• 여성건강간호학회지
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• 제17권4호
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• pp.369-377
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• 2011

Purpose: Childbirth self-efficacy plays an important role in women's ability to cope with labor and delivery. Coaching has been gaining popularity as a way to promote cognitive, emotional and behavioral change. This study aimed to test the effects of a Coaching-based childbirth program on anxiety and childbirth self-efficacy among primigravida women. Methods: The study design was a quasi-experimental pre-post design. A coaching-based childbirth program was developed synthesizing concepts and techniques from the literature on coaching and was verified by an expert panel. It consisted of four weekly 2-hour small group sessions. Pregnant women were recruited from H hospital in Seoul. Childbirth self-efficacy and state anxiety were measured before and after the program. Results: Although there was a no significant reduction in anxiety, there were statistically significant increase for childbirth self-efficacy in the experimental group when compared to the control group. Conclusion: The program appears to increase childbirth self-efficacy for pregnant women. Future studies may benefit from using mixed coaching modalities and consider measuring health behaviors and obstetric outcomes to gain insights on its long-term impact.

• International Journal of Advanced Culture Technology
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• 제9권4호
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• pp.29-39
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• 2021

Cognitive behavioral therapy (CBT) is effective for people with an addiction tendency. This study aims to implement a CBT program for college students at high risk of smartphone addiction and investigate the impact of the program on their desire to use a smartphone, depression, impulsivity, and anxiety. Baseline/post-intervention evaluation and the ABA' single-case experimental design were used. The study consisted of the baseline phase (A), pre-evaluation, intervention phase (B), post-evaluation, and baseline phase (A'). Six participants were enrolled, and the main outcome variables were daily changes in the desire to use a smartphone and changes in depression, impulsivity, and anxiety after the program. Prior to the intervention, all six participants had mild to moderate depression, but after the intervention, three were normal, two had mild depression, and only one had moderate depression. Impulsivity and anxiety scores decreased after the intervention, with anxiety scores showing the most dramatic change. The percentage of non-overlapping data for the baseline phase (A)-intervention phase (B) was more than 75% and that for baseline phase (A)-baseline phase (A') was 100% for all 6 participants. This study presented a good protocol for people with low access to psychological therapy. We expect the findings will be highly useful for people suffering from psychological difficulties due to smartphone addiction.

• 대한물리치료과학회지
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• 제4권4호
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• pp.529-538
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• 1997

Rehabilitation after spinal cord injury(SCI) is complex process involving an array of adaptation to change in both physical and psychological function. It is generally accepted that psychological disorder and change are sificant psychological problem among the patients with spinal cord injury. The psychological problems that they have are depressor, anxiety, and fear etc. This study was designed to know of psychological state of patients with SCI after injury, such as psychological change and adaptation process, and change of needs.

• 대한불안의학회지
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• 제7권2호
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• pp.107-112
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• 2011

Objective : This study aimed to ascertain the effect of interpersonal sensitivity/resilience on depression and anxiety in firefighters whose frequency of exposure to traumatic events is high. Method : A survey was performed and data related to 75 firefighters were analyzed. Questionnaires included the Beck Depression Inventory (BDI) and Impact of Event Scale-Revised (IES-R). To assess the susceptibility or protector roles with respect to psychopathology, the Interpersonal Sensitivity Measure (IPSM) and Conner-Davidson Resilience Scale (CD-RISC) were used. Results : The personality characteristic, interpersonal sensitivity (IPSM) showed a significant positive correlation with depression (BDI, r=0.557, p<0.001) and posttraumatic stress symptoms (IES-R, r=0.316 ; p<0.001). In contrast, resilience and symptom parameters (BDI, IES-R) were negatively correlated with each other, but not statistically significant. However, an adaptive factor for change, a third sub-factor of CD-RISC, had significant negative correlation with depression and anxiety symptoms (BDI, r=-0.275, p<0.005 ; IES-R, r=-0.254, p<0.005). Conclusion : The results of the present study showed that some personality traits may act as vulnerability or protective factors with respect to the psychopathologies of depression and anxiety.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1337-1340
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• 2016

