• 가정과삶의질연구
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• 제32권6호
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• pp.59-72
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• 2014

The purpose of this study was to examine the impact of peer support on conduct behavior and withdrawal and to investigate the mediating effect of negative automatic thought. The subjects included 461 students(boys 51%, girls 49%) from the 1st to 3rd grades of middle school in Seoul. Conduct behavior and withdrawal was measured by the Korean Youth Self Report and the Conners-Wells'-Adolescent Self Report Scales. Negative automatic thoughts were measured by the Korean Children Youth Automatic Thoughts Scale. Using Amos 20, structural equation modeling was conducted. The findings of the structural equation modeling was that peer support had an impact on conduct behavior and withdrawal. Peer support contributed to a reduction of negative automatic thoughts. Negative automatic thoughts had a mediating effect between peer support and withdrawal or conduct. We suggest that peer support affects conduct behavior and withdrawal through negative automatic thought. We also found gender differences; compared with girls, boys received less support from peers. They also had lower levels of negative automatic thoughts and withdrawal than girls. The further study should be considered to provide more correlation factors of peer support.

• 아동학회지
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• 제33권1호
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• pp.223-236
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• 2012

The present study investigated the mediating effects of negative automatic thoughts on the relationship between the communication styles of fathers and their children's happiness. The participants consisted of 509 elementary school (225 5th, 6th graders) and middle school (284 1st, 2nd graders) students in Seoul and Jeonju city. The instruments used were the Parent-Adolescent Communication Inventory (Barnes & Olson, 1982), the Korean Children's Automatic Thoughts Scales (Moon, 2002), and the Happiness Inventory for Children (Lee, 2005). Data were analyzed by means of both descriptive statistics and regression analysis using the SPSS (12.0 version). The results indicated that the effects of a father's communication style on children's happiness was partially mediated by their negative automatic thoughts. In conclusion, negative automatic thoughts has a mediating effect upon a father's communication style as it relates to the happiness of their children.

• 가정과삶의질연구
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• 제33권2호
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• pp.135-148
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• 2015

The purpose of this study is to develop cognitive behavioral therapy(CBT) to improve the parenting efficacy of married immigrant women, and verify its effectiveness. In the CBT of this study, behavioral technique was added to cognitive reconstruction based on cultural context in order to improve parenting efficacy. The study selected 28 married immigrant women, and randomly divided them into a CBT group(10), a general treatment group(8) and a control group(10). The CBT and the general treatment programs consisted of 10 sessions, approximately 2 hours in duration. The results of the study were as follows. 1) The level of parenting efficacy was improved significantly in the CBT and the general treatment group. 2) The level of negative automatic thoughts and dysfunctional parenting thoughts was significantly decreased only in the CBT group. 3) In the CBT and the general treatment group, the level of parenting stress and acculturative stress was decreased while the level of psychological well-being improved. On the other hand, the level of parent-adolescent communication was improved significantly only in the CBT group. 4) In comparison with the general treatment group, the CBT group showed higher parenting efficacy and lower automatic thoughts and dysfunctional parenting thoughts. This study has significance in its attempt to develop a parent training program to improve the parenting efficacy of married immigrant women by integrating behavioral modification and communication skills training focused on cognitive reconstruction of parenting-related negative thoughts and beliefs in application of the CBT paradigm.

• 한국가정과교육학회지
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• 제23권4호
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• pp.35-48
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• 2011

본 연구의 목적은 청소년의 자동적 사고에 영향을 미치는 애착 요인에 대해 살펴보는 것이다. 애착요인으로 부애착, 모애착, 또래애착을 선택해, 이들이 긍정적 자동적 사고와 부정적 자동적 사고에 미치는 영향을 알아보았다. 본 연구에서는 443명의 중고등학생을 대상으로 하였다. 부모애착, 또래애착, 긍정적 자동적 사고, 부정적 자동적 사고는 자기보고식 질문지를 이용해 평가하였다. 수집된 자료는 빈도분석, 백분율, 기술통계, t검증, Pearson의 적률상관관계, 중다회귀분석을 이용해 분석하였다. 주요 연구결과는 다음과 같다. 첫째, 또래애착은 학교급과 성별에 따라 유의한 차이가 나타났다. 고등학생들은 중학생들에 비해, 여학생들은 남학생들에 비해 또래애착이 안정적이었다. 부정적 자동적 사고는 성별에 따라 유의한 차이가 나타났다. 즉 여학생들이 남학생들보다 부정적 자동적 사고를 많이 하는 경향이 있었다. 둘째, 부모 및 또래 애착은 긍정적 자동적 사고와는 정적 관련성을 보였고, 부정적 자동적 사고와는 부적인 관련성을 보였다. 셋째, 청소년의 긍정적 자동적 사고에는 부모 및 또래 애착이, 부정적 자동적 사고에는 부모애착만이 영향을 미치는 것으로 나타났다. 이는 청소년기의 부모 및 또래 애착이 자동적 사고의 종류에 따라서 다르게 영향을 미친다는 것을 나타내며, 부모와의 안정적인 애착관계가 사회적 관계망이 확장된 청소년기에도 여전히 청소년의 사고에 중요한 영향을 미침을 보여준다.

