• 제목/요약/키워드: psychological therapy

검색결과 710건 처리시간 0.021초

조혈모세포 이식 환자의 불면증 (Insomnia in Patients with Hematopoietic Stem Cell Transplantation(HSCT))

  • 이상신;김현석
    • 생물치료정신의학
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    • 제24권3호
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    • pp.142-155
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    • 2018
  • Insomnia in patients with hematopoietic stem cell transplantation(HSCT) has been underdiagnosed and undertreated. This study reviewed the frequency, characteristics, physical and psychological effects, and treatments of insomnia in HSCT patients to highlight clinical importance in this specialized population. Furthermore, the authors intended to suggest a model that would conceptualize insomnia in the context of HSCT. In the pre-transplant period, about half of patients with HSCT suffered from sleep disturbance. A substantial number of patients experienced distressing insomnia during the HSCT procedure and recovered to the level of the pre-transplant period. However, sleep disruption could be a chronic symptom in HSCT survivors and could negatively impact quality of control, cancer-related fatigue(CRF), immune function, and psychological distress. The 3P's model(Predisposing, Precipitating, Perpetuating) explains insomnia in cancer population and could be also relevant to HSCT patients with specific consideration of CRF, graft-versus-host diseases, specific properties of hematological disease, and protective isolated milieu. Effective treatment of insomnia in HSCT includes non-pharmacological(e.g., cognitive behavioral therapy, environmental modification) and pharmacological interventions. The decision of pharmacological treatment should be based on the issue of safety due to high risk of potential drug-drug interactions. Screening, treatment, and further research of insomnia in HSCT patients using validated subjective and/or objective measures are warranted.

치매의 약물요법 (Pharmacotherapy for dementia)

  • 윤현철;정현강
    • 대한의사협회지
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    • 제61권12호
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    • pp.758-764
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    • 2018
  • Dementia is a clinical syndrome characterized by a cluster of symptoms and signs that manifest as difficulties in cognitive functions such as memory, psychological and psychiatric changes, and impairments in activities of daily living. As a result of worldwide trends of population aging, dementia has had a huge impact on public health in almost all countries. Disease modification therapies for dementia have not yet been developed. However, pharmacotherapy is essential in patients with dementia to combat delays in their cognitive and functional decline. In this article, we review the current pharmacotherapy for dementia. Three acetylcholinesterase inhibitors-donepezil, rivastigmine, galantamine-and memantine are the only medications that have been approved for the treatment of dementia. We present the indications, dose recommendations, side effects, and criteria for National Health Insurance coverage in Korea of these medications for dementia treatment. Although the Ministry of Food and Drug Safety in Korea has not approved any medications for managing the behavioral and psychological symptoms of dementia, some antipsychotics and antidepressants have been studied and used clinically for those purposes. Clinicians may consider vitamin E, Ginkgo biloba extract, choline alfoscerate, or omega-3 fatty acids as additional treatment options. Non-steroid anti-inflammatory drugs, estrogen hormone therapy, and statins are not generally recommended for dementia treatment. We believe that our findings will aid clinicians in the treatment of patients with cognitive decline.

A Case Study of Video See-Through HMD in Military Counseling Service

  • Lee, Yoon Soo;Lee, Joong Ho
    • International Journal of Internet, Broadcasting and Communication
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    • 제14권3호
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    • pp.101-107
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    • 2022
  • In Korea, the military has been conducting counseling forthe preemptive detection of psychologically unstable soldiers to prevent unexpected accidents and to help them adapt to military life. However, several soldiers feel anxious about face-to-face counseling with military officers and they have difficulty expressing themselves. Video See-Through HMD is a state-of-the-art mixed reality device that converts the user's real view into a digital view, which leads users to feel the actual situation as the virtual. To validate its usefulness as a new psychological counseling aid, we investigated 11 army soldiers who are under the counseling program in barracks. During the counseling conversation, participants were asked to wear or take off the Video See-Through HMD repeatedly. All conversations were recorded for behavioral observation. As a result, 80% of the soldiers showed a relatively stable state of mind when wearing the Video See-Through HMD, which leads them to be innocent and frank about their concerns. This method could improve the effectiveness of counseling to prevent unexpected accidents caused by unnoticeable psychological instabilities of the clients.

