• Korean Journal of Acupuncture
• /
• v.35 no.2
• /
• pp.47-55
• /
• 2018

Objectives: Clinical improvements can be observed following placebo administrations in clinical trials. Randomized controlled trials have been conducted to disentangle the specific effects of therapeutic interventions over the past decade. In acupuncture trials, non-penetrating placebo needles offer the opportunity to determine the specific effects of needling. Methods: The present review provides an overview of the concept of the placebo effect and the characteristics of the placebo needles. Results: Placebo control can contribute to minimize for bias and the contextual and psychological components of therapeutic interventions. Placebo control should meet two criteria: blinding efficacy (indistinguishable from active treatment) and physiological inertness. In the case of acupuncture, however, it is difficult to meet both criteria simultaneously. The dilemma of placebo needles suggests that placebo needles do not constitute proper control in acupuncture research. Considering the characteristics of placebo needles, patients are more likely to perceive placebo needles as active treatment in acupuncture trials compared to placebo pills in pharmaceutical trials. Placebo response might be observed more frequently to placebo needles than to placebo pills. When acupuncture treatments are utilized in clinical use, placebo effects can be enhanced by exploiting patients' expectations in the contextual or environmental cues that surround medical intervention. Conclusions: We have to consider these unique characteristics of placebo needles in order to avoid drawing premature conclusions that acupuncture itself is just a placebo.

• Psychoanalysis
• /
• v.29 no.4
• /
• pp.63-71
• /
• 2018

One of the most striking features of modern society in the 21st century, is increased levels of aggression. Aggression refers to aggressive or hostile behavior, and is manifested in suicide or an attack against others. Aggression in modern society is more accidental, reckless, and aimless than before. As more patients visit hospitals due to the serious problem of aggression control, we need to address the nature of this growing aggression. The authors analyzed sources and the nature of aggression, based on the movie 'American Psycho.' The main character of the movie, Patrick, is similar to many people today, with traits such as egotistical thinking, lack of empathy, demand for attention and admiration, and exploited and superficial relationships. Patrick's aggression is in reaction to narcissistic injury. Through this, one can think of pathological narcissism, behind growing aggression in modern society. There are a number of social and environmental factors, attributable to increasing narcissism in modern society. Among them, change in parenting practices, and parent-child relationships, is likely to have affected increase in narcissism in terms of personality development. In conclusion, when treating patients exhibiting aggression in psychotherapy, it is critical to fully consider the possibility of pathological narcissism and its use in analysis.

• The Journal of Industrial Distribution & Business
• /
• v.12 no.7
• /
• pp.15-25
• /
• 2021

Purpose: The greatest asset to all organizations is the employees and they should be guarded against factors hindering their work ability. Nevertheless, most organizations are always more concerned about making profits to the extent of forgetting their employee's welfare. On this point, this study aims to examine employee's work-related stress and its relationship with work ability. Research design, data and methodology: This study focused on obtaining mostly peer-reviewed works to suggest research findings, assuming that qualitative literature approach allows researchers to explore in-depth information concerning complex issues in a standard life setting. Numerous prior researchers applied their research design in content analysis, especially where various concepts are present for analysis. Results: Based on numerous qualitative textual resources, this study found that human resource practitioners should plan stress management strategies for their employees to apply five kinds of solutions that the current study suggests because it is vital to ensure their wellbeing towards sustaining their performance. Conclusions: All in all, based on the findings, this study concludes that employee's work stress negatively impacts their work ability with affecting their mental health. As a result, there is little doubt that practitioners should regularly monitor the working environment for stress-related factors besides creating a healthy working environment for all employees.

• The Journal of Economics, Marketing and Management
• /
• v.9 no.5
• /
• pp.1-13
• /
• 2021

Purpose: Purpose - This study investigates and aims to discuss regarding the employee's work stress and its relationship with employee's workability based on literature content analysis. Finally, this study will provide how employees can manage it and coexist while enjoying the benefits of a stress-free working environment. Research design, data, and methodology - The author collected many textual contexts from mostly peer-reviewed academic journals, which means that academic comprehensive integrity can be obtained by qualitative approach for this study with discussing and following a constructive review analysis. The content analysis aims to determine a textural dataset in the longtime frame from the newest textural information. Result - There is little doubt that this study was significant and relevant to the relationship between employee work stress and workability, indicating how organizations that manage their employees in a stress-free working environment. the present researcher separate the solutions into five categories according to the person or body responsible for the answers. Conclusion - The numerous solutions on how to deal with various stresses, the theoretical aspect of the solutions involving the theories developed by multiple past articles on how to solve work stress. In general, workability and work stress is a very large field of study. Another consideration is the numerous professionalisms in the world, and each has different ways stress is induced in the organization.

• Journal of East-West Nursing Research
• /
• v.15 no.1
• /
• pp.43-53
• /
• 2009

Purpose: This study is to summarize of Western-Eastern books and articles on sleep disturbances and to analyze the trends of nursing research in Korea. Methods: The Western-Eastern books and articles on sleep disturbances were comprehensively reviewed. The 70 articles published from 1981-2008 of Korean nursing research about sleep disturbances were reviewed using a structured form. Results: In Oriental medicine, the main cause of sleep disorder is unbalance of Yin and Yang, the treatments are herb therapy, acupuncture, moxibustion, psychotherapy, sleep hygiene, etc. In Western medicine, the International Classification of Sleep disorder is dyssomnia, parasomnia, mental/neurologic or other medical disorders, proposed sleep disorder and the treatments are pharmacotherapy, cure treatment of sleep hygiene, cause, behavior and perception. The number of nursing research and experimental study about sleep disorder in Korea is increasing. The most common subjects were hospitalized patients and the elderly, Of the 34 experimental studies, foot reflexology was the most commonly used as a nursing intervention. Conclusions: Nurses should concern more on patients' or clients' sleep disturbances to increase their quality of life. This literature study is useful for the access to effective nursing intervention for sleep disturbances.

