• 제목/요약/키워드: Psychological intervention

검색결과 815건 처리시간 0.033초

Psychological Intervention for Post-traumatic Stress Disorder among Witnesses of a Fatal Industrial Accident in a Workers' Health Center

  • Kang, Dong-Mug;Kim, Se-Yeong;Kim, Yoon-Ji;Kim, Jung-Ann
    • Safety and Health at Work
    • /
    • 제8권4호
    • /
    • pp.410-412
    • /
    • 2017
  • Post-traumatic stress disorder (PTSD) is a serious problem not only among workers who experience industrial accidents but also among workers who witness such accidents. Early intervention is needed to prevent prolonged psychological problems. There has been no study conducted regarding the psychological problems of and interventions for bystander workers in Korea. This study introduces the experience of intervention on psychological problems at the Busan Workers' Health Center workers who witnessed their colleagues' death. An investigation and an intervention were conducted according to the Korean Occupational Safety and Health Agency (KOSHA) Guide. In total, 21 individuals including indirect observers showed statistical differences on scores of the Impact Event Scale Revised and the Patient Health Questionnaire 9 after the intervention. Future interventions and research involving a larger sample size over a longer period are needed. The KOSHA Guide could be a useful tool for urgent psychological intervention in the event of major workplace disasters.

The Effects of Hippotherapy for Physical, Cognitive and Psychological Factors in Children with Intellectual Disabilities

  • Bae, Myung-Soo;Yun, Chang-Kyo;Han, Yong-Gu
    • 대한물리의학회지
    • /
    • 제12권3호
    • /
    • pp.119-130
    • /
    • 2017
  • PURPOSE: The purpose of this study is to determine, by conducting a 10 week hippotherapy, the effects on the physical, cognitive and psychological factors of children with intellectual disabilities. METHODS: As an intervention method, intervention was based on a program from the American Hippotherapy Association and was modified and enhanced. 16 children with intellectual disabilities was conducted horse riding intervention program and Intervention was conducted once a week for a total of 10 weeks with each session lasting 30 minutes. A doctor of rehabilitation medical treatment of D rehabilitation center, physical therapist and occupational therapist evaluated the upper limbs test, balance, gait function, Korea-mini mental state examination (MMSE) before and after hippotherapy intervention. Self-esteem scale and aggression scale was evaluated by Psychology Counseling of C psychological clinic before and after hippotherapy intervention. RESULTS: The results of this study reveal that first, there was a positive effect. Second, statistically significant differences were found in BBS, TUG, K-MMSE, 10m walking test, 6 min walking test, self-esteem scale and aggression scale (p<.05). However no statistically significant differences were found in upper limbs function and good balance analysis before and after intervention. CONCLUSION: The hippotherapy is effective way to improve the physical, cognitive and psychological factors of children with intellectual disability.

영적중재의 신체적, 심리적, 영적 효과크기에 대한 메타분석 (Meta-Analysis of Spiritual Intervention Studies on Biological, Psychological, and Spiritual Outcomes)

  • 오복자;김영현
    • 대한간호학회지
    • /
    • 제42권6호
    • /
    • pp.833-842
    • /
    • 2012
  • Purpose: The purpose of this study was to evaluate the effectiveness of spiritual intervention studies by examining biological, psychological, and spiritual outcomes. Methods: From electronic databases 2522 studies were retrieved, of which 21 studies met the inclusion criteria. These studies had 1411 participants. Two authors independently extracted data from the selected studies and assessed the methodological quality. The data were analyzed using the RevMan 5.1 program of the Cochrane library. Results: Overall effect size of spiritual intervention on spiritual and psychological (depression and anxiety) outcomes were moderate (d= -0.65 to d= -0.76, p<.001). The effects on biological outcomes (pain and functional status) ranged from -0.51 to -0.39, respectively. No publication bias was detected as evaluated by a funnel plot. Spiritual intervention had a moderate effect on psychological and spiritual outcomes and a smaller effect on biological outcomes. Conclusion: The results of this study suggest that spiritual intervention can relieve depression and anxiety. Further randomized controlled trials studies are needed to evaluate the effects of spiritual intervention on biological outcomes.

