• 대한불안의학회지
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• 제20권1호
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• pp.27-34
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• 2024

Objective : Cognitive fusion, or believability, in acceptance and commitment therapy (ACT), refers to the tendency to become entangled in one's thoughts or feelings. It is an important factor in the development and maintenance of anxiety disorders. However, there is a lack of validated self-report measures for cognitive fusion and defusion, particularly for individuals with anxiety. To address this gap, this study aimed to evaluate the Korean Version of Believability of Anxious Feelings and Thoughts Questionnaire (K-BAFT). Methods : A total of 608 university students and 85 patients with obsessive-compulsive disorder (OCD) took part in this study. They were asked to complete various psychological measures, including the K-BAFT, other measures of ACT processes, and symptom scales. The researchers then analyzed the psychometric characteristics of the K-BAFT. Results : The results of the exploratory and confirmatory factor analyses indicated that the three-factor structure of the K-BAFT, which was reported in the original study, was also found in the university sample. Additionally, both the student and the OCD group demonstrated strong internal consistency (α=0.86 and 0.91, respectively). In the university sample, the K-BAFT showed a strong correlation with the Cognitive Fusion Questionnaire (r_s=0.53, p<0.001). However, it had a weak correlation with symptoms scales for depression, anxiety, and stress (all r_s<0.32). Furthermore, the OCD group had higher scores on the K-BAFT compared to the university sample. Conclusion : K-BAFT is considered to be a reliable and valid self-report tool for measuring cognitive fusion with anxious thoughts and feelings.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권1호
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• pp.4-13
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• 2017

The seeds of addiction are typically sown years prior to the onset of addictive substance use or engagement in addictive behaviors, due to the priming of the reward pathway (RewP) by alterations in the mechanism of stress-signaling from the hypothalamic-pituitary-adrenal axis (HPA) and related pathways. Excessive stress from a single-event and/or cumulative life experiences during childhood, such as those documented in the Adverse Childhood Experiences Study, is translated into neurobiological toxicity that alters the set-point of the HPA axis and limbic system homeostasis [suggested new term: regulation pathway (RegP)]. The resultant alteration of the RegP not only increases the risk for psychiatric and physical illness, but also that for early onset and chronic addictions by dysregulating the RewP. This paper reviews the interface of these symbiotic pathways that result in the phenotypic pathology of emotional dysregulation, cognitive impairment, and compulsive behaviors, as well as morbidity and shorter life expectancy when dysregulated by chronic stress.

• 한국응급구조학회지
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• 제27권1호
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• pp.7-18
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• 2023

Purpose: This study conducted a systematic literature review to analyze the factors related to suicidal ideation among firefighters. Methods: A systematic literature review was conducted to identify factors influencing suicidal ideation among firefighters, using Korean academic information search services from January to June 2022. A total of 238 articles were searched using keywords such as "firefighter," "depression," "post-traumatic stress disorder (PTSD)," "cognitive emotion regulation," "suicide," and "suicidal ideation." Among them, nine articles were selected for analysis using descriptive correlation studies. Results: It was found that the relationship between firefighter stress (PTSD) and suicidal thoughts was mediated by depression. Even if the stress level (PTSD) was high, suicidal thoughts decreased when the emotional coping level was high. Conclusion: To prevent firefighters from committing suicide, intervention programs with effective approaches to quickly identify high at-risk people and improve their emotional coping skills, should be implemented.

• 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 Korean Physical Therapy
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• 제13권1호
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• pp.107-114
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• 2001

Recently the number of elderly have been increasing at a rapid pace in Korea. Accompanying this aged society are numerous health problems. Whit this in mind health-promotion behaviors such as physical activity. good nutrition and stress management are vitally important to the elderly in reducing the risk of Health problems, maintaining health and improving the overall quality of life. Health promotion programs for the elderly must be developed. The purpose of th is study was to determine influential cognitive factors on health-promotion behaviors and the effects of previously implemented Health promotion programs. For this, previous studies were reviewed and analyzed. The results were as follows. 1. Cognitive factors on health-promotion behaviors were internal locus of control, perceived health status, self-efficacy, concerns about health, social support, attending social activities. 2. Components of health promotion programs were exercise and health education. Exercise was performed in most programs. The effects of exercise programs were improved flexibility, muscle strength. balance, cardiopulmonary function and elevated ability of daily living, perceived health status, quality of lift and a decrease depression. The results strongly suggest that complex health promotion programs should be developed. Health promotion programs need to include exercise, health education, health counseling and social activities. We have to consider cognitive factors on health-promotion behaviors.