색채치료(色彩治療)와 한의학(漢醫學)에서의 색(色)의 적용(適用) (Color therapy and application of color to oriental medical science)

  • 박승림;강정수
    • 혜화의학회지
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    • 제12권1호
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    • pp.79-102
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    • 2003
  • It has been believed that the human body can be effected by color, sound, smell, and taste - each of them is based on the original character. Out of these elements, the color can be a mediation that absorbs energy into human body and adapts it to the creatures whose life are definitely based on the solar energy. This thesis makes a study of the possibility of applying the color to the oriental medical science by researching the color psychology and therapy which are studied in the west medical science, the recognition and application of color developed from orientalism, and the opinion of color in the oriental medical science. Color therapy is one of the psychological treatment techniques that are able to recover and maintain the health with the rays of the sun rays and the color. The light and the color have its energy that may relax, harmonize, encourage, or excite a human being. This is because the wavelength and the vibration of each color will take effects to human body. The core energy of absorbing and distributing the color vibration is made in the 7 "chakras" in the body, which are the pith and marrow of bio-energy directly connected with the center of the nervous system. There are several methods in the color therapy - the treatment of solar ray, the color-bath, the water-therapy using color energy, the inducement of the solar energy into the body, the acupuncture, the therapy of crystal and jewel, and the self-suggestion dependent upon the color. The color therapy can help us to keep our balance by changing the emotion into the positive energy that will cure the disease with color. As a result, this method not only must be useful to cure physical disease, or develop into good health but also will be used in conforming itself to the mental disease. The color therapy mainly uses the eight colors, which are made by mixing Red, Yellow and Blue basic colors in the field. They are never used in the treatment, but they will go along with complementary colors. This rule is closely connected with the theory of yin and yang which lies at the root of oriental philosophy, and with the treatment principle of oriental medical science whose field is focused on the balancing the body mentally as well as physically. In the East, it is the Obangsaek - the color of blue, red, yellow, white, and black in the theory of yin and yang and the five elements that have been used in helping people having trouble with their health for a long time. In the view of the oriental medical science, these five colors attached the theory of five-elements have been very useful to the physiology, the pathology, or the diagnosis, and been applied to the medical treatment, combining themselves with a five-taste in medicinal herbs. Since the study of color and human physiology has been made in some different interest and fields these days, it goes to prove that the different function of color we couldn't have got before becomes very useful to the medical science. The color must be worth researching the diversity for applying itself to the oriental medical science.

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심상 중심의 음악 감상을 통한 고위험 임산부의 이완 증진 (The Use of Imagery-centered Music Listening for Relaxation for Women with High-Risk Pregnancy)

  • 김지연
    • 인간행동과 음악연구
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    • 제7권1호
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    • pp.17-36
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    • 2010
  • 본 연구는 심상 중심의 음악 감상이 고위험 임산부들의 생리적 심리적 이완에 미치는 영향을 알아보는 것을 목적으로 한다. 음악치료 중재는 대학병원 분만실에 입원한 15명의 고위험 임산부들을 대상으로 11회기에 걸쳐 이루어졌으며 자료 수집은 첫1회기에만 실시하였다. 생리적, 심리적 이완을 측정하기 위한 도구로는 대상자들의 말초피부온도와 시각비유척도(VAS)를 이용하였다. 본 연구의 음악 감상 프로그램을 위하여 27곡의 이완 음악을 선곡하였고, MI 기법을 수정 보완하여 심상 중심의 음악 감상 프로그램을 재구성하였다. 연구 결과 사전 사후에 측정한 말초피부온도의 변화 및 시각비유척도(VAS)의 점수 변화가 통계적으로 유의한 것으로 분석되어(p < .01), 심상 중심의 음악 감상이 고위험 임산부의 생리적 심리적 이완을 증진하는 데 효과적이었음이 입증되었다. 또한 음악 감상 과정에서 대상자들이 경험한 심상에 대한 내용분석 결과, 희망적이고 긍정적인 심상 경험이 불안과 스트레스를 감소시키고 낙관적인 사고와 심리적 지지를 제공해 주었음을 알 수 있다.

