• Title/Summary/Keyword: psychological therapy

Search Result 710, Processing Time 0.021 seconds

Non-Pharmacological Interventions for Behavioral and Psychological Symptoms of Neurocognitive Disorder (신경인지장애의 정신행동증상에 대한 비약물학적 개입)

  • Hyun Kim;Kang Joon Lee
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.31 no.1
    • /
    • pp.1-9
    • /
    • 2023
  • Patients with neurocognitive disorder show behavioral psychological symptoms such as agitation, aggression, depression, and wandering, as well as cognitive decline, which puts a considerable burden on patients and their families. For the treatment of behavioral psychological symptoms, patient-centered, non-pharmacological treatment should be used as a first line approach. This paper describes non-pharmacological interventions to manage and treat behavioral psychological symptoms in patients with neurocognitive disorder. In order to control behavioral psychological symptoms such as agitation, depression, apathy, insomnia, and wandering, it is important to identify and evaluate factors such as environmental changes and drugs, and then solve such problems. Non-pharmacological interventions include reassurance, encourage, distraction, and environmental change. It is necessary to understand behavior from a patient's point of view and to approach the patient's needs and abilities appropriately. Reminiscence therapy, music therapy, aroma therapy, multisensory stimulation therapy, exercise therapy, light therapy, massage therapy, cognitive intervention therapy, and pet therapy are used as non-pharmacological interventions, and these approaches are known to improve symptoms such as depression, apathy, agitation, aggression, anxiety, wandering, and insomnia. However, the quality of the evidence base for non-pharmacological approaches is generally lower than for pharmacological treatments. Therefore, more extensive and accurate effectiveness verification studies are needed in the future.

Effects of Psychological Stress and Living Environments on Perceived Hand Deformities: a Community-Based Cohort Study

  • Sunmi Song
    • Physical Therapy Rehabilitation Science
    • /
    • v.12 no.1
    • /
    • pp.72-79
    • /
    • 2023
  • Objective: Despite known associations between negative body image and health declines in chronic pain patients, few studies have examined longitudinal associations between psychological stress and perceived hand deformities. This study examined whether psychological distress was associated with hand deformities 4 years later and if rural and urban adults differed in the association. Design: A community-based cohort study. Methods: Community dwelling adults (mean age=51.97, 52.3% women) in a rural (n=2968) and urban area (n=2784) provided demographic data at baseline and, in the 4-year follow-up, responded to questionnaires about psychological distress. Perceived hand deformities were assessed at the 8-year follow-up. Linear regression was conducted to examine the effects of psychological distress on hand deformities and moderation by residential areas. Results: The perceived hand deformities were more likely among those with severe psychological stress, hand osteoarthritis, or any chronic disease condition (p<0.01) but less likely among those with younger age, higher education, or income (p<0.01). The regression results showed that psychological distress predicted more perceived hand deformities 4 years later even after adjusting for demographic and health covariates (p<0.01). The residential areas did not significantly moderate the association between distress and hand deformities. Conclusions: This study suggected that psychological distress may trigger later perception of hand deformities in both urband and rural adults. The findings indicate that stress management interventions that are customizable to regional contexts may be effective at preventing negative body image related health problems of community-dewelling adults.

Effects of Forest Healing Program on Cultural Adaptation Stress and Psychological Wellbeing of Foreign Workers

  • Kim, Han-Won;Shin, Won-Sop;Jang, Cheoul-Soon
    • Journal of People, Plants, and Environment
    • /
    • v.22 no.5
    • /
    • pp.505-513
    • /
    • 2019
  • As the number of foreign workers increases in Korea, people's interest in their adaptation to this society has also increased. The purpose of this study was to investigate the effect of a forest-healing program on foreign workers' cultural adaptation stress and psychological wellbeing. The experiment was conducted in a recreation forest located in Hongcheon-gun, Gangwon-do. The subjects who participated in this study included 40 foreign workers (16 males, 24 females). The experiment was conducted for three days and two nights from June 26 to 28, 2019. The forest healing program was composed of activities that can enhance immunity and restore physical and mental health by utilizing various healing environmental factors such as landscapes, sunlight, anion and oxygen in forest. The independent sample t-test was conducted to examine changes in cultural adaptation stress and psychological well-being before and after the program. The collected data were analyzed using SPSS 18.0 program. As a result, cultural adaptation stress was statistically significantly reduced in sub-factors including discrimination experience, language conflict and legal status. Psychological wellbeing improved in all the surveyed sub-factors such as self-confidence, ego, immersion, and joy. The results of this study are expected to be used as basic data for reducing the stress foreign workers experience from cultural adaptation and restoring their psychological wellbeing in the future.

