Journal of People, Plants, and Environment (인간식물환경학회지)

Society For People, Plants, And Environment (인간식물환경학회)
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Horticultural Therapy Program Based on the Stress Immunization Training for Reducing Depression Symptom in the Patients with Stroke

뇌졸중 환자의 우울감 감소를 위한 스트레스 면역훈련을 기반으로 한 원예치료 프로그램

  • Park, Sin-Ae (Dept. of Environmental Health Science, Konkuk Univ.) ;
  • Lee, Ji-Young (Dept. of Environmental Science, Konkuk Univ.) ;
  • Lee, A-Young (Dept. of Environmental Science, Konkuk Univ.) ;
  • Park, Si-Woon (Dept. of Rehabilitation Medicine, Catholic Kwandong Univ. International St. Mary's Hospital) ;
  • Son, Ki-Cheol (Dept. of Environmental Health Science, Konkuk Univ.)
  • 박신애 (건국대학교 보건환경과학과) ;
  • 이지영 (건국대학교 환경과학과) ;
  • 이아영 (건국대학교 환경과학과) ;
  • 박시운 (가톨릭관동대학교 국제성모병원 재활의학과) ;
  • 손기철 (건국대학교 보건환경과학과)
  • Received : 2015.03.23
  • Accepted : 2015.06.18
  • Published : 2015.06.25
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Abstract

This study was conducted to investigate the effects of horticultural therapy (HT) program based on the stress immunization training for reducing depression symptom in the patients with stroke. Twenty six stroke patients aged over 50 years (10 males, 16 females) with symptom of mild or moderate depression were participated in this study. A total of thirteen patients in the experimental group were participated in the 16-session HT program (twice a week, average 40 min per session) and the rest of the patients were in the control group. Before and after the HT program, depression symptom of the patients were evaluated by using Korean Form of Geriatric Depression Scale (KGDS). As the results, depression scores of the patients in the experimental group significantly decreased (p=.000), however, there was no significant difference in the control group. Additionally, higher satisfaction rate of the patients in the experimental group showed for the HT program. In conclusion, the HT program based on the stress immunization training led a positive impact on reduction of depression symptom of stroke patients and it could be applicable for the patients with depression symptom in the rehabilitation hospitals.

본 연구는 뇌졸중 환자들의 우울증상을 완화하기 위하여 스트레스 면역훈련을 기반으로 한 원예치료 프로그램의 효과를 검증하고자 실시하였다. 본 연구의 대상자는 경, 중증의 우울증 증세를 가지는 50세 이상인 26명(남자 10명, 여자 16명)의 뇌졸중 환자들이었다. 실험군에 속한 13명의 환자들은 총 16회기 원예치료 프로그램(주 2회, 회기 당 평균 40분)에 참여하였으며, 나머지 환자들은 대조군으로 구성되었다. 본 원예치료 프로그램 실시 전과 후에 노인용 우울검사지(Korean Form of Geriatric Depression Scale, KGDS)를 이용하여 환자들의 우울 증세를 검사하였다. 그 결과, 실험군에 속한 환자들의 우울 증세는 유의하게 감소한 것으로 나타났으나(p=.000), 대조군에서는 유의한 차이를 보이지 않았다. 추가적으로 실험군에 속한 환자들의 원예치료 프로그램에 대한 만족도가 높은 것으로 나타났다. 결론적으로 본 스트레스 면역훈련을 기반으로 한 원예치료 프로그램은 뇌졸중 환자의 우울증상 완화에 긍정적인 영향을 미쳤으며, 추후 재활병원의 우울 증세를 가진 환자들에게 적용해 볼 수 있을 것이다.

