적응 장애 환자에 대한 Rogers의 인간중심적 상담요법을 포함한 한의정신요법 증례 보고 1례
A Clinical Report of a Patient with Adjustment Disorder by Traditional Korean Psychotherapy Including Roger’s Person-Centered Counseling
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: Adjustment disorder (AJD) is a maladaptive reaction to an identifiable psychosocial stressor or multiple stressors. The objective of this clinical case study was to report the efficacy of Oriental psychotherapy including Rogers’ person-centered counseling in treating AJD. Methods: For a female subject in her 50s who was diagnosed with AJD, Korean Medicine Psychotherapy including Roger’s person-centered counseling was used for treatment. Her treatment also included herbal medicine, acupuncture, moxibustion, and cupping therapy that lasted for 105 days. Changes in Numeric Rating Scale (NRS), Beck Depression Index (BDI), Pittsburgh Sleep Quality Index (PSQI), and patient’s subjectively reported symptoms were assessed. Results: Although psychiatric medication dosage was reduced the during the treatment process, improvements were observed in the patient’s subjectively reported symptoms and NRS scores after treatment. In the initial phase, symptoms fluctuated in response to stress levels. However, the patient gradually demonstrated improved coping strategies, although her changes of BDI and PSQI were not statistically significant. Conclusions: These outcomes suggest that traditional Korean psychotherapy including Roger’s person- centered counseling is effective in treating AJD.
Abstract
Objectives: Adjustment disorder (AJD) is a maladaptive reaction to an identifiable psychosocial stressor or multiple stressors. The objective of this clinical case study was to report the efficacy of Oriental psychotherapy including Rogers’ person-centered counseling in treating AJD. Methods: For a female subject in her 50s who was diagnosed with AJD, Korean Medicine Psychotherapy including Roger’s person-centered counseling was used for treatment. Her treatment also included herbal medicine, acupuncture, moxibustion, and cupping therapy that lasted for 105 days. Changes in Numeric Rating Scale (NRS), Beck Depression Index (BDI), Pittsburgh Sleep Quality Index (PSQI), and patient’s subjectively reported symptoms were assessed. Results: Although psychiatric medication dosage was reduced the during the treatment process, improvements were observed in the patient’s subjectively reported symptoms and NRS scores after treatment. In the initial phase, symptoms fluctuated in response to stress levels. However, the patient gradually demonstrated improved coping strategies, although her changes of BDI and PSQI were not statistically significant. Conclusions: These outcomes suggest that traditional Korean psychotherapy including Roger’s person- centered counseling is effective in treating AJD.
참고문헌 (33)
- "ICD-11 for Mortality and Morbidity Statistics"[URL]
- Kwon JS, "Diagnostic and Statistical Manual of Mental Disorders, Fifth edition text revision", pp.192~356 (2023), Hakjisa Publishing Co
- Yang KJ, "Incidence and Direct Medical Cost of Adjustment Disorder and in Korea Using National Health Insurance Service Claims Data From 2011 to 2017", Psychiatry Investing, 18, pp.789~794 (2021)[DOI]
- Min SK, "Modern Psychiatry", pp.360~362 (2023), Iljogak Publishing Co
- Min SJ, "Characteristics of Adjustment Disorder Patients as Suicidal Attempters Visited Emergency Department : Significance of Adjustment Disorder and Suicide", Journal of The Korean Society of Emergency Medicine, 27, pp.595~601 (2016)
- Kim GW, "A study of psychotherapy by means of oriental medicine through the Giungoroen(至言高論)-Focusing on Ancient clinical document", Journal of Oriental Neuropsychiatry, 12, pp.29~45 (2001)
- Shin YC, "A Study on the Oriental psychotherapy", Korea Journal of Oreintal Medicine, 2(1), pp.43~53 (1992)
- Jue US, "An Investigation of Korean Humanistic Counseling Model-Based on the self-report of experienced humanistic counselors in Korea", Korean Journal of Counseling and Psychotherapy, 19(3), pp.569~586 (2007)
