• Title/Summary/Keyword: 심리요법

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Physical and Psychological Factors Affecting Fall in Elderly Patients with Parkinson's disease (파킨슨병 노인의 낙상에 영향을 미치는 신체적, 심리적 요인)

  • Kim, Ji-Yoen;Byun, Mi-Kyong
    • Journal of Convergence for Information Technology
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    • v.12 no.3
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    • pp.55-65
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    • 2022
  • Elderly people with Parkinson's disease have higher rates of physical and mental risk factors for falls than non-Parkinson's disease elderly. The purpose of this study is to investigate this by using national data that includes the entire population of the elderly in Korea. As a secondary analysis study using data survey on the elderly by the Ministry of Health and Welfare in 2017, there were a total of 103 elderly people with Parkinson's disease, and a total of 96 subjects were analyzed excluding missing values. In the elderly with Parkinson's disease, the factor most influencing the fall was IADL, and IADL is related to motor control function. Decreased motor control limits physical movements essential for daily life, and even affects self-protective behavior in emergency situations, affecting falls. Based on the research results that IADL can affect falls, various exercise therapies for fall prevention interventions in the elderly with Parkinson's disease can be suggested.

Prophylactic Cranial Irradiation for Acute Lymphoblastic Leukemia in Childhood (소아 급성 림프모구성 백혈병의 예방적 전뇌 방사선조사)

  • Kim, In-Ah;Choi, Ihl-Bhong;Kang, Ki-Mun;Shinn, Kyung-Sub;Kim, Hack-Ki
    • Radiation Oncology Journal
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    • v.14 no.2
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    • pp.137-147
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    • 1996
  • Purpose : This report is the result f retrospective analysis for children who received prophylactic cranial irradiation combined with intrathecal chemotherapy. Materials and Methods : Ninety children with ALL who had got bone marrow remission after induction chemotherapy received PCI. All but 3 children were treated with a dose of 1800 cGy as a standard regimen. While the PCI was given, all patients received intrathecal chemotherapy. Results : Nine of 90 patients experienced CNS relapse during the duration of follow-up ranged from 36 to 96 months (median 60 months). Three children experienced BM relapse prior to CNS relapse. Therefore, CNS relapse rate as the first adverse event was $6.7\%$. Median time interval of CNS relapse was 16 months from the first day of hematologic complete remission. Eighty-nine percent of patients who had CNS relapse were associated with hematologic relapse. and $78\%$ of CNS relpase occurred during maintenance chemotherapy (on-therapy relapse). The CNS RFS at 2 and 5 years are $68\%$ and $42\%$, respectively with median of 43 months. The Prognostic factors affecting CNS RFS are initial WBC count (cut-off point of 50,000/ul), FAB subtype and CALGB risk criteria. The DFS at 2 and 5 years are 61 and $39\%$, respectively with median of 34 months. The prognostic factors affecting DFS are initial WBC count (cut-off point of 50,000/ul), FAB subtype, POG and CALGB risk criteria. Conclusions : In our study, $6.7\%$ of CNS relapse rate as a first adverse event was comparable with other studies. Various risk criteria was based on age at diagnosis and initial WBC count such as POG and CALGB criteria, had prognostic significance for CNS RFS and DFS. Prospective randomized trial according to prognostic subgroup based on risk criteria and systematic study about neuropsychologic function for long term survivors, are essential to determine the most effective and least toxic form of CNS prophylaxis.

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A Case Study for Relevant Study and Lecture on 'Bibliotherapy' in the Field of Information and Library Science (문헌정보학 분야에서의 적실한 '독서치료' 연구와 강의를 위한 사례연구)

  • Song, Sung-Seob
    • Journal of the Korean Society for Library and Information Science
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    • v.38 no.1
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    • pp.121-141
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    • 2004
  • This study is a case study with four classes of sophomore majoring in library & information science in S woman's college, with a questionnaire, firstly to research the students' recognition of their experience on bibliotherapy and the time, their preference of the materials' genre for the bibliotherapy. usefulness of the bibliotherapy' subject, apply possibility into library work, and the field of science that must be supplemented for the bibliotherapy. Secondly. a direction of development is presented analyzing researched contents and lecture experiences, centering on the factors that should be complemented and prepared in studying or lecturing the course of bibliotherapy as a school subject in the field of library & information science hereafter.

