• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제20권2호
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• pp.71-78
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• 2017

Child obesity has become a significant health issue in Korea. Prevalence of obesity in school-age children in Korea has been alarmingly rising since 2008. Prevalence of obesity among infants and preschool-age children in Korea has doubled since 2008. Obese children may develop serious health complications. Before nutritional counseling is pursued, several points should be initially considered. The points are modifiable risk factors, assessment for child obesity, and principles of treatment. Motivational interviewing and a multidisciplinary team approach are key principles to consider in managing child obesity effectively in the short-term as well as long-term. Nutritional counseling begins with maintaining a daily log of food and drink intake, which could possibly be causing obesity in a child. Several effective tools for nutritional counseling in practice are the Traffic Light Diet plan, MyPlate, Food Balance Wheel, and 'Food Exchange Table'. Detailed nutritional counseling supported by a qualified dietitian is an art of medicine enabling insulin therapy and hypoglycemic agents to effectively manage diabetes mellitus in obese children.

• 한국시스템다이내믹스연구
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• 제16권3호
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• pp.77-96
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• 2015

This study aims to forecast of the number of smart phone addicted youths and to evaluate the effect of rehabilitation programs. A system dynamics model is developed to describe the processes of addiction and transits between phases as well as the diffusion of smart phones. The youths are grouped into non users, general users, potential risky users, and high risky users. The model utilizes the population distributions over ages for the next 30 years forecasted by Korean Government. The number of youths decreases for the next decade or so, and the number of youths who owns smart phone will reach maximum at 2017. As for the rehabilitation programs, the model includes the preventive education for general users, counseling for potential risky users, and professional therapy for high risky users. The preventive education restricts the transit from general users to potential risky users. Counseling increases the transit from potential risky users to general users while it decreases the transit to high risky users. Professional therapy improves transit to potential risky users and to general users. Although the model cannot be validated the accuracy owing to the lack of data, it describes these transit within the reasonable ranges and can be used to study the allocation of the limited resources to maximize the outcome.

• 대한가정학회지
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• 제44권7호
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• pp.53-62
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• 2006

The purpose of this research was to evaluate the effectiveness of the Counseling-Utilized Parent Education for Mothers (CUPEM). CUPEM was developed based on Developmentally Appropriate Practices, Solution-Focused Therapy, Satir's Experiential Family Therapy, and Cognitive-Behavioral Therapy. The subjects were 51 mothers of 4 and 5 year old children and randomly assigned either to the intervention group (n=26) or the comparison group (n=25). Mothers in the intervention group had 10-2 hour intervention sessions while those in the comparison group received the intervention after this study was completed. Both groups received pre-and post-test evaluation, and a follow-up test. The data were analyzed by t-test and paired t-test. The results showed that participanting mothers' parenting stress was lessened while sense of parenting competence and positive maternal behaviors during mother-child interaction were increased significantly. Second, these mothers' self-confidence and maternal attitude toward childrearing were improved. Third, this effect lasted for at least one month after the termination of this program.

• 가정과삶의질연구
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• 제23권3호
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• pp.127-136
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• 2005

The purpose of this study was to assess the effectiveness of a group-counseling program to improve children's social ability. For this study, six children were selected for an experimental group and another six for a control group. They were tested using the Social Skill Rating System for Preschool level. In addition to a quantitative analysis, a qualitative analysis was conducted to examine group processes and changes of each child. The experimental group participated in a socio-drama group art therapy, and game play therapy whereas the control group did not receive any treatment. In order to examine the impact of the intervention, ore-program tests and post-program tests were conducted. The results were as follows: First, children's social ability was improved. There was a significant difference in social ability between the experimental and the control group. Second the group counseling program was proved to be effective. This program was primarily designed for children from low-income families.

