• Title/Summary/Keyword: Behavioral Therapy

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Conservative Treatment with Occlusal Appliance for Temporomandibular Disorder Patients with Rheumatoid Arthritis

  • Kim, Young-Ae;Kim, Kyung-Hee;Ok, Soo-Min;Ahn, Yong-Woo;Jeong, Sung-Hee
    • Journal of Oral Medicine and Pain
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    • v.41 no.4
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    • pp.169-179
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    • 2016
  • Purpose: This study is designed to analyse etiology and bone pattern at the first visit using cone-beam computed tomography (CBCT) and to evaluate the treatment outcome of conservative treatment in temporomandibular disorder (TMD) patients with rheumatoid arthritis (RA). Methods: One hundred condyles in 50 subjects with RA were chosen among the patients who presented to the Department of Oral Medicine of Pusan National University Dental Hospital, diagnosed as TMD. Condylar bone changes were classified by normal, erosive bony change, proliferative bony change and combined group (erosive bony change+proliferative bony change). They were treated conservatively with physical therapy, medication, behavioral therapy and/or occlusal stabilizing splint therapy. After 3 months on average, patients were re-evaluated with regards to subjective symptoms and the clinical findings were investigated. Results: TMD patients with RA have behavioral contributing factors such as parafunctional habit. The results that analyse bone pattern at the first visit using CBCT proliferative bony changes group (32.6%) were more common than erosive bony changes group (15.2%). In comparison between unilateral and bilateral bony change in temporomandibular joint, the ratio showed no significant differences. After 3 months of conservative treatments, pain, noise, limitation of motion (LOM) were markedly improved regardless of occlusal splint therapy. However only LOM was significantly improved through occlusal splint therapy during 3 months. Conclusions: TMD patients with RA had similar behavioral contributing factors and characteristics of CBCT images shown in general TMD patients and also similar response to conservative treatment so it is difficult to differentiate. Therefore when TMD patients show symptoms corresponding to clinical diagnostic criteria of RA at the first visit, serological testing should be conducted and through this, early diagnosis and treatment of RA should be initiated.

The Effect of REBT Reading Therapy Program on Peer Relationships in Lower Elementary School Students (REBT 독서치료 프로그램이 초등 저학년 아동의 인지•정서•행동 및 또래 관계에 미치는 영향)

  • Myungja Kim;Juhyeon Park
    • Journal of Korean Library and Information Science Society
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    • v.54 no.4
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    • pp.25-54
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    • 2023
  • The purpose of this study is to investigated the impact of reading therapy programs(classes) on the cognitive, emotional, behavioral, and peer relationships of children in the lower grades of elementary school. The study was conducted at the B Public Library in A Metropolitan City, Korea. Eight elementary school students participated in the REBT reading therapy program for 12 sessions, each lasting 120 minutes, every Saturday. The research method was qualitative, and an observer was appointed to verify the qualitative research. The observer and the researcher qualitatively analyzed the participant's cognitive, emotional, and behavioral observation diaries and pre- and post-person-picture tests for each session. As a result of the study, the REBT reading therapy program was found to have a positive impact on the cognitive, emotional, and behavioral changes and formation of peer relationships of the children. The results of the study show the need for children and youth institutions, including public libraries, to develop and operate reading therapy programs for various groups.

The Effect of Nonpharmacologic Interventions on Behavioral and Psychological Symptoms of Dementia : A Meta-Analysis (치매환자의 행동심리증상에 비약물적 중재가 미치는 효과 - 메타분석)

  • Kwon, Mi-Hwa;Lee, Jae-Shin
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.540-550
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    • 2017
  • To investigate a variety of nonpharmacologic interventions have confirmed what the symptoms and effects, mainly interventions by acting on behavioral and psychological symptoms of dementia was conducted a meta-analysis. Data were collected from online search engines using search words from domestic and foreign article database. The researcher independently and among the pre-post experimental studies published from January 2000 to June 2016, recalled applying for the elderly with dementia presents the effect of treatment group and the control group RCT in this study were included in the study. The results of this meta-analysis showed that, effect size of the nonpharmacologic interventions of total -0.33, occupational therapy - 0.26, multi-sensory stimulation intervention -0.65 was significant beneficial effects to elderly with dementia(p<.05). According to interventions as a major affected the symptoms associated with behavioral problems, mainly aggression, memory-related problem behavior in the home-based program. Also, reminiscence therapy and occupational therapy is generally apathy, multi-sensory stimulation and music therapy was confirmed that there was a major change in behavior anxiety or agitation. The results of this study confirmed that various nonpharmacologic interventions were effective on behavioral psychological symptoms of dementia patients and confirmed the main symptoms of intervention.

