• 재활치료과학
• /
• 제4권2호
• /
• pp.84-91
• /
• 2015

본 연구는 해외 많은 분야의 재활에서 적용되고 있는 peer mentor 프로그램을 국내에 연구적, 임상적으로 도입하여 뇌졸중 환자의 정신적, 신체적 회복을 돕는 방법을 소개하고자 하였다. 두 집단 실험 설계로 뇌졸중이 발생한지 3-6개월인 환자들을 대상으로 설계하였다. 동료멘토는 뇌졸중이 발생한지 2년이 지난 외래 환자로 서로 다른 회복수준을 보이는 환자들로 구성하고, 프로그램을 운영하기에 앞서 참가자들에게 심리적, 평가적, 정보적인 도움을 주는 방법과 프로그램 운영 방법에 대해 교육한다. 한국판 노인 우울 척도 단축형 (Geriatric Depression Scale Short Form-Korea Version; GDSSF-K)을 사용하여 프로그램 참가자들의 심리적 요인을 측정하고, 뇌졸중 영향척도(Stroke Impact Scale; SIS)를 통해 회복수준을, 노인 상지 기능평가도구(Upper Extremity Function Test for the Elderly; TEMPA)을 사용하여 신체적 요인을 측정한다. 본 연구를 토대로 연구를 진행하고자 하는 연구자는 본 연구에서 제안한 방법과 더불어 뇌졸중 환자의 회복에 더 효과적인 프로그램 적용 방법에 대한 모색이 필요할 것이다.

• The Journal of Korean Physical Therapy
• /
• 제22권6호
• /
• pp.85-90
• /
• 2010

Purpose: The aim of this study was to investigate the relationship between social support and quality of life (QOL) in elderly people and to examine potential cross-cultural differences. Methods: The author surveyed 82 elderly people, over the age of 65, residing in a nursing home in a Korean rural area and 73 Korean immigrants living in Houston Texas USA who were also elderly. The degree of social support was measured with 20 questions that were answered using a 5 grade scale. The quality of life was measured in 5 fields (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression, each scored using a 3 grade scale) with EUROQOL EQ-5D. Results: The mean score of social support was 65.43 for domestic Korean elderly people (range: 26 to 98); it was 73.43 for elderly Korean Americans (range: 26 to 100). The score was lower for domestic Koreans despite the traditional environment (p<0.05). Regarding QOL, 61% of domestic Korean elderly people complained of pain/discomfort and 47.5% appeared to have anxiety/depression, 30.5% complained of limitations in mobility, 20.7% reported limitations in usual activities, and 14.6% had limitations in basic self.care activity such as washing or dressing. A similar proportion of Korean American elderly had limitations in usual activities (19.2%) and self care activity (9.5%). But significantly fewer complained of anxiety/depression (16.5%, p<0.01) or pain/discomfort (38.3%, p<0.01). The major differences in psychological domains of QOL may be related to the degree of social support and the difference in the socio.cultural environment. Conclusion: Social support is a major determinant of QOL, especially for psychological domains, and these relationships are under the influence of the socio.cultural environment.

• 대한물리의학회지
• /
• 제15권3호
• /
• pp.109-116
• /
• 2020

PURPOSE: The objective of this study was to provide a basis for the need to apply psychological factors-based rehabilitation programs to osteoarthritis patients by understanding how the limitations on the activities of osteoarthritis patients relate to the health-related quality of life and depression. METHODS: This study assessed 1,994 osteoarthritis patients from the 7th Korea National Health and Nutrition Examination Survey (KNHANES, 2016-2018). The subjects were divided into two categories: with activity limitation and without activity limitation. A Chi-square test and logistic regression analysis were conducted. RESULTS: The EQ-5D index of subjects with activity limitation was .84 ± .16, it was .94 ± .12 in those with no activity limitation (p < .05). The diagnosis of depression was 16.8% and; 8.3% in those with and without activity limitation, respectively (p < .05). There was a significant difference in the odds ratio for each item in the EQ-5D. Moreover, the odds ratio for depression with an activity limitation was 2.171 (1.512 - 3.118) compared with no activity limitation. CONCLUSION: The activity limitation of osteoarthritis patients reduces the health-related quality of life significantly and increases the probability of depression. Therefore, the treatment of osteoarthritis patients should be approached considering the psychological conditions. Moreover, early diagnosis of depressive symptoms is needed to prevent symptom deterioration and increase the compliance with rehabilitation therapy.

