• 제목/요약/키워드: psychological therapy

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아동 도박성게임 행동 감소를 위한 인지행동치료 프로그램 개발 및 효과 (Development and Effectiveness of Cognitive Behavior Therapy Program to reduce child gambling game behavior)

  • 김선희;신동열
    • 산업진흥연구
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    • 제9권3호
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    • pp.229-240
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    • 2024
  • 본 연구의 목적은 아동 도박성 게임 행동 감소를 위한 인지적·행동적 요소에 중점을 두고 재발 방지를 위한 프로그램을 개발하고 효과성을 검증하여 예방 교육에 필요한 기초자료를 분석하였다. 남학생 4~6학년 아동을 대상으로 8명을 선별하여 실험, 통제집단을 구성하여 주 1회 프로그램을 진행 후 실험집단에 한하여 3개월 후의 효과성을 검증하였다. 검증결과 첫째, 아동 도박성 게임행동 감소를 위한 인지행동치료 프로그램을 통해 비합리적 도박신념, 도박문제 수준, 아동용 자동적 사고, 도박문제수준이 감소되었다. 도박성 게임행동에 직접적으로 영향을 미치는 부적응적 사고의 변화는 도박성 게임행동에 대한 경각심을 심어주었다. 둘째, 행동적 변인인 자기통제력, 충동성은 유의미한 차이를 보이지는 않았으나 전체 평균에서는 감소하였다. 인지적 변인의 변화가 행동적 변인에 영향을 미쳤다. 셋째, 프로그램 종료 후 3개월 후에도 지속하는 것으로 나타났다. 인지적, 행동적 변인의 변화는 추후 아동의 도박성 게임행동을 감소시키고 적응적인 사고를 통해 학교생활과 또래 관계에 도움이 되는 결론을 도출하였다.

Impact of Applied Progressive Deep Muscle Relaxation Training on the Level of Depression, Anxiety and Stress among Prostate Cancer Patients: A Quasi-Experimental Study

  • Isa, Mohamad Rodi;Moy, Foong Ming;Razack, Azad Hassan Abdul;Zainuddin, Zulkifli Md.;Zainal, Nor Zuraida
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권4호
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    • pp.2237-2242
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    • 2013
  • Background: The aim of this study was to determine the impact of applied progressive muscle relaxation training on the levels of depression, anxiety and stress among prostate cancer patients. Materials and Methods: A quasi-experimental study was conducted at the University Malaya Medical Centre (UMMC) and Universiti Kebangsaan Malaysia Medical Centre (UKMMC) over six months. Prostate cancer patients from UMMC received the intervention and patients from UKMMC were taken as controls. The level of depression, anxiety and stress were measured using Depression, Anxiety Stress Scales - 21 (DASS-21). Results: A total of 77 patients from the UMMC and 78 patients from the UKMMC participated. At the end of the study, 90.9% and 87.2% of patients from the UMMC and UKMMC groups completed the study respectively. There were significant improvements in anxiety (p<0.001, partial ${\eta}^2$=0.198) and stress (p<0.001, partial ${\eta}^2$=0.103) at the end of the study in those receiving muscle training. However, there was no improvement in depression (p=0.956). Conclusions: The improvement in anxiety and stress showed the potential of APMRT in the management of prostate cancer patients. Future studies should be carried out over a longer duration to provide stronger evidence for the introduction of relaxation therapy among prostate cancer patients as a coping strategy to improve their anxiety and stress.

Developing an Instrument to Measure Climacteric Symptoms among Korean and Japanese Women

