• 제목/요약/키워드: therapeutic relationships

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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.

지역사회 정신장애인의 임파워먼트와 회복 : 치료적 관계의 매개효과 (Mediating Effect of Therapeutic Relationship with Mental Health Professionals in the Relation between Empowerment and Recovery of Community Dwelling Patients with a Mental Illnesst)

  • 오미화
    • 한국산학기술학회논문지
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    • 제19권4호
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    • pp.211-220
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    • 2018
  • 본 연구는 지역사회 정신보건시설(정신건강증진센터와 정신재활시설)을 이용하는 정신장애인의 임파워먼트와 회복간의 관계에서 치료자와의 치료적 관계가 매개효과를 갖는지를 확인하기 위한 것이다. 자료수집 기간은 2015년 4월 15일부터 20일까지였고, 조사 대상은 지역사회에 거주하는 정신장애인 168명이었다. 연구도구는 임파워먼트, 치료적 관계도구, 회복척도였다. 자료분석은 SPSS/WIN 19.0 프로그램을 이용하여 기술통계, Person's correlation, 다중회귀분석방법으로 분석하였다. 대상자들의 임파워먼트와 회복은 $60.4{\pm}10.85$점, $101.8{\pm}20.70$이었고, 치료적 관계는 $74.5{\pm}14.30$점이었다. 임파워먼트와 치료적 관계 (r=.33, p<.001), 임파워먼트와 회복(r=.51, p<.001)간에는 유의한 양의 상관관계를 보였고, 치료적 관계와 회복간 (r=.55, p<.001)에는 유의한 양의 상관관계를 보였다. 임파워먼트와 회복간의 치료적 관계의 매개효과를 검정한 결과, 임파워먼트와 치료적 관계가 모두 회복에 유의한 영향을 주는 것으로 나타나 치료적 관계는 두 변수 간 관계를 부분 매개하는 것으로 나타났고, Sobel test을 통해 확인한 결과 매개효과는 통계적으로 유의하였다.(z=3.706, p<.001). 본 연구결과는 정신장애인의 치료자와의 관계 속에서 치료적 관계 증진을 도모하고 임파워먼트를 향상시킬 수 있는 실제적인 회복 증진 프로그램 개발을 위한 기초자료로 활용 될 수 있을 것이다.

낮병원에 관한 문헌적 고찰 - 정신질환 환자를 위한 - (A Literary Review of Day- Hospital for Psychiatric Patients)

  • 유숙자
    • 대한간호학회지
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    • 제7권1호
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    • pp.55-62
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    • 1977
  • Varieties of literatures were reviewed in regard to the fundamental concept of day hospital, historical trends, the recipient of its care, facilities and personnel, therapeutic programmes and the follow-up care plans. Through the research the advantages of day hospital were highlighted in order to provide the reference for those who consider planning such health care institution. Since the introduction of the concept of day hospital and its implementation in 1930, many psychiatric patients world over are treated and cared. Patients with specific health problems ; alcoholism, acute or serious psychiatric disease, tendencies of humidor suicidal attempts, and with serious physical problems were excluded from the general recipient. Day hospital were annexed to the psychiatric hospitals in most in instances ; facilities, personnel, except nursing personnel, were shared. All therapeutic care were planned in daley, weekly programmes, and were focussed on socialization. The follow-up care were provided for those participating post- therapy club activities which were planned and introduced ahead. Many advantages of day-hospital care in contrast to the traditional hospitalization care were found: 1. The abrupt discontinuity of his family and other social role is prevented. 2. Therapeutic progress is faster. 3. Lessened economic burden to the family. 4. Behavioral regression is lessened and the lessened fear of hospitalization. 5. Less injury to the patients, self- respect, through lessened anxiety of hospitalization. 6. Incidents of secondary crisis believed to be existing in long term cases are decreased. 7. Therapeutic care implemented in freer atmosphere, better Patient-personnel relationships are created. 8. Varieties of group activities are Induced which enable faster recovery. 9. Patients could engage himself with social activities including getting job on part-time basis. 10. Rehabilitation of patient could be implemented.

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Addition of Myofascial Release Therapy to Therapeutic Exercise for Management of Nonspecific Neck Pain

