• 대한불안의학회지
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• 제10권1호
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• pp.44-51
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• 2014

Objective : The amygdala has been considered to be a critical region in the pathophysiology of social anxiety disorder, but subregional connectivity pattern has not been examined yet despite lots of previous functional neuroimaging studies. Methods : Resting-state functional magnetic resonance imaging data was obtained in 19 patients with social anxiety disorder and 20 normal controls, and default mode functional connectivity with each of basolateral, centromedial and superficial areas of the amygdala was measured and compared between the two groups. Results : Differential amygdala-based networks between the two groups were distributed to all over the brain. In particular, however, a bias on the amygdala-cingulate pathway was observed in the superficial amygdala only. Connectivity strengths between the superficial amygdala and perigenual anterior cingulate cortex were correlated with scores of social interaction and avoidance. Conclusion : Our findings provide new insights into understanding of the intrinsic cognitive bias model of social anxiety disorder. An abnormality in superficial amygdala-anterior cingulate connectivity may influence on cognitive processing of socially-relevant information in social anxiety disorder.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권4호
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• pp.295-304
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• 2022

Background: The first dental experience is vital in molding a child's attitude towards dentistry and dental outcomes. The cooperation of a child during dental treatment is essential to render successful and high-quality treatment. Dental anxiety is common in children undergoing dental treatment. The success of pediatric dental treatments and patient comfort depends on controlling the levels of patient anxiety in clinical settings. This study aimed to compare the effectiveness of the recorded maternal voice and virtual cognitive tool (Roogies application) in the management of pediatric dental patients. Methods: The study was carried out with children aged of 4-7 years [n = 80, (40 male and 40 female)], without any past dental history, and were randomly allocated into two groups. After informed consent was obtained, the entire procedure was explained to the parents. Anxiety was assessed pre-, during, and post-treatment by measuring pulse rate, and recording Venham Picture Test (VPT) scores. Group A [n = 40; 20 boys and 20 girls)] was provided with a headphone that played a recorded maternal voice. Group B [n = 40; 20 boys and 20 girls)] was administered the virtual cognitive tool. After conditioning the children, oral prophylaxis was performed for both groups. A comparative evaluation was conducted for each treatment session. Results: The intra-group comparison of VPT scores and heart rate for patients assigned to the recorded maternal voice showed a statistically significant difference in dental anxiety (P-value ≤0.001). Conclusion: This study demonstrated that a reduction in dental anxiety with the help of recorded maternal voice forms an important component of non-pharmacological behavior management. Alternatively, the use of a virtual cognitive tool as an anxiety-reducing technique can also be advocated.

• 한국콘텐츠학회논문지
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• 제20권7호
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• pp.491-502
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• 2020

본 연구는 중년의 노화불안이 심리적 안녕감에 영향을 미치는 과정에서 인지적 유연성과 주관적 경제수준의 조절된 매개효과를 확인하고자 하였다. 이를 위해 40세~64세의 성인 317(남159명, 여158명)명을 대상으로 온라인설문지를 실시하였으며, 설문기간은 2017년 9월 3일부터 9월 28일까지였다. SPSS 21.0 및 SPSS Macro를 사용하여 상관분석, 회귀분석, 유의성 검정을 하였다. 연구 결과, 첫째, 상관 분석 결과 노화불안, 인지적 유연성, 주관적 경제수준, 심리적 안녕감 간의 유의한 상관이 나타났다. 둘째, 중년의 노화불안과 심리적 안녕감의 관계에서 인지적 유연성이 유의한 부분매개효과(β = .530, p < .001)를 보이는 것으로 나타났다. 셋째, 인지적 유연성과 심리적 안녕감의 관계에서 주관적 경제수준의 조절효과(β = .080, 𝜟R² =.006, p <.05)가 유의한 것으로 나타났다. 넷째, SPSS Macro를 통한 검증 결과, 노화불안과 심리적 안녕감의 관계에서 인지적 유연성과 주관적 경제수준의 조절된 매개효과가 검증되었다. 마지막으로 본 연구의 의의와 제한점, 후속연구에 대한 제언을 논의하였다.

