대학생의 특성불안과 스트레스 반응, 알코올의 긴장완화 기대 및 문제음주 간의 관계

양승애,서경현 한국청소년학회 2018 청소년학연구 Vol.25 No.4

This study investigated relations of trait anxiety, stress responses, and tension-reduction expectancies to the problematic drinking of college students, and examined moderating effects of gender or tension-reduction expectancies on trait anxiety or stress responses and the problematic drinking. Participants were 264 college students, and their average of ages was 12.37. Results indicated that male students showed more problematic drinking than females. Correlational analysis revealed that males showed higher stress responses or tension-reduction expectancies were more likely engaged in the problematic drinking, while trait anxiety was not significantly correlated to the problematic drinking. Moreover, interaction effect of gender, trait anxiety, and tension-reduction expectancies on the problematic drinking was not significant, and also interaction effect of gender, stress responses, and tension-reduction expectancies on the problematic drinking was not found. Stepwise regression analyses indicated that aggressiveness as a factor of stress responses, gender, and tension-reduction expectancies were significant predictors for the problematic drinking, aggressiveness accounted the most variance of it. Based on results of this study, clinical implication and discussion for further studies were suggested. 본 연구에서는 특성불안, 스트레스 반응 및 알코올의 긴장완화 기대가 대학생의 문제음주와 어떤 관계가 있는지, 특성불안이나 스트레스 반응과 문제음주 간의 관계에서 성별이나 긴장완화 기대가 조절변인의 역할을 하는지를 검증하였다. 본 연구의 참여자는 남녀 대학생 264명이었으며, 평균 연령은 21.37세였다. 분석 결과, 여학생보다 남학생이 문제음주를 더 많이 하고 있었다. 상관분석 결과, 스트레스 반응이나 긴장완화 기대 수준이 높을수록 문제음주 수준이 높았으나, 특성불안 수준은 문제음주와 상관이 없었다. 한편 대학생의 문제음주에 대한 성별, 특성불안 및 긴장완화 기대의 유의한 상호작용이 발견되지 않았으며, 성별과 스트레스 반응 및 긴장완화 기대의 상호작용도 유의하지 않았다. 단계적 회귀분석에서는 스트레스 반응의 하위요인인 공격성과 긴장완화 기대 및 성별이 대학생의 문제음주에 대한 유의한 예언변인이었으며, 공격성이 문제음주를 가장 잘 설명하고 있었다. 끝으로 본 연구의 결과를 바탕으로 추후 연구와 교육적 혹은 임상적 함의를 논의하였다.

한국인 만성 긴장형두통 환자에서 바이오피드백을 활용한 자율적 이완훈련의 효과

강은호,안주연,구문선,박주언,유범희 大韓神經精神醫學會 2008 신경정신의학 Vol.47 No.3

Objectives : We aimed to evaluate the efficacy of biofeedback-assisted autogenic training for chronic tension-type headache, and to determine the relationship among the changes in electromyography (EMG) activity, headache activity, and mood states according to the psychophysiological treatment. Methods : Chronic tension-type headache patients aged from 20 to 40 years (n=35) were randomized to the treatment group receiving biofeedback-assisted autogenic training (8 sessions) or the monitoring-only control group. EMG activities, headache index, and various psychological variables were examined. Results : We found greater treatment response rate (≥50% reduction in headache index) in patients with biofeedback-assisted autogenic training than in the monitoring group (61% vs. 18% ; χ²=6.882, df=1, p=0.01). There were no significant changes in the mean values of the pretreatment EMG activities across the sessions m either group (all p’s>0.1). Mood states including anxiety and depression improved over time in the both groups, with the improvements being more prominent in the treatment group. Moreover, the reduction in depression level predicted treatment outcome in terms of headache index (95% confidence interval : 0.272-0.966, p=0.039). Conclusion : These results show that biofeedback-assisted autogenic training is effective for the treatment of chronic tension-type headache in a Korean population. Changes in mood states may be closely associated with the clinical outcome in the treatment of chronic tension-type headache using biofeedback-assisted autogenic training.

