• Title/Summary/Keyword: behavioral counseling

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Smoking Cessation Strategies Targeting Specific Populations

  • Chun, Eun Mi
    • Tuberculosis and Respiratory Diseases
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    • 제82권1호
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    • pp.1-5
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    • 2019
  • Quitting smoking helps smokers maintain their health and extend their lifespan by 10 or more years. Treatment strategies for smoking cessation should be tailored to individual smokers with special needs based on their specific circumstances. It is recommended that pregnant women adopt smoking cessation through counseling and behavioral interventions because the safety of medications has yet to be established. Counseling is the main strategy for smoking cessation in adolescents and nicotine replacement therapy can be used with caution in individuals with serious nicotine dependence. It is important for smokers with psychiatric diseases to quit smoking following accurate assessment of their depression status. Nicotine replacement therapy, varenicline, and bupropion can be used for smoking cessation in smokers with psychiatric disorders. The incidence of cardiovascular disease decreased according to the smoking status and the duration of smoking cessation. In smokers with chronic obstructive pulmonary disease (COPD) who used a combination of counseling and pharmacotherapy the quitting rate was more than twice as high as subjects who used behavioral interventions alone. Varenicline can be used as the most effective anti-smoking drug by most smokers including those with psychiatric disorders, cardiovascular disease, and COPD.

고위험 문제행동을 보이는 초등학생을 위한 구조화된 인지행동 중재 프로그램의 효과 검증 (An Verification of the Effect of Structured Cognitive Behavioral Intervention Program for Elementary School Students with High Risk Behavior)

  • 이아름;송원영
    • 한국융합학회논문지
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    • 제9권1호
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    • pp.241-251
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    • 2018
  • 본 연구는 지역사회와의 융합을 위해 학교를 기반으로 고위험 문제행동을 보이는 초등학생을 대상으로 실시한 구조화된 인지행동 중재 프로그램의 효과에 관한 예비연구이다. 개발한 프로그램은 준전문가를 통해 실시하여 효과를 검증하였다. 고위험군 선별을 위해 도농복합지역의 한 초등학교 3학년 전체 102명을 대상으로 한국판 아동행동평가척도(K-CBCL)를 실시하였고 문제행동증후군 척도의 T점수가 60점 이상인 고위험군 학생 32명을 선정하여 개입집단과 대조집단으로 나누었다. 인지행동치료를 기반으로 9회기의 구조화된 집단 프로그램을 개발하였고, 심리상담 전공의 대학원생 및 대학생이 전문가의 지도를 받아 개입집단에게 프로그램을 실시하였다. 개입 후 내재화 집단은 내재화 문제, 불안 및 우울증상이 유의하게 감소되었으며 외현화 집단은 외현화 문제, 공격행동에 유의미한 감소를 보였지만, 혼합형 집단에서는 유의미한 변화가 관찰되지 않았다. 질적인 분석을 통해 점수의 의미를 추가적으로 살펴보았다. 결과에 대한 시사점과 연구의 제한점 그리고 후속연구에 대해 제언하였다.

비행성향 청소년의 우울 및 공격성 감소를 위한 인지행동집단상담 프로그램 개발과 효과 (The Effects of Cognitive-Behavioral Group Counseling Program for Depression and Aggressiveness in Adolescents with Delinquent Propensity)

  • 김정민;박준희;한경은
    • 가정과삶의질연구
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    • 제25권4호
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    • pp.31-41
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    • 2007
  • This study aimed to develop a cognitive-behavioral group counseling program for depression and aggressiveness in adolescents with delinquent propensity and to examine its efficacy through pre- and post-tests. The program included cognitive restructuring, exposure training, social skills training and relaxation training. Juvenile Delinquency Scale, BDI, K-YSR, and BDHI were administered to 520 3rd grade middle-school female students to assess their levels of delinquency, depression and aggressiveness. Initially 41 students who met all the following criteria were selected: 1) top 15% scores on Juvenile Delinquency Scale, 2) top 30% scores on BDI, K-YSR and BDHI respectively. Individuals currently receiving clinical treatment were excluded. Finally 39 students were selected and randomly assigned to either a treatment group(n=20) or a control group(n=19). Then the students in the treatment group were divided into 4 subgroups. The program consisted of 12 weekly sessions, approximately $1.5{\sim}2$ hours in duration. Pre- and post-tests administered to both groups included Juvenile Delinquency Scale, BDI, K-YSR, BDHI, and CLAB. Additionally, MESSY for teachers was added at pre- and post-tests. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) The students in the treatment group showed a significant reduction in the level of depression and aggressiveness in comparison with those in the control group. 2) Teachers reported a significant reduction in internalizing/externalizing behaviors of the students in the treatment group.