• 한국융합학회논문지
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• 제6권2호
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• pp.13-18
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• 2015

본 연구의 목적은 소방공무원의 외상후 스트레스 장애의 원인을 파악하고 스트레스를 진단하기 위한 척도와 도구에 대한 고찰을 통해 위기상황 스트레스 관리 교육프로그램과 대책을 제안하고자 하는데 그 목적이 있다. 외상후 스트레스 장애는 침습 증상, 회피 증상, 인지와 기분의 부정적 변화, 과각성 증상을 특징을 포함한다. 트라우마의 기억은 외현 기억(explicit memory)과 암묵 기억(implicit memory)이 있다. 외현 기억은 의식적, 인지적, 서술적이며, 변연계 구조물 중 해마가 관여한다. 사건 당시 정보 처리는 억제적이며, 내러티브 언어구성을 갖는다. 암묵 기억은 무의식적, 정서적, 절차적이며, 몸이 기억을 한다. 관련된 변연계 구조물은 편도체이고 사건 당시 정보처리는 활성화되어 있고, 말로 표현할 수 없는 언어구성을 갖는다. 암묵 기억의 소거가 트라우마 치료에서 가장 중요하다. 위기상황 스트레스 관리(critical incident stress management, CISM)는 위기 상황으로 인해 발생되는 스트레스의 유해성을 감소시키고, 조절하기 위한 포괄적이고 체계적인 접근 방법이다. 결론적으로 CISM의 핵심적 목표는 외상후 스트레스 장애에 의한 심리적 상태의 종결이라고 할 수 있다. 본 연구는 외상후 스트레스 장애의 원인과 대처방법에 대한 문헌 고찰을 통해 소방공무원의 외상후 스트레스 장애 해소를 위한 교육프로그램 개발을 제안하고자 하였다.

• 한국산학기술학회논문지
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• 제22권3호
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• pp.536-545
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• 2021

본 연구는 전기향로를 이용한 침향 흡입이 스트레스와 뇌파에 미치는 영향을 파악하기 위해 시행되었다. 'H' 발달센터 공고로 모집한 성인 남녀 16명 대상으로 2019년도 09월부터 2020년 4월까지 실시하였다. 전기향로에 침향편(沈香片)을 올려놓고 침향 흡입 전과 후의 스트레스 반응과 뇌파 측정을 비교 분석하여 침향 흡입이 스트레스 대처자원의 가능성을 알아보고자 하는 것이다. 뇌파 측정은 19 Channel, Brainmaster Discovery로 하였으며, 분석은 NeuroGuide와 LORETA를 사용하였다. 수집된 자료는 SPSS/WIN 21.0 프로그램으로 기술 통계, Wilcoxon 부호 순위 검정을 하였다. 결과는 첫째, 침향 흡입 후 스트레스 반응 지수는 분노, 우울, 신체화 모든 항목에서 유의수준 0.01로 유의미한 차이로 감소하였다. 둘째, 침향 흡입 후 뇌파에서 측정 부위 19곳 중에서 FP1 1곳을 제외한 18곳에서 Alpha Wave가 증가하였고, 유의수준 0.05에서 확인되었다. 감정에 영향을 주는 영역(우측 측두엽, T6)에서 침향 흡입 전과 후의 차이가 가장 크게 나타났다. 셋째, LORETA 분석 결과 침향 흡입 후 기억과 정서적 활동에 중요한 뇌 영역(BA40)에서 Alpha Wave가 증가하였다. 이러한 결과로 전기향로를 이용한 침향 흡입이 스트레스와 뇌파에 긍정적인 영향을 미쳐 스트레스 대처 자원이 될 가능성을 확인하였다.

