• 한국심리학회지 : 문화 및 사회문제
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• 제21권2호
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• pp.119-130
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• 2015

본 연구의 목적은 심리부검을 통해 전북지역의 자살실태를 파악하는 것이었다. 연구대상은 2013년 5월부터 2014년 4월까지 1년간 전북지역에서 발생한 자살사망자 중 심리적 부검에 동의한 42건의 사례로, 사망자의 직계가족을 대상으로 반구조화된 심리면담을 실시하였다. 그 결과 자살 사망자중 71%가 과거의 자살시도 경험이 있었으며, 50%에서 자살가족력이 보고되었다. 자살의 추정원인으로는 정신 질환(38%)이 가장 빈번하였으며, 그 다음으로는 대인관계 문제(31%), 가정 문제(11%)순이었다. 사망자가 진단받은 정신 질환은 우울증이 가장 빈번하였는데, 대부분이 과거에 치료를 받았지만 사망 당시에는 치료를 받지 않았던 것으로 나타났다. 이러한 결과는 자살이 정신 질환과 정신질환에 대한 적절한 개입 실패와 연관되어 있음을 시사한다. 또한 과거 자살시도나 자살 가족력이 있는 대상에 대한 집중적 자살예방개입의 중요성을 시사한다. 끝으로 본 연구의 의의, 제한점에 대해 논의하였다.

• 한방재활의학과학회지
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• 제19권1호
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• pp.155-167
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• 2009

Objectives : Psychological comorbidities are high in patients with obesity and are associated with a variety of medical and dietary problems. This study aims to examine the association between psychological factors and obesity. Methods : This study was performed in pre-menopausal obese($BMI{\geq}25kg/m^2$, waist circumference ${\geq}85cm$) women in Seoul, in 2008 (n=35). Every patient underwent the obesity treatment program. The program included dietary and exercise education, and abdominal mesotherapy for 6 weeks. Simple anthropometry including weight, BMI and Computed Tomography (CT) including Subcutaneous adipose tissue (SAT), Visceral adipose tissue (VAT) and Visceral adipose tissue/Subcutaneous adipose tissue ratio (VSR) were done. To assess psychological factors, the Rosenberg self-esteem scale (SES) questionnaire, Beck depression inventory (BDI) questionnaire and stress response inventory(SRI) questionnaire were administered. Results : 1. All of the obesity indicators (except VSR) decreased significantly after the obesity treatment program. 2. There was a significant relationship between self esteem (SES score) and visceral obesity (VAT and VSR) measured at the end of the program. 3. During the intervention, the more weight, BMI, and subcutaneous adipose tissue decreased, the more self-esteem (SES) increased. There was no relationship between depression (BDI) and obesity. And the change in stress response (SRI) was associated with the change of deep subcutaneous adipose tissue and total abdominal adipose tissue. Conclusions : This study proves that visceral obesity may contribute to low self-esteem, and there is a possibility that the other psychological factors could also be related with obesity in Korean obese women. Individualised antiobesity therapy may be required depending on the patient's psychological characteristics and weight loss could be helpful in order to treat psychological problem in obese patients.

• 대한간호학회지
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• 제46권1호
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• pp.19-28
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• 2016

