• 제목/요약/키워드: Rehabilitation psychology

검색결과 96건 처리시간 0.024초

한의학 병리적 노화 척도와 치매 한의학적 변증진단 개발 및 신뢰도 평가 (Preliminary Study to Develop the Korean Medical Pathologic Aging Scale and Korean Medical Pattern Identification for Dementia)

  • 이고은;문광수;김남권;정선용;정인철;강형원
    • 대한한의학회지
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    • 제38권3호
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    • pp.111-123
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    • 2017
  • Objectives: To develop and investigate the reliability of the pathologic aging scale based on korean medical theory and korean medical pattern identification for dementia. Methods: We searched the textbook of korean neurophychiatry and Donguibogam and selected items through professional consensus. We compared between dementia(n=40) and normal elderly(n=38) and tested the reliability of two scales. Results: After professional consensus, we drafted the Korean Medical Pathologic Aging Scale(12 items, Likert 3 scale) and Korean Medical Pattern Identification for Dementia(4 patterns, 28 items, Likert 5 scale). On Korean Medical Pathologic Aging Scale, There is no significant difference between two groups. We had good internal consistency(Cronbach's alpha = 0.6) and test-retest reliability(r=0.631) but low inter-rater reliability(r=0.430). On Korean Medical Pattern Identification for Dementia, dementia patients diagnosed with Qi deficiency are significantly more than those in normal group. We had fairly good internal consistency(Cronbach's alpha = 0.574) and excellent test-retest(kappa= .800) and inter-rater reliability(kappa = .733). Conclusions: Korean Medical Pattern Identification for Dementia is appropriate for diagnosing korean medical pattern. But Korean Medical Pathologic Aging Scale isn't appropriate to discriminate dementia from normal elderly because of many subjective items. Therefore objective measurement of sensory dysfunction would be needed to measure pathologic aging based on korean medical theory.

감정표현 표정의 영상분석에 의한 인지동작치료가 정서·행동장애아 감성재활에 미치는 영향 (The Effect of Cognitive Movement Therapy on Emotional Rehabilitation for Children with Affective and Behavioral Disorder Using Emotional Expression and Facial Image Analysis)

  • 변인경;이재호
    • 한국콘텐츠학회논문지
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    • 제16권12호
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    • pp.327-345
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    • 2016
  • 본 연구는 인간발달 과정을 신경과학, 심리학, 운동학습, 근육 생리학 등의 행동과학 자료와 생체역학, 인체운동 분석, 운동조절 기반의 인지 동작치료 프로그램을 정서 행동장애 아동들에게 실시하여 표정에 따른 얼굴 움직임이 감정과 정서변화에 따라 어떤 특성을 갖는지를 표정 움직임의 변화로 정량화 하고자 하였다. 본 연구에서는 영상측정 및 키네마틱 분석의 정서 행동장애 아동의 표정변화를 중재 프로그램 피드백 자료로 활용하였고, 표정 변화를 통해 인지동작 치료프로그램 효과를 알 수 있었다. 또한 정서 및 행동치료의 영상분석과 키네마틱 분석의 정량적 데이터를 통하여 인간발달에 대한 융 복합적 측정 및 분석법을 적용하여 발달장애의 조기발견과 치료과정에 따른 데이터를 축적하는 것도 기대할 수 있었다. 따라서 본 연구의 결과는 아동뿐만이 아니라 자기표현이 부족한 장애와 노인, 환자에게도 확대 적용할 수 있을 것이다.

지역아동센터 이용 아동과 주 양육자의 지역사회 환경에 대한 인식이 아동의 신체활동에 미치는 영향 (Effect of Perceptions of Local Neighborhood Environments on the Physical Activity of Children from Low-income Families Using Community Child Care Centers)

  • 박지영;김완수;김수빈;류수락;전희정
    • 한국보건간호학회지
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    • 제32권3호
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    • pp.363-375
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    • 2018
  • Purpose: The aim of this study was to identify the influence of children's and caregivers' perceptions of local neighborhood environments on children's physical activities (PAs) and screen-based activities (SBAs) among low-income families. Methods: Secondary data analysis was performed using the data of 171 low-income children attending community child care centers and of their caregivers. Descriptive analysis, factor analysis and logistic regression analysis were employed to analyze data. Results: PAs were insufficient and SBAs were excessive in the majority of children. Children and primary caregivers had moderately negative perceptions of their local neighborhood environments. However these perceptions were not found to affect children's PAs or SBAs significantly. Conclusion: Although perceptions of local neighborhoods were not found to significantly influence children's PAs or SBAs, efforts are needed to make community child care centers and neighborhoods safer and more activity-friendly.

