• Title/Summary/Keyword: Cognitive treatment

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Neuropsychological Findings in Schizophrenia (정신분열증의 신경심리학적 소견)

  • Lee, Hee-Sang
    • Sleep Medicine and Psychophysiology
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    • v.2 no.2
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    • pp.105-114
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    • 1995
  • Schiophrenia is characterized by a variety of cognitive dysfunctions. A number of research findings suggest that schizophrenic patients have global deficits in cognitive functions, such as attention, memory, executive functions, and motor functions. These cognitive deficits, once they arise, tend to become relatively stable. In spite of much efforts to search for the cognitive dysfunctions in schizophrenia, there are no specific deficits or localizations found. It is necessary that future neuropsychological research of schizophrenia should include relationships between symptoms and cognitive dysfunctions and their relationships to treatment.

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The Effects of Computerized Cognitive Rehabilitation Program on Depression and Cognitive Function in Stroke Patients (전산화 인지재활 프로그램이 뇌졸중 환자의 우울 및 인지기능에 미치는 영향)

  • An, Tae-Gyu;Kim, Ko-Un
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.211-218
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    • 2017
  • This study examined the effects of a computer-assisted cognitive rehabilitation program on the depression, cognitive functions, and daily functions of stroke patients. Forty-four stroke patients were divided into the treatment group and control group, consisting of 22 patients each. The patients in the treatment group were treated with a computer-assisted cognitive rehabilitation program for 6 weeks, 5 times a week, for a total of 30 times. Depression, cognitive functions, and daily functions was gauged by the BDI, NSCE, and k-MBI, respectively. The treatment group showed decreases in depression, and increases in both cognitive functions and daily functions by the end of the rehabilitation program. Compared to the treatment group, the control group did not show significant improvements in depression, cognitive functions, and daily functions. Therefore, these findings indicate that a computer-assisted cognitive rehabilitation program has a positive effect on depression, cognitive functions, and daily functions in stroke patients.

The Effect of Long-term Treatment with Clozapine on Cognitive Functions in Chronic Schizophrenic Patients (만성 정신분열증 환자의 인지기능에 미치는 Clozapine 장기치료의 효과)

  • Lee, Hong-Shick;Kim, Ji-Hyeon;Jeon, Ji-Yong;Jeong, Min-Jung
    • Korean Journal of Biological Psychiatry
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    • v.1 no.1
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    • pp.109-116
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    • 1994
  • It is not known whether negative symptoms and cognitive functions are dissociable or improvements in symptoms are reflected in improvements in cognitive functions in chronic schizophrenic patients. We administered clozapine to evaluate its effect on cognitive functions in chronic schizophrenic patients and to show correlations between improvement in psychotic symptoms and in cognitive functions. Neuropsychological tests such as Wisconsin Card Sorting Test, Digit Span test and Judgment of Line Orientation Test were applied to 16 chronic schizophrenic patients at baseline and after 9 months of treatment with clozapine. Using BPRS we assessed psychopathology before initiation of clozapine and at 9 months. Clozapine improved both positive and negative symptoms in chronic schizophrenic patients significantly. After nine months of clozapine treatment, significant improvements occurred in attention, short-term memory and visual perception ability. And interestingly we noted the trend of improvement in executive functions even though they were not statistical significant. Any significant correlations between the clinical improvement and change in congnitive functions were not observed. Long-term treatment with clozapine improved parts of cognitive functions of chronic schizophrenics. The results of the study suggest that deficits in simple cognitive functions as well as psychotic symptoms are improved after 3 month period of short-term treatment, but executive functions requiring more sophisticated processing of information could be improved after more than 9 months of long-term treatment.

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Strategies for Coping with Stress -Cognitive-behavioral Approaches- (스트레스 대응전략 -인지행동적 접근-)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.64-71
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    • 1995
  • Cognitive-behavioral approach can be clinically applied to coping with stress, because cognitions are playing a central mediating role in the occurances of stress and stress reactions. In other words, cognitive distortions can be associated with causing and/or maintaining psychopathology. The goal of cognitive-behavioral approach is to help the patients identify and alter cognitive distortions and maladaptive assumptions. This approach is aimed not at curing but rather at helping the patients to develop better coping strategies to deal with their life and work. The cognitive-behavioral techniques often used in this approach include problem solving, hypothesis-testing, self-monitoring, cognitive challenges, generating alternatives to automatic cognitive distortions, self-instruction, attribution and reattribution, and techniques to control or suppress thoughts. This approach is considered to be helpful for treatment and prevention of psychiatric disorders including psychosomatic disorders, in which stress can greatly affect their onset and course.

