• 제목/요약/키워드: Addiction treatment

검색결과 151건 처리시간 0.023초

문제도박자의 단도박 의도를 예측하는 계획된 행동 이론 검증 (Verification of the Theory of Planned Behavior that Predicts the Intention for Gambling Abstinence of Problem Gamblers)

  • 박근우;서미경
    • 한국산학기술학회논문지
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    • 제20권11호
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    • pp.232-238
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    • 2019
  • 본 연구는 계획된 행동이론에 근거하여 문제도박자의 단도박 의도를 예측하는 모형의 적용가능성을 검증하기 위함이다. 지역사회 기관을 이용하는 문제도박자 100명을 대상으로 단도박 태도, 주관적 규범, 지각된 통제력과 단도박 의도를 조사하였다. 그리고 계획된 행동이론에 기반한 모형검증을 위해 단도박 태도, 주관적 규범, 지각된 통제력이 단도박 의도에 영향을 미치는지 구조방정식 모형으로 분석하였다. 연구모형 분석결과 단도박 의도에 가장 강력한 예측요인은 지각된 통제력이고 그다음이 단도박 태도였다. 그러나 주관적 규범은 단도박 의도에 의미 있는 영향력을 가지지 않았다. 이러한 결과를 바탕으로 본 연구자들은 문제도박자의 회복을 위해 단도박 효능감과 단도박 행동에 대한 긍정적 태도를 향상시키기 위한 인지행동적 개입을 제안하였다. 즉, 도박문제로부터 회복할 수 있다는 신념 강화를 위해 지속적인 지지와 대처기술훈련이 필요하고, 긍정적 태도를 향상하기 위한 도박문제 정보제공과 교육 역시 도움이 될 수 있다. 따라서 중독관리기관을 중심으로 도박문제에 대한 치료뿐만 아니라 예방 차원의 개입을 고려해 볼 수 있다.

집단미술치료가 인터넷게임과몰입 초등학생의 공격성과 정서조절능력에 미치는 효과 (Effects of Group Art Therapy on the Aggression and Emotional Regulation Ability of Elementary School Students Over-Immersed in Internet Games)

  • 이건욱;이현미;신지현
    • 한국콘텐츠학회논문지
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    • 제16권9호
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    • pp.769-778
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    • 2016
  • 본 연구는 집단미술치료가 인터넷게임과몰입 초등학생의 공격성과 정서조절능력에 미치는 효과를 알아 보는데 목적이 있다. 연구대상은 S시의 H지역아동센터, Y시의 G지역아동센터 초등학생 16명을 실험집단과 통제집단에 각각 8명씩 배치하였다. 집단미술치료는 실험집단을 대상으로 2016년 1월 4일부터 2016년 2월 15일까지 주 2회, 총 12회기 실시하였다. 연구도구로는 인터넷게임중독 척도, 공격성 척도, 정서조절 척도를 사용하였다. 자료분석은 실시시기와 집단에 따른 차이를 반복측정 변량분석 방법으로 처리하였다. 실시결과 집단미술치료가 인터넷게임과몰입 초등학생의 공격성 완화와 정서조절능력 향상에 긍정적인 효과가 있었으며, 그 효과가 지속되는 것으로 나타났다. 이상의 결과로 볼 때 집단미술치료는 인터넷게임과 몰입 초등학생의 공격성 완화와 정서조절능력 향상에 효과적임을 알 수 있었다. 끝으로 본 연구의 결과를 바탕으로 인터넷게임과몰입 초등학생의 예방 및 치료를 위한 본 프로그램 발전 방향을 제시하였다.

포용적 제도가 경제발전에 미치는 영향 : 한국과 독일의 게임산업 제도화를 중심으로 (Effect of Inclusive Institution on Economic Development : Focus on the institutionalization of the game industry in Korea and Germany)

