교통사고로 인한 외상 후 스트레스 장애에 대한 한의학적 치료 1례
A Case Report of Korean Medicine Treatment for Post-Traumatic Stress Disorder Caused by Traffic Accident
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: To report result of Korean medicine treatment for post-traumatic stress disorder caused by a traffic accident. Methods: The patient was diagnosed with left talus fracture due to a traffic accident that occurred 10 days before visiting our hospital. The patient complained symptoms such as re-experiencing, intrusiveness, insomnia, and anxiety. We diagnosed him with post-traumatic stress disorder and applied Korean medicine treatment including Samulanshin-tang-gami pharmacopuncture, other acupuncture, herbal medicine, and supportive therapy. PCL-5, EQ-5D, and NRS were used as an evaluation tool. The patient’s quality of sleep was also evaluated. Results: At 8 weeks after starting treatment, the patient’s PCL-5, EQ-5D, and NRS PCL-5 scores all decreased, with PCL-5 score decreased from 51 to 20, mean NRS score decreased from 7 to 4.667, and EQ-5D score decreased from 54444 to 22223. The overall sleep quality of the patient increased. Conclusions: Korean medicine therapy including Samulanshin-tang-gami pharmacopuncture, other acupuncture, herbal medicine, and supportive therapy might be useful for alleviating symptoms of post-traumatic stress disorder caused by a traffic accident.
Abstract
Objectives: To report result of Korean medicine treatment for post-traumatic stress disorder caused by a traffic accident. Methods: The patient was diagnosed with left talus fracture due to a traffic accident that occurred 10 days before visiting our hospital. The patient complained symptoms such as re-experiencing, intrusiveness, insomnia, and anxiety. We diagnosed him with post-traumatic stress disorder and applied Korean medicine treatment including Samulanshin-tang-gami pharmacopuncture, other acupuncture, herbal medicine, and supportive therapy. PCL-5, EQ-5D, and NRS were used as an evaluation tool. The patient’s quality of sleep was also evaluated. Results: At 8 weeks after starting treatment, the patient’s PCL-5, EQ-5D, and NRS PCL-5 scores all decreased, with PCL-5 score decreased from 51 to 20, mean NRS score decreased from 7 to 4.667, and EQ-5D score decreased from 54444 to 22223. The overall sleep quality of the patient increased. Conclusions: Korean medicine therapy including Samulanshin-tang-gami pharmacopuncture, other acupuncture, herbal medicine, and supportive therapy might be useful for alleviating symptoms of post-traumatic stress disorder caused by a traffic accident.
참고문헌 (31)
- Miao XR, "Posttraumatic stress disorder : from diagnosis to prevention", Military Medical Research, 5(1), pp.32~ (2018)[DOI]
- National College of Oriental Medicine Neuropsychiatry Textbook Compilation Committee, "The Neuropsychiatry of Oriental Medicine", pp.218~227 (2016), JipMoonDang
- Rim SJ, "Prevalence of Mental Disorders and Associated Factors in Korean Adults : National Mental Health Survey of Korea 2021", Psychiatry Investig, 20(3), pp.262~272 (2023)[DOI]
- Analysis of ‘Post Traumatic Stress Disorder’ patients from 2015 to 2019, "Big Data Strategy Division of National Health Insurance Research Institute", National Health Insurance, 2~3 (2020)
- Shin BC, "Traffic injuries, Clinical Practice Guideline of Korean Medicine", pp.25~26 (2021), Gunja Publishing
- Lee YJ, "An analysis of the prevalence and pattern identification of Korean medicine for acute stress disorder and post traumatic stress disorder in patients with traffic injuries", Journal of Oriental Neuropsychiatry, 32, pp.1~11 (2021)[DOI]
- Korean Neuropsychiatric Association, "Textbook of Neuropsychiatry", pp.222~234 (2011), Chungang Munhwasa
- Kim CH, "Post-Traumatic stress disorder", The Korean Journal of Internal Medicine, 69(3), pp.237~240 (2005)
- The Korean Society of Oriental Neuropsychiatry, "Anxiety disorder, Clinical Practice Guideline of Korean Medicine", pp.2~3 (2021), Gunja Publishing
- Hwang JH, "A Clinical Report of Three Patients with Acute Stress Disorder, Post-Traumatic Stress Disorder Treated by Oriental Medical Treatments", Journal of Oriental Neuropsychiatry, 22(3), pp.75~85 (2011)[DOI]
- Choi YJ, "A Review on Clinical Research Trends in the Treatment of Posttraumatic Stress Disorder in Traditional Chinese Medicine", Journal of Oriental Neuropsychiatry, 27(3), pp.197~206 (2016)[DOI]
- Park JM, "A Case Report for PTSD Patients Based on Mindfulness &I-Jeong–Byeon-Gi Therapy", Journal of Oriental Neuropsychiatry, 25(1), pp.73~84 (2014)[DOI]
- The Textbook Compilation Committee of Korean Acupuncture & Moxibustion Society, "Acupuncture Medicine", pp.784~786 (2020), Hanmi Medical Publishing Co.
