• Title/Summary/Keyword: 행동 수정 요법

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Management of Temporomandibular disorder (측두하악장애의 치료)

  • Jung, Da-Woon;Chung, A-Young;Kim, Seong-Taek
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.441-452
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    • 2012
  • Most of signs and symptoms of temporomandibular disorder(TMD) is temporary and self-limiting as other musculoskeletal diseases. Conservative, reversible treatment; self care, behavior modification, physical therapy, pharmacotherapy, splint therapy should be considered as initial treatment for temporomandibular disorder rather than non conservative, irreversible treatment.

A Case Study on Effect of Herbal Diet an Childhood Obese Patient (한방비만치료의 소아비만 증례 1)

  • Choi, Jung-Eun;Kim, Kil-Soo;Ju, Jae-Yong
    • Journal of Korean Medicine for Obesity Research
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    • v.3 no.1
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    • pp.69-74
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    • 2003
  • Childhood obesity is harmful to health and growth. We had experienced a childhood obese patient. From Feb. 28. 2003 to July. 14. 2003. We applied Chegameuiyin-tang(體感意苡仁湯), electrolipolysis and VLCD(very low calorie diet), behavioral therapy, aerobic exercise, infra-red therapy, auricular acupuncture, and aqua-massage. Through this obesity treatment during 5 months, total weight loss was 12.2kg, reduction of percent body fat was 13.4% (from 38.5 to 25.1), her condition and hepatic index(AST, ALT) was improved.

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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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The Effects of Weight Reduction Programme for Obese Primary School Students on Serum Lipid Level (초등학교 비만아동을 위한 비만관리프로그램이 혈중지질농도 변화에 미치는 효과)

  • Jung, Mi-Hee;Han, Sang-Sook;Lim, So-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8437-8446
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    • 2015
  • This study was designed to examine the effects of weight reduction programme(WRP) for obese primary school students on serum lipid level. This research used non-equivalent control group non-synchronized design that was conducted on two groups comprising 5th and 6th graders: an experimental group that received 12-week long WRP that combines diet, exercise and behavior modification therapy and the control group that did only rope-jumping. The collected data were analysed using ${\chi}^2$-test, t-test, ANOVA, Pairwise Comparsons by SPSS 18.0 Programme. It was proven that the WRP of this study was effective in lowering the total cholesterol(F=4.21, p=.049) and triglyceride(F=4.25, p=.049). WRP may be used as a basis for further studies that may be conducted after intervening the motivation level of the study subjects.

The Effects of Exercise.Behavior Modification Therapy on the Obesity Control and Self-esteem of the Obese Female College Students (운동.행동수정요법이 비만여대생의 비만도, 혈중지질 및 자아존중감에 미치는 효과)

  • Kim, Chung-Nam;Kwon, Yun-Hee;Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.18 no.2
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    • pp.293-300
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    • 2007
  • Purpose: To examine the effect of the exercise behavior modification therapy one the obesity control and self-esteem of the obese female college students. Method: Data was collected from March 10, 2006 to June 10, 2006. The research design was adopted randomized control group (EG=exercise group) pretest-posttest experimental ($E{\cdot}BG$=exercise${\cdot}$behavior modification therapy group) design. The subjects were nursing students at T college. A total of 37 obese female college students (BMI: over $27mg/m^2$) were selected for this research. The exercise program was executed for 12 weeks and 4 days a week, and the behavior modification was therapy performed for 12 weeks and 60 minutes per week. The data were analyzed with the SPSS Win 12.0 program through the Mann-Whitney test. Result: BMI (Z=-3.049, p=.002) of the $E{\cdot}BG$ was significantly different from the EG. The Total Cholesterol(Z=-1.162, p= .250) of the $E{\cdot}BG$ was not significantly different from the EG. The self-esteem(Z=-3.196, p= .001) of the $E{\cdot}BG$ was significantly different from the EG. Conclusion: The exercise behavior modification therapy was more effective than the exercise therapy in improving the obesity and self-esteem of the obese female college students.

