• 근관절건강학회지
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• 제5권1호
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• pp.26-38
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• 1998

The effects of coping on physical and psychosocial adaptation in the 297 patients with rheumatoid arthritis were investigated. The coping methods were divided into compliance of medical regimens, self-control activities, and cognitive control. The effects of these coping methods was analyzed with stepwise regression. The physical adaptation is found to be significantly affected by cognitive control, self-control activities, and compliance of medical regimens in order Compliance of the medical regimens affects negatively the physical adaptation. And psychosocial adaptation is significantly affected by the cognitive control. The analysis of these results by illness duration showed the distinct differences. That is in the patients who experienced the disease less than 48 months, the physical and the psychosocial adaptation were significantly affected only by the cognitive control. But in the patients who experienced the disease more than 96 months, the physical and the psychosocial adaptation were significantly affected by self-control activities. Based upon these results, it is recommended that the nurses who care the newly diagnosed patients emphasize on the positive side of the state. And the patients who are diagnosed long ago need the nursing programs which teach and promote self-control activities. Also it is suggested that the results of compliance must be considered rather than as the result variable.

• 초등상담연구
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• 제4권1호
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• pp.167-190
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• 2005

The purpose of this study was to develop the cognitive behavioral group counseling program to relieve elementary children of speech anxiety and to examine its effects. The program was developed on the basis of the cognitive, affective, and behavioral activities. The cognitive activities were based on the REBT procedures, and affective activities included making child's nickname, finding out his own strengths and exchanging positive feedback each other and behavioral activities included training assertiveness, coaching and practicing speech behavior etc, Subjects were 14 elementary children from M elementary school in Gwangju. They had the highest scores at the speech anxiety test which was administrated to all the sixth graders of M elementary school. Seven subjects were randomly allocated to experimental group and control group respectively. Two speech anxiety tests and one speech behavior checklist were administrated as pre- and post-tests. The collected data was analyzed by ANCOVA. Research results demonstrated that the experimental group showed statistically significant changes in the scores of the speech anxiety test and the speech behavior checklist comparing with the control group. Then it was accepted that the program which was developed in this study could make effects on the reduction of elementary children's speech anxiety.

• 기본간호학회지
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• 제15권3호
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• pp.291-300
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• 2008

Purpose: The purpose of this study was to identify the effects of a cognitive behavioral stress management program on perceived stress, coping strategies, and cortisol in people with Diabetes Mellitus Type 2. Method: Patients with type 2 diabetes were recruited from of a public health center in an urban area. Thirty-five participants (experimental group=17, and control group=18) enrolled. The experimental group received small group-based cognitive behavioral stress management training for eighty minutes per session, once a week for eight weeks. Data were collected at baseline and ninth week for perceived stress, affect-oriented coping, problem-oriented coping, and cortisol. The data were analyzed using SPSS 12.0. Results: The experimental group had significantly less perceived stress (t=-9.82, P<.001) and cortisol (t=-2.14, p=.040) than the control group. No significant group differences were found in affect-oriented coping (t=-.43, p=.673) or problem-oriented coping (t=1.40, P<.170). Conclusion: These results suggest that a cognitive behavioral stress management program can have positive effects on perceived stress and cortisol in patients with diabetes mellitus type 2. Further research with a larger sample and for a longer period is needed to expand our understanding of the effects of the program for patients with diabetes mellitus type 2.