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TREATMENT OF TEST ANXIETY - Theoretical Background of the Treatment of Test Anxiety - (시험 불안의 치료 - 이론적 배경 -)

  • Paik, Young-Suk
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.49-55
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    • 1991
  • Test anxiety has been defined as a situational-specific personality trait, with cognitive worry and affective emotionality components. Various treatments differ in the extent to which they attempt to modify the emotional and cognitive components of test anxiety, and can thus be placed along a cognitive-emotional continum on the basis of the intended locus of impact of the therapeutic techniques. Various treatments along a cognitive-emotional continum and study habits, test-taking skills and modeling in the treatment of test anxiety were reviewed. On the basis of a recent review of a number of test-anxiety treatment studies, most cognitively-focused treatments tend to be more effective in reducing test anxiety and its worry and emotionality components.

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The Effects of Cognitive Acceleration Instructional Strategies Applied to Unit of 'The Light and Shadow' in Elementary School (초등학교 빛과 그림자 단원에 적용한 인지 가속 수업 전략의 효과)

  • Jeong, Soon-Hwa;Kim, Sun-Ja;Park, Jong-Wook
    • Journal of Korean Elementary Science Education
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    • v.28 no.3
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    • pp.321-330
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    • 2009
  • This study investigated the effects of teaching-learning lesson plan using cognitive acceleration instructional strategies applied to the unit, 'The Light and Shadow' in elementary school. Two classes of the second grade elementary students (N=63) in Chungcheongbukdo districts were assigned to control and treatment groups each, and were taught about 'The Light and Shadow' for 8 class hours. For the treatment group, teaching-learning lesson plan using cognitive acceleration instructional strategies developed by this research was applied. The traditional instruction by textbook and teacher's guides was used for the control group. All students were tested with the test for concept of the shadow and the test for academic achievement about the unit. As the result of the post-test, the scores of the treatment group were higher than those of the control group. However, it was not statistically meaningful difference. The scores of the treatment group were significantly higher than those of the control group in the delayed-post-test for concept of the shadow. No significant interaction was observed with respect to the students' gender, instruction and pre-level for the concept of the shadow. Data analysis indicated that the scores of the treatment group were significantly higher than those of the control group in the post-test and delayed- post-test for the concept of the shadow in the area of object permanence. Our research work shows the effectiveness of the teaching-learning lesson using cognitive acceleration instructional strategies for the development for concept of the shadow for elementary school students, and suggests the necessity for this kind of teaching-learning program in the fields.

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Cognitive Behavioral Therapy for Improving Parenting Efficacy of Married Immigrant Women (결혼이주여성의 양육효능감 향상을 위한 CBT 부모훈련 프로그램의 개발 및 효과)

  • Kim, Hee Jung;Kim, Jung Min
    • Journal of Families and Better Life
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    • v.33 no.2
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    • pp.135-148
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    • 2015
  • The purpose of this study is to develop cognitive behavioral therapy(CBT) to improve the parenting efficacy of married immigrant women, and verify its effectiveness. In the CBT of this study, behavioral technique was added to cognitive reconstruction based on cultural context in order to improve parenting efficacy. The study selected 28 married immigrant women, and randomly divided them into a CBT group(10), a general treatment group(8) and a control group(10). The CBT and the general treatment programs consisted of 10 sessions, approximately 2 hours in duration. The results of the study were as follows. 1) The level of parenting efficacy was improved significantly in the CBT and the general treatment group. 2) The level of negative automatic thoughts and dysfunctional parenting thoughts was significantly decreased only in the CBT group. 3) In the CBT and the general treatment group, the level of parenting stress and acculturative stress was decreased while the level of psychological well-being improved. On the other hand, the level of parent-adolescent communication was improved significantly only in the CBT group. 4) In comparison with the general treatment group, the CBT group showed higher parenting efficacy and lower automatic thoughts and dysfunctional parenting thoughts. This study has significance in its attempt to develop a parent training program to improve the parenting efficacy of married immigrant women by integrating behavioral modification and communication skills training focused on cognitive reconstruction of parenting-related negative thoughts and beliefs in application of the CBT paradigm.

