• Title/Summary/Keyword: Cognitive-Based Intervention

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A Study on the Effectiveness of the Positive psychology based mental promotion program (긍정심리학 기반 정신건강 증진 프로그램의 효과성연구 -예비간호사를 중심으로-)

  • Kang, Min Soo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.2
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    • pp.95-106
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    • 2019
  • This study examines how mental health promotion programs based on positive psychology brings changes in pleasant life, engaged life and meaningful life. This research considers 15 programs featuring 178 students during one semester. Pre-and-post examination of psychological well-being, depression and optimism were conducted to identify changes before and after the program. 56 students (32%) showed positive changes in all 3 factors. 15 students among them were selected for an in-depth interview for a qualitative case study. As a result of the quantitative study, a mental health promotion program based on positive psychology showed statistically significant positive changes in the pre-and-post examinations of psychological well-being, depression and optimism. Mental health promotion programs based on positive psychology showed positive changes in mental, cognitive and behavior perspectives in the fields of pleasant life, engaged life and meaningful life of college students. Specifically, positive psychology and thinking programs influenced students to become more enthusiastic and active in pursuing a pleasant life. Secondly, positive psychology intervention concerning engaged life brought a recognition of higher 'self-acceptance'. Thirdly, each individual spent more time and effort to experience more satisfaction and accomplishments. Lastly, subjects showed greater optimism after the program. Through the searching gratitude program, study subjects expanded their appreciation of their relationships with others.

A General Hospital-Based Model for Early Detection of Depression in the Geriatric Patients with Chronic Medical Diseases (만성적인 신체질환이 있는 노인 환자의 우울증 조기발견을 위한 병원기반 모델)

  • Park, Seon-Cheol;Lee, Hwa-Young;Lee, Dong-Woo;Han, Sang-Woo;Park, Sang-Ho;Kim, Yeo-Joo;Choi, Jae Sung;Jung, Sung Won;Lee, Soyoung Irene;Na, Kyoung-Sae;Kwon, Young-Joon
    • Korean Journal of Biological Psychiatry
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    • v.20 no.2
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    • pp.31-39
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    • 2013
  • The geriatric patients with chronic physical diseases are frequently associated with the continuous clusters of depression including nonpathological sadness, subsyndromal depression, minor depressive disorder, and major depressive disorder. Because of the complex and reciprocal relationships among depression, elderly, and chronic physical diseases, screening approaches with specific nosological methods should be needed in the realm of early detection of depression. Cognitive decline is frequently manifested in geriatric depression with medical or neurological diseases. Also, somatic symptoms of depression or emotional symptoms of physical diseases can play a role as a hampering factor in the early detection of depression. Furthermore, after-care has been regarded as an essential factor of depression screening in the geriatric patients with chronic physical diseases. We reviewed the most popular examples of integrated medicine for depression in primary care. Thus, we propose a general hospital-based model for early detection of depression which includes favorable response loop between screening and therapeutic intervention. Our model can be a basis for evidence-based detection and after-care for depression in the geriatric patients with chronic medical diseases.

Comparison of Retained Activity Level according to Activity Areas of the Elderly (노인의 일상 활동 범주에 따른 활동 보유 수준 비교)

  • Paik, Young-Rim
    • The Journal of Korean society of community based occupational therapy
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    • v.9 no.2
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    • pp.1-12
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    • 2019
  • Objective : The purpose of this study is to measure the level of activity possessed by the daily activities of the elderly. In addition, we attempted to compare the differences in the categories of daily activities. Methods : We used K-ACS to evaluate 30 older people who engaged in economic activity living in community, 30 older people who did not have economic activity living in community, and 30 older people living in facility. We compared the level of activity retention. Results : There was a significant difference of level of activity retention according to the daily activity category of the subjects(p <.001). There was a difference in the instrumental activities according to the category of each activity, while the three groups showed similar patterns in leisure activities and social activities. In particular, all three groups were most likely to rest and watch television in the leisure activities, so the leisure activities of the elderly in Korea were very limited. Among the general characteristics, it was analyzed that there was a correlation between the activity, the marital status, the religion and the cognitive level. Conclusion : According to the daily activities category of the elderly, there was a difference in level of activity retention and the characteristics of daily activities correlated with the activities of the elderly. This suggests that it may be a basic data for establishing a client - centered intervention plan by considering the characteristics affecting daily living and level of activity retention of the elderly in the occupational therapy.

