• 제목/요약/키워드: Cognitive-Behavioral Therapy

검색결과 218건 처리시간 0.026초

주의력 결핍장애아동의 치료 (MANAGEMENT OF THE CHILD WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDERS (ADHD))

  • 안동현;홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제1권1호
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    • pp.77-88
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    • 1990
  • 주의력 결핍장애아동의 치료는 악물치료가 중요하지만 중복장애아동과 같은 원칙에서 인지-행동적, 교육적 접근과 상호보완이 필요하다. 치료의 첫단계는 진단을 확립하고, 아동, 부모, 교사에게 이장애의 특성을 설명해 주고 치료의 대책을 세운다. 약물치료는 주로 중추신경자극제-그중에서도 메칠페니데이트를 중심으로 논의하였고, 그외에 삼환계 항우울제, 클로니딘, 항정신병약물이 소개되었다. 약물치료이외의 방법들로는 정신요법, 인지행동요법, 교육적 방법과 부모및 가족상담의 원칙들을 논의하였다. 이들 전통적인 치료방법이외에 논란되고 있는 식이요법, 비타민요법, 저당분요법, 미네랄요법, 정제된 당분의 투여, 신경학적 조직의 이론에 근거한 운동요법들을 소개하고 설명하였다.

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청소년의 비행 문제 감소를 위한 롤플레잉게임형식 인지행동 집단치료 프로그램의 개발 (Development of RPG-based Cognitive Behavioral Group Therapy for Reducing Delinquency in Adolescents)

  • 배성훈;유성은
    • 한국심리학회지:학교
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    • 제16권3호
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    • pp.471-499
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    • 2019
  • 본 연구의 목적은 비행 청소년의 비행 행동을 감소시키고 사회적 문제해결 기술, 정서조절 능력, 자기 통제능력을 향상시키기 위한 프로그램을 개발하여 그 프로그램의 효과를 검증하는 것이다. 본 연구에서는 인지행동치료의 치료 구성요소들을 롤플레잉게임(Role Playing Game)의 형식으로 구성하여 치료 효과 뿐 아니라 프로그램 참여 동기를 향상시킬 수 있는 프로그램을 개발하였다. 본 연구의 대상은 서울과 경기도 소재의 중학교에서 비행 문제로 의뢰된 36명의 청소년들과 이들의 담임교사 18명이었다. 청소년들은 각각 실험집단과 비교집단에 무선 배정되었고 담임교사 역시 청소년들의 무선 배정에 의해 함께 무선 배정되었다. 실험집단에는 RPG형식 인지행동 집단치료 프로그램이 수행되었고 비교집단에는 문제해결 기술 집단치료 프로그램이 수행되었다. RPG형식 인지 행동 집단치료 프로그램에 할당된 담임교사에게는 매 회기 후에 청소년 지도와 관련된 교사 교육을 실시하였다. 문제해결 기술 집단치료 프로그램에 할당된 담임교사는 교사 교육을 받지 않고 사후 및 추후 측정에만 관여하였다. 치료 효과를 알아보기 위해 비행행동, 사회적 문제해결 기술, 정서조절, 자기 통제 수준을 사전, 사후, 추후(두 달 후)에 측정하였다. 연구 결과 사후 검사에서 실험집단의 비행행동은 비교집단에 비해 통계적으로 유의미하게 감소되었고 사회적 문제해결 기술, 정서조절 능력, 자기 통제력은 비교집단에 비해 통계적으로 유의미하게 증가되었다. 프로그램이 종결된 시점에서 한 달이 지난 후에 재측정을 했을 때에도 비행 행동, 사회적 문제해결 기술, 정서조절 능력 및 자기 통제력 수준이 모두 사후 평가 때와 유사한 수준으로 유지되었다. 더불어 실험집단은 비교집단에 비해 통계적으로 유의미한 수준에서 높은 프로그램 만족도를 보고하였다. 본 연구의 결과는 RPG 형식의 인지행동 집단치료 프로그램이 청소년들의 비행 문제 감소 및 비행 문제 감소와 관련된 기술 및 전략의 향상에 효과적이면서도 비행 청소년들이 흥미를 갖고 참여할 수 있는 집단치료 프로그램임을 보여준다.

패션 테라피 고찰과 프로토콜 제안 (A Review of Fashion Therapy and Proposal of Protocol)

  • 이새은;이유리;하지수
    • 한국의류학회지
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    • 제40권5호
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    • pp.788-800
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    • 2016
  • This study proposes an execution protocol for fashion therapy. Research on fashion therapy are limited and insufficient for the current need for the establishment of a fashion therapy theory. This study introduces cognitive behavior therapy, embodied cognition, and object relations theory as theories that underlie fashion therapy. A fashion therapy system model is provided based on the analysis of art therapy to explore its applicability to fashion therapy. The fashion therapy system model utilizes fashion items to managing pain and stress to better competence, encouragement and self-expression mechanisms to improve social, psychological, emotional and behavioral functions. In addition, 8 phases of the fashion therapy process (inquiry, forming rapport, assessment, goal-objective, observation, selection of strategy and design, practice, and the final evaluation and closing of fashion therapy) are suggested for developing a practical fashion therapy program. This study is to help overcome a negative perspective on fashion that provokes an excessive spending behavior and to make a practical contribution by creating more social value through fashion. The significance of the study is in the attempt to create an interdisciplinary approach of psychotherapy and fashion that can be extend into the fashion and textile discipline.

