• Title/Summary/Keyword: Behavioral treatment

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Behavioral insomnia in infants and young children

  • Kang, Eun Kyeong;Kim, Seung Soo
    • Clinical and Experimental Pediatrics
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    • v.64 no.3
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    • pp.111-116
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    • 2021
  • In infants and young children, bedtime problems and night waking are common and the main presentations of insomnia. Poor sleep may critically impact the daytime functioning and mood of the child and their caregivers. A comprehensive sleep history, a sleep diary/log, and the BEARS (Bedtime problems, Excessive daytime sleepiness, Awakenings during the night, Regularity and duration of sleep, and Sleep-disordered breathing) sleep screen are useful for diagnosing sleep problems in young children. Behavioral therapies for this type of insomnia include extinction, bedtime fading with positive routines, and scheduled awakening. Previous studies of behavioral interventions for young children showed significant improvements in sleep-onset latency, night waking frequency, and night waking duration. Parent education about their child's sleep, bedtime routines, and sleep hygiene is essential for treatment.

The Effects of a Brief Intervention for Insomnia on Community Dwelling Older Adults (지역 사회 노인을 대상으로 한 불면증 단기 치료 프로그램의 효과)

  • Oh, Eui Sun;Park, Kyung Mee;An, Suk Kyoon;Namkoong, Kee;Shim, Da-hye;Lee, Eun
    • Sleep Medicine and Psychophysiology
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    • v.25 no.2
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    • pp.74-81
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    • 2018
  • Objectives: Insomnia is one of the major concerns in the elderly population. Cognitive behavioral treatment for insomnia is the first line treatment option, but there are some limitations including time and cost burdens and the requirement for sufficient cognitive resources to obtain a proper treatment effect. The Brief intervention for insomnia (BII) is a treatment that focuses on behavioral aspects of insomnia in primary care practices. The purpose of this study was to evaluate the effects of BII in community-dwelling older adults. Methods: A total of 47 older adults with insomnia were enrolled from community centers between May 2016 and January 2018. They participated in the BII program for three weeks. We gathered sleep-related participant information with using the Pittsburgh sleep quality index (PSQI), the Sleep hygiene index, and a sleep diary. Clinical efficacy was evaluated by comparing total sleep time (TST), sleep latency (SL), waking after sleep onset (WASO), and sleep efficiency (SE) before and after the treatment. Results: There was significant improvement in sleep-related features after BII. Global score and sleep quality from the PSQI, freshness, and WASO from the sleep diary showed statistically significant improvement. Conclusion: We found BII showed positive clinical efficacy in community dwelling older adults, especially from the perspective of subjective sleep quality and WASO. This finding implies that BII can be effectively applied for the managment of elderly insomnia patients in a community setting.

Clinical Characteristics of Pediatric Bipolar Disorder by Subtype in a Korean Inpatient Sample

  • Park, Subin;Cho, Soo-Churl;Kwon, Ohyang;Bae, Jeong-Hoon;Kim, Jae-Won;Shin, Min-Sup;Yoo, Hee-Jeong;Kim, Bung-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.4
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    • pp.251-257
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    • 2015
  • Objectives : We compared the clinical presentations of manic and depressive episodes and the treatment response among children and adolescents with bipolar disorder (BD) types I and II and BD not otherwise specified (NOS). Methods : The sample consisted of 66 patients, aged between 6 and 18 years, who were admitted for BD to a 20-bed child and adolescent psychiatric ward in a university hospital located in Seoul, Korea. Results : Patients with BD type I were more likely to have lower intelligence quotients and exhibit violent behaviors during manic episodes than patients with BD type II or BD NOS and to show better treatment responses during manic episodes than patients with BD NOS. Patients with BD NOS were more likely to have an irritable mood rather than a euphoric mood during the manic phase than patients with BD type I or II and to exhibit violent behaviors during the depressive phase and chronic course than patients with BD type II. Conclusion : Pediatric BD patients are heterogeneous with respect to their clinical characteristics. Implications for the usefulness of the current diagnostic subtype categories should be investigated in future studies.

