• 초등상담연구
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• 제10권1호
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• pp.19-38
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• 2011

본 연구는 초등학생의 학업스트레스를 감소시키고 학업스트레스에 보다 효율적으로 대처할 수 있는 능력을 키우기 위한 인지행동적 학업스트레스 대처 프로그램을 개발하여 그 효과를 알아보는데 목적이 있다. 이러한 연구목적을 달성하기 위해 경상남도 소재 Y초등학교 24명의 아동을 각각 훈련집단과 통제집단에 12명씩 임의 배정하여, 매회 40분씩 주 2회, 6주간에 걸쳐 총 12회기로 구성된 프로그램을 실시하였으며 프로그램 실시 전후와 종료 4주 후에 학업스트레스 질문지와 학업스트레스 대처방식 질문지를 실시하여 프로그램의 효과를 평가하였다. 본 연구에서 사용한 프로그램은 먼저 학업스트레스 유발상황 조사지를 제작하여 초등학생들이 흔히 경험하는 학업과 관련된 스트레스상황을 조사하고, 그러한 상황에서 아동들이 경험하는 스트레스를 인식하도록 도와주어 학업스트레스 유발상황에서 나타나는 인지적 왜곡을 수정하여 학업스트레스에 적절하게 대처하는 방법에 초점을 두고 구성하였다. 또한 국가 청소년 위원회에서 위기청소년을 위해 개발한 인지행동 집단상담 프로그램과 학업스트레스를 조절하는데 사용된 기존의 프로그램들을 초등학생에게 적용 가능한 형태로 수정하였다. 본 연구의 결과 인지행동적 학업스트레스 대처훈련은 첫째, 아동들이 학업스트레스 유발상황에서 경험하는 성적, 수업과 공부 및 과제관련 스트레스를 감소시키고 그 효과를 지속시키는 것으로 나타났다. 둘째, 학업스트레스에 대한 대처방식을 유의미하게 변화시키는 것으로 나타났다. 대처방식 중 소극적-회피적 대처와 도움추구적 대처는 유의미하게 변화시키는 것으로 나타났으나 적극적 대처에 미치는 효과는 다소 제한적인 것으로 나타났다.

• 대한불안의학회지
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• 제12권1호
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• pp.47-55
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• 2016

30% of patients with panic disorder (PD) show treatment-resistant and chronic waxing and waning course. Therefore, adequate treatment strategies for PD by evidence based pharmacotherapy and combined cognitive behavioral therapy (CBT) are recommended. Regarding how and why CBT for PD works, three hypotheses include the cognitive theory, anxiety control theory, and behavioral theory were discussed. The recent findings that the altered activation in frontal lobe is normalized after CBT, suggest a reduction of an altered top-down fear processing in the neural correlates of CBT in PD. In order to improve accessibility to CBT, brief CBT and internet based CBT for PD were suggested. Despite limitations of sample sizes and study design, most of studies suggest that brief CBT is more effective than control conditions, and even as equally effective as standard CBT. The evidences suggest that internet based CBT may not be significantly different from face-to-face CBT in reducing anxiety. Several advances within the field of third-wave CBT for PD have led to the development of new techniques based on mindfulness, such as mindfulness-based cognitive therapy and acceptance and commitment therapy. Based on Korean algorithm project for panic disorder, especially the psychological education and cognitive reconstruction components were recommended in CBT with PD.

• 한국경영과학회지
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• 제26권2호
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• pp.85-97
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• 2001

Online games have become the focus of entertainment and multimedia industries as the developments in computer technologies are accelerated and the use of the Internet diffuses broadly. In spite of such growth of online games, academic discussions regarding online games are relatively limited. This research examines several factors that affect player loyalty to online games. In this research, the loyalty is classified into two categories, the behavioral loyalty measured by the intensity, volume, and frequency of use, and the cognitive loyalty measured by the degree of immersion in online games. In this research, an integrated model to explain and predict player loyalty to online games in proposed. Two studies are conducted to test to research model. Throughout analyzing 334 respondents, the first study finds that the impulsive personality of individual players significantly affects both behavioral loyalty and cognitive loyalty. Additionally, it finds that, whereas the behavioral loyalty is influenced by the convenience of online game playing, the cognitive loyalty is influenced by the motive of game playing and the playfulness of games. The second study finds that the behavioral loyalty differs across demographic differences of players (age and occupation), preferred online games of players, and online game playing locations, but the cognitive loyalty differs across only age differences of players. This research has opened a forum for social awareness about the online game culture, provided information to guide online game producers to prepare customer-oriented online games, and created a foundation for academic research on online game industry.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제19권3호
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• pp.182-189
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• 2008

Objectives: This study aimed to evaluate preliminarily the clinical effects of cognitive-behavioral treatment in children with anxiety disorders. Methods: Subjects were 11 children between 2nd and 6th grade with anxiety disorder. All subjects were diagnosed through Kiddie-Schedule for Affective Disorder and Schizophrenia Present and Lifetime Version (K-SADS-PL) interview. The CBT program consisted of sessions once a week (60min/session) for 14 weeks with parent education. Results: Children and parents reported significantly improved social skills, social competence and decreased anxiety. However, there were no significant changes in children's negative thoughts and subjective depressive symptoms. Conclusion: Cognitive-behavioral treatment is expected to be effective in children with anxiety disorders such as generalized anxiety disorder, phobia, separation anxiety disorder, and obsessive-compulsive disorder.