  • 석승혜;유승호
    • 한국게임학회 논문지
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    • 제15권5호
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    • pp.57-78
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    • 2015
  • 본 연구는 일국의 경제 발전에서 포용적 제도가 미치는 영향을 알아보기 위한 것이다. 이에 미래 경제성장을 견인할 수 있는 인덱스로 게임산업에 주목하고, 독일과 한국의 게임의 제도화 과정과 제도의 차이가 게임산업 발전에 미치는 영향을 비교하였다. 여기서 한국과 독일의 게임제도를 비교하는 이유는 양국에서 게임은 국가주도에 의해 육성되기 시작하였지만, 현 시점에서 한국과 독일의 게임제도는 첨예하게 대립되고 있다는 점에서, 이러한 차이가 발생하는 주요 지점으로 제도에 주목할 수 있기 때문이다. 본 연구의 결과, 첫째, 게임의 제도화 과정에서 개방적/폐쇄적 연결망은 게임의 사회적 위상에 영향을 준다. 이로 인해 둘째, 법제도에서 게임 인력은 독일의 경우 아티스트로, 한국의 경우 잠정적으로 중독자(중독생산자)로 분류되며, 인센티브 제도에서도 독일은 게임산업의 수익이 재투자되는 창작자 보호로, 한국은 그 수익이 중독치료를 위한 집단으로 이전되는 징벌적 수탈로 이어지게 된다. 셋째, 이러한 제도적 포용성의 차이는 게임시장 규모의 성장과 창조기업 및 인력의 지역적 유입에 영향을 미치고 있었다. 이같이 유망 산업인 게임산업에 대한 포용성의 상실은 한국사회가 경제발전의 기회로부터 멀어지는 결과를 가져올 수 있음을 시사한다.

황금의 니코틴 약물투여에 의한 유전자 발현과 행동적 변동에 미치는 약리작용 (Pharmacological Action of Radix Scutellariae on Nicotine-Induced Locomotor Activity and C-Fos Expression in Rats.)

  • 이봄비;채윤병;권영규;양재하;김미려;김광중;서영민;김장현;함대현;이혜정;변광호;심인섭
    • 대한한의학회지
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    • 제26권3호
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    • pp.1-12
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    • 2005
  • Objectives : Substantial evidence suggests that reinforcing effects of nicotine can be mediated by the mesolimbic dopaminergic system. It has been shown that repeated injections of nicotine produce an increase in locomotor activity and expression of the immediate-early gene, c-fos, in the dopaminergic target areas. Herbal medicine as a therapeutic intervention has been widely used for the treatment of mental dysfunction. Many studies have shown that Radix Scutellariae (RS) can affect the biochemical balance in the central nervous system. Tn order to investigate whether RS has an influence on nicotine-induced behavioral sensitization, we examined the effect of RS on nicotine-induced locomotor activity and c-fos expression in the striatum and nucleus accumbens utilizing the fos-tike immunohistochemistry (FLI). Methods : Male SD rats received RS (200mg/kg, i.p.) 30min before repeated daily injections of nicotine (0.4mg/kg, s.c.) for 7 days. This was followed by withdrawal for 3 days and one challenge for 1 day. Results : System challenge with nicotine produced a much larger increase in locomotor activity and accumbal FLI. Pretreatment with RS significantly inhibited nicotine-induced locomotor activity and FLI in the striatum and nucleus accumbens. Conclusions : These results demonstrate that reduction in locomotor activity by RS may be reflected by reduction of dopamine release and postsynaptic neuronal activity in the striatum and nucleus accumbens. Our results suggest that RS may have therapeutic effect on nicotine addiction.

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약침이 반복적인 코카인 투여로 인한 행동적 민감화 현상에 미치는 효과 (Effect of Herbal-Acupuncture on Repeated Cocaine-induced Behavioral Sensitization in the Rat)

  • 이봄비;양재하;함대현;이혜정;심인섭
    • 대한약침학회지
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    • 제7권1호
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    • pp.53-61
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    • 2004
  • Substantial evidence suggests that behavioral and reinforcing effects of cocaine can be mediated by the mesolimbic dopaminergic system. It has been shown that repeated injections of cocaine produce increase in locomotor activity, expression of the immediate-early gene, c-fos in the nucleus accumbens (NAc), which was one of the main dopaminergic terminal areas. Herbal-acupuncture as a therapeutic intervention has been widely used for the treatment of many functional disorders such as drug abuse. Coptidis Rhizoma (CR) and its main component, berberine (BER) were selected as herbal medicine of herbal-acupuncture. Both medicines have been known to have the therapeutic effect on the central nervous system. In order to investigate the effects of CR and BER herbalacupuncture at shenmen (HT7) point (CR/H and BER/H) on the cocaine-induced behavioral sensitization, the influence of CR/H and BER/H on repeated cocaine-induced locomotor activity, the change of c-Fos expression in the brain by immunohistochemistry were examined. Male SD rats were given CR/H (0.4mg/kg) and BER/H (0.1mg/kg) 30 min before daily injections of cocaine hydrochloride (15mg/kg. i.p.) 10 days. After 3 days withdrawal, rats received a challenge injection of cocaine (15mg/kg, i.p.). Systemic challenge with cocaine produced much larger increased locomotor activity, accumbal Fos-like immunoreactivity in the NAc. Pretreatment with CR/H and BER/H significantly inhibited cocaine-induced locomotor activity, the change of c-Fos expression in the rats. Our data demonstrated that the inhibitory effects of cocaine-induced behavioral sensitization by CR/H and BER/H were closely associated with the reduction of presynaptic dopamine release in the NAc. These results suggest that CR/H and BER/H can be effectively applied to cocaine addiction.

