한방정신요법 및 치매 검사의 현황, 수가 적절성 연구

장재순 ( Jae Soon Jang ),황의완 ( Wei Wan Hwang ),조성훈 ( Seung Hun Cho ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.4

Objectives: A large number of patients require psychiatric therapy. We attempted to determine the present situation regarding psychotherapy and neuropsychological tests for dementia in Korean medicine for the benefit of the Health Insurance Review and Assessment Service (HIRAS). The aim of this study was to aware of the current status about psychotherapy and neuropsychological test for dementia in Korean medicine. Methods: We searched the medical practice records for psychotherapy and neuropsychological tests in oriental neuropsychiatry between 2009 and 2013 using the Health Insurance Review and Assessment Service (HIRAS) database. The search categories were: IJeongByunGi (Medical practice code:59001), JiUnGoRoen (59002), Kyungjapyungji (59003), OhJiSangSeung (59004), neuropsychological test for dementia (29005). Results: 1. The number of patients treated with Korean Medical Psychotherapy increased annually by 151%. The total number of patients treated with Korean Medical Psychotherapy was 4,289 in 2013. 2. The total cost for patients treated with Korean medical Psychotherapy in the public health medical insurance budget was 268,032,000 won in 2013. The average medical cost for one therapy was 17,000 won in 2013. 3. The number of patients in local clinics is increasing faster than the number in Korean medical hospitals. 4. The age group between 20¡­30 years of age, for both men and women, is the group with the greatest density in Korean Medical Psychotherapy. 5. Neuropsychological Testing for Dementia in Korean Medicine is slowly decreasing. Conclusions: The prevalence of mental illness in Korea is increasing, therefore, the demand for Korean Medical Psychotherapy has increased recently. Authorizing Korean Medical psychiatrists to utilize Korean mental Health resources is essential. This study could be helpful in understanding the current status for the purpose of expanding Korean Medical Psychotherapy.

정상인에서의 스트레스 반응 정도와 산화스트레스 사이의 상관관계 연구

변순임,김지영,조성훈,김종우,황의완,Byun, Soon-Im,Kim, Ji-Young,Cho, Seung-Hun,Kim, Jong-Woo,Hwang, Wei-Wan 대한예방한의학회 2009 대한예방한의학회지 Vol.13 No.2

Objective : This study was to examine a relationship among subjective psychological stress, physical stress response and oxidative stress. Methods : The subjects were consisted of 87 healthy volunteers. To assess subjective psychological stress, SRI(stress response inventory) was completed. To assess psychological and physical stress response, HRV(Heart Rate Variability) were tested. To assess oxidative stress, d-roms(Derivatives of reactive oxygen metabolites test) test was conducted. Subjects were divided into 3 groups depending on SRI(Stress Response Inventory) score, low stress response(LSR: lower than 30 percentile), Medium(MSR: 30-70 percentile) and high stress response(HSR: higher than 70 percentile). The Relationship between Stress Response and Oxidative Stress was estimated by correlation and One-way ANOVA analysis. Results : There were no significant differences of demographic data among 3 groups. There was a significant difference of oxidative stress among 3 groups. Conclusion : Our results suggest that there is a weak positive correlation between subjective psychological stress and oxidative stress. There is a significant difference of oxidative stress between HSR group and LSR group.

기질 및 성격에 따른 기공기반 스트레스완화 프로그램의 효과

황은영 ( Eun Young Hwang ),정선용 ( Sun Yong Chung ),황의완 ( Wei Wan Hwang ),김종우 ( Jong Woo Kim ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.2

Objectives: The aim of this study was to investigate the correlation between the effectiveness of Brief Qigong-based Stress Reduction Program(BQSRP) and personality. Methods: Twenty nine women and nine men from the community with symptoms of distress(mean age 39.4 years, SD=11.4) were randomized into a group receiving a 4-week intervention of BQSRP(n=19) or a waiting-list control group. All subjects completed the temperament and character inventory (TCI) before the intervention. Before and after the intervention period, questionnaires were completed on perceived stress scale(PSS), anxiety, and quality of life. Results: 1. Those who have higher temperament of harm avoidance or lower character of self-directedness showed higher PSS, Hwa-Byung character, Hwa-Byung symptom, STAI and lower WHOQOL-BREF scores. 2. In the BQSRP training group, a correlation analysis demonstrated an association between higher temperament of harm avoidance and greater improvement of perceived stress and an association between lower character of self-directedness and greater improvement of perceived stress. 3. Those who have high Hwa-Byung symptom scores prefer the breathing meditation and there were no differences in effects of BQSRP group by the preference Brief Qigong-based Meditation(BQM) component. Conclusions: These results suggest that a BQSRP training may be effective for those with higher harm avoidance trait and low self-directedness.

