• 제목/요약/키워드: behavioral modification

검색결과 97건 처리시간 0.03초

노인에서의 불면증 (Insomnia in the Elderly)

  • 손창호
    • 수면정신생리
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    • 제8권1호
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    • pp.5-10
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    • 2001
  • The prevalence of insomnia and the degree of impairment due to insomnia is greater than in the of young. The cause for insomnia in the elderly are various factors among the elderly is known to be high including medical, psychiatric, drug issues, circadian rhythm changes, sleep disorders, and psychosocial. So the careful evaluation to find the cause of insomnia is needed for the eldery. Treatment options for insomnia include behavior modification and pharmacotherapy. Outcome data from previous studies indicate that behavioral approaches produce reliable and durable therapeutic benefits, as evidenced by improved sleep efficiency and continuity and enhanced satisfaction with sleep patterns. Treatment methods such as stimulus control and sleep restriction, which target maladaptive sleep habits, are especially beneficial for older insomniacs, whereas relaxation-based interventions aimed at decreasing arousal, produce more limited effects. Cognitive and educational interventions are instrumental in altering age-related dysfunctional beliefs and attitudes about sleep. The choice of hypnotics is based on matching the nature of the insomnia to the hypnotic agent. The ideal agent has rapid onset, duration of action that lasts through the night but no residual daytime effects, and no adverse effects. The key for the healthcare professional is finding the appropriate treatment or treatment combination, including behavioral modification and pharmacotherapy. When hypnotics are indicated, the most appropriate short-acting agent should be considered.

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영양교육과 운동을 병행한 프로그램이 중등도비만여성의 비만도와 행동변화에 미치는 효과 (Effects of Nutrition Education and Exercise Program on Obesity Index and Behavioral Modification in Moderate Obese Women)

  • 장명희;정수진
    • 대한지역사회영양학회지
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    • 제23권4호
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    • pp.318-332
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    • 2018
  • 본 연구에서는 12주 동안 성인 여성 중 체지방률 40% 이상 또는 BMI 30 이상인 여성을 대상으로 37차시의 비만관리 프로그램일환으로 영양교육과 운동중재를 병행 실시하여 대상자의 식습관 및 운동 습관 조사, 신체성분과 식이섭취와 생화학적 지표에 미치는 효과를 살펴보고자 하였다. 1. 조사대상자의 평균 연령은 44.8세였으며 참여자의 55%가 폐경이었다. 2. 체중조절 관심도 변화에서 체중 조절 방법은 식사조절과 운동이 프로그램 참여 전 34.4%에서 프로그램 후 37.5%로 증가하였다(p<0.01). 3. 신체활동 변화에서 중등도 신체활동을 10분 이상 한날은 프로그램 참여 전 3.20일에서 프로그램 후 4.25일로 증가하고, 스트레칭 등 유연성 운동을 한 날은 프로그램 참여 전 2.60일에서 프로그램 참여 후 3.85일로 유의적으로 증가하였다(p<0.01). 4. 바른 식습관 점수 변화는 프로그램 참여 전 4.15점에서 프로그램 참여 후 7.10점으로 유의적(p<0.001)으로 증가하였다. 5. 에너지 및 다량 영양소 섭취는 프로그램 전후간 차이는 없었으나 식이섬유(p<0.01), 철, 칼륨, 비타민A, 비타민 $B_6$, 나이아신의 섭취는 프로그램 참여 전에 비해 프로그램 참여 후에 유의적으로 증가하였다(p<0.05). 6. 혈압과 혈액 생화학적 특성 지표인 TC, 공복혈당 및 TG는 프로그램 참여 전후 간 유의적인 차이는 없었다. 7. 영양교육과 운동 프로그램 종료 후 체중, 체지방률, 복부둘레 및 내방지방 수치는 유의적으로 감소하였으며, 근육양과 신체발달 점수는 유의적으로 증가하였다(p<0.001). 이상의 결과를 볼 때, 중등도 비만여성에서 12주간 영양교육과 운동 중재 프로그램 실시는 식사의 질을 향상시키고 바림직한 식습관의 변화를 유도하였으며 비만도는 감소하면서 근육양이 증가하여 요요현상이 없이 비만관리 프로그램 교육 내용이 긍정적인 영향을 미쳤으며, 향후 장기적인 비만의 지속관리와 체계적인 연구가 계속되어야 할 것으로 사료된다.