• The Korean Journal of Physiology and Pharmacology
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• 제21권1호
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• pp.55-64
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• 2017

Progressive memory impairment such as that associated with depression, stroke, and Alzheimer's disease (AD) can interfere with daily life. In particular, AD, which is a progressive neurodegenerative disorder, prominently features a memory and learning impairment that is related to changes in acetylcholine and abnormal ${\beta}$-amyloid ($A{\beta}$) deposition in the brain. In the present study, we investigated the effects of dehydroevodiamine HCl (DHED) on cognitive improvement and the related mechanism in memory-impaired rat models, namely, a scopolamine-induced amnesia model and a $A{\beta}_{1-42}$-infused model. The cognitive effects of DHED were measured using a water maze test and a passive avoidance test in the memory-impaired rat models. The results demonstrate that DHED (10 mg/kg, p.o.) and Donepezil (1 mg/kg, p.o.) ameliorated the spatial memory impairment in the scopolamine-induced amnestic rats. Moreover, DHED significantly improved learning and memory in the $A{\beta}_{1-42}$-infused rat model. Furthermore, the mechanism of these behavioral effects of DHED was investigated using a cell viability assay, reactive oxygen species (ROS) measurement, and intracellular calcium measurement in primary cortical neurons. DHED reduced neurotoxicity and the production of $A{\beta}$-induced ROS in primary cortical neurons. In addition, similar to the effect of MK801, DHED decreased intracellular calcium levels in primary cortical neurons. Our results suggest that DHED has strong protective effects against cognitive impairments through its antioxidant activity and inhibition of neurotoxicity and intracellular calcium. Thus, DHED may be an important therapeutic agent for memory-impaired symptoms.

• 한국정보시스템학회지:정보시스템연구
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• 제28권4호
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• pp.1-25
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• 2019

Purpose The purpose of this study is to investigate cognitive mechanism of goal relations (Single-goal vs. Multiple-goals) and to-do list (Packing vs. Unpacking) and also verify the role of self-efficacy in the perspective of motivation belief. The perspective of cognitive mechanism is related to the effects of how the relations of multitasking environments affects to facilitating relation or conflicting relations. In pursuit of a single goal, judgement of task importance can be facilitated by unpacking effect due to relations of strongly associated project components including to-do list. On the other hands, in pursuit of multiple goals, judgement of task importance can be conflicted due to mutually exclusive relations of multiple goals. Additionally, the cognitive mechanism can be regulated from the role of self-efficacy, which contributes to motivation belief on how much a person is confident in achieving given tasks. In the end this research is to identify self-efficacy as boundary condition in inhibiting the effects of facilitation and conflict. Design/methodology/approach This study conducted Two-way ANOVA (Packing/ Unpacking * Single-goal/ Multiple-goals) to explore the effects of cognitive mechanism on task importance. After that we performed Three-way ANOVA, 2 (To-do list: Packing/ Unpacking) * 2 (Goal relation: Single-goal/ Multiple-goals) * 2 (Self-efficacy: Low self-efficacy/ High self-efficacy) to verify the role of self-efficacy between goal relations and to-do list. Findings In the cognitive mechanism, the task importance is not significantly different between in packed and in unpacked condition in pursuit of a single goal. But multitasking with multiple goals causes goal conflict, which means packed condition indicates significantly higher task importance than unpacked condition. Additionally, for a group with low self-efficacy unpacking leads to conflicting relation, which implies that packed condition is more efficient strategy than packed condition. On the other hands, in pursuit of mulitple goals, either packing or unpacking has no distinctive effects on task importance. However, participants with high self-efficacy are no longer affected by facilitating relation and conflicting relation as well in pursuit of either a single goal or multiple goals as well.

• 컴퓨터교육학회논문지
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• 제11권4호
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• pp.47-58
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• 2008

