• Title/Summary/Keyword: 행동치료

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Modafinil for the Treatment of Attention Deficit Hyperactivity Disorder: A Systematic Review (Modafinil의 주의력결핍 과잉행동장애 치료효과에 대한 체계적 문헌 고찰)

  • Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.1
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    • pp.66-71
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    • 2010
  • 주의력결핍 과잉행동장애는 미국에서 약 200만 명의 어린이에게 나타나는 심각한 만성 신경행동학적 장애이다. 주의력결핍 과잉행동장애 치료의 중심은 약물요법이다. 그러나 현재 환자의 약 30%는 주의력결핍 과잉행동장애를 적응증으로 갖도록 허가된 의약품들을 사용해도 적절한 치료효과를 얻지 못하고 있는 상황이다. Modafinil은 methylphenidate나 amphetamines와 같은 각성제와는 다른 약리학적 기전으로 중추신경계를 항진시킨다. 본 연구는 modafinil의 주의력결핍 과잉행동장애 치료효과에 대한 최신 지견을 얻고자, 1990년부터 2010년 3월까지 MEDLINE에 등재된 논문을 ADHD와 Modafinil이라는 MeSH terms로 검색하여 추출한 자료 중에서 대조군이 사용된 무작위 배정 및 이중맹검 임상연구 사례만을 선별하여 임상적 유용성을 평가하였다. 현재 modafinil은 주의력결핍 과잉행동 장애 치료제로 허가된 의약품은 아니지만 최근 여러 국가에서 시행된 연구들은 modafinil이 안전하고 효과적인 주의력결핍 과잉행동장애 치료제일 수 있다는 결과를 보여주고 있다.

A Study on Drug Users' Intention to Use Treatment Services - Application of Extended Behavioral Model of Health Services Use - (약물사용자의 치료서비스 이용 의도 예측 연구 - 확장된 건강서비스이용행동모형의 적용 -)

  • Kim, Nang hee
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.165-191
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    • 2017
  • The purpose of this study is to identify the major predictive factors of intention of drug users to use treatment services. The theoretical framework was used extended Behavioral Model of Health Services Use which integrates the Andersen model and the Theory of Planned Behavior. Thus, this study examined the effects of individual characteristics(predisposing, enabling, need factor) and attitude, subjective norm, perceived behavior control on drug users' intention to use treatment services. Factors with a statistically significant effect were as follows: from the individual characteristics - gender and past treatment experiences of the predisposing factors along with psychiatric diagnosis, anxiety and depression, and severity of drug abuse of need factors. From the Theory of Planned Behavior - subjective norm and perceived behavior control turned out to have impacts on their intention to use treatment services. The study emphasizes that a concern of women, increasing positive experiences of treatment, efforts to change the subjective norms and perceived behavior control of drug users to promote their determination to get treatment.

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The Effect of REBT Reading Therapy Program on Peer Relationships in Lower Elementary School Students (REBT 독서치료 프로그램이 초등 저학년 아동의 인지•정서•행동 및 또래 관계에 미치는 영향)

  • Myungja Kim;Juhyeon Park
    • Journal of Korean Library and Information Science Society
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    • v.54 no.4
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    • pp.25-54
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    • 2023
  • The purpose of this study is to investigated the impact of reading therapy programs(classes) on the cognitive, emotional, behavioral, and peer relationships of children in the lower grades of elementary school. The study was conducted at the B Public Library in A Metropolitan City, Korea. Eight elementary school students participated in the REBT reading therapy program for 12 sessions, each lasting 120 minutes, every Saturday. The research method was qualitative, and an observer was appointed to verify the qualitative research. The observer and the researcher qualitatively analyzed the participant's cognitive, emotional, and behavioral observation diaries and pre- and post-person-picture tests for each session. As a result of the study, the REBT reading therapy program was found to have a positive impact on the cognitive, emotional, and behavioral changes and formation of peer relationships of the children. The results of the study show the need for children and youth institutions, including public libraries, to develop and operate reading therapy programs for various groups.