• 디지털융복합연구
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• 제17권5호
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• pp.89-97
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• 2019

본 연구는 스마트기기를 활용한 인지행동 미술치료가 정서불안을 드러내는 단일 연구참가자의 교육적 변화와 효과를 확인하는데 그 목적이 있다. 연구 대상은 정서불안정으로 공격성과 충동성이 있는 초등학교 4학년 남아이다. 연구는 6개월 동안 매주 1-2회에 걸쳐 회당 80분, 총 30회의 교육처치가 실시되었다. 회당 80분의 시간 중 미술치료 60분, 인지행동치료 20분 교육프로그램이 적용되었으며, 30회 동안 스마트기기를 활용한 인지행동 미술치료기법(그리기 및 조형활동)을 비롯, 인지 재구조화 작업, 행동수정기법, 체계적 둔감법, 사회기술훈련, 공감훈련과 조망훈련, 자기주장훈련 등의 교육방법이 적용되었다. 연구측정도구로는 TAIC(Trait Anxiety Inventory for Children), BAI(Beck Anxiety Inventory), 정서적 불안정 척도가 활용되었다. 연구 결과 스마트기기를 활용한 인지행동 미술치료가 정서불안 아동에게 긍정적인 정서 변화의 효과성이 있음이 나타났으며, 이를 기반으로 체계적인 교수학습전략 의 필요성, 과학적 분석 및 환류기법 적용 등 향후 발전방향이 논의되었다.

• 대한가정학회지
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• 제49권10호
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• pp.81-90
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• 2011

The purpose of this study was to investigate the mediating effect of interpersonal relationship on the relationship between attachment and subjective well-being of university students. We conducted a survey on 336 university students in Andong-si and Cheongju-si. The data were analyzed by Pearson's productive correlation, hierarchical regression analysis and Sobel test. The results were as follows: First, affective well-being made an effect by avoidant attachment and anxiety attachment, and was more affected by interpersonal relationship than anxiety attachment including mediating variable of interpersonal relationship. Second, there was a significant effect in cognitive well-being only by anxiety attachment. Including mediating variables of interpersonal relationship, cognitive well-being affected by interpersonal relationship only. Third, interpersonal relationship mediated partially the relationship between attachment and affective well-being, and perfectly between attachment and cognitive well-being.

• 대한불안의학회지
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• 제14권2호
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• pp.88-98
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• 2018

Objective : The purpose of this study was to establish a school-based mental health intervention. The success of which was indexed by its effects on the social anxiety symptoms of the enrolled adolescents. Methods : This program for promoting mental health among adolescents in the community was adopted by three middle schools that volunteered to participate in the project. The program included screening for emotional problems related to social anxiety, depression, suicide, and post-traumatic stress disorder. Case management was provided for groups considered high-risk for depression, suicide, or post-traumatic stress disorder; cognitive-behavior therapy was provided for those at high-risk of developing social anxiety. Additionally, educational programs for the prevention of suicide, a "loving life" module, and mental health promotional campaigns were also included. In total, 1,100 middle school students completed self-report questionnaires. Twenty-five students in the high-risk group for social anxiety participated in a cognitive-behavior therapy program, comprising eight sessions, and conducted by two clinical psychologists. Results : Following the suicide prevention education program, suicide awareness among students increased and coping strategies were improved. In addition, the loving life program was associated with positive self-perceptions by many students. Furthermore, social anxiety symptoms showed a statistically significant difference after the cognitive-behavior therapy program. After the therapy, not only did social anxiety symptoms improve, depressive symptoms and suicidal ideation decreased significantly, while self-esteem and psychological resilience significantly increased. Conclusion : A school-based mental health intervention was successfully implemented in three middle schools and improved the mental health of the participating students. Therefore, this intervention could be widely implemented to promote positive mental health among middle school students.