아동의 성 및 기질, 남편의 양육지지와 어머니의 심리적 복지감이 걸음마기 아동에 대한 어머니의 양육태도에 미치는 영향 (The Effects of Child Gender and Temperament, Husbands' Support, and Mothers'Psychological Well-Being on Maternal Parenting Behaviors toward oddlers)

  • 김은진;박성연;임희수
    • 대한가정학회지
    • /
    • 제47권9호
    • /
    • pp.71-82
    • /
    • 2009
  • The purpose of this study was to explore the effects of child gender and temperament, husbands’ support, and mothers’ psychological well-being on maternal parenting behaviors toward toddlers. Mothers of 214 toddlers responded to questionnaires on the following variables: child temperament, husbands’ support, psychological wellbeing and parenting behaviors. Hierarchical regression analysis revealed that: 1) Children being negative emotionality linked with mothers’ high controlling and rejective parenting behaviors and low responsive parenting behaviors directly and indirectly via mothers’ psychological well-being; 2) Husbands’ support was linked with mothers’ low controlling and rejective behaviors through mothers’ high psychological well-being; 3) Mothers’ low psychological well-being was linked to high mothers’ controlling and rejective parenting. The results of this study underscore mothers’ psychological well-being and husbands’ parenting support in predicting mothers’positive parenting.

Effectiveness of a Mindfulness-Based Intervention in Older People Exposed to Trauma During the Jeju 4·3 Incident

  • Hyeonmi Hong;Young-Eun Jung
    • 대한불안의학회지
    • /
    • 제19권2호
    • /
    • pp.94-99
    • /
    • 2023
  • Objective : We assessed the effectiveness of a mindfulness-based intervention in improving positive psychological resources in older people who were affected by the Jeju 4·3 incident. Methods : This study included 25 older people recruited from the Jeju 4·3 Trauma Center. The intervention was conducted on a once-a-week basis for six weeks. All participants completed self-report questionnaires, including the Five Facet Mindfulness Questionnaire Short Form (FFMQ) and Positive Resources Test (POREST). Results : This intervention significantly improved the total score and the nonreactivity, observing, acting with awareness, describing, and nonjudging of inner experience FFMQ scores. The interventions also significantly improved the POREST subscale scores. Conclusion : The mindfulness-based intervention significantly improved positive psychological resources in older people exposed to the Jeju 4·3 incident.

골관절염 환자의 통증 감소를 위한 심리적 중재의 효과 : 메타분석 (The Effect of Psychological Intervention for Pain Reduction in Osteoarthritis Patients : A Meta-analysis)

  • 이춘희
    • 한국산학기술학회논문지
    • /
    • 제20권5호
    • /
    • pp.109-117
    • /
    • 2019
  • 본 연구는 골관절염 환자의 통증 감소를 위한 심리적 중재의 효과를 메타 분석한 연구로 심리적 중재 개발을 위한 기초자료를 제공하기 위해 수행되었다. 연구방법으로는 PubMed, EMBASE, Ovid-MEDLINE, CINAHL, Korean database에서 2018년 12월 30일까지 발표된 국내 외 문헌을 검색하였고, 심리적 중재의 효과 크기를 파악하기 위해 R version 3.5.1 프로그램을 이용하였다. 그 결과 총 1,822편의 문헌에서 총 1,847명의 참가자를 가진 12편의 연구가 최종 분석되었다. 분석결과로는 골관절염 환자에게 통증 감소를 위한 심리적 중재의 전체 효과크기는 -0.31(95% CI:-0.50, -0.11)로 작은 정도의 유효한 효과를 보였다(p<.001). 조절효과 분석에서는 중재 종류, 중재 기간, 중재 제공자에 따른 효과크기가 유효한 차이를 나타냈다. funnel plot 분석으로 출판오류를 분석하였고, 시각적으로 비대칭이었으나 egger's regression test 후 비대칭이 아님을 확인하였다(bias= -3.24, p=.077). 본 연구의 결과는 메타분석에 포함된 연구의 수가 적기는 하나 골관절염 환자의 주요 증상인 통증 문제를 개선하기 위한 심리적 중재의 표준을 제시하였고 중재 종류, 중재 기간, 중재 제공자에 대한 임상적 근거를 마련하였다.

