적응장애의 한의 치료에 관한 문헌 고찰

Abstract

Objectives: This study aims to review both domestic and international trends in Korean Medicine treatments for adjustment disorder. The goal is to analyze the current clinical landscape and provide foundational data for future therapeutic evidence and clinical research. Methods: A systematic search was conducted across domestic and international databases (KCI, DBPIA, PubMed, CNKI, and CiNii) for articles published up to October 2, 2025. We selected clinical studies that applied Korean Medicine interventions to patients with adjustment disorder. The final studies were analyzed for study design, subject characteristics, treatment methods, and outcomes. Results: A total of 14 studies were included: 3 randomized controlled trials (RCTs), 1 non-randomized controlled trial (NRCT), 1 single-arm study, and 9 case reports. Herbal medicine was the most commonly used intervention (10 studies), with Gwibi-tang and Soyo-san-based formulas being the most prevalent. Acupuncture treatment was reported in 6 studies, with HT7 (ShenMen) and HT8 (ShaoFu) as the most frequently used acupoints. The results indicated that Korean Medicine treatments significantly improved emotional symptoms such as depression and anxiety, as well as physical symptoms like insomnia, with no serious adverse events reported. Conclusions: Various Korean Medicine treatments have been employed to manage symptoms of adjustment disorder. However, the existing studies are limited in number and primarily consist of case reports. Future research should focus on large-scale, systematic clinical trials using standardized diagnostic and assessment tools to enhance the evidence base for Korean Medicine interventions in adjustment disorder.