• Title/Summary/Keyword: 행동요법

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Two Cases of Obesity Treatment Using Liraglutide 3 mg with Intensive Behavioral Changes in Morbidly Obese Patients with Major Depressive Disorder (주요우울증을 동반한 고도비만 환자에 대한 행동요법을 병행한 리라글루티드 치료의 2예)

  • Ko, Hae-Jin
    • Archives of Obesity and Metabolism
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    • v.1 no.1
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    • pp.39-42
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    • 2022
  • Obesity is a chronic disease associated with severe complications. A major complication of obesity is depression, which can worsen obesity and vice versa. In addition, most antidepressants or antipsychotics cause weight gain, and the relationship between obesity and depression is clinically critical. However, treatment of obese patients with major depressive disorder is complicated. Bariatric physicians should provide appropriate behavioral interventions alongside pharmacological treatment, considering psychiatric symptoms, drug side effects, and drug interactions. Two successful cases of moderate-to-severe obese patients with major depressive disorder who had been treated for obesity using behavioral intervention therapy along with liraglutide will be discussed. This report highlights the safety and efficacy of liraglutide treatment of obesity in patients with depression who take antidepressants and antipsychotics.

A Clinical Study on Softening E.C.T. & Comparison of Propofol and Pentothal as Anaesthetic Agents on Seizure Duration (연성 전기 경련 요법의 임상적 고찰과 마취제 pentothal과 propofol에 따른 경련기간의 비교에 관한 연구)

  • Song, Hun-Il;Min, Kyung-Joon;Choi, Ihn-Geun;Yoo, Tae-Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.4 no.2
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    • pp.259-264
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    • 1997
  • The authors performed this preliminary study to investigate the effect of softening E.C.T. and propofol was compared to pentothal for induction of anaesthesia for E.C.T. on seizure duration. The results were follows ; 1) E.C.T. was performed in 60 psychiatric inpatients who were admitted during the study period. Of them 51.7% were diagnosed as schizophrenia, 21.6% as major depressive disorder, 16.7% as bipolar I disorder, manic and 10% of others. 2) Mean number of E.C.T. was 12.2 times a patient. 3) The most common target symptoms were persecutory delusion in schizophrenia, psychomotor retardation or agitation in major depressive disorder, and violent aggressive behavior in bipolar I disorder, manic. 4) Pre-ECT medication usually used were atropine $0.0093mgkg^{-1}$, pentothal $2.76mgkg^{-1}$ or propofol $1.42mgkg^{-1}$. 5) The duration of seizure, as measured clinically, was reduced with propofol(20.5 sec) in comparison with pentothal (35.7 sec)(p<0.001). This suggests the possibility that additional treatments may be needed for the same clinical effect in psychiatric illness when propofol is used as the induction agent.

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Use of Various Treatment Modalities for Autism Spectrum Disorder and Mental Retardation (정신지체 및 자폐스펙트럼장애에서 다양한 치료방법의 사용실태)

  • Kim, Kyung Min;Choi, In Chul;Lee, Seok Bum;Lee, Kyung Kyu;Paik, Ki Chung;Lee, Jeong Yeob;Lim, Myung Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.2
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    • pp.73-81
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    • 2014
  • Objectives : The purpose of this study was to investigate the use of various treatment modalities including pharmacotherapy, educational-behavioral therapy, and complementary alternative treatment for children with mental retardation (MR) or autism spectrum disorder (ASD) in Korea. Methods : The sample consisted of 50 parents who have children with MR (N=28) or ASD (N=22) : 38 boys, 12 girls ; mean age 14.06 (4.14) years old. A questionnaire was composed of the experienced modality, duration, cost, satisfaction, etc. Results : According to the results, 56.0%, 100.0%, and 36.0% of children with MR or ASD have experienced pharmacological treatment, educational-behavioral therapy and complementary alternative medicine (CAM), respectively. Children who experienced educational-behavioral therapy and CAM experienced 3.52 kinds of education-behavioral therapy and 2.78 kinds of CAM, respectively. Monthly cost of pharmacological treatment was lowest among three modality categories. Regarding treatment satisfaction by parental report, the lowest score was recorded for CAM. Conclusion : Parents who have a child with MR or ASD are trying many treatment modalities and feeling the burden of their treatment.