Concept Analysis of Fatigue in Hemodialysis Patients Based on Hybrid Model (혈액투석환자의 피로에 대한 개념분석 : 혼종모형)

  • Seo, Nam-Sook;Kang, Seung-Ja;Kim, Jae-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.688-698
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    • 2017
  • This study was conducted to identify the conceptual definitions and attributes of fatigue in hemodialysis patients based on the Hybrid Model of concept development. The Hybrid Model was used to investigate the main attributes and indicators of the concept by applying three stages. After a literature review, data were collected through observation and interviews including qualitative research in the field work stage. The participants included 10 patients in hemodialysis center of two hospitals in Gwang-ju, Korea. The attributes of fatigue concept in the hemodialysis patients were divided into four dimensions, physical activity, affective mood, social role, and cognitive reflection. The definition of fatigue by hemodialysis patients was defined as 'subjective feeling usually experienced in four dimensions during the process to recognize and adjust energy deficiency and limited functions caused by uremia and repeated hemodialysis for chronic renal failure'. Considering the dimensions and attributes derived from this study, it may be possible to develop an effective intervention program for fatigue in hemodialysis patients.

Escaping Uncertainty: Elementary Students' Emotional-Cognitive Rebuttals in the Argumentation of "Why Did the Kidney Beans not Germinate?" (불확실함에서 벗어나기까지: "왜 강낭콩이 싹트지 않았을까?" 논변 활동에서 초등학생들의 정서-인지적 반박)

  • Han, Moonhyun
    • Journal of The Korean Association For Science Education
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    • v.40 no.1
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    • pp.1-12
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    • 2020
  • In scientific argumentation, students can use rebuttals to escape uncertainty, which, in this case, can be defined as a vague and fuzzy feeling about other students' explanations. As rebuttals can play a critical role in the sophistication of arguments and the alleviation of uncertainty, this study aims to understand the dynamics of uncertainty and rebuttals by exploring the context of the uncertainty experienced by elementary school students in the argumentation of "Why did the kidney beans not germinate?" and to get insights based on the research results. Twenty fourth-grade students and their homeroom teacher in Kyong-Ki province, South Korea, took part in the research. Students engaged in argumentation in five small groups of four students. The researcher collected qualitative data through video transcriptions, student interviews, and field notes. In the data analysis, the researcher employed the constant comparative method to explore in what context students experienced uncertainty and how they used rebuttals. The results of this study were as follows: First, students tried to reduce their uncertainty through argumentation on why the kidney beans did not germinate. Second, students used elaboration-oriented rebuttals, personal opinion-oriented rebuttals, and blame-oriented rebuttals to reduce this uncertainty. However, when they used blame-oriented rebuttals, their uncertainty and negative emotions increased. Third, intervention by the teacher led students to stop using blame-oriented rebuttals. Instead, they employed elaboration-oriented rebuttals to explore why the kidney beans would not sprout, and finally, they escaped uncertainty by discovering an appropriate explanation. Based on the findings of this study, the researcher discussed how the interaction between uncertainty and elaboration-oriented rebuttals could shape and facilitate argument development in elementary school students.

Effects of Mental Practice on Balance Ability and Fall Efficacy in Dwelling Elderly Population: Single Subject Design (상상연습이 노인의 균형 능력과 낙상효능감에 미치는 영향 : 단일대상연구)