The Effect of Appearance Management on Body Image and Psychological Well-Being (외모관리행동에 따른 신체이미지 및 심리적 안녕감)

  • Hwang, Jin-Sook;Kim, Yun-Hee
    • Journal of the Korean Society of Costume
    • /
    • v.56 no.3 s.102
    • /
    • pp.143-155
    • /
    • 2006
  • This study aims to examine the difference of body image and psychological well-being of men and women according to appearance management. The subjects of the study were 673 college students who lived in Seoul and metropolitan areas. Statistical analyses used in the study were factor analysis, Cronbach's a, cluster analysis, ANOVA, Duncan test and $\chi^2-test$. The results of this study were as follows; 1. The body image was categorized into the three factors of personal interest innce, anxiety about weight and physical attraction. Appearance management was categorized into the appearance management through clothing, strict diet therapy and daily appearance management. The psychological well-being was classified as seven factors which include the life goal, self-acceptance, positive personal relations, self-regulation, personal development, environment control and responsibility. 2. The appearance management was classified by 4 groups as below: Daily appearance management group, strict diet therapy group, appearance management through clothing group and no interest in appearance group. 3. There were significant differences among the four groups regarding body image, psychological well-being and life satisfaction. First, appearance management through clothing group had more interest in appearance than other groups. In the case of weight awareness, strict diet therapy group and the appearance management through clothing group intended to have more concerns over their weight. The strict diet therapy group seemed to have an overall lower level of psychological well-being than other groups. Lastly, the appearance management through clothing group had a higher level of life satisfaction.

Effect of Therapy on Stress and Quality of Life in Patients Undergoing Hemodialysis (음악요법이 혈액투석환자의 스트레스와 삶의 질에 미치는 영향)

  • 김영옥
    • Journal of Korean Academy of Nursing
    • /
    • v.23 no.3
    • /
    • pp.431-452
    • /
    • 1993
  • This study was done to determine the effect of music therapy on stress and quality of life in patients undergoing hemodialysis. The research design was a nonequivalent control group pre -post test design. The subjects consisted of 21 patients who received hemodialysis in two hospitals located in Kwang Ju. The fourteen receiving treatment in one hospital were assigned to the experimental group and the seven in the other hospital to the control group. Data were gathered from December 14, 1992 to January 16, 1993 through questionnaires and physiological measurement. Data were analyzed by the SAS package using frequency, t-test, paired t-test and Pearson Prod uct - Moment Correlation Coefficient. The results of this study are summarized as follows ; 1. There were no significant differences between the two groups on stress scores and quality of life scores before the treatment. 2. The mean score on the psychological stress scale for the patients undergoing hemodialysis was 2.48 out of a maximum mean score of four, the items with high stress scores were “feeling of weakness and annoyed by everything”, “limitation of food”, “limitation of fluid”, “change in skin color” in that order. The psychological category showed the highest stress score followed by developmental, scoioeconomic and physiological stress categories in that order. 3. In the experimental group, post - test diastolic blood pressure decerased significantly(t=3.24, p=0.0064), but in the control group pre and post - test diastolic blood pressure were not different. 4. There was no difference between the two groups on the pre and post -test psychological stress scores or the depression scores. 5. The mean score of quality of life for patients undergoing hemodialysis was 2.75 out of a maxi-mum mean score of five. The category of ‘emtional state’ showed the highest score followed by ‘self - esteem’, ‘physical state and function’, ‘economic life’, ‘relationship with neighbors’ and ‘family relationship’ categories in that order. There was no significant difference in the pre and post - test quality of life scores between the two groups. 6. Hypothesis 1 that patients undergoing hemodialysis who received music therapy would have less stress than patients undergoing hemodialysis who did not receive music therapy is divided into two sub - hypotheses. 1) The first sub-hypothesis that patients undergoing hemodialysis who received music therapy would have less physiological stress than patients undergoing hemodialysis who did not receive music therapy was partly supported. Among three physiological stress indices (pulse, systolic blood pressure, diastolic blood pressure), only diastolic blood pressure decreased significantly after the treatment in the experimental group. 2) The second sub-hypothesis that patients undergoing hemodialysis who received music therapy would have less psychological stress than patients undergoing hemodialysis who did not receive music therapy was not supported. Psychological stress score and depression score were not significantly different before and after the treatment. 7. Hypothesis 2 that patients undergoing hemodialysis who received music therapy would have a higher quality of life score than patients undergoing. hemodialysis who did not received music therapy was not supported. There were no significant changes in the quality of life scores before and after the treatment.