The Development of Behavioral Modification Program on Weight Reduction in Overweight Patients taking Atypical Antipsychotics - Preliminary Study - (비정형 항정신병약물 복용 중인 과체중 환자에서 체중 감량을 위한 행동수정요법의 개발 - 예비연구 -)

  • Shin, Hong Beom;Park, Jong Ho;Cha, Bo Seok;Kim, Byung Soo;Lee, Suk Kyung;Kim, Hak Lyung;Kim, Yong Sik;Ahn, Young Min;Kang, Ung Gu
    • Korean Journal of Biological Psychiatry
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    • v.10 no.2
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    • pp.186-196
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    • 2003
  • Objects:The authors devebped a behavioral modification program for oveweight outpatients with schi-zophrenia and bipolar disorder will had teen treated with atypical antipsychotics, and evaluated the applicability of this program to outpatients Methods:Two men and nine women who had been treated with atypical antipsychotics and will had gained at least 5 percent of their pre-treatment body weight for 10 weeks, attended a behavioral modification program. The patients' weight, body mass index and the diet-activity scale were assessed and were compared with those of a matched comparison group will dd not attend the behavioral modification program Results:The body weight of patients who attended the behavioral modification program reduced with statistical significance, The treatment group showed significant improvement in diet-related items but not in activity-related items of the diet-activity scale Conclusions:This study suggested the applicability of a eehavioral mcdification program on weight reduction to overweight patients taking atypical antipsychotics for the frrst time in Korea Additional large scale studies are needed to validate the effectiveness of this program.

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Effects of Progressive Muscle Relaxation on Behavioral States and Emotional Reactions of Adolescent Athletes (점진적 근육이완요법이 청소년 운동선수의 행동상태와 정서반응에 미치는 효과*)

  • Park Sun-Nam
    • Child Health Nursing Research
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    • v.7 no.3
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    • pp.383-396
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    • 2001
  • This study was designed to investigate the effects of the progressive muscle relaxation on behavioral states and emotional reactions of adolescent athletes. The participants were 167 adolescent male soccer players aged between 12 and 18 who were junior or high school students in Seoul. Ninety-three of them were assigned to the experimental group, while seventy-four to the control group. The experimental group was treated by 10 sessions (20 min./session) of Jacobson's progressive muscle relaxation for two weeks, while the control group was not treated. The self and observer reported behavioral states, general stress by visual analogue scale, physical symptoms of stress, athletic stress, state anxiety, depression, self-esteem were measured before and after two weeks of the progressive muscle relaxation. The results were as follows ; 1. The self and observer reported behavioral states were significantly decreased in the experimental group compared with the control group. 2. The general stress and the gastrointestinal symptoms of stress were significantly decreased in the experimental group compared with the control group. No significant difference on athletic stress was found between the two groups. The depression and the state anxiety were significantly decreased in the experimental group compared with the control group. The self-esteem was significantly increased in the experimental group compared with the control group. 3. The influential factors on behavioral state of adolescent male athlete were depression and state anxiety. The accelerating factor on behavioral state change after the progressive muscle relaxation was state anxiety. These results are suggested that the progressive muscle relaxation could be effective in stabilizing behavioral state, decreasing general stress, gastrointestinal symptoms of stress, depression, state anxiety, in increasing self-esteem of adolescent male athletes. And the behavioral state change after the progressive muscle relaxation was influenced by state anxiety.

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Effects of Recreational Therapy on Dementia Behavior, Affection, and Activity of Daily Living of Senile People with Dementia (오락요법이 치매노인의 치매행동 및 정서와 일상생활수행능력에 미치는 영향)

  • Kim, Hee-Kyung;Choi, Eun-Sook
    • Korean Journal of Adult Nursing
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    • v.17 no.1
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    • pp.44-55
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    • 2005
  • Purpose: The purposes of this study were to examine the effects of recreational therapy (60 minutes * 3times/week * 6weeks) on dementia behavior & affection, and activity of daily living of senile people with dementia. Methods: The subjects were 27 senile people with dementia, 16 experimental group, 11 control group, admitted at K hospital in Chungnam province in quasi-experimental study. The recreational therapy program was developed, based on the recreational program for senile welfare made by athletics science research institute in Chungnam National University(1997). It consisted of rhythm game, ball play, and beanbag game. The data were collected through questionnaires from May 1st to June 10th 2003 and were analyzed using descriptive statistics, ${\chi}^2$-test, Fisher' exact test, and Man Whitney U test. Result: The dementia behavior and affection score was significantly different between the two groups (U=32.5, p=.005). The ADL score was significantly different between the two groups (U=12.0, p=.000). There were significant decrease in dementia behavior & affection, and improvement in ADL in the experimental group compared to the control group. Conclusion: Recreational therapy intervention was proved effect in decreasing dementia behavior & affection and promoting ADL of senile people with dementia. We recommended re-test in containing a communicating variable.

