• Journal of Oriental Neuropsychiatry
• /
• v.35 no.2
• /
• pp.191-203
• /
• 2024

Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.

• Journal of Music and Human Behavior
• /
• v.6 no.1
• /
• pp.81-109
• /
• 2009

The purpose of this study was to determine the effectiveness the Song Psychotherapy Program in decreasing test anxiety in adolescent students. For this study, twelve sessions were conducted in five stages for four 14-year-old middle school students at D Middle School on Daejeon. To measure the effects of the Song Psychotherapy Program, the researcher compared the results of Test Anxiety Inventory of Korea (TAI-K) before and after the program. The researcher also analyzed the contents of the participants' verbal responses and answers to repeated questionnaires to find out what participants experienced in Song Psychotherapy. The results of this study were as follows. First, a comparison of test anxiety scores prior to and following the program showed an average decrease from 91.75 to 60.5. Second, the subjects reported a positive musical experience in the program. The results of the research as described above show that the Song Psychotherapy Programis effective in decreasing test anxiety levels and general examination stress in adolescent students.

• Journal of Music and Human Behavior
• /
• v.6 no.1
• /
• pp.55-80
• /
• 2009

The objective of this study was to improve the self-expression of children through Orff activities. In this study, three (3) children from D day care center in Seoul who demonstrated withdrawn behaviors were chosen as research subjects, based on a self-expression test score of 50 points. The activities were conducted for 6 weeks, totaling fourteen (14) sessions, with each session being scheduled for forty (40) minutes. Across 14 sessions, the researcher conducted, analyzed and compared the self-expression scale of subjects, measured during the third and the last session. The researcher then qualitatively analyzed verbal and non-verbal self-expression behaviors of subjects by video recording the session. The analysis results shown by the study are as follows. First, the results of a quantitative analysis of the self-expression scale showed significant changes in self expression. Furthermore, the results of a qualitative analysis of verbal self-expression showed positive changes in self-perception and an increase in feelings of independence and activity than that of initial sessions.

• Journal of Music and Human Behavior
• /
• v.12 no.1
• /
• pp.43-64
• /
• 2015

This study investigated the effects of song discussion on depression and rehabilitation motivation in stroke patients. Older adults with chronic stroke participated in this study: nine for the experimental group and eight for the control group. The experimental group was divided into three subgroups and participated in 12 sessions over 6 weeks. Target lyrics were selected by the investigator among popular songs from the participants' young adulthood. The song-based discussion was facilitated to address issues targeted at supportive, insight-focused, or reconstructive stage. The control group was provided with delayed intervention. At pre and posttest, the short form of Geriatric Depression Scale and the Rehabilitation Motivation Scale were measured. The experimental group showed significantly decreased depression and significantly increased rehabilitation motivation (p < .01), while the control group showed no significant changes. Positive changes were also observed in all subcategories of rehabilitation motivation in the experimental group, particularly in significantly increased task-oriented motivation and decreased amotivation. This study suggests that song discussion will be effectively applied in rehabilitative settings to address psychological issues of older adults with stroke.

• Journal of Music and Human Behavior
• /
• v.12 no.2
• /
• pp.19-36
• /
• 2015

The purpose of this study was to examine the effects of rhythmic auditory stimulation (RAS) on gait parameters, with and without the presence of a melody, for adolescents with traumatic brain injury (TBI). Three adolescents with TBI received a total of ten individual RAS training sessions. At pre and posttest, spatiotemporal parameters including cadence, velocity and kinematic parameters were measured using the VICON 370 Motion Analysis System. The results showed no significant difference in gait velocity between the two conditions, thus the presence of the melody condition did not impact the outcome of RAS gait training. On the other hand, all participants showed improvement in gait function after RAS training. The cadence, velocity, stride length, and symmetry were increased and the stride time was reduced after training. The motion analysis demonstrated that the movement patterns of hip and knee joints improved, as they were more similar to normal gait, which indicates that the walkings tance became more stable. The research findings indicate that rhythm is the primary factor in mediating gait functions via RAS training. This study also supports that RAS training can effectively improve the gait function for adolescents with TBI.

• Journal of Music and Human Behavior
• /
• v.19 no.1
• /
• pp.1-20
• /
• 2022

The purpose of this study was to evaluate how accurately children with autism spectrum disorder (ASD; n = 9) recognized four basic emotions (i.e., happiness, sadness, anger, and fear) following musical or visual cues. Their performance was compared to that of typically developing children (TD; n = 14). All of the participants were between the ages of 7 and 13 years. Four musical cues and four visual cues for each emotion were presented to evaluate the participants' ability to recognize the four basic emotions. The results indicated that there were significant differences between the two groups between the musical and visual cues. In particular, the ASD group demonstrated significantly less accurate recognition of the four emotions compared to the TD group. However, the emotion recognition of both groups was more accurate following the musical cues compared to the visual cues. Finally, for both groups, their greatest recognition accuracy was for happiness following the musical cues. In terms of the visual cues, the ASD group exhibited the greatest recognition accuracy for anger. This initial study support that musical cues can facilitate emotion recognition in children with ASD. Further research is needed to improve our understanding of the mechanisms involved in emotion recognition and the role of sensory cues play in emotion recognition for children with ASD.