The Effect of Vestibular Sensory Integration on the Sensory Processing, Problem Behavior, and Auditory Behavior of Children With Cochlear Implants (전정감각 중심의 감각통합치료가 인공와우 수술 아동의 감각처리, 문제행동, 청각행동에 미치는 영향)

  • Park, Ye-Hyun;Kim, Hee
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.1
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    • pp.13-23
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    • 2021
  • Objective : This study examined the effects of vestibular sensory integration on the sensory processing, problem behavior, and auditory behavior in children who had cochlear Implants. Methods : This single-subject AB study was conducted for 11 weeks from August to November 2019 with three children with cochlear implants. A pre-test measure of each child's sensory processing and auditory behavior was recorded with the baseline on operationally defined behavioral problems as four incidents during 40 minutes of free play with an occupational therapist. The treatment period was 15 40-minute sessions of vestibular sensory integration. Behavioral problems were monitored and recorded during each treatment session. Once treatment was complete, a post-test was conducted on the children's sensory processing and auditory behavior. Results : The sensory processing and auditory behavior of all three participants improved after the vestibular-focused sensory integration, and diverse problem behaviors showed decreasing trends during the interventions. Conclusion : Vestibular sensory integration leads to positive changes in the sensory processing, problem behavior, and auditory behavior of children with cochlear implants.

Improvement of Attention Span and Impulsivity of Children with Attention Deficit Hyperactivity Disorder through Structured Violin Learning (주의력결핍과잉행동장애 아동의 집중력 향상과 충동성 조절을 위한 바이올린 교습 중심의 음악치료 사례 연구)

  • Kang, Hyun Jung
    • Journal of Music and Human Behavior
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    • v.3 no.2
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    • pp.1-14
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    • 2006
  • The purpose of this study is to examine the effect of violin learning as to enhance the attention span and impulsiveness of children with Attention Deficit Hyperactivity Disorder(ADHD). Three children with ADHD, grade 2, 3, 4 were selected to participate in the research. A total of 15 session were given during 8 week time span, including a final performance session. For measurement, Korean-Child Behavior Checklist(K-CBCL), Home Situation Questionnaire-Revised (HSQ-R), Conners Teacher Rating Scale-Revised (CTRS-R) were administered before and after the implementation. Other behavioral checklist were used to record inappropriate or interruptive behaviors. The results showed that violin learning has increased attention span and reduced impulsive behaviors of all three children with ADHD. Along with these changes, the identified inappropriate behaviors reduced as sessions progressed. Also the changes observed within the music environment were generalized to non-music environment, such as family and school. These results also indicate that violin can be a therapeutic medium used in music therapy setting to bring positive changes for children with ADHD problems.

A Systematic Review on Non-Medication Intervention for Self- Injurious Behavior of Individuals With Autism Spectrum Disorders (자폐스펙트럼장애의 자해행동 중재에 관한 체계적 고찰 : 비약물치료 중심으로)

  • Kim, Seul-kee;Choi, Jeong-sil
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.1
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    • pp.30-42
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    • 2019
  • Objective : The purpose of this study is to analyze non-medication interventions for self-injurious behavior of individuals with autism spectrum disorders, using a systematic review, and to provide evidence of appropriate services for individuals with autism spectrum disorders with self-injury behaviors in the clinical practice of occupational therapy. Methods : Using the electronic databases PubMed, Medline (ProQuest), DBpia, RISS, KISS, and NDSL, we searched for articles published in Korean and international journals from December 2004 to November 2018. The main search term were "Autism OR Autism Spectrum Disorder AND Therapy OR Treatment Or Intervention AND Self Injurious Behavior." Qualitative analysis was performed, and the results are presented in the PICO format. Results : A total of 12 articles were selected. The quality of the evidence was highest in level IV and level V. Single studies with an experimental design were the most common. Behavior therapy was the most common type of intervention. The next most common interventions were behavioral therapy, brain stimulation and control, and sensory integration therapy with behavioral therapy. The self-injury behaviors of individuals autism spectrum disorders were decreased, and was statistically significant. Conclusion : This study investigated the use of non-medication interventions for children with autism spectrum disorders who showed self-injury behavior. Future research should use higher-level designs, and investigate differences between various non-medication interventions.

