy. Therefore, future research needs to expand the research subject, rather than a single case of a child with Tourette's disorder, and study the effect of convergence art therapy on the family by reducing the client's Tourette's disorder to study the self-expression and self-esteem of the family together. By doing so, we want to help family relationships as well.