  • Song Ae-Ri;Oishi Kazuyo;Suh Euy-Hoon;Miyahara Harumi;Nakajima Hisayoshi;Nakao Yuko;Araki Miyuki;Yamasaki Makiko
    • 대한간호학회지
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    • 제36권4호
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    • pp.637-644
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    • 2006
  • Purpose. The purpose of this study was to construct a measurement instrument for climacteric symptoms among Korean and Japanese women. Methods. From Dec. $1^{st}$ of 2003 to March $30^{th}$ of 2004, in-depth interviews were made with 26 women (15 in Jinju, Korea and 11 in Nagasaki, Japan) aged from 45 to 59 years who had not taken hormone replacement therapy to relieve the climacteric symptoms. A draft questionnaire with 45 items was constructed on the basis of the interview data and literature review. Three obstetricians, three PhDs in nursing science, and a chief nurse who was exclusively in charge of the climacteric management, examined the draft questionnaire to evaluate content validity. After deletions 39 items remained for a preliminary questionnaire. A survey was conducted by using a convenient sampling method in Jinju of Korea and Nagasaki of Japan during the period from April $1^{st}$, 2004 to July $10^{th}$, 2005. Results. Factor analysis identified 4 factors, which were 'mental and psychological symptoms', 'physical symptoms', 'loss of autonomic nervous system symptoms', 'sexual symptoms'. These four factors explained 46.9% of total variance. Conclusions. The results demonstrated that climacteric symptom scale was multidimensional, and the reliability and validity of the scale was supported.

모래놀이를 통해 본 정서·행동에 어려움이 있는 여중생의 내면세계의 변화 (The Change of the Internal World in Middle School Girls Having Emotional and Behavioral Difficulties by Exploring Their Sandplay)

  • 장미자;심희옥
    • 아동학회지
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    • 제38권1호
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    • pp.95-116
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    • 2017
  • Objective: Middle school girls who belonged to the concerned group in their school assessment were treated by sandplay for relieving their emotional and behavioral difficulties. The purpose of this study was to explore the change of the internal world of the girls through sandplay. Methods: Analytical psychology and sandplay theories were used for this exploration, especially Turner's (2005) content themes in sandplay. The participants were four first-grade girls. Pre-test measures, a 12-session sandplay program, and post-test measures were administered. Results: For the first girl, the initial phase was 1-6 (time trip), the intermediate phase was 7-9 (seeking for an inner island), and the final phase was 10-12 (seeking for a real stone). For the second girl, the initial phase was 1-5 (my heart was like cold weather), the intermediate phase was 6-10 (fallen, sick, and risen), and the final phase was 11-12 (trophy given to me). For the third girl, the initial phase was 1-5 (seeking for oasis), the intermediate phase was 6-10 (difficult trip for climbing with camel), and the final phase was 11-12 (discovering oasis). For the fourth girl, the initial phase was 1-3 (an island drowning shortly ), the intermediate phase was 4-10 (my unknowable mind), and the final phase was 11-12 (a tree growing well). Conclusion: This study showed psychological phenomena in the sandplay of four girls such as opposites and the union of masculinity and femininity as they explored their own identity. Drawing tests and counselling objects indicated positive changes; thus, these findings support the effectiveness of sandplay therapy for transforming the psyche of middle school girls.

담정격(膽正格) 병행치료와 일반한방치료가 교통사고 후 PTSD환자의 심리상태와 통증에 미치는 영향에 대한 비교 (Comparative Study of General Oriental Medical Treatment and Damjeonggyeok Acupuncture on Pain and Post-Traumatic Stress Disorder due to Trafiic Accident)

  • 이지은;천혜선;류충열;조명래;류미선
    • Journal of Acupuncture Research
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    • 제26권6호
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    • pp.151-159
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    • 2009
  • Objectives : The purpose of this study was designed to estimate the effect of Damjeonggyeok acupuncture on Post-Traumatic Stress Disorder patient due to a series of traffic accidents by using Symptoms Check List-90-Rivision(SCL-90-R). Methods : This report have been observed among 30 patients who admitted our department for whiplash injury associated disorders during 04-01-2009 to 09-31-2009. The PTSD patients was divided into 2 groups. One group was treated general oriental medical treatment(Group A) and the other group was treated Damjeonggyeok acupuncture with general oriental medical treatment(Group B). SCL-90-R and visual analogue scale(VAS) were checked before and after treatment for evaluating the improvement of whiplash injury associated disorders with PTSD. Results : 1. Both Group A and Group B showed good effect on decreasing of VAS and improving of psychological symptoms after traffic accident. 2. Group B symptoms about SCL-90-R Conclusions : Damjeonggyeok acupuncture with general oriental medical treatment can be recommended as a useful therapy to treat patients who have PTSD. Further study is needed to confirm the effectiveness of Damjeonggyeok acupuncture on whiplash injury associated disorders with PTSD.

