• Title/Summary/Keyword: Psychological Therapy

검색결과 720건 처리시간 0.023초

유방암 방사선 치료 환자의 심리의 체계적 분석 (Psychological Systematic Consideration of Breast Cancer Radiotherapy)

  • 양은주;김영재
    • 한국방사선학회논문지
    • /
    • 제13권4호
    • /
    • pp.629-635
    • /
    • 2019
  • 유방암 환자의 사회 심리적 적응 영향 요인을 수술, 방사선, 항암치료 후의 삶의 질 변화를 체계적 메타분석한 결과 방사선 치료시 삶의 질은 치료직후에 가장 낮았고 종료 후에는 점점 상승하고 있지만 종료 6개월 후에도 치료 전의 삶의 질 만큼 회복 되지 않았다. 우울증과 부작용은 치료 직후 가장 높았으며 치료 종료 후에는 다소 감소하였다. 수술요법의 경우 학력이 높을수록 심리 사회적 적응이 높았으며 검진과 보험가입이 있을 경우 심리 사회적 적응이 좋았다. 항암 화학요법의 경우 인지기능에 영향을 받아 기억력, 학습, 사고 등의 단계에서 장해를 받고 있으며 주관적 인지장애와 우울은 연관성이 있어서, 항암요법환자의 우울증의 추적관찰이 필요하다. 본 체계적 메타연구 결과 유방암환자의 3가지 치료법(수술요법, 방사선요법, 항암요법)을 시행 할 때 간호분야와 방사선 치료분야는 이러한 환자의 사회심리적 적응, 우울, 불안, 삶의 질의 경향을 인지하여 전인적 접근을 할 수 있도록 중재프로그램을 도입해야 할 것으로 생각된다.

독서치료 효과 측정을 위한 질적 심리평가도구 개발에 관한 연구 (The Development of a Qualitative Psychological Assessment of Bibliotherapy and the Examination of it Efficacy)

  • 임성관
    • 한국도서관정보학회지
    • /
    • 제45권3호
    • /
    • pp.141-168
    • /
    • 2014
  • 공공도서관과 대학도서관을 비롯한 우리나라 문헌정보학계에서는 독서치료에 대한 관심이 증가하고 있고 다양한 독서치료 방법도 적용되고 있다. 하지만 그동안 독서치료 영역에서는 단순하고 획일적인 질문을 사용하여 내담자를 이해하고 진단하는 방법이 주로 사용되어 왔다. 그러므로 독서치료에 적합한 심리평가도구에 대한 개발이 필요한 상황이다. 왜냐하면 독서치료에서 심리평가도구는 프로그램에 대한 효과 검증에 앞서 독서치료사가 치료 대상자를 이해할 수 있는 기본적인 정보원으로서의 역할을 한다. 또한 자료 선정 및 관련 활동을 설계하는 기초가 되는 중요한 도구가 된다. 이에 본 연구에서는 독서치료 효과 측정을 위한 질적 심리평가도구로 활용할 수 있는 면담과 행동평가, 종합평가 보고서 양식을 개발하고, 실제 독서치료 프로그램 장면에 적용한 사례들을 제시하였다.

한의학 이론에 기반을 둔 양성치료(養性治療)가 비만여성의 생물학적, 심리적 지표 변화에 미치는 영향 (The effect of Yangsung program (oriental psychological treatment based on Confucian ideas program) for obesity on self esteem, self control and weight of women)

  • 최승;황의완;김종우
    • 동의신경정신과학회지
    • /
    • 제17권2호
    • /
    • pp.1-13
    • /
    • 2006
  • Objective : This study examined whether Yangsung program (oriental psychological weight regulation model based on Confucian ideas) is effective on weight loss, self esteem, three factor on eating questionnaires(restraint eating, disinhibition and hunger), distortion of body-image and biochemistry of blood. Method : 23 women were assigned randomly into 2 groups; experimental group(n=10) and control group(n=13). Experimental group had 7 personal sessions consisting of personal Yangsung therapy, meditation, general diet and exercise education. Control group had personal sessions with general diet and exercise education once a week for 6 weeks. All subjects were weighed and evaluated with Rosenberg self esteem scale, distortion of body-image, biochemistry of blood and three factor eating questionnaires at the beginning and end of the program. Result : There is significant difference between two groups in changes of self esteem, disinhibition and hunger(p<0.05). There is no significant difference in weight reduction and BMI between two groups. Conclusion : This study showed a new possibility of unique psychological program for obesity characterized by its philosophical context.

