• Title/Summary/Keyword: 심리치료학과

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Comparison of the Pressure Pain Thresholds the Vertebral Segments Between Patients with Chronic Lower Back Pain and Healthy Individuals, and Correlation Between Pain, Dysfunction, and Psychological Status in Patients with Chronic Lower Back Pain (만성 요통 환자와 요통이 없는 건강한 대상자의 척추 뼈분절의 압통 역치 수준 비교와 만성 요통 환자에 통증 수준, 기능장애 및 심리사회적 수준 간에 상관성)

  • Jin-yeong Yoo;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.3
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    • pp.73-84
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    • 2023
  • Background: This study aimed to compare pressure pain thresholds (PPTs) in the vertebral segments between patients with chronic lower back pain (CLBP) and healthy participants without back pain and to determine the correlation between vertebral bone-segment PPT and pain level, lower back pain dysfunction, and psychological status in patients with CLBP. Methods: The subjects of this study were 23 healthy adults and 23 adults with CLBP. PPT was measured in 23 spinal bone segments using a PPT device, and the CLBP group was subjected to a pain level test (NRS) and a psychological test using the Korean version of the pain catastrophizing scale (KPCS). The functional level was assessed using the Korean version of the Oswestry disability index (KODI). Results: PPTs of the spinal sclerotomes were significantly lower in patients with CLBP than in healthy participants. In the CLBP group, the composite score of lumbar PPTs showed a high correlation with the composite scores for all segments, but not with the pain level (NRS), KPCS score, and spinal sclerotome PPT. Moreover, PPT in the sacral sclerotomes showed a significant negative correlation coefficient with function, with a KODI score of -.462 (p<.01). Conclusion: In this study, PPTs in all spinal segments in patients with CLBP was significantly lower than that in healthy subjects. The PPTs of the lumbar region was significantly correlated with the PPTs of other spinal regions. Through this study, it was found that there were changes in PPTs in CLBP patients not only in the lumbar region but also in other spinal regions. This information should be considered during clinical treatment of patients with low back pain.

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A Study on the Domestic Research Trends on PTSD in Korean Soldiers (한국군(軍) 장병의 외상 후 스트레스 장애(PTSD)에 대한 국내 동향 연구)

  • In-Chan Kim;Sang-Keun Cho;Jong-Hoon Kim;Mung-Sook Hong;Sung-Hu Kang;Sang-Hyuk Park
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.1
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    • pp.407-412
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    • 2023
  • When a traumatic subject experiences extreme stress, various psychiatric problems, including PTSD, can occur if they do not respond appropriately. In addition, non-war soldiers who experience life-threatening events while serving in the military may experience severe and chronic PTSD symptoms. However, there are still insufficient domestic studies on what traumatic events soldiers are exposed to and how much PTSD symptoms they experience. Therefore, this study provides a method that can be used as basic data for PTSD and psychological support of military service personnel by identifying trends in domestic research. Furthermore, it studies PTSD not only of soldiers but also of 'civilians' who have experienced combat, and provides symptomatic treatment and relief programs to civilians according to the difference in PTSD between general trauma and war trauma. It is expected that these studies will increase military confidence and enable the military to play a leading role in war trauma PTSD research and prevention, treatment and mitigation.

A Phenomenological Study of Music Therapist's Experiences of Using Voice (음악치료사의 목소리 사용 경험에 대한 현상학적 연구)

  • Shin, JinHee;So, HyeJin
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.2
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    • pp.155-167
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    • 2019
  • The aim of this study was to examine the experiences of music therapists in using their voice clinically. The researcher conducted in-depth interviews with seven music therapists who were able to explain their experiences in using voice. Each interview was analyzed using the phenomenological method of Amedeo Giorgi. The data analysis yielded 9 sub-categories and 6 components: "promotion of various feelings due to clinical use of voice", "voice use depending on the therapist's personality", "voice use for therapy", "positive musical experiences with clients in using voice", "difficulty in using voice as a tool for music therapy", and "attempt to change unsatisfactory voice". The result showed that the music therapists had both positive and difficult experiences with their clients in using their voice. Their instances of perceived unsatisfactory voice prompted them to develop themselves personally and professionally. This study is intended to provide a general understanding of voice use by music therapists and offer a solid basis for music therapists to study voice in the future.

University Hospital Nurses' Experience of a Music-Based Online Burnout Prevention Program: A Qualitative Case Study (대학병원 간호사의 소진예방을 위한 비대면 음악기반 심리정서지원 프로그램 참여경험 연구)

  • Yun, Juri;Lee, Jin Hyung
    • Journal of Music and Human Behavior
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    • v.21 no.2
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    • pp.135-157
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    • 2024
  • In this study, the authors developed and implemented an online music-based support program to prevent burnout among university hospital nurses. This study involved 40 nurses from three university hospitals who shared their subjective experiences after participating in 8 music-based non-simultaneous online sessions. The responses were collected as qualitative data and analyzed using the qualitative content analysis method. The analysis identified 66 meaning units, 10 themes, and 3 categories, which included: 'Recovery of physical and psychological stability', 'Self-care and acceptance', and 'Rediscovery of pride and meaning as a nurse'. This study is significant for exploring the experiences of university hospital nurses who participated in a remotely implemented music-based psycho-emotional support program, with respect to burnout prevention. For future directions, we suggest a more in-depth exploration of specific burnout factors and an expansion of research through the diversification of research methods to refine programs aimed at alleviating nurse burnout.

