• Title/Summary/Keyword: Behavioral modification

Search Result 96, Processing Time 0.021 seconds

Insomnia in the Elderly (노인에서의 불면증)

  • Sohn, Chang-Ho
    • Sleep Medicine and Psychophysiology
    • /
    • v.8 no.1
    • /
    • pp.5-10
    • /
    • 2001
  • The prevalence of insomnia and the degree of impairment due to insomnia is greater than in the of young. The cause for insomnia in the elderly are various factors among the elderly is known to be high including medical, psychiatric, drug issues, circadian rhythm changes, sleep disorders, and psychosocial. So the careful evaluation to find the cause of insomnia is needed for the eldery. Treatment options for insomnia include behavior modification and pharmacotherapy. Outcome data from previous studies indicate that behavioral approaches produce reliable and durable therapeutic benefits, as evidenced by improved sleep efficiency and continuity and enhanced satisfaction with sleep patterns. Treatment methods such as stimulus control and sleep restriction, which target maladaptive sleep habits, are especially beneficial for older insomniacs, whereas relaxation-based interventions aimed at decreasing arousal, produce more limited effects. Cognitive and educational interventions are instrumental in altering age-related dysfunctional beliefs and attitudes about sleep. The choice of hypnotics is based on matching the nature of the insomnia to the hypnotic agent. The ideal agent has rapid onset, duration of action that lasts through the night but no residual daytime effects, and no adverse effects. The key for the healthcare professional is finding the appropriate treatment or treatment combination, including behavioral modification and pharmacotherapy. When hypnotics are indicated, the most appropriate short-acting agent should be considered.

  • PDF

Effects of Nutrition Education and Exercise Program on Obesity Index and Behavioral Modification in Moderate Obese Women (영양교육과 운동을 병행한 프로그램이 중등도비만여성의 비만도와 행동변화에 미치는 효과)

  • Chang, Myung-Hee;Jung, Su-Jin
    • Korean Journal of Community Nutrition
    • /
    • v.23 no.4
    • /
    • pp.318-332
    • /
    • 2018
  • Objectives: The purpose of this study was to investigate the behavioral modification of obese adults who underwent nutritional and physical activity education. Twenty obese females, aged 20-60 years old, with BMIs (Body Mass Index) >30 or body fat (%) >40 were subjected to this study. Methods: The physical activity education program consisted of doing exercise in a gymnasium together or home exercise. Dietary attitudes and dietary intakes were assessed using weight control, physical activity, and eating habits. The nutrition-exercise educational period was 12 weeks. Results: After the study period, there was significant improvement in physical activity and eating habits score. Furthermore, there was a significant increase in the dietary intakes of fiber, iron, potassium, vitamin A, vitamin $B_6$, and niacin. Blood pressure, blood glucose, and total cholesterol levels showed a tendency to decrease, but there was no significant difference. BMI, fat mass, abdominal circumference, and visceral fat levels were significantly reduced while muscle mass significantly increased. Conclusions: This study suggests that behavioral modification by nutrition and physical activity education with feedback has positive effects on dietary intake and anthropometric biomarkers in obese adults. Therefore, lifestyle interventions of this kind could be recommended as a method for obesity management.

BEHAVIOR MANAGMENT TECHNICS FOR AUTISTIC CHILDREN : A CASE REPORT (자폐의 정도에 따른 행동조절법의 적용 : 증례보고)

  • Chung, Saet-Byul;Choi, Yeong-Chul;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.25 no.3
    • /
    • pp.525-532
    • /
    • 1998
  • The autism is a complex disorder, characterized language impairment, perceptual-motor difficulties, and social disturbance. The autistic children have hyperactivity, lack of communication' lack of cooperation, inappropriate patient/dentist interaction, so they require professionally recognized behavioral management technique during dental treatment such as behavior modification, phamacological agents, and general anesthesia. A behavior management technique can be chosen by factors such as the severity of autism and possible accompanying disabilities, degree of cooperation, oral and general conditions of children. A non-pharmacological behavior modification may be selected for the autistic children who are able to communicate with dentist with mild dental caries, without compromised medical history. In case of excessively hyperactive, destructive, antisocial, and/or severe communicative disorder, a sedation technic with chloral hydrate, hydroxyzine, midazolam or nitrous oxide gas might to be performed. General anesthesia is preferred for severe communicative and/or behavioral disorder, elder age, excessive dental care need, and living a remote area.

