요통환자의 한방재활의학과와 한방신경정신과와의 협진관계 모색 방법론

이명종 ( Myeong Jong Lee ) 한방재활의학과학회 2002 한방재활의학과학회지 Vol.12 No.3

Objectives:Psychologic & Societal studies are in progress for low back pain in these days.But there is no enough interchanges between painful diseases and psychotherapies within oriental treatment system.So the author try to study the methods to increase the treatmental effects and the desirable medical examination & treatment profile between oriental rehabilitation medicine and oriental neuropsychiatry for the low back pain patients.Methods:We can diagnose general body conditions and the disorders of the autonomic nervous system through the medical examination and diagnostic equipments.It is essential to be treated oriental rehabilitation treatments for all the low back pain patients.If the patients have psychogenic low back pain, we must try to treat various of oriental psychotherapies, too.Conclusions:1.There is various oriental psychotherapies as basic treatments for the low back pain patients in the oriental neuropsychiatry.2.We can manage aroma therapy clinic, Qigong therapy clinic and music therapy clinic for the psychogenic low back pain patients.And we can use various treatment methods such as aroma therapy, music therapy, relaxation therapy, Qigong therapy, meditation & yoga therapy, hypnotherapy and color therapy in that clinics.3.It is demanded that multidisciplinary and multidimensional approach as the principle of the treatments for low back pain.In this points, Oriental medicine will be more effective in the basis of body and spirit monism.

CARE 지침에 따른 2018∼2021년 동의신경정신과학회지 증례 보고의 질 평가

최성열 대한한방신경정신과학회 2022 동의신경정신과학회지 Vol.33 No.2

Objectives: The purpose of this study was to evaluate the quality of reporting for case reports published in Journal of Oriental Neuropsychiatry from year 2018 to 2021 compared with year 2013 to 2017 in order to recommend ways to improve the quality of case reports published in the future. Methods: To evaluate the quality of case reports identified by electronic searching in Oriental medicine Advanced Searching Integrated System (OASIS) and by hand searching from archives on peer review system of Journal of Oriental Neuropsychiatry using CAse REport (CARE) guideline. The researcher assessed the quality of reporting based on the CARE guideline as 'Sufficient', 'Not-Sufficient', ‘Not- Applicable’, and 'Not-Reported' for case reports published from 2018 to 2021 in Journal of Oriental Neuropsychiatry. In addition, it was compared with previous case reports published from 2013 to 2017. Results: Finally, 17 case reports were included for the assessment. General quality of reporting for case reports published from year 2018 to 2021 was improved compared with that of previous case reports published in 2018. The maximum value (46.4%→60.7%, 14.3% increase), the minimum value (22.2%→ 32.1%, 9.9% increase), and the median value (39.3%→50.0%, 10.7% increase) of the report rate evaluated as 'Sufficient' were generally improved. The maximum value (53.6%→50.0%, 3.6% decrease), minimum value (25.9%→21.4%, 4.5% decrease), and median value (35.7%→32.1%, 3.6% decrease) of the report rate evaluated as 'Not-Sufficient', the maximum value of the report rate evaluated as 'Not-reported' (40.7%→25.9%, 14.8% decrease), the minimum value (14.7%→10.7% decrease), and the intermediate value (14.7% decrease) were also generally improved. Four items (8b, 8d, 10c, and 13) were evaluated as 'Not-Reported'. These items seem to be items that need urgent improvement along with 8c, which showed a significant decrease in reporting rate. Conclusions: There are needs to improve the quality of case reports in Journal of Oriental Neuropsychiatry by comparing case reports published from year 2013 to 2017 with case reports published from year 2018 to 2021. To improve the quality of case reporting, sufficient education at the academic level should be provided on thesis preparation methods. It is also necessary to develop a tool for evaluating the quality of case reporting that reflects characteristics of Korean Medicine.

