• Journal of Korean Medicine for Obesity Research
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• v.20 no.2
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• pp.178-192
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• 2020

Objectives: The present study aimed to compare the impacts of cognitive behavioral therapy (CBT) and behavioral treatment (BT) on weight loss and psychological outcomes among patients with three different subtypes of obesity: simple obesity, obesity with binge eating disorder, and obesity with depression. Methods: Embase, PubMed, the Cochrane Central Register of Controlled Trials, Research Information Sharing Service, and Korean Studies Information Service System were systematically searched for randomized controlled trials conducted on or before May 2020, that used CBT to treat obesity. Methodological quality was assessed using Cochrane's risk of bias tool 2 and publication bias was evaluated through the funnel plot using the trim and fill method, Egger's test, and Begg and Mazumdar rank correlation test. A meta-analysis was conducted using a random-effects model and the standardized mean difference with 95% confidence interval (CI) was used to determine effect size. Results: Twenty-one randomized controlled trials with a total of 22 intervention arms and 2,590 patients were included. Our study results revealed that the effects of CBT, compared with BT, on weight loss distinctly differed across all patient subgroups. In the simple obesity group, CBT was more effective than BT (Hedges' g=0.138, CI=0.012~0.264); however, in the obesity with binge eating disorder group, BT was more effective than CBT (Hedges' g=-0.228, CI=-0.418~-0.038); in the obesity with depression group, the effect of CBT was not statistically different from that of BT (Hedges' g=0.276, CI=-0.307~0.859). Further studies with larger sample sizes are required to confirm the outcomes observed in this study. Conclusions: Our results indicated that the effects of CBT on obesity treatment vary based on patient subtype. Therefore, our findings suggest that CBT or BT should be selectively recommended as a treatment strategy for different obesity subtypes.

• 한국노년학
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• v.28 no.4
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• pp.1165-1178
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• 2008

The objectives of this study are developing the new types of elderly abuse and finding the variables affecting the new elderly abuse type. And This is at suggesting the intervention strategies preventing the elderly abuse. The 350 cases of elderly abuse reported in Elder Protection Agency was analysed. Data is analyzed by using statistical techniques including cluster analysis and logit-regression. New type of elderly abuse is "violent elderly abuse" and "avoiding elderly abuse". Violent elderly abuse is very connected with directly violence speech and behavior and avoiding elderly abuse is connected with neglect and abandonment, self-neglect. The elderly's instrumental activity of daily living and education, the offender's sex and education and living together type of the elderly - the offender, and the offender's care burden are the casual factors of the new type of elderly abuse. Based on the results, the various service programmes for the abused elderly is developed and implemented.

• Therapeutic Science for Rehabilitation
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• v.10 no.3
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• pp.23-41
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• 2021

Objective : The purpose of this study was to analyze the effects of simultaneous dual-task training to assess executive function in older adults. Methods : We searched the PubMed, EMBASE, Cochrane, Web of Science, and RISS databases of publicated studies in the past decade. Seven studies were selected based on the inclusion and exclusion criteria. Qualitative assessment and meta-analysis were performed for the seven studies. Results : A randomized controlled trial design was used in the selected studies, and PEDro Scores above seven were obtained. The Trial Making Test (TMT) evaluated the effects of dual-task training on executive function in four studies. The Color Trail Test (CTT) was used in two studies, and Stroop test was used in three studies. The effect size for total executive function was 0.38, which was small. The effect sizes for TMT and CTT were 0.37. Stroop Test was 0.34, demonstrating that their effect sizes were also small. Only significant effects in total executive function, TMT, and CTT showed significant effects (all p<0.05). Conclusion : This study confirmed that dual-task training was effective in improving executive function in older adults. To improve the effectiveness of dual-task training, the difficulty of the dual-task training should be considered. It is also necessary to implement assessments that can evaluate performance under dual-task conditions as well as conventional test tools for executive function. In the future, dual-task training could be used as an appropriate intervention for executive function in older adults to delay the onset of dementia.

• Journal of Music and Human Behavior
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• v.19 no.1
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• pp.93-112
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• 2022

The purpose of this study was to compare participants' perceived emotion following harmonic changes in music. In this study, 144 participants, aged 19 to 29 years, listened to music online that included low to high harmonic progression in tonal music (major-minor). After listening to each piece of music, participants were asked to rate 4 items using a 7-point Likert scale: emotional potency, arousal, degree to which the harmony impacted the listener's emotions, and listener's preference for the music. There were significant differences between each of the four items upon the level of harmonic progression. When the participants were divided into two groups (i.e., those with a background in music and those with no background in music), there was a significant difference between the groups in terms of emotional potency, but there was no significant interaction effect. This study confirmed that various emotional responses in listeners can be induced by controlling the exogenous variables in musical excerpts. Based on this, it is expected that the harmonic progression level can be provided to the client to be used as an effective therapeutic tool in music therapy intervention.

• 한국노년학
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• v.40 no.2
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• pp.257-267
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• 2020

The purpose of this study is to identify the effectiveness of self-management programs and the measurement used for elderly people with chronic illness living in the community. Databases used for study search were Google Scholar, RISS, and Dbpia. And research questions were selected based on the PICO framework. We searched the study published from January 2010 to September 2019 and selected the final six studies by applying inclusion criteria and exclusion criteria. As a result, the selected study had qualitative level of Level 1-2. In general characteristics of the program, nurses conducted the most programs, and the program was operated for 50 elderly people or less. In addition, the program was conducted mainly in public health centers, senior centers. The subjects were the most studies for chronic patients with hypertension. The dependent variables of the program covered the cognitive domains in all the studies, and many of the studies measured the physical domains as the dependent variables. The results of this study provide the effectiveness of self-management intervention for the elderly with chronic diseases living in the community, and highlight the need for the development of programs for chronic diseases in the community. In addition, this study suggests measuring tools related to various cognitive, physical, mental, social and quality of life of the elderly, and suggests the necessity of multidisciplinary research.

