• Title/Summary/Keyword: 인지행동치료

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NEUROBIOLOGY OF ATTACHMENT (애착의 신경생물학)

  • Hong, Hyun-Ju;Oh, Tae-Sung;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.2
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    • pp.115-122
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    • 2004
  • It is difficult to think of any behavioral process that is more intrinsically important to human beings than social attachment. Feeding, sleeping and locomotion are all necessary for survival, but humans are 'a social animal' and it is our social attachment that we live for. One of the early pioneers in this area, Harry Harlow, described the different behavioral processes that are involved in the formation of parent-infant, filial and pair(male-female) bonds. Each of these involves multi-sensory processing and complex motor responses. Over the past decades, studies in a range of vertebrates, including humans, have begun to address the neural basis of attachment at a molecular, cellular and systemic level. This review describes some of important insights from these works, involving three different areas:1) Neurobiological research of infant-parent, parent-infant attachment, 2) Animal studies regarding attachment, 3) Neurobehavioral studies of maltreatment/deprivation causing serious breakdown of attachment relationship in humans.

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Investigating the Role of Microglia in Maternal Immune Activation in Rodent Models (모체 면역 활성화 유도 설치류 모델에서 미세아교세포의 역할 조사)

  • Hyunju Kim
    • Journal of Life Science
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    • v.33 no.5
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    • pp.429-435
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    • 2023
  • Epidemiological studies suggest that maternal infection, maternal stress, and environmental risk factors during pregnancy increase the risk of brain development abnormalities associated with cognitive impairment in the offspring and increase susceptibility to schizophrenia and autism spectrum disorder. Several animal models have demonstrated that maternal immune activation (MIA) is sufficient to induce abnormal brain development and behavioral defects in the fetus. When polyinosine:polycytodylic acid (poly I:C) or lipopolysaccharide (LPS), which is commonly used in maternal immune activation animal models, was introduced into a pregnant dam, an increase in pro-inflammatory cytokines and microglial activity was observed in the offspring's brain. Microglia are brain-resident immune cells that play a mediating role in the central nervous system, and they are responsible for various functions, such as phagocytosis, synapse formation and branching, and angiogenesis. Several studies have reported that microglia are activated in MIA offspring and influence offspring behavior through interactions with various cytokines. In addition, it has been reported that they play an important role in brain circuits through interactions with neurons and astrocytes. However, there is controversy concerning whether microglia are essential to brain development or lead to behavioral defects, and the exact mechanism remains unknown. Therefore, for the potential diagnosis and treatment of brain developmental disorders, a functional study of microglia should be conducted using MIA animal models.

A Study on the Development of a Technology to Improve Anger Coping Strategies Using Location-based Service (위치기반 서비스를 활용한 분노대처 능력 향상 서비스 기술개발에 관한연구)

  • Lee, Pung-Sam;Lee, Yun-Gil
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.9
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    • pp.289-296
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    • 2017
  • Anger cause heart disease and domestic violence and recently there have been an increasing number of media reports of crimes committed because of their inability to control their anger. Anger has been reported to cause massive financial losses due to heart disease and domestic violence. Therefore, since anger raises serious social problems and social costs, it is necessary to take active intervention methods to alleviate inappropriate anger coping. A variety of methods such as cognitive and emotional approach, psycho-mechanical approach, psycho-educational approach, relaxation therapy, cognitive behavior-art therapy, and stress immunization are being explored and utilized for presenting effective anger-coping intervention alternatives. In this manner, information and communication technology is likely to be used as an effective means for this, and various researches are being conducted. The purpose of this study is to develop an anger coping service technology using ICT (Information & Communication Technology) technology as an effort to improve anger coping ability. In other words, the goal is to develop a technology that delays anger and evokes the surroundings by providing location-based services to recognize anger situations and facilitate anger. This research is about the technology which intervene directly the anger situation to resolve it using location information and introduce the base technology to realize it.

The Effects of Song Psychotherapy in Decreasing Adolescent Test Anxiety (노래심리치료를 통한 청소년의 시험불안 감소에 관한 연구)

  • Rim, Jee Hye
    • Journal of Music and Human Behavior
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    • v.6 no.1
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    • pp.81-109
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    • 2009
  • The purpose of this study was to determine the effectiveness the Song Psychotherapy Program in decreasing test anxiety in adolescent students. For this study, twelve sessions were conducted in five stages for four 14-year-old middle school students at D Middle School on Daejeon. To measure the effects of the Song Psychotherapy Program, the researcher compared the results of Test Anxiety Inventory of Korea (TAI-K) before and after the program. The researcher also analyzed the contents of the participants' verbal responses and answers to repeated questionnaires to find out what participants experienced in Song Psychotherapy. The results of this study were as follows. First, a comparison of test anxiety scores prior to and following the program showed an average decrease from 91.75 to 60.5. Second, the subjects reported a positive musical experience in the program. The results of the research as described above show that the Song Psychotherapy Programis effective in decreasing test anxiety levels and general examination stress in adolescent students.