Insomnia in tension-type headache: a population-based study

Kim, Jiyoung,Cho, Soo-Jin,Kim, Won-Joo,Yang, Kwang Ik,Yun, Chang-Ho,Chu, Min Kyung Springer Milan 2017 The journal of headache and pain Vol.18 No.1

<P><B>Background</B></P><P>Tension-type headache (TTH) represents the most common type of headache among the general population. Although such headaches are usually mild in severity, some individuals with TTH experience severe symptoms and psychiatric comorbidities. Such patients may also experience sleep disturbances, which have been associated with headache exacerbation. Nevertheless, information regarding the prevalence and impact of insomnia among individuals with TTH in a population-based setting is limited. Therefore, the aim of the present study was to evaluate the prevalence and impact of insomnia among individuals with TTH using data from the Korean Headache-Sleep Study (KHSS).</P><P><B>Methods</B></P><P>We analysed data from the KHSS—a nation-wide, cross-sectional, population-based survey on headache and sleep involving Korean adults aged 19 to 69 years. Insomnia was defined as an Insomnia Severity Index score ≥ 10.</P><P><B>Results</B></P><P>Among 2695 participants, 570 (21.2%) and 290 (10.8%) were classified as having TTH and insomnia, respectively. Among individuals with TTH, 113 (19.8%) met the criteria for probable migraine (PM). The prevalence of insomnia among individuals with TTH was significantly higher than that among individuals without headache (13.2% vs. 5.8%, <I>p < 0.001</I>). However, among the TTH group, the prevalence of insomnia did not significantly differ between participants fulfilling PM criteria and those not fulfilling PM criteria (14.2% vs. 12.9%, <I>p = 0.725</I>). Among individuals with TTH, headache frequency [median and interquartile range (IQR): 1.0 (0.3–3.0) vs. 0.4 (0.2–1.0), <I>p = 0.002</I>], visual analogue scale scores for headache intensity [median and IQR: 5.0 (4.0–7.0) vs. 4.0 (3.0–6.0), <I>p < 0.001</I>], Headache Impact Test-6 scores [median and IQR: 46.0 (40.0–52.0) vs. 42.0 (38.0–46.0), <I>p < 0.001</I>], anxiety prevalence (28.0% vs. 6.7%, <I>p <</I> 0.001), and depression prevalence (21.3% vs. 1.6%, <I>p < 0.001</I>) were significantly higher in those with insomnia than in those without insomnia.</P><P><B>Conclusions</B></P><P>Our findings indicate that insomnia is prevalent among individuals with TTH. Moreover, insomnia was associated with exacerbation of headache symptoms and psychiatric comorbidities. Therefore, identification of insomnia among individuals with TTH is required to improve the management of headache symptoms in such patients.</P><P><B>Electronic supplementary material</B></P><P>The online version of this article (10.1186/s10194-017-0805-3) contains supplementary material, which is available to authorized users.</P>

Restless legs syndrome and tension-type headache: a population-based study

Chung, Pil-Wook,Cho, Soo-Jin,Kim, Won-Joo,Yang, Kwang Ik,Yun, Chang-Ho,Chu, Min Kyung Springer Milan 2017 The journal of headache and pain Vol.18 No.1

<P><B>Background</B></P><P>Recent studies have shown a significant association between restless legs syndrome (RLS) and primary headache disorders. Nevertheless, information regarding the association between tension-type headache (TTH) and RLS is limited. This study aimed to investigate the association between RLS and TTH in a population-based sample.</P><P><B>Methods</B></P><P>We selected a stratified random population sample of Koreans aged 19–69 years and assessed them using a semi-structured interview designed to identify RLS, headache type, and clinical characteristics of TTH. We determined the prevalence and clinical impact of RLS in participants with TTH.</P><P><B>Results</B></P><P>Of the 2695 participants, 570 (21.2%) and 142 (5.3%) were classified as having TTH and RLS, respectively. Among the 570 individuals with TTH, 113 (19.8%) also met the criteria for probable migraine (PM). The prevalence of RLS was significantly higher among individuals with TTH than among those with non-headache (6.0% vs 3.6%, <I>p</I> = 0.018). The prevalence of RLS was significantly higher in subjects with TTH who fulfilled PM criteria than in those with non-headache participants (8.0% vs. 3.6%, <I>p</I> = 0.018). However, RLS prevalence in individuals with TTH who did not fulfil PM criteria did not differ from that of participants with non-headache (5.5% vs. 3.6%, <I>p</I> = 0.063). TTH participants with RLS had higher visual analogue scale scores for headache intensity (5.1 ± 2.0 vs. 4.3 ± 1.8, <I>p</I> = 0.038), and higher prevalence of anxiety (20.6% vs. 8.8%, <I>p</I> = 0.022) and depression (14.7% vs. 3.5%, <I>p</I> = 0.002) than TTH participants without RLS. Multivariable analyses revealed that headache aggravation by movement (odds ratio [OR] = 2.4, 95% confidence interval [CI] = 1.1–5.2) and depression (OR = 3.5, 95% CI = 1.1–11.4) were significant indicators of RLS among individuals with TTH.</P><P><B>Conclusions</B></P><P>The prevalence of RLS was higher among individuals with TTH than among those with non-headache. Some clinical presentations varied in accordance with the presence of RLS among participants with TTH.</P><P><B>Electronic supplementary material</B></P><P>The online version of this article (doi:10.1186/s10194-017-0754-x) contains supplementary material, which is available to authorized users.</P>