Validating the Korean Translation of the Behavioral Pediatric Feeding Assessment Scale (Behavioral Pediatric Feeding Assessment Scale(BPFAS)의 번안 연구)

  • Son, Cho-Rok;Kim, Kyeong-Mi;Kam, Kyung-Yoon;Jung, Hyerim
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.2
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    • pp.29-41
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    • 2020
  • Objective : This study was conducted to verify the validity of the content of the Behavioral Pediatric Feeding Assessment Scale (BPFAS) following its translation into Korean, to allow the instrument to be used in Korea. Methods : The BPFAS was translated by the researcher and a pediatric occupational therapist with 12 years' experience. To validate the contents of the translated instrument, it was reviewed by three professors in the Department of Occupational Therapy who have taught how to evaluate instruments or conducted related research. The BPFAS was then translated back into English by a professional translator whose native language is English but who is fluent in Korean. The contents of the instrument were verified by using it to survey five parents with normally developed children aged between 9 and 72 months. The BPFAS instrument was successfully revised for use in Korea. Results : The content validity index (CVI) of the Korean version of the evaluation of children's eating behavior was an average of 0.9 points in the fluency area, an average of 0.8 points in the semantic area, and an average of 1 points in the technology area, and the overall average was 0.8 points or more. The average of the content understanding score was 3 points or more. Conclusion : It was confirmed that the Korean version of the BPFAS is an evaluation tool with high content validity and can be usefully used to gather data in clinical trials and research in Korea.

Delineating and Defining School-Based Arts Therapy (예술치료교육의 개념 정립과 정의)

  • Chong, Hyun Ju
    • Journal of Music and Human Behavior
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    • v.5 no.2
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    • pp.1-15
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    • 2008
  • Arts Therapy Education is an area under major arts therapy field which focuses on the children in school setting who has emotional, behavioral problem, and the need of it has been increasing as for after-school programs. The study purports to delineate arts therapy education by identifying the elements that differentiate from the major arts therapy approaches, respectively. Arts therapy education is an integrated approach which focuses on primarily alleviating children's emotional problem through therapeutic experiences of arts, and then secondarily helping them to actualize their potentials in learning and achieve educational outcomes. It is also examined that arts therapists working in school setting who need to acquire knowledge in education related theories and further be able to work with emotional, psychological issues from ecological factors. Also it is needed to seek efficient strategies to promote professionality of arts therapy education.

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Effects of Cognitive and Behavioral Avoidance on Sleep Quality through Depressive Symptoms in Female College Students (여대생의 인지 및 행동적 회피요인이 우울증상을 매개로 수면의 질에 미치는 영향)

  • Kwak, Jin-Young;Ha, Eun-Hye
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.73-86
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    • 2020
  • Objective : The purpose of this study was to examine the effects of depressive symptoms on the relationship between avoidance(brooding, reflection, and behavioral avoidance) and sleep quality. Methods : In total, there were 947 subjects who were assessed using self-reports on three measures: Center for Epidemiological Studies-Depression (CES-D), Ruminative Response Style (RRS), Cognitive-Behavioral Avoidance Scale (CBAS), and Pittsburgh Sleep Quality Assessment (PSQI). Results : First, depressive symptoms fully mediated the relationship between brooding and sleep quality. Second, reflection did not mediate the relationship between brooding and sleep quality, and reflection had no direct effects on depressive symptoms. Third, depressive symptoms partially mediated the relationship between behavioral avoidance and sleep quality. Conclusion : This study was confirmed the pathological characteristics of brooding compare to reflection, and the essential role of behavioral avoidance and depressive symptoms on sleep problems.

Trend of Manual Therapy (맨손치료의 경향)

  • Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.181-191
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    • 1998
  • The age of specialization is upon physical therapy, as evidenced by the many special interest group. One of the special interest is manual therapy, which is the study of neurology, biomechanic, behavior science and pathology as well as the application of evaluative and treatment techniques of the neuromusculoskeletal system. Trend of manual therapy cover the whole medical in Europe. but America has two categories which is the neurologic manual therapy and the orthopedic manual therapy. The neurologic manual therapy was integrated with theory of PNF, Bobath technique, Vojta which is neurophysiologic approach concept. It is called motor control. A key aspect of the motor control requires a through knowledge of neurobiologic, biomechanic, and behavioral science. The orthopedic manual therapy runs to the evaluation and treatment of joints and their surrounding structures increase or decrease mobility and Fain control. In this article has to define and clarify the basic concepts of orthopedic manual therapy by comparing the general concepts, evaluation schemes, and treatment procedures of John McM Mennell, James Cyriax, Geoffrey Maitland, Freddy Kaltenborn and Ola Grimsby.