다문화청소년의 트라우마 중재를 위한 가상현실 프로그램 모형 (Virtual Reality Program Model for Trauma Intervention in Multi-cultural Adolescents)

  • 김경숙;송은지;김민경;주세진;김민정
    • 한국정보통신학회논문지
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    • 제21권2호
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    • pp.361-366
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    • 2017
  • 최근 가상현실의 기술이 발달함에 따라 게임중독, 알코올 중독 등에 대한 가상현실 치료 프로그램이 개발되고 있다. 본 연구는 다문화 청소년의 트라우마 중재를 하기 위하여 가상현실에 기반한 인지행동치료 프로그램을 구현하는 개발과정의 모형을 제시하고자 한다. 인지행동치료의 가상현실 프로그램개발은 크게 3단계로 나누어진다. 제1단계에서는 다문화청소년이 트라우마로 인하여 경험한 주요 감정과 표출된 문제를 포함한 트라우마의 특성들을 파악하고 제2단계에서는 트라우마에 대한 인지행동치료를 목표로 한 시나리오를 구성의 전개과정과 범위의 내용을 제시되어야 한다. 최종 제3단계서는 시나리오 콘텐츠의 가상현실프로그램 구현에 대한 타당성 검토를 통해 다문화청소년의 긍정적 변화를 이끌 수 있는 중재 프로그램 개발의 가능성을 제안하였다.

양성(養性)치료가 여성들의 체중감소와 자존감, 자기통제에 미치는 영향 (The effect of 'Oriental medical cognitive therapy(Yangsung program) for obesity' on self esteem, self control and weight of women)

  • 최승;송원영;이영진;최형석
    • 한방비만학회지
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    • 제4권1호
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    • pp.161-183
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    • 2004
  • Context : Oriental medicine deals with mind cardinally and effectiveness of CBT on weight control is well-known. but there is no well-structured psychotherapy for weight control like CBT in Oriental medicine so far. Therefore It is necessary to develop new cognitive program based on the theory of Oriental medical. Objective: This study examined whether Yangsung program based on new cognitive weight regulation model is effective on weight loss, self esteem and self control. Design and setting: 44 women were assigned randomly to 2 groups; experimental group(n=24) and control group(n=10). experimental group had 11 sessions consisted of cognitive therapy, meditation, general diet and exercise education. Control group had personal interview with general diet and exercise education and ear acupuncture once a week for two months. All subjects were weighed and evaluated with Rosenberg self esteem scale, and three factor eating questionnaires at the beginning of the program and at the end of the program. Result: Experimental group reported significant changes of weight, self esteem, restraint eating, disinhibition and hunger(p<0.01). Compared with control group, more significant(p<0.05) Weight reduction and self-esteem enhancement were reported in experimental group than control group. There is no significant difference between two groups in changes of restraint eating, disinhibition and hunger.

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공황장애 약물 치료에 대한 한국형 알고리듬 개발(3) - 인지행동치료 - (Development of the Medication Algorithm for Panic Disorder(3) - Cognitive Behavioral Therapy -)

  • 이상혁;양종철;윤세창;서호석;김찬형;유범희;김민숙
    • 대한불안의학회지
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    • 제4권1호
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    • pp.28-33
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    • 2008
  • Objective : A working group of psychiatrists from the Korean Academy of Anxiety Disorders was established to determine the appropriate medication algorithm for treating patients with panic disorder. In this article, we discussed the consensus among psychiatrists regarding the use of cognitive behavior therapy (CBT) in the development of a treatment algorithm for panic disorder in Korea. Methods : Based on the guidelines or algorithms published by the American Psychiatric Association, National Institute for Clinical Excellence, and Canadian Psychiatric Association, we constructed questionnaires regarding the core components and contents of CBT for patients with panic disorder. Fifty-four experts in panic disorder completed the questionnaires. Results : There was statistically significant consensus among the experts in the belief that cognitive reconstruction and psychological education are the core components of CBT for the treatment of patients with panic disorder. However, there was some inconsistency between the opinions of some experts regarding the content and frequency of CBT and the results of studies published outside of Korea. Conclusions : CBT, especially the psychological education and cognitive reconstruction components, should be considered when treating patients with panic disorder. However, further consideration needs to be put into the design of a more detailed treatment guideline for the use of CBT in the treatment of patients with panic disorder.