노인성우울증에 대한 한방 집중치료 프로그램의 효과

김가나 ( Ka Na Kim ),황의완 ( Wei Wan Hwang ),조성훈 ( Seung Hun Cho ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.4

Objectives: As the elderly population grows and the prevalence of depression increases, the incidence of geriatric depression disorder will continue to increase. The effect of an intensive Korean medicine treatment program on geriatric depression disorder was studied. Methods: Geriatric depression disorder patients who received treatment over a period of three years were reviewed, with the geriatric depression score (GDS) used as the primary outcome. The intensive Korean medical treatment program applied to the geriatric depression disorder patients consisted of herbal medicine, acupuncture, pharmacopuncture, moxibustion, meditation, qigong exercises, and reminiscence therapy. Results: The GDS scores of patients who received the intensive Korean medical treatment program decreased from an average of 19.57 (±5.52) to 15.76 (±6.99) and there was a significant difference. Conclusions: When the intensive Korean medical treatment program was applied to geriatric depression disorder patients, the symptoms of depression improved. This treatment program will be helpful for improving symptoms in patients and can be applied by trained clinicians.

동의신경정신과학회지에 발표된 임상연구논문들의 통계방법 기술 및 적용 현황

조성훈 ( Seung Hun Cho ),황의완 ( Wei Wan Hwang ),이태림 ( Tae Rim Lee ) 대한한방신경정신과학회 2007 동의신경정신과학회지 Vol.18 No.3

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.

귀비탕(歸脾湯)과 귀비탕가미방(歸脾湯加味方)의 항산화 효과 및 6-Hydroxydopamine에 대한 PC12 세포 보호효과 비교연구

임재환,김종우,정선용,조성훈,오명숙,황의완,Lim, Jae-Whan,Kim, Jong-Woo,Chung, Sun-Yong,Cho, Sung-Hoon,Oh, Myung-Sook,Hwang, Wei-Wan 대한한방신경정신과학회 2009 동의신경정신과학회지 Vol.20 No.1

Objectives : This Study was performed to assess the antioxidative and neuroprotective effect of Guibi-tang(Guipi-tang) and Guibi-tang gamibang(Guipitang jiaweifang) on PC12 cells. Methods : The antioxidative effect was investigated through the DPPH radical and ABTS cation scavenging methods and total polyphenol amount of Guibi-tang(Guipitang) and Guibi-tang gamibang(Guipitang jiaweifang). The neuroprotective effect of Guibi-tang(Guipitang) and Guibi-tang gamibang(Guipitang jiaweifang) was assessed using MTT assay in PC12 cells. The scavenging effect of Guibi-tang(Guipitang) and Guibi-tang gamibang(Guipitang jiaweifang) on NO and ROS production induced by 6-OHDA in PC12 cells was evaluated, as well as the attenuating effect of Guibi-tang gamibang(Guipitang jiaweifang) on GSH reduction. Results : 1. Guibi-tang(Guipitang) and Guibi-tang gamibang(Guipitang jiaweifang) had concentration-dependent scavenging activities of DPPH radical 2. Guibi-tang(Guipitang) and Guibi-tang gamibang(Guipitang jiaweifang) had concentration-dependent scavenging activities of ABTS cation. 3. Total polyphenol amount of Guibi-tang(Guipitang) and Guibi-tang gamibang(Guipitang jiaweifang) was calculated 79.10${\pm}$2.20 pg/IO mg and 121.03${\pm}$1.11 pg/IO mg, respectively. 4. Cell viability of Guibi-tang(Guipitang) was increased in a dose dependent manner. Guibi-tang gamibang(Guipitang jiaweifang) was increased at low concentrations, but decreased at high concentrations. 5. In Guibi-tang(Guipitang), cell viability of PC12 cell treated with 6-OHDA was decreased by pre-treatment, and increased by post- and co- treatment. Cell viability of Guibi-tang gamibang(Guipitang jiaweifang) showed variable effects by pre-treatment, but increased by post- and co- treatment. 6. NO production rate of Guibi-tang(Guipitang) didn't show a significant effect, but that of Guibi-tang gamibang(Guipitang jiaweifang) was decreased in a dose dependent manner. 7. ROS production rate of Guibi-tang(Guipitang) was decreased at some concentrations. In Guibi-tang gamibang(Guipitang jiaweifang), ROS production rate was decreased at high concentrations. 8. Guibi-tang gamibang(Guipitang jiaweifang) protected the 6-OHDA-induced GSH reduction. Conclusions : These results demonstrate that both Guibi-tang(Guipitang) and GBTGMB have antioxidative and neuroprotective effect, but Guibi-tang gamibang(Guipitang jiaweifang) has more antioxidative and neuroprotective effect than Guibi-tang.

