Journal of Korean Academy of Nursing

Original Articles

The Effects of Mobile Social Networking Service-Based Cognitive Behavior Therapy on Insomnia in Nurses: Ji Eun Kim, Suk-Sun Kim; J Korean Acad Nurs 2017;47(4):476-487. Published online August 31, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.4.476

Purpose

This study aimed to examine the effects of cognitive behavior therapy for insomnia (CBT-I) based on the mobile social networking service (SNS) on dysfunctional beliefs and attitudes about sleep, sleep quality, daytime sleepiness, depression, and quality of life among rotating-shift nurses in a hospital in Korea.

Methods

A nonequivalent control group pre-post test design was used. The participants included 55 nurses with rotating three-shift work (25 in the experimental group and 30 in the control group). For the experimental group, CBT-I using mobile SNS was provided once a week for 60 minutes over six weeks. Data were analyzed using descriptive statistics, χ²-test, independent samples t-test, and Mann-whitney U test with the SPSS 21.0 program.

Results

In the homogeneity test of the general characteristics and study variables, there were no significant differences between the two groups. Nurses in the experimental group had significantly lower scores on dysfunctional beliefs and attitudes regarding sleep and sleepiness than nurses in the control group. Nurses in the experimental group had significantly higher scores on sleep quality and quality of life than nurses in the control group.

Conclusion

These findings indicate that using the mobile SNS-based CBT-I is feasible and has significant and positive treatment-related effects on rotating-shift nurses' irrational thoughts and beliefs in association with sleep, sleep quality, daytime sleepiness, and quality of life. These contribute to expanding our knowledge of rotating-shift nurses' sleep issues and their preferences for intervention.

Citations

Citations to this article as recorded by

Factors Associated with Quality of Life of Clinical Nurses: A Cross-Sectional Survey
Seul-Ki Park, Kyoung-Sook Lee
International Journal of Environmental Research and Public Health.2023; 20(3): 1752. CrossRef
Effectiveness of sleep interventions for rotating night shift workers: a systematic review and meta-analysis
Bo Min Jeon, Su Hyun Kim, Seung Hwa Shin
Frontiers in Public Health.2023;[Epub] CrossRef
The effects of the type of delivery of cognitive‐behavioral therapy for healthcare workers: A systematic review
In Gyu Yoo
Journal of Clinical Psychology.2022; 78(2): 149. CrossRef
Effects of cognitive behavioral therapy for insomnia (CBT-I) on quality of life: A systematic review and meta-analysis
Zainab Alimoradi, Elahe Jafari, Anders Broström, Maurice M. Ohayon, Chung-Ying Lin, Mark D. Griffiths, Kerstin Blom, Susanna Jernelöv, Viktor Kaldo, Amir H. Pakpour
Sleep Medicine Reviews.2022; 64: 101646. CrossRef
Rotating between day and night shifts: Factors influencing sleep patterns of hospital nurses
Seunghwa Shin, SuHyun Kim
Journal of Clinical Nursing.2021; 30(21-22): 3182. CrossRef
Sleep quality among shift-work nurses: A systematic review and meta-analysis
Jiwon Kang, Wonjung Noh, Youngjin Lee
Applied Nursing Research.2020; 52: 151227. CrossRef

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The Effects of Cognitive Behavioral Anger Management Program on Self-consciousness and Anger in Korean Military Man: Myung Sun Hyun, Kyoung A Nam, Hee Sun Kang; Journal of Korean Academy of Nursing 2006;36(6):1076-1084. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2006.36.6.1076

Abstract PDF

Purpose

The purpose of this study was to evaluate a cognitive behavioral anger management intervention in order to increase self-consciousness and decrease anger among Korean military men.

Methods

A quasi-experimental design was used for this study. Ninety two soldiers were screened for unhealthy anger expression using a questionnaire. Among them, 26 soldiers who showed unhealthy anger expression were selected for this study. They were matched by rank and assigned to either a treatment or control group. The treatment group received the intervention three consecutive times, once a week and for 120 minutes per session. Participants were assessed before and after the intervention for anger (the State-Trait Anger Scale) and self-consciousness (Self-consciousness Scale). Data was analyzed using descriptive statistics, χ²-test, Mann-Whitney test, and Wilcox on signed rank test.