• 대한불안의학회지
• /
• 제4권1호
• /
• pp.28-33
• /
• 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.

• 한국전문물리치료학회지
• /
• 제28권2호
• /
• pp.146-153
• /
• 2021

Background: Researchers have previously commenced examining the degree of concordance between parent proxy and child self-reports on health-related quality of life (HRQOL) of many disease and impairment populations. Objects: To explore the differences between parent proxy and child self-reports on the HRQOL using Korean version of KIDSCREEN-10 questionnaires for applying to elementary school children and their parents who participated for a school-based wellness program. Methods: The focus groups were recruited for a school-based wellness program by implementing the following wellness services: 1) referring to a screening session for detecting potential posture-related musculoskeletal problems and 2) recommending home exercise programs. Before a primary field testing for the program, two focus groups were formed with a group of 9 parents and their 9 elementary school children aged 8-10 years of age. The parent proxy and child self-report versions of KIDSCREEN-10 questionnaires were administered to both groups after completion of the wellness program. Item level Rasch rating scale analysis was applied to compute logit scales of KIDSCREEN-10 questionnaire. Intraclass correlation coefficients (ICCs) and scatterplot of item difficulty between two reports were analyzed. Results: For fit statistics of parent proxy report, all items except 4 items (i.e., psychological well-being, mood/emotions, self-perception, parent relation) were found to be acceptable. For fit statistics of child self-report, all items except 3 items (i.e., psychological well-being, autonomy and home life) were acceptable. The relationship between two reports using ICCs were ranging from weak to very strong at p = 0.05 (i.e, ICCs = 0.011 to 0.905). Scatterplot analysis between two reports showed a major disparity on self-perception item at 95% confidence intervals. Conclusion: Both item level analyses and ICC comparisons provided a disparity between parent proxy and child self-reports of the HRQOL on self-perception item after competing a school-based wellness program. Therapist should consider the item as part of the HRQOL assessment.

• 한국의류산업학회지
• /
• 제22권6호
• /
• pp.789-802
• /
• 2020

This study analyzes the experiences of a color therapy program that uses color and fashion directing to influence the psychological characteristics of adolescents, such as emotional intelligence, self-efficacy, and color expression. The subjects of this study were 15 adolescents who participated in B-City Winter School (January 6-15, 2020). Pre- and post-tests for emotional intelligence and self-efficacy were conducted to confirm the effect of the color therapy program that indicated a significant difference at the p<.05 level. Statistical significance was confirmed through the GEE model for formal characteristics used in pre/post and fashion-directed color expression. Peter pre- and post-changes in vocabulary emergence were investigated with a Word Cloud analysis using R program 4.0.2 that extracted the lower and upper categories. The significance of this study is that by expressing both color expression and fashion direction together, a program was provided for adolescents to have richer emotional experiences and career-related experiences. This study examined changes within a short period of time in 15 subjects; consequently, a follow-up in-depth qualitative analysis of the program effect and a post-testing study on maintaining the long-term effect is expected to secure further validity and usefulness of the study results. In addition, new studies are expected to contribute to the development of differentiated fashion-related education programs.

• 대한물리치료과학회지
• /
• 제30권4호
• /
• pp.17-28
• /
• 2023

Background: The purpose of this study is to examine the multiple-parallel mediation effects of self-esteem and body-image on the relationship between peer attachment and happiness in children with chronic diseases. In addition, this study aims to provide a basis for supporting psychological services alongside therapeutic services as a way to increase the overall happiness of children with chronic diseases. Design: This study utilized data from the 2020 Panel Study on Korean Children. Methods: The survey method was conducted as a survey by investigators, and the number of cases used in the study was 363. Results: First, children's peer attachment is associated with higher levels of overall happiness. Second, it can see that peer attachment not only increases self-esteem, but also leads to a positive perception of one's own body-image. Third, it can be seen that peer attachment, high self-esteem, and positive perception of body-image increase children's overall happiness. Finally, it can be seen that peer attachment can increase children's happiness through self-esteem and body-image Conclusion: It is thought that a more positive prognosis can be expected when psychological support is provided together with therapeutic treatment in providing medical services for children with chronic diseases.