A Clinical Report of a Psychosomatic patient who has treated by Giungoroen-therapy based on Song Psychotherapy (노래 심리 치료를 활용한 지언고론요법(至言高論療法)을 적용하여 호전된 심신증(心身證)환자 1예(例) 보고)

  • Kim, Soo-Hyun;Kim, Bo-Eun;Chung, Dae-Kyoo;Choi, Jung-Kyu
    • Journal of Oriental Neuropsychiatry
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    • v.22 no.2
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    • pp.49-59
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    • 2011
  • Objectives : This study was performed to report the effect of Giungoroen-therapy based on song psychotherapy in the treatment resistant patient with psychosomatic disease. Methods : A 43 year-old female patient suffered from headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort, dysarthria without identifiable physical cause. We diagnosed her as psychosomatic disease, and tried to apply Giungoroen-therapy with Korean traditional medical treatment. But she was resistant to Giungoroen-therapy. So we applied Giungoroen-therapy based on song psychotherapy. Results : After the Giungoroen-therapy based on song psychotherapy, the patient revealed her unrecognized hidden issues and got some insights about herself. Then the symptoms, such as headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort and dysarthria were reduced considerably. Conclusions : These results suggest that Giungoroen-therapy based on song psychotherapy can be effective on improvement of resistant psychosomatic disease.

Embryologic Discussion of the Median Raphe Cyst: Two Cases Report (회음정중봉선 낭종 2례의 발생학적 고찰)

  • Bae, Sang-Ho;Mun, Ki-Hak;Jung, Hee-Chang;Park, Tong-Choon;Jang, Woo-Young
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.367-371
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    • 1996
  • Median raphe cyst is known as congenital lesion of the perineum and genitalia, but its etiology is unclear. Most investigators believe that the median raphe cyst represent defects in the embryologic developement of the male genitalia. Simple surgical excision is effective in most cases. We report our experience with two cases of median raphe cyst without specific symptoms. Even though median raphe cyst is asymptomatic, surgical therapy is worth applicable because it relieve a patient from cosmetic and psychotic problem.

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Trends of Meridian-Based Psychotherapy - Review of Researches on Emotional Freedom Technique (EFT) (감정자유기법(EFT)의 연구를 중심으로 본 경락기반심리요법의 동향)

  • Kim, Sang Young;Yin, Chang Shik;Choi, In Won;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.spc1
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    • pp.89-100
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    • 2013
  • Objectives : The purpose of this study is to investigate the researches about regarding Emotional Freedom Technique (EFT) and to understand the trends of Meridian-based Psychotherapy. Methods : Every article relevant to EFT was obtained from 'Pubmed' and Korean journal databases. Keywords used for searching included 'EFT' and 'Emotional freedom technique'. Results : 1) 5 reviews, 11 randomized controlled trials, 3 controlled trials, 1 single group comparative study and 4 case studies were searched. 2) Anxiety disorders were most frequently studied with EFT. Other studies included insomnia, depression and pain symptoms. EFT interventions were attempted in many different protocols and assessed with various tools. 3) Review articles indicated that meridian-based psychotherapies, such as EFT, are based on the meridian theory of oriental medicine. They evaluate EFT positively for its effectiveness on psychiatric diseases. Conclusions : EFT is increasingly studied and used in clinical practice of various fields. Objective evaluation tools and standardized intervention protocols are needed for the development of a new guideline for EFT.

Advising Patients Who Seek Complementary and Alternative Medical Therapies for Cancer (보완대체의학의 암치료법을 찾는 환자들에 대한 조언)

  • Choi, Jae-Ho;Yoo, Hwa-Seung;Son, Chang-Gue;Cho, Chong-Kwan
    • Journal of Korean Traditional Oncology
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    • v.10 no.1
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    • pp.1-45
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    • 2005
  • 많은 암 환자들이 보완대체의학(CAM)의 치료법을 이용한다. 의사들은 보완대체의학 치료법에 대한 권위 있는 정보들을 이를 찾는 환자들에게 책임 있는 조언을 줄 수 있기 위해 필요로 한다. 이 글은 암 환자에게 일반적으로 사용되는 선택된 보완대체의학 치료법의 효과와 안정성에 대한 최근의 증거를 요약했다. 식이요법과 보조식품, 한약 및 기타 생약제재, 침, 마사지, 운동, 심리 및 심신의학 등의 주요 카테고리가 포함되었다. 효과의 증거에 대한 '가능한 질병진행과 생존율에 대한 효과' 및 '가능한 완화효과'의 두 가지 범주가 고려되었다. 안전성의 증거를 평가하는데 있어 '직적접인 부작용의 위험'과 '통상적 치료법과의 상호작용에 의한 위험'의 두 가지 위험 요소가 고려되었다. 각각의 치료에 있어 효용성과 안정성에 대한 현재의 균형은 이 치료법이 적절히 권고가 되고 수용되어지거나(예를 들어 유방암과 전립선암을 가진 영양 섭취가 충분한 환자의 식이지방 감소) 억제되는 것을(예를 들어 과량의 비타민 A 보조제) 제시한다. 이러한 전략은 보완대체의학의 치료법을 찾는 암환자들에게 책임 있고 근거중심적이고 환자중심적인 조언을 제공하는 것을 발전시킬 수 있다.