Keywords

References

  1. Barua, A., M.K. Ghosh, N. Kar, and M.A. Basilio. 2011. Prevalence of depressive disorders in the elderly. Annals of Saudi Medicine 31: 620-624. https://doi.org/10.4103/0256-4947.87100
  2. Cole, D.A. and N.H. Susan. 2006. Stress exposure and stress generation in child and adolescent depression: A latent trait-state-error approach to longitudinal analyses. Journal of Abnormal Psychology 115:40-51. https://doi.org/10.1037/0021-843X.115.1.40
  3. Foa, E.B., B.O. Rothbaum, D.S. Riggs, and T.B. Murdock. 1991. Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology 59: 715-723. https://doi.org/10.1037/0022-006X.59.5.715
  4. Forman, S.G. 1990. Rational-emotive therapy: Contributions to teacher stress management. School Psychology Review 19:315-321.
  5. Hains, A.A. and S.W. Ellmann. 1994. Stress inoculation training as a preventative intervention for high school youths. Journal of Cognitive Psychotherapy 8:219-232.
  6. Hamid, N., M.H. Manhaz, and S. Sedighe. 2012. The effect of stress inoculation training (SIT) on depression and quality of life in multiple sclerosis (MS) patients with control of duration of disease in Isfahan city. Jundishapur Scientific Medical Journal 11:84-77.
  7. Hammen, C. 1991. Generation of stress in the course of unipolar depression. Journal of Abnormal Psychology 100:155-161.
  8. Hammen, C. 2005. Stress and depression. Annual Review of Clinical Psychology 1:293-319. https://doi.org/10.1146/annurev.clinpsy.1.102803.143938
  9. Health Insurance Review and Assessment Service (HIRA). 2013. Disease statistics: Depression (Accessed Dec 3, 2015). Available from: http://www.hira.or.kr/rd/dissdic/infoDiseaseList.do?pgmid=HIRAA020044040000&ilnsStcTpCd=D3.
  10. Heo, J.S. and S.H. Yoo. 2002. Determinants of depression among elderly persons. Mental Health and Social Work 13:7-35.
  11. Incheon Metropolitan City Agricultural Technology Service Center. 2011. Education report of children farmer class. Incheon Metropolitan City Agricultural Technology Service Center, Incheon.
  12. Jeong, S.H. and M.R. Huh. 2011. Study on the preferences of horticulture according to MBTI personality type in college students. Journal of Agriculture and Life Science 45(6):65-72.
  13. Jin, T.K. 2010. The impact of self-makeup centering art therapy on melancholy and physical satisfaction for elderly women. MS Thesis, Dongguk Univ., Seoul, Korea.
  14. Jung, I.K., D.I. Kwak, D.K. Shin, M.S. Lee, H.S. Lee, and J.Y. Kim. 1997. A reliability and validity study of geriatric depression scale. Journal of Korean Neuropsychiatric Association 36:103-112.
  15. Jung, S.A. 2005. Effect of the application of horticultural therapy program by phases of psychological adaptation on the psychosomatic rehabilitation in stroke patients. MS Thesis, Konkuk Univ., Seoul, Korea.
  16. Jung, W.H. 2001. The effects of music therapy on reducing the symptoms of depression and anxiety of stroke patients. MS Thesis, Ehwa Womans Univ., Seoul, Korea.
  17. Kang, H.S. and K.J. Kim. 2000. The correlation between depression and physical health among the aged. Korean Public Health Research 26: 451-459.
  18. Kawaharada, M., E. Yoshioka, Y. Saijo, T. Fukui, T. Ueno, and R. Kishi. 2009. The effects of a stress inoculation training program for civil servants in Japan: A pilot study of a non-randomized controlled trial. Industrial Health 47:173-182. https://doi.org/10.2486/indhealth.47.173
  19. Kawaharada, M., U. Izumi, Y. Eiji, H. Michiyo, I. Tamiko, S. Yukari, and K. Reiko. 2013. Depression prevention program for workers of private companies: A randomized controlled trial. Open Journal of Nursing 3:114-121. https://doi.org/10.4236/ojn.2013.31015
  20. Kim, H.S., Y.O. Hwang, J.H. Yu, J.H. Jung, H.S. Woo, and H.S. Jung. 2009. The correlation between depression, motivation for rehabilitation, activities of daily living, and quality of life in stroke patients. Journal of Korean Society of Occupational Therapy 17(3):41-53.
  21. Kim, M.Y. 2007. Effect of horticultural occupational therapy on the physical and psychological rehabilitation in hemiplegia patient after stroke. MS Thesis, Seoul Univ., Seoul, Korea.
  22. Kim, M.Y., W.K. Park, and S.R. Kim. 2014. Effects of horticultural occupational therapy program using healing garden on quality of chronic stroke patients. Journal of Korean Society for People, Plants, and Environment 17:451-455. https://doi.org/10.11628/ksppe.2014.17.6.451
  23. Kim, S.Y., K.C. Son, H.J. Jung, J.H. Yoo, B.S. Kim, and S.W. Park. 2003. Effect of horticultural therapy on functional rehabilitation in hemiplegic patients after stroke. Korean Journal of Horticultural Science and Technology 44:780-785.
