|
KMID : 1142620230150010023
|
|
Korea Aging Friendly Industry Association
2023 Volume.15 No. 1 p.23 ~ p.35
|
|
|
The effect of Cognitive Behavioral Therapy on Mental Health, Self-Efficacy and Quality of Life in Spinal Cord Injury Patients
|
|
Kim Jin-A
Kim Deok-Ju
|
|
|
Abstract
|
|
|
Objective : The purpose of this study was to investigate the effects of cognitive behavioral therapy on mental health, self-efficacy, and quality of life after 4 weeks of cognitive behavioral therapy in patients with spinal cord injury.
Methods : The subjects were 20 spinal cord injury patients, and 15 patients in the experimental group and 15 in the control group were randomly divided into the study. The cognitive behavioral therapy program was reconstructed based on previous studies and specialized books, and consisted of a worksheet for cognitive restructuring that changes negative automatic thinking scales into positive ones and a conversation with a therapist for cognitive restructuring, and consisted of a total of 20 sessions. The experimental group received 20 minutes of cognitive behavioral therapy and 30 minutes of traditional occupational therapy in the treatment room, once a day, 5 times a week for a total of 50 minutes, and the control group performed 20 minutes of progressive muscle relaxa/tion and 30 minutes of traditional occupational therapy in the treatment room for a total of 50 minutes, once a day, 5 times a week.
Results : As a result of the study, significant improvement was observed in the experimental group in the items of automatic thinking, depression, anxiety, self-efficacy, and quality of life after within the group after intervention(p<.01). but the control group showed a significant decrease in automatic thinking, A melancholy mood item in the depression test, anxiety (p<.05, p<.01), and a significant improvement in self-efficacy and psychological domain in quality of life(p<.01). As a result of comparing the amount of change between the experimental and control group, there were significant differences in all items of automatic thinking, depression, anxiety, self-efficacy, and quality of life(p<.01, p<.001).
Conclusion : The cognitive behavioral therapy program in this study is significant in that it provided good guidelines for therapists and spinal cord injury patients. In addition, it is expected that emotional stability of spinal cord injury patients due to cognitive behavioral therapy can have a positive effect on future rehabilitation, activities of daily living, and participation.
|
|
|
KEYWORD
|
|
|
Spinal cord injury, Cognitive behavioral therapy, Anxiety, Depression, Self-efficacy, Quality of life
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|