• 여성건강간호학회지
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• 제27권4호
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• pp.337-347
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• 2021

Purpose: This study presents the development of a group video communication-based cognitive behavioral therapy (CBT) program for depressed pregnant women. It also provides the results of a preliminary test of its effects on their depression, automatic thoughts, and dysfunctional attitudes. Methods: In this quasi-experimental single-group pre- and posttest design study, 13 pregnant women participated in a 4-week, eight-session group CBT program, based on Beck's cognitive theory and using video communications from November 2020 to January 2021. Pregnant women between 14 and 32 weeks who were members of an online maternity and parenting community and residing in the cities of Changwon and Gimhae, Korea, were invited to voluntarily participate. Trained nurses led CBT sessions of 3-4 participants per group via video communication. Participants were assessed pre- and postintervention with self-report questionnaires for measurement of depression, automatic thought, and dysfunctional attitude after normality test according to the Shapiro-Wilk test of the variables. The data were analyzed using paired t-test and Pearson correlation coefficients. Results: Depression (t=7.90, p<.001), automatic thoughts (t=4.89, p<.001), and dysfunctional attitudes (t=2.42, p=.032) significantly decreased after the 4-week online program. There were statistically significant correlations among the three variables. Conclusion: This program was found to be effective in reducing depression, automatic thoughts, and dysfunctional attitudes. Above findings suggest that a group CBT program using video communication can be an effective therapeutic modality that helps pregnant women at risk for depression alleviate their negative emotions related to depression.

• 가정과삶의질연구
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• 제26권2호
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• pp.13-24
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• 2008

The aim of the present study was to develop a cognitive-behavioral group therapy program for social anxiety in Korean adolescents and to examine its efficacy through pre-, post- and 2-year follow-up tests. The program included cognitive restructuring, exposure training and social skills training. KSAS-A and SASC-R were administered to 588 1st grade middle-school female students to assess their social anxiety levels. On the basis of double criteria procedure(top 10% scores on both scales), 59 students were selected initially. Individuals currently receiving clinical treatment were excluded. Finally, 40 students were selected and randomly assigned to either a treatment group or a wait-list control group. The program consisted of 12 weekly sessions, approximately 1.5-2 hours in duration. Whereas pre- and post-tests were administered to both groups, follow-up tests were administered to the treatment group only. The collected data were statistically analyzed through independent t-test and paired t-test. The results of the study were as follows: 1) At post-test students in the treatment group showed a very significant reduction in social anxiety and fear of negative evaluation by others in comparison with those in the wait-list group. 2) At post-test students in the treatment group showed a significant reduction in negative automatic thoughts in comparison with those in the wait-list group. 3) At post-test students in the treatment group showed a significant improvement in overall social skills in comparison with those in the wait-list group. 4) At post-test students in the wait-list group showed a significant increase in both social anxiety and negative automatic thoughts in comparison with those in the treatment group. 5) At 3-month, 1-year and 2-year follow-ups, the program's effectiveness was maintained.

• 대한간호학회지
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• 제51권3호
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• pp.347-362
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• 2021

Purpose: This study developed a cognitive behavioral therapy program aimed at altering the physical condition, emotions, and behaviors of fibromyalgia patients, and confirmed the program's clinical applicability. The program was developed by analyzing previous studies conducting in-depth interviews with fibromyalgia patients, drawing on cognitive behavior theory to establish the program contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods: To confirm the program's effect, this study used a randomized controlled trial design. The participants were outpatients diagnosed with fibromyalgia in Dong-A University Hospital, Busan. The 30 patients in the experimental group took part in the program, which comprised 8 sessions (90 to 120 minutes) based on cognitive behavior theory, delivered over 8 weeks. Hypothesis testing was carried out using the repeated measures ANOVA. Results: The analysis revealed significant differences between the experimental and control groups in positive automatic thoughts, pain, fatigue, depression, and interpersonal relationships. However, there was no significant difference between the groups in terms of sleep disorders and negative automatic thoughts. Conclusion: This program is a positive effect on physical condition, emotions, and behaviors. It is thus expected to be used to help fibromyalgia patients improve their disease conditions.