  • PDF

A Behavioral study for the Space Organization of Dwelling Unit of Apartment (집합주택의 실공간구성을 위한 거주자 행태연구)

  • 조성희
    • Journal of the Korean housing association
    • /
    • v.5 no.2
    • /
    • pp.141-148
    • /
    • 1994
  • The behavioral-related environmental study for multifamily housing is needed to develop the quality of unit floor plan in terms of user comfort and needs. So, the aim of this study is to find out the living style and housing needs in terms of interaction between the users behavior pattern and orgarnization of physical home space. For the purpose, the field experiments in Pusan, have been carried out with 318 households living in apartments by plan types(2BL, 3BL, 4BL, 5BL) which were classified by number of bedrooms. The dwelling space usage behavior(room use pattern and furniture uasge pattern) and the space adjustment behavior(physical modification of space and preferred space adjustment attitude) were examined and analyzed.

  • PDF

A Case of Inappropriate Elimination in a Dog with Submissive and Excitement Urination (개에서 과도한 복종과 과흥분으로 인한 부적절한 배뇨의 일례)

  • 김현희;구자민;장홍희;이효종;이후장;이용훈;정종태;연성찬
    • Journal of Veterinary Clinics
    • /
    • v.20 no.1
    • /
    • pp.131-133
    • /
    • 2003
  • In these days, it is serious problem to inappropriately eliminate in the home. There are many reasons why a pet might eliminate in the home. A ten-month-old, female, Jindo dog with a history of inappropriate elimination was presented to the Animal Behavior Clinic at the College of Veterinary Medicine, Gyeongsang National University. This problem was diagnosed by submissive and excitement urination based on the questionnaires and interviews on the dog with the owner. Behavioral modifications including ignorance and counterconditioning were recommended to improve the clinical signs. After two weeks following the initial consultation, submissive and excitement urination of the dog was alleviated, and after four months, it resolved completely, to the owner's satisfaction.

Cognitive Behavioral Therapy for Improving Parenting Efficacy of Married Immigrant Women (결혼이주여성의 양육효능감 향상을 위한 CBT 부모훈련 프로그램의 개발 및 효과)

  • Kim, Hee Jung;Kim, Jung Min
    • Journal of Families and Better Life
    • /
    • v.33 no.2
    • /
    • pp.135-148
    • /
    • 2015
  • The purpose of this study is to develop cognitive behavioral therapy(CBT) to improve the parenting efficacy of married immigrant women, and verify its effectiveness. In the CBT of this study, behavioral technique was added to cognitive reconstruction based on cultural context in order to improve parenting efficacy. The study selected 28 married immigrant women, and randomly divided them into a CBT group(10), a general treatment group(8) and a control group(10). The CBT and the general treatment programs consisted of 10 sessions, approximately 2 hours in duration. The results of the study were as follows. 1) The level of parenting efficacy was improved significantly in the CBT and the general treatment group. 2) The level of negative automatic thoughts and dysfunctional parenting thoughts was significantly decreased only in the CBT group. 3) In the CBT and the general treatment group, the level of parenting stress and acculturative stress was decreased while the level of psychological well-being improved. On the other hand, the level of parent-adolescent communication was improved significantly only in the CBT group. 4) In comparison with the general treatment group, the CBT group showed higher parenting efficacy and lower automatic thoughts and dysfunctional parenting thoughts. This study has significance in its attempt to develop a parent training program to improve the parenting efficacy of married immigrant women by integrating behavioral modification and communication skills training focused on cognitive reconstruction of parenting-related negative thoughts and beliefs in application of the CBT paradigm.