Experience of Patients with Mucopolysaccharide Receiving Enzyme Replacement Therapy (효소보충치료(ERT)를 받고 있는 뮤코다당증 환자의 경험)

  • Kwon, Eun Kyung;Jung, So-Young;Choi, Eu Jin;Cho, Sung Yoon;Jin, Dong Kyu
    • Journal of Industrial Convergence
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    • v.19 no.4
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    • pp.37-48
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    • 2021
  • The purpose of this study was to explore the meaning of the experience of Mucopolysaccharidosis patients receiving Enzyme Replacement Therapy(ERT). A qualitative research design was adopted. The participants were 7 patients diagnosed with MPS who is receiving ERT for several years. Data were collected through in-depth interviews from 1 July 2018 to 22 July 2018 for seven adult patients with MPS receiving ERT. Individual interviews were recorded, and transcribed data were analyzed using the inductive method of content analysis. The final 4 categories and 15 subcategories were identified. The 4 categories of the experience of Mucopolysaccharidosis patients receiving ERT were "Physical and psychological changes through ERT", "Continuous tunnel called ERT", "Accepting the reality" and "Cautious hope". This study provides deep insight into the experience of Mucopolysaccharidosis patients receiving ERT. Medical staff including nurses and related organizations should concern their distress during ERT as well as physical symptoms.

A Systematic Review of the Effects of Visual Perception Interventions for Children With Cerebral Palsy (뇌성마비 아동에게 시지각 중재가 미치는 효과에 대한 체계적 고찰)

  • Ha, Yae-Na;Chae, Song-Eun;Jeong, Mi-Yeon;Yoo, Eun-Young
    • Therapeutic Science for Rehabilitation
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    • v.12 no.2
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    • pp.55-68
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    • 2023
  • Objective : This study aims to analyze the effects of visual perception intervention by systematically reviewing the studies that applied visual perception intervention to children with cerebral palsy. Methods : The databases used were PubMed, EMbase, Science Direct, ProQuest, Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), and the National Assembly Library. The keywords used were cerebral palsy, CP, and visual perception. According to the PRISMA flowchart, 10 studies were selected from among studies published from January 1, 2012 to March 30, 2022. The quality level of the selected studies, the demographic characteristics of study participants, the effectiveness of interventions, area and strategies of intervention, assessment tools to measure the effectiveness of interventions, and risk of bias were analyzed. Results : All selected studies confirmed that visual perception intervention was effective in improving visual perception function. In addition, positive results were shown in upper extremity function, activities of daily living, posture control, goal achievement, and psychosocial areas as well as visual perception function. The eye-hand coordination area was intervened in all studies. Conclusion : In visual perception intervention, It is necessary to evaluate the visual perception function by area, and apply systematically graded customized interventions for each individual.

The Effect of Group Validation Therapy(V/T) in the Elderly with Dementia (집단인정치료(Group validation therapy)가 치매노인에게 미치는 영향에 관한 연구)

  • Chang, Woo-Shim
    • 한국노년학
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    • v.28 no.4
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    • pp.1023-1039
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    • 2008
  • The purpose of this study was to develop a group validation therapy(V/T) which could be implemented for the elderly with dementia in nursing home, and to evaluate the effectiveness of the program on cognition, ADL(Activity of Daily Living), depression, problematic behavior and QOL(Quality of Life). Subjects were recruited from 4 nursing homes in D city. The sample comprised forty elderly with dementia, capable of verbal communication. Each twenty were in an experimental and control groups. However, four elders with dementia dropped out in experimental and control groups due to personal affairs. Experimental group completed twelve consecutive group validation therapy sessions that combined centering, asking factual questions, rephrasing, identifying and using the preferred sense, asking the extreme, imagining the opposite, reminiscing, touching, maintaining eye contact and a caring tone of voice, observing, matching and expressing the emotion with emotion, using ambiguity, linking behavior with a basic human need, using music and mirroring techniques. Following the intervention, experimental group experienced a significant improvement in cognition, ADL, depression, and QOL. But it is a nonsignificant in problematic behavior on statistically. As a result, a group validation therapy should be applied as an effective and practical psychosocial intervention for the elderly with dementia.