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사상의학(四象醫學)에서 성정(性情)의 중절(中節)과 심리치료(心理治療) (Control and Moderation of Natural Human Emotions through Sasang Constitutional Medicine and Psychotherapy)

  • 박성식
    • 대한한의학원전학회지
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    • 제26권2호
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    • pp.105-120
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    • 2013
  • Objectives: Sasang Constitutional Medicine(SCM) is a Traditional Korean Medicine based on the natural human emotions of joy(喜), anger(怒), sorrow(哀), and pleasure(樂). Therefore, in this paper I would like to construct SCM as a Mind-Body Medicine by studying the relation between SCM and psychotherapy focusing on control of emotions. Methods : I have researched the psychological characteristics of the four human physical constitutions, as described by SCM, and psychotherapy with an emphasis on the natural human emotions of joy, anger, sorrow, and pleasure as discussed in the works of Lee Je-ma(李濟馬, 1837-1900). Results and Conclusions : The joy, anger, sorrow, and pleasure in SCM do not simply refer to human emotions. They have an inherent nature(性), emotion(情) and Qi(氣). They are tied to the psychological characteristics of the four human physical constitutions and the relationship between body and mind. The turning point in the transformation from Sasang philosophy to Sasang therapy lies in these emotions. Sasang Constitutional Medicine, which focuses on 'mind matter' and diagnosing illness, emphasizes medicine and food(藥餌), along with health maintenance(調養). In particular, health maintenance requires the following mental practices. First of all, through countinuous awarness(恒戒) and self-reflection(自反), one needs to practice moderation(中) and restraint(節) of the emotions of joy, anger, sorrow, and pleasure. Therefore, 'inward reflection while sitting(坐思)' is necessary. In SCM, this is very similar to meditation in that it enhances psychological self-control through mental training or practice.

중년기 기혼남녀의 부부의사소통과 부부친밀감이 심리적 복지에 미치는 영향 (The Effects of Marital Communication and Marital Intimacy on Psychological Well-being among Middle-aged Married Men and Women)

  • 김명희;최연실
    • 가정과삶의질연구
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    • 제25권3호
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    • pp.1-23
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    • 2007
  • This study provides basic materials that assist in marital counselling and marital therapy intervention through its analysis of the effects of marital communication and marital intimacy on psychological well-being and its systematic focus on middle-aged married men and women of social interest and importance. The subjects of this study were married men and women, aged 40 to 59, living in the metropolitan areas of Seoul and Kyeonggi; the study excluded those who were divorced, bereaved or whose last child was in over high school, but included those who were separated or in a second marriage. A total of 396 people, 134 men and 262 women, were included in the study. The major findings of this study are as follows. First, middle-aged married men recorded higher levels of marital communication and marital intimacy than middle-aged married women. While women showed higher levels of depression than men, there was no difference between men and women in terms of overall life satisfaction. Second, there were differences in marital communication, marital intimacy, and psychological well-being among middle-aged married men and women according to background variables. Third, marital communication and marital intimacy were shown to affect the life satisfaction of both middle-aged married men and women. Of the two, marital communication had more the influence. Marital communication also had the biggest influence on levels of depression among both middle-aged married men and women.

남성 관상동맥질환자의 금연모형 구축 (Smoking-cessation Model for Male Patients with Coronary Heart Disease)

  • 김은경
    • 한국간호교육학회지
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    • 제8권1호
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    • pp.61-71
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    • 2002
  • purpose : The purpose of this study was to find out the influencing factors of smoking-cessation behavior of patients with coronary heart disease and to suggest the model of smoking-cessation behavior which was based on the relationship between influencing factors and then to test its fitness empirically. method : This study was based on the Theory of Reasoned Action and a hypothetical model was constructed with fifteen paths in consideration of main predictive factors of smoking-cessation behavior such as biological factor, disease-related characteristics, self-efficacy, supportive factor, environmental factor, disease-related perception factor, intention-to-quit, and psychological factor. The validity of a smoking- cessation model was tested to 264 patients with coronary heart disease by using SPSS 8.0 and Window LISREL 8.12a. results : 1. Seven of the 15 paths of smoking-cessation behavior proved to be significant. 2. The final model excluded three paths in the hypothetical model was demonstrated to be improved by $x^2$=44.31 (df=38, p=.22), Goodness of Fit Index (GFI)=.98, Adjusted Goodness of Fit Index (AGFI)=.96, Non-Normed Fit Index(NNFI)=1.00, Normed Fit Index(NFI)=1.00, and Root Mean Square Residual(RMR)=.24. 3.The smoking-cessation behavior was influenced directly by biological factor, self-efficacy, supportive factor, environmental factor, intention-to-quit, and psychological factor. The smoking-cessation behavior was accounted for 82% of variance by these factors. conclusion : although the adolescents' smoking behavior can be predicted by only smoking intention, it is hard to predict the adults' smoking-cessation behavior by only this factor. Therefore, intention-to-quit, self-efficacy, supportive factor should be improved because these are promotive factors for smoking-cessation behavior. Biological factor, environmental factor, and psychological factor are inhibitive factors, so nicotine replacement therapy is helpful to the high nicotine-dependents, and ex-smokers avoid other smokers in their environment and also patients should learn and practice the stress coping-skills.