자폐의 정도에 따른 행동조절법의 적용 : 증례보고 (BEHAVIOR MANAGMENT TECHNICS FOR AUTISTIC CHILDREN : A CASE REPORT)

  • 정샛별;최영철;이긍호
    • 대한소아치과학회지
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    • 제25권3호
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    • pp.525-532
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    • 1998
  • 치과의사는 자폐인의 치료시 자폐증의 정도와 의학적 관리가 필수적인 질환, 내과적 병력, 현재 환자가 복용하고 있는 약물등을 고려하여 이에 따라 적절한 행동조절 방법을 선택하여야 한다. 행동조절 방법의 선택시 술자가 선호하는 방법을 우선하기 보다는 환자의 상태와 치과치료시 환자와 보호자가 받는 스트레스를 최우선으로 고려하는 것이 필요하다. 환자의 현증에 대한 적절한 행동조절하의 치과치료도 중요하지만, 그보다 더 중요한 것은 환자가 거부감을 느끼지 않고 치과에 내원할수 있도록 훈련시키는 것과 지속적인 구강위생 관리이므로 보호자를 위한 구강위생 관리교육 및 주기적인 내원에 의한 관리가 필요하다고 생각된다.

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집합주택의 실공간구성을 위한 거주자 행태연구 (A Behavioral study for the Space Organization of Dwelling Unit of Apartment)

  • 조성희
    • 한국주거학회논문집
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    • 제5권2호
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    • pp.141-148
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    • 1994
  • The behavioral-related environmental study for multifamily housing is needed to develop the quality of unit floor plan in terms of user comfort and needs. So, the aim of this study is to find out the living style and housing needs in terms of interaction between the users behavior pattern and orgarnization of physical home space. For the purpose, the field experiments in Pusan, have been carried out with 318 households living in apartments by plan types(2BL, 3BL, 4BL, 5BL) which were classified by number of bedrooms. The dwelling space usage behavior(room use pattern and furniture uasge pattern) and the space adjustment behavior(physical modification of space and preferred space adjustment attitude) were examined and analyzed.

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개에서 과도한 복종과 과흥분으로 인한 부적절한 배뇨의 일례 (A Case of Inappropriate Elimination in a Dog with Submissive and Excitement Urination)

  • 김현희;구자민;장홍희;이효종;이후장;이용훈;정종태;연성찬
    • 한국임상수의학회지
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    • 제20권1호
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    • pp.131-133
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    • 2003
  • In these days, it is serious problem to inappropriately eliminate in the home. There are many reasons why a pet might eliminate in the home. A ten-month-old, female, Jindo dog with a history of inappropriate elimination was presented to the Animal Behavior Clinic at the College of Veterinary Medicine, Gyeongsang National University. This problem was diagnosed by submissive and excitement urination based on the questionnaires and interviews on the dog with the owner. Behavioral modifications including ignorance and counterconditioning were recommended to improve the clinical signs. After two weeks following the initial consultation, submissive and excitement urination of the dog was alleviated, and after four months, it resolved completely, to the owner's satisfaction.

결혼이주여성의 양육효능감 향상을 위한 CBT 부모훈련 프로그램의 개발 및 효과 (Cognitive Behavioral Therapy for Improving Parenting Efficacy of Married Immigrant Women)

  • 김희정;김정민
    • 가정과삶의질연구
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    • 제33권2호
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    • pp.135-148
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    • 2015
  • The purpose of this study is to develop cognitive behavioral therapy(CBT) to improve the parenting efficacy of married immigrant women, and verify its effectiveness. In the CBT of this study, behavioral technique was added to cognitive reconstruction based on cultural context in order to improve parenting efficacy. The study selected 28 married immigrant women, and randomly divided them into a CBT group(10), a general treatment group(8) and a control group(10). The CBT and the general treatment programs consisted of 10 sessions, approximately 2 hours in duration. The results of the study were as follows. 1) The level of parenting efficacy was improved significantly in the CBT and the general treatment group. 2) The level of negative automatic thoughts and dysfunctional parenting thoughts was significantly decreased only in the CBT group. 3) In the CBT and the general treatment group, the level of parenting stress and acculturative stress was decreased while the level of psychological well-being improved. On the other hand, the level of parent-adolescent communication was improved significantly only in the CBT group. 4) In comparison with the general treatment group, the CBT group showed higher parenting efficacy and lower automatic thoughts and dysfunctional parenting thoughts. This study has significance in its attempt to develop a parent training program to improve the parenting efficacy of married immigrant women by integrating behavioral modification and communication skills training focused on cognitive reconstruction of parenting-related negative thoughts and beliefs in application of the CBT paradigm.