한방신경정신과 영역의 Alzheimer형 치매 관련 연구현황

김태윤 ( Tae Yoon Kim ),금창준 ( Chang Jun Kum ),오재우 ( Jae Woo Oh ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.3

Objectives: Alzheimer`s Dementia is somewhat common in clinical stages, and there are many reports and papers regarding this subject. We explain the present state of Alzheimer`s Dementia in JON (The Journal of Oriental Neuropsychiatry) for the benefits of clinical practice. Methods: We searched for articles in JON from 1990 to 2014 and selected ones that were related to Alzheimer`s Dementia; then, we analyzed the data and placed it in four categories, like experimental study, case study, Clinical Data-Analysis study, and clinical trial. Results: 1) We found 47 articles relating to Alzheimer`s Dementia in JON from 1997 to 2014: 41 experimental studies, 1 case study, 1 Clinical Data-Analysis study, and 4 Clinical trials. 2) There were Chung-kyung Acupuncture Method, Auricular acupuncture, and Cha-rak Acupuncture Method to treat Alzheimer`s Dementia. 3) There were many additional treatments, like aroma therapy. 4) In the experimental study, they reported on several herbs, including herbal prescriptions that affected the suppression of related mRNAs and genes. 5) There were 4 clinical trials regarding herbal prescription that was effective for treating Alzheimer`s Dementia. Conclusions: In JON, regarding Alzheimer`s Dementia, the majority dealt with experimental studies. Therefore, we also have to expand our sight into other fields of study. We need more clinical trials and case studies for the treatment of Alzheimer`s Dementia in Oriental Neuropsychiatry.

한방신경정신의학으로 본 소설의 정화와 치유의 기능 : 이언 매큐언의 『속죄』 (Atonement)에 대한 연구

우정민 ( Jung Min Woo ) 한국영미문화학회 2008 영미문화 Vol.8 No.2

서울소재 동서한방병원 한방신경정신과 외래 환자의 임상고찰

김주원 ( Joo Won Kim ),신현권 ( Hyun Kwon Shin ),곡경내 ( Ching Nai Chu ),이지원 ( Ji Won Lee ),박세진 ( Se Jin Park ),김경혜 ( Kyeong Hye Kim ),서주희 ( Joo Hee Seo ) 대한한방신경정신과학회 2007 동의신경정신과학회지 Vol.18 No.3

Objective : The aim of this study was to show the clinical aspects in outpatients who visited Oriental Neuropsychiatry Clinic. Method : We studied 419 patients who visited Oriental Neuropsychiatry Clinic of Dong-Seo Medical Center from march, 2007 to August, 2007.Results & Conclusion : 1. The ratio of male to female patients was 1:2 and age distribution was most frequent in 50s.2. From onset, 32% of patients visited Oriental Neuropsychiatry Clinic in a week , 58% of patients visited in a month.3. Oriental Neuropsychiatry diseases were 80%, Non-Oriental Neuropsychiatry diseases were 20%. The most common Oriental Neuropsychiatry diseases were Somatoform Disorders.4. The most common diagnosises of the Oriental Neuropsychiatry diseases were Psychosomatic diseases.5. The most common cheif comlains were Headache.6. The most commonly used herbal medicine was Gamiondam-tang and Guibi-tang

한국인 수면장애 환자의 최근 3년간 한방 진료 양태

정선영 ( Seon Yeong Jeong ),김재영 ( Jae Yeong Kim ),고영탁 ( Young Tak Kho ),안건상 ( Keon Sang Ahn ),이차로 ( Cha Ro Lee ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.4