Posttranslational and epigenetic regulation of the CLOCK/BMAL1 complex in the mammalian

  • Lee, Yool;Kim, Kyung-Jin
    • Animal cells and systems
    • /
    • v.16 no.1
    • /
    • pp.1-10
    • /
    • 2012
  • Most living organisms synchronize their physiological and behavioral activities with the daily changes in the environment using intrinsic time-keeping systems called circadian clocks. In mammals, the key molecular features of the internal clock are transcription- and translational-based negative feedback loops, in which clock-specific transcription factors activate the periodic expression of their own repressors, thereby generating the circadian rhythms. CLOCK and BMAL1, the basic helix-loop-helix (bHLH)/PAS transcription factors, constitute the positive limb of the molecular clock oscillator. Recent investigations have shown that various levels of posttranslational regulation work in concert with CLOCK/BMAL1 in mediating circadian and cellular stimuli to control and reset the circadian rhythmicity. Here we review how the CLOCK and BMAL1 activities are regulated by intracellular distribution, posttranslational modification, and the recruitment of various epigenetic regulators in response to circadian and cellular signaling pathways.

Housing Circumstances of the Elderly Households Who Live Alone or/with Spouse -Focusing on Safety Issues and Interior Design Affordance- (재가노인 단독세대의 주택내 안전사고 실태 및 실내환경 평가에 관한 연구)

  • 문희정;김미희
    • Journal of the Korean housing association
    • /
    • v.15 no.1
    • /
    • pp.75-84
    • /
    • 2004
  • As the advent of an aging society, housing for the elderly has been of greater concern. Since the majority of the elderly prefers to live in their own familiar houses rather than moving to new ones, this study is concerned with the ways of the effective use and maintenance of exiting houses from the viewpoint of their independent living. The data was analyzed with frequency, percentage, mean, correlation, and multiple regression using the SPSS 10.0 for Windows. The findings from the study are: The general satisfaction rate of Interior Design Affordance(IDA) was-evaluated about the average. Among the items of IDA, behavioral facilitation was found most satisfactory, and perceptual maintenance, physilogical maintenance, and social facilitation were followed in satisfaction level. Although there had been many elements of serious safety dangers, no home modification was made in the elderly households who live alone or/with spouse.

Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults (생활습관개선 프로그램이 성인의 식이행동과 신체활동 및 심혈관위험요인에 미치는 효과: 중재 3개월 결과를 중심으로)

  • Park, Jiyeon;Kim, Hyekyeong
    • Korean Journal of Health Education and Promotion
    • /
    • v.31 no.4
    • /
    • pp.37-49
    • /
    • 2014
  • Objectives: The aim of this study was to evaluate the effects of a lifestyle modification program for Korean adults with cardiovascular disease risk factors on their health behaviors and health status. Methods: A total of 448 adults with abdominal obesity and additional cardiovascular disease risk factors(high blood pressure, low HDL-cholesterol, high triglyceride or high blood glucose) were randomly assigned to either an intensive intervention group (IIG, n=216) or a minimal intervention group(MIG, n=232). Participants in the IIG received lifestyle modification program which consisted of health counseling with nutrition assessment, health booklet and health diary, while those in MIG received minimal information. Results: The participants in the IIG significantly improved dietary habits(p<.05), retrained eating(p<.001), external eating(p<.01) behaviors, leisure time physical activity(p<.05), dietary self-efficacy(p<.01), exercise self-efficacy(p<.01) and MetS score(p<.001) after 3 months. In addition, the participants in the IIG showed more improvement in dietary habits(p<.05) compared with those in the MIG. Conclusion: The lifestyle modification program was effective in improving some health behaviors, behavioral determinants and cardiovascular risk factors for a short term.

임상가를 위한 특집 4 - 교합기를 이용한 교합안정장치의 제작

  • Kim, Seong-Taek
    • The Journal of the Korean dental association
    • /
    • v.47 no.6
    • /
    • pp.359-363
    • /
    • 2009
  • 지난 수십여 년 간 턱관저 및 저작근의 질환과 광범위한 보철 및 교정 수복 시 사용되었던 교합안전장치의 작용기전에 관하연느 아직 논란이 많다. 그러나 현재까지의 연구는 기존의 하악을 생리적으로 안정된 위치로 변화시킨다는 개념보다는 구강 내 장치가 위치함으로 인해 저작계의 행동변경(behavioral modification)으로 인해 구강 내 부기능적인 습관이 일시적으로 개선되는 것이라는 개념이 지배적이다. 좀 더 면밀히 말하면 이에 대한 보다 체계적인 연구가 필요한 게 사실이다. 본문에서는 그동안 사용되었던 여러 교합안전장치의 제작법 중에서 교합기를 이용하는 방법을 기공과정을 통하여 알아보고자 한다.

  • PDF