기질 및 성격 검사(Temperament and Character Inventory: TCI)의 국내 연구 동향: 1998-2018년 학술지 게재 논문을 중심으로 (Research Trends of Temperament and Character Inventory in Korean Journals Published from 1998 through 2018)

  • 이수진;김민진;신희은;여정미;정수동;정은정;채한
    • 한국콘텐츠학회논문지
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    • 제21권10호
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    • pp.537-549
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    • 2021
  • 본 연구는 국내 발표된 기질 및 성격 검사(Temperament and Character Inventory: TCI)를 사용한 학술지 논문의 연구 동향을 살펴보기 위해 TCI 연구가 처음 등장한 1998년부터 2018년까지 국내 학술지에 게재된 논문 총 185편을 대상으로 연구자 소속, 사용된 TCI 종류 및 차원, 연구대상 연령, 연구 주제 등에 초점을 두고, TCI 주요 출판에 근거하여 4개의 시기로 나누어 TCI와 관련된 연구 동향을 분석하였다. 분석 결과 저자의 소속은 대학(53%)과 병원(44%)이 가장 많았으며, 사용된 TCI 차원은 기질과 성격 차원 모두를 사용한 연구(65%)가 기질 차원만 사용한 연구(34%)보다 많은 것으로 나타났다. 또한 연구대상은 성인(52%), 취학 아동 및 청소년(38%), 미취학 아동(10%) 순이었으며, 연구주제별로 분석한 결과 정신병리(36%), 성격(22%), 건강(16%), 중독(10%), 평가(8%) 등이었다. 특히 기질과 성격 차원에 따른 연구대상 및 연구주제에 대한 세부 분석을 토대로, 다양한 연령을 대상으로 치료의 효과를 TCI 성격 차원으로 살펴보는 후속 연구의 필요성에 대해 논의하였다.

선퇴 추출물의 Sprague-Dawley rat를 이용한 단회 경구 투여 독성시험 (Single Dose Oral Toxicity Study of Cicadidae Periostracum Extracts in Sprague-Dawley Rats)

  • 전병석;정희영;이수은;서윤수;김중선;남현화;이지혜
    • 대한본초학회지
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    • 제39권3호
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    • pp.107-114
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    • 2024
  • Objective : Cicadae Periostracum (CP), which is the discarded shell of the Cryptotympana atrata (Fabricius, 1775), is a recognized component of oriental medicine for treatment sore throat, itching, shock, sedation, edema. However, the safety and toxicity of CP have not yet been established. It has been reported that symptoms of addiction or side effects may occur in patients who take high doses of CP or who are hypersensitive to it. Therefore, we investigated the acute toxicity of an CP extracts in Sprague-Dawley (SD) rats. Methods : To study acute toxicity, five SD rats of each sex per group were treated with CP extracts at single doses of 0, 500, 1000, or 2000 mg/kg administrated by oral gavage, and body weight, clinical signs, and mortality were observed after dosing. At the end of 14-day observation period, all animals were sacrificed and complete hematological and macroscopic examinations were performed. Results : There were no dead animal and test article-related effects on body weight change or the gross finding. No toxicologically significant results were observed between control and treated groups in hematology. Although salivation related to stress at the highest dose was observed in clinical signs immediately after administration, it is considered to have no toxicological significance. Conclusion : As the results, we did not find any adverse effect at the dose levels of 500, 1000, or 2000 mg/kg in rats. The minimal lethal dose was considered to be over 2000 mg/kg body weight in rats.

