• International Journal of Advanced Culture Technology
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• v.9 no.3
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• pp.46-54
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• 2021

Bullying prevention and intervention programs often include empathy training. This study investigated how the cognitive empathy and affective empathy are related to bullying involvement. For this purpose, a questionnaire composed of Korean version of Participant Role Questionnaire scale (bullying, defending, and outsider behavior), and Korean version of Basic Empathy Scale (cognitive empathy, and affective empathy) were administered to 598 middle school students from 7 different middle schools in Gyeongnam province of Korea. The results, based on Structural equation modeling, showed that adolescents' cognitive empathy were indirectly linked to bullying behavior of adolescents' through defending behavior and outsider behavior. Adolescents' affective empathy were directly linked to bullying behavior. These findings could guide the development and implementation of prevention programs for adolescents' bulling. Implications and future research are discussed.

• Journal of Korean Academy of Nursing
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• v.46 no.3
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• pp.349-363
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• 2016

Purpose: This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness. Methods: The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group =32, control group =32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using ${\chi}^2-test$, t-test, repeated measures ANOVA with the SPSS program. Results: Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group. Conclusion: Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

• Child Health Nursing Research
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• v.25 no.2
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• pp.223-233
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• 2019

Purpose: The purpose of this study was to investigate the effect of the moderate drinking program based on social cognitive theory on changes in the drinking habits of college students with drinking problems. Methods: This study included a total of 68 college students with drinking problems. These participants participated in 10 sessions of a moderate drinking program in which social cognitive theory was applied. Changes in the cognition and behaviors of the participants were then investigated. Results: The moderate drinking program based on social cognitive theory for college students with drinking problems was effective in increasing the subjects' drinking-related knowledge (U=191.50, p<.001), enhancing their drinking refusal self-efficacy(t=8.02, p<.001), and changing their drinking-related attitudes (U=108.50, p<.001), drinking outcome expectancy (t=8.68, p<.001), amount of drinking in a single session ($x^2=25.72$, p<.001), number of drinking sessions per month ($x^2=10.05$, p=.006), and problem drinking behaviors (t=5.77, p<.001). Conclusion: These results can be used to inform a regular on-campus intervention programs for moderate drinking, and to implement education about moderate drinking, thereby increasing the success rate of drinking reduction.

• Journal of Korean Biological Nursing Science
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• v.17 no.3
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• pp.219-227
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• 2015

Purpose: This study was conducted to review physiological mechanisms of internet addiction and to construct a theoretical framework for cognitive behavioral therapy for internet addicts. Methods: We searched for relevant literature in the PubMed and RISS databases using the terms "internet addiction", "internet game addiction", "internet abuser", and "online game". Only English, full-text articles published from 2000 to 2015 were included in this review of physiological indicators of internet addiction. Finally, 12 articles were selected for review. Results: The theoretical framework developed based on the review proposes that excessive internet use itself may induce physiological stress responses with an increase of stress-related hormones and neurotransmitters. Prolonged abnormal responses of these physiological features produce negative structural and functional changes in the prefrontal cortex, which is mainly involved in cognitive and executive functions. These changes may result in decreased cognitive function. As a stressor, excessive internet use leads to transforming voluntary use into involuntary, habitual use and thus promotes the development of internet addiction. Conclusion: The proposed theoretical framework encompasses cognitive processes that may contribute to the effects of internet use-induced physiological stress on internet addiction. We believe that this framework has important implications for developing cognitive behavioral strategies for internet addicts.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.3
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• pp.21-31
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• 2020

Purpose : The purpose of this study was to determine the effects of a cognitive-exercise program using step on the cognitive function, gait, and depression of elderly with mild cognitive impairment. Methods : The subjects comprised 30 elderly people with mild cognitive impairment who used elderly welfare centers in the provinces A, B, and C between March 21 and June 7, 2019. They were divided into an experimental group (n=15) and a control group (n=15) before undergoing an experiment based on a pretest-posttest control group design. The lowenstein occupational therapy cognitive assessment-geriatric population was used to assess the subjects' cognitive function, while the 4-stage balance test, 30-second chair-stand test, timed up & go test, and functional reach test were employed to evaluate their gait. In addition, the beck depression inventory was used to measure their levels of depression. Results : The cognitive-exercise program using step enhanced the subjects' cognitive function and gait and reduced their levels of depression. Furthermore, statistically significant differences were found between the experimental group and the control group. Conclusion : The cognitive-exercise program using step promoted the process of sensorimotor and cognition through the learning process of various steps taking left and right steps and cognitive activities. It improves gait by activating the coordination of the musculoskeletal and nervous systems of the body and positively affecting posture control, balance, flexibility, and lower extremity muscles. It also relieved depression by performing successful step learning and cognitive activities with forward-looking (doing) that leads to pleasure and achievement. The present study confirmed the value of a cognitive-exercise program using step to treat multiple domains of functional decline in elderly patients with mild cognitive impairment. This is therefore proposed as an intervention program for this patient group.

