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SRP(Stress Reduction Program)을 적용하여 호전된 공황장애 48세 남환 치험 1례
서진우 ( Jin Woo Suh ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),박소정 ( So Jung Park ) 대한한방신경정신과학회 2007 동의신경정신과학회지 Vol.18 No.3
The SRP program(stress reduction program) is reported has a good effect to patient to escape from anxiety. To reduce several symptoms due to anxiety, we performed some SRP programs to our patient who had suffered anxiety disorder.The measurement tools of patient`s improvement we used are Heart Rate Variability and State-Trait Anxiety Inventory. Through this programs, symptoms and feeling of anxiety were decreased than first time and Autonomic nerve system balance was much improved. this is caused by effort of self-control meditation, mindfullness, breathing instruction and muscle relaxation program.
심박변이도 및 SCL-90-R 측정을 통한 자율훈련법과 과일 명상의 효과 비교 분석
서진우 ( Jin Woo Suh ),김종우 ( Jong Woo Kim ),정선용 ( Sun Yong Chung ),김지영 ( Ji Young Kim ),황은영 ( Eun Young Hwang ) 대한한방신경정신과학회 2008 동의신경정신과학회지 Vol.19 No.3
Objective : There are many meditation methods used in clinical field. But the effect of meditation may be different to people`s mind, and meditation itself. Now we investigate this subject with two different meditation methods which has been analyzed by heart rate variability. Method : We tried to check people`s heart rate who educated meditation, before educated and during the meditation. The meditation was educated differently for each group. One is the autogenes traning, and the other is the imaginary meditation by thinking about eating and smelling favorite fruits. All of them are used to oriental psychiatry clinic patients. And we simultaneously conduct people`s emotional state by SCL-90-R. Result : The result in Autogene traning group has significant difference in total power and HRV-index score between before and during the training but in imaginary meditation group has no significance : Autogene traning group has a significance in low frequency score and has increased tendency with increasing tendency of Heart rate index and Total power. Through the SCL-90-R score, the higher depression t-score, the anxiety t-score, and the hostility score is, the HRV scores such as total power, low frequency, and HRV-index much increase. and so on. Conclusion : We can guess that the Autogenes training has more significant effect than the imaginary meditation. And we can also guess that as the emotional problem is getting more severe, the effect of meditation would be much better. And we finally suggest that we should make a standard guideline of imaginary meditation, cause the imaginary meditation has so many variation.
심박변이도(HRV: Heart Rate Variability) 측정을 통한 정서 상태 및 명상의 종류별 명상 효능 평가
서진우 ( Jin Woo Suh ),황은영 ( Eun Young Hwang ),정선용 ( Sun Yong Chung ),황의완 ( Wei Wan Whang ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.3
Objectives: This study has the object to evaluate the effect of meditation at the clinical field and to classify the profer meditation by the emotional states of patients. Methods: Thirty volunteers have been recruited using local advertisement. They devided into two groups(patient group, normal group). Emotional states and stressors (STAI, STAXI, BDI, SCL-90-R, Stress Response inventory, Life event stress) have been evaluated. After that test HRV(Heart Rate Variability) has been tested and subjects took a 5-minute rest. After that, one of meditation has been chosed and has been demonstrated for 10 minutes by practiced trainer(Autogenic Training, Fruit Imaginary Meditation, Random assignment). After 5 minutes resting time, HRV has been measured again with meditation that had been administered. Results: 1. The higher the scale of emotional index, the more sensitively react has been occured according to the meditation. 2. The rate of HRV index that means stable state is higher in Fruit Imaginary Meditation group who thought to be administered meditation well.
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.
서효원 ( Hyo-weon Suh ),최은지 ( Eun-ji Choi ),김상호 ( Sang-ho Kim ),김동희 ( Dong Hee Kim ),김락형 ( Lak-hyung Kim ),김종우 ( Jong-woo Kim ),이재혁 ( Jae-hyok Lee ),임재환 ( Jae-hwan Lim ),최우진 ( Woo-jin Choi ),정선용 ( Sun-yo 대한한방신경정신과학회 2016 동의신경정신과학회지 Vol.27 No.4
Objectives: To determine the general characteristics of clinical studies about Hwabyung and assess their limitations and alternatives. Methods: Clinical studies that examined the effects of traditional Korean medicine intervention on Hwabyung were included in this study. A systematic search of English, Chinese, Japanese, and Korean databases was performed. The characteristics of included articles were described and those articles were assessed by Risk of Bias (RoB) tool or Risk of Bias for Nonrandomized Studies (RoBANS) tool. Results: Sixteen articles were selected from 1,826 articles. Most clinical studies about Hwabyung were published in Korea. The number of conducted trials was insufficient. The prevailing study design was randomized controlled trial. Traditional Korean medicine intervention used in the trials were acu-puncture, herbal medicine, counselling, meditation, emotional freedom technique (EFT), music ther-apy, art therapy, and multi intervention program. Herbal medicine study used placebo as control while non-pharmacological intervention study mostly used no treatment as control. Most of the trials were supported by the government. Therefore, financial conflict of interest might not exist for results. We judged that some studies had a high risk of bias. In general, most of the studies with a high risk of bias were non-pharmacological intervention studies, and the risk of bias was mainly due to lack of blinding. Conclusions: More clinical studies of Hwabyung are needed. There are some issues about a suitable comparison and effective blinding strategy for non-pharmacological study. Improving methodo-logical quality is required.
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.