급성 알코올 투여 백서의 신문혈 자극이 소교세포 활성에 미치는 영향 (Suppression of Microglial Activation by Acute Ethanol Administration through HT7 Stimulation)

  • 서수연;방세권;강석윤;조성진;최광호;류연희
    • Korean Journal of Acupuncture
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    • 제41권2호
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    • pp.33-42
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    • 2024
  • Objectives : The sigma-1 receptor is implicated in stress, depression, psychostimulant sensitization, and addiction vulnerability. Prior studies have indicated that ethanol exposure modulates sigma-1 receptor activity within the Ventral Tegmental Area (VTA). Here, we explore the sub-mechanisms underlying sigma-1 receptor activity induced by HT7 (Shinmun) stimulation in behavioral alterations following acute ethanol (ETOH) administration. Methods : Male Wistar rats were investigated for pro- and anti-inflammatory markers after injection of ETOH (1 g/kg) using cytokine enzyme-linked immunosorbent assay (ELISA)s. After confirming that HT7 stimulation changed the total distance traveled in the open field test (OFT), protein changes in the Ventral tegmental area (VTA) were measured by Western blotting. The expression level of inducible nitric oxide synthase (iNOS) after administration of a sigma-1 receptor antagonist (dihydrobromide 1047; BD1047, 10 mg/kg i.p.) and Shenmen (HT7) stimulation was compared. Results : As a result, acute ETOH administration increased proinflammatory marker levels (TNF-𝛼 and IL-6). HT7 stimulation restored the total distance response after acute ethanol administration. In addition, in the VTA, the levels of a microglial marker (iNOS), sigma-1 receptor and protein kinase C, which are predicted to be involved in up- and downregulation, were restored by HT7 stimulation. In particular, HT7 stimulation modulates iNOS expression through effects similar to BD treatment. This study suggests that the stimulatory effect of HT7 may be driven by microglial activation. Conclusions : Microglial activity is regulated by sigma-1 receptor, and sigma-1 receptor activity is regulated by HT7 stimulation. Significantly, we demonstrate that HT7 stimulation ameliorates behavioral alterations induced by acute ETOH administration through microglial activation within the VTA.

암환자 인식에 관한 연구 - 간호사ㆍ의사를 중심으로

  • 조인향
    • 호스피스학술지
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    • 제2권1호
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    • pp.58-74
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    • 2002
  • This paper constitutes a descriptive investigation and used a structured questionnaire to investigate nurses' and doctors' recognition of cancer patients. The subjects were extracted from the medical personnel working at the internal medicine, the surgery ward, the obstetrics and gynecology department, the pediatrics department, the cancer ward, and the emergency room of five general hospitals located in Seoul and Gyeonggi Province. The research lasted from August, 2001 to September 2001. Total 137 nurses and 65 doctors were included and made out the questionnaires directly distributed by the investigator. The study tool was also developed by the investigator and consisted of such items as the demographic and social characteristics, the medical personnel's recognition degree of cancer and cancer patients, their recognition of the management of cancer patients, and their participation in a hospice. The results were analyzed using the SPSS Window program in terms of technological statistics, ranks, t-test, and ANOVA. The reliability was represented in Cronbach' α=.75. The nurses' and doctors' recognition degree of cancer and cancer patients had an overall average of 3.86 at the 5 point-scale. The items that received an average of 4.0 or more included 'Medical personnel should explain about the cancer cure plans to the cancer patient and his or her family', 'A patient whose case has been diagnosed as a terminal cancer should be notified of it, 'If I were a cancer patient, I would want to get informed of it,' and 'Cancer shall be conquered whenever it is'. In the meantime, the items that received an average of 3.0 or less was 'My relationship with the cancer patient's family has gotten worse since I announced his or her impending death.' And according to the general characteristics and the difference test, the recognition degree of cancer and cancer patient was high among the subgroups of nurses, females, married persons, who were in their 30s, who had a family member that was a cancer patient, and who received a hospice education. The biggest number of the nurses and doctors saw 'a gradual approach over several days'(68.8%) as a method to tell a cancer patient about his or her cancer diagnosis or impending death. Those who usually tell tragic news were the physician in charge(62.8%), the family members or relatives(32.1%) and the clergymen(3.8%) in the order. The greatest number of them recommended a cancer patient's home as the place where he or she should face death because they thought 'it would stabilize his or her mentality'(91.9%) while a number of them recommended the hospital because they 'should give the psychological satisfaction to the patient'(40%) or 'should try their best until the last moment of the patient's death'(30%). A majority of the medical personnel regarded 'smoking or drinking' and 'diet' as the causes of cancer. The biggest symptom of a cancer patient was 'pain' and the pain management of a cancer patient was mostly impeded by the 'excessive fear of drug addiction, tolerance to drugs and side effects of drugs' by medical personnel, the patient, and his or her family. The most frequently adopted treatment plan of a terminal cancer patient was 'to do whatever the patient or his or her family wants' to resort to a hospice' and 'to continue active treatment efforts' in the order. The biggest reasons why a terminal cancer patient went to see a doctor were 'pain alleviation' 'control of symptoms other than pain(intravenous supply)' and 'incapability of the patient's family' in the order. Terminal cancer patients placed their major concern in 'spiritual(religious) matter' 'emotional matters' their family' 'existence' and 'physical matters' in the order. 113(58.5%) of the whole medical personnel answered they 'would recommend' an alternative treatment to a terminal cancer patient mostly because they assumed it would 'stabilize the patient's mentality.' Meanwhile, 80(41.5%) of them chose 'not to recommend it mostly due to the unverified effects and high cost of it(78.7%). A majority of them, I. e. 190(94.1%) subjects said they 'would recommend' a hospice to a terminal cancer patient mostly because they thought it would help the patient to 'mentally prepare'(66.6%) Only 17.3% of them, however, had received a hospice education, most of which was done through the hospital duty education(41.4%) and volunteer training(34.5%). The follows are results of this study: 1. The nurses and the doctors turned out to be still passive and experience confusion in dealing with a cancer patient despite their great sense of responsibility for him or her. 2.Nurses and Doctors realize the need of a hospice, but an extremely small number of them participate in a hospice education or performance. Thus, a whole recognition of a hospice should be changed, for which purpose a hospice education for nurses and doctors should be provided. 3.Terminal cancer patients preferred their home to a hospital as the place to face their impending death because they felt it would bring 'mental stability.' And most of nurses and doctors think it would be unnecessary for them to be hospitalized just for control of their symptoms. Accordingly a terminal cancer patient can be cared at home, and a home hospice care needs to be activated.