Background: There is a noticeable change in the approach with which women nowadays seek help for diseases like breast cancer, primarily due to awareness campaigns, but what happens after surgical procedures is of great significance too. This study focused on the several psychological connotations attached to mastectomy and how the patients cope. Objective: To understand the pattern of anxiety and level of depression among Pakistani patients undergoing mastectomy. Materials and Methods: The sample size consisted of 88 patients who had undergone mastectomy at the different surgical units of the Civil Hospital, Karachi, from January 2012-December 2014; The questionnaire was administered before they were discharged i.e. within 3 days of surgical procedures. The patients were asked if they were willing to participate in this study, those who agreed signed the consent form and then we preceded by asking questions with a standardized tool. A self made questionnaire was constructed keeping in mind the nature and specification of the disease, which consisted of 20 questions related to anxiety and depression, focusing on a mixture of psychological and physiological symptoms. Results: There were a total of 88 patients out of which 36 (41%) were aged 51 to 60 years, 24 (27.2%) of the patients were in the age category of 41 to 50 years, 17 aged 61 and above (19.3%) and only 11 (12.5%) 30-40 years of age, the youngest of all the age categories. The pattern of depression and anxiety was found to be similar among all age categories, severe depression and anxiety predominating over moderate level of such symptoms, with only relatively few patients sufering mild or no depression symptoms. Conclusions: It was concluded that going through mastectomy leads to moderate to severe levels of depression and anxiety, primarily because the females feel incomplete and insecure after losing a part of themselves.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권1호
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• pp.35-40
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• 2018

Background: The sight of dental injection can bring about severe anxiety in children. Therefore, an alternative method that is convenient, effective, and keeps the needle hidden making it child friendly is necessary. The objective of the study was to compare the efficacy of a camouflaged syringe and conventional syringe on behavior and anxiety in 6-11-year-old children during local anesthesia administration. Methods: The study was a randomized, crossover clinical study including 30 children. Children were separated into two groups. Group 1 consisted of 15 children aged 6-8 years while group 2 consisted of 15 children aged 9-11 years. This study involved two sessions wherein all the children were injected using conventional and camouflaged syringes in separate sessions. Their behavior was assessed using the Faces, Legs, Activity, Cry, Consolability (FLACC) behavior pain scale and anxiety was assessed by measuring changes in pulse rate. Patient and operator preferences were compared. Results: The results showed a lower mean change in pulse rate and FLACC scores in the camouflaged group, suggesting a positive behavior and lesser anxiety with camouflaged syringes than with conventional syringes. Conclusions: The use of camouflaged syringes for anesthesia was demonstrated to be effective in improving the behavior of children and decreasing their anxiety, and is therefore recommended as an alternative to the use of conventional syringes for local anesthesia.

• 한국문헌정보학회지
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• 제49권3호
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• pp.253-272
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• 2015

본 연구는 동아시아 지역 성인층의 평생학습 확산을 대비한 국가간 도서관 협력의제를 고찰하기 위해 해당 지역 주요국가인 한국, 중국, 일본의 20대 청년층 정보이용자의 도서관인식과 불안을 국가간 비교연구를 통해 분석하였다. 이에 청년층 정보이용자의 상황적 맥락(선호정보원, 이용빈도, 학력, 성별)에 따른 도서관이용 의 요인별 인식차이를 조사하여 청년층 이용자의 선호정보원과 이용빈도에 따라 도서관불안에 명백한 차이가 있음을 통계적으로 입증하였다. 특히 중국의 정보이용자층이 다른 나라 이용자층에 비해 도서관이용시 각 요소에 대한 불안정도가 현저하게 높은 것으로 나타났다. 더불어 한국의 정보이용자들의 디지털정보에 관한 불안요소가 다른 나라 청년층 이용자에 비해 낮은 분포로 측정되었다. 연구결과를 기반으로 이용자들의 환경변화에 따른 정보서비스요구에 대한 도서관의 수용 및 새로운 차원의 도서관 장소 모색 등 성인층을 위한 동아시아지역 도서관운영의 개선방안 등을 제안하였다.

• 정신신체의학
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• 제13권1호
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• pp.24-31
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• 2005

