• Title/Summary/Keyword: Psychological-adaptation

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A Case Report on Panic Disorder Patient Using the 'MRM (Mentalizing the Rooms of Mind)' and Korean Medicine Therapy (한의치료와 '마음의 방 그리기'를 활용한 공황장애 치험 1례 보고)

  • Kim, Jeesu;Cheong, Moon Joo;Lee, Ga-Won;Lyu, Yeoung-Su;Kang, Hyung Won
    • Journal of Oriental Neuropsychiatry
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    • v.31 no.3
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    • pp.197-211
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    • 2020
  • Objectives: The purpose of this study was to introduce the progress of treatment and improve clinical use after conducting Mentalizing the Rooms of Mind, the main technique of Mindfulness & Loving Beingness psychotherapy, for a patient with panic disorder. Methods: We conducted a Mentalizing the Rooms of Mind for 10 sessions on an age 23 female diagnosed with panic disorder based on the DSM-5 diagnostic criteria. After receiving consent from the subject, through chart review, the progress of treatment was observed focusing on the MMPI-2 and CSEI-s (The Core Seven Emotions Inventory-short form) conducted pre- and post-treatment. This study was approved by the Institutional Review Board of Wonkwang University Sanbon Hospital (WMCSB202007-55). Results: 1. The MMPI-2 clinical scales of an age 23 female with panic disorder showed a 7 (Pt)-1 (Hs)-3 (Hy) profile pre-treatment, but for post-treatment, the scale showed 1 (Hs)-3 (Hy) profile, and the 7 (Pt) scale showed significant decline. In the MMPI-2 reconstructed clinical scales, RC7 (Dysfunctional Negative Emotions) and RC8 (Aberrant Experiences) showed significant decline. 2. In the pre- and post-treatment MMPI-2 content scales, Anxiety, Fears, Obsessiveness, Social Discomfort, and Work Interference scores decreased, showing overall positive stability. On the MMPI-2 supplementary scales, the Anxiety and Post-Traumatic Stress Disorder scores decreased, and the Ego Strength increased, resulting in improved overall psychological adaptation. 3. Pre- and post-treatment of an age 23 female with panic disorder, CSEI-s showed significant decline of 恐, 驚, 悲, and 思. So it seems that the emotions caused by Chiljeongsang (七情傷) were more stable than before treatment. Conclusions: As shown above, the treatment of panic disorder through Mentalizing the Rooms of Mind, a major technique of Mindfulness & Loving Beingness psychotherapy, showed positive changes in MMPI-2 as well as improvement of the subjective symptoms. Thus, Mentalizing the Rooms of Mind has high clinical use, and it seems that it is necessary to create a manual for this in the future.

A Meta-analysis on the effectiveness of interventions applied to teens in multicultural families. (다문화 가정 청소년에게 적용된 중재 프로그램의 효과에 대한 메타분석)

  • Byun, Soung-Won;Kim, Sin-Hyang;Park, Si-Hyun
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.277-285
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    • 2017
  • The purpose of this study identified the effectiveness of the existent interventions, which had been applied to the teens in multicultural families in South Korea. Totally 29 relevant studies, including dissertations and published articles, published from 2008 to 2014, were systematically searched and analyzed through meta-analytic method. The study results revealed the specific conditions which made the intervention more effective for the teens in multicultural families. Specifically, the program could be most effective when the program had a social adaptation intervention type as well as aimed to middle school students as a target population. Also, the program could be most effective when the program had lower than 8 sessions, run 3-5 times a week, and had from 21 to 30 participants in one intervention group. In addition, current existing programs showed higher effect sizes on outcomes focusing on relationships rather than on those focusing on psychological problems. This study is theoretically meaningful in terms of quantitatively synthesizing the existing intervention programs for the teens in multicultural families. In addition, we expect that this study would practically contribute to develop evidence-based programs for those teens in multicultural families.

