• Title/Summary/Keyword: Cognitive State Anxiety

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Prediction of Pain Expression Using the Extended Gate Control Theory of Pain and Fishbein′s Model (관문통제동통이론과 FISHBEIN의 모델을 이용한 동통표현 예견에 대한 연구)

  • 이은옥
    • Journal of Korean Academy of Nursing
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    • v.13 no.2
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    • pp.1-21
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    • 1983
  • The purposes of this study were to(a) develop theoretical modifications of the extended gate control theory of pain using Fishbein's model and(b) test the efficacy of these modifications. Attitude, social subjective norm, personal subjective norm, habit and state anxiety were operationalized to represent internal stimuli for the cognitive-evaluative and motivational-affective dimensions of the theory. Pain expression was operationalized as sensory and affective responses to pain, and pain endurance. Sixty-two female nurses from 20 to 50 years of age participated. A semantic differential scale measured attitude and motivations to comply; a Likerty-type scale measured personal and social norms and habit. Spielberger's STAI measured state anxiety, Pain was produced using a modified submaximum effort tourniquet technique. Pair expression was measured using ratio scales of sensory intensity and unpleasantness developed by Gracely and his associates. Pain endurance was measured by subtracting time of pain threshold from pain tolerance. The first hypothesis examining whether pain endurance would be more significantly related to the affective response than to the sensory response was net rejected. Four remaining hypotheses, testing the ability of the five variables to predict the sensory and affective responses were not rejected. However, the habit of pain expression and the attitude toward pain expression contributed to the prediction of both sensory and affective responses to pain. The interaction between the cognitive-evaluative and the sensory-discriminative dimensions and the interaction between the cognitive-evaluative and motivational-affective dimensions were partially supported by the data from these two variables. The interaction between the motivational-affective and the sensory-discriminative dimensions was also supported by the relationship of sensory to affective responses. The variables which did not significantly predict pain expression appeared to have potential for prediction. Revision and testing of the tools for better reliability, validity, and clinical usuability are needed. The study contributed to theory building. The identification of variables which pre-dict pain behavior must occur before effective nursing interventions can be developed.

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Effects of a Coaching-based Childbirth Program on Anxiety and Childbirth Self-efficacy among Primigravida Women (코칭 출산교육 프로그램이 초임부의 불안과 출산 자기효능감에 미치는 효과)

  • Kim, Sue;Kim, Hee-Sook;Cheong, Ha-Yoon
    • Women's Health Nursing
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    • v.17 no.4
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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.

Psychological and Pedagogical Principles of the Organization of Distance Learning of Primary School-Aged Children with Cognitive Development Disorder

  • Yuliia Sosnich;Kristina Torop;Tetiana Dehtiarenko;Oleksandr Kolyshkin;Yurii Kosenko;Iryna Omelchenko
    • International Journal of Computer Science & Network Security
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    • v.24 no.8
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    • pp.184-190
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    • 2024
  • The research involved children and parents of primary school-aged children with cognitive development disorder, as well as scientific and pedagogical workers who organized the psychological and pedagogical principles for organizing distance learning. The purpose of the research lies in establishing how effectively children, parents and their teachers cope with online distance learning during the pandemic, as well as investigating the extent to which such educational technology affects the emotional and behavioural state of the child. The research methodology is based on complexity. In the course of the research, the method of pedagogical experiment was used; observation and questionnaire methods were also introduced; the descriptive method, analysis and synthesis were used to review the theoretical material. The hypothesis lies in the fact that distance online education increases academic difficulties, changes the behavioural and emotional picture of a child with cognitive development disorder; consequently, the behaviour and emotional background will be limited by certain parameters, and this requires the active involvement of parents and teachers in the distance work process. The results of the research have revealed that distance education causes a number of restrictions for children with cognitive development disorder, namely: concentration of attention has decreased, anxiety has increased, and sleep has worsened. Behavioural changes predicted increased restlessness and aggression. Parents and teachers have had methodological, academic and everyday difficulties; all participants in the educational process have been more limited in the conditions of online distance learning. difficulties and improving the behaviour and emotional states of all participants in the educational process.

