• 제목/요약/키워드: Cognitive anxiety

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2018 한국형 공황장애 치료지침서 : 정신사회적 치료전략 (Korean Guidelines for the Treatment of Panic Disorder 2018 : Psychosocial Treatment Strategies)

  • 김민숙;김민경;이재헌;김원;문은수;서호준;구본훈;양종철;이강수;이상혁;김찬형;유범희;서호석
    • 대한불안의학회지
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    • 제15권1호
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    • pp.13-19
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    • 2019
  • Objective : The purpose of this study was to investigate consensus relative to treatment strategies for psychosocial treatment in panic disorder, that represents one subject addressed by the Korean guidelines for treatment of panic disorder 2018. Methods : The executive committee developed questionnaires relative to treatment strategies for patients with panic disorder based on guidelines, algorithms, and clinical trials previously published in foreign countries and Korea. Seventy-two (61.0%) of 112 experts on a committee reviewing panic disorder responded to the questionnaires. We classified the consensus of expert opinions into three categories (first-line, second-line, and third-line treatment strategies), and identified treatment of choice using the Chi-square test and 95% confidence intervals. Results : For psychosocial treatment of panic disorder, individual and group cognitive behavior therapy (CBT) were recommended treatments of choice, and mindfulness based cognitive therapy (MBCT) was recommended as first line strategy. There was statistically significant consensus among experts regarding usefulness of each component of CBT and MBCT, for treatment of patients with panic disorder. Conclusion : Results, that reflect recent studies and clinical experiences, may provide the guideline for psychosocial treatment strategies for panic disorder.

스마트폰 기반 모바일상거래의 실용적가치와 지속이용의도 (Utilitarian Value and its Effect on Continuance Intention in Smartphone-based Mobile Commerce)

  • 최수정
    • 한국정보시스템학회지:정보시스템연구
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    • 제25권3호
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    • pp.31-60
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    • 2016
  • Purpose In 2016, the market size of mobile(m-) shopping goes beyeond more than half of a total of online shopping. People use smartphones as the main device for m-commerce. Under the circmustances, this study attempts to address why people prefer to use smartphone-based m-commerce. In other words, it is necessary to understand the main value that smartphone-based m-commerce creates. Drawing on the studies of consumption value, this study focuses on utilitarian value in predicting customers' continuance intention in the context of smartphone-based m-commerce, recognizing that utilitarian value is a key extrinsic motivation in the goal-oriented, performance-oriented shopping contexts. Furthermore, this study identifies factors affecting customers' utilitarian value from the perspective of benefits and costs, following the notion that it represents the result of evaluating a trade-off of benefits and costs caused by smartphone-based m commerce. More specifically, in this study, ubiquitous service, location-based service (LBS), transaction speed, and price utility belong to the benefit dimension, whereas technology anxiety and cognitive effort belong to the cost dimension. Design/methodology/approach To test the proposed hypotheses, the study conducted partial least squares (PLS) analysis with a total of 294 data collected on users with experience in smartphone-based m-commerce. Findings The results show that first, utilitarian value is increased by the benefits, such as ubiquitous service, transaction speed, and price utility. However, LBS has no direct effect on utilitarian value. Second, the noteworthy finding is that ubiquitous service and LBS greatly increase transaction speed. Third, technology anxiety and cognitive effort considered as the cost dimension are negatively associated with utilitarian value but their impacts on it are non-significant. Finally, the results support the argument that utilitarian value is a determinant of continuance intention. Overall, the findings imply that utilitarian value greatly depends on the peception on benefits rather than the aspect of cost in smartphone-based m-commerce. Overall, the findings offer new insight into the studies of m-commerce by considering and verifying the impacts of its benefits and costs simultaneously.

임상가용 아동 및 청소년을 위한 외상 후 스트레스장애 척도를 통한 학교폭력 피해아동의 인지행동집단치료 효과 : 예비연구 (The Effects of Cognitive-Behavioral Group Therapy on Victims of School Violence as Assessed by the Clinician-Administered PTSD Scale for Children and Adolescents (CAPS-CA) : A Preliminary Study)