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간접적 산림체험이 인체의 심리에 미치는 효과 (Effects of Indirect Forest Experience on Human Psychology)

  • 전진영;신창섭
    • 한국환경생태학회지
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    • 제31권4호
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    • pp.420-427
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    • 2017
  • 본 연구에서는 산림치유인자인 경관과 청각요소를 활용한 산림의 간접적 영향이 기분개선에 미치는 영향을 알아보고자 하였다. 실험은 신체건강한 대학생 30명($23.6{\pm}1.7$세)을 대상으로, 2016년 10월 5일부터 11월 30일 까지 약 2달간 실시되었다. 산림과 도시공간의 경관과 소리를 이용하여 3가지 요소(이미지 요소, 소리 요소 그리고 이미지+소리 요소)를 만들었으며, 대상자들이 실내에서 이 3가지 요소들을 감상하였다. 그리고 3가지 요소들이 기분개선에 미치는 영향들을 SPSS 18.0프로그램을 이용하여 비교분석하였다. 기분개선을 측정하기 위한 심리검사로써 기분상태검사(POMS)와 의미분별법(SD)이 사용되었다. 그 결과 간접적인 산림의 자극은 긴장, 피로, 분노, 혼란, 우울감을 억제하고 활력감을 증진시키는 효과를 나타내었고 산림의 자극 간 비교에서는 차이를 보지 않았으나 도시의 자극에 비해 산림의 자극이 쾌적감과 자연감 그리고 진정감을 높이는 효과를 가지는 것으로 나타났다.

Return to Work in Multi-ethnic Breast Cancer Survivors - A Qualitative Inquiry

  • Tan, Foo Lan;Loh, Siew Yim;Su, TinTin;Veloo, V.W.;Ng, Lee Luan
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권11호
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    • pp.5791-5797
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    • 2012
  • Introduction: Return-to-work (RTW) can be a problematic occupational issue with detrimental impact on the quality of life of previously-employed breast cancer survivors. This study explored barriers and facilitators encountered during the RTW process in the area of cancer survivorship. Materials and Methods: Six focus groups were conducted using a semi-structured interview guide on 40 informants (employed multiethnic survivors). Survivors were stratified into three groups for successfully RTW, and another three groups of survivors who were unable to return to work. Each of the three groups was ethnically homogeneous. Thematic analysis using a constant comparative approach was aided by in vivo software. Results: Participants shared numerous barriers and facilitators which directly or interactively affect RTW. Key barriers were physical-psychological after-effects of treatment, fear of potential environment hazards, high physical job demand, intrusive negative thoughts and overprotective family. Key facilitators were social support, employer support, and regard for financial independence. Across ethnic groups, the main facilitators were financial-independence (for Chinese), and socialisation opportunity (for Malay). A key barrier was after-effects of treatment, expressed across all ethnic groups. Conclusions: Numerous barriers were identified in the non-RTW survivors. Health professionals and especially occupational therapists should be consulted to assist the increasing survivors by providing occupational rehabilitation to enhance RTW amongst employed survivors. Future research to identify prognostic factors can guide clinical efforts to restore cancer survivors to their desired level/type of occupational functioning for productivity and wellbeing.

한국 치유농업의 현황 및 특성 분석 (Analysis on the Present Status and Characteristics of Agro-healing in Korea)

  • 김경미;문지혜;정순진;이상미
    • 농촌지도와개발
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    • 제20권4호
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    • pp.909-936
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    • 2013
  • 이 연구는 최근 네덜란드와 벨기에 등 농업분야 선진국에서 관심과 투자가 증대되고 있는 치유농업(Agro-healing)의 개념을 정립하였고, 우리나라 치유농업의 현황 및 특성 분석을 통해 발전 방안을 제시하였다. 연구목적 달성을 위해 치유농업 선진국의 정책과 제도, 조직, 관련 법, 인력 등에 대한 문헌분석(내용분석)을 하였으며, 농업, 건강, 교육, 원예 및 동물 매개치료, 민간, 농업정책 집행 분야별 전공 교수, 연구원, 대표 및 담당자 9인으로 구성된 전문가 포커스 그룹 인터뷰를 진행하였다. 또한 치유농업 분야 종사자 165명을 대상으로 설문조사를 실시하였다. 연구결과 우리나라 치유농업의 개념은 '농업 농촌자원(식물, 동물, 농촌환경, 농촌문화) 또는 이와 관련된 활동 및 산출물을 통하여 모든 국민의 심리적 사회적 신체적 인지적 건강을 도모하는 산업 및 활동'으로 정의하였으며 정립된 개념과 연계하여 치유농업의 목적, 자원, 대상을 설정하였다. 또한 우리나라 치유농업의 정착과 발전을 위한 제언을 제시하였다.