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Study on Effect of Aromatherapy on Physiological and Psychological Aspect of Patients with Pain (향기요법이 통증환자의 생리적 및 심리적 측면에 미치는 효과)

  • Song, Min-Sun;Suh, Young-Sook;Choi, Chan-Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.4
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    • pp.748-754
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    • 2011
  • The purpose of this study was to investigate the effect of aromatherapy on pain level, blood pressure, pulse rate, sleep, anxiety and depression of patients with pain. This study used a non equivalent quasi-experimental design. Aromatherapy was the inhalation of blending oils with lavender, eucalyptus, peppermint for 3 weeks. As the estimation for the physiological aspect, the visual analogy scale (VAS) for the pain level, blood pressure and pulse rate were measured. Also, as the estimation for the psychological aspect, Sleep of Snyder-Halpern & Verra, anxiety of Spielbeger and depression of Beck were used. The data were analyzed by SAS program using $x^2$ test, Fisher's exact test, Cronbach ${\alpha}$ and t-test. The results of this study were as follows. Pain level(p=0.001), state anxiety(p=0.018), trait anxiety(p=0.002), and depression(p<0.001) improved significantly in the experimental group. Also, there was significant difference between the experimental group and the control group on the depression(p=0.012). Aromatherapy was effective in physiological and psychological therapy. Also it can be applied in combination with existing Oriental medical therapy.

Eating Disorder (식이장애)

  • Lee, Jae-Sung
    • Journal of Korean Medicine for Obesity Research
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    • v.2 no.1
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    • pp.1-12
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    • 2002
  • Eating disorders are psychiatric disorders characterized by abnormal eating patterns and cognitive distortions related to food, weight and shape, which is in turn result in adverse effects on nutrition status, medical complications, and impaired health status and function. The American Psychiatric Association's DSMIVTR offers two diagnoses to describe disordered eating anorexia nervosa and bulimia nervosa. A third category, eating disorder not otherwise specified(EONOS) include binge eating disorder. The prevalence of eating disorder has greatly increased among adolescence and young adults since 1990's when rapid import of western culture took place. It is likely that patients who ask for weight loss are at high risk of having eating disorder. Severe dietary restriction for weight loss may cause eating disorder. Therefore it is recomendable for doctors to have appropriate understanding and guidelines of eating disorder to help their patients.

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The Comparison Study of Quality of Life between Hemodialysis Patients and Depressive or Anxious Psychiatric Patients (혈액투석 환자와 우울 또는 불안장애 환자의 삶의 질 비교연구)

  • Kim, Ji-Woong;Shin, Sang-Eun;Kim, Hyung-Ki;Jang, Eun-Young;Jung, Gun;Lee, Kye-Seong
    • Korean Journal of Psychosomatic Medicine
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    • v.11 no.2
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    • pp.170-181
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    • 2003
  • Objectives: The purpose of this study was to evaluate the quality of life in hemodialysis patients and compare it with those of depression or anxiety patients. Methods: Quality of life in hemodialysis patients(n=33) and depression or anxiety patients(n=34) was evaluated. we performed Korean Version of WHO Quality of Life Scale Abbreviated Version(WHOQOL-BREF), Beck Depression Inventory(BDI), State-Trait Anxiety inventory(STAI) to both hemodialysis patients and depression or anxiety patients. Results: The WHOQOL mean scores showed no differences between hemodialysis patients and depression or anxiety patients. Among WHOQOL domains, psychological domain score of WHOQOL was significantly higher in hemodialysis patients than in depression or anxiety patients. Anxiety score of hemodialysis patients was significantly lower than that of depression or anxiety patients, while depression score showed no difference. Conclusion: These results show that psychological domain score of WHOQOL was higher and anxiety score was lower in hemodialysis patients than in depression or anxiety patients. However, there were no significant differences in total QOL and depression between hemodialysis patients and depression or anxiety patients, and the prevalences of depression and anxiety were higher in hemodialysis patients than those of general population. This suggest that hemodialysis patients need more specialized help for psychiatric problems.

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