Purpose: The purpose of this study was to test the mediating effect of psychological distress in the relationship between chemotherapy related cognitive impairment (CRCI) and quality of life (QOL) in people with cancer. Methods: A purposive sample of 130 patients undergoing chemotherapy was recruited for the cross-sectional survey design. Data were collected from November 2014 to June 2015. The instruments were K-MMSE (Korean Mini-Mental State Examination), Everyday Cognition (ECog), Hospital Anxiety Depression Scale (HADS), and Functional Assessment of Cancer Therapy-General (FACT-G). Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny steps for mediation. Results: The mean score for objective cognitive function was 27.95 and 69.32 for perceived cognitive decline. Overall quality of life was 91.74. The mean score was 17.52 for psychological distress. The prevalence was 56.2% for anxiety and 63.1% for depression, and 20.0% for CRCI. There were significant correlations among the variables, objective cognitive function and self-reported cognitive decline, psychological distress, and quality of life. Psychological distress was directly affected by CRCI. ($R^2=29%$). QOL was directly affected by CRCI. Psychological distress and CRCI effected QOL ($R^2=43%$). Psychological distress had a partial mediating effect (${\beta}=-.56$, p <.001) in the relationship between self-reported cognitive decline and quality of life (Sobel test: Z= -5.08, p <.001). Conclusion: Based on the findings of this study, nursing intervention programs focusing on managing cognitive decline, and decreasing psychological distress are highly recommended to improve quality of life in cancer patients.

• 대한통합의학회지
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• 제7권4호
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• pp.213-222
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• 2019

Purpose : The purpose of this study was to compare stress and psychological status between a stroke and a fracture patient's caregivers. Methods : Data was collected from September to December 2018 and participants of this study were 60 stroke and 61 fracture patient's caregivers. Stress was evaluated with the Global Assessment of Recent Stress scale-Korean Version and psychological status was measured with the Symptom check List-90-Revision. Results : The stroke patient's caregivers scored significantly higher than the fracture patient's caregivers in stress relevant to interpersonal, change in relationship, sickness or injury, financial, change/no change in routine (p<.05). The stroke patient's caregivers scored significantly higher in somatization, interpersonal sensitivity, depression, anxiety, paranoid ideation, and psychoticism than the fracture patient's caregivers (p<.05). Conclusion : It was found that the severity of mental health in the stroke patient's caregivers is necessary to develop a customized mental health improvement program for stroke patient's caregivers.

• 한국실내디자인학회논문집
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• 제27권2호
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• pp.128-142
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• 2018

This study is to analyze a case of US Bravo TV program, Interior therapy with Jeff Lewies, based on analytical psychology by Carl Jung, to understand characteristics of interior therapy in psycho-therapeutic viewpoint. Case study among descriptive observation approaches was chosen as a study method while the study range was set as 8 episodes in 2012 and 8 episodes in 2013. As a result of study, future application of therapy to domestic interior design was suggested as 3 types the following; a) Paranoid and storage disorder type that pursues space design by horizontal elements with a sense of comfortable, starting from throwing things away, and suggests whiteness based on desire to be cleaned; b) Individual taste type starting from give and take between members and recognizing one another. e.g., aligning the U-shaped sofa and giving a sense of comfort by using the achromatic colors; and c) Workroom type involved with the face-to-face type of space design and arrangement of mild grey and brown colors. Finally, this study has its significance in suggesting the direction for new occupational clusters in the field of domestic space design (interior, architecture, environment design, etc.), which could be utilized as a basic data for training program development to foster interior therapy professionals.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.464-477
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• 2018

본 연구에서는 푸드테라피와 서비스품질이 긍정적 감정 및 브랜드 충성도 간의 관계를 살펴보고자 하였다. 푸드테라피와 서비스품질이 긍정적 감정에 미치는 영향을 살펴보고, 긍정적 감정이 브랜드 충성도에 미치는 영향을 살펴보았으며, 푸드테라피와 서비스품질이 브랜드 충성도에 미치는 간접효과를 살펴보고자 하였다. 본 연구의 목적을 달성하기 위하여 한식뷔페레스토랑에 방문하는 고객들의 직업 비율에 의한 할당 표본추출을 실시하였다. 조사는 2018년 7월 1일부터 7월 25일까지(25일간) 설문조사를 실시하였고, 전체 850부를 배포하여 회수된 설문지 805부에서 불성실한 설문지 19부를 제외한 786부가 최종분석에 사용되었다. 분석결과, 음식품질, 접점서비스, 신체적테라피, 심리적테라피는 긍정적 감정에 유의한 영향을 미치는 것으로 나타난 반면, 서비스환경은 유의하지 않았다. 또한, 긍정적 감정은 충성도에 유의한 영향을 미치는 것으로 나타났으며, 음식품질, 접점서비스, 신체적테라피, 심리적테라피는 충성도에 유의한 간접효과가 있는 것으로 나타났다. 본 연구를 통하여 푸드테라피 요소가 레스토랑 관련 연구에서 충성도를 향상시키는데 얼마나 중요한 역할을 하는지에 대해 밝혔다는 측면에서 의의가 있다.

