자살 사고 및 자살 행동을 동반한 주요우울장애 환자의 한의복합정신요법 적용 2례

Abstract

Objectives: This study presents two cases of major depressive disorder characterized by suicidal ideation and behavior. Both cases were treated using a Korean Medicine-based integrated psychotherapy approach that combined Mindfulness & Loving Beingness (M&L) therapy, Emotion Freedom Technique (EFT), and conventional Korean medical interventions. Methods: Two female inpatients diagnosed with major depressive disorder and recent suicide attempts received a treatment regimen that included acupuncture, moxibustion, Chuna therapy, and individualized herbal medicine, in conjunction with M&L psychotherapy and EFT administered five times a week. Results: Both patients demonstrated significant reductions in suicidal ideation and depressive symptoms. Scores on the Korean-Beck Scale for Suicide Ideation and the Columbia Suicide Severity Rating Scale decreased significantly. Additionally, improvements were observed in scores on the Korean-Symptom Checklist-95, Beck Depression Inventory-II, Spielberger’s State-Trait Anxiety Inventory XYZ form, the Korean version of the State-Trait Anger Expression Inventory, Penn State Worry Questionnaire, and the Korean Version of the Insomnia Severity Index, indicating enhancements in depression, anxiety, and insomnia. The patients reported increased emotional stability, improved self-acceptance, and greater coping resources. No adverse effects were noted during hospitalization. Conclusions: These cases suggest that an integrated approach combining M&L therapy and EFT with traditional Korean medical treatments may serve as an effective adjunctive management strategy for patients with major depressive disorder at risk of suicide.