• 동의신경정신과학회지
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• 제15권2호
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• pp.191-201
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• 2004

The purpose of this study was to evaluate the effects and limitations of cognitive & behavioral therapy that applied to the social phobia. In this case, a female patient, 25 old, who had been treated distantly by her friends, was trained to catch her dysfunctional belief and maladaptive automatic thoughts. In this training, we used homework and counselling for 2months. And we diagnosed her state as SimDamHeoGup(心膽虛怯), so we used acupuncture treatment and herbs, for example HaChulBoShimTang(夏朮補心湯) and GuiBiWonDamTang(歸脾溫膽湯). In result, she could recover social relationship slowly. Conclusionally, cognitive & behavioral therapy can be very effective methods to treat social phobia, because patients with social phobia have maladaptive automatic thoughts, based on dysfunctional beliefs like 'I'm infelicitous' or 'I'm ineffective'.

• 대한간호학회지
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• 제46권3호
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• pp.349-363
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• 2016

Purpose: This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness. Methods: The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group =32, control group =32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using ${\chi}^2-test$, t-test, repeated measures ANOVA with the SPSS program. Results: Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group. Conclusion: Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

• 초등상담연구
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• 제4권1호
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• pp.167-190
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• 2005

The purpose of this study was to develop the cognitive behavioral group counseling program to relieve elementary children of speech anxiety and to examine its effects. The program was developed on the basis of the cognitive, affective, and behavioral activities. The cognitive activities were based on the REBT procedures, and affective activities included making child's nickname, finding out his own strengths and exchanging positive feedback each other and behavioral activities included training assertiveness, coaching and practicing speech behavior etc, Subjects were 14 elementary children from M elementary school in Gwangju. They had the highest scores at the speech anxiety test which was administrated to all the sixth graders of M elementary school. Seven subjects were randomly allocated to experimental group and control group respectively. Two speech anxiety tests and one speech behavior checklist were administrated as pre- and post-tests. The collected data was analyzed by ANCOVA. Research results demonstrated that the experimental group showed statistically significant changes in the scores of the speech anxiety test and the speech behavior checklist comparing with the control group. Then it was accepted that the program which was developed in this study could make effects on the reduction of elementary children's speech anxiety.

• 정신간호학회지
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• 제27권4호
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• pp.342-354
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• 2018

Purpose: The purposes of this study were to develop an acceptance commitment-based cognitive behavioral program for patients with schizophrenia and to use it as an intervention tool for psychiatric mental health nursing and thereby confirm the program's effects on patients' psychological flexibility, psychological well-being, and treatment adherence including insight and attitude toward treatment. Methods: This study consisted of a pretest, posttest 1, and posttest 2 for a nonequivalent control group design. The participants were 42 patients with schizophrenia (experimental group: 21, control group: 21). The acceptance commitment-based cognitive behavioral program was conducted in 10 sessions for 5 weeks. Data collected from February to April 2018 were analyzed using the SPSS/WIN 25.0 for $x^2$ test, Fisher's exact test, independent t-test, and repeated measurement ANOVA. Results: The differences between experimental and control groups were statistically significant regarding psychological flexibility, psychological well-being, and insight. Conclusion: This study findings suggest that the acceptance commitment-based cognitive behavioral program can be used as an effective mental health nursing intervention for psychological flexibility, psychological well-being, and insight of patients with schizophrenia.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권1호
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• pp.29-38
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• 2009

Objectives : This preliminary study evaluated the efficacy of two short-term programs for reducing depressive symptoms in female adolescents with depressive disorder. Methods : The participants were 23 middle school students who were randomly assigned to three groups : the cognitive-behavioral program group, the psycho education-program group and the no-intervention control group. Results : At postintervention, the students in cognitive-behavioral program group reported significantly lower levels of depressive symptoms, negative self-statement, automatic thought and psychiatric symptoms than did those in the no-intervention group and those in the psychoeducation-program group. Conclusion : The results suggest that the cognitive-behavioral program for female adolescent with depressive disorder was more effective in reducing depressive symptoms than the psychoeducation-program.

• 초등상담연구
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• 제10권1호
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• pp.1-17
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• 2011

본 연구는 감사에 대한 심리학적 접근을 중심으로 경험적 연구들을 검토하고, 감사의 정의와 심리적 특성을 개관하여 감사가 행복 및 정신건강에 미치는 영향, 감사증진프로그램의 필요성에 대해 알아보았다. 또한 초등학교 고학년 학생의 발달 단계에 맞는 인지행동적 감사프로그램을 개발하여 초등학생의 감사성향과 행복감에 미치는 효과를 알아보고자 하였다. 연구대상은 대전광역시 소재 G초등학교 5학년 학생 62명(남 30명, 여 32명)중 연구자의 담당 학급학생 31명(남 15명, 여 16명)을 실험집단으로, 다른 학급 학생 31명(남 15명, 여 16명)을 통제집단으로 선정하였다. 전체 10회기로 구성되어 있는 본 프로그램의 효과를 알아보기 위해 두 집단 간의 사전검사와 사후검사에 대한 차이검증을 하였으며, 실험집단과 통제집단의 사전검사 점수를 공변인으로 하여 사후검사 점수에 대하여 공분산분석(ANCOVA)을 하였다. 연구 결과, 본 인지행동적 감사프로그램은 초등학교 5학년 학생의 감사성향과 행복감을 향상시키는데 효과가 있는 것으로 나타났다.