Posttranslational and epigenetic regulation of the CLOCK/BMAL1 complex in the mammalian

  • Lee, Yool;Kim, Kyung-Jin
    • Animal cells and systems
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    • 제16권1호
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    • pp.1-10
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    • 2012
  • Most living organisms synchronize their physiological and behavioral activities with the daily changes in the environment using intrinsic time-keeping systems called circadian clocks. In mammals, the key molecular features of the internal clock are transcription- and translational-based negative feedback loops, in which clock-specific transcription factors activate the periodic expression of their own repressors, thereby generating the circadian rhythms. CLOCK and BMAL1, the basic helix-loop-helix (bHLH)/PAS transcription factors, constitute the positive limb of the molecular clock oscillator. Recent investigations have shown that various levels of posttranslational regulation work in concert with CLOCK/BMAL1 in mediating circadian and cellular stimuli to control and reset the circadian rhythmicity. Here we review how the CLOCK and BMAL1 activities are regulated by intracellular distribution, posttranslational modification, and the recruitment of various epigenetic regulators in response to circadian and cellular signaling pathways.

재가노인 단독세대의 주택내 안전사고 실태 및 실내환경 평가에 관한 연구 (Housing Circumstances of the Elderly Households Who Live Alone or/with Spouse -Focusing on Safety Issues and Interior Design Affordance-)

  • 문희정;김미희
    • 한국주거학회논문집
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    • 제15권1호
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    • pp.75-84
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    • 2004
  • As the advent of an aging society, housing for the elderly has been of greater concern. Since the majority of the elderly prefers to live in their own familiar houses rather than moving to new ones, this study is concerned with the ways of the effective use and maintenance of exiting houses from the viewpoint of their independent living. The data was analyzed with frequency, percentage, mean, correlation, and multiple regression using the SPSS 10.0 for Windows. The findings from the study are: The general satisfaction rate of Interior Design Affordance(IDA) was-evaluated about the average. Among the items of IDA, behavioral facilitation was found most satisfactory, and perceptual maintenance, physilogical maintenance, and social facilitation were followed in satisfaction level. Although there had been many elements of serious safety dangers, no home modification was made in the elderly households who live alone or/with spouse.

생활습관개선 프로그램이 성인의 식이행동과 신체활동 및 심혈관위험요인에 미치는 효과: 중재 3개월 결과를 중심으로 (Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults)

  • 박지연;김혜경
    • 보건교육건강증진학회지
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    • 제31권4호
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    • pp.37-49
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    • 2014
  • Objectives: The aim of this study was to evaluate the effects of a lifestyle modification program for Korean adults with cardiovascular disease risk factors on their health behaviors and health status. Methods: A total of 448 adults with abdominal obesity and additional cardiovascular disease risk factors(high blood pressure, low HDL-cholesterol, high triglyceride or high blood glucose) were randomly assigned to either an intensive intervention group (IIG, n=216) or a minimal intervention group(MIG, n=232). Participants in the IIG received lifestyle modification program which consisted of health counseling with nutrition assessment, health booklet and health diary, while those in MIG received minimal information. Results: The participants in the IIG significantly improved dietary habits(p<.05), retrained eating(p<.001), external eating(p<.01) behaviors, leisure time physical activity(p<.05), dietary self-efficacy(p<.01), exercise self-efficacy(p<.01) and MetS score(p<.001) after 3 months. In addition, the participants in the IIG showed more improvement in dietary habits(p<.05) compared with those in the MIG. Conclusion: The lifestyle modification program was effective in improving some health behaviors, behavioral determinants and cardiovascular risk factors for a short term.

임상가를 위한 특집 4 - 교합기를 이용한 교합안정장치의 제작

  • 김성택
    • 대한치과의사협회지
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    • 제47권6호
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    • pp.359-363
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    • 2009
  • 지난 수십여 년 간 턱관저 및 저작근의 질환과 광범위한 보철 및 교정 수복 시 사용되었던 교합안전장치의 작용기전에 관하연느 아직 논란이 많다. 그러나 현재까지의 연구는 기존의 하악을 생리적으로 안정된 위치로 변화시킨다는 개념보다는 구강 내 장치가 위치함으로 인해 저작계의 행동변경(behavioral modification)으로 인해 구강 내 부기능적인 습관이 일시적으로 개선되는 것이라는 개념이 지배적이다. 좀 더 면밀히 말하면 이에 대한 보다 체계적인 연구가 필요한 게 사실이다. 본문에서는 그동안 사용되었던 여러 교합안전장치의 제작법 중에서 교합기를 이용하는 방법을 기공과정을 통하여 알아보고자 한다.

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