Correlation with Psychosocial, Workplace Coping Skills, Pain, and Degree of Disability of Office Workers with Non-Specific Chronic Neck Pain

  • Ki-young Moon;Won-Jun Choi;Sangjun Son;Seyeon Jung;Sijin Lee;Doochul Shin
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.565-570
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    • 2022
  • Objective: The purpose of this study was to investigate the correlation between activity of daily living and social psychology and work mind of office workers with non-specific chronic neck pain (NSCNP). Design: Crossed-sectional study Methods: 86 patients with NSCNP were recruited for this study. Neck disability index (NDI) and Numerical pain rating scale (NPRS) were used to check the pain intensity and disability of patients with neck pain. To find out the occupational factors of the subjects, the Korean version of Latack Coping Scale was used. And,To find out the socio-psychological factors of the subjects, the Korean version of depression anxiety stress scale (DASS-21) was used. We performed correlation for each variable. Results: The correlation between NPRS and NDI and DASS-21 Scale were clear positive correlation (p<0.05). There was no statistical significance between the LATACK control group and the pain and disability index (p>0.05). A clear positive correlation was established between the avoidance group of LATACK and pain (p<0.01). Conclusions: Through this study, it is necessary to have time to manage depression, anxiety, and stress in the treatment of neck pain in office workers who spend a lot of time sitting. In addition, it is thought that there should be the ability to control oneself about one's duties in the workplace.

일부 지역 노인 족부 건강 문제와 영향 요인 (Geriatric Foot Problems and Related Factors in Two Provinces of Korea)

  • 김신미;안재홍;최숙희;이윤정
    • 대한간호학회지
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    • 제40권2호
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    • pp.161-171
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    • 2010
  • Purpose: The purpose of the study was to identify the prevalence, risk factors and clinical meanings of geriatric foot problems and to suggest implications for the future. Methods: One hundred eighty nine elderly aged 60 and over from institution as well as community were investigated for their foot conditions by means of a questionnaire including general characteristics, self care capacity, risk factors, foot problem checklist, X-ray, podoscopy and foot scan. Descriptive statistics and $\chi^2$-test was performed as appropriate utilizing SPSS version 14. Less than .05 of p-value was adopted as statistical significance level. Results: All subjects had at least one kind of foot problem and the most prevalent ones were nail problems, foot deformities in order. Prevalence of foot pain and edema was relatively low. Conclusion: Foot problem in elderly is prevalent and geriatric foot is expected to emerge as one of the most important problems in the geriatric field. Therefore strategies to deal with geriatric foot should be developed and practiced for better quality of life in later life.

감각처리 장애에 대한 신경생리학적 증거들 (Neurophysiological Evidence for Sensory Processing Disorder)

  • 김은영
    • 재활치료과학
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    • 제1권1호
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    • pp.5-16
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    • 2012
  • 감각통합은 이론에서 출발하여 현재 치료사들이 아동의 문제를 찾고 중재하는데 유용한 틀을 제공한다. 이전까지 대부분의 감각통합 연구들은 감각처리 장애아동들이 나타내는 행동을 측정하는 경험적 증거들을 보고하였다. 최근에 감각처리 장애 진단에 대한 객관적 증거 마련을 위해서 신경생리학적 연구 결과가 축적되기 시작하였다. 감각처리 장애에 대한 신경생리학적 근거를 찾는 연구들은 전기피부 활동, 미주신경 톤, 뇌파를 사용하여 감각처리 장애아동과 전형적으로 발달하는 또래 아동들 간 신경생리학적 반응이 다르다는 결과를 보고하였을 뿐만 아니라 감각처리 어려움과 관련한 행동 특징이 신경생리학적 지표에서도 반영됨을 발견하였다. 앞으로 연구에서는 감각통합 치료 효과를 지지하는 신경생리학적 증거도 얻을 수 있을 것이라 기대해 본다.