• 대한간호학회지
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• 제30권2호
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• pp.319-330
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• 2000

This study is aimed at analyzing the trend of research on the use of exercise in nursing research, through suggesting directions for future research and implementation of the various exercise therapies. Research studies were taken from dissertations and theses selected from the Academic Society Journals of nursing science, Journals from universities, medical and nursing schools, research institutes in various universities, the Central Journal of Medicine, and the New Medical Journal. The research published between 1970 and 1997 in Korea were analyzed, 51 research were selected. The research are analyzed according to: published time, source of the research, research design, subjects, sample size, dependant variables, exercise therapy, and effect of exercise therapy. The results were as follows: 1. Research on exercise therapy increased rapidly in the 1990's. At this time, 88.2% of research was published. 2. Research areas included: 54.9% non- degree research, 27.5% Doctoral theses, and 17.6% Master's theses. 3. The experimental design included: 66.7% non- equivalent control group pre-test/ post-test design and 29.4% one group pre-test/post- test design. 4. Out of the Subjects: 52.9% were patients with various health problems, and 47.1% were healthy individuals. 5. Sample size included: 52.9% with above 31 subjects, 11.8% with 11~15 and 26~30. 6. Exercise therapy was analyzed by type, intensity, frequency, duration, and period. 1) The Types: Aerobic exercise at 60.8% was the most common, active exercise for muscle strengthening and building made up 21.6%. 2) Exercise with 40~65% intensity comprised 25.5%, 70~85% with 7.8%, and no description of the intensity was 66.7%. 3) Frequency of 3~5 per week was the most common at 78.4%. 4) Duration: 15~60 minutes was the most common length of time at 76.5%. 5) Periods: More than 5 weeks at 82.3% were the most common in their categories. 7. Dependant variables: Psychological response was measured as a dependant variable in 92.2%, Cardio-pulmonary function 88.2%, Body Composition was 86.3%, Physical Response was 60.8%, Lipid Metabolism was 58.8%, Physical Strength was 49.0%, Glucose Metabolism was 25.5%, Activities of Daily Living was 17.6% and others added to be 3.9%. 8. The effect of Exercise Therapy was categorized into 'positive', 'partially positive', and 'no effect' according to dependant variables: Having a positive effect - Glucose Metabolism (93.3%), Physical Response (85.0%), Activities of Daily Living (81.8%), Psychological Response (71.6%), Lipid Metabolism (67.6%), Cardio- pulmonary Function (63.6%), Physical Strength (68.1%), and Body Composition (56.4%). The following suggestions can be made on the above findings: 1. Research findings on Exercise Therapy as a Nursing Intervention need to be described by their elements of type, intensity, frequency, duration and period. 2. Toproperly study the positive effects of Exercise Therapy, there needs to be ⑴ appropriate research design, ⑵ selection criteria for the subjects ⑶ contents of exercise prescription to individuals or groups ⑷ measurement criterion for the dependent variables. 3. Meta-analysis on exercise therapy also needs to be done to analyze and integrate the various results.