  • PDF

Physical Therapy of Conversion Disorder - Case Report - (전환장애의 물리치료 - 증례보고 -)

  • Oh, Duck-Won;Jung, Nak-Su
    • Physical Therapy Korea
    • /
    • v.5 no.1
    • /
    • pp.51-62
    • /
    • 1998
  • Conversion disorder is defined as a specific and enduring sensorimotor dysfunction that contradicts known neurological or musculoskeletal pathology or physical findings. The patient with conversion symptoms unconsciously adopts these symptoms to convert their psychological stress to a physical phenomenon. Conversion disorder often involves the mimicry of organic symptoms similar to those experienced by a relative or an acquaintance. Because conversion symptoms are produced by psychological stress, specific treatment strategy and reinforcement program are needed for treatment. Treatment comprises avoiding unnecessary medical tests and removing symptoms by using graded exercises given by physical therapists. Clinical therapists must maintain a continuous and detailed follow-up to completely recover from conversion symptoms. The goal of treatment is to emphasize health rather than disease, to resolve physical symptoms, and to prevent recurrence. This study looks into the case reports of 4 patients diagnosed with conversion disorder.

  • PDF

Music Therapy in Hospice Care (호스피스에서의 음악치료)

  • Moon, Ji-Young
    • Journal of Hospice and Palliative Care
    • /
    • v.10 no.2
    • /
    • pp.67-73
    • /
    • 2007
  • To make ones life meaningful is one of human's most valuable goal. Nevertheless, for cancer patients who are in the last phase of their lives obtaining this goal may be threatened by physical, psychological, and social difficulties. Music therapy ran be utilized to effectively fill in these physical, psychological, and social needs. In the form of a creative art, music therapy can be effective in easing the pain and tension as well as assisting the patient to discover meanings of life through psychological comfort. Further, music is itself a verbal/non-verbal communication tool and thus connects the patients with their families with understanding and sympathy. This study aims to examine the need and role of music therapy in hospice.

  • PDF

A Review of Occupational Therapy Approach for Complex Regional Pain Syndrome (복합부위통증증후군의 작업치료적 접근에 관한 고찰)

  • Choi, Yoo-Im;Park, Soo-Hyun
    • The Journal of the Korea Contents Association
    • /
    • v.10 no.1
    • /
    • pp.286-294
    • /
    • 2010
  • Complex Regional Pain Syndrome(CRPS) is a chronic neruopathic pain syndrome, most frequently encountered after trauma, nerve injury, fracture, cerebral vascular accident(CVA), spinal injury, and surgery to a limb, and affected by diverse factors such as disease process, intervention method, and other biopsychosocial components. Occupational therapy as a multidisciplinary treatment approach may be potentially useful when simultaneously targeting such biological, psychological, and social components. Biological treatment can focus on increasing functional use of extremity for promoting independence. Psychological intervention can include relaxation/biofeedback training and cognitive-behavioral treatments, and social approach can focus on recreational therapy and vocational rehabilitation. Occupational therapy will encourage functional restoration, pain management, and regaining of psychological components with collaboration between different disciplines.

The Effect of Animal Assisted Therapy for Elementary Students - A Systematic Review - (국내 초등학생 대상 동물 매개 중재에 관한 체계적 문헌 고찰)

  • Bae, Seung-Jong;Kim, Dae-Sik;Lee, Sun-Hee;Bae, Juyeon
    • Journal of Korean Society of Rural Planning
    • /
    • v.28 no.3
    • /
    • pp.83-94
    • /
    • 2022
  • This study was attempted to systematically analysis the characteristics and effects of studies that applied animal assisted therapy to elementary students. Literature searches were conducted in 4 domestic academic databases(RISS, KISS, ScienceON, KMBASE). The characteristics of selected 26 studies were individually analyzed and described by publication year, research method, subject characteristics, intervention characteristics, and outcome variables, and the characteristics of the study were systematically summarized. The effect of the assisted therapy was divided into psychological-emotional effect, interpersonal effect, and other effect. Most of the psychological-emotional indicators and interpersonal relationship indicators were found to be effective, and inconsistent results were found for some indicators. It is expected that it can be used as a useful data when conducting assisted therapy studies targeting elementary school students in the future.

Lifestyle Components and Primary Breast Cancer Prevention

  • Kruk, Joanna
    • Asian Pacific Journal of Cancer Prevention
    • /
    • v.15 no.24
    • /
    • pp.10543-10555
    • /
    • 2015
  • Breast cancer primary prevention is a high research priority due to the high psychological and economic costs. The disease is a multistep process and several risk factors have been recognized. Over the past three decades numerous studies have investigated the association of lifestyle with breast cancer, showing independent effects of various factors. We report here a summary of the present state of knowledge on the role of lifestyle patterns, such as physical activity, diet, smoking, hormone therapy, and experience of psychological stress in the modulation of breast cancer in women, and discuss commonly accepted biological mechanisms hypothesized as responsible for the associations. The findings indicate that regular physical activity of moderate to vigorous intensity is probably linked with the decreased breast cancer risk among postmenopausal females and suggestive for a decrease of the risk in premenopausal women. In contrast, the consumption of high-fat diet, alcohol intake, and use of combined estrogen and synthetic progestagen hormonal therapy may increase the risk. Epidemiological findings dealing with a role of smoking and experience of psychological stress are conflicting.