  24. Kim, Y.R. 2006. The causes of elderly people's depression and isolation: Focusing on the effect of religious participation as a curing program. MS Thesis, Mokwon Univ., Daejeon, Korea.
  25. Lee, G.J., S.A. Park, and K.C. Son. 2013. Application of horticultural therapy program for improving life satisfaction of hospitalized elderly with stroke. Journal of Korean Society for People, Plants, and Environment 16: 167-171. https://doi.org/10.11628/ksppe.2013.16.4.167
  26. Lee, J.H. 2000. The effect of group music program on depression in the institutionalized elderly. Journal of Korean Gerontological Nursing 3:42-52.
  27. Lee, J.H., H.J. Kim, S.M. Lee, A.K. Lee, and J.K. Suh. 2009. An analysis of horticultural activities on journal of cure and rehabilitative division for horticultural therapy. Journal of Korean Society for People, Plants, and Environment 12:25-30.
  28. Lohr, V.I., C.H. Pearson-Mims, and G.K. Goodwin. 1996. Interior plants may improve worker productivity and reduce stress in a windowless environment. Journal of Environmental Horticulture 14:97–100.
  29. Meichenbaum, D.H. 1985. Stress inoculation training. Pergamon, NY.
  30. Meichenbaum, D.H. 1989. Stress inoculation training. Plenum Press, NY.
  31. Meichenbaum, D.H. 1993. Stress inoculation training: A twenty-year update. In: R.L. Woolfolk and P.M. Lehrer (eds.). Principles and practice of stress management. Guilford Press.
  32. Meichenbaum, D.H. and L.D. Jerry. 1988. Stress inoculation training. The Counseling Psychologist 16:69-90. https://doi.org/10.1177/0011000088161005
  33. Moore, K. and E.M. Altmaier. 1981. Stress inoculation training with cancer patients. Cancer nursing 4:359-394
  34. Novaco, R.M. 1977. Stress inoculation: A cognitive therapy for anger and its application to a case of depression. Journal of Consulting and Clinical Psychology 45:600-608. https://doi.org/10.1037/0022-006X.45.4.600
  35. Oh, D.M., 2002. Effect of horticultural therapy on the depression and self-esteem of hemiplegia after stroke and retrograde arthritic in day-care center. MS Thesis, Konkuk Univ., Seoul, Korea.
  36. Oh, D.M. 2004. A study on an application of horticultural therapy to social welfare policy. PhD Diss., Jeju Univ., Jeju, Korea.
  37. Oh, D.M., E.J. Jang, S.S. In, Y.H. Lee, M.R. Huh, Y.A. Choi, and B.G. Heo. 2006. A research of horticultural activities in therapeutic programs of participants through the paper publish on horticultural therapy in Korea. Korean Journal of Horticultural Science and Technology 24:104-109.
  38. Park, S.A., K.S. Lee, and K.C. Son. 2011. Determining exercise intensities of gardening tasks as a physical activity using metabolic equivalents in older adults. HortScience 46:1706-1710.
  39. Rodiek, S. 2002. Influence of an outdoor garden on mood and stress in older persons. Journal of Therapeutic Horticulture 8:13-21.
  40. Roskies, E. 1989. Stress management for Type A individuals. In Stress reduction and prevention (pp. 261-288). Springer US.
  41. Rudy, T.E., R.D. Kerns, and D.C. Turk. 1988. Chronic pain and depression: Toward a cognitive-behavioral mediation model. Pain 35:129-140. https://doi.org/10.1016/0304-3959(88)90220-5
  42. Seo, M.H. 2010. Structural equation modeling on quality of life in stroke survivors at 1 year after onset. PhD Diss., Seoul National Univ., Seoul, Korea.
  43. Son, K.C., J.S. Lee, and J.E. Song. 1999. Effect of visual recognition of Ficus benjamin and its photograph on changes of human brain electroencephalography and brain blood flow. Journal Korean Society for Horticultural Science 40:134-138.
  44. The Korean Academy of Clinical Geriatrics. 2011. Principles of geriatric medicine. The Korean Academy of Clinical Geriatrics, Seoul.
  45. Vernon, L.J. and C.L. Best. 1983. Assessment and treatment of rape-induced fear and anxiety. Clinical Psychologist 36:99-101.
  46. Waren, M., E. Rubenowitz, and K. Wihelmson. 2003. Predictors of suicide in the old elderly. Gerontology 49:328-334. https://doi.org/10.1159/000071715
  47. Wernick, R.L., M.E. Jaremko, and P.W. Taylor. 1981. Pain management in severely burned adults: A test of stress inoculation. Journal of Behavioral Medicine 4:103-109. https://doi.org/10.1007/BF00844850
  48. World Health Organization (WHO). 2005. WHO STEPS Stroke Manual. Retrieved October 17, 2013 from http://www.who.int/chp/steps/stroke/manual/en/.
  49. World Health Organization (WHO). 2012. Depression: A global public health concern. WHO, Geneva. Yesavage, J.A., T.L. Brink, T.L. Rose, O. Lum, V. Huang, M. Adeyl, and V.O. Leirer. 1983. Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research 17:37-49.
  50. Yoon, E.J. 1997. On the effects of indoor plants uses for mental health states. MS Thesis, Sangmyung Univ., Seoul, Korea.

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