• 성인간호학회지
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• 제13권3호
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• pp.409-419
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• 2001

The reference study was performed to investigate the nursing importance which was based a theoretical background related to horticultural therapy and to examine the possibility which horticultural therapy was applicable as a nursing intervention through analysis on a preceding study. The research subjects related to the areas of horticultural therapy which related as a nursing intervention, were psychological, physical, environmental, and psycho-social aspects. It is judged that the horticultural therapy is effective in treating depression, emotional disruption or anxiety. It seems to be also effective in increasing the muscular tension and, thereby, expanding the scope of joint movements. Such theories show that horticultural therapy may be a good alternative nursing means. Plants act to create a pleasant interior atmosphere by generating anion, controlling the temperature and humidity and purifying the air, and therefore, the horticultural therapy may be applied to clinic or environmental therapy. When horticultural therapy is used as a nursing intervention, patients' sociopsychological needs may be fulfilled. It has been found that horticultural therapy is instrumental in treating perceptive or emotional disruption, depression, loss of self-respect, disrupted everyday activities and social behaviors. In particular, horticultural therapy seems to be effective in managing chronic patients' crisis or improving life quality. Intervention method applied on a preceding study was activity therapy and scene therapy in the horticultural therapy The above findings suggest that the pro-environmental horticultural therapy is useful as a new paradigm of nursing or holistic nursing conducive to improvement of health. So, it is desirable to prove its effects by applying it in the clinic. In order to apply horticultural therapy as a nursing intervention, it will be necessary to educate nurses on principles and methods of horticultural therapy and encourage them to apply it in nursing and clinics. Moreover, it may well be necessary to develop landscape therapy as nursing intervention as well as a variety of horticultural therapy programs befitting the clinic conditions. On the other hand, we need to provide for some scientific ground for horticultural therapy through continued studies. In this regard, this study which focuses on patients' health improvement through change of environment. may well provide for a framework for such studies.

• 인간행동과 음악연구
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• 제15권1호
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• pp.69-94
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• 2018

본 연구는 여성의 심리정서 지원을 목적으로 진행된 국내 음악중재 연구를 여성주의 관점 음악치료의 특성에 따라 분석하기 위해 실시되었으며, 2002년 이후 게재된 논문 34편을 최종 선정하여 연구의 일반적 특성, 중재 특성 및 여성주의 관점 음악치료의 특성에 따라 연구 대상과 중재 내용의 분석을 진행하였다. 분석 결과, 과거 연구 대상자가 정신질환 여성을 중심으로 이루어졌던 것에 반해 최근에는 현시대의 사회 문제를 반영하여 직장여성, 결혼이주여성, 유학생 등으로 그 범위가 다양해진 것을 볼 수 있다. 또한 여성주의 관점 음악치료의 특성에 따른 내용 분석 결과를 살펴보면 연구 대상은 사회 정치적 관점이 반영된 연구가 가장 많았으며 중재 내용은 여성의 내적 역량 강화를 중요하게 다룬 연구가 가장 많았다. 음악중재에서 여성들의 내적 역량 강화를 통해 심리 문제를 해결하고, 이를 바탕으로 하여 사회 변화를 이끌어 내는 것이 중요하다는 결과이다. 추후 국내 여성 대상 음악중재 연구에서는 사회 내 성차별 및 성역할에 대한 탐색과 치료 안팎의 협력을 통해 여성 개인의 변화에서 나아가 사회 변화를 이룰 수 있는 방향을 모색해야 할 것이다. 본 연구는 여성주의 관점 음악중재가 국내 여성 대상 음악중재 임상 및 연구에 적용되어야 하며, 관련 프로그램의 개발이 필요함을 제안하는 데 의의가 있다.

• 대한물리치료과학회지
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• 제6권3호
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• pp.41-52
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• 1999

Stroke is the leading cause of adult disability and the third leading cause of adult death in the world. Stroke has an impact on the physical, psychological and social dimensions of quality of life. An increasing number of authors have reported a deterioration of the quality of life in a large proportion of patients after a stroke. Just as satisfaction with each dimension varies to everyone, the importance of each dimension also varies and does not impact equally on the quality of life. So assessment on the quality of life has to adopt a multidimentional approach and to make use of the subjective and objective indicators.