• 동의신경정신과학회지
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• 제28권3호
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• pp.195-206
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• 2017

Objectives: To evaluate the effects of concurrent therapy with cognitive behavior therapy and person-centered counseling in addition to general Korean herbal medicine treatment for a patient with anorexia nervosa. Methods: A patient diagnosed with anorexia nervosa was treated with Korean herbal medicine treatment, cognitive behavior therapy, and person-centered treatment. The results were evaluated through a feeding interview, self-checklist, beck depression inventory (BDI) and InBody test. Results: After the treatment period, the treatment effects such as improvement of dietary restriction and elimination behavior, weight gain, and reduced depression were confirmed. Conclusions: This study suggests that concurrent therapy together with cognitive behavior therapy, person-centered counseling, and general Korean herbal medicine treatment is effective on patients with anorexia nervosa.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.189-196
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• 2019

본 연구는 우울한 노인과 우울하지 않은 노인 당뇨환자의 자가관리 자신감과 자가관리 행위와의 관계에서 인지기능의 조절효과를 비교, 분석하기 위해 시도된 서술적 조사연구이다. 자료수집 기간은 2015년 4월 20일부터 8월 31일까지로서 D광역시에 거주하는 60세 이상의 2형 당뇨병 환자를 대상으로 하였다. SPSS 20.0 통계 프로그램의 기술통계 및 t-test와 다중회귀분석을 이용하여 최종 205부를 분석하였다. 분석 결과, 비우울군과 우울군의 일반적 특성 및 당뇨병 자가관리 자신감, 자가관리 지식과 행위 및 인지기능에는 통계적으로 유의한 차이가 없었으며, 자가관리 자신감과 자가관리 행위와의 관계에서 인지기능의 조절효과를 파악하였을 때 비우울군에서는 인지기능의 조절효과가 없었으나, 우울군에서는 인지기능의 조절효과가 있는 것으로 파악되었다. 이에, 당뇨병 대상자가 자가간호 행위를 지속하도록 돕기 위하여 인지기능 저하 및 우울증 선별 테스트를 실시함으로써 개별적 접근을 시도하고, 인지기능의 향상 및 우울증을 개선하기 위한 다양한 프로그램의 개발과 적용이 필요할 것이다.

• 한국가족관계학회지
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• 제21권3호
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• pp.49-72
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• 2016

Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.

• 정신신체의학
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• 제20권2호
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• pp.105-111
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• 2012

연구목적 : 본 연구는 경도인지장애(Mild cognitive impairment, 이하 MCI)와 알쯔하이머형 치매(Dementia of Alzheimer's type, 이하 AD)의 신경정신증상 빈도와 점수를 조사하고 비교 분석한 뒤, 인지기능과 Korean Neuropsychiatric Inventory(K-NPI) 결과와의 상관관계를 알아보고자 하였다. 방 법 : MCI 또는 AD를 진단받은 163명의 환자들을 세 군으로 분류하였다. K-NPI를 이용하여 MCI 환자 55명, 경도의 AD 환자 56명, 중등도 이상의 AD 환자 52명을 대상으로 신경정신증상을 조사하였고, 세 군간의 K-NPI의 부척도별 빈도와 composite score를 비교하였다. 결 과 : MCI군에서 가장 흔한 증상은 우울/불쾌감, 수면/야간행동, 불안, 과민/불안정 순이었다. 경도 AD군에서의 증상은 초조/공격, 우울/불쾌감, 불안, 무감동/무관심, 수면/야간행동 순으로 빈번하게 나타났다. 중등도 이상 AD 군에서는 무감동/무관심, 우울/불쾌감, 초조/공격, 망상 순이었다. 이 중 망상, 환각, 초조/공격, 무감동/무관심, 이상행동증상, 식욕/식습관의 변화의 빈도는 세 군 간에 통계적으로 유의한 차이를 나타내었다. 총 NPI 점수는 MMSE-KC 점수와는 음의 상관관계를, GDS와는 양의 상관관계를 보였고, 모두 통계적으로 유의하였다. 결 론 : 신경정신증상은 MCI, AD에서 흔히 보이는데, 본 연구에서는 MCI와 경도의 AD에서 이들 증상들이 유사한 양상을 나타내었다. 정신증은 중등도 이상 AD에서 가장 흔하게 나타났고, 이로 인해 더욱 빠른 인지기능의 저하를 초래할 수 있다. 따라서 MCI와 AD의 각 진행 단계에 따른 적절한 치료가 필요하다.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.144-154
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• 2018