  • 김형욱;김태형;은헌정;최말례;권태완;구정일;조수진;송옥선
    • 대한불안의학회지
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    • 제3권2호
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    • pp.97-103
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    • 2007
  • Objective : The present study was carried out in order to assess the effects of Cognitive-Behavioral Group Therapy (CBGT) on victims of school violence, as assessed by the CAPS-CA. Methods : The subjects were 14 children who had experienced school violence and were subsequently diagnosed with PTSD and partial PTSD using the Clinician-Administered PTSD scale for Children and Adolescents (CAPS-CA). Seven children agreed to participate in CBGT, and they received 10 sessions of therapy. After CBGT, both the CBGT and non-CBGT groups were assessed using the CAPS-CA and School Adaptation Test. Results : The study results showed significant decreases in avoidance (p=0.010) and hyperarousal in the CBGT group (p=0.009) following the completion of CBGT. The analysis of school adaptation showed that there was a significant improvement in peer relationships after CBGT in the CBGT group (p=0.045). Conclusion : CBGT is effective in improving PTSD symptoms in children who experience school violence and subsequently suffer from PTSD.

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An Analysis of Preference for Forest Therapy Programs Depending on the Emotional Characteristics of Subfertile Women

  • Bu, Seo-Yun;Shin, Chang-Seob
    • 인간식물환경학회지
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    • 제22권5호
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    • pp.489-503
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    • 2019
  • This study aimed to analyze the preference of subfertile women for forest therapy programs depending on their emotional characteristics, and to provide basic data for the development of forest therapy programs in order to promote the mental health of subfertile women. Among the surveyed emotional characteristics of subfertile women, the level of emotions including pressure to become pregnant, impatience and frustration were high, while that of emotions including anxiety and fear; depression, hopelessness, helplessness, loneliness and sadness tended to be medium. The level of emotions including shame and guilt tended to be low. The top six forest therapy programs preferred by subfertile women include a deep breath of air /phytoncide, forest bathing/wind bathing/sun bathing, self-esteem recovery program, eating organic foods, low body bathing/foot bathing/hot spring bathing, and breathing/breathing exercises. Subfertile women highly pressured to become pregnant showed significant differences in the preference of the self-esteem recovery program, Domar 's relaxation therapy, NLP therapy, and sleeping in the woods, while women with anxiety and fear showed significant differences in the preference of walking barefoot in forests, mountain walking in silence, listening to water sounds/ hand and foot soak, self-esteem recovery program, NLP therapy, cognitive behavior therapy, aroma therapy, integrated art therapy in forests, forest bathing/wind bathing/sunbathing, a deep breath of air/phytoncide, and observing stars. Women with depression, hopelessness, helplessness, loneliness, and sadness showed significant differences in eating organic foods, self-esteem recovery program, counseling/coaching, and cognitive behavior therapy. The significance of this study was to analyze the preference of subfertile women, as subjects, for forest therapy program. The results of this study are expected to be used as basis data for developing forest therapy programs for subfertile women.

곤충치유프로그램의 운영 방식에 따른 치유효과 분석 (Analysis of Healing Effects of Insect Healing Program Based on Operating Methods)

  • 김소윤;지상민;고혜진;박지연;김선영
    • 한국환경과학회지
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    • 제32권11호
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    • pp.833-840
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    • 2023
  • Insect-healing program is designed for farm use, and this study attempted to scientifically investigate its healing effect based on application methods. The insects used in the program are Trypoxylus dichotomus, Papilio xuthus, and Bombyx mori. Insect-healing program was conducted on 61 adults of over 50 years old and at two different farms for 12 weeks. Stress, anxiety, insomnia, and cognitive function were measured through pre- and post-surveys. Result of the analysis showed that cognitive function changed positively in direct experienced group (those that encountered live insects) and indirect experience group (those that encountered insects only through photos and videos). However, psychological variables such as stress and anxiety decreased and sleep time increased significantly only in the direct experienced group. These results demonstrate that an agro-healing program that involve the use of insect must include activities such as raising and taking care of live insect to achieve positive psychological healing effects.

마음챙김 명상과 이정변기요법을 이용한 공황장애 그룹치료 효과에 대한 임상적 고찰 (A Study on the Clinical Effects of Group Therapy for Panic Disorder Patients Based on Mindfulness & Li-Gyeung-Byun-Qi Therapy)