  • Ha, Yangsun;Hahm, Suk-Chan
    • 대한통합의학회지
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    • 제9권2호
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    • pp.35-41
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    • 2021
  • Purpose : It is necessary to demonstrate the effect of non-invasive and non-pharmacological interventions such as manual therapy and therapeutic exercise for the management of nonspecific neck pain. In the present study, we aimed to investigate the efficacy of myofascial release therapy plus therapeutic exercise for disability owing to neck pain and quality of life in individuals with nonspecific neck pain. Methods : Eighteen participants with nonspecific neck pain were randomly allocated to intervention (n=9) and control groups (n=9). The intervention group received a myofascial release therapy for 20 min and performed neck stabilization exercises for 30 min twice a week for 4 weeks. The control group performed neck stabilization exercises for 30 min twice a week for 4 weeks at the same time points as the intervention group. Disability owing to neck pain and quality of life were quantified using the neck disability index (NDI) and the Korean version of the World Health Organization Quality of Life Brief Version (WHOQOL-BREF), respectively. NDI and WHOQOL-BREF were assessed before and after intervention. Results : The disability owing to neck pain significantly changed between the groups over time (total score of NDI, p=.049). There were significant time and group interactions in pain (pain intensity of NDI, p=.035) and concentration (concentration of NDI, p=.049). Personal care, lifting, reading, headaches, work, driving, sleeping, and recreation did not show significant improvement between the groups over time. Total score, overall quality of life and general health, physical health domain, psychological domain, social relationships domain, and environmental domain quantified by WHOQOL-BREF did not show significant improvements between the groups over time. Conclusion : These results suggest the clinical use of myofascial release therapy in addition to therapeutic exercise for the management of nonspecific neck pain. Further studies are needed to generalize the findings of this study.

치료레크리에이션 프로그램에 따른 치매노인의 뇌파 변화가 우울감 및 수면장애와 삶의 질에 미치는 영향 (Effects of the Brain waves according to participation in Therapeutic recreation programs on the Depression, Sleep Disturbance and Quality of Life in the Elderly with Dementia)

  • 이문숙;조병준
    • 한국산학기술학회논문지
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    • 제16권8호
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    • pp.5096-5110
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    • 2015
  • 본 연구는 치료레크리에이션 프로그램 참가에 따른 치매노인의 뇌파 변화가 우울감 및 수면장애와 삶의 질에 미치는 효과를 실증적으로 규명하는데 목적이 있다. 이를 위해 대전광역시 소재 치매요양센터 및 시립노인전문병원에 입원 중인 65세 이상의 남 녀 노인 중 3개월간 규칙적인 치료레크리에이션 프로그램에 참가한 집단을 실험집단으로 그리고 특정한 치료레크리에이션 프로그램에 참가하지 않은 집단을 통제집단으로 선정하였으며, 참가 사전과 사후의 뇌파 변화와 우울감, 수면장애 및 삶의 질 수준을 측정하였다. 실험집단과 참가하지 않는 통제집단에 각각 20명씩 전체 40명을 연구대상으로 하였으나, 프로그램 참여 후 탈락되는 대상으로 인해 실험집단 14명, 통제집단 18명으로 최종 분석 대상이 되었다. 자료 분석의 주된 통계적 방법은 SPSS Version 17.0과 AMOS 7.0을 이용하여 공변량분석(ANCOVA)과 구조방정식모형분석(Analysis of Structural Equation Modeling)을 이용하여 인과관계를 분석하였다. 이러한 연구방법을 통하여 도출한 결과는 첫째, 치료레크리에이션 프로그램 참가는 노인의 뇌파, 우울감 및 수면장애와 삶의 질에 긍정적인 영향을 미쳤으며, 둘째, 치료레크리에이션 프로그램 참가에 따른 뇌파의 변화는 우울감 및 수면장애와 삶의 질 간에 인과관계가 있는 것으로 나타났다.

소집단 역동을 이용한 간호대학생의 의사소통 훈련프로그램의 효과 (The Effect of Small Group Based Communication Training Program on the Competency of Communication and the Human Relationship in Nursing College Students)

  • 원정숙;신현숙
    • 동서간호학연구지
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    • 제14권2호
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    • pp.60-66
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    • 2008
  • Background: Communication training in nursing college students is an integral part of the development of their competency in dealing with patients. However, the traditional lecture style of training delivery may not be desirably effective. Purpose: This study investigated the effects of a communication training program utilizing a small group dynamic on the communication competency and human relationships in nursing college students. Methods: One hundred twenty six freshmen in a university in Seoul participated in this study. The instruments of communication competency (Primary Communication Inventory) and human relationships (Relationship Change Scale) were used at the beginning and conclusion of the training period. Eighty-three students from two nursing classes were assigned to the experimental groups and 43 students from other classes were assigned to the control groups. Each of the 11 small groups was composed of 7 or 8 students. The weekly program that ran during the 2007 fall semester from October 1st to December 11th consisted of effective communication strategies including therapeutic communication skills, Johari's window, empathy, active listening, and transactional analysis. Results: The experimental group of students reported significantly greater improvement in communication competencies, specific nonverbal competencies, and human relationships compared with the control group. Specifically, the experimental students demonstrated greater improvement in nonverbal communication competencies and satisfaction, communication, and awareness of human relationships. Conclusions: Small group based communication training can be an effective alternative method of communication education for college nursing students.

