• 제목/요약/키워드: cognition disorder

검색결과 83건 처리시간 0.026초

The Relationship of Clinical Symptoms with Social Cognition in Children Diagnosed with Attention Deficit Hyperactivity Disorder, Specific Learning Disorder or Autism Spectrum Disorder

  • Sahin, Berkan;Karabekiroglu, Koray;Bozkurt, Abdullah;Usta, Mirac Bans;Aydin, Muazzez;Cobanoglu, Cansu
    • Psychiatry investigation
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    • 제15권12호
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    • pp.1144-1153
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    • 2018
  • Objective One of the areas of social cognition is Theory of Mind (ToM) is defined as the capacity to interpret, infer and explain mental states underlying the behavior of others. When social cognition studies on neurodevelopmental disorders are examined, it can be seen that this skill has not been studied sufficiently in children with Specific Learning Disorder (SLD). Methods In this study, social cognition skills in children diagnosed with attention deficit hyperactivity disorder (ADHD), SLD or Autism Spectrum Disorder (ASD) evaluated before puberty and compared with controls. To evaluate the ToM skills, the first and second-order false belief tasks, the Hinting Task, the Faux Pas Test and the Reading the Mind in the Eyes Task were used. Results We found that children with neurodevelopmental disorders as ADHD, ASD, and SLD had ToM deficits independent of intelligence and language development. There was a significant correlation between social cognition deficits and problems experienced in many areas such as social communication and interaction, attention, behavior, and learning. Conclusion Social cognition is an important area of impairment in SLD and there is a strong relationship between clinical symptoms and impaired functionality.

난임 여성의 비합리적 부모신념, 외상 후 스트레스 장애, 배우자 지지가 삶의 질에 미치는 영향 (Effects of Irrational Parenthood Cognition, Post Traumatic Stress Disorder and Spousal Support on Quality of Life of Infertile Women)

  • 양소라;여정희
    • 여성건강간호학회지
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    • 제23권2호
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    • pp.145-153
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    • 2017
  • Purpose: This study examined degrees of irrational parenthood cognition, post traumatic stress disorder (PTSD), spousal support, and quality of life and investigated factors that influence the quality of life of infertile women. Methods: Research design was a cross sectional correlational survey with a total of 113 female patients receiving treatment for infertility. Data were collected from August 1 to November 30, 2015. The collected data were analyzed using t-test, ANOVA, Pearson's correlation, and multiple regression analysis. Results: The mean score of the quality of life was $59.0{\pm}14.8$. The quality of life was significantly associated with irrational parenthood cognition (r=-.70), post traumatic stress disorder (r=-.65), and spousal support (r=.56). The factors significantly affecting the quality of life in infertile women were irrational parenthood cognition (${\beta}=-.45$), post traumatic stress disorder (${\beta}=-.34$), and spousal support (${\beta}=-.32$). The explained variance by these factors was 70.4%, and the regression model was valid (F=89.81, p<.001). Conclusion: This study may contribute to the development of nursing intervention program to improve the quality of life of infertile women.

치매예방 통합프로그램이 경증인지 장애노인의 인지기능, 우울, 자아 존중감 및 삶의 질에 미치는 효과 (The Effects of Dementia Prevention Program on Cognition, Depression, Self-esteem and Quality of life in the Elderly with Mild Cognitive Disorder)

  • 이윤미;박남희
    • 성인간호학회지
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    • 제19권5호
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    • pp.104-114
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    • 2007
  • Purpose: This study was conducted to develop and evaluate a dementia prevention intervention program for the elderly with mild cognitive disorder. Methods: The study was nonequivalent control group pretest-posttest design. The subjects of the study were a total of 68 elderly who ranged from 21 to 24 of total scores of K-MMSE, aged over 65, in home. The program consisted of music therapy, humor therapy, art therapy, dancing therapy, recreation, and health education to enhance brain function. The program was applied to the experimental group twice a week, ninety minutes per session for eight weeks. The data were analysed by using chi-square test and t-test. Results: The variables measured in the experimental group and the control group before the intervention were not significantly different in the homogeneity test. The dementia prevention program improved the cognition(t=9.243, p<.001), self-esteem(t=.4.336, p<.001), quality of life(t=8.375, p<.001) and reduced depression(t=-3.913, p<.001). Conclusion: These findings confirmed that the dementia prevention program made a contribution to improving cognitive function, self-esteem, and quality of life and also to reduce depression in the elderly with mild cognition disorder. Therefore, it is recommended that this program could be used in clinical practice as an effective nursing intervention for the elderly with mild cognitive disorder.