  • PDF

낙상예방 프로그램이 농촌여성노인의 신체기능과 심리기능에 미치는 효과 (Effects of a Fall Prevention Program on Physical Functions and Psychological Functions in Rural Elderly Women)

  • 김성민;최고야
    • 재활간호학회지
    • /
    • 제15권1호
    • /
    • pp.63-71
    • /
    • 2012
  • Purpose: The purpose of this study was to determine the effects of a fall prevention program on gait ability, one leg standing-right, one leg standing-left, fear of falling, fall efficacy, and depression in the elderly. Methods: A fall prevention program was consisted of fall preventing exercise with laughter therapy. Quasi-experimental design with one group pre- and post-test was used. Twenty-two elderly were participated in this study from a community health center located in a rural area, South Korea. SPSS/WIN 18.0 was used for descriptive analysis and paired t-test. Results: After 12 weeks with a fall prevention program, gait ability (t=3.44, p=.002), one leg standing-right (t=-3.73, p=.001), one leg standing-left (t=-4.17, p<.001) and fear of falling (t=2.12, p=.046) in the elderly were significantly improved. Conclusion: A fall prevention program was effective on physical and psychological functions. This study suggested that control groups and a larger sample should be included in order to validate the effects of a fall prevention program for the elderly. Key Words: Elderly, Fall prevention program, Physical functions, Psychological

패션 테라피 고찰과 프로토콜 제안 (A Review of Fashion Therapy and Proposal of Protocol)

  • 이새은;이유리;하지수
    • 한국의류학회지
    • /
    • 제40권5호
    • /
    • pp.788-800
    • /
    • 2016
  • This study proposes an execution protocol for fashion therapy. Research on fashion therapy are limited and insufficient for the current need for the establishment of a fashion therapy theory. This study introduces cognitive behavior therapy, embodied cognition, and object relations theory as theories that underlie fashion therapy. A fashion therapy system model is provided based on the analysis of art therapy to explore its applicability to fashion therapy. The fashion therapy system model utilizes fashion items to managing pain and stress to better competence, encouragement and self-expression mechanisms to improve social, psychological, emotional and behavioral functions. In addition, 8 phases of the fashion therapy process (inquiry, forming rapport, assessment, goal-objective, observation, selection of strategy and design, practice, and the final evaluation and closing of fashion therapy) are suggested for developing a practical fashion therapy program. This study is to help overcome a negative perspective on fashion that provokes an excessive spending behavior and to make a practical contribution by creating more social value through fashion. The significance of the study is in the attempt to create an interdisciplinary approach of psychotherapy and fashion that can be extend into the fashion and textile discipline.

주요우울장애에 대한 인지치료의 효과 (The Effects of Cognitive Therapy in Major Depressive Disorder)

