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Effects of a Cognitive Behavior Therapy Program for Patients with Fibromyalgia Syndrome: A Randomized Controlled Trial
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Kyoung Ran Kong, Eun Nam Lee
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J Korean Acad Nurs 2021;51(3):347-362. Published online June 30, 2021
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DOI: https://doi.org/10.4040/jkan.21025
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Abstract
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- Purpose
This study developed a cognitive behavioral therapy program aimed at altering the physical condition, emotions, and behaviors of fibromyalgia patients, and confirmed the program’s clinical applicability. The program was developed by analyzing previous studies conducting in-depth interviews with fibromyalgia patients, drawing on cognitive behavior theory to establish the program contents, recruiting experts to test its validity, and conducting a preliminary survey. Methods To confirm the program’s effect, this study used a randomized controlled trial design. The participants were outpatients diagnosed with fibromyalgia in Dong-A University Hospital, Busan. The 30 patients in the experimental group took part in the program, which comprised 8 sessions (90 to 120 minutes) based on cognitive behavior theory, delivered over 8 weeks. Hypothesis testing was carried out using the repeated measures ANOVA. Results The analysis revealed significant differences between the experimental and control groups in positive automatic thoughts, pain, fatigue, depression, and interpersonal relationships. However, there was no significant difference between the groups in terms of sleep disorders and negative automatic thoughts. Conclusion This program is a positive effect on physical condition, emotions, and behaviors. It is thus expected to be used to help fibromyalgia patients improve their disease conditions.
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Citations
Citations to this article as recorded by 
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An-Na Yeo, Yu-Min Kang, Su-Young Lee Journal of Dental Hygiene Science.2025; 25(1): 42. CrossRef - Effects of pharmacological and non-pharmacological interventions for the management of sleep problems in people with fibromyalgia: a multi-methods evidence synthesis
Mari Imamura, Clare Robertson, Jemma Hudson, Daniel Whibley, Lorna Aucott, Katie Gillies, Marcus Beasley, Martin J Stevens, Paul Manson, Debra Dulake, Abhishek Abhishek, Nicole KY Tang, Gary J Macfarlane, Miriam Brazzelli Health Technology Assessment.2025; : 1. CrossRef - The Effect of Positive Psychotherapy on Pain Perception, Daily Functioning, and Mental Health in Patients With Fibromyalgia
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Maria Planes Alias, David J Moore, Nicholas Fallon, Katie Herron, Charlotte Krahé The Journal of Pain.2025; : 106181. CrossRef - Effects of a Internet-Based Cognitive Behavioral Therapy Program for Adolescents with Diabulimia: A Randomized Controlled Trial
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Threats to Identity: A Grounded Theory Approach on Student Nurses’ Experience of Incivility during Clinical Placement
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Jiyeon Kang, Yeon Jin Jeong, Kyoung Ran Kong
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J Korean Acad Nurs 2018;48(1):85-95. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.1.85
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Abstract
PDF
- Abstract
Purpose
This qualitative study aimed to explore the experience of incivility among nursing students.
Methods
Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents.
Results
Incivility occurred in the context of a hierarchical organizational culture, due to nursing students’ position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as “being mistreated as a marginal person,” and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students’ experience of incivility could eventually lead to workplace bullying in nurses.
Conclusion
The results of this study suggest that nursing students’ experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.
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Citations
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Elif Sözeri Öztürk, Tuğba Karataş Journal of Nursology.2025; 28(1): 20. CrossRef - Exploring relationships among workplace incivility, organizational commitment, work engagement and job burnout in Vietnamese primary schools
Quan H.N. Tran Industrial and Commercial Training.2025; 57(4): 345. CrossRef - Systemic antecedents of academic incivility in nursing: An integrative review
Justin Fontenot, Michael Hebert, Robbie Stefanski, Dawn Morris Teaching and Learning in Nursing.2024; 19(2): 192. CrossRef - Nursing Students’ Perception of Injustice in Clinical Practice
Hye Young Cho, Kyoung Ah Kang Journal of Korean Academy of Nursing Administration.2023; 29(4): 433. CrossRef - A structural model of nursing students’ performing communication skills
Cho Rong Gil, Kyung Mi Sung The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 148. CrossRef - The effect of verbal violence, clinical practice stress, and coping with stress on nursing students’ major satisfaction during clinical practice
Heejung Heo, Yeoungsuk Song The Journal of Korean Academic Society of Nursing Education.2023; 29(2): 190. CrossRef - Nursing students' rights in clinical practice in South Korea: a hybrid concept-analysis study
Sunghee Park, Mi-Young Choi Child Health Nursing Research.2023; 29(4): 260. CrossRef - Effects of a Nonviolent Communication-Based Empathy Education Program for Nursing Students: A Quasi-Experimental Pilot Study
Jieun Sung, Youngran Kweon Nursing Reports.2022; 12(4): 824. CrossRef - Impact of incivility and psychological capital on nursing students’ transition shock
Chung Hee Woo, Chanhee Kim Collegian.2022; 29(5): 621. CrossRef - The influence of nursing students’ perfectionism tendency and perception of instructor caring on incivility experienced by nursing students
Eun Nam Lee, Na Geong Kim The Journal of Korean Academic Society of Nursing Education.2021; 27(4): 436. CrossRef - The influence of experienced violence and the clinical learning environment on vocational identity in nursing students
Mira Lee, Hee Ok Park, Insook Lee The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 321. CrossRef - Development and Validation of the Nursing Students’ Rights Awareness Scale in Clinical Practice: A Scale Development Study
Sung-Hee Park, Mi-Young Choi Healthcare.2021; 9(10): 1323. CrossRef - Effects of clinical practice stress and moral sensitivity on clinical competency in nursing students
Yeoungsuk Song, Joon-Young Lee The Journal of Korean Academic Society of Nursing Education.2020; 26(2): 157. CrossRef - Radiotherapy students’ perceptions of support provided by clinical supervisors
L. Armstrong-James, R. N. M. Khine, R. J. Thorne, M. J. E. Tuckey, C. Bennett Journal of Radiotherapy in Practice.2020; 19(1): 15. CrossRef - Experiences of Perception of Nursing Students' Rights in Clinical Practice
Sunghee Park, Hyeyoung Cho Journal of Korean Academic Society of Nursing Education.2019; 25(4): 471. CrossRef - Interventions for coping with bullying need further investigation and should be built into nursing curricula
Jiyeon Kang Evidence Based Nursing.2018; 21(3): 70. CrossRef - Educating our future generation-The role of nurse managers in encouraging civility
Annamaria Bagnasco, Giuseppe Aleo, Fiona Timmins, Gianluca Catania, Milko Zanini, Loredana Sasso Journal of Nursing Management.2018; 26(8): 899. CrossRef - “Loving Nursing” and “Taking Responsibility”: Strategies for Transitioning to Practice in Lebanon
Michael Clinton, Sawsan Ezzeddine, Myrna Doumit, Ursula Rizk, Murielle Madi Sage Open.2018;[Epub] CrossRef
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