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정신건강문제를 중재한 수용전념치료 연구에 대한 통합적 문헌고찰
최덕자(Dugja Choi),김성재(Sungjae Kim) 대한스트레스학회 2017 스트레스硏究 Vol.25 No.2
본 연구는 국내 수용전념치료 연구를 통합적으로 고찰하여 치료의 효과성과 임상적 유용성을 파악하고, 이를 근거로 향후 연구 방향과 효과적인 프로그램 구성 및 전략을 제시하고자 시도하였다. 연구결과, 대상자의 특성과 연구 목적에 따라 수용전념치료의 6가지 핵심 원리를 유연하게 구성하는 것이 중요전략임을 확인하였다. 즉, 불안은 기꺼이 경험하기와 인지적 탈융합을 강조하고, 우울은 자기자비와 자기수용에 초점을 두며, 중독은 비효과적인 대처 감소를 위해 전념행동에 중점을 두고, PTSD는 현재에 존재하기에 역점을 두어 중재하는 것이 효과적이었다. 수용전념치료는 저항적이고 만성화 경향이 있는 정신건강문제에 효과적인 중재가 될 수 있으므로, 조현병이나 양극성 장애를 위한 수용전념치료 프로그램의 개발이 필요하다. The purpose of this study was to provide an integrative review of ACT for mental health problems to identify content of program and discuss methodological strategy of intervention according to target population. According to Whittmore and Knaf’s integrative review method, this research was conducted in five stages: clarification of research problems, literature search, and quality evaluation of data, data analysis, and data description. The key words in English and Korean were used to search through seven electronic databases. 21 studies were finally included in this integrative review. ACT was used as an intervention for anxiety, depression, posttraumatic stress disorder and eating disorders and was effective in social avoidance, anxiety sensitivity, depression, dysfunctional belief and negative thinking. It was also used as an intervention for the maladjustment in adolescence to improve self-esteem and reduce behavioral problem. The six core processes of ACT are useful for people with chronic mental illness who have an ineffective avoidance strategy that avoids their symptoms and does not accept the illness. We give a suggestion that researchers develop and apply appropriate ACT for mentally ill person in hospitals.
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COVID-19 팬데믹 상황에서 조현병 환자에게 나타난 변화: 통합적 고찰
강경림,최덕자,정재원 한국정신간호학회 2022 정신간호학회지 Vol.31 No.4
Purpose: This integrative review aims to identify changes in people with schizophrenia during the COVID-19 pandemic. Methods: An integrative literature review method of Whittemore and Knafl was applied to integrate the studies. The literature search was conducted in six electronic databases using English and Korean search terms. Three researchers independently reviewed the extracted papers and rated their quality based on predetermined inclusion and exclusion criteria. A total of fifteen relevant studies were included. Results: The selected articles were all international papers, and most of them were quantitative studies. The changes observed in people with schizophrenia were summarized as follows: (1) changes in health outcomes: psychosocial (increased levels of depression, stress, anxiety, sleep disturbance, and psychotic-like experience) and physical (reduction in food intake, weight loss, changes in immune- related clinical values, etc.); (2) changes in treatment and health management: increased hospitalization, decreased ICU hospitalization, and a decrease in outpatient visits and prescription rate. Conclusion: This study confirmed the impacts of the COVID-19 pandemic on people with schizophrenia. It is necessary to develop mental health policies and appropriate nursing interventions to help people in preparing for possible future crises.
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분노관리프로그램이 정신건강의학과 입원 환자의 분노 표현방식에 미치는 영향
곽은영(Eun Young Kwak),최덕자(Dug Ja Choi),김성재(Sung Jae Kim),최은주(Eun Joo Choi),염은경(Eun Kyung Yeom),김지연(Ji Yeon Kim),신지원(Ji Won Shin),장선주(Sun Joo Jang) 대한스트레스학회 2014 스트레스硏究 Vol.22 No.3
본 연구는 정신건강의학과 보호 병동에 입원한 환자를 대상으로 분노관리프로그램을 개발, 중재효과를 규명하기 위한 실험연구이다. 32명의 대상자를 시차를 두고 실험군, 대조군에 배정하였고 2011년 11월∼2012년 7월까지 진행되었다. 실험군 16명, 대조군 16명 중 대조군 1명이 중도 탈락하였고, 총 31명을 대상으로 결과 분석을 시행하였다. 이와 같이 수집된 자료는 사전 동질성 검사를 시행하였고, 연구 가설을 검정하기 위해 Mann-Whitney U-test를 사용하였다. 연구 결과 2주 동안의 분노관리프로그램을 받은 실험군은 대조군보다 분노표출(U=19.50, p<.001)과 분노표현(U=40.50, p=.001)이 유의하게 감소된 것으로 나타났다. 따라서, 분노관리프로그램은 정신건강의학과 입원환자의 행동변화를 유도해 분노표출을 감소시키고, 인지적 왜곡 수정 등의 인지적인 변화를 통해 적절하게 분노표현을 하는 데 도움을 줄 것이다. The purpose of this study was to evaluate the effect of anger management programs based on cognitive behavioral therapy (CBT) in psychiatric inpatients. This study used a nonequivalent control group, non-synchronized, and quasi?experimental design. 31 subjects were recruited. The experimental group (n=16) received 5 sessions of 2 week program. The control group (n=15) could receive the same program as the experimental group after completion of the first- and 14th-day questionnaire. The collected data were analyzed using SPSS for Windows. Compared with the control group, patients on treatment showed significant reduction in scores of anger-out (U=19.50, p<.001), and anger-expression (U=40.50, p=.001). This present trial results demonstrate that anger management programs significantly reduced anger-out and anger-expression. These results can suggest that anger management programs contribute to controlling anger-expression of psychiatric inpatients.
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최진이 ( Choi Jin Yi ),박영미 ( Park Young Mi ),최덕자 ( Choi Dug Ja ),하영옥 ( Ha Young Ok ) 경희대학교 동서간호학연구소 2019 동서간호학연구지 Vol.25 No.1
Purpose: This study investigated the factors influencing sleep quality in adults according to age groups. The escriptive study was conducted in metropolitan areas of South Korea to control for possible sleep differences between adults living in rural areas and those living in cities. Participants were 450 adults between 19 and 65 years old. Methods: Self-administered questionnaires consisting of including the Korean Modified Sleep Leeds Evaluation Questionnaire, the International Physical Activity Questionnaire and the Perceived Stress Scale were used to assess the quality of adults’ sleep. Results: Sleep quality was poor across the all age groups Stress and subjective health status were influencing factors of sleep quality among participants in their 20s; subjective health status and circadian rhythm (evening-type) were influencing factors of those in their 30s; subjective health status, alcohol consumption, and work days of less than 8 hours were influencing factors among participants in their 40s; and stress, circadian rhythm (evening-type), subjective health status, work days of over 11 hours, past smoking habit, and light physical activity were influencing factors of those aged 50 years and over. Conclusion: The quality of sleep was low across the all adult age groups in South Korea. Although the factors influencing quality of sleep differed by age groups, they in general indicate the need to focus on maintaining and controlling health status in sleep interventions.
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