Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Meaning-Centered and Mindfulness-Based Stress Management Program with Using Marine Resources on the Improvement of Emotion, Sleep Quality, Quality of Life and Cognitive Function in Family Caregiver of Patients with Severe Physical Disability : Preliminary Study

해양자원을 활용한 의미중심, 마음챙김기반의 집단스트레스중재프로그램이 중증장애환자 간병가족의 정서, 수면, 삶의질 및 인지기능 향상에 미치는 효과 : 예비연구

  • Yu, Jeong-A (Department of Psychiatry, National Rehabilitation Center) ;
  • Lee, Jae-Hon (Department of Psychiatry, University of Toronto) ;
  • Shin, Sun-Han (Department of Psychiatry, National Rehabilitation Center) ;
  • Cho, Hwi-Young (Department of Health Science, College of Health Science, Gachon University) ;
  • Yoo, Mee (Department of Counseling & Psychotherapy, Far East University Graduate School) ;
  • Shin, Ho-Jin (Department of Health Science, College of Health Science, Gachon University) ;
  • Kim, Sung-Hyeon (Department of Health Science, College of Health Science, Gachon University) ;
  • Kim, Hyo-Jin (Department of Psychiatry, National Rehabilitation Center) ;
  • Yook, Young-Sook (Department of Exercise Rehabilitation Welfare, Sungshin Women's University) ;
  • Lee, Sung-Jae (Center for Integrative Medicine, Korea University School of Medicine)
  • 유정아 (국립재활원 정신건강의학과) ;
  • 이재헌 (토론토 의과대학 정신건강의학교실) ;
  • 신선한 (국립재활원 정신건강의학과) ;
  • 조휘영 (가천대학교 보건과학대학) ;
  • 유미 (극동대학교 상담심리치료학) ;
  • 신호진 (가천대학교 보건과학대학) ;
  • 김성현 (가천대학교 보건과학대학) ;
  • 김효진 (국립재활원 정신건강의학과) ;
  • 육영숙 (성신여자대학교 운동재활복지학과) ;
  • 이성재 (고려대학교 의과대학 통합의학교실)
  • Received : 2019.11.13
  • Accepted : 2019.12.17
  • Published : 2019.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study was to investigate the effects of meaning centered and mindfulness-based stress management program with using marine resources on positive changes in mood, sleep, quality of life and cognitive function. Methods : Nine family caregivers of patients with severe disability experienced meaning centered and mindfulness-based stress management program for four-days in marine areas near Uljin-gun, Gyeongsangbuk-do in South Korea. Subjective questionnaires and objective assessments were conducted and statistically analyzed to examine changes in mood, sleep, quality of life, and cognitive function before, after, and after 6 weeks of participation. Results : After participating in the program, moods including depression improved significantly. This effect lasted until 6 weeks. Participants' sleep quality, quality of life and cognitive function improved significantly after 6 weeks of program participation. Conclusions : This new specialized stress management program using marine resources for family caregivers of patients with severe disability is expected to be used effectively in terms of improving their overall quality of life, mental health status and cognitive efficiency.

연구목적 해양자원을 활용한 의미중심-마음챙김 기반의 집단스트레스중재프로그램이 기분, 수면, 삶의 질, 인지 기능의 긍정적인 변화에 미치는 효과를 알아보고자 하였다. 방 법 9명의 중증장애환자 간병가족을 대상으로 경상북도 울진군 해안 일대에서 3박4일간 해양자원을 활용한 집단프로그램을 시행하였다. 프로그램에 참여하기 전과 참여한 후, 그리고 6주 후에 기분, 수면, 삶의질, 인지기능 영역의 변화를 살피기 위해 주관적설문과 객관적평가를 실시하고 이를 통계분석하였다. 결 과 프로그램에 참여한 후 우울증을 비롯한 기분 상태가 유의하게 호전되었고, 이 효과는 6주 후까지 지속되었다. 참여자의 수면의 질과 삶의 질 및 인지기능은 참여 직후보다 프로그램 참여 6주 후에 보다 유의하게 향상되었다. 결 론 중증장애환자 간병가족 대상의 해양자원을 활용한 의미중심-마음챙김 기반의 집단스트레스중재프로그램은 정신적인 건강과 삶에 대한 만족도를 향상시키고, 인지적 효율성을 높인다는 측면에서 향후 유용하게 활용 가능한 프로그램으로 기대된다.