The Effect of Paroxetine on Symptom Improvement and Change of Heart Rate Variability of the Patients with Panic Disorder (Paroxetine이 공황장애 환자의 증상 개선과 HRV 양상 변화에 미치는 영향)

  • Ahn, Joo-Yeun;Yu, Bum-Hee
    • Anxiety and mood
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    • v.2 no.2
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    • pp.101-107
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    • 2006
  • Object : Since autonomic nerve system dysfunction was known as the mechanism of panic disorder, many researchers used heart rate variability (HRV) as means of measuring autonomic nerve function of patients with panic disorder. We aimed to examine the effect of paroxetine medication for 3 months on symptom improvement and change of heart rate variability of the patients with panic disorder. Methods : The subjects were patients with panic disorder who visited the psychiatric outpatient clinic of Samsung Medical Center in Seoul. We included panic disorder patients who were aged from 20 to 50 and in normal BMI range (from 18 to 30) to minimize the effect of age and weight on HRV data. We excluded the patients with EKG abnormalities, hypertension or other major psychiatric disorders. They took 20-40 mg paroxetine medication a day for 3 months. Alprazolam was used only during the first month to control the acute panic symptoms and was tapered off after that. We measured the acute panic inventory (API), Hamilton rating scale for anxiety and depression (HAM-A & HAM-D), Spielberger state-trait anxiety inventory (STAIS, STAIT), and Beck depression inventory (BDI) in order to assess clinical improvement of the patients. And we measured time and frequency domain HRV in the resting, standing and cognitive stress states to assess the change of HRV. All measurements were done before and after paroxetine treatment. Result : After paroxetine medication, patients showed significant improvement in all psychiatric scales. In time domain of HRV, standard deviations of all R-R intervals (SDNN) were significantly increased in all states. In frequency domain of HRV, the ratio of high frequency to total power (HF/TP) in the standing state was significantly increased. Conclusion : After 3 months paroxetine medication, panic disorder patients showed significant clinical improvement and change in HRV data such as SDNN in all states and HF/TP ratio in the standing state. This result suggests that paroxetine medication is effective for the improvement of autonomic nerve system dysfunction in panic disorder patients.

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THE PRELIMINARY STUDY ON THE DEVELOPMENT OF COGNITIVE-BEHAVIORAL GROUP THERAPY FOR SCHOOL BULLIED (집단 따돌림 피해학생을 대상으로 한 인지행동적 집단치료 개발을 위한 예비 연구)

  • Lee, Ju-Hyun;Shin, Jee-Yong;Yeon, Byeong-Kil;Han, Chang-Hwan
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.221-230
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    • 2000
  • Bullying is the intentional, unprovoked abuse of power by one or more children to inflict pain on or cause distress to another child on repeated occasions. Bullying can be considered to be a form of child abuse:peer abuse. Victims suffer adverse effects in the short and long term. If bullying is regarded as a form of abuse then professionals have a duty to detect it, take it seriously, and ensure that it is deal with to reduce the child's suffering and minimize the potential long term effects. This study is aimed preliminarily the development of cognitive behavioral group therapy for school bullied. 202 normal middle school freshman responded to self report scales- Offer's Self-Image Questionnaire-Revised, Children's Depression Inventory, Spielberger State/Trait Anxiety scale, and Defining Issues Test. The data were analyzed with Pearson's correlation to test the relationship among the above 4 variables. Self Image, depression, and anxiety were correlated strongly each other. But moral development was not correlated with self image, depression, and anxiety. Five school bullied students were referred by their teacher for school maladjustment. The author tried 12 sessions of Cognitive-Behavioral group therapy and assessed their behaviors pre- and post intervention by above 4 scales. There were no significant different intervention effects statistically. But It is meaningful that improvement of psychological mindedness in diary written by subject in treatment sessions

