• 제목/요약/키워드: cognitive-behavioral

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치과 의료기관의 서비스스케이프와 인적서비스품질이 환자의 내적반응 및 행동의도에 미치는 영향 (The Effect of Servicescape and Human Service Quality on Patients' Internal Responses and Their Behavioral Intention in Dental Care Organizations)

  • 천미옥;김지원;배성윤
    • 한국병원경영학회지
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    • 제22권4호
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    • pp.1-15
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    • 2017
  • This study was designed to analyze the effect of servicescape and human service quality on patients' internal response and their behavioral intention in dental care organizations. Self-administered survey questionnaires with structured instruments were developed, and a total of 226 responses were used for statistical analyses using SPSS Windows version 18.0 program and AMOS 18.0 program. Major findings of the study are as follows. First, among other servicescape components, air condition environment was found to have a positive effect on patients' cognitive and physiological responses, while signals and symbols had a positive effect on cognitive and emotional responses. Second, the competence, among other factors of the human service quality, had positive influence on cognitive and emotional responses, while customer understanding affected positively on emotional response. Third, none of the servicescape components showed a direct effect on patients' behavioral intention, but their influence was mediated by internal responses. However, customer understanding, among other human service quality factors, had a direct effect on patients' behavioral intention. Fourth, emotional response, among other internal response factors, proved to have positive influence on behavioral intention. Results from this study suggest that dental care service providers can increase their competitiveness and customer satisfaction by understanding and improving the most important areas of servicescape and human service quality.

국내 인지행동치료 연구의 지식구조: 동시출현단어 분석 (Knowledge Structure of Cognitive Behavioral Therapy Studies in Korea: Co-word Analysis)

  • 김도희;김현진;안다혜
    • 디지털융복합연구
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    • 제17권12호
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    • pp.509-521
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    • 2019
  • 본 연구는 인지행동치료(Cognitve Behavioral Therapy: CBT)분야 학술지에서 나타난 키워드의 출현패턴을 조사하여 국내 CBT 연구의 지식구조를 규명하는 데에 목적이 있다. 국내·외에서 수행된 CBT 연구를 비교하고자 '인지행동치료'에서 출판된 논문 234편(2008-2019)과 'Cognitive Therapy and Research'에서 출판된 논문 2,316편(1977-2019)이 수집되었다. 자료는 NetMiner 4.3 프로그램으로 분석되었으며 동시출현단어 분석은 코사인 유사도 행렬을 산출하고, 네트워크를 시각화하는 절차로 수행되었다. 본 연구의 결과로 국내 CBT연구자들의 주요 관심사가 식별되었고, 국내 CBT 지식구조는 9개의 연구영역으로 범주화되었다: '척도 타당화', '완벽주의와 속박감', '조현병 환자의 인지, 정서, 관계적 특성', '경계선 성격장애와 우울/양극성 장애 환자의 인지적 특성과 치료', '적응과 심리적 건강', '사회불안장애 환자의 인지적 특성과 치료', '우울의 원인과 공존이환', '수용전념치료', '폭식 장애 환자의 이해와 치료'. 본 연구는 지난 11년 동안 국내 CBT 분야에서 축적된 지식을 점검하였다는 데에 의의가 있으며 국내 CBT 연구의 향후 발전과제로 임상적 실천 표준을 제고하기 위한 연구가 필요하다고 제안한다.

The Effect of Transcranial Direct Current Stimulation on Cognitive Function and Biochemical Change of Rats with Alzheimer's Desease