Development of the Medication Algorithm for Panic Disorder(3) - Cognitive Behavioral Therapy - (공황장애 약물 치료에 대한 한국형 알고리듬 개발(3) - 인지행동치료 -)

  • Lee, Sang-Hyuk;Yang, Jong-Chul;Yoon, Se-Chang;Suh, Ho-Suk;Kim, Chan-Hyung;Yu, Bum-Hee;Park, Min-Sook
    • Anxiety and mood
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    • v.4 no.1
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    • pp.28-33
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    • 2008
  • Objective : A working group of psychiatrists from the Korean Academy of Anxiety Disorders was established to determine the appropriate medication algorithm for treating patients with panic disorder. In this article, we discussed the consensus among psychiatrists regarding the use of cognitive behavior therapy (CBT) in the development of a treatment algorithm for panic disorder in Korea. Methods : Based on the guidelines or algorithms published by the American Psychiatric Association, National Institute for Clinical Excellence, and Canadian Psychiatric Association, we constructed questionnaires regarding the core components and contents of CBT for patients with panic disorder. Fifty-four experts in panic disorder completed the questionnaires. Results : There was statistically significant consensus among the experts in the belief that cognitive reconstruction and psychological education are the core components of CBT for the treatment of patients with panic disorder. However, there was some inconsistency between the opinions of some experts regarding the content and frequency of CBT and the results of studies published outside of Korea. Conclusions : CBT, especially the psychological education and cognitive reconstruction components, should be considered when treating patients with panic disorder. However, further consideration needs to be put into the design of a more detailed treatment guideline for the use of CBT in the treatment of patients with panic disorder.

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The Effects of a Cognitive-Behavioral Group Therapy Program for Social Anxiety in Female Adolescents (여자 청소년의 사회불안 감소를 위한 인지행동집단치료 프로그램의 개발과 효과 - 2년 추후연구 -)

  • Kim, Jung-Min
    • Journal of Families and Better Life
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    • v.26 no.2
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    • pp.13-24
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    • 2008
  • The aim of the present study was to develop a cognitive-behavioral group therapy program for social anxiety in Korean adolescents and to examine its efficacy through pre-, post- and 2-year follow-up tests. The program included cognitive restructuring, exposure training and social skills training. KSAS-A and SASC-R were administered to 588 1st grade middle-school female students to assess their social anxiety levels. On the basis of double criteria procedure(top 10% scores on both scales), 59 students were selected initially. Individuals currently receiving clinical treatment were excluded. Finally, 40 students were selected and randomly assigned to either a treatment group or a wait-list control group. The program consisted of 12 weekly sessions, approximately 1.5-2 hours in duration. Whereas pre- and post-tests were administered to both groups, follow-up tests were administered to the treatment group only. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) At post-test students in the treatment group showed a very significant reduction in social anxiety and fear of negative evaluation by others in comparison with those in the wait-list group. 2) At post-test students in the treatment group showed a significant reduction in negative automatic thoughts in comparison with those in the wait-list group. 3) At post-test students in the treatment group showed a significant improvement in overall social skills in comparison with those in the wait-list group. 4) At post-test students in the wait-list group showed a significant increase in both social anxiety and negative automatic thoughts in comparison with those in the treatment group. 5) At 3-month, 1-year and 2-year follow-ups, the program's effectiveness was maintained.

The Effects of Using Science Notebooks in the Open Inquiry Activities by Cognitive Levels (인지 수준에 따른 자유 탐구 활동에서 과학 탐구 노트의 활용 효과)

  • Lee, Sang-Gyun
    • Journal of Korean Elementary Science Education
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    • v.30 no.2
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    • pp.242-254
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    • 2011
  • The purpose of this study was to understand the teaching effects according to the cognitive levels after conducting inquiry activities using science notebooks in the open inquiry activities of the elementary science class. The results of this study were as follow. first, students having the open inquiry activities using science notebooks showed improvement in scientific inquiry abilities in both groups with the low and high cognitive level. Second, regarding the changes of scientific attitudes, both groups with the low and high cognitive level exhibited improvement. According to the result of analyzing interaction between the cognitive level and class treatment on the effects for scientific inquiry abilities and scientific attitudes, there was no difference by the cognitive level. And the use of science notebooks in open inquiry activities had effects on improving scientific inquiry abilities and scientific attitudes regardless of the cognitive level.