• 제목/요약/키워드: cognitive disorder

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사회불안장애의 인지행동치료 (Cognitive-Behavioral Therapy for Social Anxiety Disorder)

  • 이재헌
    • 대한불안의학회지
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    • 제12권1호
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    • pp.42-46
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    • 2016
  • The therapeutic effect of cognitive behavioral therapy (CBT) for patients with Social Anxiety Disorder (SAD) is supported by evidence from numerous studies. This article provides an overview of cognitive models and major techniques (i.e., cognitive restructuring and exposure) of CBT for SAD, developed by the study group of SAD in the Korean Academy of Anxiety Disorder. Korean-culture specific factors and new trends such as a third wave of CBT are also described.

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뇌졸중 환자의 신체적 장애, 인지장애 및 신체상간의 관계 (Relationship between Physical Disability, Cognitive Disorder and Body Image in Stroke Patients)

  • 홍미순;남미라;이진희;정경인
    • 재활간호학회지
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    • 제9권1호
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    • pp.34-41
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    • 2006
  • Purpose: This study was to analyze the relationship the physical disability, cognitive disorder and body image. Method: The research was a descriptive relationship study. A sample is composed of 101 hospitalized stroke patients. Data were collected from November, 2005 to December, 2005. The survey instruments used in the study Sharon and Glen's physical disability scale, Lim's cognitive disorder scale and Osgood's body image scale. The collected data were analyzed frequency, percentage, mean, standard deviation, ANOVA, Duncan test, Pearsons' correlation coefficients. Result: The level of physical disability the score was 2.26, cognitive disorder 1.84 and body image 3.54. and they were relation to significant correlation. The body image showed significant negative correlation with physical disability, cognitive disorder. Physical disability showed significant positive correlation with cognitive disorder(r=.639, p=.000), and significant negative correlation with body image(r=-.420, p=.000). Cognitive disorder showed significant negative correlation with body image(r=-.620, p=.000). There were significant differences of body image by general characteristics as follows: age(p=.000), occupation(p=.004), education(p=.008), disease(p=.007). monthly income(p=.006), burden of medical expenses(p=.001), duration of stroke(p=.008). Conclusion: There was a significant correlation between physical disability, cognitive disorder and body image. there will be considered useful nursing intervention effect to physical disability, cognitive disorder and body image of stroke patients.

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무력감과 불안정한 혈압을 호소하는 공황장애 환자에게 한방치료 및 인지행동치료를 병행하여 호전된 1례(例) (A Case of Panic Disorder Complained Enervation and Unstable Blood Pressure Improved by Herbal Medicine and Cognitive Behavioral Therapy)

  • 석선희;유종호;김근우;구병수
    • 동의신경정신과학회지
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    • 제18권3호
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    • pp.193-207
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    • 2007
  • Panic disorder is one of the anxiety disorder, characterized by panic attacks which are discrete episodes of fear accompanied by somatic symptoms such as shortness of breath, palpitations, chest pain, choking, dizziness, trembling and/or faintness. We experienced a 41 year-old male who complained of sudden enervation, unstable blood pressure and anxiety about self's symptoms. We bad given herbal medicines aoh cognitive & behavioral therapy. Results from studies to date suggest the cognitive behavioral therapy(CBTl are useful for depression, anxiety disorder, phobia. He understood his symptom's meaning and tried to overcome fear related to symptoms through exposure training. We concluded that cognitive behavioral therapy can be very effective methods to treat panic disorder, because patient with panic disorder has maladaptive automatic thoughts, based on dysfunctional beliefs like "I'm too weak, I have some problem."

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양극성 I형 장애 환자와 발병하지 않은 일차 친족에서 인지조절의 비교 (Comparison of Cognitive Controls in Patients with Bipolar I Disorder and Their Unaffected First-Degree Relatives)

  • 윤혜림;우선진;이상원;진보현;우정민;원승희
    • 생물정신의학
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    • 제25권1호
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    • pp.9-15
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    • 2018
  • Objectives This study intended to identify the deficits of cognitive control among patients with bipolar I disorder and their first-degree relatives, and identify the possibility of cognitive control as an endophenotype of bipolar disorder. Methods The study included three groups: euthymic states patients with bipolar I disorder (n = 55), unaffected first-degree relatives of probands with bipolar I disorder (n = 30), and a healthy control group (n = 51), that was matched on age, sex, and years of education. The AX version of the continuous performance test (CPT) was used to examine cognitive control. Error rate, correct response times of each subsets (AX, BX, AY, BY), and d' as an indication of accuracy sensitivity index were calculated. Psychopathology, intelligence, and psychomotor speed were also assessed. Results Patients with bipolar I disorder showed significantly worse error rates in the AX (p = 0.01) and BX (p = 0.02) subsets and d' (p = 0.05) than the others. They also showed more delayed correct response times than the healthy control group and first-degree relatives in all subsets (p < 0.01). But first-degree relatives showed neither high error rates nor delayed correct response times than healthy control group. Conclusions These findings suggest that cognitive control is impaired in bipolar I disorder but less likely to be an endophynotype of bipolar I disorder.