• Journal of Music and Human Behavior
• /
• v.19 no.2
• /
• pp.55-80
• /
• 2022

This study aimed to examine the effects of songwriting on the self-acceptance of adolescent in palliative care. Three participants were recruited from a university hospital in an urban area in South Korea. The songwriting intervention was conducted in six sessions, and each session was composed of an introduction, song writing and wrap-up. Participants were asked to complete the Unconditional Self-Acceptance Questionnaire (USAQ) before and after the intervention. Their verbal expressions and written song lyrics observed during the intervention were also measured. The results showed that the USAQ scores increased after the intervention, indicating the improvement in their acceptance of the self without judgement or high reactivity to feedback. In addition, the participants exhibited greater recognition of their emotions and acceptance of themselves as they are. They were also better able to discover internal resources and psychological competence. The participants reported that they could more freely express their emotions through song writing and that recording the songs they created was a means of communicating their feelings to others. Based on this study, it is expected that adolescents in palliative care will be able to experience self-acceptance through such brief song writing interventions.

• Journal of Music and Human Behavior
• /
• v.21 no.1
• /
• pp.69-87
• /
• 2024

This study investigated whether joint attention response behaviors in children with autism spectrum disorder (ASD) change in response to musical cues and reinforcing stimulus, and compared them with neurotypically developing (NT) children. The participants included 13 children with ASD and 14 NT children aged between 3 to 5 years. The study established six task conditions, involving cues (verbal vs. musical) for responding to joint attention (RJA) behaviors and reinforcing stimulus (verbal vs. sound vs. musical) for social referencing behaviors. These tasks were presented 12 times with two repetitions each. The results of the study showed that providing musical cues during the RJA phase increased levels of RJA in children with ASD, consistent with prior studies. Subsequently, musical reinforcing stimuli increased the frequency of social referencing behaviors in these children. This indicates that musical stimuli can extend beyond mere sensory cues, helping individuals to understand and respond to social and emotional cues from others. Moreover, these musical stimuli could serve as effective social reinforcement factors for this population.

• Research in Community and Public Health Nursing
• /
• v.11 no.1
• /
• pp.222-230
• /
• 2000

Complementary & Alternative Medicine(CAM) have become increasingly popular with health care consumer in recent years. The nurse's attitude and beliefs about CAM will influence the response. to the patient's demands and inquiries. The purpose of this study is to evaluate the attitude and beliefs of nurses about CAM. The study was performed in 600 nurses from October to December in 1999 : Nurses were working one university hospital & one general hospital were located in TaeGu city. and two general hospitals located in Kyung Buk city. The study used specially designed questionnaire to 600 nurses, and analyzed by using descriptive statistics, ANOVA data based on 460 completed questionnaire. The findings of the study are as following. 1. The credible forms of subject about CAM were ranked acupunture (66.1%). herbal medicine(56.5%), Sooji chim (50.4%) et al. 2. In the credibility of subject about CAM there were not significant difference by age. clinical career, marriage, health status. The most reason of positive credibility was 'Being human perspective and spiritual supporting'. While the most reason of negative credibility was 'the lack of science test and doubt of disease treatment'. 3. In the experienced rate of subject about CAM there were significant difference not by health status but by age($x^2$=10.096, p= .006), clinical career($x^2$=7.648 p= .022), marriage($x^2$=9.317. p= .002). In the satistied rate of subject about CAM there were not significant difference by age, clinical career, marriage, health status 4. The most usable forms of subject about CAM in nurse's practice was Music therapy(55.9%), and ranked massage (50.9%), acupressure(32.8%). Sooji chim (27.8%) et al.

• Journal of the Korea Convergence Society
• /
• v.11 no.2
• /
• pp.361-373
• /
• 2020

The purpose of this study was to meta-analyze the stress intervention program applied to patients with hemodialysis in Korea to confirm the effectiveness of the stress intervention program and to identify the characteristics and trends of the stress intervention method. A total of 10 studies were selected, and Quality Assessment tool was used MINORS and the data was analyzed using Comprehensive Meta Analysis Version 3.0 and Review manager version 5.3 The Quality Assessment score of studies was 21.2 points, and the effect size on the psychological stress was medium(g=-.72), and the effect size on cortisol of the physiological stress was also medium(g=-.52). Subgroup analysis showed that Music therapy and aromatherapy, individual providing, over 60 minutes per session and total of 10-20 times were more effectively reduced stress. Findings of this meta-analysis would be helpful for health professionals to provide more effective stress intervention program. Further randomized controlled trials of stress intervention program for patients with hemodialysis are more needed.