• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권1호
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• pp.26-30
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• 2007

This practice parameter for non-pharmacological treatment for attention-deficit hyperactivity disorder (ADHD) review the domestic and international literature on the psychosocial treatment of children and adolescents with ADHD. This parameter include the parental training & education, cognitive behavior therapy(group or individual), social skill training, family therapy, play therapy (individual psychotherapy) and non-traditional therapy (art therapy, herbal therapy et al). Among them, there is some proven evidence only in parental training & education and cognitive behavior therapy. So, this parameter describes some details only in the field of parental training & education and cognitive behavior therapy. The efficacy or effectiveness, especially, cost-effectiveness of specific psychosocial treatment method for ADHD cannot be fairly assessed due to the scarcity of controlled clinical data. Based on the clinical expert consensus and limited evidence, we cautiously suggest the practice recommendations about the non-pharmacological psychosocial treatment fur children and adolescents with ADHD.

• 한국컴퓨터정보학회논문지
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• 제22권5호
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• pp.51-56
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• 2017

The purpose of this study was to identify differences in cognitive function according to the presence or absence of apraxia and the tasks most relevant to the cognitive function among the various types of tasks in the apraxia test. The subjects were 42 community residents who participated in a cognitive rehabilitation program related to dementia in a Chungbuk area. MMSE-K and BCoS(Birmingham Cognitive Screen) apraxia test were administered to all subjects. The apraxia test includes three types of tasks, gesture production tasks that make meaningful movements according to verbal instructions, gesture recognition tasks that display behavior after make sense of meanings, and meaningless imitation task. Apraxia group(n=30, MMSE-K mean score: 25) showed lower cognitive function than group without apraxia(n=12, MMSE-K mean score: 28). All tasks in the apraxia test showed a significant correlation with cognitive function, but the meaningless imitation task had a negligible correlation. The apraxia test is a good way to assess cognitive function, and it may be more effective to use meaningful behavior to replace cognitive testing.

• 대한물리의학회지
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• 제12권1호
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• pp.51-59
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• 2017

PURPOSE: This study compared cognitive task-directed functional motor control ability for reaching and kicking movements in younger and older adults. METHODS: Subjects were divided into two groups of younger and older adults, with 13 subjects in each group. Subjects were required to perform a dual task combining a functional movement and cognitive component. The task consisted of reaching and kicking movements. Participants performed indicated movements when a target appeared on a monitor. The target randomly appeared on the monitor every 10 seconds. The total performance time (TPT), joint angular velocity (JAV), and muscle activation time were used to evaluate motor control ability. RESULTS: There were significant differences in all evaluation factors in a comparison of younger and older adults (p<.05). TPT was significantly shorter in older adults, and JAV and muscle activation time were significantly slower than that in the younger adult group. Although the results for older adults were within the normal range for functional assessment, their motor control abilities were significantly worse for cognitive tasks compared with those of younger adults. CONCLUSION: The results of this study indicated that a motor control assessment tool using a cognitive task would be helpful in assessment of motor control ability in healthy older adults.

• 인간행동과 음악연구
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• 제10권1호
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• pp.67-83
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• 2013

음악치료에서 사정평가는 내담자의 현재 기능과 필요를 파악하기 위하여 반드시 선행되어야 하는 과정이다. 음악치료사는 사정평가의 내용을 바탕으로 치료목적 및 목표를 설정하고 이를 달성하기 위한 단계적 접근과 치료전략을 수립한다. 하지만 기존의 음악치료 사정도구는 해당 영역의 행동을 열거하고 이를 관찰하여 수치화함으로써 기능을 평가하였기 때문에, 실제 인간의 음악행동을 통한 기능의 사정이 불가능하다는 단점을 지니고 있다. 또한 음악행동을 바탕으로 하는 소수의 음악치료 사정도구에서도 음악행동을 구성하는 세부기능영역, 발달단계에 따른 근거에 따른 난이도 검증 과정을 거치지 않고 사용되어 왔다. 본 연구에서는 인지기술 사정을 위한 리듬요소군을 중심으로 한 음악 프로토콜 문항을 개발하였으며 발달학적 근거와 인지기술 수준에 따른 난이도 요소를 규명하고자 하였다. 인지발달에 따른 소리정보의 그룹핑, 구조형식의 수준, 전체-부분 관계의 명료성, 반복-변동성 수준을 고려한 리듬 연주 항목과 연주행동에 내포된 정서 행동을 분석할 수 있는 리듬 사정 프로토콜을 개발하였다. 검증과정으로는 먼저 15개의 예비 리듬문항을 난이도, 복합성, 패턴 유형을 고려하여 선정한 후 이를 일반인 61명을 대상으로 난이도 검증을 실시하여 문항별 수준과 난이도 계수를 도출하였다. 둘째, 7인의 전문가 평가팀의 검증을 통해 1차 개발된 문항들을 수정 보완하여 최종적으로 20개의 리듬프로토콜 문항을 개발하였다. 본 연구의 결과는 이후 개발될 음악치료사정평가도구의 기초 자료로 활용될 수 있다.