여성들의 찜질방 이용 현상에 관한 일상 생활 기술적 연구

  • 전정자;유은광
    • 대한간호학회지
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    • 제27권4호
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    • pp.961-974
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    • 1997
  • The ZZimzilbang is a room where many women eagerly go due to the special meaning women give to it related to their health. It is a different type of sauna room which maintains low degree of temperature, consisting of an Ondol room(Korean under-floor heating system, hypocaust) built with mineral stone radiating ultrared rays. Even though many women mention that they utilize it for health, there is no precise evidence of the effects on their health. This ethnographic study sought to define the phenomenon from the perspective of the women who experienced the ZZimzilbang. A convenience sample of 27 women was interviewed during a 15 month period from December 1995 to July 1997 in 12 ZZimzilbangs located in Seoul, Korea. The mean ages of the women 57.3 years ; seventeen women were housekeeper and only eight women had job : twenty women were married and three women among them were widows. The main reasons women patronize the place are : for mitigation and healing of physical signs and symptoms : composure ; safe lodging and boarding : control of outward appearance : control of health ; meeting and fellowship with friends : and custom. The outcomes of the utilization of the place were : mitigation of physical signs and symptoms : psychological tranquility : cosmetic and diet ; good use of spare time : and utilization of services provided there. Most women who visited ZZimzilbang for relief of physical signs and symptoms strongly mentioned a correlation to inadequate Sanhujori, the traditional postpartal and postabortal care for woman. Some of specific kinds of services provided in that place were alternative therapy such as acupuncture, negative cupping, finger-pressure, mugwort steam and various kinds of massage including massage of blood vessels that are influenced by Oriental medicine ; health education of breathing such as abdominal breathing or Danjeon(단전호흡) : and selling of many things including health foods, drugs for osteoporosis, and eutrophics. This study suggests that professional caregivers should further study this phenomenon for the development of adequate care of women with a resulting important in their quality of life.

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IoT 기반의 융합 맞춤형 식단추천시스템 프레임워크 (A Framework for IoT-Based Convergence Personalized Menu Recommendation System)

  • 조영희
    • 한국융합학회논문지
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    • 제5권4호
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    • pp.147-153
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    • 2014
  • 개인 식단을 작성하기 위해서는 많은 고려 사항들이 있다. 개인 식단은 질병에 대한 식이요법, 체중에 따른 다이어트 등에 따라 다르다. 또한 음식의 선호도와 계절, 날씨, 기분에 따라 선택하는 식단이 달라진다. 개인은 건강관리를 위해 영양상태의 균형을 바로잡는 식단 추천을 기대한다. 본 논문에서는 이 같은 요구를 충족시키기 위하여 개인 맞춤형 식단추천시스템 구축 프레임워크를 제안한다. 식단을 추천하기 위해서는 시스템은 개인의 신체상황, 식품 재료 상황, 환경 상황, 심리 및 감정 상황 등의 정보를 입력으로 받고, 다른 외부의 응용시스템으로부터 생성된 식단 작성 관련 온톨로지를 이용해 추론함으로써 식단 추천 서비스를 제공할 수 있다. 이 같은 서비스를 제공하기 위해서는 사물인터넷(IoT) 환경이 토대가 되어야 한다. 따라서 본 논문은 oneM2M 공통 서비스 플랫폼을 갖고 있는 IoT 표준화 환경에서의 개인 맞춤형 식단추천시스템 프레임워크를 제안한다.