• 제목/요약/키워드: Cognitive-behavioral

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만성두통 환자에 대한 인지행동치료경험 (Experience of Cognitive-Behavioral Treatment for Patients with Chronic Headache)

  • 고경봉
    • 정신신체의학
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    • 제4권1호
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    • pp.85-90
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    • 1996
  • Cognitive-behavioral approach to two cases with chronic headache was presented. Cognitive-behavioral interventions focus on indirectly altering symptom-related physiological activity by changing the way patients cope with headache-eliciting stressors. This treatment focuses directly on the patients' cognitive and behavioral changes. Cognitive-behavioral treatment can be divided into three phases Education, self-monitoring, and problem-solving or coping-skills training. Literature reviews on the follow-up evaluation of therapeutic effectiveness revealed that cognitive-behavioral treatment is effective in the management of chronic headache.

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

  • 고경봉
    • 정신신체의학
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    • 제3권1호
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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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유아의 정서적·인지적 공감 및 또래 유능성이 행동문제에 미치는 영향 (The Influence of Young Children's Affective and Cognitive Empathy and Peer Competence on Behavioral Problems)

  • 권기남
    • 아동학회지
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    • 제38권1호
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    • pp.217-231
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    • 2017
  • Objective: The purpose of this study was to examine the influence of affective and cognitive empathy, and peer competence on behavioral problems among young children. Methods: The participants were 224 4- to 5-year-olds attending daycare centers in Gyeonggi-do. Children's empathy, peer competence, and behavioral problems were reported by their teachers. The collected data were analyzed using simple regression and three-step hierarchical multiple regression analyses. Results: The results showed that children who exhibited low affective empathy scored higher on peer acceptance and behavioral problems than children who had high affective empathy. This pattern of results was similarly found with cognitive empathy. Additionally, the effect of children's affective empathy on behavioral problems was fully mediated by peer competence, whereas the effect of children's cognitive empathy on behavioral problems was partially mediated by peer competence. Conclusion: These results suggest the need for peer-competence training based on affective empathy and training for both peer competence and cognitive empathy in reducing behavioral problems among young children.

사회불안장애의 인지행동치료 (Cognitive-Behavioral Therapy for Social Anxiety Disorder)

  • 이재헌
    • 대한불안의학회지
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    • 제12권1호
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    • pp.42-46
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    • 2016
  • The therapeutic effect of cognitive behavioral therapy (CBT) for patients with Social Anxiety Disorder (SAD) is supported by evidence from numerous studies. This article provides an overview of cognitive models and major techniques (i.e., cognitive restructuring and exposure) of CBT for SAD, developed by the study group of SAD in the Korean Academy of Anxiety Disorder. Korean-culture specific factors and new trends such as a third wave of CBT are also described.

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심장혈관계 질환 환자들에 대한 인지행동적 접근 (Cognitive-behavioral Approach to Patients with Cardiovascular Diseases)

  • 고경봉
    • 정신신체의학
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    • 제3권2호
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    • pp.185-196
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    • 1995
  • The author reviewed cognitive-behavioral approach to A type behavior pattern and hypertension which are known to be risk factors for coronary heart diseases. Those cognitive distortions frequently found in persons with A type behavior include all-nothing thinking, selective attention, personalization, and attribution of causality. Cognitive-behavioral techniques were also described, which can be applied to management of each characteristic of A type behavior pattern such as time urgency, perfectionism, achievement striving, low self-esteem, excessive work involvement, hostility, and depression. Cognitive-behavioral intervention for hypertension might help the patients to recognize and monitor anger-engendering conflicts, identify characteristic styles of responding, and experiment with alternative ways of managing conflict and anger. Since different features predominate in different individuals, it is necessary to develop treatment plan on the basis of individual characteristics and problems.

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약물남용의 재발 예방을 위한 인지행동접근법의 효과성 (Effectiveness of Cognitive-Behavioral Therapy to Prevent Relapse of Substance Abuse)

  • 김용석
    • 한국사회복지학
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    • 제48권
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    • pp.243-270
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    • 2002
  • The purpose of this study was to test the effectiveness of cognitive-behavioral therapy to prevent relapse of substance abuse. A total of 8 substance abusing adult clients participated in the program. All the clients were charged with substance use at the time of implementing the program. Two master's level social workers operated the program, which was implemented in a probation office in Seoul. This study included Beliefs about substance use, abstinence self-efficacy, and coping skills as dependent variables in order to investigate the effectiveness. Cognitive-behavioral therapy emphasizes the enhancement of these cognitive and behavioral skills to prevent relapse of substance use. Research hypotheses were partially supported. That is, clients participated in the program had more negative attitude toward substance use and had more effective problem-focused coping skills. Although a research hypothesis of the enhancement of clients' self efficacy was not supported, their mean scores at the final post test were lower than scores at pretest. This study suggests that more studies be needed to in order to confirm the effectiveness of cognitive-behavioral therapy with substance abusing clients.