  • Kim, Jin-Young;Park, Seong-Doo;Song, Hyun-Seung;Yang, Kyung-Hee;Yu, Seong-Hun
    • The Journal of Korean Physical Therapy
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    • 제26권6호
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    • pp.436-441
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    • 2014
  • Purpose: The objective of this study was to offer clinical primary data that it's aims to examine effects of transcranial direct current stimulation (tDCS) on cognitive function and biochemical change of rat with alzheimer's disease(AD) induced by injecting scopolamine. Methods: Subjects were instructed cognitive dysfunction model, rat of Sprague-Dawley system was injected with scopolamine and each experimental group was classified into three; group I (n=16) is non-treatment groups; group II (n=16) is applied with the tacrine; group III (n=16) is applied with the tDCS. The ziggurat task test was conducted to observe behavioral changes and cognitive function ability and 7, 14, 21, 28 days after the model. Acetylcholine Esterase (Ach E) activity was examined for biochemical assessment of which the results are followed. Results: Participants showed as to behavioral change, tacrine application group was the most significantly responded, following tDCS application group. As to biochemical change, same as above, tacrine application group was the most significantly responded, following tDCS application group. Conclusion: From these results, confirm that tDCS application to rat with alzheimer's disease leads to positive effects on behavioral, cognitive function changes, and biochemical changes, lasting for certain period of time. This study, in particular, tDCS, which can change excitability of brain cells non-invasively, could provide basic data that is useful as a new treatment way for the patients with cognitive dysfunction.

태극삼의 장기투여가 인지기능향상과 기억력증진에 미치는 영향 (Effects of Chronic Treatment of Taegeuk Ginseng on Cognitive Function Improvement in Scopolamine Induced Memory Retarded Rats)

  • 이철형;박지혜;김규일;이서울
    • 동의생리병리학회지
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    • 제36권1호
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    • pp.18-22
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    • 2022
  • To investigate effects of cognitive function improvement whether against Taegeuk ginseng on scopolamine-induced memory impairment in rats. All experiments were conducted in three groups: the control group (CTR), the scopolamine 0.4mg/kg (SCP), and the scopolamine (SCP+T) treated with Taegeuk ginseng 100 mg/kg. Taegeuk ginseng 100 mg/kg daily was orally administered for one month and treated with scopolamine was only for 7 consecutive days on the Morris water maze task. 3 weeks after oral administration of Taegeuk ginseng, subjects were performed the Morris water maze test for 8 days and then the open-field exploration test which to assessed for cognitive function improvement. After behavioral testing, subjects were sacrificed and microdissected brains for neurochemical analysis. In the cognitive-behavioral test, long-term administration of Taegeuk ginseng improved spatial navigation learning task compared with the impeded by scopolamine treatment. In neurochemistry, the expression of the synaptic marker PSD95 (postsynaptic density protein 95) was increased in the hippocampus compared to the scopolamine group. Also, brain-derived neurotrophic factor (BDNF) expression was significantly increased in the taegeuk ginseng administration group. These data suggested that long-term administration of taegeuk ginseng might improve cognitive-behavioral functions on hippocampal related spatial learning memory, and it was correlated with neurotropic and synaptic reinforcement. In conclusion, treatment with taegeuk ginseng may positive outcome on learning and memory deficit disorders.

Social Support Mediated by Cognitive and Behavioral Determinants as Predictors of Body Mass Index among Korean Adolescents: A Structural Equation Model

  • ;;강인순
    • Child Health Nursing Research
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    • 제13권1호
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    • pp.13-20
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    • 2007
  • Purpose: This investigation examined a model to predict body mass index in order to prevent later development of obesity among adolescents. The hypothesized model was developed based on the principle of Social Cognitive Theory that social influences predict perceptions of cognition as well as behavior. Method: The 5,770 adolescents, aged 14-18 who participated in this study came from 11 separate school districts in Busan and Kyungnam province of South Korea. The adolescent surveys were administered in a group setting at the participating school. Of the 5770 surveys, adolescents with more than 10 percent missing data in the entire survey were excluded. The final sample contained 4,527 cases. The adolescents were included 2,250 (49.7%) males and 2,277 (50.3%) females. Data was analyzed Pearson correlation coefficients using SPSS 12 program and structural equation model (SEM) using Maximum Likelihood estimation was employed using Amos 5.0. Results: Social support directly affects cognitive determinants. Cognitive determinants directly affect behavior determinants which directly affect BMI. Cognitive and behavioral factors mediated the relationship between social support and BMI (GFI= 0.984, CFI= 0.974, RMSEA=0.031). Conclusion: Social levels should be supportive to help adolescents have healthier behaviors. This support can be accomplished by providing frequent support to establish positive cognitive factors as the foundation of the solution to prevent overweight and obesity.