Keywords

References

  1. Kwon WA, Kim HS. A study on the stress of the family caregivers for patients with stroke. The journal Korean Society Physical Therapy 2008;20:25-32.
  2. Lee IJ. A phenomenological approach to the experience of spousal carers of people with multiple sclerosis. Health and Social Welfare Review 2016;36:151-191. https://doi.org/10.15709/hswr.2016.36.2.151
  3. Oberst MT, Thomas SE, Gass KA, Ward SE. Caregiving demands and appraisal of stress among family caregivers.Cancer Nursing 1989;12:209-215.
  4. Suh MH, Oh KS. A study of well-being in caregivers caring for chronically ill family members. Journal of Korean Academy of Nursing 1993;23:467-485.
  5. Brown PL. The burden of caring for a husband with Alzheimer's disease. Home Healthc Nurse 1991;9:33-38. https://doi.org/10.1097/00004045-199105000-00014
  6. Minor HG, Carlson LE, Mackenzie MJ, Zernicke K, Jones L. Evaluation of a Mindfulness-Based Stress Reduction (MBSR) Program for caregivers of children with chronic conditions. Soc Work Health Care 2006;43:91-109. https://doi.org/10.1300/J010v43n01_06
  7. Scholte op Reimer WJM, de Haan RJ, Rijnders PT, Limburg M, van den Bos GAM. The burden of caregiving in partners of long term stroke survivors. Stroke 1998;29;1605-1611. https://doi.org/10.1161/01.STR.29.8.1605
  8. Lee JH, Whang JS. Meaning-centered group psychotherapy for patients with advenced cancer: A treatment manual. Seoul: NUN Publishing Group 2019;13-23.
  9. Breitbart W, Rosenfeld B, Gibson C, Pessin H, Poppito S, Nelson C, Tomarken A. Meaning-centered group psychotherapy for patients with advanced cancer: A pilot randomized controlled trial. Psychooncology 2010;19:21-28. https://doi.org/10.1002/pon.1556
  10. Korean NeuroPsychiatric Association. Textbook of neuropsychiatry 3rd Edition. Seoul: iMiS Company;2017. p.786.
  11. Kabat-Zinn J. Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion;1994.
  12. Baer RA. Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice 2003;10:125-143. https://doi.org/10.1093/clipsy.bpg015
  13. Singh NN, Lancioni GE, Winton ASW, Wahler RG, Singh J, Sage M. Mindful caregiving increases happiness among individuals with profound multiple disabilities. Research in Developmental Disabilites 2004;25:207-218. https://doi.org/10.1016/j.ridd.2003.05.001
  14. Lee SA, Lee SJ, Yook YS, Huh YJ, Lee HG, Choi HY, Lee JH. Effects of a mindfulness-based mind-body intervention program using marine resources on the improvement of sleep quality and mood symptoms in Korean female emotional labor workers: A pilot study. Sleep Medicine and Psychophysiology 2018;25:58-67. https://doi.org/10.14401/KASMED.2018.25.2.58
  15. Buysse DJ, Reynolds III, CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research 1989;28:193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  16. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the pittsburgh sleep quality Index. Sleep and Breathing 2011;16:803-812. https://doi.org/10.1007/s11325-011-0579-9
  17. McNair DM, Douglas M, Droppleman LF, Lorr M. Edits Manual for the Profile of Mood States: POMS. Edits;1992.
  18. Kim EJ, Lee SI, Jeong DU, Shin MS, Yoon IY. Standardization and reliability and validity of the Korean edition of Profile of Mood States (K-POMS). Sleep Med Psychophysiol 2003;10:39-51.