우울한 사람들은 슬픔에 빠져 있고 부정적인 측면에 대해 반추하므로 외부를 향한 관심이나 반응성은 저하되는 경향이 있다. 타인에 대한 관심과 반응성을 기반으로 하는 행동이라 볼 수 있는 공감에 있어서 우울한 사람이 어떠한 특성을 보일지에 대한 의문을 가지고, 본 연구에서는 146명의 온라인 대학생들로부터 자료를 얻어 공감과 우울의 관계에 대해 살펴 보았다. 상관분석 결과, 공감의 인지적 측면인 조망수용은 우울과 부적상관을 나타냈고, 공감의 정서적 측면 중 공감적 반응과 공감적 관심 역시 우울과 부적 상관을 나타냈다. 그러나 또 다른 정서 공감의 지표인 개인적 고통의 경우 우울과 정적상관을 나타냈다. 공감 관련 변인들을 예측변인으로 설정한 회귀분석에서는 조망수용이 우울에 부적 영향을, 개인적 고통이 우울에 정적 영향을 미치는 것으로 나타났다. 개인적 고통이 자기비난을 매개로 하여 우울에 영향을 미친다는 가설을 다중회귀분석과 Sobel 검사를 통해 확인해 보았는데, 자기비난은 개인적 고통의 정적 효과를 완전 매개하는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구의 함의와 제한점에 대해 논하였다.

• 산경연구논집
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• 제11권7호
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• pp.29-40
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• 2020

Purpose: In modern society, many urban problems are occurring, such as aging, hollowing out old city centers and polarization within cities. In this study, we intend to apply big data and machine learning methodologies to predict depression symptoms in the elderly population early on, thus contributing to solving the problem of elderly depression. Research design, data and methodology: Machine learning techniques used random forest and analyzed the correlation between CES-D10 and other variables, which are widely used worldwide, to estimate important variables. Dependent variables were set up as two variables that distinguish normal/depression from moderate/severe depression, and a total of 106 independent variables were included, including subjective health conditions, cognitive abilities, and daily life quality surveys, as well as the objective characteristics of the elderly as well as the subjective health, health, employment, household background, income, consumption, assets, subjective expectations, and quality of life surveys. Results: Studies have shown that satisfaction with residential areas and quality of life and cognitive ability scores have important effects in classifying elderly depression, satisfaction with living quality and economic conditions, and number of outpatient care in living areas and clinics have been important variables. In addition, the results of a random forest performance evaluation, the accuracy of classification model that classify whether elderly depression or not was 86.3%, the sensitivity 79.5%, and the specificity 93.3%. And the accuracy of classification model the degree of elderly depression was 86.1%, sensitivity 93.9% and specificity 74.7%. Conclusions: In this study, the important variables of the estimated predictive model were identified using the random forest technique and the study was conducted with a focus on the predictive performance itself. Although there are limitations in research, such as the lack of clear criteria for the classification of depression levels and the failure to reflect variables other than KLoSA data, it is expected that if additional variables are secured in the future and high-performance predictive models are estimated and utilized through various machine learning techniques, it will be able to consider ways to improve the quality of life of senior citizens through early detection of depression and thus help them make public policy decisions.

• 한국농촌간호학회지
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• 제5권2호
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• pp.84-91
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• 2010

Purpose: This purpose of this study was to determine how effective a group therapy program on geriatric depression would be for elders who were living at home. Method: The study followed a quasi-experimental design and participants chosen for the study were elders living at home who had no problems with cognitive function, but excluding those elders who were diagnosed or under treatment for depression. The participants were divided into 2 groups, the experimental group of 16 and the control group of 17. Results: The Group therapy program had significant effects on decreasing depression in the elders. In the experimental group, the level of depression was significantly decreased after the group therapy (t＝-3.873, p=.002). Conclusion: The results of the study indicate that group therapy programs have a positive effect on geriatric depression in elders who live at home. Therefore, the authors expect further studies will be done based on the schematized group program to verify the results of this study for elders living at home in other parts of the country.

