• 수면정신생리
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• 제25권2호
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• pp.74-81
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• 2018

목 적 : 한국 사회의 고령화와 동반되어 노인 인구의 불면증은 증가되는 추세이나 이로 인해 초래되는 개인 및 사회경제적 손실에 비해 적절한 치료를 받는 환자의 수는 많지 않다. 불면증 인지행동치료가 부작용을 최소화할 수 있는 일차적인 치료로서 추천되고 있으나, 시간 및 경제적 제약, 인지적인 자원이 필요한 부담으로 인해 치료에 대한 접근성이 제한된 실정이다. 불면증 단기 치료 프로그램은 이러한 부담을 최소화할 수 있는 대안이 될 수 있을 것이다. 본 연구의 목적은 지역사회 거주 노인을 대상으로 불면증 단기 치료 프로그램의 효과를 검증하는 것이다. 방 법 : 2016년 5월부터 2018년 1월까지 서울 소재 3개의 노인 종합복지관을 방문한 65세 이상의 불면증을 호소하는 노인들 47명을 대상으로 3주에 걸쳐 불면증 단기 치료 프로그램을 시행하였다. 프로그램의 전, 후의 수면의 질을 측정하는 피츠버그 수면의 질 지수(Pittsburgh sleep quality index, PSQI), 수면 위생 척도, 정서 관련 평가를 실시하였으며 치료 기간 중 매일 수면 일지를 작성하도록 지시하였다. 임상적 효과는 치료 전후의 총 수면 시간, 수면 잠재기, 수면 후 각성 시간 및 수면 효율로 평가하였다. 치료 전, 후의 변화를 비교하기 위해 비모수검정 방법인 윌콕슨 부호 순위 검증(Wilcoxon's signed-ranks test)을 이용하여 분석을 시행하였다. 결 과 : 불면증 단기 치료 프로그램을 시행한 뒤, 치료 전보다 대상자들의 PSQI 총점이 감소하였으며 PSQI 로 측정한 주관적 수면의 질이 유의하게 호전되었다. 치료 전후에 시행한 수면 일지를 비교한 결과에서도 개운함 및 수면 후 각성 시간에 대해서 유의한 수준의 호전을 보였다. 결 론 : 개발된 불면증 단기 치료 프로그램은 지역 사회 노인의 불면증에 대해 긍정적인 치료 효과를 보이는 것으로 나타났다 기존의 불면증 인지행동치료에 비해 시간적, 인지적 자원 부담이 적음을 고려하였을 때 불면증 단기 치료 프로그램은 지역 사회 내에서 노인 불면증 치료에 대한 접근성을 확대하는 데 사용할 수 있을 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권4호
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• pp.251-257
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• 2015

Objectives : We compared the clinical presentations of manic and depressive episodes and the treatment response among children and adolescents with bipolar disorder (BD) types I and II and BD not otherwise specified (NOS). Methods : The sample consisted of 66 patients, aged between 6 and 18 years, who were admitted for BD to a 20-bed child and adolescent psychiatric ward in a university hospital located in Seoul, Korea. Results : Patients with BD type I were more likely to have lower intelligence quotients and exhibit violent behaviors during manic episodes than patients with BD type II or BD NOS and to show better treatment responses during manic episodes than patients with BD NOS. Patients with BD NOS were more likely to have an irritable mood rather than a euphoric mood during the manic phase than patients with BD type I or II and to exhibit violent behaviors during the depressive phase and chronic course than patients with BD type II. Conclusion : Pediatric BD patients are heterogeneous with respect to their clinical characteristics. Implications for the usefulness of the current diagnostic subtype categories should be investigated in future studies.