Objectives: Though there are many studies about sleep disorder, no research has been performed on the utilization of oriental medicine as a treatment. Therefore, the oriental medical treatment pattern of Korean patients with sleep disorders was examined herein using the Health Insurance Review and Assessment Service (HIRAS). Methods: The medical records of patients with sleep disorders (G47) or nonorganic sleep disorders (F51) as a main diagnosis were adopted from the HIRAS database from 2011 to 2013. Analysis was performed on the number of patients and cost per patient, with comparison between oriental and western medicine in terms of gender, age, patient care service type, and hospital type. Results: 1) Regarding sleep disorders, the medical visits and insurance charges have been increasing. Western medicine was utilized 8 times more often than oriental medicine during 3 years. 2) There were 2.5 times more women than men. 3) Among all ages, the 50¡­59 year group had the highest representation. 4) In comparison of average portions of patient care type over 3 years, outpatients were the majority, while the number of visits of outpatients and hospitalization has been increasing. 5) Comparison of average portion of oriental hospital type over 3 years revealed oriental clinics to be used most. The use of general hospitals was higher in western medicine treatment, while public health centers used oriental medicine more. 6) Regarding average oriental medical cost per patient over 3 years, the total was 88,000 won, with 353,000 won for hospitalization and 85,000 won for outpatients. The outpatient cost has been increasing. 7) In line with 6, oriental medical hospitals cost 126,000 won, local clinics were 85,000 won, and etc. was 95,000 won. Average costs of all types have increased during 3 years, except oriental medical hospitals in 2013. Conclusions: This study provided objective information about the epidemiologic characteristic of oriental medicine used for treatment of sleep disorder. For expansion of oriental medical demand for sleep disorder, this study would be helpful in understanding the recent status.`

동의신경정신과학회지에 게재된 임상연구논문 동향분석 -2001년부터 2010년까지-

허은정 ( Eun Jung Heo ),전원경 ( Won Kyung Jeon ),김우영 ( Wu Young Kim ),한창현 ( Chang Hyun Han ) 대한한방신경정신과학회 2011 동의신경정신과학회지 Vol.22 No.3

Objectives: This study was aimed to review the trend of clinical studies in Journal of Oriental Neuropsychiatry since 2001 to 2010. Methods: We collected 260 clinical studies and analyzed them for publish year, sorts of disease or symptoms, pattern identification diagnosis, and classification of clinical studies. Among them, we selected 46 clinical experimental studies and these studies were further analyzed for publish year, research institution, sort of disease or symptoms, sorts of treatments, number of subject, and pattern identification diagnosis. Results: The number of clinical studies in Journal of Oriental Neuropsychiatry have increased since the year of 2001. There were 62 kinds of diseases and symptoms and Hwa-Byung had the highest number of studies followed by depression, headache, insomnia and so on. The clinical experimental studies, which took up 17% of the clinical studies, have increased since 2001 and was varied with year. There were 13 reserch institutions for clinical experimental studies and they studied about stress, dementia, Hwa-Byung, and so on. Most of studies researched treatment about acupuncture, herb medicine, and meditation treatment for persons under 144. There are only 22% of studies using pattern identification diagnosis. Conclusions: For the development of oriental medicine for psychiatric disease, we need more qualifying clinical studies like RCT. We hope more researchers for psychiatry disease of oriental medicine will be interested in the publication of clinical studies and this will serve to produce advance of oriental medicine as evidence based medecine.

韓方神經精神科 영역에서의 性機能障碍에 대한 고찰

이재혁 世明대학교 한의학연구소 2004 韓醫學硏究所 論文集 Vol.6 No.-

Cultural peculiarity of Orient has caused the tendency of studying Sexual Disorders leaned to male, which are liminated to Erectile Disorder and Premature Ejaculation. Also, research on Sexual Disorders of female are not common except on delivery and anatomical abnormality because of the cognition of passivety in the part of sex. Most of the studies on Sexual Disorders in oriental mediine are based on the perception of wholeness which makes the study on the field of Neuropsychiatry more important. Therefore, we have classified Sexual Disorders into three patterns and examined the literatures of both China and Korea from remote ages till recent.

