• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.27 no.2
• /
• pp.84-86
• /
• 2016

Globus pharyngeus or globus sensation is the painless sensation of a lump in the throat and may be described as a foreign body sensation, a tightening or choking feeling. It is often associated with persistent clearing of the throat, chronic cough, hoarseness, and catarrh. Its etiology remains unclear ; however, laryngopharyngeal reflux may play a role in a subset of patients. Psychogenic problems have often been thought to cause or trigger the globus sensation. Personality studies have found higher levels of alexithymia, neuroticism, and psychological distress (including anxiety, low mood, and somatic concerns) and lower levels of extraversion in patients presenting with globus. Globus patients with laryngopharyngeal reflux exhibited weaker psychological symptoms than non- laryngopharyngeal reflux globus patients, and globus patients who did not respond to proton pump inhibitor had significantly higher anxiety scores. In cases with negative clinical investigations and consistent globus symptom, other treatment strategies, including speech therapy, antidepressants, and cognitive-behavioral therapy, should be considered.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.26 no.2
• /
• pp.101-103
• /
• 2015

There are no standard consensus about treatment results and prognostic factors based on randomized trials for benign vocal fold lesion. Currently, voice therapy is the treatment of choice for vocal nodules, and laryngomicroscopic surgery is for vocal polyps. There are no strong evidences to support it, based on randomized controlled trials, But, it's just a consensus among laryngologist. Considering the pathophysiology of benign vocal cord lesions, cognitive behavioral therapy that corrects the patient's bad voice habits and improves their vocal hygiene could be most important factor for treatment outcomes.

• Journal of Korean Medicine for Obesity Research
• /
• v.3 no.1
• /
• pp.69-74
• /
• 2003

Childhood obesity is harmful to health and growth. We had experienced a childhood obese patient. From Feb. 28. 2003 to July. 14. 2003. We applied Chegameuiyin-tang(體感意苡仁湯), electrolipolysis and VLCD(very low calorie diet), behavioral therapy, aerobic exercise, infra-red therapy, auricular acupuncture, and aqua-massage. Through this obesity treatment during 5 months, total weight loss was 12.2kg, reduction of percent body fat was 13.4% (from 38.5 to 25.1), her condition and hepatic index(AST, ALT) was improved.

• Journal of mucopolysaccharidosis and rare diseases
• /
• v.5 no.1
• /
• pp.34-38
• /
• 2021

Prader-Willi syndrome is a complicated genetic disorder caused by a mutation on chromosome 15q11-13. The disease results in morbid obesity due to hyperphagia, growth disturbance, multiple endocrine problems from hypopituitarism, developmental delay, and cognitive or behavioral problems. Recombinant human growth hormone has been used to improve body composition and muscle mass, which plays a main role in treating patients with Prader-Willi syndrome. We describe previous studies showing the efficacy and safety of growth hormone treatment in children with Prader-Willi syndrome and provide treatment guidelines. Growth hormone therapy could be beneficial for children with Prader-Willi syndrome and improve their quality of life.

• The Journal of Korea Assosiation for Disability and Oral Health
• /
• v.6 no.2
• /
• pp.84-93
• /
• 2010

The developmental disorder(intellectual disorder(ID) and autism spectrum disorder(ASD)) can severely impair a patient's ability to communicate and socialize. So they require physical management techniques, pharmacologic agents, and general anesthesia more than the normal at the dental clinic. The behavior therapy is a kind of the psychotherapy and is applied to the patient with behavioral problems. Seoul Dental Hospital for Disabled(SDHD) set up the Dental Behavior Clinic for the patients with developmental disorder and treated 32 patients with ID or ASD, blind. 18 patients were treated according to the ordinary plans, 14 patients stopped the treatment by different reasons. The various results of the treatment were produced by the kind or severity of the diseases, age and cooperation of the patients and the caregivers. Especially, the behavior therapist helped to figure out the characteristics of the patients and to make individualized treatment plans. In the future, it will be necessary to treat more patients and to make the dental behavior therapy objectify. And through the dental behavior therapy, it will be expected that the patients will become more cooperative to the dental clinic and can receive regular check-up peacefully, reducing the frequency of the general anesthesia.