• The Journal of Korean Physical Therapy
• /
• 제13권3호
• /
• pp.677-683
• /
• 2001

The object of this study is in the comparison of level of depression between patients with chronic low back pain & normal adult, of the relation between reduction of pain & level of depression and in the examination of the influence of traditional physical therapy against the reduction of pain & level of depression of the patients with chronic low back pain for the new recognition of psychological factors to the physical therapists as well as patients. This study was targeted for 40 patients with chronic low back pain who were diagnosed as lumbar sprain & herniated intervertebral disk and compared & analyzed how traditional physical therapy has an influence to their reduction of pain and level of depression by questioning with visual an analog scale of Beck's depression inventory & pain inventory to them. The results are as follows. 1. Traditional physical therapy has an effect in the reduction of pain of the patients with chronic low back pain. 2. Although traditional physical therapy relieved a little the level of depression of patients with chronic low back pain. there was no evident effect statistically. 3. In the relation between the reduction of pain and level of depression, level of depression also showed somewhat relief according to the reduction of pain and appeared that they have some relationship. However, it's degree was not big. 4. In the comparison of the level of depression between the normal adult and the patient with chronic low back pain, the level of depression of the patient with low back pain are high rather than that of normal adult.

• 한국지역사회생활과학회지
• /
• 제21권3호
• /
• pp.427-439
• /
• 2010

This study aimed to investigate the potential of Art Therapy to be part of Liberal Arts programs for university students. The study is based on the examination of the effect after the program. The program was combined with Art Therapy theory and with a practical part for students to have a psychological understanding of self development(ego-identity, self-esteem and interpersonal relationship). The subjects were 38 students who were registered in the Art Therapy course at N university. It was a two hour-course and was offered every week. The first 40 minutes of the class were used for explaining Art Therapy theory, and the last 80 minutes were given for practice. To analyze the effect of the program, the index of ego-identity, the index of self-esteem and the index of interpersonal relationship were used. Frequency, percentage and standard deviation were calculated with SPSS 12.0, and a paired t-test was followed. According to the results, this art therapy program has an effect on the subjectivity and future-confidence of students, which includes the sub-categories of self-identity. However, there was no effect found in the category of self-esteem. Comprehension, which is under the interpersonal relationships category, showed statistically meaningful differences after the program was done. Based on this study, it was revealed that Art Therapy as a part of the Liberal Arts programs, which incorporates a large number of students, can have a similar effect on people compared to the Group Art Therapy, which incorporates a relatively smaller number of people.

• 한국융합학회논문지
• /
• 제10권9호
• /
• pp.31-36
• /
• 2019

전인적인 인격 형성에 근본적인 역할을 하고 있는 음악과 치료가 융합된 분야인 음악치료는 다양하고 복잡한 치료 방법을 가지고 있다. 음악치료를 담당하고 있는 음악치료사들은 내담자와의 상담에 역전이와 같은 경우의 현상이 발생하기도 하며, 심리적 소진을 경험하고 있기에, 음악 치료의 최종 목표 도달에 많은 어려움이 발생하고 있는 상황이다. 본 논문에서는 음악치료를 위하여 방문한 내담자와의 원활한 음악 치료 상담을 위하여 협업 필터링 기반의 음악치료 상담 자료 추천 모델을 제안한다. 제안 모델은 기존 상담 데이터와 새로운 상담자의 데이터를 유클리디안 거리 알고리즘을 통하여 유사도를 파악하고, 이를 통하여 유사 상담 자료를 추천하는 것으로서, 음악치료사들은 음악 치료가 필요한 상담자에게 가장 적합한 상담 자료를 제공할 수 있기에 원활한 상담이 진행될 수 있을 것으로 기대된다.