Psychiatric Treatment of Chronic Pain Disorder (만성 통증장애의 정신과적 치료)

  • Rho, Seung-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.256-262
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    • 1999
  • Because chronic pain disorder may has multiple causes or contributing factors, including physical, psychological, and socio-environmental variables, the treatment of patients with the disorder requires biopsychosocial approaches in a multidisciplinary setting. In treating chronic pain, it is important to address functioning as well as pain, and treatment should be to increase functional capacity and manage the pain as opposed to curing it. Therefore treatment goal should be adaptation to pain or minimizing pain with corresponding greater functioning. Treatment begins with the initial assessment, which includes evaluation of psychophysiologic mechanisms, operant mechanisms, and overt psychiatric comorbidity. Psychiatric treatment of the patients requires adherence to sound pharmacologic and behavioral principles. There are four categories of drugs useful to psychiatrist in the management of chronic pain patients : 1) narcotic analgesics, 2) nonsteroidal antiinflammatory drugs, 3) psychotropic medications, and 4) anticonvulsants, but antidepressants are the most valuable drugs in pharmnacotherpy for them. Psychological treatments tend to emphasize behavioral and cognitive-behavioral modalities, which are divided into self-management techniques and operant techniques. Psychodynamic and insight-oriented therapies are indicated to some patients with long-standing interpersonal dysfunction or a history of childhood abuse.

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BEHAVIOR MANAGEMENT TECHNIQUE FOR AUTISTIC CHILDREN (자폐의 심도에 따른 치과치료시 행동 조절법)

  • Chang, Che-Rry;Kim, Ji-Hun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.2
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    • pp.181-186
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    • 2011
  • Autism is characterized by pervasive impairments in social interaction, verbal and non-verbal communication and restricted and stereotyped behavior. It is difficult for autism patients to receive dental treatment as lack of cooperation, so various behavior management method have been tried for dental treatment in clinic. The patients with mild autism can be managed by conventional behavior modification method and phamaco-logical conscious sedation. But the patients with severe autism and multiple dental caries can be treated by deep sedation or general anesthesia. The benefits of children's dental care in general anesthesia are full-mouth rehabilitation in one single appointment. We reported three cases of autism patients who were treated by various behavior management method as to severity of autism.

A Case of Combination Therapy of Cognitive - Behavioral Therapy and Oriental Medical Treatment On Panic Disorder (한방치료와 인지행동치료를 병행한 공황장애 환자 1례에 대한 임상적 고찰)

  • Jung, Hyo-Chang;Sung, Woo-Yong;Kim, Jin-Won;Jeong, Byeong-Ju;Jang, Ha-Jeong
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.211-219
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    • 2004
  • Panic disorder is a frequent anxiety disorder. Recently many studies raised that the course of panic disorder is the interaction of biological and psychological factor. So we used Oriental Medicine Treatment to control biological factor and Cognitive - Behavioral Therapy to control psychological factor of panic disorder, obtained good results. Practicing Cognitive - Behavioral Therapy, we were able to destroy catastrophic misunderstanding. And then in this case, patient is diagnosed Deficiency of Kidney(腎虛) with Fire from stagnation of Liver(肝鬱化火). So we used herbal medicine and acupuncture according to oriental medical theory and these efforts helped the case of disease.

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Effects of Participation in Physical Group Occupational Therapy on Cognitive Function, Behavioral and Psychological Symptoms of Dementia(BPSD), Social Behavior Function in the Elderly with Wandering Dementia (배회가 있는 치매노인에게 신체 그룹 작업치료 참여가 인지기능, 심리행동증상 및 사회적 행동기능에 미치는 효과)

  • Song, Byung-Nam
    • The Journal of Korean society of community based occupational therapy
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    • v.2 no.1
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    • pp.85-96
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    • 2012
  • Objective : The purpose of this study was to effects of the Participation in physical group occupational therapy on cognitive function, neuropsychiatric, social behavior in elderly with wandering dementia. Methods : Thirteen elderly with wandering dementia who live in nursing home in this study. Assessment tools were made by using Cognitive function scale(CFS), Algase Wandering Scale-V2(AWS-2), Neuropsychiatric Inventory-Questionaire(NPI-Q), social-behavioral function measure(SBFM). physical group occupational therapy performed for forty minute, once a week for 9weeks. the assessment tools were made twice: before, after the intervention. Results : Significant differences between pre-treatment and post-treatment were found in the AWS(p<0.05) score and SBFM(p<0.05) score, NPI-Q behabioral and psychological level(p<0.05) score. The cognitive function and neuropsychiatric number showed improvement. but score was not significantly(p>0.05) difference after physical group occupational therapy Conclusion : The findings suggest that the physical group occupational therapy used in this study may be helpful and effectiveness in elderly with wandering dementia, further studies with more subjects and longer treatment period, including will be performed to justify these findings.

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