본문 바로가기
KERD
논문KCI 등재

마음챙김 명상과 이정변기요법을 이용한 공황장애 그룹치료 효과에 대한 임상적 고찰

A Study on the Clinical Effects of Group Therapy for Panic Disorder Patients Based on Mindfulness & Li-Gyeung-Byun-Qi Therapy

1

조회

0

다운로드

13

인용

0

참고문헌

키워드

주제분류한의학

초록

Objectives: This study was conducted to evaluate the clinical effects of group therapy for Panic disorder patients based on Mindfulness & Li-Gyeung-Byun-Qi therapy. Methods: The FFMQ, BDI, STAI, STAXI, Panic attack, Anticipatory anxiety and subjective improvement of three Panic disorder patients were compared pre- and post-treatment when given Mindfulness & Li-Gyeung-Byun-Qi therapy. Results: 1) After the patient in case 1 underwent 5 weeks of group therapy for Panic disorder, the Mindfulness meditation score was slightly improved, anxiety and depression were significantly decreased, and expression of anger was also improved. In addition, the Panic attack and Anticipatory anxiety became more stable in the objective evaluation, while 'Extreme improvement' was shown in the subjective evaluation. 2) After the patients in case 2 and 3 underwent 5 weeks of group therapy for Panic disorder, Mindfulness meditation scores were slightly improved, anxiety and depression were significantly decreased, and expression of anger was also improved. In addition, the Panic attack and Anticipatory anxiety became more stable in the objective evaluation, while 'Moderate improvements' were shown in the subjective evaluation. Conclusions: As per the results in these cases, it was shown that group therapy for Panic disorder utilizing Mindfulness & Li-Gyeung-Byun-Qi therapy was effective to maintain meditation and control the emotions of anxiety, depression, anger and so on. Therefore, it was considered that expansion of clinical utilization through the standardization of a group therapy program for Panic disorder is needed. Furthermore, it was also considered that a comparative study of the effects of previous cognitive programs for Panic disorder according to the objectified and standardized manual is needed in the future.

Abstract

Objectives: This study was conducted to evaluate the clinical effects of group therapy for Panic disorder patients based on Mindfulness & Li-Gyeung-Byun-Qi therapy. Methods: The FFMQ, BDI, STAI, STAXI, Panic attack, Anticipatory anxiety and subjective improvement of three Panic disorder patients were compared pre- and post-treatment when given Mindfulness & Li-Gyeung-Byun-Qi therapy. Results: 1) After the patient in case 1 underwent 5 weeks of group therapy for Panic disorder, the Mindfulness meditation score was slightly improved, anxiety and depression were significantly decreased, and expression of anger was also improved. In addition, the Panic attack and Anticipatory anxiety became more stable in the objective evaluation, while 'Extreme improvement' was shown in the subjective evaluation. 2) After the patients in case 2 and 3 underwent 5 weeks of group therapy for Panic disorder, Mindfulness meditation scores were slightly improved, anxiety and depression were significantly decreased, and expression of anger was also improved. In addition, the Panic attack and Anticipatory anxiety became more stable in the objective evaluation, while 'Moderate improvements' were shown in the subjective evaluation. Conclusions: As per the results in these cases, it was shown that group therapy for Panic disorder utilizing Mindfulness & Li-Gyeung-Byun-Qi therapy was effective to maintain meditation and control the emotions of anxiety, depression, anger and so on. Therefore, it was considered that expansion of clinical utilization through the standardization of a group therapy program for Panic disorder is needed. Furthermore, it was also considered that a comparative study of the effects of previous cognitive programs for Panic disorder according to the objectified and standardized manual is needed in the future.

참고문헌 (48)