  • Chung, Jun-Chul;Jung, Hae-Yoon;Lee, Chang-Dae;Yoo, Eun-Young
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.2
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    • pp.31-42
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    • 2015
  • Objective : The aim of this study is to prove the effects of mental practice in balance ability of elderly population, and to investigate the possibility of application as an effective intervention method for fall prevention. Methods : This study provided mental practice to 3 subjects over 65 years old who have experienced fall, but do not have cognitive dysfunctions and independent in gait without any use of assistive devices from July to October, 2013. Within the individual case study, 4 sessions of initial baseline process (A), 5 sessions of mental practice (B), 4 sessions of re-initial baseline process (A') were proceeded using ABA design. Independent variable used mental practice for enhancing balance ability and fall efficacy in elderly population, and dependent variable were Berg Balance Scale (BBS) to find out the change in overall balance ability, Fall Efficacy Scale (FES) to see the change in fall efficacy, One-Leg Standing test(OLS), and Timed Up and Go Test (TUG) to determine the changes in both static and dynamic balance. Analysis of the results were provided via mean value and graph. Results : After the application of mental practice method, all of the subjects have shown increase in fall efficacy baseline values, and in addition, overall balance ability and both static and dynamic balances either increased or maintained. Conclusion : This study demonstrated that mental practice has positive effects on fall efficacy improvement and maintenance in elderly, thereby suggesting mental practice for fall prevention in elderly populations.

A Study on the Blockchain based Frequency Allocation Process for Private 5G (블록체인 기반 5G 특화망 주파수 할당 프로세스 연구)

  • Won-Seok Yoo;Won-Cheol Lee
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.16 no.1
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    • pp.24-32
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    • 2023
  • The current Private 5G use procedure goes through the step of application examination, use and usage inspection, and can be divided in to application, examination step as a procedure before frequency allocation, and use, usage inspection step as a procedure after frequency allocation. Various types of documents are required to apply for a Private 5G, and due to the document screening process and radio station inspection for using Private 5G frequencies, the procedure for Private 5G applicants to use Private 5G is complicated and takes a considerable amount of time. In this paper, we proposed Frequency Allocation Process for Private 5G using a blockchain platform, which is fast and simplified than the current procedure. Through the use of a blockchain platform and NFT (Non-Fungible Token), reliability and integrity of the data required in the frequency allocation process were secured, and security of frequency usage information was maintained and a reliable Private 5G frequency allocation process was established. Also by applying the RPA system that minimizes human intervention, fairness was secured in the process of allocating Private 5G. Finally, the frequency allocation process of Private 5G based on the Ethereum blockchain was performed though a simulation.

Delirium after Head Trauma at Psychiatric Consultation (두부 외상 후 섬망의 자문 정신 의학적 고찰)

  • Kim, Hyon-Chul;Lee, Sang-Chul;Kim, Do-Hoon;Lee, Sang-Kyu;Hong, Seung-Gwan;Son, Bong-Ki
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.15-22
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    • 2004
  • Objectives: Delirium after head trauma results in various cognitive and behavioral dysfunction. This study aimed at developing and validating a predicitive model for clinical improvement after delirium based on precipitating factors during hospitalization Method: Data were collected on 45 patients who developed delirium after head trauma using 5 year retrospective design, based on reviews of medical charts including psychiatric consultation reports. The differences of the group who sustained residual symptoms of delirium(The RS group) and the group of full recovery(The FR group) at 4 week follow-up visits were compared by motoric type of delirium, socio-demographic variables, neuroimaging variables and clinical variables of interest. Result: There was significant difference in reason for initial consultation between two groups, in terms of hyperactivity(p<.01). The presence of compensation claim, subcortical gray matter lesion was significantly associated with the RS group(p<.05). Total length of intensive care unit(ICU) admission and of hospital stay were significantly longer in RS group than FR group(p<.01). Conclusion: This study shows that hyperactivity on initial consultation, compensation claims, specific brain lesion were altogether significant factors in explaining prolonged duration of delirium after head trauma. A simple predictive model based on the presence of precipitating factors might be used to identify delirious patients at high risk for prolonged cognitive dysfunction. Early psychiatric intervention would be required for evaluating efficacious management and shortening admission period.