• 한국의류학회지
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• 제40권5호
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• pp.788-800
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• 2016

This study proposes an execution protocol for fashion therapy. Research on fashion therapy are limited and insufficient for the current need for the establishment of a fashion therapy theory. This study introduces cognitive behavior therapy, embodied cognition, and object relations theory as theories that underlie fashion therapy. A fashion therapy system model is provided based on the analysis of art therapy to explore its applicability to fashion therapy. The fashion therapy system model utilizes fashion items to managing pain and stress to better competence, encouragement and self-expression mechanisms to improve social, psychological, emotional and behavioral functions. In addition, 8 phases of the fashion therapy process (inquiry, forming rapport, assessment, goal-objective, observation, selection of strategy and design, practice, and the final evaluation and closing of fashion therapy) are suggested for developing a practical fashion therapy program. This study is to help overcome a negative perspective on fashion that provokes an excessive spending behavior and to make a practical contribution by creating more social value through fashion. The significance of the study is in the attempt to create an interdisciplinary approach of psychotherapy and fashion that can be extend into the fashion and textile discipline.

• 한국정보통신학회논문지
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• 제21권2호
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• pp.361-366
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• 2017

최근 가상현실의 기술이 발달함에 따라 게임중독, 알코올 중독 등에 대한 가상현실 치료 프로그램이 개발되고 있다. 본 연구는 다문화 청소년의 트라우마 중재를 하기 위하여 가상현실에 기반한 인지행동치료 프로그램을 구현하는 개발과정의 모형을 제시하고자 한다. 인지행동치료의 가상현실 프로그램개발은 크게 3단계로 나누어진다. 제1단계에서는 다문화청소년이 트라우마로 인하여 경험한 주요 감정과 표출된 문제를 포함한 트라우마의 특성들을 파악하고 제2단계에서는 트라우마에 대한 인지행동치료를 목표로 한 시나리오를 구성의 전개과정과 범위의 내용을 제시되어야 한다. 최종 제3단계서는 시나리오 콘텐츠의 가상현실프로그램 구현에 대한 타당성 검토를 통해 다문화청소년의 긍정적 변화를 이끌 수 있는 중재 프로그램 개발의 가능성을 제안하였다.

• Journal of Medicine and Life Science
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• 제15권2호
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• pp.51-55
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• 2018

Acceptance and Commitment Therapy (ACT) is a functional contextual intervention approach based on the behavioral theory on human language, which views human suffering as originating in psychological inflexibility fostered by cognitive fusion and experiential avoidance. Thus, the goal of ACT is to enhance psychological flexibility using six core processes including acceptance, cognitive defusion, self-as-context, contact with present moment, values clarification, and committed action. Recent clinical trials have suggested the efficacy for ACT in the treatment of various mental illness and psychological distress. The aim of this review is to offer more knowledge and better understanding of ACT by presenting its underlying principle and an overview of the research field.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권3호
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• pp.158-164
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• 2009

Trichotillomania is a neuropsychiatric disorder characterized by repetitive pulling out of one's hair. We present a trichotillomania case study illustrating the effectiveness of habit reversal training, which has recently been found, in western countries, to be a very effective cognitive behavioral treatment. The refractory patient in our study had previously received 1 year of drug treatment and psychiatric consultation for the disorder. We administered 10 habit reversal training sessions, which was followed by an obvious improvement in the patient's trichotillomania symptoms. Our observations indicate that habit reversal training might be effective in the treatment of trichotillomania.

• 보건의료산업학회지
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• 제13권4호
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• pp.67-82
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• 2019

Objectives: This study aimed to evaluate digital interventions on psychological well-being in patients with cancer through an integrated review. Methods: Fifteen studies were selected using PubMed, CINAHL, Scopus, DBpia, and RISS. The Scottish Intercollegiate Guidelines Network was used by two reviewers to evaluate independently the quality of the selected articles. Results: Digital interventions for improving psychological well-being in cancer patients were most often based on cognitive behavioral therapy alone or a combination of interventions with professionals and other patients. In addition, a number of interventions were established on internet-based mindfulness therapy. Conclusions: Providing cognitive behavioral intervention alone did not significantly improve the level of depression or anxiety of patients with cancer. Meanwhile, interventions, including cognitive behavior therapy and interactions with professionals and other patients, were found to reduce significantly the level of depression or anxiety in the experimental group.

• 성인간호학회지
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• 제28권2호
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• pp.202-212
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• 2016

Purpose: The purpose of this study was to assess the relationship between cognitive function impairment and quality of life (QoL) among patients with breast cancer. Specifically, the intention was to verify the mediating effects for promoting behaviors leading to better health and QoL. Methods: A purposive sample of 152 patients undergoing chemotherapy was recruited. A cross-sectional survey design was used. Data were collected using four instruments: Everyday Cognition Scale, Korean Mini-Mental State Examination, Functional Assessment of Cancer Therapy-Breast Cancer Version 4, and Health Promoting Lifestyle Profile. Results: The mean score for subjective cognitive decline was 65.84; the health promotion behavior was 95.89, and 83.34 for QoL. Health promotion behavior was directly affected by cognitive decline ($R^2=6.0%$) as was QoL ($R^2=43%$). Subjective cognitive decline (${\beta}=-.57$ p<.001) and health promotion behavior (${\beta}=.37$, p<.001) were seen as predicting factors in QoL and explained 56% ($R^2=56%$). Health promotion behavior had a partial mediating effect in the relationship between self-reported cognitive decline and QoL (Sobel test: Z=-3.37, p<.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline and promoting health promotion behavior are highly recommended to improve QoL in cancer patients.