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Thread-Embedding TThread-Embedding Therapy for Depression, Anxiety, and Dementia: A Systematic Reviewherapy for Depression, Anxiety, and Dementia: A Systematic Review (우울, 불안, 치매 환자에 대한 매선 치료: 체계적 문헌 고찰)

  • Jun-Hee Cho;So-Hyeon Park;Bo-Kyung Kim;Jung-Hwa Lim
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.1
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    • pp.37-68
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    • 2024
  • Objectives: This study aimed to systematically review thread-embedding treatment studies for depression, anxiety, and dementia and examine the effectiveness and safety of thread-embedding treatment. Methods: Ten domestic and international search databases were used for study selection, including CNKI, PubMed, CENTRAL, EMBASE, CINAHL, AMED, PsycArticles, RISS, OASIS, and KCI. We included studies that presented diagnostic or appropriate criteria for depression, anxiety, and dementia, and randomized control studies using thread-embedding therapy. We searched papers published until October 10, 2023. Results: Twenty-one studies were selected, of which 11 studies were conducted on depression, nine on dementia, and one on anxiety disorders. The most commonly used acupoint for depression was Gansu (BL18), whereas zusanli (ST36) and fenglong (ST40) were used for dementia. The most commonly used type of thread was 1-0 United States pharmacopeia (USP) and 1 cm for depression and 2-0 USP and 1 cm for dementia. The treatment period for most of the studies was once every 2 weeks and for 8 weeks. Among the included studies, 17 showed significant improvements in depression scales, such as Hamilton depression rating scale and Self rating depression scale, activities of daily living scales, and cognitive function scales, such as Hasegawa dementia scale and Mini-mental state examination. Six studies reported adverse events, and no studies reported significant adverse events. Two studies reported follow-ups. Conclusions: This study presents limited evidence for the effectiveness and safety of thread-embedding therapy for depression, anxiety, and dementia. Well-designed studies are needed to review the clinical efficacy and safety of thread-embedding therapy in the future.

Impact of Internet Media Reports on the COVID-19 Pandemic in the Population Aged 20-35

  • Stytsyuk, Rita Yurievna;Panova, Alexandra Georgievna;Zenin, Sergey;Kvon, Daniil Andreevich;Gorokhova, Anna Evgenievna;Ulyanishchev, Pavel Viktorovich
    • International Journal of Computer Science & Network Security
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    • v.22 no.6
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    • pp.39-44
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    • 2022
  • The advent, course, and possible consequences of the COVID-19 pandemic are now the focus of global attention. From whichever side the geopolitical centers of influence might view it, the problem of the coronavirus concerns all world leaders and the representatives of all branches of science, especially physicians, economists, and politicians - virtually the entire population of the planet. The uniqueness of the COVID-19 phenomenon lies in the uncertainty of the problem itself, the peculiarities and specifics of the course of the biological processes in modern conditions, as well as the sharp confrontation of the main political players on the world stage. Based on an analysis of scientific research, the article describes the profile of the emotional concept of "anxiety" in Russian linguoculture. Through monitoring the headlines of Russian media reports in the "COVID-19" section of Google News and Mail News news aggregators dated August 4-6, 2021, the study establishes the quantitative and qualitative characteristics of the alarm-generating news products on coronavirus in the Russian segment of the Internet and interprets the specifics of media information about COVID-19. The level of mass media criticism in Russia is determined through a phone survey. It is concluded that coronavirus reports in online media conceptualize anxiety about the SARS virus and the COVID-19 disease as a complex cognitive structure. The media abuse the trick of "magic numbers" and emotionally expressive words in news headlines, which are perceived by mass information consumers first and typically uncritically.