• Journal of Oriental Neuropsychiatry
• /
• v.26 no.2
• /
• pp.103-116
• /
• 2015

Objectives: Medical students suffer from mental health and academic problems due to academic stress. We investigated academic stress and exhaustion along with psychological issues caused by medical education during the years in the School of Korean Medicine. Methods: Two hundred fifty-one university students from the School of Korean Medicine, Pusan National University, were asked to complete the Medical Stress Scale (MSS), Maslach Burnout Inventory-Student Survey (MBI-SS), Positive Affect and Negative Affect Schedule (PANAS), and State-Trait Anxiety Inventory (STAI) three times during each semester for two years from 2013 onwards. We analyzed the influence of school term and vacation on educational stress and negative affect with the T-test. The Pearson's correlation analysis and regression analysis were used to predict changes during the first semester or first years of study in the School of Korean Medicine. Results: Academic stress and burnout increased steadily until the first semester of third grade, which was measured with MSS and MBI-SS. The anxiety level was highest when the students started the first grade and it decreased significantly after the first semester. Negative affect repeatedly increased significantly after each school term; however, it reduced after each vacation. In the first grade, 19.5% of the last measure of MSS can be explained with the first measure of MSS. Discussion: This study extensively reviewed the trends and characteristics of four years of academic stress and its related psychological influence, and discussed its importance for developing a more efficient academic curriculum for traditional Korean Medicine.

• The Journal of Internal Korean Medicine
• /
• v.44 no.3
• /
• pp.366-386
• /
• 2023

Objective: In this study, a questionnaire survey was conducted for doctors and patients to obtain basic data necessary for the development of an integrated medical system for idiopathic pulmonary fibrosis (IPF). Methods: Questionnaires were developed separately for doctors and patients through an expert group meeting. The survey subjects were recruited online and offline, and finally, responses from 231 doctors and 59 patients were used for statistical analysis. Results: The most important parts in the treatment of IPF for both doctors and patients were the "improvement of respiratory symptoms," "improvement of quality of life," and "prevention of disease progression." Antifibrotic agents were prescribed at a high rate, and 100% of the specialists in Western medicine (WM) and 45.8% of patients reported experiencing side effects. As for the additional payment costs that patients considered as affordable for an integrated medical system, "under 50,000 won (about 38$)" was reported the most in both doctor and patient groups. With regard to the reasons for their reluctance to recommend an integrated medical system for IPF, specialists in WM responded highly to "uncertain evidence for treatment effectiveness." Regarding complementary and alternative medicine therapies that can be beneficial in patients with IPF, "lifestyle management," "diet management," "herb," "relaxation therapy," and "psychotherapy" were ranked high in both doctor and patient groups. Conclusions: In this study, a questionnaire survey on IPF was conducted to review actual treatment status, analyze shortcomings, and identify considerations for the development of an integrated medical system for IPF in the future.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.18 no.1
• /
• pp.26-30
• /
• 2007

This practice parameter for non-pharmacological treatment for attention-deficit hyperactivity disorder (ADHD) review the domestic and international literature on the psychosocial treatment of children and adolescents with ADHD. This parameter include the parental training & education, cognitive behavior therapy(group or individual), social skill training, family therapy, play therapy (individual psychotherapy) and non-traditional therapy (art therapy, herbal therapy et al). Among them, there is some proven evidence only in parental training & education and cognitive behavior therapy. So, this parameter describes some details only in the field of parental training & education and cognitive behavior therapy. The efficacy or effectiveness, especially, cost-effectiveness of specific psychosocial treatment method for ADHD cannot be fairly assessed due to the scarcity of controlled clinical data. Based on the clinical expert consensus and limited evidence, we cautiously suggest the practice recommendations about the non-pharmacological psychosocial treatment fur children and adolescents with ADHD.

• Journal of Oriental Neuropsychiatry
• /
• v.25 no.1
• /
• pp.29-38
• /
• 2014

Objectives: The objective of this study is to examine the effects of Emotion Freedom Techniques (EFT) group treatment program for Hwa-byung patients. Methods: Thirteen Hwa-byung patients have participated in the four weeks program of EFT group treatment and the program was executed once a week, for about one hour. After every session, the participants performed EFT by themselves in order to control their symptoms. Four weeks after the program ended, we interviewed the participants by using the semi-structured interview method to observe changes of Hwa-byung. All the data collected was summarized through the qualitative analysis method. Results: Results showed effects of the EFT group treatment program, with regards to the physical, cognitive and emotional aspects. Most of the participants experienced reliefs of Hwa-byung symptoms like chest tightness, hot flashes, insomnia and so on. Their ability to cope with stress improved and their re-experiences of past memories decreased. And their distorted self-images were also restored. Lastly, there was a decrease in negative emotions and an increase in positive emotions experienced by the participants. The participants could control their symptoms by performing self-enforcement. In addition, regarding the form of group therapy, the treatment was effective as it helped the participants to feel solidarity and social support. Conclusions: The EFT group treatment program can relieve the physical, cognitive and emotional symptoms of Hwa-byung. This program can be applied to the psychotherapy of Hwa-byung.

• Journal of Korean Medicine for Obesity Research
• /
• v.4 no.1
• /
• pp.161-183
• /
• 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.