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Predicting Factors of Discontinuation of Medication after Cognitive Behavioral Therapy for Panic Disorder (인지행동치료 후 약물 중단 예측 요인에 관한 연구)

  • Choi, Young Hee;Park, Kee Hwan;Kim, Han Seok;Ha, Oh Ryeong
    • Korean Journal of Biological Psychiatry
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    • v.7 no.2
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    • pp.186-190
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    • 2000
  • Objective : The authors experienced that cognitive behavioral therapy(CBT) could replace medication for controlling panic attacks and anticipatory anxiety symptoms. The objective of this study was finding out predicting factors of discontinuation of medication after CBT for patients with panic disorder. Method : A hundred forty-eight patients who met DSM-IV criteria for panic disorder with or without agoraphobia for at least 3 months had completed 12 weekly sessions of Panic Control Therapy(PCT ; Barlow et al). Eighty-one patients who could discontinue medication and sixty-seven patients who could not discontinue medication were measured with several scales as the pre- and post-treatment aassessment. The scales were Beck Depression Inventory(BDI), Clinical Global Impression(CGI), Spielberger State Anxiety Inventory(STAI-state), Anxiety Sensitivity Index(ASI), Body Sensation Questionnaire (BSQ), Panic Belief Questionnaire(PBQ), Agoraphobic Cognition Questionnaire(ACQ), Fear Questionnaire(FQ), Toronto Alexithymia Scale(TAS). Results : At the pre-treatment assessment, the scores of BDI, CGI, STAI-state, ACQ, BSQ were higher in the patients who could discontinue medication than in the patients who could not discontinue medication(t=-2.68, t=-4.88, t=-3.07, t=-3.68, t=-3.35, p<0.01). Conclusion : Patients with panic disorder who were less depressed, less anxious, less agoraphobic and who had less negative cognitions for the bodily sensation and who had higher scores in the therapist's assessment could discontinue their medications.

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Efficacy of Computerized Cognitive Behavioral Therapy in Individuals with Non-Cardiac Chest Discomfort : Review and Suggestions for a New Protocol (비심인성 흉부 불편감을 가진 대상자에서 컴퓨터 기반 인지행동치료의 효과성 : 문헌 검토와 새로운 프로토콜 제안)

  • Lyoo, In Kyoon;Kim, Jungyoon;Kim, Jieun E.
    • Korean Journal of Biological Psychiatry
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    • v.26 no.1
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    • pp.1-7
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    • 2019
  • Since non-cardiac chest discomfort (NCCD) can result in substantial healthcare burden and lower quality of life, interventions such as cognitive behavioral therapy (CBT) have been investigated for the relief of NCCD. In this review, we aimed to summarize the evidence on the efficacy of the CBT for the treatment of NCCD while introducing a newly-developed computerized CBT program for NCCD. Studies applying CBT to individuals with NCCD were searched for from both English and Korean electronic databases. Among 37 studies, 11 randomized controlled trials, 4 case-control studies, 1 case series, and 2 review articles were eligible for this review. Efficacy of conventional CBT for NCCD was shown in a series of studies as most of them reported improved symptom severity of NCCD or NCCD-related anxiety. However, a substantial variability existed among these studies in participants, treatment procedures and durations. High attrition rates were also reported in these studies on conventional CBT. Computerized CBT could be an alternative to the conventional CBT as it can be standardized and more easily accessible, but it was only reported in one previous study. In addition to the literature review, we presented a newly-developed computerized CBT program for NCCD which may overcome some of the limitations of conventional CBT. A computerized CBT could be an alternative treatment of NCCD, however, need further studies on its usefulness.

MANAGEMENT OF THE CHILD WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDERS (ADHD) (주의력 결핍장애아동의 치료)

  • Ahn, Dong-Hyun;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.77-88
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    • 1990
  • Management of the child with Attention-Deficit Hyperativity Disorder(ADHD) reguires a comprehensive approach of cognitive-behavioral, educational, and pharmacological interventions. Establishing the valid diagnosis is the first step of management. After the diagnosis is made, the clinician must then interpret the diagnosis and its impliations to the child, parents, and teachers. The pharmacotherapy is most effeceive, and the CNS stimulants (methylphenidate) is drug of choice. Although generally not as effective as stimulants, triacyclic antidepressants, clonidine, antipsychotics offer the alternatives to stimulants therapy. Additional treatments, including psychotherapy, cogntive-behavioral approach, educational infervention, parental counseling are also essential in managing the child with ADHD. Finally, controversial approaches-diet therapy, mineral therapy, hypoglycemia, megavitamin therapy, refined sugars, neurophysiological retraining approaches are reviewed.

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