Results

There was no statistically significant decrease in anger or increase in self-consciousness between the two groups following treatment. However, there was a significant increase in private self-consciousness in the treatment group after the intervention(p=.006).

Conclusion

The cognitive behavioral anger management program improves private self-consciousness in soldiers. However, Additional research is needed to explore whether long-term intervention is more effective for anger control in the military setting. The findings from this study suggest that more attention should be given to mental health care for Korean soldiers.

Citations

Citations to this article as recorded by

The Effects of Cognitive-Behavioral Therapy on Depression, Anger, and Self-Control for Korean Soldiers
Myung-Sun Hyun, Hyang-In C. Chung, Jennie C. De Gagne, Hee Sun Kang
Journal of Psychosocial Nursing and Mental Health Services.2014; 52(2): 22. CrossRef
Effectiveness of the Military Mental Health Promotion Program
Chung Hee Woo, Sun Ah Kim
Journal of Korean Academy of Nursing.2014; 44(6): 717. CrossRef

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Effects of a Cognitive Training Program on Cognitive Function and Activities of Daily Living in Patients with Acute Ischemic Stroke: Eun Young Oh, Mi Sook Jung; J Korean Acad Nurs 2017;47(1):1-13. Published online February 28, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.1.1

Abstract PDF

Purpose

The purpose of this study was to examine the effects of a cognitive training program on neurocognitive task performance and activities of daily living (ADL) in patients who had a stroke.

Methods

The research design for this study was a nonequivalent control group non-synchronized design. Patients were assigned to the experimental (n=21) or control group (n=21). The experimental group received a 4-week cognitive training program and usual care (i.e., rehabilitation service), while the control was received usual care only. Cognitive function was measured with a standardized neurocognitive test battery and ADL was assessed at baseline and one and two months after completion of the intervention. Repeated measures ANOVA was used to determine changes in cognitive function and ADL over 2 months.

Results

The interaction of group and time was significant indicating that the experimental group showed improvement in attention, visuospatial function, verbal memory, and executive function compared to the control group which had a sustained or gradual decrease in test performance. A significant group by time interaction in instrumental ADL was also found between the experimental group with gradual improvement and the control group showing no noticeable change.

Conclusion

Findings show that the cognitive training program developed in this study is beneficial in restoring cognitive function and improving ADL in patients following a stroke. Further study is needed to investigate the long-term relationship between cognitive training participation and cognitive improvement and effective functioning in daily living.

Citations

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Clinical efficacy of aerobic exercise combined with computer-based cognitive training in stroke: a multicenter randomized controlled trial
Ting-Ting Yeh, Ku-Chou Chang, Ching-Yi Wu, Chao-Jung Chen, I-Ching Chuang
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Myoung Ok Park, Hyun Soo Oh, Wha Sook Seo
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A Systematic Review and Meta-Analysis of Cognitive Rehabilitation Occupational Therapy Intervention for Stroke Patients
Chi-Hwan Shin, Mo-sei Hwang, Eun-Young Yoo
Journal of Korean Society of Occupational Therapy.2019; 27(1): 51. CrossRef
Cognitive rehabilitation for attention deficits following stroke
Tobias Loetscher, Kristy-Jane Potter, Dana Wong, Roshan das Nair
Cochrane Database of Systematic Reviews.2019;[Epub] CrossRef
Effects of Group Rational Emotive Behavior Therapy on the Nurses' Job Stress, Burnout, Job Satisfaction, Organizational Commitment and Turnover Intention
Hye-Lyun Kim, Sook-Hee Yoon
Journal of Korean Academy of Nursing.2018; 48(4): 432. CrossRef

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Effects of a Cognitive Rehearsal Program on Interpersonal Relationships, Workplace Bullying, Symptom Experience, and Turnover Intention among Nurses: A Randomized Controlled Trial: Jiyeon Kang, Jeung-Im Kim, Seonyoung Yun; J Korean Acad Nurs 2017;47(5):689-699. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.5.689

Abstract PDF

Abstract Purpose

This research aimed to investigate the effects of a cognitive rehearsal program (CRP) on workplace bullying among nurses.