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교통사고 후 발생한 드문 원인에 의한 인지 장애 1예 (Unusual Cause of Cognitive Impairment after a Traffic Accident)

  • 박치민
    • Journal of Trauma and Injury
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    • 제24권2호
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    • pp.151-154
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    • 2011
  • In trauma patients, cognitive impairment may develop due to several causes: traumatic brain injury such as intracranial hemorrhage, diffuse axonal injury, hypoxic brain injury or reperfusion injury, the psychologic disorder, such as acute stress disorder, post-traumatic disorder or delirium. We describe a 62-year-old male with post-trauma cognitive impairment due to a primary central nervous system lymphoma.

외상성 뇌손상으로 인지기능 장애가 유발된 소음인 환자 치험 1례 (A Case Study about Soeumin with Cognitive Disorder from Traumatic Head Injury)

  • 조성규;배효상
    • 사상체질의학회지
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    • 제19권2호
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    • pp.204-212
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    • 2007
  • 1. Objectives The purpose of this case is to report that a Soeumin patient with cognitive disorder from traumatic head injury needed to be managed with the consideration of the difference of Nature and Emotion(性情). 2. Methods To evaluate the patient's cognition disorder and mental state, we performed the MMSE(Mini-Mental State Examination) and the MMPI(Minnesota Multiphasic Personality Inventory). and he was diagnosed as Soeumin and treated by Kwakhyangchungki-san(藿香正氣散) mainly. 3. Results and Conclusions (1) In this case, we observed specifically-biased Nature and Emotion(性情) of Soeumin like ‘恒欲處而不欲出’, ‘恒欲爲雌而不欲爲雄’, ‘喜別人之助己也’. ‘喜好不定’, ‘不安定之心’ (2) The management of Soeumin with cognitive disorder from traumatic head injury is that he or she should live together his or her family, and have an active manner with a generous and broad-minded mental attitude. (3) A therapist must give a patient mental support and inspire him or her with courage. (4) The deviation of Nature and Emotion(性情) should be taken into consideration when we manage the patient with cognitive disorder from traumatic head injury.

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인지 제어, 우울 상태, 감정 조절 간의 관계에 대한 고찰 (A Review of the Relationship Between Cognitive Control, Depression, and Emotion Regulation)

  • 이남주;이도은;강형원
    • 한국응용과학기술학회지
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    • 제41권3호
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    • pp.657-665
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    • 2024
  • The purpose of this review is to provide a comprehensive analysis of the intricate relationships between cognitive control, depression, and emotion regulation. Cognitive control, encompassing processes such as attentional control, inhibitory control, and cognitive flexibility, plays a central role in regulating thoughts, behaviors, and emotions in alignment with internal goals and external demands. Depression, characterized by persistent feelings of sadness, hopelessness, and cognitive impairments, is associated with deficits in cognitive control processes. Emotion regulation strategies, such as cognitive reappraisal and expressive suppression, enable individuals to modulate emotional experiences and responses. The bidirectional relationships between cognitive control, depression, and emotion regulation underscore the complexity of cognitive and emotional processes in depression. Understanding these relationships is crucial for developing targeted interventions aimed at promoting cognitive and emotional well-being and preventing depression onset and recurrence. Moreover, recognizing the roles of cognitive control and emotion regulation in depression holds promise for informing clinical practice and enhancing therapeutic interventions. This review highlights the importance of considering cognitive control and emotion regulation in the assessment and treatment of depression and provides insights for future research and clinical practice.

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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공황 장애 환자의 인지-행동 치료 1례 (A Case of Cognitive-Behavioral Therapy for a Patient with Panic Disorder)

  • 강동우;최영희;이정흠;정영조
    • 정신신체의학
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    • 제4권2호
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    • pp.245-253
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    • 1996
  • In spite of its prominent effects on reduction of panic attacks and preveniton of relapse, cognitive-behavioral therapy(CBT) for panic disorder is seldomly utilized and studied in this country. for the past year, authors have modified CBT program for panic disorder that was based on PCT(panic control program) designed by Dr. Barlow and Dr. Craske. Our program is composed of informational component, somatic management skills, cognitive restructuring, interoceptive exposure and in vivo exposure. One patient has significantly improved by this program and satisfied with the treatment result. The aim of this article is to present our experience of treating a panic patient with CBT.

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소아기 불안장애의 인지행동치료 효과 : 예비 연구 (Effect of Cognitive-Behavioral Treatment in Children with Anxiety Disorder: A Preliminary Study)

  • 송동호;하은혜;오욱진;고광범;류영민
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제19권3호
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    • pp.182-189
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    • 2008
  • Objectives: This study aimed to evaluate preliminarily the clinical effects of cognitive-behavioral treatment in children with anxiety disorders. Methods: Subjects were 11 children between 2nd and 6th grade with anxiety disorder. All subjects were diagnosed through Kiddie-Schedule for Affective Disorder and Schizophrenia Present and Lifetime Version (K-SADS-PL) interview. The CBT program consisted of sessions once a week (60min/session) for 14 weeks with parent education. Results: Children and parents reported significantly improved social skills, social competence and decreased anxiety. However, there were no significant changes in children's negative thoughts and subjective depressive symptoms. Conclusion: Cognitive-behavioral treatment is expected to be effective in children with anxiety disorders such as generalized anxiety disorder, phobia, separation anxiety disorder, and obsessive-compulsive disorder.

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