편측 뇌손상 환자에서 동측 상지의 근위부 및 원위부의 운동 결함에 관한 분석 (Ipsilesional Movement Deficit of Proximal & Distal Upper Extremity in Patients With Unilateral Brain Damage)

  • 권용현;최진호;신화경;배대석
    • 한국전문물리치료학회지
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    • 제12권1호
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    • pp.71-79
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    • 2005
  • The purpose of this study was to analyze the presence of ipsilesional movement deficit, with segmental performance in each proximal or distal upper extremity. The visuoperceptual complex task of the ipsilesional upper extremity was investigated in patients with unilateral brain damage and a control group of healthy sex-age-matched controls. Tracking movements were tested in the proximal and distal upper extremities. Movements were measured by the accuracy index, which was normalized to each subject's own range of motion and took into account any differences between subjects in the excursion of the tracking target. The findings revealed that stroke patients experienced difficulties with tracking movement of both proximal and distal segments in the upper extremities on the so-called "non-affected side", irrespectively of the extent of patient's age, time since onset, or severity of contralateral upper extremity. Therefore, the unilateral brain damage affected ipsilateral motor function of the proximal and distal upper limbs in the performance of complex motor tasks, requiring central processing and the higher order cognitive function in the integrity of both hemispheres.

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Depression in family caregivers of elderly people with dementia

  • LVAREZ, Yanelys Taset A;TORNES, Alisa Natividad Delgado;LEON, Diurkis Yarenis Madrigal
    • 식품보건융합연구
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    • 제6권3호
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    • pp.31-41
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    • 2020
  • The caregivers of elderly people with dementia suffer an affectation in the psychological and social order due to the low probability of total rehabilitation of the elderly and the progressive course of this pathology. In the municipality of Guisa, Granma Province there is a health problem regarding this problem since family caregivers of the elderly with dementia constantly go to the Psychology and Psychiatry consultations, in search of specialized help because they report feeling depressed. For this reason, this research was carried out with the objective of determining the main manifestations of depression in these caregivers. The results emanating from the triangulation of methods (scientific observation) and techniques (questionnaire, interviews and inventory Beck), employees at three stages of work where it was found that the main manifestations of depression of these caregivers are: poss of interest or the ability to enjoy activities that were previously pleasurable, loss of emotional reactivity to pleasant environmental events and circumstances, sleep disturbances, marked loss of appetite, weight loss, irritability, muscular tension, feelings of sadness unmotivated that produces discomfort and sufferings, ansiety, entities of handicap, blame, loss of self-confidence and feelings of inferiority, gloomy perspective of the future.

작업기억 부하가 단어빈도에 미치는 효과 (The Effects of Working Memory Load on Word Frequency)

  • 이창환;오지향;편성범;임희석
    • 한국산학기술학회논문지
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    • 제10권3호
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    • pp.567-571
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    • 2009
  • 본 연구는 단어 재인에서 작업 기억의 역할을 규명하기 위하여 진행되었다. 단어 재인에서의 작업 기억 역할 규명을 위하여 단어 빈도와 직업 기억 부담을 조절한 명명 과제 실험을 실시하였다. 실험 결과 단어 빈도는 작업 기억 부담에 영향을 받는 것으로 분석되었다. 작업 기억의 부담은 고빈도 단어 재인에서보다 저빈도 단어 재인에서 더 높은 영향을 미쳤다. 이러한 결과는 작업 기억이 저빈도 단어 재인에서 더 많은 영향을 갖음을 시사하는 것이다.

Anterior Cingulate Cortex and Amygdala Dysfunction Among Patients with Alcohol Dependency During Exposure to Negative Emotional Stimuli

  • Park, Mi-Sook
    • 감성과학
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    • 제21권4호
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    • pp.103-112
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    • 2018
  • This study aimed to identify specific psychological and brain activation responses relating to the processing of negative emotions in patients with alcohol dependency. The authors hypothesized that patients with alcohol dependency would demonstrate the abnormal functioning of brain regions involved in negative emotions. Eleven male patients diagnosed with alcohol dependence in an inpatient alcohol treatment facility and 13 social drinkers with similar demographics were scanned using functional magnetic resonance imaging (fMRI) as they viewed film clips that evoked negative emotions. During exposure to negative emotional stimuli, the control group evinced significantly greater activity in the right anterior cingulate cortex (ACC) in comparison to patients with alcohol dependency. Correlation analyses demonstrated a negative association in the relationship between beta values from the right ACC and amygdala in participants classified in the control group. No statistically significant relationship was observed for blood oxygenation level-dependent (BOLD) changes between the two regions in the patient group during the elicitation of negative emotions. On the other hand, patients exhibited a greater activation of the amygdala as negative emotions were induced. These results suggest that alcoholism presents pathophysiology of brain activation that is distinct from the responses of healthy individuals functioning as controls.