  • 이성용;유소정;최성열;유영수;강형원
    • 동의신경정신과학회지
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    • 제25권4호
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    • pp.319-332
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    • 2014
  • Objectives: This study was conducted to evaluate the clinical effects of group therapy for Panic disorder patients based on Mindfulness & Li-Gyeung-Byun-Qi therapy. Methods: The FFMQ, BDI, STAI, STAXI, Panic attack, Anticipatory anxiety and subjective improvement of three Panic disorder patients were compared pre- and post-treatment when given Mindfulness & Li-Gyeung-Byun-Qi therapy. Results: 1) After the patient in case 1 underwent 5 weeks of group therapy for Panic disorder, the Mindfulness meditation score was slightly improved, anxiety and depression were significantly decreased, and expression of anger was also improved. In addition, the Panic attack and Anticipatory anxiety became more stable in the objective evaluation, while 'Extreme improvement' was shown in the subjective evaluation. 2) After the patients in case 2 and 3 underwent 5 weeks of group therapy for Panic disorder, Mindfulness meditation scores were slightly improved, anxiety and depression were significantly decreased, and expression of anger was also improved. In addition, the Panic attack and Anticipatory anxiety became more stable in the objective evaluation, while 'Moderate improvements' were shown in the subjective evaluation. Conclusions: As per the results in these cases, it was shown that group therapy for Panic disorder utilizing Mindfulness & Li-Gyeung-Byun-Qi therapy was effective to maintain meditation and control the emotions of anxiety, depression, anger and so on. Therefore, it was considered that expansion of clinical utilization through the standardization of a group therapy program for Panic disorder is needed. Furthermore, it was also considered that a comparative study of the effects of previous cognitive programs for Panic disorder according to the objectified and standardized manual is needed in the future.

MSG의 반복투여가 어린랫드의 인지능력과 기억력에 미치는 영향 (Effect of Repeated MSG Administration on Cognitive Ability and Anxiety of Juvenile Rats)

  • 이해님;추강식;신성아;박정준;이세근;김세운;김현선;이송희;임정민;김형진;박영석;김상기;박병권;김병수;정지윤
    • 한국식품위생안전성학회지
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    • 제30권1호
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    • pp.120-125
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    • 2015
  • 본 연구는 Sprague-Dawley 계통의 4주령 랫드에서 MSG의 반복경구투여 독성평가와 행동실험을 통해 어린랫드의 인지능력과 불안감에 미치는 영향을 평가하기 위해서 시행하였다. 시험군은 MSG 대신 distilled water를 투여한 대조군(Control, n = 4), MSG를 3 g/kg을 투여한 군(Low, n = 4), MSG를 5 g/kg을 투여한 군(High, n = 4)으로 나누어 4주 동안 주5회 경구투여를 하였다. MSG의 안정성을 확인하기 위해 다음과 같은 관찰 및 검사를 하였다. 검사항목으로는 체중의 변화, 임상증상, 행동실험인 T-maze, Elevated-plus-maze와 혈액학적 검사, 혈청생화학적 검사, 병리조직학적 검사를 관찰한 결과 모든 투여군 및 대조군에서 특이할 만한 임상증상과 체중변화는 관찰되지 않았으며, 폐사 및 빈사 동물은 시험 전 기간을 통하여 발견되지 않았다. 행동실험인 T-maze 결과 MSG 고용량 투여군에서 움직이는 횟수가 감소하다 증가하는 양상을 보였고, Elevated-plus-maze 실험에서는 MSG 고용량 투여군의 Open arm의 출입빈도가 증가하는 등 유의적인 변화가 나타났다. 혈액학적 검사 및 혈청생화학적 검사에서는 대조군과 비교 시 유의적인 변화가 관찰되었지만 그 수치가 정상범위 안에 포함되기 때문에 이상을 나타내지 않았다. 병리조직검사 또한 약간의 염증발생 소견이 나왔지만 정상범위 안에 포함되기 때문에 이상을 나타내지 않았다고 판단했다. 따라서, 어린랫드를 이용한 MSG의 반복투여 독성시험 결과 특이할만한 신체적인 변화는 나타나지 않았으나 고용량의 MSG 투여는 어린랫드에서 인지능력의 저하 및 행동의 불안을 유발할 가능성이 있다고 사료된다.