Effects of Ego-Resilience, Family Function and Acculturative Stress on Mental Health of the Youth of Multicultural Families (다문화가정 청소년의 자아탄력성과 가족기능, 문화적응 스트레스가 정신건강에 미치는 영향)

  • Song, Soon-Taek;Choi, Hee-Chul
    • Journal of Convergence for Information Technology
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    • v.10 no.2
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    • pp.116-125
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    • 2020
  • This study examined the effect of ego-resilience, function of family, stress of adapting to a new culture perceived by youth from multi-cultural families at Gyeonggi-do on their mental health. In doing so, the study sought to suggest effective supportive visits to enhance their mental health. For this, the study carried out a descriptive analysis, t-test, one-way anova, hierarchical regression analysis among 304 middle schoolers from multi-cultural families living at Gyeonggi-do. The study found following results. The higher youth from multi-cultural family perceived the procedural stress, sub-variable of stress of adapting to a new culture and the lower they perceived emotional control, sub-variable of ego-resilience, the higher depression and anxiety they experienced, resulting in worsening of their mental health state. Based on these findings, the study, in order to enhance the mental health of youth from multi-cultural family and their ego-resilience, discussed and suggested development of psychological/emotional programs, preparation of supportive measures to overcome their stress in the course of their cultural adaptation as well as systematic supplementation of related laws in support of multi-cultural families.

Grounded Theory Approach to Middle-aged Women's Experience in Family Health Care (중년여성의 가족건강지키기 경험에 대한 근거이론적 접근)

  • Moon, Hyun-Sook;Kang, Hyun-Im;Shin, Mi-Kyung;Kim, Jung-Hee
    • Research in Community and Public Health Nursing
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    • v.16 no.4
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    • pp.498-507
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    • 2005
  • Purpose: The purpose of this study is to survey health requirements of middle-aged women and their families and to provide guidelines for developing nursing interventions by describing the process of family health maintenance experienced by middle-aged women and its conceptual system. Methods: To get saturated data, each of four researchers conducted two or three times of in-depth interview with eight middle-aged women aged between 40-64 years old and living in Seoul and Chuncheon from the 10th to the 30th of October 2004 and each interview was continued one or two hours. The Grounded theory adopted by Strauss & Corbin (1998) is a substantive theory that can explain the experiencing process of middle-aged women. Results: We found that the casual condition of family health maintaining by middle-aged women was 'confidence of health belief', and 'pouring by body moving' was found to be its phenomenon. A textual condition that might respond to the phenomenon was 'fatal roles acceptance', and intervening conditions that promote their family health were 'retracing' and 'gathering health information'. These intervening conditions impacted middle-aged women's confidence in family health and led them to take actions/interactions such as 'being a model of health', 'adapting to circumstances', 'do-it-myself', 'taking-care' 'harmonious mind' and 'the pursuit of cleanness'. These actions/interactions produced results such as 'being stronger', 'being unmanageable' and 'being fruitful'. Conclusions: Health confidence and practical health behaviors were observed in the process that the middle-aged female participants experienced unmanageable circumstances but they accepted their roles and responsibilities and recognized that they must be get stronger. The behaviors of health-together-with were divided into enthusiastic type, adaptation type and self-sacrificing type. Therefore middle-aged woman with the understanding of family health maintaining process as well as the theoretical system and practical principals needs to implement the intervention in acceptable level of family health process of preventing psychological and physical problems.

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The Fatigue Experience of Shift Work Nurses (교대근무간호사의 피로경험)

  • Kho Hyo Jung;Kim Myung Ye;Kwon Young Sook;Kim Chung Nam;Park Kyung Min;Park Jung Sook;Park Young Suk;Park Cheong Ja;Shin Young Hee;Lee Kyung Hee;Lee Byung Sook;Lee Eun Joo
    • Journal of Korean Public Health Nursing
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    • v.18 no.1
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    • pp.103-118
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    • 2004
  • The purpose of this study was to understand the process and investigate basic theory of fatigue experience of shift work nurses. The present study adopted grounded theory methodology on fatigue of shift work nurses. The participants for this study were 15 shift work nurses who were in the age of 25 to 35, the clinical experience of 2 to 14 years and the work department of ICU. ER. ward and delivery room. The data were collected from 2000 to 2003 by using interviews and observations. The contents of the interviews were tape-recorded and were drawn through repeated method. And then were analyzed into the concept, subcategories, and categories with the open coding process and axial coding was done to identify the relationships of the concepts and categories according to the paradigm models. The core category generated, which was a central phenomena of the exhaustion process. The causal condition is change events. The central condition of exhaustion were sorted as physical discomfort, decreasing vigor, psychological instability, feeling of sleeping desire, changing face impression and being heavy body. The intervening condition were discovered as social$\cdot$ psychology$\cdot$physical resist and positive$\cdot$negative interaction strategies. The consequences of the fatigue process is the short term exhaustion relief and long term residual exhaustion. The fatigue process of this study was 'break through exhaustion' of change event-exhaustion-resist-resolve intervention-adaptation. This study offers better understanding on fatigue process of shift work nurses and may facilitate more appropriate interventive strategies to support, information and knowledges according to fatigue process.

