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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.
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