  1. Min SG, "Modern Psychiatry", pp.297~302 (2004), Iljogak
  2. The Textbook Compilation Committee of Neuropsychiatry of Oriental Medical Schools in Nation, "The Neuropsychiatry of Oriental Medicine", pp.25~687 (2010), Jipmoon-Dang
  3. 김영준, "恐慌症 환자의 발작강도 및 예기불안에 대한 한의학적 임상 연구", 동의신경정신과학회지, 16(2), pp.1~11 (2005), 대한한방신경정신과학회
  4. Hwang EW, "Traditional Psychiatry", pp.784~791 (1987), Hyundai Medical Texts Publication
  5. 박종민, "마음챙김 명상과 이정변기요법을 이용한 PTSD 환자 치험례", 동의신경정신과학회지, 25(1), pp.73~84 (2014), 대한한방신경정신과학회
  6. Kim KH, "A case of agoraphobia patient with oriental medical psychotherapy", Journal of Oriental Neuropsychiatry, 13(1), pp.133~141 (2002)
  7. 최강욱, "移精變氣요법을 시행한 鬱證 환자 1例에 대한 임상고찰", 동의신경정신과학회지, 16(2), pp.233~242 (2005), 대한한방신경정신과학회
  8. 서영민, "지언고론요법 및 이정변기요법으로 호전된 산후 우울증 환자 치험 1례", 동의신경정신과학회지, 21(3), pp.151~161 (2010), 대한한방신경정신과학회
  9. Germer CK, "Mindfulness and psychotherapy", pp.5~ (2005), Guilford press
  10. 서주희, "하코미세라피의 이해와 한의학적 응용", 동의신경정신과학회지, 24(S1), pp.101~118 (2013), 대한한방신경정신과학회
  11. Heojun, "Donguibogam", pp.123~180 (1999), Bubinbooks
  12. Lee OB, "The Effects of Group Therapy Using a Cooperative Learning in Aphasics Speech Science", 11(2), pp.27~38 (2004)
  13. Kim JM, "The Effects of Group Sensory Integrative Intervention for Sensory Motor Ability and Behaviors for Children With Developmental Delay", The journal of Korean society of sensory integration therapists, 7(2), pp.13~22 (2009)
  14. 김진형, "MMPI 임상척도와 성격척도를 통해 살펴 본 공황장애 환자의 특성에 대한 연구", 동의신경정신과학회지, 16(1), pp.129~144 (2005), 대한한방신경정신과학회
  15. Choi YH, "The Influence of MMPI Characteristics on the Outcome of Cognitive Behavioral Therapy for Panic Disorder", Korean journal of psychosomatic medicine, 6(2), pp.147~154 (1998)
  16. Park KH, "Panic Disorder Patient 's Personality Factors Relevant to Cognitive-Behavioral Group Treatment Effects", The journal of Korean society of sensory integration therapists, 13(1), pp.159~168 (1994)
  17. 이선혜, "공황장애 환자에서 인지행동치료 전후의 불안민감성의 남녀차이", 스트레스 硏究, 16(3), pp.199~205 (2008), 대한스트레스학회
  18. Choi YH, "Personality Characteristics and Those Influences on the Outcome of Cognitive Behavioral Therapy in Patients with Panic Disorder", Korean Journal of Psychosomatic Medicine, 10(2), pp.142~153 (2002)
  19. Chae JH, "Short -term Effect of Combined Cognitive - Behavioral Therapy with Pharmacotherapy for Panic Disorder", Psychopathology, 8(2), pp.168~174 (1999)
  20. 최영희, "집단 인지행동치료가 공황장애 환자의 삶의 질에 미치는 영향", 신경정신의학, 41(6), pp.1120~1129 (2002), 대한신경정신의학회
  21. 장은진, "공황장애에서 1회기 집단인지행동치료의 효능;예비 연구", 대한불안의학회지, 5(1), pp.36~41 (2009), 대한불안의학회
  22. 최영희, "공황장애 집단인지행동치료의 12개월 추적 연구", 정신신체의학, 11(2), pp.205~213 (2003), 한국정신신체의학회
  23. Kim JB, "Preliminary Study for Changes in Brain Perfusion in the Drug-Naive Patients with Panic Disorder with SPECT Following Cognitive-Behavioral Therapy", Anxiety and Mood, 4(2), pp.148~156 (2008)
  24. 서진우, "SRP(Stress Reduction Program)을 적용하여 호전된 공황장애 48세 남환 치험 1례", 동의신경정신과학회지, 18(3), pp.157~164 (2007), 대한한방신경정신과학회
  25. Kang HW, "A review of the Traditional Concept of Psychologic Therapy in Oriental Medicinespecialty about Oh-Ji-Sang-Seung Therapy", Journal of Oriental Neuropsychiatry, 12(1), pp.11~28 (2001)