• International Journal of Internet, Broadcasting and Communication
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• 제14권3호
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• pp.101-107
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• 2022

In Korea, the military has been conducting counseling forthe preemptive detection of psychologically unstable soldiers to prevent unexpected accidents and to help them adapt to military life. However, several soldiers feel anxious about face-to-face counseling with military officers and they have difficulty expressing themselves. Video See-Through HMD is a state-of-the-art mixed reality device that converts the user's real view into a digital view, which leads users to feel the actual situation as the virtual. To validate its usefulness as a new psychological counseling aid, we investigated 11 army soldiers who are under the counseling program in barracks. During the counseling conversation, participants were asked to wear or take off the Video See-Through HMD repeatedly. All conversations were recorded for behavioral observation. As a result, 80% of the soldiers showed a relatively stable state of mind when wearing the Video See-Through HMD, which leads them to be innocent and frank about their concerns. This method could improve the effectiveness of counseling to prevent unexpected accidents caused by unnoticeable psychological instabilities of the clients.

• 웰빙융합연구
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• 제7권3호
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• pp.55-65
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• 2024

Purpose: This study aims to analyze the status and realities of mental health counseling experiences among adults using the 2022 National Health and Nutrition Examination Survey(NHNES) data. The goal is to provide policy recommendations for enhancing mental health services. Research Methods: Utilizing secondary data analysis of the 2022 survey conducted by the Korea Disease Control and Prevention Agency(KDCPA), this study applied statistical techniques including descriptive statistics, chi-square tests, and logistic regression to evaluate counseling experiences based on age, gender, residential area, and income levels. Results: The study included 5,256 participants, with the highest proportion being those aged 60-69 (21.3%) and the lowest aged 19-29 (11.7%). Females constituted 56.5% of the sample, while males made up 43.5%. Older adults (60-69 and 70+) had significantly lower counseling experience rates compared to younger adults (19-29). Females had higher counseling experience rates than males, indicating gender differences in mental health service utilization. Urban residents had higher counseling experience rates than rural residents, suggesting better access to mental health services in urban areas. Lower income levels were associated with higher counseling experience rates, highlighting the need for targeted mental health support for economically disadvantaged groups. Conclusions: The study recommends developing age-specific, gender-sensitive, and regionally tailored mental health programs to improve accessibility and effectiveness. Additionally, policies should focus on enhancing mental health support for low-income individuals to address the socioeconomic disparities in mental health service utilization.

• 한국가족복지학
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• 제55호
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• pp.91-128
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• 2017

본 연구는 결혼이주여성에 대한 가족치료에서의 효과적인 개입전략을 마련하는 것을 목적으로하였다. 이를 위해 성공적으로 상담을 종결한 전문성 있는 상담자의 상담사례를 수집하여 치료 개입 전략과 효과에 대한 질적 분석을 시도하였다. 총 6회기가 진행된 상담 과정에서 행한이주여성의 진술에서 의미 단위를 구분하여 연구결과를 도출하였다. 상담자는 다음과 같은 개입 전략을 시도한 것으로 분석되었다. 첫째, 미해결 정서문제 탐색을 통한 정서적 분화 돕기, 둘째 가족투사과정과 삼각관계로 인한 미분화 다루기, 셋째 원가족 관계 패턴 및 대처기제의다세대전수과정 다루기를 시도하였고, 넷째 MRI의 의사소통모델을 적용한 정서적 억압에 따른비일치적 의사소통방식의 비효과성 조명, 다섯째 재구성을 통한 내담자의 인식 전환하기, 여섯째 진짜 자기로 이끄는 의사소통방식 제안을 시도하였다. 상담자의 이와 같은 시도로 긍정적인 변화가 일어났는데, 치료 효과로는 첫째, 인지적 통찰 및 변화 동기의 촉발, 둘째 의사소통능력의 향상, 셋째 불안감소와 자기분화로 나타났다. 결혼이주여성의 경우 남편의 상담 참여거부로 보통 혼자서 상담에 참여하게 되는 경우가 많아 가족치료의 효과가 낮을 것으로 우려하는 경향이 있으나 상담자의 적절한 개입이 이루어지면 부인의 갈등해결능력을 향상시켜 가정폭력과 같은 문제 해결에 커다란 도움이 될 수 있다는 점을 확인하였고, 본 연구는 그에 필요한 적절한 치료 개입 전략을 제공하였다는데 의미가 있다.