The Study on the Perception of Self-Regulation in Diabetic Patients (당뇨병 환자의 자기조절 인식에 관한 연구)

  • Han, Hye-Sook;Bae, Sun-Hee;Park, Young-Sun
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.01a
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    • pp.107-109
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    • 2021
  • 본 연구는 당뇨병 환자의 자기조절에 대한 주관적 유형과 특성을 분석하고자 시도되었으며, 당뇨병 환자의 주관성을 연구하는데 효과적인 Q방법론을 적용하였다. 대상자는 제2형 당뇨병을 진단받은 사람으로서 경구약이나 인슐린 주사로 치료받고 있으나 현재는 입원한 싱태가 아닌 사람 38명으로 구성하였으며, Q표본 40개의 진술문을 가장 부정(-4)에서 가장 긍정(+4) 범위의 9점 척도 상에 분류하도록 하였다. Q분류된 자료는 QUANL PC program을 이용하여 주요인분석(principal component factor analysis)과 배리맥스 회전(varimax rotation)을 통해 Q 요인분석이 행해졌다. 분석결과 당뇨병환자 자기조절에 대학여 제 1유형은 근거기반 순응형, 제2유형은 위기의식 자립거부형, 제3유형은 정보기반 관계지향형, 제4유형은 자기신뢰 실천형, 제5유형은 주관적 결핍 기반 반응 행동형으로 5가지 유형의 관점을 보여주었다. 따라서 당뇨병 환자 효율적 관리방법을 위해 당뇨병 환자의 질병 관리의 부정적 행위 성향을 이해하고, 당뇨지식 교육, 당뇨관리 정보 및 긍정적 심리를 통한 자기조절 프로그램을 개발 할 필요가 있다.

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The relationship of short-term mindfulness and self-compassion meditation and the emotional well-being among middle aged female students in cyber university; pilot study (사이버대학에 재학중인 중년기 여자 대학생을 대상으로 한 단축형 마음챙김 자비 명상 프로그램과 정서적 안녕감의 관련성 : 예비연구)

  • Lee, Woo-kyeong;Ju, Se-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3714-3724
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    • 2014
  • A structured group program was implemented to facilitate mindfulness and self-compassion through a short meditation practices and its effects on the emotional well-being of counseling psychology students at a cyber university were observed. The participants attended a 4-week group program. Twenty-five total participants completed pre- and post-treatment measures of depression, psychological well-being, positive and negative emotions, mindfulness, and self-compassion. This program could provide a useful experiential introduction to mindfulness and self-compassion training for counseling undergraduate psychology students. Future studies should address the effects of practice on the mindfulness and self-compassion in larger student groups exposed to a range of stressful situations.

Evaluation of the Usefulness of Virtual Reality Equipment for Relieving Patients' Anxiety during Whole-Body Bone Scan (전신 뼈 검사 환자의 불안감 해소를 위한 가상현실 장비의 유용성 평가)

  • Kim, Hae-Rin;Kim, Jung-Yul;Lee, Seung-Jae;Baek, Song-Ee;Kim, Jin-Gu;Kim, Ga-Yoon;Nam-Koong, Hyuk;Kang, Chun-Goo;Kim, Jae-Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.26 no.1
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    • pp.27-32
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    • 2022
  • Purpose When performing a whole-body bone scan, many patients are experiencing psychological difficulties due to the close distance to the detector. Recently, in the medical field, there is a report that using virtual reality (VR) equipment can give pain relief to pediatric patients with weak concentration or patients receiving severe treatment through a distraction method. Therefore, in this paper, VR equipment was used to provide psychological stability to patients during nuclear medicine tests, and it is intended to evaluate whether it can be used in clinical practice. Materials and Methods As VR equipment, ALLIP Z6 VR (ALLIP, Korea) was used and the experiment was conducted after connecting to a mobile phone. The subjects were 30 patients who underwent whole-body bone examination from September 1, 2021 to September 30, 2021. After intravenous injection of 99mTc-HDP, 3 to 6 hours later, VR equipment was put on and whole body images were obtained. After the test, a survey was conducted, and a Likert scale of 5 points was used for psychological anxiety and satisfaction with VR equipment. Hypothesis verification and reliability of the survey were analyzed using SPSS Statistics 25 (IBM, Corp., Armonk, NY, USA). Results Anxiety about the existing whole-body bone test was 3.03±1.53, whereas that of anxiety after wearing VR equipment was 2.0±1.21, indicating that anxiety decreased to 34%. When regression analysis of the effect of the patient's concentration on VR equipment on anxiety about the test, the B value was 0.750 (P<0.01) and the t value was 6.181 (P<0.01). decreased and showed an influence of 75%. In addition, overall satisfaction with VR equipment was 3.76±1.28, and the intention to reuse was 66%. The Cronbach α value of the reliability coefficient of the questionnaire was 0.901. Conclusion When using VR equipment, patients' attention was dispersed, anxiety was reduced, and psychological stability was found. In the future, as VR equipment technology develops, it is thought that if the equipment can be miniaturized and the resolution of VR content images is increased, it can be used in various clinical settings if it provides more realistic stability to the patient.