심리적 경험보고(debriefing)의 문제점들과 올바른 적용을 위한 제언 (Problems in Psychological Debriefing and Suggestions for Best Practice)

  • 이승연
    • 한국심리학회지 : 문화 및 사회문제
    • /
    • 제13권1호
    • /
    • pp.63-89
    • /
    • 2007
  • 본 논문에서는 대형 사고나 자연재해 등 외상적 사건 발생 후 초기의 심리적 중재방법 중의 하나로 제공되어온 심리적 경험보고(psychological debriefing)의 대표적 모델들에 대해 소개하고, 그 효과에 대한 논란들에 대해 살펴보았다. 심리적 경험보고의 효과에 대해서는 기존의 경험적 연구들을 바탕으로 일관된 결론을 이끌어 내기가 어렵다. 현재로서는 CISD 등의 기법들에 대해 지적되어온 관련 문제들을 고찰하여 위기 현장에서 심리적 경험보고를 올바르게 사용하기 위한 방법을 모색하는 것이 중요하며, 논의 부분에 이를 제시하였다.

  • PDF

음악치료를 적용하여 호전된 신체형 장애 여환 치험 1례 (Application of Music-Listening Intervention for Somatoform Disorder : A Case Report)

  • 조혜영;김윤용;권용주;조성훈;황의완
    • 동의신경정신과학회지
    • /
    • 제20권3호
    • /
    • pp.261-271
    • /
    • 2009
  • Objectives : This study was performed to report the effect of music-listening intervention and relaxation for somatoform disorder. Methods : A 51 year-old female patient suffered from several somatic symptoms without identifiable physical cause. We saw her symptoms were related to her psychological factors. We applied music-listening intervention and relaxation besides Korean traditional medical treatment to make her be aware of her psychological condition such as inner conflict and know symptoms are related to her psychological condition. Results : After the music-listening intervention and relaxation, the patient revealed her unrecognized hidden feelings and emotions and got some insights about herself. Then somatic symptoms such as dysesthesia and urinary frequency and anxiety were decreased considerably. Conclusions : These results suggest that the music-listening intervention and relaxation can be effective on improvement of soma to form disorder.

  • PDF

자기결정성이론 기반 관상동맥중재술 환자의 건강행위 이행 구조모형 (A Structural Model of Health Behavior Compliance in Patients with Percutaneous Coronary Intervention based on Self-Determination Theory)

  • 박애란
    • 동서간호학연구지
    • /
    • 제24권2호
    • /
    • pp.101-109
    • /
    • 2018
  • Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers' autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients' basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.

The Effects of Aroma Foot Baths on Stress and Sleep in Terminal Cancer Patients

  • Kim, Bok Soon;Chae, Sun Hwa;Hwang, In Cheol
    • Journal of Hospice and Palliative Care
    • /
    • 제24권2호
    • /
    • pp.109-115
    • /
    • 2021
  • Purpose: This study aimed to investigate the effects of aroma foot baths on stress and sleep in terminally ill cancer patients. Methods: We performed a non-randomized intervention-control study with 30 terminal cancer patients who were admitted to a palliative care unit. Participants responded to questionnaires on stress and sleep before and after a 5-day interval. The intervention group received a daily aroma foot bath for 5 days. We performed multivariate regression analysis to examine the changes in outcomes on stress and sleep for the intervention group compared to the control group. Results: The differences in baseline characteristics between groups, excluding subjective economic status and general weakness, did not show statistical significance. In contrast to the control group, the intervention group showed a statistically significant change in physical stress and psychological stress levels, but significant changes were not observed in quality of sleep. Compared to the control group, the intervention group showed a significant reduction in physical stress (P=0.068) and psychological stress (P=0.021). Conclusion: Aroma foot baths are effective for reducing stress in patients hospitalized with terminal cancer.