• Journal of agricultural medicine and community health
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• v.47 no.4
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• pp.242-254
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• 2022

Purpose: This study was designed to test structural equation modeling of the quality of life of elderly diagnosed dementia living in the community in order to provide guidelines for development of intervention and strategies to improve their quality of life. Methods: The participants in the study were elderly who visited the public health center in C rural between May 30 and september 15, 2017. Data collection was carried out through one-on-one interviews. Demographic factors, knowledge, Attitude, Self-Efficacy, social support, accessibility, request for Information, health practice, depression, subjective memory complaints, dependence scale and quality of life were investigated. Results: The final analysis included 192 elderly. Fitness of the hypothesis model was appropriate(χ²=192.89, p=.000, GFI=0.90, SRMR=0.08, NNFI=0.94, CFI=0.95, PNFI=0.72, RMSEA=0.07). Depression, subjective memory complaints and dependence were found to be significant explaining varience in quality of life. Social support, dementia preventive behavior and health practice had an indirect effect on the quality of life. Conclusions: To improve the quality of life of elderly diagnosed dementia living in the community, comprehensive interventions are necessary to manage knowledge, attitude, self-efficacy, social support, health practice, depression, subjective memory complaints and dependence that can contribute to enchance the quality of life of elderly diagnosed dementia living in the community.

• Korean Journal of Culture and Social Issue
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• v.22 no.4
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• pp.567-593
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• 2016

This study examined longitudinal mediated effects of informal labeling on the relationship between adolescent abuse and academic achievement using autoregressive cross-lagged modeling. Data were obtained from the second, third, and fourth waves of the middle school student cohort (N=3,168) of the Korean Youth Panel Survey. The major longitudinal findings of this study are as follows: First, adolescent abuse was found to have a positive association with future informal labeling. Second, informal labeling was found to have a negative association with future academic achievement. Finally, the longitudinal relationship between adolescent abuse and academic achievement was partially mediated by informal labeling. Based on these results, this study suggests directions for adolescent abuse prevention. The need for education and prevention of informal labeling was discussed, as well as the direction of intervention programs for adolescents with experience of informal labeling. Furthermore, this study may provide empirical evidence for labeling theory and contribute to increasing awareness on the longitudinal influence of adolescent abuse and informal labeling.

• 한국노년학
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• v.27 no.2
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• pp.335-343
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• 2007

The purpose of this study was to identify the relationships among the perceived health status, activities of daily living, and depression for the elderly at home. The subjects of this study were 403 elderly over 60 years at home. The data were collected through personal interviews using structured questionnaires. The data were analyzed by descriptive statistics and Pearson correlation, using the SPSS 12.0 program. The results of this study were as follows. 1) It was seen that the degree of perceived health status is poor in 62.3%. 2) They could lead an independent daily living in 58.1%. 3) It was seen that contraction of depression was 43.8%. 4) There was a significant relationship among ADL and perceived health status, ADL and depression. However, there was no significant relationship among perceived health status and depression. Based upon above findings, this study give useful information for elderly health policy and intervention program.

• 한국노년학
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• v.39 no.1
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• pp.93-108
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• 2019

The purpose of this study is to examine the effect of absolute / relative poverty on the life satisfaction focusing on mediation effect of subjective social status by type of elderly residents. In order to analyze the distinct characteristics of the elderly, analysis was conducted with 3,327 the elderly living together and 668 the elderly living alone using 'Korean Longitudinal Study of Ageing(KLoSA)' from 3rd to 5th wave data provided by the Korea Employment Information Service. The main analysis results are as follows. First, each poverty rate for the elderly living together accounted for 43.5 percent and 51.4 percent, while 63.8 percent and 77.2 percent for the elderly living alone respectively. Second, life satisfaction was higher among the elderly living together than living alone, However, life satisfaction was not related to condition of poverty among the elderly living alone. Third, absolute / relative poverty were associated with life satisfaction of the elderly living together, and subjective social status had a mediating effect. However, relative poverty was not related to life satisfaction among the elderly living alone, which indicated that it needs to support not only the financial approach to overcome absolute poverty but also the multi-dimensional poverty perspective in the intervention of the elderly living alone Based on the results, the study suggested to make a tool to measure of poverty using multi-dimensional poverty indicators.

• 한국노년학
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• v.39 no.4
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• pp.941-958
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• 2019

The purpose of this study was to explore change trajectories patterns of Self-Rated Health in middle aged, to identify socioeconomic factors, self-esteem, family relationship factors, and to identify relevant predictors. For this purpose, the 2,418 middle aged, who married couples were extracted from the 2^nd to 12^st waves of Korea Welfare Panel Survey data. The data analysis included Latent Class Growth Analysis, multiple logistic regression. The change trajectories patterns of self-rated health in middle aged were classified into four types: (1) high state-retained type(46.3%), (2) low state-retained type(19.6%), (3) reduced type(17.5%), (4) increasing type(16.6%). Despite the control of chronic diseases that are closely related to health, when the low state-retained type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem and satisfaction of the family relationship had a more inadequate effect than the high state-retained type. Likewise, when the reduced type, which is a crisis group, was set as the reference group for the self-rated health, the economic participation, self-esteem, satisfaction of the family relationship, and family stress had a more effect than the increasing type. Based on the analysis results, this study suggest political and practical intervention to maintain the proper health, and the details are as follows.