• 아동학회지
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• 제32권4호
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• pp.15-36
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• 2011

This study examined the effects of parental psychological control, dysfunctional perfectionism, and self-conscious emotions on depression in adolescents. The sample consisted of 471 adolescents (212 boys, 259 girls) attending high schools in Seoul. The results from Structural Equation Modeling indicated that dysfunctional perfectionism and self-conscious emotions mediated the impact of parental psychological control on depression only in the mother-daughter relationship, such that with mothers' greater psychological control, girls experienced higher levels of dysfunctional perfectionism and self-conscious emotions, and reported higher depression scores. Similarly, dysfunctional perfectionism functioned as a mediator in the association between parental psychological control and adolescent depression. This tends to support findings from previous studies emphasizing the importance of same sex parent-adolescent relationships. Dysfunctional perfectionism also had the largest direct effect of all variables analyzed on depression. Parental psychological control did not show statistically significant effects on self-conscious emotions for either boys or girls. These findings suggest that interventions designed to promote adolescents' mental well-being should focus on parenting of the same sex parent as well as adolescent cognitive characteristics.

• 성인간호학회지
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• 제18권3호
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• pp.446-456
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• 2006

Purpose: The purpose of this study is to provide basic data for nursing programs in order to reduce depression among middle aged adults by looking at gender differences. Method: A comparative descriptive design was used. Subjects were 315 adults from February. 15 to March. 2, 2005, using a structured questionnaire. The data was analyzed using $\chi^{2}$-test, Pearson correlation analysis and stepwise multiple regression. Results: $\chi^{2}$-test revealed significant gender differences in socio-demographic variables for career, drinking, smoking, and satisfaction with the spouse. The factors that influenced depression for men were stress, fatigue, job satisfaction and self-efficacy. For women, those factors were stress, family support, coping skills, and well-being. Conclusions: The results show that gender differences existed in terms of depressions, in terms of factors influencing depression. As a result, when middle aged adults are provided nursing programs, gender differences should be considered. To decrease the depression of men, nursing interventions are needed to decrease their stress and fatigue, and to improve their job satisfaction and self- efficacy. To decrease the depression of women, it is also needed to decrease their stress, to elevate their family support and coping skills, and to support them so that their well-being is perceived good.

• The Journal of Korean Physical Therapy
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• 제28권6호
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• pp.385-392
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• 2016

Purpose: This study aimed to evaluate the relationships among quality of life, caregiver depression levels, and disease severity, especially motor function, in children with cerebral palsy. Methods: Data were collected through questionnaires using survey and interview from 80 caregivers of children with cerebral palsy. The caregivers' quality of life was measured using medical outcomes study 36-item short form health survey, and level of depression was scored using the beck depression inventory. In addition, children's motor function was evaluated using gross motor function measure-88 and functional independence measure scores. Results: Among 8 domains of medical outcomes study 36-item short form health survey, "physical functioning," "physical role functioning," "mental health," and "bodily pain" domains were significantly correlated to "total" percentage scores of gross motor function measure-88. In addition, "mental health" and "bodily pain" domains were correlated to each sub-dimension, including "lying and rolling," "sitting," "crawling and kneeling," "standing," and "walking, running, and jumping." Similarly, the "running" and "jumping" dimensions including motor function measures correlated with "transfer," "locomotion," and "motor subtotal" of functional independence measure scores. The beck depression inventory scores were negatively correlated to "lying and rolling," "sitting," "crawling and kneeling," and the "total" percentage scores of gross motor function measure-88. The beck depression inventory scores were negatively correlated to "sphincter control," "communication," "social cognition," "cognitive subtotal," and "total" functional independence measure scores. Conclusion: It is necessary to consider the quality of life and emotional problems of caregivers of CP children and support them both physically and psychologically with comprehensive rehabilitation.