  19. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean Version of Who Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Journal of Korean Neuropsychiatrassoc 2000;39:571-579.
  20. Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56. https://doi.org/10.1136/jnnp.23.1.56
  21. Yi JS, Bae SO, Ahn YM, Park DB, Noh KS, Shin HK, Woo HW, Lee HS, Han SI, Kim YS. Validity and reliability of the Korean version of the Hamilton Depression Rating Scale (K-HDRS). Journal of Korean Neuropsychiatr Assoc 2005;44:456-464.
  22. Sauzėon H, Lestage P, Raboutret C, N'KaouaB, Claverie, B. Verbal fluency output in children aged 7-16 as a function of the production criterion: Qualitative analysis of clustering, switching processing and semantic network exploitation. Brain and Language 2004;89:192-202. https://doi.org/10.1016/S0093-934X(03)00367-5
  23. Troyer AK, Moscovitch M, Winocur G. Clustering and switching as two components of verbal fluency: Evidence from younger and older healthy adults. Neuropsychology 1997;11:138-146. https://doi.org/10.1037/0894-4105.11.1.138
  24. Park JS, Kang YW, Chang EJ, Oh EN, Yu KH, Lee BC. Clustering and switching on verbal fluency in vascular dementia and dementia of the Alzheimer's type. Korean Journal of Communication Disorders 2006;11:99-112.
  25. Korean NeuroPsychiatric Association. Textbook of Neuropsychiatry 3rd Edition. Seoul: iMiS Company 2017:773.
  26. Kaplan S. The restorative effects of nature: toward an integrative framework. J Environ Psychol 1995;16:169-182. https://doi.org/10.1016/0272-4944(95)90001-2
  27. Kim W, Lim SK, Chung EJ, Woo JM. The effect of cognitive behavioral therapy-based psychotherapy applied in a forest environment on physiological changes and remission of major depressive disorder. Official Journal of Korean Neuropsychiatric Association 2009;6:245-254.
  28. Chae YR, Kim JH, Kang HW. Literature review of forest healing therapy on Korean adults. Journal of Korean Biological Nursing Science 2018;20:122-131. https://doi.org/10.7586/jkbns.2018.20.2.122
  29. Kruger C, Smythe JW, Spencer JD, Hasse S, Panske A, Chiuchiarelli G, Schallreuter KU. Significant immediate and long-term improvement in quality of life and disease coping in patients with vitiligo after group climatotherapy at the Dead Sea. Acta Derm Venereol 2011;91:152-159. https://doi.org/10.2340/00015555-1037
  30. Dramsdahl E. Multidisciplinary rehabilitation and climatotherapy for Chronic Diseases at the Dead Sea. Anales de HidrologiaMedica; Madrid 2012:5:53-63.
  31. Channaoui M, Gomex-Merino D, Beers PV, Guillard M, Drogou C, et al. Benefits of thalassotherapy with sleep management on mood States and well-being and cognitive and physical capacities in healthy workers. J Sleep Disorder 2018:7:297-304.
  32. Meyer JD, Hayney MS, Coe CL, Ninos CL, Barrett BP. Differential Reduction of IP-10 and C-Reactive Protein via Aerobic Exercise or Mindfulness-Based Stress-Reduction Training in a Large Randomized Controlled Trial. J Sport Exerc Psychol 2019;41:96-106. https://doi.org/10.1123/jsep.2018-0214
  33. Pan C, Wang X, Deng Y, Li P, Liao Y, Ma X, Yang GP, Dai L, Tang Q. Efficacy of mindfulness-based intervention ('mindfulness-based joyful sleep') in young and middle-aged individuals with insomnia using a biomarker of inflammatory responses: a prospective protocol of a randomised controlled trial in China. BMJ Open 2019;9:e027061. Doi:10.1136. https://doi.org/10.1136/bmjopen-2018-027061