Effect of once-a-day milk feeding on behavior and growth performance of pre-weaning calves

  • Syed Husnain Mushtaq;Danish Hussain;Hifz-ul-Rahman;Muhammad Naveed-ul-Haque;Nisar Ahmad;Ahmad Azeem Sardar;Ghazanfar Ali Chishti
    • Animal Bioscience
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    • v.37 no.2
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    • pp.253-260
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    • 2024
  • Objective: The objectives of the present study were to evaluate the effects of once-a-day milk feeding on growth performance and routine behavior of preweaning dairy calves. Methods: At 22nd day of age, twenty-four Holstein calves were randomly assigned to one of two treatment groups (n = 12/treatment) based on milk feeding frequency (MF): i) 3 L of milk feeding two times a day; ii) 6 L of milk feeding once a day. The milk feeding amount was reduced to half for all calves between 56 and 60 days of age and weaning was done at 60 days of age. To determine the increase in weight and structural measurements, each calf was weighed and measured at 3 weeks of age and then at weaning. The daily behavioral activity of each calf was assessed from the 22nd day of age till weaning (60th day of age) through Nederlandsche Apparatenfabriek (NEDAP) software providing real-time data through a logger fitted on the calf's foot. Results: There was no interaction (p≥0.17) between MF and sex of the calves for routine behavioral parameters, body weight and structural measurements. Similarly, there was no effect of MF on routine behavioral parameters, body weight and structural measurements. However, the sex of the calves affected body weight gain in calves. Male calves had 27% greater total body weight and average daily gain than female calves. There was no effect of the sex of the calves on behavioral measurements. Collectively, in the current study, no negative effects of a once-a-day milk feeding regimen were found on routine behavioral and growth parameters of preweaning calves in group housing. Conclusion: Once-a-day milk feeding can be safely adopted in preweaning calves from 22nd day of age.

The Effects of Cognitive-Behavioral Group Counseling Program for Depression and Aggressiveness in Adolescents with Delinquent Propensity (비행성향 청소년의 우울 및 공격성 감소를 위한 인지행동집단상담 프로그램 개발과 효과)

  • Kim, Jung-Min;Park, Jun-Hee;Han, Kyung-Eun
    • Journal of Families and Better Life
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    • v.25 no.4
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    • pp.31-41
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    • 2007
  • This study aimed to develop a cognitive-behavioral group counseling program for depression and aggressiveness in adolescents with delinquent propensity and to examine its efficacy through pre- and post-tests. The program included cognitive restructuring, exposure training, social skills training and relaxation training. Juvenile Delinquency Scale, BDI, K-YSR, and BDHI were administered to 520 3rd grade middle-school female students to assess their levels of delinquency, depression and aggressiveness. Initially 41 students who met all the following criteria were selected: 1) top 15% scores on Juvenile Delinquency Scale, 2) top 30% scores on BDI, K-YSR and BDHI respectively. Individuals currently receiving clinical treatment were excluded. Finally 39 students were selected and randomly assigned to either a treatment group(n=20) or a control group(n=19). Then the students in the treatment group were divided into 4 subgroups. The program consisted of 12 weekly sessions, approximately $1.5{\sim}2$ hours in duration. Pre- and post-tests administered to both groups included Juvenile Delinquency Scale, BDI, K-YSR, BDHI, and CLAB. Additionally, MESSY for teachers was added at pre- and post-tests. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) The students in the treatment group showed a significant reduction in the level of depression and aggressiveness in comparison with those in the control group. 2) Teachers reported a significant reduction in internalizing/externalizing behaviors of the students in the treatment group.

Process of Social Stigma on Behavioral Addictions -The Attribution Affection Theory applied - (행위중독에 대한 사회적 낙인과정 - 귀인정서이론 적용 -)