어머니의 아동기 애착, 정서, 양육행동과 아동의 문제행동의 경로모형 분석 (Path Model Analysis of the Maternal Childhood Attachment, Emotions, Parenting Behaviors and Children's Behavioral Problems)

  • 곽소현;김순옥
    • 가정과삶의질연구
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    • 제24권6호
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    • pp.95-116
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    • 2006
  • The purpose of this study was to validate a hypothetical path model of maternal childhood attachment, emotions, parenting behaviors, and child behavioral problems. The research was conducted with 240 sets or mothers and their children 70 mother-child teams from seven counseling organizations including the Children's Counseling Clinic, Community Social Welfare Service Center, and Welfare Service Center for the Disabled in Seoul, Incheon, and Pyeongtaek, and 170 elementary school children from Seoul and their mothers. Consequently, a total of 200 mother-child teams were selected for this study. The data in this study were analyzed with SPSS 12.0 program and LISREL 8.3 program. The result of this study is as follows: (1) Examining the path of paternal attachment and the internalizing and externalizing behavioral problems, it was noted that paternal attachment had the indirect effect of anxiety and over-protection on the path to internalizing problems and the indirect effect of anxiety also noted is that there is a full-mediation of anxiety and over-protection between paternal attachment and the internalizing problems. (2) Examining the path of maternal attachment and the internalizing problems, it was noted that maternal attachment has direct effect on the internalizing problems. Maternal attachment has the indirect effect of self-esteem depression, anxiety and over-protection on the Path, and the indirect effect of self-esteem, anxiety and over-protection. (3) Examining the path of maternal attachment and the externalizing problems, it was noted that maternal attachment has direct effect on the externalizing problems and on the path to the externalizing problems, and maternal attachment has the indirect effect of depression, the indirect effect of self-esteem and authoritarian control, and the indirect effect of self-esteem and depression.

인지행동치료기법을 활용한 청소년의 우울 정서 측정 및 관리 어플리케이션 설계 및 구현 (Design and Implementation of Smartphone Application for Measurement and Management of Depressive Emotion in Adolescents Using Cognitive Behavioral Therapy)

  • 유정선;이경선;권정아
    • 디지털콘텐츠학회 논문지
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    • 제18권3호
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    • pp.443-455
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    • 2017
  • 본 연구는 청소년 우울증 측정 및 관리를 위한 스마트폰 어플리케이션 콘텐츠 개발(박정선 외, 2016) 연구의 후속 연구로, 인지행동치료이론에 기반하여 스마트폰 어플리케이션을 설계하고 구현했다. 이 앱은 우울증에 대한 분석과 간편하고 연속적인 자기점검을 가능하게 하며, 이를 통해 우울의 단발적 분석 및 진단이 위주였던 이전 앱과 달리 심리 상태의 지속적 관리가 가능하도록 하였다. 더불어 실질적인 상담 서비스가 연계되도록 하였다. 이러한 목표를 달성하기 위해 청소년 우울증에 대한 선행연구 뿐만 아니라, 우울증 관련 모바일 어플리케이션을 조사하였다.

사이버 집단상담이 인터넷 중독 아동의 우울증에 미치는 효과 (The Effect of Cyber Group Counseling on the Depression of Internet Addiction Children)

  • 한은수
    • 초등상담연구
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    • 제4권1호
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    • pp.191-214
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    • 2005
  • This study aimed to examine the effect of Cyber Group Counseling on the depression of internet addiction children in elementary school. In this study, the following questions were posed: How effective is the Cyber Group Counseling on the depression of internet addiction children? In this study, subjects were 24 students who got 14 points over in KAIS and got 11 points over in CDI among 245 of 5th, 6th grade students in Daegu and Chongdo Kyungbuk who did Internet addiction scale for Korean Adolescent(KAIS) and Children's Depression Inventory(CDI). They were divided into experimental group and comparative group. Subjects in experimental group practiced Cyber Group Counseling for 12 sessions(60 minutes per session) for 6 weeks. But the control group had no treatment during the period. During the experiment, 2 of each groups were left out. The counseling schedule and hor· to join the Cyber Group Counseling clinic were notified by e-mail. The Cyber Group Counseling was on every Monday and Thursday. The Cyber Group Counseling progressed by internet chatting, bulletin board, e-mail and a slip paper counsel. The collected data were analyzed with SPSS/PC+ (statistical package for the social science/personal computer) program and t -test. The findings of this study were as follows: First, the depression of internet addiction children who joined in Cyber Group Counseling was significantly reduced than the others. So, Cyber Group Counseling was proved one of the useful psychotherapy approach. Second, the subordinate of depression including behavioral disturbance and anhedonia was significantly reduced. Third, the subordinate of depression including the dysphoric mood, the self-deprecation and physiological symptoms was reduced. But it was not statistically significant.