심상 시치료가 만성 조현병 입원환자의 증상 완화 및 심리적 안정에 미치는 효과

박정혜,김춘경 한국정서행동장애학회 2016 정서ㆍ행동장애연구 Vol.32 No.3

본 연구의 목적은 문학치료 중에서 특히 심상 시치료가 정신건강의학과 폐쇄병동에 입원 중인 만성 조현병 환자에게 증상완화 측면뿐만 아니라 심리적인 안정에 긍정적인 효과를 가져 올 수 있는가를 검증하는 데 있다. 연구대상은 경남 양산시 소재 정신건강의학과 ○○병원의 ○병동 내에서 입원 중인 환자 중 입원 기간이 3년 이상, 발병기간이 5년 이상이 된 만성 조현병 환자 14명이며, 심상 시치료 실시집단과 비실시 집단으로 각각 7명씩 무선 배치하였다. 2013년 1월에서 2월까지 총 12회기에 걸쳐 매주 2회, 한 회기 당 90분에 걸쳐 진행하였으며, 심상 시치료의 영역 중 매체활용적인 면에서 그림과 시를 위주로 하였다. 만성 조현병 환자의 증상완화의 측면을 알아보기 위해서 심상 시치료 실시 집단과 비실시 집단에게 각각 사전, 사후, 실시 한 달 후에는 추후까지 다면적 인성 검사(MMPI)와 간이정신진단 검사(SCL-90-R)를 실시하고 그 결과를 통계적으로 알아보았다. 또한, 심리적 안정 상태를 알아보기 위해서 문장완성 검사(SCT)를 실시하고 분석하였으며, 긍정적인 변화양상을 알아보기 위해서 실시집단을 대상으로 해서 현상학적 질적 분석을 하였다. 연구 결과를 요약하면 첫째, 심상 시치료가 정신건강의학과 폐쇄병동 입원 중인 만성 조현병 환자의 증상을 완화시키는 것에 통계적으로 유의미한 효과가 있었고, 그 효과는 추후에도 지속되었다. 둘째, 심상 시치료가 정신건강의학과 폐쇄병동 입원 중인 만성 조현병 환자의 심리를 안정시키는 것에 유의미한 효과가 있었고, 그 효과는 추후에도 지속되었다. 셋째, 심상 시치료가 현상학적으로 볼 때 정신건강의학과 폐쇄병동 입원 중인 만성 조현병 환자에게 긍정적인 변화양상을 가져올 수 있었다. The purpose of this research was to test whether among literary therapy, ‘Imaginary-oriented Poetry Therapy’ could have positive effect at not only the side of ease of symptom but also the side of psychological stability to chronic schizophrenics who are in closed ward. The subjects of research were fourteen chronic schizophrenics who had over five years of disease experience and three years of hospitalization experience among patients in 0 ward at department of mental health in 00 hospital in Gyeongsangnam-do Province. They were assigned randomly in half into the experimental group that suffers ‘Imaginary-oriented Poetry Therapy’ and control group that doesn’t suffer the therapy. The experiment was carried out two times a week for twelve session from January 2013 to February, and each session took ninety minutes. At the part of media utilization, it mainly used pictures and poems among the domain of ‘Imaginary-oriented Poetry Therapy’. To investigate the aspect of chronic schizophrenic’s ease of symptoms, MMPI and SCL-90-R were implemented to both experimental group and control group before the test, after the test, and after a month of test, and the results of that tests were elicited statistically. Also, to investigate the psychological stability, SCT was implemented and analyzed, and to check positive change, phenomenological qualitative analysis were carried out to experimental group. To summarize the result of research, firstly, ‘Imaginary-oriented Poetry Therapy’ had positive effects on ease of symptom to chronic schizophrenics who were in closed ward at department of mental health, and that effects had lasted later on. Secondly, ‘Imaginary-oriented Poetry Therapy’ had meaningful effects on stabilizing chronic schizophrenics' mentality, and that effect had lasted later on. Finally, at the point of phenomenology, ‘Imaginary-oriented Poetry Therapy’ had positive change to chronic schizophrenics who were in closed ward at department of mental health.

한방신경정신과 영역의 수면장애 관련 연구현황

정진형 ( Jin Hyeong Jung ),하지원 ( Ji Won Ha ),김보경 ( Bo Kyung Kim ) 대한한방신경정신과학회 2012 동의신경정신과학회지 Vol.23 No.4