  • 이강준
    • 생물정신의학
    • /
    • 제13권3호
    • /
    • pp.144-151
    • /
    • 2006
  • Objectives : Cognitive therapy is the most extensively researched psychological treatment for nonpsychotic unipolar outpatient depressive disorders. This review focused on the utility of this approach in severe or chronic depressive disorders, in relapse prevention and also on the potential benefits of combining cognitive therapy with medication. Methods : The author reviewed original studies and quantitative analyses on the effects of cognitive therapy, predictors of response, and neuroimaging studies of cognitive therapy in major depressive disorder. The sources used for the literature search were data bases : PubMed, EMBASE, CDSR on the internet, references in papers or books. Results : This review suggests that cognitive therapy is as effective as antidepressant medication in severe depressive disorders. And cognitive therapy can be an effective alternative to antidepressant medication. Patients benefited significantly more from combined cognitive therapy and antidepressant treatment than from either treatment alone. Most importantly, the addition of cognitive therapy to usual treatment appears to protect against future relapse in individuals known to be at high risk of repeated episodes of depression. In addition, subjects who received cognitive therapy showed significantly greater improvements in chronic depression than receiving antidepressant medication. Pooled data suggests that there is a significant relationship between the therapist's level of training or experience, the type of therapy used and patient outcome. Recent functional imaging studies examining brain changes following cognitive therapy report a variety of regional effects, but there is no consistent pattern across the few published studies. Conclusion : Cognitive therapy has proved beneficial in treating depressive patients. Despite empirical data supporting its efficacy, there are still problems in gaining access to cognitive therapy in clinical practice.

  • PDF

용서치료가 알코올 의존자 부인의 극복력, 자존감 및 영성에 미치는 효과 (Effectiveness of Forgiveness Therapy on Resilience, Self-esteem, and Spirituality of Wives of Alcoholics)

  • 김희경;이미형
    • 대한간호학회지
    • /
    • 제44권3호
    • /
    • pp.237-247
    • /
    • 2014
  • Purpose: In this study the effects of forgiveness therapy on the resilience, self-esteem, and spirituality of wives of men suffering from alcohol abuse was examined. Methods: The study design was a quasi-experimental design. Forgiveness therapy was conducted once a week for 12 weeks. Data were obtained from March 2012 to December 2013. Participants were chosen from women in two Alcohol Counseling Centers. Of the 29 participants, 16 were assigned to the experimental group and 13 to the control group. Data were analyzed using descriptive statistics, t-test, ${\chi}^2$-test, and repeated measure ANOVA. Results: There were statistically significantly differences for resilience, self-esteem, and spirituality between the experimental and control groups. Forgiveness therapy improved the resilience, self-esteem, and spirituality in the experimental group compared to the control group (p<.05). In follow-up tests, the experimental group had a statistically significantly increase only in self-esteem. Conclusion: This study results show that forgiveness therapy is effective in improving resilience, self-esteem, and spirituality in wives of men suffering from alcohol abuse. Therefore, forgiveness therapy can be considered a useful nursing intervention to promote improvements in emotional stability and provide pain relief for these wives.

초보놀이치료자를 위한 아동중심놀이치료 인턴쉽 프로그램이 놀이치료자의 전문적 역량 강화에 미치는 효과 (The Effects of a Child-Centered Play Therapy Internship Program for Novice Play Therapists on the Professional Competence of Play Therapists)

  • 양선영;한유진
    • 가정과삶의질연구
    • /
    • 제35권1호
    • /
    • pp.83-105
    • /
    • 2017
  • The purpose of this study is to strengthen the professional competence of novice play therapists through training, and to develop a CCPT internship program that encourages them to participate by experiencing play therapy education and cases. The five novice play therapists who participated in this study were currently getting their master's degrees in child psychotherapy. The novice play therapists's CCPT Internship program conducts 20 hours of education and practices, 24 hours of group supervision, 16 sessions of play therapy. The results of the research were as follows. First, the novice play therapist's CCPT internship program gave the play therapists positive effects on the development level. Second, the novice play therapist's CCPT internship program had a positive effect on the therapists' performance ability on play therapy. Third, the change of psychological and emotional reactions of play therapists through self-examination was different depending on the stage in the play therapy.