• Korean Journal of Biological Psychiatry
• /
• v.3 no.2
• /
• pp.295-301
• /
• 1996

We investigated the characteristics of cognitive-behavioral response to auditory hallucinations in 27 schizophrenic patients. The results were as follows : 1) The most frequent cognitive and behavioral response was healthy cognitive one such as suppression or ignoring and increasing physiological arousal, respectively. 2) The characteristics of auditory hallucinations in good/fair copers was that if was more likely to be mild in severity and insight-oriented And increasing physiological arousal was used more frequently in good/fair copers and unhealthy cognitive-behavioral response was used more frequently in poor copers. 3) Out of 3 variables(duration, insight and severity of auditory hallucinations), the insight of auditory hallucinations was the only factor which made difference in unhealthy cognitive response. In conclusion, there were quite a diverse and unique cognitive-behavioral response to auditory hallucinations in schizophrenia.

• Journal of Korean Neuropsychiatric Association
• /
• v.57 no.2
• /
• pp.190-208
• /
• 2018

Objectives To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

• Korean Journal of Social Welfare
• /
• v.43
• /
• pp.157-192
• /
• 2000

This Study concerns therapeutic effects of the Therapy Dog Assisted Program (TDAP) on autistic children. Subjects participating in the study are two groups of Korean elementary schoolboys of the same age (twelve years old) : an experimental group and a control1ed group of equal number of children (sex children in total). Thirteen different sessions of TDAP interventions were performed over a three-month period. Evidence from the present study indicates that the children participating in the TDAP program achieved a greater degree of improvement in their social interactions as well as in their individual activities in comparison with the preTDAP counterparts. The present study also demonstrates significant changes in the TDAP group in comparison with those in the non-participating control group. The results from this study supports that the proposition that the Therapy Dog Assisted Program can be applied effectively in treating people experiencing severely damaged social functioning. Such a program may serve as an effective treatment modality in a variety of clinical social work settings. The questions of long-term effects of the TDAP intervention and possible interference with other behavioral side-effects on the part of the intervened subjects need to be addressed in future studies.

• Phonetics and Speech Sciences
• /
• v.5 no.1
• /
• pp.27-38
• /
• 2013

Healthcare providers in Korea are using conservative pharmacological treatment for Alzheimer's disease (AD) to delay the progress of the disease or to mitigate its behavioral and neurological symptoms. However, there is a growing need for interventions using practical non-pharmacologic treatment, as the effects of pharmacological treatments has faced limitations. This research provided a cognitive rehabilitation program to 3 AD patients and used a multiple baseline design across subjects to examine the effects. Performing reality orientation therapy (ROT) for 1 cycle (4 weeks) resulted in a slight increase in accuracy and responsiveness on an orientation task, mainly with patients with mild cases of AD. Also, in the sub-domain of the Korean-Mini Mental Status Examination performed to examine changes in cognitive ability, there were minimal changes in place orientation. In functional communication, however, there were no significant differences before and after the intervention. In conclusion, we found that ROT was an effective intervention for improving accuracy and responsiveness in the orientation of patients with mild cases of AD. In future studies, the effect of non-pharmacological interventions can be evaluated more reliably by examining the interaction effects of sample size, length of the intervention, outcome measurements, and pharmacological intervention.

• Journal of Oriental Neuropsychiatry
• /
• v.16 no.2
• /
• pp.171-179
• /
• 2005

School violence is known to cause various emotional, behavioral and social problems. Low self-esteem, lack of self consciousness, sense of alienation, guilty consciousness, somatoform symptoms and low concentration happened to adolescent victims. This patient was suffering for school violence during about a year, then Pain disorder occurred to him. Neurofeedback has been used as a complementary therapeutic relaxation and a increasing self-esteem technique. This patient, is a 13-year- boy, who had been exposed school violence for a year and caused severe and constant pain, was successfully treated by Neurofeedback therapy with oriental medication. This case report is focused on treatment through these methods.