Methods

A randomized controlled trial was performed. Participants were 40 nurses working in different university hospitals in B city, South Korea. The experimental group was provided with a 20-hour CRP comprising scenarios on bullying situations, standard communication, and role-playing. To evaluate effects of the CRP, we measured interpersonal relationships, workplace bullying, symptom experience, and turnover intention at pre-and post-intervention. Follow-up effect was measured in the experimental group only at 4 weeks after the intervention.

Results

After the intervention, there were significant differences in interpersonal relationships (F=6.21, p=.022) and turnover intention (F=5.55, p=.024) between experimental and wait-list groups. However, there was no significant difference in workplace bullying or symptom experience between the 2 groups. The beneficial effects on interpersonal relationships and turnover intention lasted at least up to 4 weeks after CRP.

Conclusion

The CRP for workplace bullying improves interpersonal relationships and decreases turnover intention. So it can be utilized as one of the personal coping strategies to reduce the the turnover among nurses. Further studies on the effects of unit- or hospital-based CRP and on the long-term effects of CRP are necessary.

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Development and Effects of a Cognitive-behavioral Therapy Based Program in Reducing Internalized Stigma in Patients with Schizophrenia: Mi Young Kim, Seong Sook Jun; J Korean Acad Nurs 2016;46(3):349-363. Published online June 30, 2016; DOI: https://doi.org/10.4040/jkan.2016.46.3.349

Abstract PDF

Purpose

This study was done to develop a internalized stigma reducing program based on cognitive-behavioral therapy and appropriate for patients with schizophrenia and to evaluate its effectiveness.

Methods

The study design was a mixed method research. Qualitative study, 13 patients with schizophrenia who had experience in overcoming stigma were purposively chosen for interviews and data were analyzed using Giorgi method. Quantitative study, 64 patients with schizophrenia (experimental group=32, control group=32) were recruited. The cognitive-behavioral therapy-based program for reducing internalized stigma in patients with schizophrenia was provided for 8 weeks (12 sessions). Data were collected from June. 20, 2013 to Feb. 14, 2014. Quantitative data were analyzed using χ²-test, t-test, repeated measures ANOVA with the SPSS program.

Results

Qualitative results, from the experience of coping with stigma in patients with schizophrenia seventeen themes and five themes-clusters were drawn up. Quantitative results showed that internalized stigma, self-esteem, mental health recovery and quality of life were significantly better in the experimental group compared to the control group.

Conclusion

Study findings indicate that this program for reducing internalized stigma in patients with schizophrenia is effective and can be recommended as a rehabilitation program intervention to help patients with schizophrenia to cope with internalized stigma.

Citations

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Positive mental health interventions for people with schizophrenia: A scoping review
Catarina Nogueira, Emanuel Dias Pereira, Joana Catarina Ferreira Coelho, Antonio Rafael Moreno-Poyato, Carlos Alberto Cruz Sequeira
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Effects of Mindfulness-Based Stress Reduction (MBSR) on Stress, Heart Rate Variability, Affect, and Wellbeing among People with Schizophrenia
Ae Sil Kim, Mi Heui Jang, Min Jung Sun
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Effects of Self-Assertive Training Applying Reality Therapy Techniques on Self-esteem and Internalized Stigma in Schizophrenia Patients
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Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(1): 37. CrossRef
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Seog-Bun Yoo, Gwi-Ryung Son Hong
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Overcoming Internalized Stigma in Persons with Psychiatric Disabilities
Mi Young Kim, Seong Sook Jun, Eun Kyung Byun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2017; 26(3): 238. CrossRef

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Effects of Cognitive Behavioral Therapy Program on Mental Health Problems in Children Dealing with Trauma: Focused on Community District Victimized by Oil Spill: Jung Nam Sohn, Yong-Mi Lee; J Korean Acad Nurs 2012;42(1):56-65. Published online February 29, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.1.56

Abstract PDF

Purpose

This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety.

Methods

A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0.

Results

After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group.

Conclusion

The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

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