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김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),서현욱 ( Hyun Uk Suh ),정인철 ( In Chul Jung ),이승기 ( Seung Gi Lee ),김보경 ( Bo Kyoung Kim ),김근우 ( Geun Woo Kim ),이재혁 ( Jae Hyuk Lee ),김낙형 ( Lak Hyung Kim ),김태헌 ( Ta 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.2
Objectives: The aim of this study was to investigate the characteristics of Hwa-Byung(HB) patients, draw the clinical key issue of HB, and provide the data as the basis for development of Clinical Guideline of HB. Methods: The study participants included 151 subjects who thought they have HB in 9 site. For all patients, we used HB epidemiologic study protocol, which include the Korean version of the Structured Clinical Interview for the DSM-IV Diagnosis (SCID-1), diagnostic criteria of HB, symptoms check list, pattern identification tool, psychiastric psychological questionnaires, and Framingham coronary risk score(FRS). Results: 1. For all participants, 62 % of subjects were diagnosed with HB. These patients had comorbid DSM-IV diagnoses with depression (65%) and anxiety (27%), But 22% of these patients had only HB. 2. HB patients had various physical symptoms when visiting, were diagnosed as various disease, and undergone medical treatments in the past. Among the diagonsed illness, Gastronitestinal diseases (51.6%), psychiatric disorders(40.9%), endocrine diseases(39.8%) were being the most frequent. The frequent physical symptoms of HB patients reported were chest discomfort, head ache, palpitation, frequent sigh, amnesia, shoulder pain, dry mouth, eye fatigue etc. 3. HB patients had high scores in psychologic questionares, CES-D, STAI, and STAXI. It means that HB patients might be low-level emotional stability. 4. Participant had negative opinion about the treatment of HB that it would be difficult or impossible (65.7%), but they neglect the need of medical treatment. Conclusions: This result shows that HB is comorbid with various psychiatric disease, but it has different physio-psychological symptoms from others and there were only HB patients. So we identify HB is independent disease. Moreover, there were the wrong perception of HB which blocking treatments. These problems support that the necessity of development of Clinical Guideline of HB.
한약(韓藥) Extract제제의 투여로 호전을 보인 광장공포증을 동반한 공황장애 환자 1례(例) -계지가룡골모려탕(桂枝加龍骨牡蠣湯)과 작약감초탕(芍藥甘草湯)-
서현욱 ( Hyun Uk Suh ),황은영 ( Eun Young Hwang ),정선용 ( Sun Young Jung ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.4
Objectives: This case report presents a 33-year-old male patient who complained chest pain and anxiety, diagnosed with panic disorder with agoraphobia improved by Herbal Extracts, SRP(Stress Reduction Program) and Acupuncture treatment. Methods: In early treatment period, we evaluated his general psychological state through interview and self-questionnaires(STAI, SCL-90-R, STAXI, BDI) for treatment planing. And then we had prescribed herbal extracts for 20 weeks with applying SRP and acupuncture treatment. After 20 weeks we assessed his psychological symptoms with same evaluation tools. Results: After 20 weeks, We found that patient`s somatic and psychological symptoms(anxiety, depression, anger) were alleviated. Frequency and severity of panic attacks were reduced also. Conclusions: Herbal extracts, especially Gyejigayonggolmoryo-tang(桂枝加龍骨牡蠣湯) and Jakyakgamcho-tang(芍藥甘草湯), may be useful therapeutic tool for control of panic attack symptoms and anxiety.
