Journal of Korean Academy of Nursing

Wan-Ju Park

3 Articles

The Effects of Neurofeedback Training on Physical, Psychoemotional Stress Response and Self-Regulation for Late Adolescence: A Non-Randomized Trial: Moon-Ji Choi, Wan-Ju Park; J Korean Acad Nurs 2018;48(2):208-220. Published online January 15, 2018; DOI: https://doi.org/10.4040/jkan.2018.48.2.208

Abstract Purpose

The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention.

Methods

A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response. The questionnaire contained 164 items from: Positive and Negative Affect Schedule (PANAS), Symptom Checklist-90-Revised (SCL-90-R) and Self-regulatory Ability scale. The neurofeedback training was based on the general adaptation syndrome and body-mind medicine. The intervention was conducted in a total of 10 sessions for 30 minutes per session with high-beta, theta and sensory motor rhythm training on scalp at central zero.

Results

There were significant difference in standard deviation of normal to normal interval (p=.036) in HRV and SCL (p=.029) of stress-biomarker response between the two groups. Negative affect (p=.036) in PANAS and obsessive compulsive (p=.023) and depression (p<.001) in SCL-90-R were statistically significant. Self-regulation mode (p=.004) in self-regulation ability scale showed a significant difference between the two groups.

Conclusion

The results indicated that the neurofeedback training is effective in stress-biomarkers, psy-choemotional stress response and self-regulation. Therefore, neurofeedback training using neuroscientific approach based on brain-mind-body model can be used as an effective nursing intervention for late adolescents in clinics and communities for effective stress responses.

Citations

Citations to this article as recorded by

Effects of Stepwise Combined Biofeedback Training on Attention and Self-control of High School Students Based on the Reflection and Reflexion Model
Shin-Jeong Park, Wanju Park
Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 442. CrossRef
The Effect of Biofeedback Training on Attention, Affect Balance, Academic Delay Behavior, and Problem-Solving Ability of Korean College Students
Jungmin Lee, Youngkyoung Kim, Wanju Park
Journal of Korean Public Health Nursing.2024; 38(2): 150. CrossRef
Vagally-mediated heart rate variability and depression in children and adolescents - A meta-analytic update
Luise Baumeister-Lingens, Roxana Rothe, Lena Wolff, Alexander L. Gerlach, Julian Koenig, Christine Sigrist
Journal of Affective Disorders.2023; 339: 237. CrossRef
Comparison of QEEG Findings before and after Onset of Post-COVID-19 Brain Fog Symptoms
Marta Kopańska, Danuta Ochojska, Renata Muchacka, Agnieszka Dejnowicz-Velitchkov, Agnieszka Banaś-Ząbczyk, Jacek Szczygielski
Sensors.2022; 22(17): 6606. CrossRef
Effects of Electroencephalogram Biofeedback on Emotion Regulation and Brain Homeostasis of Late Adolescents in the COVID-19 Pandemic
Wanju Park, Mina Cho, Shinjeong Park
Journal of Korean Academy of Nursing.2022; 52(1): 36. CrossRef
The Effects of the Combined Biofeedback and Brief Emotion Regulation Nursing Intervention Based on the Gross Model for Sexually Abused Adolescents
Jieun Kim, Wanju Park
Journal of Korean Academy of Nursing.2022; 52(6): 608. CrossRef

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Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis: Wan-Ju Park, Shin-Jeong Park, Sung-Dong Hwang; J Korean Acad Nurs 2015;45(2):169-182. Published online April 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.2.169

Abstract PDF

Purpose

This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea.

Methods

Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis.

Results

Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected.