영유아기 어머니의 양육불안 및 애착과 KMP의 Tension Flow리듬을 활용한 무용/동작심리치료와의 관계 고찰

구자윤, 송현주 서울여자대학교 특수치료전문대학원 2017 심리치료: 다학제적 접근 Vol.17 No.1

This study aims to examine the relationship between mother's anxiety towards childcare and mothers attachment towards the child using dance movement therapy based on KMP's Tension Flow Rhythms. mothers of infants experience stress and anxiety due to the difficulty in developing attachment towards the child. They also experience the stress of becoming an effective mother. many proceeding research have focused on The cause of the aforementioned stresses, but research regarding actual emotional intervention and education has been scarce. bus programs to address the stresses of the mother is needed. KMP's Tension Flow Rhythms aids the understanding of the infant's nonverbal movements and internal urges. also through touch and synchronization of the movement rhythm, the mother and the infant can learn the characteristics of each other's movements. further analyzing these characteristics allow therapeutic intervention. Thus, this study examines efficacy of dance movement therapy using KMP's Tension Flow Rhythm on addressing the mothers anxiety towards child care and the development of attachment towards the child. moreover the study discusses the future of dance movement therapy using KMP's Tension Flow Rhythms. 본 연구는 영유아기 어머니의 양육불안과 애착 간의 관련성을 검토하고, 영유아기 어머니의 양육불안을 감소시키고 애착을 향상시킬 수 있는 중재방안으로서의 Kestenberg Movement Profile(KMP)의 Tension Flow리듬을 활용한 무용/동작심리치료의 유용성에 대한 고찰하고자 한다. 영유아기 어머니는 일반적으로 스트레스, 불안, 효능감 그리고 애착형성에 있어 어려움을 호소한다. 그러나 많은 연구에서 양육스트레스, 양육효능감, 애착의 원인적 요소에 대해 연구되어 있지만 실질적 정서적 개입과 교육에 대하여 다소 미흡하며 이에 대한 보완을 위한 일환으로 프로그램이 필요하다. Kestenberg는 아동발달리듬인 KMP의 Tension Flow 리듬을 활용하여 영유아의 비언어적 움직임과 내적충동을 이해할 수 있다고 하였다. 또한 접촉과 움직임리듬의 조율을 통해 서로의 움직임 특징을 알 수 있으며 이를 분석함으로써 치료적 중재가 가능하다고 주장하였다. 본 연구에서는 KMP의 Tension Flow리듬을 활용한 무용/동작심리치료가 영유아기 어머니의 양육불안 감소와 애착향상을 위해 유용한 중재방안인지 알아보고자 하였다. 또한, KMP의 Tension Flow리듬을 활용한 무용/동작심리치료의 전망을 논의해 보고자 한다.