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중의정지병증적내함해석(中医情志病证的内涵解析) (The meaning of Mental Disorder in Chinese Medicine)

  • 노명원
    • 대한한의학원전학회지
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    • 제22권4호
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    • pp.39-42
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    • 2009
  • Jeongji(情志) in Chinese medicine refers to a series of psychological activity which is expressed as hui(喜), no(怒), wu(優), sa(思), bi(悲), gong(恐), gyeong(驚), together with emotion, sentiment, and cognition, which are manifested as responses of the human body to environmental changes both inside and outside. Sa(思) is a major cognitive activity, and the other six emotions are main emotional activities. The emphasis on the interrelationship between cognition, sentiment, and emotional activity is a unique characteristic of the Jeongji(情志) concept in China. Jeongji[Mental] disorder refers to a series of diseases that has a close link between the attack, clinical presentation and emotional stimulation. The attack is deeply affected by emotional stimulation, with which physical symptoms are either present or absent. However, emotional changes are clear most of the time, their effect on disease development noticeable as well. To sum up, Jeongji[Mental] disorder is related to a wide range of medical problems in fields such as internal, surgical, gynecology, pediatrics, and various psychiatric disorders, not to mention contemporary psychological disorders, neurosis, and all kinds of mental illnesses of today. Moreover, the mental and physical disorders of today all share a common pathogenesis, clinical manifestation and treatment discipline. All the more reason for deeper professional research.

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불안장애에서 정서처리와 관련된 ERP 성분 (ERP Components Associated with Emotional Processing in Anxiety Disorder)

  • 문은옥;이승환;김현택
    • 생물정신의학
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    • 제19권1호
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    • pp.9-16
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    • 2012
  • This article aimed to describe typical event-related potentials (ERP) components of emotional processing in patients with anxiety disorder and highly anxious individuals. ERP components associated with emotional processing could be broadly divided into three components with short, middle and long, respectively. Many studies show that patients with anxiety disorders are characterized by different emotional bias to specific stimuli and more sensitive to emotional stimuli than normal individuals. In addition, these emotional biases were stronger and quicker in patients with anxiety disorder than normal individuals. Some studies reported that anxious people show abnormality at the initial stage (e.g. P1) of emotional processing. However, other studies reported the abnormality at the late stage (e.g. LPP) or wholeness of emotional processing in anxious individuals. We summarized the updated finding of possible ERP components of emotional processing in patients with anxiety disorder and highly anxious individuals. The significance and clinical implication were discussed.

성격 5요인, 외상 후 인지, 사건관련 반추, PTSD 증상, 외상 후 성장의 관계: 외상 후 성장모델을 중심으로 (The Relationship between Personality, Posttraumatic Cognition, Event-Related Rumination, Posttraumatic Disorder(PTSD) Symptoms and Posttraumatic Growth(PTG): Based on the Posttraumatic Growth Model)

  • 이동훈;이수연;윤기원;최수정;김시형
    • 한국심리학회지ㆍ일반
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    • 제36권2호
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    • pp.241-270
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    • 2017
  • 본 연구는 성인 1,000명을 대상으로 트라우마 이전(pretrauma)의 성격적 특성인 성격 5요인, 외상 후 인지, 반추, PTSD 증상, 외상 후 성장간의 구조적 관계를 살펴보자 하였다. 이를 위해 본 연구에서는 성격 5요인이 외상 후 인지와 침습적 반추를 거쳐 의도적 반추에 영향을 주는 경로가 포함된 가설적 연구모형과 침습적 반추에서 의도적 반추로 가는 경로가 제외된 경쟁모형을 각각 설정하였다. 연구결과 첫째, 외향성, 우호성, 성실성은 외상 후 성장과 PTSD 증상 간에 외상 후 인지 및 반추의 매개효과가 유의하지 않았다. 둘째, 개방성은 PTSD 증상 및 외상 후 성장으로 가는 경로에서 침습적 반추와 의도적 반추가 순차적으로 매개하는 것으로 밝혀졌다. 셋째, 신경증적 경향성은 PTSD 증상 및 외상 후 성장으로 가는 경로에서 외상 후 인지, 사건관련 반추가 순차적으로 매개하는 것으로 밝혀졌다. 본 연구결과는 외상 후 성장모델의 인지과정을 지지하는 것으로 나타났다. 본 연구의 결과에 근거하여 의의와 한계점에 대하여 논의하였다.

Screening Tool for Anxiety Disorders: Development and Validation of the Korean Anxiety Screening Assessment