• 대한간호학회지
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• 제39권2호
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• pp.157-165
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• 2009

Purpose: The purpose of this study was to analyze the effects of a cognitive-behavioral nursing intervention on anxiety and depression of patients with breast cancer undergoing radiotherapy. Methods: A nonequivalent control group design was used for the study. The research participants were patients with breast cancer (N=71; experimental group=35, comparison group=36) who received radiotherapy at P university hospital. The experimental group received a 6-week cognitivebehavioral nursing intervention (2 hr/week), which included nursing counseling, education about treatment choices for breast cancer and possible side effects and management strategies during radiotherapy, and rehabilitation exercise. Results: Following the intervention, the experimental group showed significantly lower levels of anxiety (Experimental group=$34.60{\pm}6.35$, Comparison group=$44.63{\pm}9.93$, t=3.552, p<.001) and depression (Experimental group=$10.20{\pm}6.61$, Comparison group=$17.81{\pm}10.85$, t=3.542, p<.001) than the comparison group. Conclusion: The findings from this study showed that cognitive-behavioral counseling applied by nurses is very effective to reduce anxiety and depression among patients with breast cancer. Therefore, providing nursing counseling to broader spectrum of patients with cancer should be considered. Further research would warrant future clinical application of nursing counseling.

• 동의신경정신과학회지
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• 제25권2호
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• pp.123-132
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• 2014

Objectives: The purpose of this study was to investigate the levels of Yangseng (Traditional Health Behavior), depression, anxiety, cognitive function between the elderly women living alone and the aged in the living with family. Methods: The subjects of this study were 137 elderly women aged between 65 and 80. They were evaluated with the Tool in Measuring Yangseng (TMY), Korean Geriatric Depression Scale (KGDS), State-Trait Anxiety Inntory (STAI) and Korean of the Mini-Mental State Examination (MMES-K). Depending on whether or not they lived alone, they were divided into two groups; group living alone (L.A.) and group living with family (L.F.). Results: In TMY score, there were statistically significant differences in characteristics of Mind, Diet, Sleep and total score between L.A. (63 persons) and L.F. (74 persons). Group living alone (L.A.) had significantly higher score in KGDS and STAI compared with other group (L.F.). The values of KGDS and STAI comparing to the values of Mind, Diet, Sleep, Exercise and total score in this study resulted in negative correlations which showed statistically significant. Conclusions: Above results suggest that between L.A. and L.F, there are significant difference in physical and mental health. TMY is enough to estimate health of the aged. These results can be used for Yangseng health promoting program based on Korean traditional medicine.

• 한국의류학회지
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• 제43권5호
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• pp.634-648
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• 2019

Self-service technologies (SST) are rapidly changing the way customers participate in the purchasing process. Academic literature has focused on the acceptance of SSTs. However, this study explored consumer's cognitive response and purchase intentions through service qualities of SST as well as how they are moderated by technology anxiety and other people's presence based on TAM3. An online survey collected 279 consumer panels. All responses were used for the analysis and analyzed statistically through SPSS 23.0. The results indicate that only enjoyment and control had a significant effect on warmth perception; however, all service qualities had significant effects on competence perception. The perceived warmth and perceived competence partially mediated the relationship between SST service qualities and purchase intention. The moderating effect of technical anxiety was shown to be significant in the relationship between perceived competence and purchase intention. In addition, technology anxiety had a moderating effect on the relationship between competence perception and purchase intention only in a public situation.

• 동의신경정신과학회지
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• 제27권2호
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• pp.103-117
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• 2016

Objectives The purpose of this study was to introduce Chinese Taoist Cognitive Psychotherapy (CTCP), a psychotherapy based on Oriental culture, and review related research to understand its efficacy.Methods Relevant articles were searched from CNKI, WANFANG, Pubmed, EMBASE, AMED and CENTRAL.Results Thirty-seven studies were selected based on our inclusion criteria, which included 31 RCTs. The overall risk of bias of the RCTs was unclear or high. In the total relevant studies, the target diseases were most commonly depression and anxiety disorder. Generally, CTCP combined with Western medicine was significantly more effective than prescribing medicine alone.Conclusions CTCP can be useful for several psychiatric disorders including depression and anxiety disorder; however, more high-quality clinical trials are needed to confirm its efficacy.