• Title/Summary/Keyword: Psychological Intervention

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Concept Analysis of Psychological Resistance to Antihypertensive Medication (고혈압환자의 약물치료에 대한 심리적 저항의 개념분석)

  • Jang, Hee Soon;Kong, Kyoung Ran;Lee, Eun Nam;Kang, Jiyeon;Jang, Moon Jung
    • Journal of Korean Critical Care Nursing
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    • v.9 no.2
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    • pp.48-60
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    • 2016
  • Purpose: The purpose of this study was to identify the attributes of the concept, of psychological resistance to antihypertensive medication. Methods: The study was conducted in accordance with Walker and Avant's conceptual analysis process. We reviewed 47 related studies selected from 4 international and Korean databases including Medline, CINAHL, NDSL, and RISS to perform the analytical processes from January 1980 to September 2015. Results: The attributes of psychological resistance to antihypertensive medication include 1) reservation, 2) opposition, 3) denial, 4) refusal, and 5) seeking alternative therapy. The antecedents of the concept can be classified into patient factors such as reactance trait and knowledge deficit, provider factors, interpersonal factors, and environmental factors. The consequences of psychological resistance to antihypertensive medication are non-compliance, deterioration of the disease, developing complications, increased anxiety, and changes in life. Conclusions: The concept of psycho logical resistance to antihypertensive medication can provide guidance for the development of an intervention program that promotes the compliance to medication regimen of hypertensive patients. Further research needs to be done to develop a measurement tool for psychological resistance to antihypertensive medication.

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Association between Psychological Characteristics of Adult-Children of Alcoholics and Psychosocial Problems (알코올중독자 가정 청소년 자녀의 성인아이성향과 심리사회적 문제)

  • Park, Hyun-Sun;Lee, Sang-Gyun
    • Korean Journal of Social Welfare
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    • v.46
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    • pp.118-144
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    • 2001
  • To examine association between psychological characteristics of Adult-Children of Alcoholics and psychosocial Problems was a purpose of this study. The data were collected on a written questionaire completed 765 adolescents who were consisted of children of alcoholic and nonalcoholic parents. Parental alcoholism was established using CAST and psychosocial problems were assessed by Youth Self Report. Psychological characteristics of ACOA were identified by Adult Children of Alcoholics Screening Test. This study showed that children of alcoholics possess distinct psychological characteristics and they have experienced a variety of psychosocial problems. Hierarchical regression analysis was conducted in order to determine the extent to which characteristics of ACOA affected on psychosocial problems. As a results, psychological characteristics of ACOA were significantly associated with them after controlling for the correlates of family structure, level of family functioning, and parental alcoholism. In addition, two group of ACOA were created on the basis of scores of ACAST. High-risk group had significantly higher YSR scores than low-risk group and it revealed that clinical intervention was needed for many adolescents in high-risk group. The results underscored the importance of ACOA syndrome in adaptation of children with alcoholic parents and suggested the need of future research focusing on development process of subtypes of ACOA.

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In Search of a Definition of Successful Aging: A Review of Literature (성공적인 노화 정의를 위한 문헌연구)

  • 홍현방;최혜경
    • Journal of Families and Better Life
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    • v.21 no.2
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    • pp.145-154
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    • 2003
  • As the life-expectancy is ever-increasing, and the proportion of the elderly population is growing steadily in every society of the world, it is ever more important to establish what factors allow certain elderly people to age successfully and remain relatively independent while others grow old less successfully and require extensive intervention. However, there is no consensus yet as to what successful aging means. Researchers have defined successful aging in a variety of ways. This study attempted to define the concept of successful aging and to clarify some dimensions of it through literature review. Previous approaches of studying successful aging and related themes were examined. Early perspectives including activity, disengagement, and continuity theories, Selective Optimization with Compensation (SOC) model by Baltes and Baltes, three different conceptions of successful aging, that is, psychological well-being, physical health, and wisdom, and MacArthur research on successful aging have been reviewed for this study. The definition derived from the review is: Keeping up continuous developmental processes to achieve wisdom or ego-integrity, without suffering any major disabilities in either physical or mental functioning, while maintaining psychological well-being and employing SOC strategies, and participating in positive relationships with significant others. The dimensions of successful aging are 1) personal resources, including physical health, cognitive competences, self esteem, and social support 2) adaptation process of SOC, and 3) psychological aspects, including psychological well-being and wisdom.

