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뉴로피드백 훈련이 월경 전 불쾌장애의 정서적, 행동적 및 신체적 증상에 미치는 효과

The Effects of Neurofeedback Training on Affective, Behavioral, and Physical Symptoms of Premenstrual Dysphoric Disorder

손정락|김현택|오은혜
한국건강심리학회 (Korean Health Psychological Association)|2009.12|한국심리학회지: 건강 (Korean Journal of Health Psychology)|제14권 제4호|pp. 775-793|DOI 10.17315/kjhp.2009.14.4.006

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참고문헌

키워드

뉴로피드백 훈련EEG 바이오피드백 훈련EEG 비대칭월경 전 불쾌장애(PMDD)Neurofeedback trainingEEG biofeedback trainingEEG asymmetryPremenstrual Dysphoric Disorder(PMDD)
주제분류심리과학

초록

월경 전 불쾌장애(PMDD)는 현저한 정서적 증상의 복합으로 특징지어지고, 신체적 증상이 수반될 수도 있다. 지금까지 부작용이 없으면서도 적합한 치료가 없었기 때문에, 본 연구에서는 그러한 치료를 알아보고자 PMDD 여성들의 취약성인 전두엽 EEG 비대칭을 조절하는 뉴로피드백 훈련을 수행하였다. 704명의 미혼여성 중에서 축약형 월경 전 평가서, 간이정신진단검사, 일일평정서 및 면담으로 참여자를 선별하였다. 최종 18명이 PMDD 진단을 받았고, 이 여성들을 짝짓기로 각 9명 씩 치료집단과 통제집단에 배치하였다. 뉴로피드백 훈련이 PMDD의 증상에 미치는 효과에 대한 측정은 월경 전 평가서로 하였다. 뉴로피드백 훈련 후, 통제집단보다 치료집단이 EEG 비대칭 지 수가 더 교정되는 것으로 나타났고, 월경 전의 정서적, 행동적 및 신체적 증상은 더 감소되는 것 으로 나타났다. 뉴로피드백 훈련은 PMDD 여성들의 휴식기 EEG를 교정시켜주고, PMDD의 정서 적, 행동적 증상에는 직접적인 효과를 지녔으며, 신체적인 증상에는 매개 효과를 지닌 것으로 보 인다.

Abstract

Premenstrual dysphoric disorder(PMDD) is characterized by some combination of marked affective symptoms, which may be accompanied by physical symptoms. The neurofeedback training regulating frontal lobe EEG asymmetry that is vulnerability in women with PMDD had been performed to seek such a treatment in this study by reason that there is no suitable treatment with no side effects until now. Participants had been screened by Shortened Premenstrual Assessment Form, Symptom-Checklist-90-Revision, Daily Rating Form, and interview among 704 unmarried women. In result 18 women took PMDD diagnosis, and then these are assigned each 9 in treatment group and in control group by paired-matches. Premenstrual Assessment Form was used for measuring the effects of neurofeedback training on symptoms of PMDD. After Neurofeedback training, EEG asymmetry scores in treatment group was corrected more than those of the waiting list control group, and affective, behavioral and physical symptoms had been reduced more than control group. It seems that neurofeedback training helps to correct resting EEG of women with PMDD, has directive effects on affective and behavioral, and has mediate effects on physical symptoms of PMDD. In PMDD treatments of clinical practices, neurofeedback training could be a favorite treatment for both clinicians and patients.

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