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외상을 다룬 인지행동 프로그램이 재해 피해 아동의 정신건강상태에 미치는 영향: 유류유출 피해 지역 아동을 중심으로 (Effects of Cognitive Behavioral Therapy Program on mental health problems in children dealing with trauma: Focused on community district victimized by oil spill)

  • 손정남;이용미
    • 대한간호학회지
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    • 제42권1호
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    • pp.56-65
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    • 2012
  • Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

일부지역 치과위생사의 기본심폐소생술에 대한 태도 및 영향요인 분석 (Analysis of attitude and influencing factors toward basic life support in the dental hygienists)

  • 정경이;조민정
    • 한국치위생학회지
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    • 제15권5호
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    • pp.873-880
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    • 2015
  • Objectives: The aim of the study was to investigate the attitude and influencing factors toward basic life support in the dental hygienists. Methods: A self-reported questionnaire was completed by 218 dental hygienists in Gwangju. The questionnaire consisted of the general characteristics of the subjects and attitude toward basic life support (BLS). The attitude included cognitive belief, behavioral components, and emotional components. The data were analyzed by independent t-test, one-way ANOVA and multiple regression analysis by using IBM SPSS 21.0 program. Results: The cognitive belief, behavioral component, and emotional components of attitude toward BLS had higher scores in those who were between 34-34 years old and had more than 10 years of career. Most of them worked in dental clinic and did not earn the BLS certificate. There were positive correlations between the cognitive belief, behavioral components, and emotional components toward BLS. By the regression analysis, cognitive belief toward BLS was positively associated with educational experience within a year, behavioral components, and emotional components. The behavioral components were associated with working between 5-10 years in dental clinic and the emotional components. Conclusions: The attitude toward BLS in the dental hygienists was low in cognitive belief, behavioral components, and emotional components. Therefore, BLS education must be expanded to the dental hygienists.

인지행동요법과 현실요법이 대학생의 문제해결능력과 역기능적 태도에 미치는 효과 (The Effects of Cognitive-Behavioral Therapy on Problem-Solving Ability and Dysfunctional Attitude in Undergraduate Students)

  • 현미열
    • 한국학교보건학회지
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    • 제18권2호
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    • pp.121-131
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    • 2005
  • Purpose: This study examined the effects of cognitive-behavioral therapy on problem-solving ability and dysfunctional attitudes in undergraduate students. Method: This study was conducted between September 2004 and May 2005. The subjects consisted of 23 undergraduate students. The experimental group (n=13) participated in a cognitive-behavioral therapy that consist of 8 session over an 8-week period. The control group (n=10) participated in a reality therapy that also consisted of 8 sessions over an 8-week period. Problem-solving ability and dysfunctional attitudes were measured for all subjects before and after therapy. These data were analyzed by unpaired t-test and t-test with the SAS program. Results: Following cognitive-behavioral therapy, the experimental group experienced a significant decrease in score of problem-solving ability and in approach-avoidance style (the subscale in the problem-solving ability). There were no changes in these values after the reality therapy in control group. Conclusions: In light of these results, cognitive-behavioral therapy has a positive effect on problem-solving ability in undergraduate students.

인지행동 스트레스관리 프로그램이 제2형 당뇨병 환자의 자가간호 이행과 당대사에 미치는 효과 (The Effects of a Cognitive Behavioral Stress Management Program on Diabetic Self-Care and Glycemic Control with Diabetes Mellitus Type II)

  • 박경연;박형숙;서지민
    • 성인간호학회지
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    • 제19권5호
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    • pp.1-11
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of a cognitive behavioral stress management program on diabetic self-care and glycemic control with type 2 diabetic patients. Methods: Thirty three diabetic patients who were older than 40 were recruited from a public health center and conveniently assigned into both experimental(n=16) and control groups(n=17). Participants in the experimental group had attended the weekly cognitive behavioral program for 8 weeks. Data were collected from June 2005 to August 2006 and analyzed by independent t-test using the SPSS WIN program. Results: After an 8 week intervention, participants in the experimental group reported on increasement of diabetic self-care behaviors and an increasement of blood glucose levels, which were significantly different from those in the control group. Conclusion: On the basis of those findings, we concluded that the cognitive behavioral stress management program has positive effects on diabetic self-care and glycemic control for the patients with DM. Further research is needed to identify the long-term effects of the cognitive behavioral program.

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