서현욱 ( Hynu Uk Suh ),조성훈 ( Seung Hun Cho ),정선용 ( Sun Yong Chung ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.1
Objectives: The aim of this survey study is to analysis clinical symptoms and patterns of dementia patients. The results of this study will be used to support development of the oriental herbal medicine for dementia. Methods: Clinical data were collected from 41 dementia patients and 20 aged persons who have no cognitive impairment in 3 sites including 2 hospitals and 1 sanatorium. ``The instrument of oriental medical evaluation for dementia`` is used to evaluate clinical symptoms and patterns of all subjects. Results: 1. Subjects of deficiency syndrome patterns were nearly three times more than subjects of excess syndrome patterns. 2. In dementia patient group, the average rate for 4 clinical symptoms, related with treatment principle of clear heat, was 26.9%. 3. The average rate for 4 clinical symptoms, related with condition of urine and feces, was 15.6%. 4. The average rate for 5 clinical symptoms, related with anger, irritation, anxiety and restlessness, was 40.0%. Conclusions: 1. It is needed to develop new herbal medicine for dementia focuing on clear heat, anger, irritation, anxiety, restlessness, and condition of urine and feces. 2. ``The instrument of oriental medical evaluation for dementia`` has strong tendency that excessively reflects general geriatric symptoms, related to deficiency syndrome patterns. so, more clinical symptoms of excess syndrome should be added in this tool.
체질특성과 화병의 상관관계에 대한 연구 -화병역학연구 자료에 기반하여-
서현욱 ( Hynu Uk Suh ),정선용 ( Sun Yong Chung ),김명근 ( Myoung Geun Kim ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.2
Objectives: The aim of this study was to find correlations between characteristics of Four constitution and Hwa-byung. Methods: Clinical data were collected from Hwa-byung Epidemiologic study data. we selected 130 self-labelled Hwa-byung patients data and 83 of them were diagnosed as Hwa-byung by SCID. We used Hwa-byung SCID, Hwa-byung scale, CES-D, STAI, STAXI and Personality and Physiological Symptom Questionnaire(PPSQ) as evaluation tools. We performed statistical analysis of each 2 groups, self-labelled Hwa-byung group(N=130) and diagnosed Hwa-byung group(N=83). Results: 1. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with 3 indices of Hwa-byung scale and significant positive correlation with 1 index. Lesser yin score showed significant positive correlation with 6 indices. In diagnosed Hwa-byung group, Greater yin score showed significant negaitive correlation with 5 indices. In both groups, Lesser yang score showed no significant correlation with any indices of Hwa-byung scale. 2. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with both trait anger score and state anger score of STAXI. Lesser yin score showed significant positive correlation with trait anxiety score, state anxiety score and CES-D score self-labelled Hwa-byung group. Lesser yang score showed significant positive correlation with anger-out score of STAXI. But Lesser yin score showed significant negative correlation with same index diagnosed Hwa-byung group. Conclusions: 1. The higher Greater yin score, suppression or denial, psychological defense mechanism, become more stronger. 2. The higher Lesser yin score, anger-out tendency become more weakened and increased prevalence of Hwa-byung symptoms. 3. The higher Lesser yang score, anger-out tendency become more stronger.
한의학 정신요법을 이용한 소아 전환장애 환자 1례 -지언고론요법(至言高論療法), 지지적 정신치료와 행동치료-
서현욱 ( Hyun Uk Suh ),서진우 ( Jin Woo Suh ),황은영 ( Eun Young Hwang ),김종우 ( Jong Woo Kim ),정선용 ( Sun Young Jung ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.4
Objectives: This case report presents a 7-year-old female patient diagnosed with conversion disorder improved by application of oriental medical psychotherapy, the Giungoroen. Her chief complaint was dysesthesia of anal. Methods: Through interview and several psychological testing such as HTP test, DAF test, JTCI 7-11, we assessed her psychological state and seek for the psychological reason induced her physical symptom, dysesthesia of anal. After assessment we concluded her main psychological problem was loss of love relationship with her parents. So we decided to use supportive psychological therapy and behavioral therapy-like changing upbringing attitudes of her parents, for example- with Herbal medicine treatment. Results: After 2-month of therapeutic period, chief physical symptom of patient-dysesthesia of anal-was reduced to 20% compared with first visit day. Conclusions: The Giungoroen corresponds to supportive psychotherapy and behavioral therapy. And this oriental medical psychotherapy is fairly effective on the treatment of conversion disorder in childhood.