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Knowledge Structure of Cognitive Behavioral Therapy Studies in Korea: Co-word Analysis (국내 인지행동치료 연구의 지식구조: 동시출현단어 분석)

  • Kim, Do-Hee;Kim, Hyeon-Jin;An, Da-Hye
    • Journal of Digital Convergence
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    • v.17 no.12
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    • pp.509-521
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    • 2019
  • The purpose of this study is to examine the patterns of the keywords in journals in the field of Cognitive Behavioral Therapy (CBT) to identify the knowledge structure of CBT studies in Korea. To compare CBT studies from Korea and abroad, 234 articles (2008-2019) published on "Cognitive Behavior Therapy in Korea" and 2,316 articles (1977-2019) published on "Cognitive Therapy and Research" were collected. The data were analyzed using NetMiner 4.3. The co-word analysis was done by calculating the cosine similarity matrix of major keywords, followed by visualizing the network. The results of this study identified the main interests of Korean CBT scholars, and categorized the knowledge structure of CBT in Korea into 9 research areas: "scale validation"; "perfectionism and entrapment"; "cognitive, emotional, and relationship characteristics of schizophrenic patients"; "cognitive characteristics and treatment of borderline personality disorder and depression/bipolar disorder patients"; "adaptation and psychological health"; "cognitive characteristics and treatment of patients with social anxiety disorder"; "causes and co-morbidities of depression"; "acceptance and commitment therapy"; and "understanding and the treatment of binge eating disorder patients." This study is meaningful in that it has reviewed the accumulated knowledge in the CBT field in Korea for the past 11 years, and suggests future tasks for development to improve the standards of CBT practice.

Development of the Self-Report Wisdom Scale for the Elementary Gifted Students (초등 영재아동을 위한 자기보고식 '지혜' 척도 개발)

  • Jun, Byung-Ok;Han, Ki-Soon
    • Journal of Gifted/Talented Education
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    • v.22 no.2
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    • pp.427-450
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    • 2012
  • This study was intended to develop a self-report wisdom scale for the elementary gifted students. For this, related literature was reviewed in depth and open ended questionnaire about the wisdom qualities was conducted. Based on these, a self-report wisdom scale, which was comprised of 42 items in 4 factors such as the situation judgment and problem-solving ability, the communication ability and skills, the emotional stability, the insight and adaptation, was developed. For this preliminary scale, 215 elementary gifted students were surveyed. And for the confirmatory factor analysis, 256 elementary gifted students participated. The results of the study were as follows. The fit of measurement model was found to be ${\chi}^2$=1596.46 (df=813, p=.00), TLI .90, CFI .91, RMSEA .046, indicating most of fit indexes were acceptable. The reliability for each of 42-item by the sub-factors also appeared to be good, showing that internal consistency reliability by the configuration factors was 0.86, .87, .89, .87 each relatively. In addition, to verify the validity of the wisdom scale, the convergent and discriminate validities were obtained through the correlation analysis among the psychological characteristics which were considered to be related to the wisdom. Finally, practical implications of the study were discussed in depth.

