DOI QR코드

DOI QR Code

Effect of video-based movement therapy program on panic disorder symptom relief and brain wave on patients with panic disorder

공황장애 환자의 동영상 기반 동작치료 프로그램 수행이 공황장애 증상 완화 및 뇌파에 미치는 영향

  • 정진협 (한양대학교 생활스포츠학과)
  • Received : 2019.07.23
  • Accepted : 2019.10.20
  • Published : 2019.10.28

Abstract

This study was conducted to investigate the effects of video - based movement therapy program on emotional variables (anxiety, depression, panic disorder) and EEG on panic disorder patients. The following conclusions were obtained. The results of the 12 - week video - based behavior therapy program showed that there were statistically significant differences (p <.05) in the anxiety scale of the exercise group. There were statistically significant differences (p <.05) between the left brain L-Beta region of the exercise group and the left brain H-Beta and the right brain L-Beta regions of the control group and no significant difference was found between the groups. The results of this study suggest that the performance of the video-based behavioral therapy program for panic disorder patients did not affect the emotional variables and EEG changes. However, in the case of emotional variables, It is considered that the longer the program execution period, the more result will be obtained. In addition, it is expected that more positive study results can be expected if the program is run after having had enough familiarity and adaptation time of the operation treatment program omitted in this study.

본 연구는 공황장애 환자를 대상으로 동영상 기반 동작치료 프로그램 수행이 정서관련 변인(불안, 우울, 공황장애) 및 뇌파에 어떠한 영향을 미치는지 알아보기 위해 실시되었으며, 다음과 같은 결론을 얻었다. 동영상 기반 동작치료 프로그램 수행 결과 정서관련 변인은 운동군의 불안척도에서만 통계적으로 유의한 차이(p<.05)가 나타났으며, 그룹별 유의한 차이가 나타나지 않았다. 뇌파 변인은 운동군의 좌뇌 L-Beta 영역과 통제군의 좌뇌 H-Beta, 우뇌 L-Beta 영역에서 통계적으로 유의한 차이(p<.05)를 보였고, 그룹별 유의한 차이가 나타나지 않았다. 이상의 내용을 종합해 보면 공황장애 환자의 동영상 기반 동작치료 프로그램 수행이 정서관련 변인 및 뇌파의 변화에 큰 영향을 미치지 않았음을 알 수 있지만 정서관련 변인의 경우 모든 변인의 평균값이 프로그램 실시 후 긍정적인 변화를 나타냈다는 점에서 프로그램 수행 기간을 보다 장기간 적용한다면 또 다른 결과가 도출될 것이라 판단된다. 또한 본 연구에서는 실시하지 못한 동작치료 프로그램에 대한 사전 숙지 및 적응 시간을 충분히 갖은 후 본 프로그램이 수행된다면 보다 긍정적인 결과를 기대 할 수 있을 것으로 사료된다.

Keywords

References

  1. Y. H. Choi. (2007). The Development and the Effects of Experiential Cognitive Therapy for the Treatment of Panic Disorder with Agoraphobia, Major in Neuropsychiatry, Department of Medicine, Graduate School, Inje University.
  2. Y. H. Choi, G. M. Kim, K. H. Park & H. Y. Yoon. (2003). The Effect of Cognitive Behavioral Therapy for Discontinuation of Medication in Panic Disorder, Korean J Psychopharmacol, 14, 367-376.
  3. Y. H. Choi. (2004). Comparison of the Effectiveness between Combined Therapy and Pharmacotherapy for Panic Disorder, Cognitive Behavior Therapy in Korea, 4, 73-83.
  4. S. Y. Park & K. S. Yoo. (2010). Dance therapy. Seoul: Hakjisa.
  5. S. G. Min. (2004). Modern Psychiatry. Seoul : IlJoGak.
  6. H. S. Park, C. I. Lee, Y. C. Kim & J. W. Kim. (1997). A survey on the cognitive characteristics of panic disorder. The Korean Journal of Clinical Psychology, 16(2), 1-13.
  7. H. T. Won, Y. S. Park & S. M. Kwon. (1996). Characteristics of Patients with Anxiety Disorder in Thought Contents. Psychology, 5(1), 1-12. https://doi.org/10.4236/psych.2014.51001
  8. D. S. Kim. (2009). Autonomic nervous function test EEG, EMG, EP. Seoul"GoryeoMedicine, 33-41.
  9. R. L. Spitzer, J. B. W. Forman & J. Nee. (1995) DSM-5 field trials : I. Initial interrater diagnostic reliability. Am J Psychiatry, 136, 815-817. https://doi.org/10.1176/ajp.136.6.815
  10. M. Hamilton. (1967). Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol, (6):278-296.
  11. J. S. Yi, S. O. Bae, Y. M. Ahn, D. B. Park, K. S. Noh & H. K. Shin. (2005). Validity and reliability of the Korean version of the Hamilton Depression Rating Scale(K-HDRS). Journal of Korean Neuropsychiatric Association, 44, 456-465.
  12. D. V. Sheehan, J. C. Ballengeer & G. Jacobsen. (1980). Treatment of endogenous anxiety with phobic, hysterical, and hypochondriacal symptoms. Arch Gen Psychiatry, 37, 51-59. https://doi.org/10.1001/archpsyc.1980.01780140053006
  13. S. K. Fifer, S. D. Mathias, D. L. Patrick, P. D. Mazonson, D. P. Lueck & D. P. Buesching. (1994). Untreated anxiety among adult primary care patients in a health maintenance organization. Arch Gen Psychiatry, 51, 740-750. https://doi.org/10.1001/archpsyc.1994.03950090072010
  14. L. G. Ost & B. E. Westling. (1995). Applied relaxation vs cognitive behavior therapy in the treatment of panic disorder. Behav Res Ther, 43, 423-425.
  15. J. G Beck, M. A. Stanley, L. E. Baldwin, E. A. Deagle & P. M. Averill. (1994). Comparison of conitive therapy and relaxation training for panic disorder. J Consult Clin Psychol, 62(4), 818-826. https://doi.org/10.1037/0022-006X.62.4.818
  16. G. Wiedemann, P. Pauli, W. Dengler, W. Lutsenberg, N. Birbaumer, G. Buckkremer. (1999). Frontal brain asymmetry as a biological substrate of emotions in patients with panic disorders. Arch Gen Psychiatry, 56, 78-84. https://doi.org/10.1001/archpsyc.56.1.78
  17. C. B. Taylor, M. L. Kenigsberg, J. M. Robinson. (1982). A controlled comparison of relaxation and diazepam in panic disorder. J Cli Psychiatry, 43, 423-425.