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Preclinical Evidence and Underlying Mechanisms of Polygonum multiflorum and Its Chemical Constituents Against Cognitive Impairments and Alzheimer's Disease

  • Jihyun Cha;Ji Hwan Yun;Ji Hye Choi;Jae Ho Lee;Byung Tae Choi;Hwa Kyoung Shin
    • 대한약침학회지
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    • 제27권2호
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    • pp.70-81
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    • 2024
  • Objectives: Cognitive impairments, ranging from mild to severe, adversely affect daily functioning, quality of life, and work capacity. Despite significant efforts in the past decade, more than 200 promising drug candidates have failed in clinical trials. Herbal remedies are gaining interest as potential treatments for dementia due to their long history and safety, making them valuable for drug development. This review aimed to examine the mechanisms behind the effect of Polygonum multiflorum on cognitive function. Methods: This study focused primarily on the effects of Polygonum multiflorum and its chemical constituents on cognitive behavioral outcomes including the Morris water maze, the passive avoidance test, and the Y maze, as well as pathogenic targets of cognitive impairment and Alzheimer's disease (AD) like amyloid deposition, amyloid precursor protein, tau hyperphosphorylation, and cognitive decline. Additionally, a thorough evaluation of the mechanisms behind Polygonum multiflorum's impact on cognitive function was conducted. We reviewed the most recent data from preclinical research done on experimental models, particularly looking at Polygonum multiflorum's effects on cognitive decline and AD. Results: According to recent research, Poligonum multiflorum and its bioactive components, stilbene, and emodin, influence cognitive behavioral results and regulate the pathological target of cognitive impairment and AD. Their mechanisms of action include reducing oxidative and mitochondrial damage, regulating neuroinflammation, halting apoptosis, and promoting increased neurogenesis and synaptogenesis. Conclusion: This review serves as a comprehensive compilation of current experiments on AD and other cognitive impairment models related to the therapeutic effects of Polygonum multiflorum. We believe that these findings can serve as a basis for future clinical trials and have potential applications in the treatment of human neurological disorders.

공황장애에서 1회기 집단인지행동치료의 효능 ; 예비 연구 (A Pilot Study of the Effectiveness of a Session of Group Cognitive Behavioral Therapy for Patients with Panic Disorder)

  • 장은진;정영은;서호준;채정호
    • 대한불안의학회지
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    • 제5권1호
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    • pp.36-41
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    • 2009
  • Objectives : The purpose of this pilot study was to investigate the potential clinical benefits a single group session of cognitive behavioral therapy in the treatment of patients with panic disorder. Methods : The study participants were 18 patients (14 males, 4 females; mean age=38.9 years), all of whom were assessed as meeting the DSM-IV-TR criteria for panic disorder. All participants attended one two-hour session of structured group cognitive behavioral therapy (CBT). Clinical symptoms was assessed before and eight weeks after the single therapy session using the Panic Disorder Severity Scale (PDSS). Results : Eight weeks after a single session of group CBT significant improvements were found in panic attack frequency, distress during panic attacks, severity of anticipatory anxiety, agoraphobic fear/avoidance, panic-related sensation fear/avoidance, impairment in work functioning, impairment in social functioning. Conclusions : One session of group CBT appears to be an effective treatment of panic disorder by reducing the severity of all symptoms assessed on the PDSS. An attempt should be made to replicate the findings of this pilot study in a larger and controlled, comparative clinical trial.

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한방치료와 인지행동치료를 병행한 공황장애 환자 1례에 대한 임상적 고찰 (A Case of Combination Therapy of Cognitive - Behavioral Therapy and Oriental Medical Treatment On Panic Disorder)