• Sleep Medicine and Psychophysiology
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• v.25 no.2
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• pp.58-67
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• 2018

Objectives: The purpose of this pilot study was to examine the effects of a mindfulness-based Body-Mind Intervention Program using marine resources on the improvement of quality of sleep, mood symptoms, and cognitive function in Korean female emotional labor workers. Methods: Twelve female workers who experienced excess emotional labor participated at the training camp program for five days in Danghangpo-ocean park, Goseung-gun, Gyeongnam Province in South Korea. Participant sleep quality, mood symptoms, and cognitive functioning before, after, and 1.5 months later were evaluated and analyzed. Results: After participating in the marine resource program, participants reported significantly decreased sleep latency. Global sleep quality, cognitive functions (attention, flexibility, and inhibition control), and mood states, including depression, tension, anger, fatigue, were also improved. These effects were generally maintained after 1. 5 months (PSQI t = 2.63, p = 0.02 ; HAM-D t = 5.92, p < 0.001). Conclusion: A Body-Mind Intervention Program using marine resources was effective in relaxing emotion-related tension and improving cognitive function. To advance this pilot study, it is necessary to carry out further research to investigate the use of marine resources in mental health interventions.

• Perspectives in Nursing Science
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• v.17 no.2
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• pp.80-89
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• 2020

Purpose: The aim of this study is to review literature on anger management intervention programs for parents published over the last 10 years and to extract the key elements of the interventions through an integrative review. Methods: This research was carried out in stages following Whittemore and Knafl's integrative literature methodology. Key words in Korean and English were used to search the PubMed, MEDLINE, EMbase, CINAHL, RISS, KISS and National Assembly Library databases. Several intervention factors were extracted from the selected papers on the basis of the framework which was helpful to identify the intervention patterns and were classified into meaningful themes. Results: The extracted intervention factors from the final nine studies classified into four themes: 1) Modifying irrational beliefs through cognitive approaches, 2) Empowering parenting competencies through learning a parent's role, 3) Utilizing emotion management skills, and 4) Parent-child relationship improvement training based on self-reflection. Conclusion: Four main themes were drawn from the key components of the various interventions. These findings should be considered in practice, and further intervention development studies for parents using these findings should be conducted.

• Korean Journal of Adult Nursing
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• v.24 no.3
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• pp.219-231
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• 2012

Purpose: The purpose of this research was to develop and evaluate a distress nursing intervention for relieving psychosocial distress. Methods: We developed a twelve-week non-pharmacological distress nursing intervention to decrease distress. This intervention includes cognitive behavioral therapy, mindfulness based stress reduction, psychoeducation and supportive therapy. The participants were 27 gynecologic cancer patients who agreed to participate in this study, selected by convenience sampling (experimental group-17 and control group-10). The data collection period was performed from November, 8, 2010 to February, 1, 2011. Data were analyzed by using the SPSS/WIN 18.0 program. Results: There were no difference between the two groups distress score, distress problem and quality of life. The experimental group had significant higher IL-12 and IFN-${\gamma}$ and lower TGF-${\beta}$ between before and after the distress nursing intervention. Conclusion: The findings indicate that the distress nursing intervention was an effective intervention in improving immunologic function of gynecological cancer patients.

• Korean Medical Education Review
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• v.26 no.2
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• pp.140-154
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• 2024

A physician's empathy plays a crucial role in patient-centered care, and in modern medicine, patients, their caregivers, and society demand a high level of empathy from healthcare providers. The conceptualization of clinical empathy, which has emphasized cognitive empathy since the mid-20th century, has been widely accepted in medical schools and the healthcare industry without much critical ref lection. This study provides an overview of the ongoing debates on empathy versus sympathy and cognitive empathy versus affective empathy to clarify the concept of empathy. Based on recent research findings, clinical empathy is proposed to encompass three components: cognitive empathy, affective empathy, and empathic motivation. It is suggested that fully demonstrating these components requires empathic communication skills. Additionally, the cognitive characteristics of medical students and the features of the academic environment demonstrate the need for education to strengthen their empathy skills. Considering this, proposed intervention methods that medical schools can consider include utilizing tutoring programs and debriefing processes for team activities, which can facilitate problem-solving as a coping strategy for stress. Learning communities can create an environment where students can receive social support and recover from stress. Medical schools can contribute to the development of students' professional identities as practicing clinicians who embody empathy and respect by cultivating professors as positive role models. Additionally, utilizing scales to assess the empathic nature of doctor-patient communication or incorporating patients and caregivers as evaluators can actively improve empathic communication skills.

• Journal of Naturopathy
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• v.13 no.2
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• pp.71-84
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• 2024

Background: This literature review analyzes 25 studies on the effects of keyboard instrument-based music interventions on cognitive function in older adults. The review shows positive impacts on sensory-motor functions and cognitive domains such as working capacity, attention, and memory. Objective: The purpose of this study is to systematically examine the effects of music interventions using keyboard instruments on cognitive function in late adulthood and evaluate their effectiveness. Method: The studies were analyzed based on participants, methods, tools, interventions, and outcomes, selecting relevant articles published between 2000 and 2023 according to PRISMA guidelines. Results: The analysis showed that keyboard music interventions significantly enhanced cognitive function, particularly in areas such as auditory abilities, attention, and working memory. Pre- and post-intervention tests demonstrated that piano playing significantly improved auditory abilities, attention, working memory, hand function, and brain plasticity. Conclusion: Keyboard instrument interventions positively impact cognitive function in older adults, suggesting their potential for preventing cognitive decline and promoting brain health. This study can guide future studies on the long-term effects and development of optimal strategies.