Resting-State Functional Connectivity of Subgenual Cingulate Cortex in Major Depression (우울증 환자의 휴지기 슬밑 띠 피질의 기능적 뇌 연결성)

  • Ko, Daewook;Youn, So Young;Choi, Jean H.;Shin, Yong-Wook
    • Anxiety and mood
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    • v.10 no.2
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    • pp.143-150
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    • 2014
  • Objective : The subgenual cingulate cortex, a part of default-mode network, has been known to playa key role in the pathophysiology of depression. The previous studies have reported abnormal functional connectivity between the subgenual cingulate cortex and other brain regions in the patients with depression. The goal of this shldy was to explore the resting-state functional connectivity of the subgenual cingulate cortex between the patients with depression and healthy subjects. Methods : Twenty patients with major depression and age- and sex-matched 20 healthy subjects underwent 5-minute resting state fMRI scans. The functional connectivity map in each subject was acquired using seed-based correlation analysis with the seed located in the subgenual cingulate cortex (Talairach coordinates; x=-10, y=5, z=-10). The functional connectivity maps were calculated using AFNI and compared between the patient and healthy subject group via two-sample T-test using 3dttest++ in AFNI package. Results : Functional connectivity was decreased between the subgenual cingulate cortex and both sides of fusiform gyrus in depressed subjects. Connectivity was also decreased between the subgenual cingulate cortex and the left cerebellum in the patient group. There was no correlation between the severity of depression and the degree of functional connectivity between the subgenual cingulate cortex and the regions showing decreased functional connectivity. Conclusion : Decreased resting-state functional connectivity between the subgenual cingulate cortex and both sides of fusiform gyrus, and decreased connectivity between the subgenual cingulate cortex and the left cerebellum found in the patients with major depression in comparison to the healthy subjects might be related to abnormal emotional and cognitive processing of depressed patients.

Validation of the Need for Closure Scale-Short Form (단축형 종결 욕구의 타당화)

  • Kim, Eunkyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.10
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    • pp.166-173
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    • 2020
  • The purpose of the present study was to validate the Need for Closure Scale-Short Form (NFCS-SF), which measures the need for cognitive closure. Participants completed questionnaires regarding need for cognitive closure, intolerance of uncertainty, depression, and anxiety. Of the 536 data collected between May and July 2017, data from a total of 495 participants were analyzed using SPSS 20.0 and M-Plus. The results of the study are as follows. First, a 15-item selection comprised three items from each facet scale via exploratory factor analysis. Second, the NFCS-SF demonstrated good internal consistency (Study 1, Cronbach's α=.85; Study 2, Cronbach's α=.84). Third, the results of the confirmatory factor analyses supported a 5-factor model (χ2(80)=178.34, p<.001; CFI=.87, TLI=.83, RMSEA=.07, SRMR=.08). Fourth, the NFCS-SF showed significant correlation with the measures of intolerance of uncertainty (r=.58, p<.01), depression (r=.16, p<.05), and anxiety (state anxiety, r=.31, p<.01; trait anxiety, r=.29, as well as the NFCS (r=.86, p<.01). Based on these findings, significance and limitations of the results as well as suggestions for further study are discussed.

Effect of Arousal Control Training Conjugated Heart Rate Biofeedback for National Substitute Archery Players (심박수 바이오피드백기법을 활용한 국가대표 후보 양궁선수의 각성조절훈련 효과 분석)

  • Hong, Seong-Taek
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.469-484
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    • 2011
  • The purpose of this study was to examine the effect of arousal control training conjugated heart rate biofeedback for national substitute three archery players. The arousal control training programs was developed on previous researches and 3 archery experts and 1 sport psychologist had meetings. The training programs contained as orientation, breathing regulation, progressive relaxation technique, heart rate biofeedback, cognitive restructuring, routine and consisted of 24 weeks. XCOACH was utilized as heart rate biofeedback instrument. The effects was examined on competitive state anxiety inventory-2, archery score and ranking, observation, interviews and self assessment. As the results, the score of subfactor was improved on somatic state anxiety, cognitive state anxiety and self-confidence. As the results of observation, interviews and self assessment, the ability of arousal control was enhanced by using effective psychological skills conjugated heart rate biofeedback.