연구목적: 본 연구는 재활치료 환자를 간병하며 불안감과 우울감을 보이는 보호자에게 향기치료를 적용하여 향기치료 효과에 대한 객관적인 자료를 제공하고자 하였다. 방법: 충북대학교병원 재활의학과에서 물리치료중인 환자 보호자 70명에게 Beck 불안척도와 Beck 우울 척도를 시행하였다. Beck우울 척도상 10점 이상을 보이는 42명을 대상군으로 오렌지 치료군, 라벤더 치료군과 대조군 세군으로 나누어 램프 확산법으로 4주간 향기치료를 하였다. 최종적으로 40명에 대한 향기치료 전후의 Beck불안 척도, Hamilton 불안 평정 척도, Beck 우울 척도, Hamilton 우울 평정 척도, 행복지표 그리고 자아존중감 척도를 평가하였다. 결과: 오렌지 치료군은 대조군에 비해 Beck 우울 척도의 점수 변화에서 유의한 차이를 보였다. 라벤더 치료군은 대조군에 비해 Beck 불안 척도, Beck우울 척도와 행복지표의 점수 변화에서 유의한 차이를 보였다. 결론: 본 연구 결과는 오렌지향유 향기치료는 우울감에, 라벤더향유 향기치료는 불안감과 우울감에 효과가 있음을 시사한다.

• 한국수학교육학회지시리즈E:수학교육논문집
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• 제31권1호
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• pp.17-48
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• 2017

본 연구는 수학불안으로 인해 자신의 충분한 수학적 역량을 발휘 하지 못해 고민하는 일반계 고등학교 2학년 남학생 1명의 수학 불안 치유 사례연구이다. 본 연구에서 수철이(가명)는 수학시험과 관련해서 불안이 높게 나타났다. 이를 치유하기 위해 인지적 처치와 행동적 처치를 실시하였다. 첫째, 인지적 처치로서 자신의 문제 이해하기, 사고 기록지 작성하기, 중간 믿음 바꾸기, 핵심 믿음 바꾸기를 실시하였고 처치과정 속에서 어떠한 인지적 정의적 반응과 변화가 일어나는지 분석하였다. 둘째, 행동적 처치로서 분할노트 작성하기와 동료학습을 실시하였다. 분할노트 작성하기는 노트를 이용하여 나만의 문제를 찾아서 스스로 해결하게 하는 것으로서 이 과정 속에서 어떠한 인지적 정의적 반응과 변화가 일어나는지 분석하였다. 또한 수철이를 힘들게 하는 지나친 경쟁심과 승부욕이 동료학습을 하면서 어떻게 인지적 정의적으로 반응하고 변화하는지 살펴보았다. 연구결과, 수철이의 수학시험불안은 많이 감소되었고 그 밖의 다른 요인들도 감소하였다. 또한 어렵게 느껴지는 수학문제에 도전하여 해결함으로써 자신감을 회복하였고 지나친 승부욕과 경쟁심도 협동심과 배려심으로 승화한 것으로 나타났다.

• 한국콘텐츠학회논문지
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• 제12권10호
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• pp.365-375
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• 2012

본 연구는 대학생의 스마트폰 중독사용 정도에 따른 상지통증과 불안, 우울 및 대인관계의 관계를 파악하기 위한 서술적 조사연구이다. 자료 수집은 2012년 5월부터 6월까지 일 대학의 대학생들 중 스마트폰 사용자를 대상으로 스마트폰 중독사용 정도, 상지통증, 불안, 우울 및 대인관계에 대해 구조화된 질문지를 이용하여 조사하였다. 응답내용이 누락되거나 불완전한 경우를 제외한 525명의 자료를 분석하였다. 스마트폰 중독사용 정도에 따른 상지통증, 불안, 우울 및 대인관계의 차이는 $x^2$와 t-test로 분석하였고, 스마트폰 중독사용, 불안, 우울 및 대인관계의 상관관계는 Pearson correlation coefficient로 분석하였다. 본 연구의 결과, 중독사용군은 62명(11.8%)이었다. 여자 대학생의 스마트폰 중독사용 정도는 남자 대학생에 비해 심각했으며, 하루에 스마트폰을 사용하는 시간이 긴 대상자가 스마트폰 중독사용 정도가 높았다. 스마트폰 중독사용군이 정상사용군에 비해 어깨통증 호소가 많았으나 다른 부위의 상지 통증의 차이는 없었다. 상태불안, 특성불안, 우울 모두 중독사용군이 정상사용군보다 높았다. 그리고 스마트폰 중독성향이 강할수록 상태불안, 특성불안 및 우울 정도는 높았고, 상태불안, 특성불안 및 우울 정도가 높을수록 대인관계는 좋지 않았다. 이상의 결과는 스마트폰 중독사용 고위험군을 조기에 선별하고, 이들을 위한 바른 자세, 다양한스트레스 대처방법, 긍정적인 정신건강 및 효율적인 대인관계 향상 등의 중독 예방프로그램 개발의 기초자료로 활용될 것을 기대한다.