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동의신경정신과학회지 = Journal of oriental neuropsychiatry, v.29 no.2, 2018년, pp.79 - 97
조민규 (부산대학교 한의학전문대학원) , 임완현 (부산대학교 한의학전문대학원) , 이고은 (국립재활원 한방재활의학과) , 임정화 (부산대학교 한의학전문대학원 한방신경정신과교실)
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Objectives: The purpose of this systematic review was to investigate the clinical effects of neurofeedback training on reducing anxiety. Methods: Eight databases were used to extract clinical reports on neurofeedback intervention for anxiety reduction published until 2016. We analyzed the characteri...
| 핵심어 | 질문 | 논문에서 추출한 답변 |
|---|---|---|
| 뉴로피드백 훈련은 한의학적 관점에서 어떠한 유사점이 있는가? | 또한 뉴로피드백 훈련은 불수의적 정신 신체 상태를 스스로 조절한다는 점, 비정상적으로 항진된 뇌파를 낮추고 감소된 뇌파를 증가시켜 균형을 찾는다는 점에서 심신일여(心身一如)의 전인적 인체관을 바탕으로 음양의 균형을 도모하고 기의 승강실상(升降失常)을 바로잡아 치료하는 한의학적 관점과도 유사하다고 할 수 있다18,19). | |
| 불안을 완화시키기 위해 벤조디아제핀계 약물 위주의 항불안제를 일차치료방법으로 사용하는 것에 대한 한계점은 무엇인가? | 불안을 완화시키기 위해서 양방 진료현장에서는 벤조디아제핀계 약물 위주의 항불안제를 일차치료방법으로 사용한다11). 이러한 약물요법은 장기간 사용 시 내성과 의존을 유발할 수 있고, 부작용으로 인해 순응도가 저하될 수 있으며, 다른 약물과의 상호작용을 고려해야 하는 등의 한계점이 있다12,13). 이러한 약물치료의 한계를 보완하기 위해 장기간 치료 시 비교적 안전하고 부작용이 적은 비약물적 치료에 대한 연구가 진행되고 있다. | |
| 뉴로피드백 훈련은 무엇인가? | 그 중 생기능자기조절 훈련(뉴로피드백 훈련)은 훈련 대상자가 자신의 뇌파상태에 대해 실시간으로 피드백을 받으며 원하는 방향으로 뇌파를 변화시켜 뇌기능을 향상시키는 훈련으로14), 비침습적이고 현재까지 위험한 부작용은 보고되지 않은 안전한 치료이며15), 약물요법 등 다른 치료와 병행하여 적용 가능하다는 장점이 있다. 또한 학습을 통한 뇌 기능의 변화가 수 주간 유지된다는 연구 결과16)와 뇌의 미세구조의 변화 가능성을 시사하는 연구 보고도 있어17), 뉴로피드백 훈련을 통해 장기적이고 근본적인 치료 효과를 기대할 수도 있을 것으로 예상된다. |
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