이정변기료법(移精變氣療法)에 관한 현대적 의미의 이해 -임상사례를 중심으로- (A Review of the Traditional Concepts of Psychologic Therapy in Oriental Medicine-specially about Ii-Gyeung-Byun-Qi(移精變氣療法) Therapy-)

  • 민상준;김태헌;강형원;류영수
    • 동의신경정신과학회지
    • /
    • 제12궈1호
    • /
    • pp.3-10
    • /
    • 2001
  • Psychology and esters medicine are congenital therapeutic partners. they are closer in concept and practice to each other than either is to the principles of western science and medicine. Estern medicine, like most psychotherapies, is concerned with an individual's unique physical and emotional state. The aim of this study is to review Ii-Geug-Byun-Qi(移精變氣療法) therapy which is one of the psychotherapies in estern medicine. We studied few representative books which are about in estern medicine and also studied some clinical case reports on psychotherapies by estern medicine therapy, specially about Ii-Geug-Byun-Qi(移精變氣療法) therapy. Generally we understood Chukyoo(祝由) is the eldest psychological therapy which is based on Shamanism and controlled by Shaman as a doctor. and it is similar to simple psychoanalysis in western medicine. The psychologic therapy of Ii-Geug-Byun-Qi (移精變氣療法) is typical estem medicine psychologic therapy since the principle of estern medice had built like Hwang-Chi-Nei-Ching(黃帝內經). The meaning. of Ii-Geug-Byun-Qi(移精變氣療法) therapy is holistic psychologic therapy which are based on the harmony of mind and body. The practical method of Ii-Geug-Byun-Qi(移精變氣療法) are to refresh patient's emotional condition, like ventilaltion. The second healing method of Ii-Geug-Byun-Qi(移精變氣療法) is persuasion by dialogue. The third method is to clear patient's doubt by explainning of some qutestions. Therefore, the indication of Ii-Geug-Byun-Qi(移精變氣療法) therapy are psychosomatic disease or psychogenic problems. In conclusion, I suggest that the Ii-Geug-Byun-Qi(移精變氣療法) therapy could be powerfully adopt to prevent or treat lots of disease which is related with mind and body induced by stressor.

  • PDF

유방암 환자와 보호자의 삶의 질 증진을 위한 통합의료서비스모델 적용평가 사례 연구 (Case Study on the Application and Evaluation of an Integrated Medical Service Model to Improve the Quality of Life for Breast Cancer Patients and Caregivers)

  • 정문주;이도은;최운정;조한백;강형원
    • 대한통합의학회지
    • /
    • 제12권3호
    • /
    • pp.163-178
    • /
    • 2024
  • Purpose : This study aimed to evaluate the effectiveness of an integrative medical service model applied to breast cancer patients and their caregivers, exploring its feasibility and challenges within the context of South Korean healthcare system. Methods : A case study approach was chosen to assess the integrative medical service model's efficacy, involving one breast cancer patient and her primary caregiver from W University Hospital. The patient had completed reconstructive surgery and chemotherapy and was undergoing radiotherapy. The model included standard treatments alongside psychological counseling, aromatherapy, axillary rehabilitation exercise, make-up program, art therapy, laughter therapy, horticultural therapy, and yoga programs, and meditation programs delivered over eight weeks. Quantitative and qualitative data were collected through surveys, psychological tests, and feedback assessments. Results : The integrative medical service model demonstrated notable improvements in the quality of life for both breast cancer patients and their caregivers. Participants reported enhanced emotional well-being, reduced stress levels, and improved coping mechanisms throughout the treatment journey. Qualitative feedback highlighted the positive impact of holistic interventions in alleviating psychological distress and fostering resilience. Quantitative data corroborated these findings, showing statistically significant improvements in various psychosocial parameters assessed. Conclusions : Our findings underscore the benefits of integrative medical service model with standard medical treatments in the care of breast cancer patients and their caregivers. The holistic approach not only addresses physical symptoms but also enhances overall well-being and quality of life. However, the implementation of such models faces challenges within the South Korean healthcare system, including fragmented service networks and financial constraints. Addressing these structural barriers is crucial for the widespread adoption and sustainability of integrative care models in oncology practice. Future research should focus on larger-scale studies to further validate these findings and inform policy decisions aimed at optimizing cancer care delivery.