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The Effect of The Virtual Reality Rehabilitation System on Activities of daily living, cognitive function, self-esteem in Stroke (가상현실재활시스템 적용에 따른 뇌졸중 환자의 일상생활활동, 인지기능, 자아존중감의 개선효과)

  • Kim, Young-Geun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5476-5484
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    • 2015
  • The purpose of this study was to verify the clinical usefulness of the virtual reality rehabilitation system which Academic-Industrial cooperation develop through clinical experiment for recovering the functional abilities in stroke. For this purpose, 24 Stroke(hemorrhage13, infarction11)participated in a clinical experiment. They were randomly assigned to the virtual reality rehabilitation system group(n=13) and conventional rehabilitation training(Activities of daily living, cognition training, motor control) group(n=11). All participant were evaluated with three standardized assessment tools(Functional Independent Measure; FIM, Mini-Mental State Examination for Korean; MMSE-K, Self-esteem scale) before and after the planned intervention sessions. All participant were intensively carried out for 8weeks, 3times a week. The results were as follows. The experimental group showed significant improvements for Activities of daily living, basic cognitive abilities and self-esteem related with life satisfaction after the interventions(p<.05). There were no significant differences between two groups for all assessment tool after interventions. Because of this experimental results, the virtual reality rehabilitation system showed the clinical utility for recovering the function in stroke. Further studies are needed to verify the clinical usefulness on the improvement of various functions in brain injury and dementia.

A Descriptive Study of Oral Health Knowledge & Behaviors in Middle School Students (일부지역 중학생의 구강건강 지식 및 행동에 관한 조사연구)

  • Yoo, Jung-Sook;Kim, Jung-Hee;Han, Su-Jin;Sim, Sang-Hyo;Kim, Yoon-Shin
    • The Journal of Korean Society for School & Community Health Education
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    • v.9 no.1
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    • pp.85-97
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    • 2008
  • Objectives: This study was designed to understand the oral health knowledge & conduct of middle-school students, search for the learning objective and the educational method in line with the subjects and of utilizing as the basic data for an effective oral health-care program. Methods: The samples to achieve the purpose of this research are composed of 139 students in middle-school, OO county. Chungcheongbuk-do, the number of male students 64, and female students 75. Data were statistically analyzed by frequency analysis, $x^2$-test or Fisher's exact test by using SPSS WIN Ver. 12.0. Results: Among items on oral-health knowledge in middle-school students. the awareness ratio on a cause and preventive method for oral disease was surveyed to be lower than the awareness ratio on symptoms of oral disease. As a result of examining by comparing knowledge and behavior on the time of tooth brush. both awareness and behavior were the level of 50% or less than it. In particular, 46.2% perceived after lunch. but practice just accounted for 33.0%. The frequency of tooth brush a day was the largest in a case(47.5%) of doing twice a day. However. there was also the response (5.8%) with saying of brushing once or not brushing even once. Thus, the practice of tooth brush was surveyed to be very low even if being a minority of students. The frequency of taking a light meal was 68.8% in less than twice a day. However, even students of taking more than five times were surveyed to be 9.8%. Out of the whole-body health in over 50%-59.9%. the oral health was surveyed to be perceived to be very important. Compared to the awareness level on importance of a tooth, the ratio of visiting a dentistry was analyzed to be very low. Conclusions: The study results suggest that the school oral-health project was examined to have the necessity of being expanded and carried out even in middle-and-high schools, by which the specific oral-health promotion program including oral-health education in this period is developed.

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Verification of the Theory of Planned Behavior that Predicts the Intention for Gambling Abstinence of Problem Gamblers (문제도박자의 단도박 의도를 예측하는 계획된 행동 이론 검증)

  • Park, Keun-Woo;Seo, Mi-kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.232-238
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    • 2019
  • The purpose of this study is to verify the feasibility of a model, based on the Theory of Planned Behavior (TPB), that predicts the intention of a problem gambler to abstain from gambling. In order to investigate attitudes toward gambling abstinence, subjective norms, perceived behavior control, and intentions to abstain from gambling, we surveyed 100 problem gamblers who used community-based service centers. Furthermore, we analyzed by the structural equation model whether attitude toward gambling abstinence, subjective norms, and perceived behavior control can influence the intention to abstain from gambling. The analysis of the study model revealed that the most powerful predictor of the gambling abstinence intention is perceived behavior control, followed by a positive attitude toward gambling abstinence. In contrast, subjective norms did not show a significant influence on intentions for gambling abstinence. Based on these results, we propose cognitive-behavioral interventions to improve attitudes and self-efficacy toward gambling abstinence in order to help problem gamblers recover. In other words, continuous support and coping-skills training are needed to reinforce the belief that people can recover from a gambling problem, and information and education on problem gambling to improve positive attitudes can also be helpful. Therefore, it is possible to consider not only the treatment of gambling problems, but also to provide preventive interventions centering on the addiction management institution.