- National College of Oriental Medicine Neuropsychiatry Textbook Compilation Committee, "The Neuropsychiatry of Oriental Medicine", pp.719~720 (2018), Maver Publishing
- Kim JW, "Psychometric Properties of the Korean version of the PTSD Checklist-5 in Elderly Korean Veterans of the Vietnam War", Anxiety and Mood, 13(2), pp.123~131 (2017)[DOI]
- Herdman M, "Development and preliminary testing of the new five-level version of EQ-5D(EQ-5D-5L)", Quality of life research, 20(10), pp.1727~1736 (2011)[DOI]
- Shim SY, "An Overview of Pain Measurements", The Korean Journal of Meridian & Acupoint, 24(2), pp.77~97 (2007)
- Seo YS, "Traumatic Events Experienced by South Koreans : Types and Prevalence", Korean journal of counseling and psychotherapy, 24(3), pp.671~701 (2012)
- Cha HJ, "Factors Influencing-Traumatic Growth in Traffic Accident Patient", Journal of the Korea Academia-Industrial cooperation Society, 20(12), pp.254~264 (2019)[DOI]
- Heron-Delaney M, "A systematic review of predictors of traumatic stress disorder(PTSD)for adult road traffic crash survivors", Injury, 44, pp.1413~1422 (2013)[DOI]
- Cernovsky ZZ, "Validation of the PTSD Checklist for DSM-5(PCL-5)on Patients Injured in Car Accidents", European Journal ofMedical and Health Sciences, 3(2), pp.154~159 (2021)[DOI]
- Joo SJ, "A Review on Clinical Research Trends in the Treatment of Traumatic Stress Disorder(PTSD)in Korean Medicine", Journal of Oriental Neuropsychiatry, 30(3), pp.251~263 (2019)[DOI]
- Lim SR, "Effect of Samulanshintang(SA)on Stressed Rats", Journal of Haehwa Medicine, 10(1), pp.489~494 (2001)
- Shin HR, "A Case Report of a Mitral Stenosis Patient Treated with Korean Medicine", The Journal of Internal Korean Medicine, 41(3), pp.457~466 (2020)[DOI]
- Kang JY, "Korean Medicine Treatments for Depression Induced by Plica Syndrome Operation and Worsen by Traffic Accident : A Case Report", Journal of Oriental Neuropsychiatry, 34(3), pp.445~452 (2023)[DOI]
- So WR, "Clinical Study on Effect of Auricular acupuncture theraphy and Auricular acupuncture therapy with common acupuncture theraphy(Shinmum HT7)on Insomnia in stroke patients", Journal of acupuncture research, 20(5), pp.38~49 (2003)
- Park HJ, "The effect of acupuncture on anxiety and neuropeptide Y expression in the basolateral amygdala of maternally separated rats", Neurosci Lett, 377(3), pp.179~184 (2005)[DOI]
- Ahn HN, "A Cognitive-Mnemonic System of Posttraumatic Stress Disorder", Korean Journal Of Counseling And Psychotherapy, 25(1), pp.111~133 (2013)
- Blanchard BE, "Minimal important difference metrics and test–retest reliability of the PTSD Checklist for DSM-5 with a primary care sample", Journal of Traumatic Stress, 36(6), pp.1102~1114 (2023)[DOI]
- James EL, "The trauma film paradigm as an experimental psychopathology model of psychological trauma : Intrusive memories and beyond", Clinical Psychology Review, 47, pp.106~142 (2016)[DOI]
- McWilliams LA, "Depression and anxiety associated with three pain conditions : results from a nationally representative sample", Pain, 111(1), pp.77~83 (2004)[DOI]