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다발성 경화증의 물리치료 (Physical Therapy for Multiple Sclerosis)

  • 김영민
    • 대한물리치료과학회지
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    • 제2권2호
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    • pp.533-544
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    • 1995
  • Multiple sclerosis is a chronic, pregressive, demyelinating, disease of the central nervous system. It is named for the formation of disseminated scarlike lesions primarily in the central white mattrer of the brain and spinal cord. These plaques are commonly found in the regions of the optic tracts, third and fourth ventricles, basal ganglia, midbrain, pons, and spinal cord. Multiple sclerosis is an unpredictable disease, typically presenting with an exacerbating-remitting course, although other clinical courses have been recognized. Common clinical findings include disturbances in sensation, muscle strength, tone, fatigue, coordination, vision, communication, bladder and bowel function, and cognitive and behavioral function. Physical therapy of the patient with multiple sclerosis is centered around decreasing symptoms, improving function, prevention secondary complications, and promoting successful psychological adjustment. It requires the comprehensive efforts of a health care team to provide coordinated and continuing care.

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인테리어 테라피에 관한 탐색적 연구 (An Exploratory Study on Interior Therapy)

  • 장미정
    • 한국실내디자인학회논문집
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    • 제26권1호
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    • pp.124-133
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    • 2017
  • The purpose of this study is to explore the interior therapy that introduced the concept of therapy into interior space. This study examines interior therapy based on the concepts of stress and therapy. As the study methods, a qualitative analysis to review the concept of interior therapy was conducted together with a quantitative analysis on the current state of domestic therapy-related researches. The scope of the study is limited to domestic journals published from 1988, when the first domestic research was embarked on to analyze the current status of therapy-related researches, until November 2016. According to the study results, the domestic therapy-related studies were mainly focused on aromatherapies and food therapies. By year, the first domestic study of its kind was conducted on logotherpay in 1988. And until 2000, studies were carried out mainly on aromatherapies. Since then, new psychotherapy research fields have emerged; color therapy in 2003 and food therapy in 2008. However, in the space design field except for color therapy-related researches, there have been not sufficient studies on the indoor space therapy field that investigates the possibility of indoor space as a therapy from an integrated viewpoint. Therefore, this study reviewed domestic researches on interior therapy which applied the concept of therapy to interior design and suggested three cognitive-emotional-behavioral measures as healing factors. Finally, this study is expected to be used as basic data for design planning and curriculum development which apply the concept of therapy to interior design-related fields.

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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노인환자의 요실금 조절을 위한 자극배뇨 요법의 효과 (The Effects of Prompted Voiding Therapy on Urinary Incontinence Control of Elderly Patients)

  • 이경자;김미경;송희영
    • 대한간호학회지
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    • 제27권4호
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    • pp.943-952
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    • 1997
  • This study was done to analyze the effects of prompted voiding therapy on urinary incontinence in elderly patients in an elderly care hospital. Specifically, this study looks to evaluate the effects of prompted voiding as an intervention for improving independent voiding and also identified the relationship of urinary continence to cognitive, emotional, and physical factors. The study was based on a pre-experimental design used to evaluate the effects of prompted voiding therapy on an experimental group without a control group. An experimental group of 143 patients was selected through convenience sampling from patients in an elderly care hospital. The data was collected from November 4 to December 14, 1996. Prompted voiding therapy is a behavioral therapy for managing incontinence and it is applied to patients who are cognitively impaired and dependent. In this study, the patients were asked at each designated time whether or not they had to urinate. If they answered yes, they were either given a bedpan or were assisted to the bathroom, and if the patient answered no, their diaper was checked to determine whether or not it was wet. The results were then recorded on the patients urinary voiding record. The urinary voiding score based on the model presented by Burton(1984), Burke and Walsh(1992), Chenitz, Stone & Salisbury(1991) was modified and used as a tool in this study. After forty six out of the total of 143 patients were selected for interviews through random sampling the levels of cognitive functions, mental depression and ADL(activities of dally life) within the given time frame were measured. In this study, the cognitive function was measured using the scale developed by Kabhn, Goldfarb, Pollack & Peck(1960), elderly mental depression, using the tool developed by Sheikh & Yesavage(1986), and the ADL(activities of dally living), through the Barthel Index. The data was analyzed through SPSS windows for descriptive statistics, repeated measured ANOVA and Pearson's correlation. According to the results of the study, the application of the prompted voiding therapy can improve the voiding pattern of patients. It was shown especially that incontinence could be controlled by the intervention developed according to the individual voiding pattern. In terms of the relationship between cognitive function, mental depression and ADL and the voiding function score, a close correlation was not found. It was shown that urinary incontinence can be improved through therapy even though patients have problems nth their cognitive, mental and physical functions.

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