  • 정효창;성우용;김진원;정병주;장하정
    • 동의신경정신과학회지
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    • 제15권2호
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    • pp.211-219
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    • 2004
  • 상기 환자는 $4{\sim}5$년 발한 공황장애로 로컬 정신과에서 1년간 po. med 하시다 별무 호전하시고, 입원 3일전 증세 심하여 본원의 한방치료를 받은 환자로, DSM-4에 의거하면 광장공포증을 동반한 공황장애 환자로 한방적으로는 신음양구허(腎陰陽俱虛)에 간울화화(肝鬱化火)를 겸하였다고 하겠다. 지원탕(志遠湯)을 투여하고, 변증에 따라 자침하며, 주관법(走罐法)을 시행하고, 더불어 인지행동치료를 병행하여 PDSS상 21점이 13점으로 감소하는 좋은 결과를 내어 이를 보고하는 바이다. 하지만 관찰 기간이 그리 길지 않았고, 한방치료와 인지행동치료를 함께 시행함으로써 이상의 치료들 중 어떤 치료가 어느 정도의 효과를 내었는지 그 정도를 측정할 수 없으며, 측정절차도 환자의 주관적인 증상의 호소에 의존하여 객관성이 다소 결여되었다. 이를 보완하기 위해 공황장애에 대한 한방치료, 인지행동치료, 그리고 두 가지를 병행한 치료를 각각 시행한 후 효과를 후위분석연구를 통해 검증한다면 한방치료와 인지행동치료가 각각 어느 부분에 어느 정도의 치료효과를 발생시켰는지 검증할 수 있을 것이다. 이를 위한 향후 객관적이고 지속적인 연구가 필요하리라 사료된다.

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외모에 대한 사회.문화적 태도와 신체이미지가 의복추구혜택에 미치는 영향 -청소년기 여학생의 연령 집단별 차이 비교- (The Effect on Socioultural Attitude toward Appearance and Body Images on Clothing Benefits Sought -the comparison of age difference in female adolescents-)

  • 조선명;고애란
    • 한국의류학회지
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    • 제25권7호
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    • pp.1227-1238
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    • 2001
  • This study was based on social comparison theory, and the covariance structure model was designed, connecting sociocultural attitude, multifaceted body image, and clothing behaviour under sociocultural influence. The practical purpose of this study is to identify the effect of sociocultural attitude toward physical appearance on the affective aspect of body images, the cognitive/behavioral aspect of body images and clothing benefits sought, and to examine the age difference in the female adolescents. The results of this were as follows: 1) Sociocultural attitude toward physical appearance had a negative effect directly on the affective aspect of body images, and showed the highest value in the group of high school girls 2) Sociocultural attitude toward physical appearance had a positive influence directly on the cognitive/behavioral aspect of body images, and high school girls'model showed the highest values significantly as well 3) High school girls'model showed the highest value significantly in the effect of the affective aspect of body images on the cognitive/behavioral aspect of body images. However, college group's model didn's show significant value 4) Middle school girls'model showed higher value positively than the other groups in the effect of the cognitive/behavioral aspect of body images on clothing benefits sought, and the high school girls' model showed higher value negatively in the effect of the affective aspect of body images on clothing benefits sought.

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의류쇼핑성향에 따른 점포 내 환경에 대한 인지적${\cdot}$감정적${\cdot}$행동적 반응 (Cognitive, Emotional and Behavioral Responses on In-Store Shopping Environment according to Apparel Shopping Orientation)

  • 박재옥;이은경
    • 한국의류학회지
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    • 제29권8호
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    • pp.1196-1206
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    • 2005
  • The purpose of this study was to identify the difference on the consumer's cognitive response, emotional and behavioral response in regard of the in-store shopping environment according to their apparel shopping orientation. The subjects of this study were consumers who finished shopping in the stores, and 300 questionnaires were completed. Data collected in this survey were analyzed by using Factor analysis, Cluster analysis, one-way ANOVA and Duncan test as a post identification. The results were as follows; 1. A significant difference was found on cognitive responses in regard of the in-store environment, such as a store atmosphere, salespeople, the assortment of products, and the fashion of products, according to types of apparel shopping orientation. The hedonic shopping type tended to have the higher evaluation toward a store atmosphere and salespeople than did other types. 2. Results showed statistically significant differences on emotional responses such as the outward/inward pleasure and outward/inward displeasure of the in-store shopping environment according to apparel shopping orientation types. The outward pleasure was found most highly in the high involvement shopping type. 3. There were significant differences on behavioral responses of the in-store shopping environment, such as the shopping satisfaction, the store revisit intention, recommending to others, and the unexpected consumption, according to apparel shopping orientation types.