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발달·행동·정서장애 아동이 놀이표현에서 보이는 관계 요소의 임상적 프로파일 (Clinical Profiles of Relationships in the Play Expression of Children by Developmental, Behavioral, and Emotional Disorders)

  • 황미영;김영희
    • 아동학회지
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    • 제29권5호
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    • pp.197-214
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    • 2008
  • The purpose of this study was to investigate clinical characteristics and the attribution of children having play therapy by developmental, behavioral, and emotional disorders. Subjects of this study were 118 3- to 9-year-old children randomly selected from children who were receiving or who already finished play therapy at one of the child and family counseling centers in Cheong-Ju City. Results showed that children with developmental disorders had lower levels of relationship during play, and their relationships were more disorganized or separated than children with emotional or with behavioral disorders. This study has significance by providing psychological information on play characteristics of children by type of disorder.

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실직자의 심리적 특성과 자녀의 부정적 정서 및 행동 변화 (The Psychological Characteristics of the Unemployed, and the Negative Emotions and Behavioral Changes in Their Children)

  • 천희영
    • 대한가정학회지
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    • 제38권7호
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    • pp.103-116
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    • 2000
  • The purpose of this study was to find out the psychological characteristics of the unemployed, and their children's negative emotions and behavioral changes in the context of the increasing family dysfunction caused by the IMF economic crisis. The subjects were 184 public labor workers in Busan. They answered the questions about the psychological characteristics of themselves and their children, and their children's behavioral changes. Frequency analysis, $\chi$$^2$ test and logistic regression were used for data analyses. The results were as follows. The unemployed showed high levels of negative emotions and perceived their social supports as low. As well, they interpreted their quality of life as poor. They perceived their economic difficulty as high and the perception was influenced by negative emotions as well as the economic situation. Children of the unemployed showed middle levels of negative emotions, and positive and negative behavioral changes. These changes were influenced by their parent's psychological characteristics. In light of these results, psychological counseling services from social welfare centers are needed to be more actively supporting the families of the unemployed.

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보육현장 아동학대에 대한 근거기반 맞춤형 개입 모델 개발 및 적용: 다학제간 협력적 연계 시스템을 중심으로 (The Application of Customized Evidence-based Counseling for Abused Preschool Children in Day Care Centers: Focusing on the Multidisciplinary Cooperative Linking System)

  • 이경숙;박진아
    • 한국보육지원학회지
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    • 제16권1호
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    • pp.1-20
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    • 2020
  • Objective: The purpose of this study was to explore the application of the multidisciplinary model, which is customized evidence-based counseling for abused preschool children done by a day care center teacher. Methods: The participants were 16 preschool children which were abused by a day care center teacher and their parents. The data were analyzed by using the Wilcoxon Signed-rank test. Results: The multidisciplinary cooperative service model based on customized evidence-based counseling for abused preschool children, their parents, and day care center teachers was developed. Based on this model, customized evidence-based Post-Traumatic Stress Disorder (PTSD) emergency intervention was provided to preschool children abused by a day care teacher in Incheon. The multidisciplinary cooperative emergency intervention service proved to be effective in reducing emotional and behavioral problems of abused preschool children and enhancing the mental health of parents. Conclusion/Implications: The results of this study indicated that the customized evidence-based counseling for abused preschool children done by a day care center teacher using the multidisciplinary cooperative linkage system would be effective, and that child abuse prevention by day care center teachers and intervention services should be provided systematically at the national level.

Changes of Behavioral and Physiological Responses Caused by Color Temperature

  • Lee, Young-Chang;Min, Yoon-Ki;Min, Byung-Chan;Kim, Boseong
    • 감성과학
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    • 제18권2호
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    • pp.37-44
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    • 2015
  • LED lighting has an advantage of adjusting color temperature. This change of color temperature may derive change in behavioral and physiological responses of the visual perception for indoor environments. This research examined the changes of behavioral and physiological responses caused by the color temperature. The environment was configured that the indoor temperature was 20 degrees centigrade or less as the perceived uncomfortable environment in winter. Then, the comfortable sensation vote (CSV) and the results of 3-back working memory test were measured as behavioral responses. In addition, the Electrodermal Activity (EDA) and Electrocardiogram (ECG) were measured as the responses of autonomics nervous system (ANS) in the three conditions of color temperature (red: 3862K, white: 5052K, blue: 11,460K). As a result, behavioral responses were not significant by the condition of color temperature, but the tendency of occupants' physiological relaxation appeared in the blue color temperature condition compared with the white color temperature condition. Although the color temperature of LED lighting might be a small factor in terms of the characteristics of indoor environment, it suggests that the color temperature could have an impact on the physiological changes in the parasympathetic nervous system.