  • Park, Keun Woo;Seo, Mi Kyung
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.241-265
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    • 2017
  • This study was conducted to propose anti-stigma strategies by verifying the social stigma on behavioral addiction under the premise that social stigma is a main obstacle to the treatment of addiction. A research model was constructed by applying the attribution affection theory and the modified attribution affection theory, which are very useful for explaining emotional and behavioral responses to the persons with mental illness. In other words, when attributing the causes of behavioral addiction to the personally controllable things such as personality, will and lifestyle, social distance can be increased by the mediate of anger. However, when attributing the causes of behavioral addiction to biological factors that can not be controlled by an individual, there can exist two pathway, one is the arising of helping behaviors by the mediate of sympathy (the attribution affection theory), and the other is the aggravation in the social distance due to rising fear (the modified attribution affection theory). In order to verify the research model, 383 adult subjects mainly in South Gyeongsang Province were randomly presented with the vignettes of gambling addiction and internet game addiction, and asked about the causes of the problems and their emotional, prejudicial, and behavioral responses to them. As a result, all pathway had statistically significant predictive effect. Therefore, in the case of attributing to personal causes, social distance increased by the mediate of anger. In the case of attributing to biological causes, both pathway had significant predictive effect, but the indirect effect of the pathway predictive of the helping behavior by the mediate of sympathy was greater. Researchers suggested that anti-stigma strategies, which emphasize that behavioral addiction is a mental health problem requiring treatment, are necessary.

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Effects of Cognitive Behavioral Therapy Program on mental health problems in children dealing with trauma: Focused on community district victimized by oil spill (외상을 다룬 인지행동 프로그램이 재해 피해 아동의 정신건강상태에 미치는 영향: 유류유출 피해 지역 아동을 중심으로)

  • Sohn, Jung-Nam;Lee, Yong-Mi
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.56-65
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    • 2012
  • Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

Introduction to Online Based Trauma-Focused Cognitive Behavioral Therapy Education Program for Helping Sexually Abused People (성폭력피해자를 돕기 위한 온라인 기반 외상-초점 인지행동치료 교육프로그램에 대한 소개)

  • Cho, Young-Sung;Song, Jiyoun;Lee, Jun-Young
    • Anxiety and mood
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    • v.12 no.2
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    • pp.79-85
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    • 2016
  • Sexually abused victims suffer not only physical damage, but they may also experience an array of additional problems ranging from acute fear, depressed mood, anxiety, shame, or insomnia to long-term psychiatric disorders. Trauma Focused Cognitive Behavioral Therapy (TF-CBT) is known to have excellent therapeutic effects for trauma victims including victims of sexual violence. CBT treatment includes stress immunity training, relaxation training, and acceptance and commitment therapy. In foreign countries TF-CBT is carried out online in order to increase the therapeutic accessibility for the victim and improve the quality of the interview for the therapists. As a result, those victims who have difficulties in requesting external help, who live in remote areas, or who have limited time may now have access to the service and benefit from the online education programs. A website providing an online based TF-CBT program was initiated in Korea also. Through the website, victims and their guardians may obtain therapeutic information without the need for face-to-face meetings with therapists. Our goal is to create a system with this website which will provide therapeutic assistance to sexual violence victims and improve the quality of the counseling provided by the therapist.

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Impact of Service Quality and Perceived Value on Customer Satisfaction and Behavioral Intentions: Evidence from Convenience Stores in Vietnam

  • TRAN, Van Dat;LE, Nhat Minh Trang
    • The Journal of Asian Finance, Economics and Business
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    • v.7 no.9
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    • pp.517-526
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    • 2020
  • This research investigates the relationship among product quality, service quality, perceived value, customer satisfaction, and behavior intentions. Validated measurements were identified from a literature review. The measurement model and the conceptual model depicting hypothesized relationships were evaluated based on responses from 220 customers using confirmatory factor analysis and structural equation modeling. The testing results show that, for the direct path, product quality has a significant, positive influence on customer satisfaction, and behavioral intentions. Also, perceived value directly influences customer satisfaction and behavioral intentions and satisfaction is an antecedent of behavioral intentions. For the indirect path, service quality has a significant, positive influence on behavioral intentions through the customer satisfaction. The major finding of this study suggest that service quality easily attract more customers, especially the young consumers. About the sale personnel, communication skills, knowledge and ways of treatment to customers are crucial to retailers to gain competitive advantage over competitors. Therefore, it should have clear and consistent processes, procedures with criteria that create the best condition for organization and individual to open this kind of retailing store. Furthermore, product quality improvement is essential; all products must have clear originality; and diversifying products and services is also the way to appeal more consumers.