  26. 류기준, "기능성 위장장애를 동반한 공황장애 환자 치험 1례", 동의신경정신과학회지, 20(2), pp.187~196 (2009), 대한한방신경정신과학회
  27. 차혜진, "만성두통을 호소하는 공황장애 환자의 두통 치험 1례", 동의신경정신과학회지, 19(2), pp.279~288 (2008), 대한한방신경정신과학회
  28. 서현욱, "韓藥 Extract제제의 투여로 호전을 보인 광장공포증을 동반한 공황장애 환자 1例 - 桂枝加龍骨牡蠣湯과 芍藥甘草湯 -", 동의신경정신과학회지, 21(4), pp.207~218 (2010), 대한한방신경정신과학회
  29. 김지훈, "광장공포증을 동반한 공황장애 환자의 1례 보고 - 발병초기부터 관찰한 내용을 중심으로 -", 동의신경정신과학회지, 19(2), pp.251~264 (2008), 대한한방신경정신과학회
  30. Jung IC, "The Clinical Analysis on 19 Cases of Anxiety Disorder", Journal of Oriental Neuropsychiatry, 9(2), pp.77~94 (1998)
  31. Jang HJ, "A Case of Combination Therapy of Cognitive-Behavioral Therapy and Oriental Medical Treatment On Panic Disorder", Journal of Oriental Neuropsychiatry, 15(2), pp.211~219 (2004)
  32. 석선희, "무력감과 불안정한 혈압을 호소하는 공황장애 환자에게 한방치료 및 인지행동치료를 병행하여 호전된 1例", 동의신경정신과학회지, 18(3), pp.193~207 (2007), 대한한방신경정신과학회
  33. 강영복, "한방치료와 미술치료를 병행한 공황장애 환자 1例 보고", 동의신경정신과학회지, 19(2), pp.313~320 (2008), 대한한방신경정신과학회
  34. Nakan Yo, "Cognitive-behavior therapy for Japanese patients with panic disorder: Acute phase and one-year follow-up results", Psychiatry and Clinical Neurosciences, 62(3), pp.313~321 (2008)
  35. Freedman S, "Cognitive Behavior Therapy for Panic Disorder", Isr J Psychiatry Relat Sci, 46(4), pp.251~256 (2009)
  36. Hendriks GJ, "A randomized controlled study of paroxetine and cognitive-behavioural therapy for late-life panic disorder", Acta Psychiatr Scand, 122, pp.11~19 (2010)
  37. Bergström J, "Internet-versus group-administered cognitive behaviour therapy for panic disorder in a psychiatric setting: a randomised trial", BMC Psychiatry, 10, pp.54~ (2010)
  38. Otto M, "Five. sessions and counting: considering ultra-brief treatment for panic disorder", depression and anxiety, 29, pp.465~470 (2012)
  39. Wesner AC, "Effect of cognitive-behavioral group therapy for panic disorder in changing coping strategies", Comprehensive Psychiatry, 55, pp.87~92 (2014)
  40. King ALS, "Efficacy of a specific model for cognitive-behavioral therapy among panic disorder patients with agoraphobia : a randomized clinical trial", Sao Paulo Med J, 129(5), pp.325~334 (2011)
  41. Baer RA, "Using self-report assessment methods to explore facets of mindfulness", Assesment, 13(1), pp.27~45 (2006)
  42. Chadwick P, "Responding mindfully to unpleasant thoughts and images : Reliability and validity of the Mindfulness Questionnaire", Unpublished manuscript, ~ (2005)
  43. 원두리, "한국판 5요인 마음챙김척도의 타당화 연구", 한국심리학회지: 건강, 11(4), pp.871~886 (2006), 한국건강심리학회
  44. Lee YH, "A Study of the Reliability and the Validity of the BDI, SDS, and MMPI-D Scales", Korean Psychological Association, 10(1), pp.98~113 (1991)
  45. Kim CY, "Psychological Assessment Instruments", pp.72~225 (2001), Hana Medical Publication
  46. Lee JG, "Psychiatry", pp.340~343 (2005), Iljogak
  47. 안현의, "복합외상(complex trauma)의 개념과 경험적 근거", 한국심리학회지:일반, 26(1), pp.105~119 (2007), 한국심리학회
  48. Kim JS, "Current Status and Problems of Cognitive Behavior Therapy in Korea", Cognitive-behavioral therapies, 3(1), pp.1~7 (2003)

관련 논문AI추천

이 간행물의 다른 논문 (10건)