Effect of Health Belief Factor on Oral Health Related Behavior in Pregnant Woman (임신부의 건강신념요인이 구강건강관련행위에 미치는 영향)

  • Kim, Mi-Na;Lim, Do-Seon;Kim, Myoung-Hee;Kim, A-Reum;Kim, Sung-Im;Ahn, Yong-Soon
    • Journal of dental hygiene science
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    • v.15 no.2
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    • pp.129-137
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    • 2015
  • This study is conducted with the aim of providing basic data for oral health improvement of pregnant woman and development of oral health education program by analyzing factors influencing the oral health related behavior of pregnant woman applying health belief model which is theoretical model of explaining individual's behavior change. For 217 expectant mothers who visited 8 obstetrics and 1 maternity class located in Seoul, Gyeonggi and Incheon from August 1 to 31, 2014, data analysis was implemented using self-administered questionnaire. Before the completion of self-administered questionnaire, the subjects were fully informed of explanatory note and consented on taking part in the research for the consideration of ethical aspect. Collected materials were treated by PASW Statistics ver. 18.0 program and following results were acquired. Health belief factor which infuences oral health related behavior of pregnant woman resulted that perceived severity influences on oral examination during pregnancy and dental treatment during pregnancy, and perceived benefits influences on oral examination during pregnancy, and perceived barriers on toothbrushing after having a snack, toothbrush with rotation method and oral examination during pregnancy, and self-efficacy influences on use of oral hygiene products after toothbrushing and oral examination during pregnancy. With these research results, I suggest that perceived severity of health belief factor, perceived benefits, perceived barrier and self-efficacy influence oral health related behavior of pregnant woman. And specific oral health education program for pregnant woman is necessary to increase perceived severity of pregnant woman, perceived benefits and self-efficacy and to reduce perceived barriers.

Network Structure of Depressive Symptoms in General Population (일반 인구 집단의 우울증상 네트워크 구조)

  • Seon il, Park;Kyung Kyu, Lee;Seok Bum, Lee;Jung Jae, Lee;Kyoung Min, Kim;Hyu Seok, Jeong;Dohyun, Kim
    • Korean Journal of Psychosomatic Medicine
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    • v.30 no.2
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    • pp.172-178
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    • 2022
  • Objectives : Although subclinical depression symptoms are associated with suicidal idea, most research have focused on clinical depression such as major depressive disorder or dysthymia. The aim of this study is to investigate network structure of depressive symptom and to reveal which symptoms are associated with suicidal ideation. Methods : We used part of data from the seventh Korea National Health and Nutrition Examination Survey. Participants were between 19 and 65 years of age (N=8,741). Network analysis with Isingfit model is used to reveal network structure of depressive symptoms and most central symptom and edges assessed by patient health questionnaire (PHQ-9). Results : The most two central symptoms were psychomotor activity and suicidal ideation. The strongest edge was psychomotor activity-suicidal ideation. Suicidal ideation also has strong association with depressive mood and worthlessness. Conclusions : These results suggest that psychomotor activity and suicidal ideation can serve as treatment target for subclinical depression and psychomotor activity, worthlessness and depressed mood may be important factor for early intervention of suicidal ideation.

Effects of Group Rational Emotive Behavior Therapy on the Nurses' Job Stress, Burnout, Job Satisfaction, Organizational Commitment and Turnover Intention (집단 인지정서행동요법 프로그램이 간호사의 직무스트레스, 소진, 직무만족, 조직몰입 및 이직의도에 미치는 효과)

  • Kim, Hye-Lyun;Yoon, Sook-Hee
    • Journal of Korean Academy of Nursing
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    • v.48 no.4
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    • pp.432-442
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    • 2018
  • Purpose: This study aimed to develop a Group REBT program with group counseling for nurses and test the effect of group counseling on their job stress, burnout, job satisfaction, organizational commitment, and turnover intention. Methods: A quasi-experimental study with nonequivalent control group design was employed to identify the effect of the Group REBT program on nurses' job stress, burnout, job satisfaction, organizational commitment, and turnover intention. Data were collected from 47 participants from two hospitals. The data from the experimental (n=23) and control (n=24) groups were analyzed from January 5 to April 3, 2015. The Group REBT program was conducted eight tmes in all, once a week, with each session lasting 180 minutes. The effect of experimental intervention was measured for each group using a series of structured questionnaires at each of the phases: Pre-intervention, post-intervention (immediately after intervention), and post-intervention (four weeks after intervention). Following this, the significance of the changes in the scores was tested. Results: The scores of the experimental group, which received the Group REBT program, were compared with those of the control group; the hypotheses were supported in terms of job stress (F=8.85, p<.001), burnout (F=5.62, p=.022), job satisfaction (F=2.70, p=.042), organizational commitment (F=2.97, p=.048), and turnover intention (F=4.60, p=.012). Conclusion: The Group REBT program was shown to be an effective intervention that could reduce nurses' job stress and burnout and increase job satisfaction and organizational commitment. Therefore, the Group REBT program can be adopted by nursing organizations to strategically decrease nurses' turnover intention.