  • Kim, Yeseul;Park, Yeonsoo;Cho, Gyeongcheol;Park, Kiho;Kim, Shin-Hyang;Baik, Seung Yeon;Kim, Cho Long;Jung, Sooyun;Lee, Won-Hye;Choi, Younyoung;Lee, Seung-Hwan;Choi, Kee-Hong
    • Psychiatry investigation
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    • 제15권11호
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    • pp.1053-1063
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    • 2018
  • Objective This study evaluated the psychometric properties of the Korean Anxiety Screening Assessment (K-ANX) developed for screening anxiety disorders. Methods Data from 613 participants were analyzed. The K-ANX was evaluated for reliability using Cronbach's alpha, item-total correlation, and test information curve, and for validity using focus group interviews, factor analysis, correlational analysis, and item characteristics based on item response theory (IRT). The diagnostic sensitivity and specificity of the K-ANX were compared with those of the Beck Anxiety Inventory (BAI) and Generalized Anxiety Disorder 7-item scale (GAD-7). Results The K-ANX showed excellent internal consistency (${\alpha}=0.97$) and item-total coefficients (0.92-0.97), and a one-factor structure was suggested. All items were highly correlated with the total scores of the BAI, GAD-7, and Penn State Worry Questionnaire. IRT analysis indicated the K-ANX was most informative as a screening tool for anxiety disorders at the range between 0.8 and 1.6 (i.e., top 21.2 to 5.5 percentiles). Higher sensitivity (0.795) and specificity (0.937) for identifying anxiety disorders were observed in the K-ANX compared to the BAI and GAD-7. Conclusion The K-ANX is a reliable and valid measure to screen anxiety disorders in a Korean sample, with greater sensitivity and specificity than current measures of anxiety symptoms.

외상성 뇌손상으로 인한 발달초기장애 환아의 한방적 처치에 관한 증례보고 (A Case Report of Primary Developmental Disorder Induced by Traumatic Brain Injury)

  • 성현경;민상연;김장현
    • 대한한방소아과학회지
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    • 제23권3호
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    • pp.89-108
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    • 2009
  • Objectives The purpose of this study is to report the clinical effects of oriental medical treatment on developmental disorder induced by traumatic brain injuries. Methods The patients were treated with herb medicine, acupunctures, moxibustions, and negative pressures, and then evaluated by manual muscle tests, gross motor function measurements, sequenced language scales for infants. Results The patient's manual muscle power, motility, cognition, speech were significantly improved after six weeks of oriental medical treatment. Conclusions This study showed that oriental medical treatments were effective on developmental disorder induced by traumatic brain injuries. However, further clinical studies were needed.

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외상성 뇌손상으로 인지기능 장애가 유발된 소음인 환자 치험 1례 (A Case Study about Soeumin with Cognitive Disorder from Traumatic Head Injury)

  • 조성규;배효상
    • 사상체질의학회지
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    • 제19권2호
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    • pp.204-212
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    • 2007
  • 1. Objectives The purpose of this case is to report that a Soeumin patient with cognitive disorder from traumatic head injury needed to be managed with the consideration of the difference of Nature and Emotion(性情). 2. Methods To evaluate the patient's cognition disorder and mental state, we performed the MMSE(Mini-Mental State Examination) and the MMPI(Minnesota Multiphasic Personality Inventory). and he was diagnosed as Soeumin and treated by Kwakhyangchungki-san(藿香正氣散) mainly. 3. Results and Conclusions (1) In this case, we observed specifically-biased Nature and Emotion(性情) of Soeumin like ‘恒欲處而不欲出’, ‘恒欲爲雌而不欲爲雄’, ‘喜別人之助己也’. ‘喜好不定’, ‘不安定之心’ (2) The management of Soeumin with cognitive disorder from traumatic head injury is that he or she should live together his or her family, and have an active manner with a generous and broad-minded mental attitude. (3) A therapist must give a patient mental support and inspire him or her with courage. (4) The deviation of Nature and Emotion(性情) should be taken into consideration when we manage the patient with cognitive disorder from traumatic head injury.

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Effect of Elastic-Band Exercise and Cognitive Rehabilitation in Cognition and Walking Speed of Elderly People -Pilot Study-

  • Yu, Seonghun;Lee, Youngsin;Kim, Seongsu
    • 대한인간공학회지
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    • 제34권5호
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    • pp.363-375
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    • 2015
  • Objective: This study aims to recognize the risk of current traffic systems and to investigate a method to decrease risk by doing exercise using an elastic-band and cognitive rehabilitation. Background: The existing traffic system usually focuses on the ordinary citizens, which may not be appropriate to the elderly. It may affect the cognition and walking speed of the elderly. This study tries to examine whether cognition and muscle training is appropriate to improve their vulnerability. Therefore this study will provide human ergonomics - based basic data in relation to the elderly to identify the risk of current signal system and to mitigate the risk. Method: A total of 30 elderly participants were divided into two groups: experimental and control groups. Experimental group (n=15) was trained to strengthen their muscles and to promote cognition, whereas control group (n=15) was not. The training was conducted twice a week for three weeks. To strengthen muscles, a yellow colored elastic-band was used, and a computer program for cognitive rehabilitation was used to develop cognition. In the experimental group, there were significant differences between pre and post exercises However, the control group didn't show any significant difference. The increase in cognition and walking speed was found in the experimental group, whereas there were no differences in the control group. Statistically there was no significant difference between the two groups. Results: The results of this study show that the exercise program using the elastic-band gave a positive effect on gait training thanks to the development of muscle power and balance. Conclusion: This study did not show any statistical difference or significant differences between the two groups, since time was restricted, we believe. Application: The results of the walking speed will help to prevent traffic collision.