원예치료 및 미술치료가 학교 부적응 청소년의 자아개념 향상에 미치는 영향연구

손기철,엄수진,배혜진,조문경,은옥주,최외선 충북대학교 한국과학재단 지정 첨단원예기술개발 연구센터 2002 연구보고서 Vol.6 No.-

본 연구는 원예치료와 미술치료가 학교부적응 청소년의 자아개념, 내적 통제력, 불안감소에 미치는 영향을 조사하고자 실시되었으며, 그 결과는 각 치료의 효과성이 비교·분석되었다. 인천 남구에 위치한 W공업고등학교에서 대조군 15명, 원예치료군 15명, 미술치료군 15명을 주 2회씩 2001년 9월 27일부터 12월 13일까지 원예치료군에는 원예치료 프로그램을 미술치료군에는 미술치료프로그램을 실시하였다. 원예치료 및 미술치료는 각각 전문 치료사에 의해서 행해졌다. 원예치료 및 미술치료 프로그램의 효과를 알아보고자 자아개념(Self-Concept Scale), 내적 통제력 척도(Inner-Control Scale), 특성불안 척도(Trait-Anxiety Scale)을 각 프로그램의 실시전과 실시후로 조사하여 비교하였다. 원예치료군에 있어서는 자아개념척도 중 자아수용, 성격적 자아, 총 자아 긍정 항목에서 통계적으로 유의한 향상을 보였고, 특성불안척도에서는 우울 및 불안 항목에서 매우 유의한 감소를 나타내었다. 한편, 미술치료군에 있어서는 내적통제력과 특성불안척도중 자신감이 유의하게 향상된 것으로 나타났다. 이상의 결과를 종합하여 볼 때, 원예치료군은 프로그램 과정중 자기표현의 기회를 제공함으로써 자아개념이 향상되었으며, 또한, 공동작업을 하는 집단 프로그램을 통하여 내면의 불안과 갈등이 완화되었다고 판단된다. 반면, 미술치료군은 치료자와의 개인적인 상담과정을 통하여 내면의 불안과 갈등이 완화되었고, 지점토 및 칼라믹스 만들기 등 활동적인 프로그램을 통하여 내면의 감정을 통제하는 능력이 향상되었다고 판단된다. This study was conducted to evaluate the effect of HT (horticultural therapy) and AT (art therapy) on the changes of self-concept, inner control, trait anxiety of the school maladjusted adolescents. 45 school maladaptive of teenage students participated in therapy program at the W high school were randomly assigned to 3 groups: 15 for the horticultural therapy, 15 for art therapy, 15 for control group. The program were carried out from Sep. 27 to Dec. 13, 2001 as an activity group. Activity group attended twice a week for 1 hour. For evaluation of the effectiveness of each therapy, Self-Concept Scale, Inner-Control Scale, Trait-anxiety Scale were used 2 times, that is, before/after HT or AT program. According to the results, self satisfiction, personal self, and total positive self items among Self-Concept Scale were significantly improved, and tension and anxiety item among Trait anxiety Scale were significantly decreased in HT group. On the other hand, in AT group, both inner control and self confidence item in Trait-anxiety Scale were significantly improved. In conclusion, in HT group it was suggested that the improvement of self concept could be brought about by being provided the chance of self expression during program and the alleviation of inner anxiety and discord resulted from group therapy program in which joint work have been provided. In case of AT group, it was logically postulated that the alleviation of inner anxiety and discord resulted from personal counselling with AT therapist during program and the improvement of inner control was caused by active program such as painting paper clay, making color mix, and etc.

무용수행의 심리적 요인 탐색

조영주,이강헌,정유영 한국무용예술학회 2007 무용예술학연구 Vol.21 No.-

The purpose of this study was to search the psychological factors construct that effect on dance performance for successful and peak performances.The analysis on psychological factors in dance performance was done open-ended questionnaire was carried out to 178 people majoring in dance who are at least 18 years old. Base on the results, exploratory factor analysis test with 58 items was set up and was done by 880 dance major students in high schools, colleges and other institutions.Through open-ended questionnaire, 587 cases of psychological factors were collected, as a result of inductive categorization, 45 items were classified into specific psychological domains and those specific domains were categorized into the following 7 general domains: concentration(48%, 143cases), self-confidence(22.99%, 135cases), tension and anxiety(20.95%, 123cases), motivation(15.50%, 91cases), regarding the performance(13.28%, 78cases), imagery(2.21%, 13cases), and so on.As a result of exploratory factor analysis, descriptive statistics, reliability analysis, and exploratory factor analysis were repeated and some of the questions were deleted to select 26 items in the end. From the selected 26 items, imagery, concentration and self-confidence, motivation, and tense and anxiety have been abstracted as psychological factors in dance performance.This study will provide foundation to the theory of excellent preformance through psychological factors. Accordingly, for the effective perfprmance and to enhance the qualification of dancers, it is suggest that it wil be greatly helpful to be an artist who is the subject for creation and expressive behaviour.

이완요법과 한방치료를 병행한 심담허겁형(心膽虛怯型) 칠정구기증(七情九氣證) 환자 1례(例)의 증례(證例)고찰

임정화 ( Jung Hwa Lim ),정인철 ( In Chul Jung ),이상룡 ( Sang Ryong Lee ),홍성수 ( Sang Su Hong ) 대한한방신경정신과학회 2005 동의신경정신과학회지 Vol.16 No.2