본 연구의 목적은 웹 기반 학습 환경에서 학습자의 인지양식과 시각적 조직자 (visual organizer) 유형이 전자텍스트 문서에 대한 내용이해 및 구조파악에 어떠한 영향을 미치는지 밝히고자 하는 것이다. 연구를 위하여 대구에 소재한 A 대학교에 재학 중인 126 명을 대상으로, 인지양식검사 결과에 따라 장의존 및 장독립적 인지양식 집단을 구성한 후 각 집단에 '단순축소' 형태와 '추상화' 형태, 두 가지 유형의 시각적 조직자가 포함된 웹 기반 학습 프로그램을 처치하여 결과를 분석하였다. 그 결과, 전자 텍스트 내용이해에 있어서 학습자의 인지양식 및 시각적 조직자 유형은 각각 텍스트 내용이해에 유의미한 영향을 주지 않았으나 텍스트 구조 파악에 있어서 장독립적 학습자가 장의존적 학습자에 비해 전자 텍스트 문서의 구조를 더 잘 파악하는 것으로 나타났다. 인지양식과 시각적 조직자는 구조파악에 대해 상호작용효과가 있는 것으로 나타났는데, 장의존적 학습자는 추상화 형태를 사용했을 때, 장독립적 학습자는 단순축소형태를 사용했을 때, 텍스트 구조파악이 더 효과적인 것으로 나타났다.

• 한국엔터테인먼트산업학회논문지
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• 제13권3호
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• pp.231-248
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• 2019

본 연구는 인지자극 활동프로그램을 적용하여 일상생활 및 지역사회 활동은 가능하지만, 지속적인 인지기능의 저하를 겪고 있는 노인의 인지기능, 자기효능감, 우울에 미치는 영향을 알아보고자 하였다. 본 연구는 일상생활 및 지역사회 활동은 가능하지만, 지속적인 인지기능의 저하를 겪고 있는 노인의 특성 및 인지수준에 따른 하위영역별, 난이도별의 다양한 활동을 통해 활동과제에 대한 수행력과 적응력을 증진시킴으로써 인지기능의 하위영역을 체계적으로 향상시키어 치매로의 전환을 예방하고자 하였다. 뿐만 아니라 감각자극을 촉진하는 활동과 상황적·관계적으로 의미가 있는 사건 또는 추억에 대해 자신의 경험이나 생각을 성공적으로 표현함으로써 스스로의 능력에 대한 긍정적인 인식 및 태도를 갖게 하여 자기효능감을 높였다. 그룹활동을 통해서는 자신의 생각과 감정을 표현함은 물론 타인에 대한 공감, 이해, 배려 등을 나눔으로써 우울을 감소시켰다. 따라서 본 연구의 인지자극 활동프로그램은 인지 기능의 저하를 겪고 있는 노인의 임상적 중재로서의 가능성을 확인하였기에, 조기치매의 예방적 차원에서 활용 가능한 프로그램으로 제안하는 바이다.

• 한국콘텐츠학회논문지
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• 제12권9호
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• pp.293-310
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• 2012

본 연구의 목적은 탐색속성의 의류서비스, 경험속성의 미용서비스, 신뢰속성의 치과서비스 등을 대상으로 서비스제공자의 서비스제공과 관련된 서비스역량, 반응성, 신뢰성 특성이 소비자의 인지적 신뢰에 미치는 영향과 서비스제공자의 개별고객화 특성이 소비자의 감정적 신뢰에 미치는 영향을 확인하고 설명하는 것입니다. 또한 인지적신뢰가 감정적신뢰 및 고객충성도에 미치는 영향과 감정적신뢰가 고객충성도에 미치는 영향을 확인하고 설명하는 것이다. 본 연구에서 설문은 의류서비스, 미용서비스, 치과서비스의 이용 경험이 있는 소비자를 대상으로 표본을 수집하였다. 수집된 자료는 AMOS 18과 SPSS win 19.0 통계패키지를 이용하여 제기된 연구가설을 검증하였다. 분석결과로는 첫째, 의류서비스에서 서비스제공자의 반응성 특성은 소비자의 인지적신뢰에 영향을 주었고, 이는 다시 감정적신뢰에 영향을 주었다. 그러나 고객충성도에는 영향이 없는 것으로 확인되었다. 둘째, 미용서비스에서 서비스제공자의 서비스역량 특성과 신뢰성 특성은 소비자의 인지적신뢰에 영향을 주었고, 개별고객화 특성은 소비자의 감정적신뢰에 영향을 주었으며, 인지적신뢰 및 감정적신뢰 모두 고객충성도에 영향을 주는 것으로 확인되었다. 셋째, 치과서비스에서 서비스제공자의 신뢰성 특성은 소비자의 인지적신뢰에 영향을 준 반면, 개별고객화 특성은 소비자의 감정적신뢰에 영향을 주었다. 그러나 소비자의 인지적신뢰는 고객충성도에 영향을 준 반면, 감정적신뢰는 고객충성도에 영향이 없는 것으로 확인되었다.