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2016년도 한의 교의 프로그램의 교사들의 만족도에 관한 연구 - 성남시 중고등학교를 대상으로 - (A Study of Teacher's Satisfaction Regarding Korean Medicine Doctor's Student Health and Wellness Program in 2016 - In Middle & High School of Seongnam City -)

  • 성현경;신선미;고호연;고재언;김효선;최석훈;박정수
    • 대한한방소아과학회지
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    • 제32권1호
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    • pp.83-91
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    • 2018
  • Objectives This study aims to build the baseline data for promoting school health care program by identifying satisfaction level and improvement point through the satisfaction survey after Korean medicine doctor's student health and wellness program in 2016. Methods An association of Korean medicine doctor in Seongnam city conducted Korean medicine doctor's student health and wellness program for 12 middle schools, 6 high schools and 1 special-need school in Seongnam city in 2016. The participating Korean medicine doctor visited each school for 8 times and conducted health consultations, health education classes and Korean medicine treatment for the school students and the school employees. Teachers and administrators from the participating schools answered the self-reported satisfaction questionnaires and the results were analyzed by SPSS 22.0. Results 35 people responded the program satisfaction questionnaires, the overall satisfaction average was $9.40{\pm}0.88$ (out of 10). In the course of the program, satisfaction average regarding the student's health check-ups was $9.05{\pm}0.88$, satisfaction average regarding the informatory brochures for the parents was $9.08{\pm}1.09$, satisfaction average regarding the participation enrollment process was $9.06{\pm}1.16$, and the satisfaction average regarding the questionnaire statistics and the result reports was $8.86{\pm}1.93$. The satisfaction average of the program was as follows: health consultation ($9.20{\pm}1.08$), treatment ($9.31{\pm}0.90$), and health education classes ($8.78{\pm}1.68$). Some of the good things about program were 'Telling students about their physical condition' (57.1%), 'Curing the sick student quickly' (48.6%), 'Providing students with useful information about the health' (48.6%), 'Teaching students how to manage their health and how to manage symptoms' (42.9%). Average satisfaction about sustainability and needs of the program was $9.15{\pm}0.91$, and the participant teachers wanted to learn more about how to manage internet addiction (22.9%), stress (45.7%), atopy (28.6%), neck pain (42.9%), allergic rhinitis (37.1%), and low back pain (34.3%) from the future wellness programs. Conclusions Student health care is one of the most important issue in national health policies. We have designed a bridge model that a local community, school, and doctors can work together to develop. After the implementation of the program, the results of the satisfaction survey showed a very high satisfaction level. This study can be the basis for further improvement of the bridge program as well as the expansion of the program in other settings.