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Effects of Aromatherapy on Agitation in Patients with Dementia: A Systematic Literature Review and Meta-analysis (아로마 요법이 치매 환자의 초조행동에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Kim, Eun Kyung;Park, Heeok;Lee, Chun Hee;Park, Eunsil
    • Research in Community and Public Health Nursing
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    • v.30 no.2
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    • pp.183-194
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    • 2019
  • Purpose: The purpose of this study is to identify the effects of aromatherapy on agitation in patients with dementia using a meta-analysis and systemic literature review. Methods: The EMBASE, CINAHL, MEDLINE, and other databases were searched up to November 2017. Results: Of 419 publications identified, 12 met inclusion criteria, and 9 studies were used to estimate the effect size of aromatherapy. A total of 837 participants across all studies were included. The commonly applied methods were massage (50%), type of oil lavender (75%), and instrument Cohen-Mansfield Agitation Inventory (75%). A medium effect size of aromatherapy on agitation was identified (d=-0.56, $I^2=65.0%$, p=.001). The massage group has lower effect size than the other group (d=-0.98, $I^2=0.0%$, p=.001). Conclusion: Aromatherapy appears to be effective in improving agitation in patients with dementia. However, further studies for home-dwelling patients with dementia and with different types of aroma oil should be conducted in the future. In addition, research with well-designed are needed to assess the effects or aromatherapy on agitation.

Research Trends of Randomized Clinical Trial for Insomnia Using the Network Analysis (네트워크 분석을 이용한 불면의 무작위임상시험 해외 연구 동향)

  • Baek, Younghwa;Jin, Hee-Jeong
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.1036-1047
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    • 2013
  • In this study, we applied the time series analysis to the randomized controlled trial (RCT) researches related to insomnia for finding international trends. The data used in the analysis of 379 of ClinicalTrials, Web of Science was the of 132 by several keyword related with 'Insomnia' and 'Randomized Clinical Trial'. In ClinicalTials, RCT studies for insomnia, drug, cognitive behavioral therapy, depression were the key words make up the main network. In WOS, 'melatonin' key word was added in the main network. In addition to, we found the characteristic that the elderly and female subjects were steady studied.

The Effects of Cognitive-Behavioral Therapy on Problem-Solving Ability and Dysfunctional Attitude in Undergraduate Students (인지행동요법과 현실요법이 대학생의 문제해결능력과 역기능적 태도에 미치는 효과)

  • Hyun, Mi-Yeul
    • Journal of the Korean Society of School Health
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    • v.18 no.2
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    • pp.121-131
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    • 2005
  • Purpose: This study examined the effects of cognitive-behavioral therapy on problem-solving ability and dysfunctional attitudes in undergraduate students. Method: This study was conducted between September 2004 and May 2005. The subjects consisted of 23 undergraduate students. The experimental group (n=13) participated in a cognitive-behavioral therapy that consist of 8 session over an 8-week period. The control group (n=10) participated in a reality therapy that also consisted of 8 sessions over an 8-week period. Problem-solving ability and dysfunctional attitudes were measured for all subjects before and after therapy. These data were analyzed by unpaired t-test and t-test with the SAS program. Results: Following cognitive-behavioral therapy, the experimental group experienced a significant decrease in score of problem-solving ability and in approach-avoidance style (the subscale in the problem-solving ability). There were no changes in these values after the reality therapy in control group. Conclusions: In light of these results, cognitive-behavioral therapy has a positive effect on problem-solving ability in undergraduate students.

Non Pharmacological Approaches in the Irritable Bowel Syndrome (과민성 장 증후군의 증상 경감을 위한 비약물적 접근 고찰)

  • Choe, Myoung-Ae;Kim, Keum-Soon;An, Gyeong-Ju;Chae, Young-Ran;Choi, Jung-An;Hong, Hae-Sook;Park, Mi-Jung;Lee, Kyung-Sook;Shin, Gi-Soo;Jeong, Jae-Sim
    • Journal of Korean Biological Nursing Science
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    • v.7 no.2
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    • pp.49-57
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    • 2005
  • There have been many trials of clinical efficacy of multi component and single component treatments for irritable bowel syndrome(IBS). We reviewed effects of non phamacological treatments in the IBS. Though the efficacy of multi-component approaches was unclear, several results suggest that cognitive behavioral therapy was effective in improving gastrointestinal symptoms of IBS. As a single component, cognitive therapy and relaxation with or without biofeedback could improve the symptoms and psychological health of IBS patients. Yoga, meditation, self-help information and hypnotherapy could be applicable to IBS.

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