• Animal Bioscience
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• 제37권2호
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• pp.253-260
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• 2024

Objective: The objectives of the present study were to evaluate the effects of once-a-day milk feeding on growth performance and routine behavior of preweaning dairy calves. Methods: At 22nd day of age, twenty-four Holstein calves were randomly assigned to one of two treatment groups (n = 12/treatment) based on milk feeding frequency (MF): i) 3 L of milk feeding two times a day; ii) 6 L of milk feeding once a day. The milk feeding amount was reduced to half for all calves between 56 and 60 days of age and weaning was done at 60 days of age. To determine the increase in weight and structural measurements, each calf was weighed and measured at 3 weeks of age and then at weaning. The daily behavioral activity of each calf was assessed from the 22nd day of age till weaning (60th day of age) through Nederlandsche Apparatenfabriek (NEDAP) software providing real-time data through a logger fitted on the calf's foot. Results: There was no interaction (p≥0.17) between MF and sex of the calves for routine behavioral parameters, body weight and structural measurements. Similarly, there was no effect of MF on routine behavioral parameters, body weight and structural measurements. However, the sex of the calves affected body weight gain in calves. Male calves had 27% greater total body weight and average daily gain than female calves. There was no effect of the sex of the calves on behavioral measurements. Collectively, in the current study, no negative effects of a once-a-day milk feeding regimen were found on routine behavioral and growth parameters of preweaning calves in group housing. Conclusion: Once-a-day milk feeding can be safely adopted in preweaning calves from 22nd day of age.

• 가정과삶의질연구
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• 제25권4호
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• pp.31-41
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• 2007

This study aimed to develop a cognitive-behavioral group counseling program for depression and aggressiveness in adolescents with delinquent propensity and to examine its efficacy through pre- and post-tests. The program included cognitive restructuring, exposure training, social skills training and relaxation training. Juvenile Delinquency Scale, BDI, K-YSR, and BDHI were administered to 520 3rd grade middle-school female students to assess their levels of delinquency, depression and aggressiveness. Initially 41 students who met all the following criteria were selected: 1) top 15% scores on Juvenile Delinquency Scale, 2) top 30% scores on BDI, K-YSR and BDHI respectively. Individuals currently receiving clinical treatment were excluded. Finally 39 students were selected and randomly assigned to either a treatment group(n=20) or a control group(n=19). Then the students in the treatment group were divided into 4 subgroups. The program consisted of 12 weekly sessions, approximately $1.5{\sim}2$ hours in duration. Pre- and post-tests administered to both groups included Juvenile Delinquency Scale, BDI, K-YSR, BDHI, and CLAB. Additionally, MESSY for teachers was added at pre- and post-tests. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) The students in the treatment group showed a significant reduction in the level of depression and aggressiveness in comparison with those in the control group. 2) Teachers reported a significant reduction in internalizing/externalizing behaviors of the students in the treatment group.

• 대한치과의사협회지
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• 제40권11호통권402호
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• pp.860-868
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• 2002

• 한국사회복지학
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• 제69권3호
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• pp.241-265
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• 2017

본 연구는 사회적 낙인이 행위중독의 치료를 방해하는 주요 요인이라는 전제하에 행위중독에 대한 사회적 낙인과정을 검증하여 반낙인 전략을 제안하기 위해 수행되었다. 연구모형은 정신장애에 대한 대중의 정서적, 행동적 반응을 설명하는 데 매우 유용하게 활용되는 귀인정서이론과 수정된 귀인정서이론을 적용하여 구성하였다. 즉, 행위중독의 원인을 성격이나 의지, 생활습관 등 개인적으로 통제 가능한 것으로 귀인할 경우 분노를 매개로 사회적 거리감이 증가될 수 있다. 그러나 행위중독의 원인을 개인이 통제할 수 없는 생물학적 요인으로 귀인할 경우 동정을 매개로 돕는 행동이 나타나거나(귀인정서이론), 오히려 위험하다는 인식으로 인해 두려움이 증가하여 사회적 거리감이 가중되는(수정된 귀인정서이론) 두 가지 경로가 존재할 수 있다. 연구모형 검증을 위해 경상남도의 성인 383명을 대상으로 도박중독과 인터넷 게임중독의 모의 사례를 무작위로 제시하고 사례가 보이는 문제의 원인, 그들에 대한 정서적, 행동적 반응을 질문하였다. 그 결과 모든 경로가 통계적으로 의미 있는 예측력을 가졌다. 따라서 개인적 원인으로 귀인할 경우 분노를 매개로 사회적 거리감이 증가하였다. 생물학적 원인으로 귀인할 경우 두 경로 모두 의미 있는 예측력을 가졌으나 동정을 매개로 돕는 행동을 예측하는 경로의 간접효과가 더 컸다. 이러한 결과에 따라 연구자들은 행위중독이 치료가 필요한 정신건강의 문제임을 강조하는 반낙인 전략을 제안하였다.