A Study of the Effects on Premarital Adult Children Aged Thirties Psychological Depression by Parents-Children Differentiation and Expressed Emotion (30대 미혼성인자녀가 지각한 부모-자녀분화, 표현된 정서가 자녀의 심리적 우울에 미치는 영향)

  • 권미애;김태현
    • Journal of Families and Better Life
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    • v.22 no.5
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    • pp.197-210
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    • 2004
  • The Purpose of this study was to explore the effects of differentiation, emotion over involvement(expressed emotion), and criticism between middle-or-old aged parent and child, by relation of emotional system, on child's psychological depression. The subject of this study were m premarital adult children over 30 years old. The major findings of this study were as follows. First. it was found that mother-child differentiation was more perceptive than that of father-child. With psychological depression, expressed emotion within family and criticism were shown average score that was lower than middle score. Second, among demographic characteristics, there are significant differences premarital adult children's sex, education, income, family type, father's education, and parents' marital status. Third, as the result of regression analysis, the higher level of psychological depression when the lower differentiation between parent-child, the higher expressed emotion over involvement within family and criticism. Based on the findings in this study, the relation of emotional system is very important. Therefore, it is necessary to consider the therapeutic intervention and relation improvement program when individual and family counseling about parent-child are going on.

Effect of a Spiritual Care Empowerment Program on Psychological Empowerment of Nursing Students (영적 간호임파워먼트 프로그램이 간호대학생의 심리적 임파워먼트에 미치는 효과)

  • Kim, Jin;Cha, Nam Hyun
    • Journal of East-West Nursing Research
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    • v.25 no.2
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    • pp.117-127
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    • 2019
  • Purpose: This study was conducted to test the effects of a spiritual care empowerment (SCE) program on the psychological empowerment for nursing students. Methods: A nonequivalent control group pretest-posttest design was used. The participants were 80 nursing students (41 in the experimental and 39 in the control group) recruited from the D and S universities. The SCE program used in this study was developed based on the Zimmerman's Psychological Empowerment Model. The experimental group attended 9 sessions of a SCE program. Sessions were 90 minutes each, held twice per week for 5 weeks. Data were analyzed using Chi-square, Fisher's exact test, and t-test using SPSS/WIN 18.0. Results: Intrapersonal (self esteem and existential well-being), interactional (empathy), and behavioral (spiritual care competence) components were significantly improved in the experimental group after the intervention compared to the control group. Conclusion: The results show that the SCE program could be effective in improving the psychological empowerment of nursing students. Accordingly, the SCE program would be applied to the nursing curriculum that enhances students' psychological empowerment.

The Effect of Appreciative Inquiry on Positive Psychological Capital and Organizational Commitment of New Nurses (긍정적 탐구 활동이 신규간호사의 긍정심리자본과 조직몰입에 미치는 효과)

  • Kim, Hyunju;Yi, Young Hee
    • Journal of Korean Critical Care Nursing
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    • v.12 no.3
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    • pp.13-23
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    • 2019
  • Purpose : The purpose of this study was to determine whether appreciative inquiry (AI) is an effective intervention for increasing the positive psychological capital and organizational commitment of new nurses. Method : The study used a nonequivalent control group pretest-posttest design. The participants were 60 new nurses in a tertiary hospital in Seoul. The experimental group received 2 classes of AI education and in-unit AI activities. The control group received the existing education program. Results : There was no statistically significant difference in the positive psychological capital and organizational commitment between the experimental group and the control group over time. Satisfaction with the AI education scored 3.69, which was higher than the average. The reason why the experimental group members were satisfied with the program was that AI education helped them to adapt and the in-unit AI activities made staff more cooperative and the atmosphere of the unit more positive. Conclusion : When applying AI activities to new nurses to promote positive psychological capital and organizational commitment, it is necessary to provide a workshop in which the participants can fully concentrate on education and to extend the period of use to one year in order to maintain the effect of AI activities.