• 대한영양사협회학술지
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• 제11권4호
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• pp.418-429
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• 2005

The purpose of this study was to investigate the effect of the web-based nutrition counseling on the dietary behavior and food intake of hyperlipidemic patients and to evaluate the web-based nutrition counseling program. Forty hyperlipidemic patients, twenty of them were hypercholesterolemia and the other twenty were hypertriglyceridemia, participated in the web-based nutrition counseling program. At the first nutrition counseling, the patients were interviewed and then follow-up nutrition counselings were accomplished four times during eight weeks through a web-based internet program. The web-based nutrition counseling program was consisted of diet management, nutrition education and nutritional assessment and the follow-up counseling program. The dietary behavior score increased significantly in both groups after the nutrition counseling program(p<0.01). The diet therapy knowledge score also increased significantly (p<0.01). For food frequency, vegetable (p<0.01), fruit (p<0.05) and seaweed (p<0.01) consumption increased significantly, while meat (p<0.01), egg (p<0.01), snack (p<0.01) and instant food (p<0.01) intake decreased significantly in both groups after the nutrition counseling program. The evaluation of the web-based nutrition counseling program by the patients showed above average in all domains, specially the evaluation scores of younger aged patients habituated to practice computer were better than those of older aged patients. Therefore, this study shows that the web-based nutrition counseling program is effective for improving dietary behavior and food consumption the patients. In addition, these results indicate that internet presents us with potential as a new medium for nutrition counseling in informationized society.

• 가정과삶의질연구
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• 제31권5호
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• pp.47-63
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• 2013

This study deals with a counseling case in which a mother requested counseling due to the problems of her daughter, who suffers from multiple tic disorder. The participants of this study included five family members (grandmother, father, mother and two female children) and a total of 23 sessions were held from September 2006 to December 2007. Additional counseling ($24^{th}$ counseling session) was conducted on April 1st, 2009. The data was based on recorded transcripts and notes from 24 family therapy sessions. The study used a constant comparative analysis, which uses matrix and network display as an analysis method suggested by Miles&Huberman(1994). The characteristics of the family of origin and the indifference of the husband had caused the wife stress. The couple had frequent conflicts due to dysfunctional communication methods, a clash of values, sexual dissatisfaction, and a lack of communication. This marital conflict became the primary factor of the daughter's multiple tic disorder. Intervention of the family therapist resulted in the setting of treatment goals based on MRI's communication theory and Bowen's family systems theory in order to solve the problem of the daughter's multiple tic disorder. Also, the therapist's intervention techniques included exploring experiences with the family of origin, shedding light on the multigenerational transmission process, exploring dysfunctional attempts at solutions, the therapist's self-disclosure, providing similar cases, dealing with resistance, and suggesting a new communication method. To solve the problem, the therapist helped the family separate the daughter spatially from her parents. Therefore, the therapist's intervention helped reduce the daughter's tics and improve relationships among the family.

• 종양간호연구
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• 제3권1호
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• pp.5-14
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• 2003

The purpose of this study was to identify key educational and counseling needs of breast cancer patients in Korea. The data were collected from 102 breast cancer survivors. The instrument consisted of 66 items and the items were divided into five treatment stages: pre-admission, admission, discharge, chemotherapy, and radiation therapy. The subjects' mean age was 50 years and most of them were housewives. All had a mastectomy and among them 69 had chemotherapy and 42 had radiation therapy. Average post-surgical period was 47 months. The mean score of the subjects' needs was 2.99 out of 4 points. The highest educational need was to know about the method of recurrence prevention. In terms of the treatment stages, mean score for pre-admission was 3.09, admission 3.06, chemotherapy 3.03, after discharge 2.95, and radiation therapy 2.80. In the pre-admission period, etiology, diagnostic tests, treatment and prevention of the breast cancer were needed the most. During the admission period, symptom management after the operation had the highest score. After discharge, prevention of recurrence had the highest score. The results of this research will help in developing educational and counseling programs by understanding the specific needs of breast cancer patients based on the treatment stages.