노인 불면에 대한 EFT 불면 치료 프로그램(EFT-1)의 효과 평가를 위한 예비적 연구
이정환 ( Jung Hwan Lee ),서현욱 ( Hyun Uk Suh ),정선용 ( Sun Yong Chung ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.4
Objectives: The aim of this study was to evaluate the effects of EFT-I(EFT program for insomnia) for insomnia in the elderly as a preliminary study. Methods: This study was a single group pre-post comparative study that involved 10 elderly women(mean age=76.3±4.29), who visited a senior welfare center, complained of insomnia symptoms. Subjects received 8 sessions(twice a week for 4 weeks and 1 hour for each session) of EFT-I group training. Insomnia severity, depression, state anxiety, and life satisfaction of each subject were evaluated twice at pre and post of EFT-I. Korean Sleep Scale, Short form of Geriatric Depression Scale(SGDS), State-Trait Anxiety Inventory(STAI), and life satisfaction scale were used as evaluation tools. The data were analyzed using paired-samples T-test. Results: Insomnia severity, life satisfaction, depression, and state-anxiety were significantly improved by EFT-I. Conclusions: Result of this study showed that EFT-I can be a useful treatment program for elderly insomnia. Larger Clinical trials are needed to verify effect of EFT-I as a community based insomnia management program for the elderly.
심박변이도 지표에 나타난 자율신경 상태와 우울, 불안 및 분노 설문검사 척도 간의 상관성 평가
김상영 ( Sang Young Kim ),서현욱 ( Hyun Wook Seo ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.4
Objectives: This study aims to evaluate the relationship between HRV indices and scores of emotional questionnaires and to find out the effective way to assess patients emotional and physical condition. Methods: We selected 144 patients who had both HRV data and BDI, STAL and STAXI scores on the chart among outpatients from July 2006 to December 2010. The relationship between the scores rated from the questionnaires and HRV indices are analyzed. And the HRV indices of patients included in the top 30 percent group and the bottom 30% group are compared. Results: 1. There were no significant correlations between HRV indices and scores of BDI, STAI and trait anger of STAXI. 2. SDNN and TP of HRV significantly decreased with higher state anger scores of STAXI. The top 30 percent group of state anger had lower SDNN, TP, LF, HF and HRV-index and higher pNN50 than bottom 30 percent group. 3. RMSSD of HRV significantly decreased with higher anger-in scores of STAXI. The top 30 percent group of anger-in had lower RMSSD than the bottom 30 percent group. Conclusions: HRV can be used to evaluate emotional and physical changes related to state anger and inappropriate anger expression.
매핵기(梅核氣)로 인해 음식을 삼키지 못하는 전환장애 환아 치험 1례
황은영 ( Eun Young Hwang ),서진우 ( Sun Yong Chung ),서현욱 ( Jong Woo Kim ),정선용 ( Jin Woo Suh ),김종우 ( Hyun Uk Suh ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.2
Objective: This study was designed to research the effect of the korean traditional herbal medicine and oriental psychotheraphy on globus hytericus and swallowing difficulty caused by conversion disorder. Methods: A 10 years old male patient suffer from globus sensation and swallowing difficulty for 2 months. We treated him with the korean traditional herbal medicine(Banhahubak-tang) and oriental psychotheraphy for 27 days. Results: After this treatment, globus sensation and swallowing difficulty were decreased and appetite were increased. In addition, compulsion had been severe and it was improved after this treatment. Conclusions: Psychiatrists have reported that conversion disorder is not common in children especially under 10 years old. Globus hystericus, dysphagia is symptoms of conversion disoder but globus hystericus is very rare in childhood. In this case, we recognized that the korean traditional herbal medicine and oriental psychotheraphy could be effective for the clinical symptoms of globus hystericus and swallowing difficulty.