• 대한간호학회지
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• 제42권1호
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• pp.56-65
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• 2012

Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

• 대한불안의학회지
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• 제12권2호
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• pp.79-85
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• 2016

Sexually abused victims suffer not only physical damage, but they may also experience an array of additional problems ranging from acute fear, depressed mood, anxiety, shame, or insomnia to long-term psychiatric disorders. Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is known to have excellent therapeutic effects for trauma victims including victims of sexual violence. CBT treatment includes stress immunity training, relaxation training, and acceptance and commitment therapy. In foreign countries TF-CBT is carried out online in order to increase the therapeutic accessibility for the victim and improve the quality of the interview for the therapists. As a result, those victims who have difficulties in requesting external help, who live in remote areas, or who have limited time may now have access to the service and benefit from the online education programs. A website providing an online based TF-CBT program was initiated in Korea also. Through the website, victims and their guardians may obtain therapeutic information without the need for face-to-face meetings with therapists. Our goal is to create a system with this website which will provide therapeutic assistance to sexual violence victims and improve the quality of the counseling provided by the therapist.

• The Journal of Asian Finance, Economics and Business
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• 제7권9호
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• pp.517-526
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• 2020

This research investigates the relationship among product quality, service quality, perceived value, customer satisfaction, and behavior intentions. Validated measurements were identified from a literature review. The measurement model and the conceptual model depicting hypothesized relationships were evaluated based on responses from 220 customers using confirmatory factor analysis and structural equation modeling. The testing results show that, for the direct path, product quality has a significant, positive influence on customer satisfaction, and behavioral intentions. Also, perceived value directly influences customer satisfaction and behavioral intentions and satisfaction is an antecedent of behavioral intentions. For the indirect path, service quality has a significant, positive influence on behavioral intentions through the customer satisfaction. The major finding of this study suggest that service quality easily attract more customers, especially the young consumers. About the sale personnel, communication skills, knowledge and ways of treatment to customers are crucial to retailers to gain competitive advantage over competitors. Therefore, it should have clear and consistent processes, procedures with criteria that create the best condition for organization and individual to open this kind of retailing store. Furthermore, product quality improvement is essential; all products must have clear originality; and diversifying products and services is also the way to appeal more consumers.

• 비만대사연구학술지
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• 제2권1호
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• pp.6-10
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• 2023

Compensatory changes in energy consumption and neuro-hormonal changes following weight loss make it difficult to maintain the reduced weight and may cause weight regain. Therefore, establishing a long-term weight control plan and strategy starting from the initial weight loss period is necessary. Both the patient and doctor should know that weight loss cannot occur continuously, and that maintaining weight after the weight loss period is the basic course of obesity treatment. No single dietary pattern is effective for weight maintenance, and a variety of dietary control methods - such as calorie restriction and healthy proportions of carbohydrates, proteins, fats, and meal replacements - should be used to target an integrated and healthy dietary habit. An increase in physical activity is needed for weight loss and maintenance; however, rather than recommending an excessive amount of exercise, it is better to set realistic and long-term achievable goals. It is necessary to reset the goal according to the patient's weight maintenance stage and continuously apply behavioral therapies, such as self-monitoring and stress management. In previous studies, since the degree of weight loss and changes in behavioral patterns over the course of one year were important factors in maintaining long-term weight loss, obesity therapists should closely examine patient data and behavioral patterns across a period of one year and actively intervene when needed.