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Clinical assessment to the dental treatment of bruxism: literature review (이갈이 환자의 치과 치료에 관한 임상적 접근을 위한 문헌 고찰)

  • Choi, Yu-Sung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.1
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    • pp.36-44
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    • 2014
  • Bruxism is a much-discussed clinical issue in dentistry. Although bruxism is not a life-threatening disorder, it can influence the quality of human life, especially through dental problems, such as, frequent fractures of dental restorations and pain in the orofacial region. This research has a goal to investigate the diagnostic methods of bruxism, to provide an appropriate information about various treatment in clinical situation, and to evaluate the effect and the usefulness of those methods. There is no certain remedy for bruxism that is a technically efficient and definitely reliable diagnosis and treatment. So, the primary purpose is to prevent the oral and maxilofacial tissue injuries from bruxism and to relieve the pain and symptom. Therefore, Combining various reversible treatments together, such as behavior modification, Oral appliances therapy and physiotherapy, is recommended. For a bruxism treatment in dental field, more researches about the factors influencing on diagnosis and cure are necessary.

Comparison of the Effects of Cognitive Behavioral Therapy and Behavioral Treatment on Obesity Treatment by Patient Subtypes: A Systematic Review and Meta-analysis (비만치료에 있어서 환자특성에 따른 인지행동요법과 행동수정요법의 효과 비교: 체계적 문헌고찰 및 메타분석)

  • Cha, Jin-Young;Kim, Seo-Young;Shin, In-Soo;Park, Young-Bae;Lim, Young-Woo
    • Journal of Korean Medicine for Obesity Research
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    • v.20 no.2
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    • pp.178-192
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    • 2020
  • Objectives: The present study aimed to compare the impacts of cognitive behavioral therapy (CBT) and behavioral treatment (BT) on weight loss and psychological outcomes among patients with three different subtypes of obesity: simple obesity, obesity with binge eating disorder, and obesity with depression. Methods: Embase, PubMed, the Cochrane Central Register of Controlled Trials, Research Information Sharing Service, and Korean Studies Information Service System were systematically searched for randomized controlled trials conducted on or before May 2020, that used CBT to treat obesity. Methodological quality was assessed using Cochrane's risk of bias tool 2 and publication bias was evaluated through the funnel plot using the trim and fill method, Egger's test, and Begg and Mazumdar rank correlation test. A meta-analysis was conducted using a random-effects model and the standardized mean difference with 95% confidence interval (CI) was used to determine effect size. Results: Twenty-one randomized controlled trials with a total of 22 intervention arms and 2,590 patients were included. Our study results revealed that the effects of CBT, compared with BT, on weight loss distinctly differed across all patient subgroups. In the simple obesity group, CBT was more effective than BT (Hedges' g=0.138, CI=0.012~0.264); however, in the obesity with binge eating disorder group, BT was more effective than CBT (Hedges' g=-0.228, CI=-0.418~-0.038); in the obesity with depression group, the effect of CBT was not statistically different from that of BT (Hedges' g=0.276, CI=-0.307~0.859). Further studies with larger sample sizes are required to confirm the outcomes observed in this study. Conclusions: Our results indicated that the effects of CBT on obesity treatment vary based on patient subtype. Therefore, our findings suggest that CBT or BT should be selectively recommended as a treatment strategy for different obesity subtypes.

Treatment of Obese Women with Low Calorie Diet, Aerobic Exercise and Behavior Modificaiton (저열량균형식, 운동 및 행동수정에 의한 비만여성의 치료에 관한 연구)

  • 장경자
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.24 no.4
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    • pp.510-516
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    • 1995
  • A multidisciplinary weight control program was conducted for obese women. The major components of the program included low calorie diet therapy, exercise, behavior modification and nutritional education and counseling. Sixteen healthy volunteers in excess of body fat, above 30%, were enrolled in the group support program. But 5 person were dropped out in the 2nd week of treatment. During the 1st week of group orientation, individual cause of obesity was assessed through a computer program including survey of dietary intake, activity, eating habits and life styles. During the 5 weeks of treatment, 4.8kg of average weight loss was accomplished using a following program ; low calorie diet(1200kcal/day with all essential nutrients), low impact aerobic exercise(50~60% of $VO_{2max}$, 1 hour/day in a group, 3~5 days/week), behavior modification of individual life styles and eating habits causing obesity and nutritional education concerning nutrition, role of exercise such as brisk walking, importance of slow eating in regular meal pattern and internal motivation for weight reduction, health risk of obesity and rapid weight loss, weight recycling and yo-yo syndrome, etc. Nutritional conseling was conducted 3 times per week with checking self-records of foods, activity, emotional state and tiredness. Before and immediately after 5 weeks of treatment, blood pressure, fasting blood glucose, cholesterol and triglyceride were measured and comparied with paired t-test. After 5 weeks of treatment, body weight, body mass index, body fat and circumferences of waist, upper arm and hip were significantly decreased. Also LDL-cholesterol was significantly decreased after obesity treatment.