Two-Year Follow Up Study of Change in Satisfaction Level and Mental Health among North Korean Defectors (북한이탈주민의 삶의 만족도와 정신 건강 실태 변화에 대한 2년간 추적 연구)

  • Lee, Hye Rin;An, Ji Hyun;Yoon, Se Chang;Jeong, Seo Hyun;Chang, Hye In;Hong, Jin Pyo
    • Anxiety and mood
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    • v.15 no.2
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    • pp.109-114
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    • 2019
  • Objective : The purpose of this study was to investigate changes in the satisfaction levels and mental health among North Korean defectors over two years. Methods : At the beginning of the study, the subjects were comprised of 300 North Korean defectors registered with a regional adaptation center (the Hana Center) in South Korea. Participants reported self-questionnaires including socio-demographic variables and self-rating scales for satisfaction levels, depression symptoms, trauma-related symptoms, resilience and alcohol use behavior. In the follow up study after two years, 189 North Korean defectors participated in an online survey, responding to the same questionnaires as at baseline. Results : The self-rated scores for satisfaction with one's overall life (p=0.008), sense of autonomy (p=0.001), sense of physical health (p<0.001), and expected life satisfaction five years later (p<0.001) had all decreased significantly at follow-up after two years. Depression symptoms (p<0.01) and trauma-related symptoms (p<0.001) increased significantly over two years, and the resilience score (p<0.01) decreased significantly during the same period. No significant differences in alcohol use behavior (p=0.059) were observed at follow-up. Conclusion : Satisfaction levels among North Korean defectors gradually decreased over the follow-up period, and this may be due to the difficulties encountered in the process of assimilating to daily life in South Korea. Economic, medical, and psychological support is needed for successful assimilation of North Korean defectors.

Age Differences of Wisdom and Its Correlation with Successful Aging among Middle-aged and Elder Adults (지혜의 연령차와 중노년기 심리적 적응과의 상관)

  • Kim, Min Hee;Min, Kyung Hwan
    • 한국노년학
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    • v.30 no.3
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    • pp.947-971
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    • 2010
  • The present research is aimed at to examine the relationships between wisdom and age, also between wisdom and its psychological adaptation among middle and elder adults in Korea. Moreover, using data on 240 middle-aged and elder adults, the relationship between different aspects of wisdom and aging well were not only examined, but also explored age differences of wisdom through adulthood. The major findings from the study are summarized as follows. first, the wisdom scores of middle-aged and elder adults were significantly higher than those of young adults. While 'cognitive competency' and 'positive life attitude' factors had no significant differences. It means that 'cognitive competency' and 'positive life attitude' wisdom could be stable across adulthood. However, 'moderation and balance' and 'sympathetic interpersonal relationship' wisdom of elders were significantly higher than those of young adults. second, in middle and elder adults, Wisdom was found to be positively related with life satisfaction, well-being, death acceptance, experiences of positive emotion, generativity, ego integration, and positive life review. while on the other hand, contrast wisdom to be negatively related with depression, fear of death, perceived stress and experiences of negative emotion. The results from the study were examined by ecological validity of wisdom. Accordingly, a number of limitations and implications of the research were acknowledged.

The Rehabilitation of Gambling Addiction: Comparison with the other psychiatric disorder (도박중독의 재활: 타 정신장애와의 비교)

  • Heung-Pyo Lee;Tae-Woo Kim
    • Korean Journal of Culture and Social Issue
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    • v.16 no.3
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    • pp.241-265
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    • 2010
  • This study reviewed the present state and differences of rehabilitation programs of the gambling addiction by comparing with other psychiatric disorder(including psychotic disability and alcohol addiction). This study also intended to suggest necessities, meanings and inherent fields of the rehabilitation in gambling addiction. First of all, the government and a few gambling industries run clinic centers for gamblers and their families, but have been lacked rehabilitation services for social comeback and adaptation or devaluated rehabilitation services than therapies. Gambling addict didn't have impairments of the cognitive function and their daily abilities was better than any other psychiatric disorders. But Damage of social role or function of gambling addiction was severe. And it is caused by nonadaptive nature of gambling behavior, personality/emotional change through gambling addiction process, and previous personality problem etc. There are many severe failure of social role and its attendant bankrupcy, family's problems and social poverty in gambling addiction, Therefore, important fields in the rehabilitation of gambling addiction should be services for basic social comeback support service, credit recovery support, monetary management, support of rehabilitation of family and vocational rehabilitation. Finally, the significance and critical points of the current study has been discussed as well.

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