국내 인지행동치료 연구의 지식구조: 동시출현단어 분석 (Knowledge Structure of Cognitive Behavioral Therapy Studies in Korea: Co-word Analysis)

  • 김도희;김현진;안다혜
    • 디지털융복합연구
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    • 제17권12호
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    • pp.509-521
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    • 2019
  • 본 연구는 인지행동치료(Cognitve Behavioral Therapy: CBT)분야 학술지에서 나타난 키워드의 출현패턴을 조사하여 국내 CBT 연구의 지식구조를 규명하는 데에 목적이 있다. 국내·외에서 수행된 CBT 연구를 비교하고자 '인지행동치료'에서 출판된 논문 234편(2008-2019)과 'Cognitive Therapy and Research'에서 출판된 논문 2,316편(1977-2019)이 수집되었다. 자료는 NetMiner 4.3 프로그램으로 분석되었으며 동시출현단어 분석은 코사인 유사도 행렬을 산출하고, 네트워크를 시각화하는 절차로 수행되었다. 본 연구의 결과로 국내 CBT연구자들의 주요 관심사가 식별되었고, 국내 CBT 지식구조는 9개의 연구영역으로 범주화되었다: '척도 타당화', '완벽주의와 속박감', '조현병 환자의 인지, 정서, 관계적 특성', '경계선 성격장애와 우울/양극성 장애 환자의 인지적 특성과 치료', '적응과 심리적 건강', '사회불안장애 환자의 인지적 특성과 치료', '우울의 원인과 공존이환', '수용전념치료', '폭식 장애 환자의 이해와 치료'. 본 연구는 지난 11년 동안 국내 CBT 분야에서 축적된 지식을 점검하였다는 데에 의의가 있으며 국내 CBT 연구의 향후 발전과제로 임상적 실천 표준을 제고하기 위한 연구가 필요하다고 제안한다.

항암화학요법을 받은 유방암 여성의 인지기능변화 경험 (Experiences of Changes in Cognitive Function for Women treated with Chemotherapy for Breast Cancer)

  • 정복례;변혜선;김경덕;김경혜;최은희
    • 여성건강간호학회지
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    • 제18권1호
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    • pp.1-16
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    • 2012
  • Purpose: The purpose of this study was to describe the experiences of the process of the change in cognitive function for women treated with chemotherapy for breast cancer. Methods: There were ten participants in total in this study. Data were gathered utilizing in-depth interviews over 3 times from September 2010 to January 2011. Data were analyzed by employing Strauss and Corbin's (1998) grounded theory methodology. Results: Findings indicate that causal conditions of these results were 'side effects of chemotherapy' and 'menopausal state', including contextual conditions as, 'mental fatigue' and 'anxiety about recurrence'. The core category was identified as 'confronting with unexpected chaos'. Intervening conditions were 'support from other people', 'lack of information on cognitive impairment'. Interaction strategies were 'changing the habit of life', 'making efforts for living life' and 'seeking for medical information'. Consequences of the process were 'physical restriction', 'difficulty in social life', 'disturbed working ability' and 'psychological distress'. Conclusion: The results of this study show that nurses should recognize there is a notable difference between individual patient's contextual conditions and interactive strategies. Furthermore educational information and individualized intervention should be provided to improve cognitive function for women with breast cancer.

과제유형에 따른 순환 과제훈련이 뇌졸중 환자의 우울감 및 삶의 질에 미치는 효과 (The Effects of Task-Related Circuit Training by Type of Task on the Depression and Quality of Life in Stroke Patients)

  • 김현애
    • 대한통합의학회지
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    • 제5권1호
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    • pp.1-9
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    • 2017
  • Purpose : This study is to examine the effects of different task-related circuit training by types of tasks on the depression and quality of life in stroke patients. Method : Forty-four chronic stroke patients were divided into a dual motor circuit task training group, a dual cognitive circuit task training group and a simple task training group. Over the course of eight weeks, before training, all the patients were identically encouraged to receive conservative physical therapy for 30 minutes, five times a week for a total of eight weeks with individual additional tasks. The dual motor circuit tasks training consisted of continuous circuit training motor tasks and additional motor tasks and the dual cognitive circuit task training consisted of tasks combining the same circuit training motor tasks and additional cognitive tasks. The simple task training consisted of natural walks on a flat terrain to the front, rear and lateral sides of the terrain. Result : As for the Stroke-Specific Quality of Life(SS-QOL) that showed significant diffe rences in comparison between the groups over the training period, the dual motor circuit task training group showed statistically significant differences in both different types of tasks at 8 weeks(p<.05). The score of Hospital Anxiety and Depression Scale(HADS) decreased in three groups, in the HADS showed significant changes over the training time in the three training groups(p<.05). Conclusion : It could be seen that the practical and continuous dual circuit task training was more effective than simple task training on quality of life. In comparison between the types of dual tasks, the dual motor circuit task training group showed more effects than the dual cognitive circuit task training group. This researcher hopes that the results of this study will be actively applied as rehabilitation methods for chronic stroke patients.