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Weight loss effects of Bariatric Surgery after nutrition education in extremely obese patients (고도비만환자에서 베리아트릭 수술 (Bariatric Surgery) 후 영양교육이 체중감량에 미치는 효과)

  • Jeong, Eun-Ha;Lee, Hong-Chan;Yim, Jung-Eun
    • Journal of Nutrition and Health
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    • v.48 no.1
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    • pp.30-45
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    • 2015
  • Purpose: This study was planned to determine the characteristics of extremely obese patients during Bariatric surgery and to evaluate how the difference in the number of postsurgical personal nutritional educations they received affected the weight loss. Methods: This is a retrospective study on the basis of the medical records of extremely obese patients for 15 months after receiving gastric banding. A total of 60 people were selected as the study subjects and they were divided into the Less Educated Group and the More Educated Group according to the average number of personal nutritional educations they received. We investigated both groups to determine the general characteristic, health related lifestyle habits, obesity related complications and symptoms in possession, and eating habits before their surgery, the body composition measurement result, obesity determination indices at 1, 3, 6, 9, 12, and 15 months before and after their surgery, and the biochemical parameters at 6 months before and after their surgery. Results: Body fat and weight showed rapid reduction until 6 months after the surgery, but thereafter reduced slowly depending on the result of body composition measurement. Regarding body fat and weight, the More Educated Group, who received nutrition education more often, showed significantly lower levels than the Less Educated Group at 15 months after surgery. Regarding BMI and degree of obesity, the More Educated Group showed significantly lower levels than the Less Educated Group at 15 months after surgery. Here, we were assured that BMI is reversely proportional to the number of personal nutritional educations at 15 months, which is more outstanding after surgery than before surgery. Conclusion: Long-term nutritional education is a key factor for the extremely obese patient in maintaining the effects of Bariatric surgery on weight and body fat reduction onwards. In the next stage, considering the characteristics of the study subjects, adoption of individual nutrition education is recommended for postsurgical prospective arbitration of obesity in order to monitor blood pressure, obesity related complications, symptoms in possession, and how eating habits and health related life habits change, and to judge the actual effect of the nutritional education method at the same time.

담배연기 없는 맑은 화성 만들기 사업 평가

  • Lee, Hye-Gyeong;An, Mi-Yeon;Lee, Mi-Yeon;Go, Ji-Yeon;Lee, Ji-Seon;Go, Seung-Deok;Park, Nam-Su;O, Eun-Hwan
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2009.05a
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    • pp.87-87
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    • 2009
  • 2008년부터 화성시에서는 담배연기 없는 맑은 화성 만들기 사업에 착수하였다. 이는 흡연으로 인한 사망 및 질환 유병의 감소, 간접흡연에의 노출, 감소 개인행위 통제를 위한 역량 강화, 지역사회 협력체계 구축 및 지원적 환경의 조성을 목적으로 하고 있다. 포괄적 흡연통제프로그램 모델을 기반으로 하여 각기 적합한 환경을 위한 수행전략과 실행계획을 수립하였다 ; 담배연기 없는 환경조성, 홍보 및 캠페인, 금연클리닉을 통한 교육, 상담의 금연프로그램 운영, 모니터링과 평가, 사업관리를 위한 지침과 교육 등. 2008년 1년 동안 총 1714명이 금연클리닉을 방문하였으며, 이중 90%는 금연시도 4주간, 57%는 6개월 동안 금연상태를 유지하였다. 6개월 동안 금연상태를 유지한 대상 중 67%는 50세 이하 연령이었으며, 6개월 동안 금연상태를 유지한 대상 중 28%에게는 행동수정요법을 적용하였다. 금연환경 조성을 위해 지역사회내 건물과 시설을 모니터링하였으며, 경로당, 유치원, 초등학교, 문화재 등과 같은 특정 환경에 초점을 맞춘 교육과 관리를 수행하였다. 또한 2009년 사업추진방향설정을 위해 지역사회주민들 대상으로 하는 금연정책에 대한 전화조사를 실시하였다. 건강한 도시를 구축하기 위해서는 모든 지역사회구성원을 대상으로 하는 다양하고 효과적인 프로그램을 지속적으로 추진하는 것이 필요하다. 특히 학생, 가족, 학교, 지역사회와 정부간의 담배 없는 화성을 만들기 위한 협력적 관계 구축이 무엇보다 중요하다고 할 수 있다. 향후 보다 나은 사업추진을 위해 현상황에 대한 분석을 토대로 적절한 전략을 개발하는 것이 필요하다.

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