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우울과 온라인 사회관계망의 관계에서 오프라인 사회관계망의 매개 역할 (Mediating Role of Social Network Support in the Relationship Between Depression and Online Social Networking)

  • 김인혜;박혜연;남상훈
    • 재활치료과학
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    • 제13권3호
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    • pp.9-21
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    • 2024
  • 목적 : 이 연구는 중년 및 노년층의 온라인 및 오프라인 사회적 상호작용에 대한 우울증의 영향을 조사하여 사회적 연결성과 정신적 웰빙을 향상시키기 위함이다. 연구방법 : 환자 건강 설문지(Patient Health Questionnaire-9)와 루벤의 사회 네트워크 척도(Lubben Social Network Scale-6)를 사용하여 429명의 중년 성인의 우울증과 사회적 관계를 평가하였다. 경로 분석과 소벨 검정을 사용하여 오프라인 관계가 온라인 상호작용에 미치는 매개 효과를 탐구하였다. 결과 : 교육 수준이 높은 평균 63세의 남성 코호트에서 우울증과 사회적 관계 사이에 유의미한 연관성을 확인하였다. 오프라인 상호작용은 우울증이 온라인 관계에 미치는 영향의 32%를 매개하였다. 결론 : 이 연구는 온라인 및 오프라인 네트워크에서의 적극적인 참여가 노인의 정신 건강을 개선하고 우울증이 사회 활동에 미치는 영향을 관리하며 고립을 방지하는 데 도움이 될 수 있는 역할이 존재함을 확인하였다.

간호사의 보완대체요법에 대한 태도 (Nurses' Attitudes Toward Complementary and Alternative Therapies)

  • 손행미
    • 성인간호학회지
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    • 제14권1호
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    • pp.62-72
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    • 2002
  • Purpose: This study was performed to develop a scale for evaluation of attitudes toward complementary and alternative therapies (CAT) and to investigate nurses' attitudes toward CAT. Method: The subjects were 263 nurses working at a university hospital in Seoul and Inchon. The personally designed questionnaire was tested for its reliability and validity. Nurses' attitudes to CAT were evaluated using the questionnaire. Results: Cronbach's $\alpha$ coefficient was 0.7405. 23 items were selected by item analysis and 4 factors including application, therapeutic effect, social interest and communication about CAT were classified by factor analysis. The mean score of attitudes and its subcategories were high, especially that of communication was very high. Nurses had a positive response to CAT in several items; acceptance as nursing intervention, its therapeutic value, complement for conventional medicine, and open communication about CAT. Attitudes were different significantly according to education and number of working years. There were high relationships between attitudes and its subcategories except communication. Conclusion: The Scale of attitudes toward CAT was proven to be reliable and valid. Positive nurses' attitudes toward CAT will help the patients be provided with a proper and safe way to take CAT.

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분노조절문제를 가진 아동에 대한 가족치료 사례연구 (A Case Study on Family Therapy for a Child with Anger Controling Problem)

  • 박태영;유진희
    • 가정과삶의질연구
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    • 제30권3호
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    • pp.119-133
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    • 2012
  • This study aimed to explore the anger of child, the factors influencing the anger of child, the therapeutic techniques of therapist to resolve the marital conflict as well as the anger of child and the changes of family members after getting family therapy. The data was consisted of recording transcripts and note-taking of 8 sessions family therapy. The study used a constant comparative analysis and Miles & Huberman's matrix and network display as analysis method. The anger of child included aggressive and violent behavior, temperament, fear, anxiety, and negligence of rule. The study revealed parental dysfunctional communication patterns and parental experiences from family of origin as factors influencing the anger of child. The study found therapist's self-disclosure, sharing and comparing with similar cases, explanation of dysfunctional communication patterns, explanation about similarity in generational transmission process, and suggestion of new solutions as therapeutic techniques. The result of study showed the alleviation of marital conflict, the amelioration in the anger of child, and the change in the relationships of family members after getting family therapy.

항암화학요법 환자의 가정간호 이용 양상과 간호 만족도 (Home Care Services Utilization and Satisfaction for Clients with Cancer)

  • 김윤옥;백희정
    • 가정∙방문간호학회지
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    • 제10권2호
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    • pp.132-140
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    • 2003
  • This study was to identify the utilization of home care service and home care nursing satisfaction for clients with cancer who had completed secondary and tertiary chemotherapy session. Raw data was collected by reviewing charts and questionnaire of 23 clients with cancer between September, 2002 and November 2002 at an university hospital located in Seoul. Korea. The result are as follows: 1. Characteristics in the use of home care: After applying for home care service, patients were visiting an average of 1.88 days later. The major purpose of using home care service was to help recovery after hospitalization or to maintain present health. The average period for home care service was 14.6 days, with 4 visits over this period, for 35.78 minutes per visit. 2. Content of home care service: A total of 47 items of service were provided - basic nursing care, education and counseling, and therapeutic nursing care. On every visit, an average of 19 items of home care service were provided, and the majority (7 items) were therapeutic nursing care. 3. Satisfaction with home care services: Satisfaction was very high, an average of 3.88 on a scale of 4 points. Both patients and families expressed high satisfaction with all sub-domains of nursing care: guidance by the home care nurses, knowledge, skill, attitude, interpersonal relationships, emotional support, and accessibility. In conclusion, home care served basic nursing care, teaching and counseling, and therapeutic nursing to clients with cancer going through secondary or tertiary chemotherapy. Therefore they changed knowledge and attitude to disease and treatment which were difficult to change.

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