• 한국심리학회지 : 문화 및 사회문제
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• 제10권1호
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• pp.147-163
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• 2004

본 논문은 북한이탈주민들이 남한사회 정착에서 경험할 문화적 적응과정에 대한 이해를 증진시키기 위해, 북한 이탈주민들의 스트레스 대처양식을 조사 분석하여, 남한주민들을 대상으로 실시된 기존연구의 결과들과 비교 그 의미를 논의하였다. 상황적 특성에 따른 스트레스 대처방식을 측정하는 척도를 수정 사용하여, 다양한 스트레스 유발 원인(내부/외부, 영속/일시, 대인/개인)에 의한 가상 스트레스 상황에서 북한 이탈주민들의 대처방식(적극/소극, 접근/회피, 인지/정서/행동)을 조사하였다. 연구 결과에 따르면, 동일한 연구방법을 이용하여 남한주민들을 대상으로 기존의 연구결과(한성열, 허태균, 채정민, 김동직, 2001)에서 보고된 결과들, 즉 남한주민들이 스트레스 상황에 따라 선호하는 대처방식과 부분적으로 차이가 있었다. 예를 들어, 일시적인 요인에 의한 스트레스 상황에서는 우울 정도(CES-D의해 측정된)가 낮은 북한 이탈주민들이 적극적이고 접근적인 행동적 대처방식을 더 선호하였고, 외부적인 요인에 의한 상황에서는 적극적인 대처와 접근적인 대처를 더 선호하는 것으로 밝혀졌다. 더 나아가, 개인적인 또는 대인관계에서 비롯된 스트레스 상황에서 선호되는 대처방식에도 차이가 있었다. 마지막으로, 이러한 차이가 단기적으로 북한 이탈주민들의 적응과 장기적으로 미래의 통일과정에서의 심리적 갈등을 준비하는 관점에서 본 연구의 제안점과 한계점이 논의되었다.

• Journal of Korean Biological Nursing Science
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• 제18권1호
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• pp.36-42
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• 2016

Purpose: Stress activates the sympathetic nervous system and hypothalamic-pituitary-adrenal (HPA) axis and induces the release of glucocorticoids. Saccharin is 300 times sweeter than sucrose, but does not increase blood insulin levels. Thus, this study was designed to evaluate the effect of saccharin intake in restraint-induced stress response reduction in rats. Methods: Adult male Sprague-Dawley (SD) rats had stress induced by restraint for 2 hours/day for 1 week. Saccharin was provided in sufficient amounts to allow them to intake it voluntarily at 0.1% diluted in water. The Y-maze test and forced swim test (FST) were performed to evaluate cognitive function and the depressive behavior of the rats. The protein expression of the glucocorticoid receptor (GR) in hippocampal cornu ammonis (CA) 1 was investigated by using immunohistochemistry. Results: It was found that, the percentage of alternation in the Y-maze test was significantly (p<.01) higher in the Stress + saccharin group than in the Stress group. Immobility time in the FST was significantly (p<.01) lower in the Stress + saccharin group than in the Stress group. Also, the positive cells of GR in hippocampus CA1 were significantly (p<.05) lower in the Stress + saccharin group than in the Stress group. Conclusion: This study showed that there was an effect of saccharin intake in restraint-induced stress response reduction in rats.

• 가정∙방문간호학회지
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• 제27권1호
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• pp.29-41
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• 2020

Purpose: This study aimed to investigate the influence of post-traumatic stress on professional quality of life as mediated by cognitive emotion regulation among nurses working in small and medium hospitals who have experienced violence and to develop and test a structural equation model of that professional quality of life. Methods: Participants were 215 nurses who had experienced violence working in medium and small hospitals. They were surveyed using a structured questionnaire. Results: The final model was shown to have good fit with χ² (2.83), GFI (.90), TLI (.90), and CIF (.90). Therefore, the model was selected as the final model, supporting 7 of the 11 hypotheses. Post-traumatic stress, adaptive emotional regulation, and maladaptive emotional regulation had significant impacts on empathy satisfaction (professional quality of life subscale) and empathy fatigue (subscale of professional life quality) among nurses who had experienced violence, and the explanatory power of these variables was 28.7% and 38.6%, respectively. Conclusion: In the development of nursing intervention programs to improve the professional quality of life of nurses who have experienced violence, factors such as post-traumatic stress and cognitive emotion regulation (adaptive and maladaptive) should be considered as they were identified in this study as influencing the professional quality of life of such nurses in medium and small hospitals.