- Kwon SM, "Contemporary Theories of Psychotherapy and Counceling", pp.271~303 (2012), Hakjisa Publishing Co
- Kim NY, "A Case Report on Psychosomatic Disorder Cause by Maladjustment of Interpersonal Relationship", Journal of Oriental Neuropsychiatry, 23, pp.215~228 (2012)[DOI]
- Kim JY, "A Clinical Report of Two Patients with Poststroke Depression by Korean Traditional Treatment and Roger’s Person-centered Counseling", Journal of Oriental Neuropsychiatry, 21, pp.187~206 (2010)
- Lee BY, "The ICD-10 Classification of Mental and Behavioural Disorders, Clinical Descriptions and Diagnostic Guidelines", pp.186~189 (1994), Ilchokak Publishing Co
- Moon ES, "Development of Clinical Guideline for the Diagnosis and Evaluation of Depression : Focused on Evaluation Guideline", Journal of Korean Neuropsychiatric Association, 53, pp.24~31 (2014)[DOI]
- Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index", Sleep and Breathing, 16(3), pp.803~812 (2012)[DOI]
- Hong CH, "Acquiring Counseling Skills : Integrating Theory, Multiculturalism, and Self-Awareness", pp.308~312 (2012), Hakjisa Publishing Co
- The Textbook Complication Committee of Neuropsychiatry of Oriental Medical Schools in Nation, "The Neuropsychiatry of Oriental Medicine", pp.541~544 (2018), Maver Publishing Co
- Kim JW, "An oriental medicine psychotherapy to heal the mind", pp.81~82 (2006), Hakjisa
- Che JY, "A Comparision of Philosophy of Traditional Medicine between Hippocrates and the East", Journal of The Daegu Historical Association, 81, pp.225~254 (2005)
- Lee YH, "Philosophical Implications of the Person-Centered Therapy in Carl R. Rogers", Korean Journal of Counseling and Psychotherapy, 6, pp.1~20 (1994)
- Rogers CR, "The necessary and sufficient conditions of therapeutic personality change", Journal of Consulting psychology, 21, pp.95~103 (1957)
- Hong JH, "A case of Sinusitis Patient Improved by Kami-Hyunggyeyungyotang", Journal of Korean Medicine Ophthalmol & Otolaryngol & Dermatol, 28, pp.66~67 (2015)[DOI]
- Joint Textbook Compilation Committee of National Korean Medicine Colleges, "Herbal Medicine", pp.176~177 (2011), Yeongrimsa
- Moon YK, "A case of Postviral Olfactory Disorder Treated with Dangguijakyak-san and Acupuncture", Journal of Korean Medicine Ophthalmol & Otolaryngol & Dermatol, 30(1), pp.118~125 (2017)[DOI]
- King WH, "A Case Report on 14 Patients with Palpitations Treated with Gami-ondam-tang", Journal of Korean Oriental Internal Medicine, 42(5), pp.1160~1172 (2021)[DOI]
- Dong B, "The Efficacy of Acupuncture for Treating Depression-Related Insomnia Compared with a Control Group : A Systematic Review and Meta-Analysis", Biomed Research International, pp.1~11 (2017)[DOI]
- Yun YJ, "A Case Report of Tension Type Headache Patient with Dangkisoo-san and Acupuncture", Herbal Formula Science(HFS), 21(1), pp.206~212 (2013)[DOI]
- Park JH, "Case Report on Headache(Suspected CPSP)Treated with Korean Medicine in a Hospitalized Patient with a History of Cerebral Infarction", Journal of Korean Oriental Internal Medicine, 42, pp.893~903 (2021)[DOI]
- Kim YS, "The Effect of Gammaekdaejo-tang for Post-stroke Depression : A Systemic Review and Meta-Analysis", Journal of Korean Oriental Internal Medicine, 45, pp.396~414 (2024)[DOI]
- Ahn JH, "Therapeutic Effects of Acupuncture for Shoulder Impingement Syndrome : A Systematic Review and Meta-Analysis", Journal of Korean Medicine Rehabilitation, 34, pp.83~95 (2024)[DOI]
- Kim KY, "A Critical Review of the Definition of Mental Disorders in DSM(Diagnostic and Statistical Manual of Mental Disorders)", Korean Journal of Philosophy, 150, pp.309~331 (2022)[DOI]
- Strain JJ, "The adjustment disorders : the conundrums of the diagnoses", Compr Psychiatry, 49, pp.121~130 (2008)[DOI]
- Semprini F, "The spectrum of adjustment disorders : too broad to be clinically helpful", CNS Spectr, 15, pp.382~388 (2010)[DOI]
- Zelviene P, "Adjustment disorder : current perspectives", Neuropsyciatric Disease and Treatment, 14, pp.375~381 (2018)[DOI]