Effect of Resilience and Positive psychological Capital on the Professional Quality of Life in Hospital Nurses (병원간호사의 극복력과 긍정심리자본이 전문직 삶의 질에 미치는 영향)

  • Go, Younghye;Lee, Mihyun
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.551-562
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    • 2021
  • This study aimed to identify the effect of resilience and positive psychological capital on hospital nurses' professional quality of life. A cross-sectional survey design was utilized to investigate 221 general hospital nurses from June 1 to 30, 2021. Professional quality of life (ProQOL), which is conceptualized with three sub-dimensions (compassion satisfaction, burnout, and secondary traumatic stress), resilience, and positive psychological capital variables were measured. There was a positive relationship between compassion satisfaction and resilience, positive psychological capital, and a negative relationship among burnout, secondary traumatic stress, and the other variables in this study. The main factors influencing compassion satisfaction were resilience, and positive psychological capital, which explained about 47% of compassion satisfaction. Burnout was influenced by resilience, positive psychological capital, and work pattern, and these variables explained about 37% of burnout. Notably, it was found that resilience was the most crucial factor in nurses' compassion satisfaction, and positive psychological capital was the most crucial factor in nurses' burnout. Thus, it is suggested to develop and verify the effectiveness of a resilience improvement program and positive psychological intervention program to strengthen the internal resources of hospital nurses.

The Effects of Abandonment Anxiety on Psychological Dating Violence: The Mediating Effects of Rejection Sensitivity and Relationship Addiction (유기불안이 심리적 데이트폭력에 미치는 영향: 거부민감성과 관계중독의 매개효과)

  • Park, Mi-So;Lee, Jee-Yon
    • The Journal of the Korea Contents Association
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    • v.21 no.4
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    • pp.248-261
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    • 2021
  • The purpose of this study is to verify the mediating effect of rejection sensitivity and relationship addiction in the relationship between abandonment anxiety and psychological dating violence. For this purpose, data of 400 adult were collected and analyzed, and the structural equations were used to verify them. The measurement tools were the Abandonment Anxiety Scale, the Rejection Sensitivity Questionnaire Scale, Relationship Addiction Questionnaire-30 and Psychological Dating Violence Scale, which were the Revised Conflict Tactics Scales-2 and Appraisal of Partner Control Scale. The results of the study are as follows: First, there was a significant corelation among abandonment anxiety, rejection sensitivity, relationship addiction, and psychological dating violence. Second, there was no direct effect on the relationship between abandonment anxiety and psychological dating violence, but it had an effect on psychological dating violence by double mediating rejection sensitivity and relationship addiction. Based on these results, we confirmed the psychological path that abandonment anxiety affects psychological dating violence, and discussed the need for therapeutic intervention and educational approach in negative interpersonal patterns that are not visible.

Acceptance and commitment therapy (수용전념치료)

  • Na, Euihyeon
    • Journal of Medicine and Life Science
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    • v.15 no.2
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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.

The Effect of a Movie-Based Nursing Intervention Program on Rehabilitation Motivation and Depression in Stroke Patients (영화기반 간호중재 프로그램이 뇌졸중 환자의 재활동기와 우울에 미치는 효과)

  • Kwon, Hye Kyung;Lee, Sook Ja
    • Journal of Korean Academy of Nursing
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    • v.47 no.3
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    • pp.345-356
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    • 2017
  • Purpose: The aim of this study was to develop and measure the effect of a movie-based-nursing intervention program designed to enhance motivation for rehabilitation and reduce depression levels in stroke patients. Methods: The study used a quasi-experimental, nonequivalent control group and a pretest-posttest design. The 60 research subjects were assigned to the experimental (n=30) or control group (n=30). The movie-based nursing intervention program was provided for the experimental group during 60-minute sessions held once per week for 10 weeks. The program consisted of patient education to strengthen motivation for rehabilitation and reduce depression, watching movies to identify role models, and group discussion to facilitate therapeutic interaction. Results: After 10 weeks of participation in the movie-based nursing intervention program, the experimental group's rehabilitation motivation score was significantly higher, F=1161.54 (within groups df=49, between groups df=1), p<.001, relative to that observed in the control group. In addition, the experimental group's depression score was significantly lower relative to that observed in the control group, F=258.97 (within groups df=49, between groups df=1), p<.001. Conclusion: The movie-based nursing intervention program could be used for stroke patients experiencing psychological difficulties including reduced motivation for rehabilitation and increased depression during the rehabilitation process.