홧병환자의 임상양상에 대한 고찰

지상은(Sang Eun Chi),김종우(Jong Woo Kim),황의완(Wei Wan Whang),조황성(Hwang Sung Cho) 대한한방신경정신과학회 1997 동의신경정신과학회지 Vol.8 No.2

N/A The questionnaire which was based on the characteristics of psychological and physiological symptoms of Hwabyung patients was distributed to Hwabyung patients and normal control group. The following results were obtained. 1. It was observed in this study that the rate of occurrence of Hwabyung was higher in female and the people with lower economical and educational background. And this result was in accordance with the previous studies. 2. The personality, defense mechanism and coping strategy of Hwabyung patients was found to be inclined to yin(陰) disposition in this study. 3. Family life of Hwabyung patients was found to be worse than that of nomal control group in every respect. 4. In terms of evaluation of their lives, the emotion of Hwabyung patients was characterized as Hahn(恨). And it is postulated that this emotional complex falsifies the reaction of Ki(氣) to the seven emotions(七情).

치매 한의 평가도구 개발을 위한 기초 연구

류창희 ( Chang Hee Ryu ),정인철 ( In Chul Jung ),조성훈 ( Seung Hun Cho ),황의완 ( Wei Wan Hwang ),강위창 ( Wee Chang Kang ),이상룡 ( Sang Ryong Lee ) 대한한방신경정신과학회 2010 동의신경정신과학회지 Vol.21 No.4

Objectives: This study was performed to develop a standard instrument of oriental medical evaluation for dementia. Methods: The advisor committee on this study was organized by 17 neuropsychiatry professors of oriental medical colleges. The items and structure of the instrument were based on review of published literature. We took consultation twice from the advisor committee and we also took additional advices by e-mail. Results: We discriminated between bian-zheng and su-zheng from the answers of the advisor committee. We got the mean weight of each symptom and sign from the answers of the advisor committee. We got the final weight from the combination of the ratio of bian-zheng to the number of all answers of the advisor committee and mean weight. Conclusions: The instrument of oriental medical evaluation for dementia was developed through experts` discussion. If the validity and reliability of this instrument is confirmed through additional clinical trial, the instrument of oriental medical evaluation for dementia is expected to be applied to the subsequent research.

치매 한의진단 평가도구 적용 연구

김가나 ( Ka Na Kim ),배현수 ( Hyun Su Bae ),황의완 ( Wei Wan Hwang ),조성훈 ( Seung Hun Cho ) 대한한방신경정신과학회 2014 동의신경정신과학회지 Vol.25 No.4

Objectives: Patients with dementia are increasing in Korea. So the importance of accurate diagnosis and treatment of dementia is growing. In this paper, we evaluated the result of employing the Korean medical diagnostic pattern as a tool in clinics. Methods: Patients diagnosed with Alzheimer`s disease were evaluated using the Korean medical diagnostic pattern tool. Results: The number of patients with liver-kidney yin deficiency pattern/syndrome was 35. Analyzing the ratio difference between the ``liver-kidney yin deficiency`` group and the ``not liver-kidney yin deficiency`` group revealed that the ratio of the responses to the fourth question was less than zero. The ratio of the responses to the fifth, seventh, and eight questions were all less than 10%. The ratio of the responses to the first and second questions were greater than 30%. Conclusions: Of the six diagnostic patterns, liver-kidney yin deficiency was the greatest in the study subjects. The fourth question in the liver-kidney yin deficiency tool tests for the lack of appropriateness whereas the fifth, seventh, and eight questions test for lack of discrimination. Applying more weight to the first and second questions was an excellent choice to increase the discrimination.