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아동의 그림으로부터 감성인식 및 색채심리 파악에 관한 연구 (A Study of Sensibility Recognition and Color Psychology from The Children's Pictures)

  • 안은미;신성윤
    • 한국컴퓨터정보학회논문지
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    • 제17권2호
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    • pp.41-48
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    • 2012
  • 작금의 현대 사회는 바쁜 일상 속 부모들의 관심이 부족한 자녀들에 대한 심리적 안정과 환경 적응력을 위한 색채심리치료의 필요성이 급증하고 있다. 이에 우리는 아동의 그림 등으로 아동의 감성상태를 파악하여야 한다. 현재 진행 중인 감성의 실증적 연구는 크게 심리학적 관점과 공학적 관점에서 이루어지고 있다. 심리학분야에서 이해하고 있는 감성은 감정에 가깝다고 할 수 있고, 한편 공학적 관점에서 이해되는 감성은 '외부의 물리적 자극에 의한 감각, 지각으로부터 인간의 내부에 야기되는 고도의 심리적 체험'으로 정의할 수 있다. 본 논문에서는 색채 이미지 공간에서의 단색, 배색의 정보를 활용하여 색채조화를 식별하고, 아동의 그림에서의 심리를 추출해내는 시스템을 제공하며, 색채 이미지공간을 기반으로 감성 데이터베이스를 구축한 이후에 영상을 K-Means알고리즘을 이용해 클러스터링 하여 방대한 컬러 값들을 그룹화 시킨 후에 데이터베이스와 매칭을 시켜 감성을 추출해 내고, 아동의 그림에서의 컬러 분포도를 이용하여 아동색채심리를 알아보았다.

제2형 당뇨병 환자의 심리적 인슐린저항성 극복을 위한 동기강화상담 분석 (Analysis of Motivational Interviewing to Overcome Psychological Insulin Resistance of Type 2 Diabetes)

  • 이현진;조정화;송영신
    • 한국융합학회논문지
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    • 제9권12호
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    • pp.485-493
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    • 2018
  • 본 연구는 심리적 인슐린 저항성이 있는 제2형 당뇨병 환자들의 인슐린 치료 시작과 관련하여 겪게 되는 어려움과 동기의 변화과정을 파악하고자 제2형 당뇨병 환자의 동기강화상담 내용을 분석하였다. 동기강화상담 과정에 기초하여 지속적 비교분석 방법(consistent comparative analysis)을 활용하였다. 연구결과는 관계 형성하기, 초점 맞추기(당뇨병 자가관리에 대한 문제점을 스스로 탐색하기, 당뇨병 관리에 대한 한계점 인식, 합병증에 대한 걱정, 미래의 모습 상상하기), 유발하기(인슐린 투여 시 예상되는 장단점 그려 보기, 인슐린 강점 새롭게 알아가기, 인슐린 치료 시작에 대한 생각의 변화), 계획하기(변화에 대한 구체적 호기심 들어내기, 변화 계획하기), 변화행동 유지하기(변화 자신감 유지), 평가(내담자 상담자가 평가같이 내려 보기)로 도출되었다. 연구결과를 바탕으로 심리적 인슐린저항성이 있는 제2형 당뇨병 환자를 이해하는 데 기여할 것이다. 또한 이러한 대상자를 돕는 전문가들에게 시사점을 제공할 수 있을 것이다.