Conclusion

Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

Citations

Citations to this article as recorded by

CBT, parent training, and combined approaches for children with ADHD: A randomized study
Burcu Hafiz Ahmet, Alperen Bıkmazer, Vahdet Gormez
Psychology and Psychotherapy: Theory, Research and Practice.2025;[Epub] CrossRef
Towards Understanding the Effect of Serious Games on Attention, Adherence, and Behavior for Children with ADHD
Jonathan Wang Liu, Mahmood Jasim, Jeong-Heon Song, So-Hwi Ha, Junsu Kim, Da young Kim, Hyunsuk Lee, Byeongil Kim, Hee-Tae Jung
ACM Transactions on Computer-Human Interaction.2025;[Epub] CrossRef
Effectiveness of sensory integration therapy in children, focusing on Korean children: A systematic review and meta-analysis
Seri Oh, Jong-Sik Jang, A-Ra Jeon, Geonwoo Kim, Mihwa Kwon, Bahoe Cho, Narae Lee
World Journal of Clinical Cases.2024; 12(7): 1260. CrossRef
Trends in South Korean Medical Device Development for Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder: Narrative Review
Yunah Cho, Sharon L Talboys
JMIR Biomedical Engineering.2024; 9: e60399. CrossRef
Self-management training vs. neurofeedback interventions for attention deficit hyperactivity disorder: Results of a randomized controlled treatment study
Ann-Kathrin Korfmacher, Oliver Hirsch, Mira-Lynn Chavanon, Björn Albrecht, Hanna Christiansen
Frontiers in Psychiatry.2022;[Epub] CrossRef
Effects of hippotherapy on children with cerebral palsy: systematic review and meta-analysis
Kwon-Hoi Kim, Suk-Min Lee
Physical Therapy Rehabilitation Science.2020; 9(1): 55. CrossRef
Effect of aquatic exercise on gait in persons with chronic stroke: a meta-analysis study in Korea
Dong-Jin Lee, Sung-Hyoun Cho
Physical Therapy Rehabilitation Science.2019; 8(2): 112. CrossRef
Risk and protective factors for the development of ADHD symptoms in children and adolescents: Results of the longitudinal BELLA study
Anne Wüstner, Christiane Otto, Robert Schlack, Heike Hölling, Fionna Klasen, Ulrike Ravens-Sieberer, Kenji Hashimoto
PLOS ONE.2019; 14(3): e0214412. CrossRef
A Meta Analysis on Variables related to Death Anxiety of Elderly in Korea
Sinhyang Kim, Kyung Sook Park
Korean Journal of Adult Nursing.2016; 28(2): 156. CrossRef
A Meta-analysis of Intervention Studies on the Effects of Self Management and Education in Adult Asthmatic Patients
Chae-Bong Kim, Min-Kyung Han, Mi-Seon Jeong, Bo-Young Choi, Kil-Yong Choi, Moo-Young Kim
The Korean Journal of Health Service Management.2015; 9(3): 175. CrossRef
Effects of a Social Skills Training Program on Problem Behaviors, Social Skill, and Peer Relationship in Children using a Community Child Center at Vulnerable Area
Myeong-Hui Choe, Yong-Mi Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2015; 24(3): 156. CrossRef
Clinical Application of the Korean Personality Rating Scale for Children in Attention-Deficit Hyperactivity Disorder
Woon Yoon, Kee-Jeong Park, Kukju Kweon, Hyo-Won Kim
Journal of the Korean Academy of Child and Adolescent Psychiatry.2015; 26(3): 217. CrossRef

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Predictors of Hospitalization for Alcohol Use Disorder in Korean Men: Hae-Sook Hong, Jeong-Eun Park, Wan-Ju Park; J Korean Acad Nurs 2014;44(5):552-562. Published online October 31, 2014; DOI: https://doi.org/10.4040/jkan.2014.44.5.552

Abstract PDF

Purpose

This study was done to identify the patterns and significant predictors influencing hospitalization of Korean men for alcohol use disorder.

Methods

A descriptive study design was utilized. Data were collected using self-report questionnaires from 143 inpatients who met the DSM-5 alcohol use disorder criteria and were receiving treatment and 157 social drinkers living in the community. The questionnaires included Alcohol Use Disorders Identification Test (AUDIT), Alcohol Problems, Alcohol Expectancy Questionnaire (AEQ), Life Position, and The Korean version of the Children of Alcoholics Screening Test (CAST-K). Data were analyzed using descriptive statistics, t-test, χ²-test, F-test, Pearson correlation coefficients, and logistic regression with forward stepwise.

Results

AUDIT had significant correlations with alcohol problems, alcohol expectancy, and parents' alcoholism. In logistic regression, factors significantly affecting hospitalization were divorced (OR=4.18, 95% CI: 1.28-13.71), graduation from elementary school (OR=28.50, 95% CI: 8.07-100.69), middle school (OR=6.66, 95% CI: 2.21-20.09), high school (OR=6.31, 95% CI: 2.59-15.36), drinking alone (OR=9.07, 95% CI: 1.78-46.17), family history of alcoholism (OR=2.41, 95% CI: 1.11-5.25), interpersonal relationship problems (OR=1.28, 95% CI:1.17-1.41), and sexual enhancement of alcohol expectancy (OR=0.83, 95% CI: 0.72-0.94), which accounted for 53% of the variance.

Conclusion

Results suggest that interpersonal relationship programs and customized cognitive programs for social drinkers in the community are needed to decreased alcohol related hospitalization in Korean men.

Citations

Citations to this article as recorded by

Associations among Addiction Risk, Life Satisfaction, Depression, and Suicidal Ideation in Korean Adults
Mi Nam Bae, Mihyoung Lee, Sihyun Park, Eun Jin Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2019; 28(2): 133. CrossRef
Structural Equation Model for the Analysis of Alcohol-related Problem of Alcohol Use Disorders
Hee Jung Son, Won Kee Lee, Young Shin Park, Hae Sook Hong
Journal of Health Informatics and Statistics.2017; 42(2): 192. CrossRef
One Year Clinical Correlates of EtG Positive Urine Screening in Alcohol-Dependent Patients: A Survival Analysis
Pablo Barrio, Silvia Mondon, Lídia Teixidor, Lluisa Ortega, Eduard Vieta, Antoni Gual
Alcohol and Alcoholism.2017; 52(4): 460. CrossRef
Factors Affecting Social Problem-solving Ability in Male Alcohol Dependent Patients
Mi Young Kim, Eun Kyung Byun
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 316. CrossRef
Effect of alcohol consumption on peripheral bloodAlumethylation in Korean men
Dong-Sun Kim, Young Hun Kim, Won Kee Lee, Yeon Kyung Na, Hae Sook Hong
Biomarkers.2016; 21(3): 243. CrossRef

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