본 연구의 목적은 인지행동 집단미술치료가 흡연여중생의 흡연량 감소에 효과가 있는가를 알아보고 나아가 흡연예방 및 금연을 위한 조기교육과 청소년의 흡연을 방지하기 위한 기초적인 자료를 제공 하는데 있다. 연구대상자는 부산시 OO여중 2학년에 재학 중인 흡연여중생 12명이었으며 실험집단 6명과 비교집단 6명으로 구성하여 2005년 9월에서 12월까지 사전검사를 제외한 총 20회기의 프로그램을 실시하였다. 연구도구로 흡연충동, 스트레스 대처방식, 자기효능감 검사는 자기보고식 척도를 사용하였고 흡연량 검사는 객관성을 높이기 위해 소변검사를 실시하였다 본 연구의 효과검증을 위 해 한글 SPSS WIN 12.0을 이용하여 공변량 분석(ANCOVA)을 실시하였다. 본 연구의 결과는 다음과 같다. 첫째, 인지행동 집단미술치료가 흡연여중생의 흡연충동 감소에 효과가 있었다. 둘째, 인지행동 집단미술치료가 흡연여중생의 스트레스 대처방식에서 정서중심적 대처에 효과가 있었으나 문제중심 적 대처에는 효과가 없었다. 셋째, 인지행동 집단미술치료가 흡연여중생의 자기효능감 향상에 효과 가 있었다. 넷째, 인지행동 집단미술치료가 흡연여중생의 흡연량 감소에 효과가 있었다. 이상에서와 같이 금연프로그램을 적용한 집단미술치료는 청소년들에게 효과적인 것으로 밝혀졌으며 앞으로 지속적인 연구가 기대된다.

The purpose of this study is to verify the reductive effect of cognitive behavioral art therapy on female middle schooler`s amount of smoking, then to provide with elementary data necessary for cognitive behavioral art therapy to prevent adolescents from smoking as well as for early education for no smoking or giving up smoking. Subjects for the study are selected from the second graders of M-Middle School in Busan who are female and smoking. They are classified into the controlled group of 6 students and the experimental group of 6 students, receiving the total 20 sessions of art therapy, except for the preliminary interview session, during the period of September through December of 2005. Research instruments adopted are the tests of smoking impulse, stress coping strategies, and self-efficacy scale that are measured in a self-reporting style; and the urine test of NicCheck-I-Test-Strips to see high objectivity in measuring the amount of smoking or smoking quantity. SPSS-WIN 12.0 was employed for data analysis, in that ANCOVA with a pre-test as covariance is carried out to make high reliability in verifying difference between the two groups. The results of the study are as follows. First, cognitive behavioral art therapy is effective to reduce the middle school female smoker`s impulse of smoking. Second, as to stress coping strategies, cognitive behavioral art therapy shows effectiveness for coping strategies centered on emotions but not on problems, which means that there is no significant statistical difference in various coping strategies laying emphasis on problems. Third, cognitive behavioral art therapy is effective to improve self-efficacy of middle school female smokers. Fourth, cognitive behavioral art therapy is effective to reduce middle school female smokers` quantity of smoking. Thus, it is inferable from the results described above that group art therapy applied to the no-smoking programs for adolescents turns out to be effective, and further studies on such programs are expected.