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Effects of the Massage Therapy on Weight, Stress Hormone and Mother - Infant Interaction (마사지요법이 저체중아의 성장, 생리적 변화 및 모.영아 상호작용에 미치는 효과)

  • Kim, Mi-Ye;Kim, Sun-Hee
    • Korean Parent-Child Health Journal
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    • v.3 no.1
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    • pp.1-14
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    • 2000
  • The Low Birth Weight infant birth rate in this country is a little more than 15 percent and is being increased. The survival rate of Low Birth Weight infant is over 90 percent and recently the rate runs is getting. However, because of the high risk of Low Birth Weight infant for handicap in growth, a preventive nursing intervention program for Low Birth Weight infant and their mother is considered to be necessary. Touch and massage, thus sensory stimulation has been considered to be important ensuring a normal growth of Low Birth Weight infant During the past decades sensory stimulation program has been used for premature and Low Birth Weight infants. Recently a study on the sensory stimulation for Low Birth Weight infants has bee n done in this country. Mother and infant relationship has a great influence on child's development. Especially, mother and infant interaction during one year after birth plays important role in child's social. affective and cognitive developments. But in the study of Low Birth Weight infants, the mother and infant interaction has been rare yet. However, there was no study effectiveness of the sensory stimulation on mother and infant interaction. In this respect, this study based on the importance of the nursing intervention, is intended to measure the effectiveness of the massage therapy in the aspects of weight, daily feeding amount, cortisolurine stress hormone and mother and infant interactions. This study has been conducted on the nonequivalent control group pretestposttest design in quasi experimental basis and Low Birth Weight infants from NICU of two Medical University Hospitals located in Taegu Metropolitan were selected in experimental group of 21 infants and control group of 20 infants. Data has been collected from May 1, 1999 to September 5, 2000. For the experimental group Field's sensory stimulation(tactile and kinesthetic stimulation) was applied 2 times a day for 10 days(10:00 - 11:00 hours in the morning and 19:00 - 20:00 in the afternoon) by nurse and mother. The electronic indicator scale (Cas Co. Korea) was used to measure infant's body weight. To determine urine cortisol concentration level under stress, rad immuno assay method was used. And to determine mother and infant interactions during feeding, tools developed by Kim Mi-Ye (1999) were used. Collected data were analyzed with SAS program using x-test, t-test, paired t-test and repeated measures ANOVA. Findings were as follows : 1. For the daily mean weight gain, the experimental group showed little higher than the control group, even though, there was no Statistically significant differences between two groups. 2. For the amount of daily mean feeding, the experimental group showed little higher than the control group, while there was no Statistically significant differences between two groups. 3. The level of wine cortisol concentration was increased in both groups, while no Statistical significance was shown between the two groups. 4. Mothers in experimental group were more likely to have higher mean scores in mother and infant interaction during feeding than mothers in the control group. Statistical significance was shown between the two groups(t= 5.78, P=.001). In conclusion, the massage therapy in this study showed with regard to even though through there was no statistically significance in the weight gain and urine stress hormone concentration. there was Statistical significantly higher in the mother and infant interaction during feeding. Based on the result of this study, it is considered that the massage therapy should be applied clinical practice and home to help a developmental growth and interaction of Low Birth Weight infants and mothers during the period of recovery.

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The Relationship Among Early Maladaptive Schema, Emotional Dysregulation, and SNS Addiction (초기 부적응 도식, 정서조절곤란, 그리고 SNS 중독의 관계)

  • Kim, Sue-Sung;Lee, Young-Soon;Kang, Jungsuk
    • Science of Emotion and Sensibility
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    • v.20 no.2
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    • pp.33-44
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    • 2017
  • The ultimate purpose of psychotherapy is to identify covert causes of a psychological problem and then to modify and change the causes. The goal of this study is also to make contribution to SNS addiction intervention program development through exploring the covert causes of SNS addiction which recently became social issue. Previous research identified such overt causes of SNS addiction as maladaptive self-concept (e.g., low self-esteem), maladaptive personality (e.g., strong narcissism) and strong negative emotions (e.g., high level of anxiety). Based on previous research, the study explored early maladaptive schema (i.e., cognitive dimension) and emotion dysregulation (i.e., emotional dimension) as the covert causes of SNS addiction and conceptually developed psychological maladaptive mechanism of 'early maladaptive schema ${\rightarrow}$ emotion dysregulation ${\rightarrow}$ SNS addiction.' As a result of a survey with respondents in their 20's who are at high risk for SNS addiction, the mechanism was confirmed for females. However, a significant relationship of 'early maladaptive schema ${\rightarrow}$ SNS addiction' was found for males. The findings offer an implication that interventions of early maladaptive schema for males and females in their 20's and interventions of emotion dysregulation for females in their 20's can fundamentally help cure their SNS addiction.