• 한국산학기술학회논문지
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• 제20권4호
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• pp.311-319
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• 2019

본 연구는 경도치매노인을 대상으로 컴퓨터 인지훈련 프로그램이 인지기능, 우울, 생활만족도와 일상생활활동에 미치는 효과를 알아보기 위해 시행되었다. 연구대상자는 요양병원에 거주하는 경도치매노인 32명으로, 무작위 대조군 전후설계를 사용하여 실험군과 대조군으로 16명씩 무작위 할당하고 실험군에는 8주 동안 주 1회, 총 8회 컴퓨터 인지훈련프로그램을 적용하였다. 컴퓨터 인지훈련 프로그램은 CoTras-G를 사용하였으며, 컴퓨터 인지훈련 프로그램의 효과를 알아보기 위해 실험군과 대조군에 사전, 사후 동일하게 MMSE-K, SGDS-K, ELS, BI를 실시하였다. 컴퓨터 인지훈련 프로그램이 미치는 효과에 대한 전 후간 차이 검증은 paired t-test, 중재 후 실험군과 대조군간의 변화량 차이 검증은 Mann-Whitney U 검정을 실시하였다. 그 결과 실험군이 대조군에 비해 중재 후 인지기능(t=-4.39, p=0.001), 우울(t=4.11, p=0.001), 생활만족도(t=-8.53, p=0.000)와 일상생활활동(t=-3.10, p=0.007)에서 유의미한 향상을 보였으며, 실험군과 대조군의 사후 비교결과 인지기능(U=54.00, p=0.005), 우울(U=76.50, p=0.045), 생활만족도(U=56.00, p=0.007)와 일상생활활동(U=59.50, p=0.008)에서 유의미한 차이를 보였다. 따라서 본 연구는 컴퓨터 인지훈련 프로그램이 경도 치매노인의 인지기능, 우울, 생활만족도와 일상생활활동을 향상시키기 위해 활용 가능한 효과적인 프로그램임을 제시한다.

• 한국전문물리치료학회지
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• 제16권4호
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• pp.44-52
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• 2009

It is known that individual factors as cognitive, perception, emotion, and motivation may greatly influence on recovery from neurologic region. This study was to investigate the effects of environmental reinforcement through motivation to perform the tasks voluntarily on motor and cognition function in rats with focal ischemic brain injury. Focal ischemic brain injury was induced in Sprague-Dawley rats (15 rats, $250{\pm}50$ g) through middle cerebral artery occlusion (MCAo). And then, experiment groups were randomly divided into three groups; The control group: MCAo induction ($n_1$=5), the environmental reinforcement (ER) group: the application for ER after MCAo induction ($n_2$=5), the environmental reinforcement through motivation (ERM) group: the application for ERM after MCAo induction ($n_3$=5). The climbing test (CT) and the modified limb placing tests (MLPTs) to measure the motor function and the Morris water maze acquisition test (MWMAT) and the Morris water maze retention test (MWMRT) to measure the cognitive function were performed. For the CT, the ERM group was significantly larger than the ER group. For the MLPTs, the ERM group was significantly decreased compared to other groups. For the MWMAT, the time to find the circular platform in the ERM group significantly decreased compared to other groups. For the MWMRT, the time to dwell on the quadrant circular platform in the ERM group was significantly increased compared to other groups. These results suggested that the ERM could improve the motor and cognitive functions in the rats with focal ischemic brain injury.