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우울증 변증도구 개발을 위한 기초연구

Preliminary Study to Develop the Instrument on Pattern Identifications for Depression

정인철|최우창|이은희
대한한방신경정신과학회 (The Korean Society Of Oriental Neuropsychiatry)|2013.12|동의신경정신과학회지 (The Korean Society of Oriental Neuropsychiatry)|제24권 제4호|pp. 435-450

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키워드

DepressionKorean medicine.Pattern identification toolSymptoms and signs
주제분류한의학

초록

Objectives: The purpose of this study is to develop a standard tool for pattern identifications in Korean Medicine for depression.Methods: The advisor committee for this study was organized by 15 Korean Medicine neuropsychiatry professors from 11 Colleges of Korean Medicine. The items and structure of the tools were based on reviews of published literature. In order to develop the tool, we took the consultation from discussions with the advisor committee twice and also incorporated additional advices from e-mail correspond-ences.Results: 1) We divided the symptoms and signs of depression into 11 pattern identifications. 2) We ob-tained the mean weights which reflected the standard deviations from each symptoms of the 11 pat-tern identifications which were scored on a 100-point scale by 15 experts. 3) We designed the Korean medicine pattern identification tool for depression. It was composed of 66 questions in the ques-tion-and-answer format.Conclusions: There are some points which should be considered in this study. First, we couldn't reach a complete agreement on the concept of 11 patterns. Second, each pattern identification has a differ-ent number of symptoms and signs. In addition, the items of symptoms and signs of each pattern iden-tification are unequal. Third, as we did not set any clinical trials when using this tool, it was not possible to test its validity and reliability. Although there are some limits in this study, the development of pat-tern identification tools for depression through discussions with the advisor committee is meaningful. If the validity and reliability of the Korean Medicine pattern identification tools for depression are con-firmed through clinical trial,s this tool is expected to be applied to the subsequent researches in the future.

Abstract

Objectives: The purpose of this study is to develop a standard tool for pattern identifications in Korean Medicine for depression.Methods: The advisor committee for this study was organized by 15 Korean Medicine neuropsychiatry professors from 11 Colleges of Korean Medicine. The items and structure of the tools were based on reviews of published literature. In order to develop the tool, we took the consultation from discussions with the advisor committee twice and also incorporated additional advices from e-mail correspond-ences.Results: 1) We divided the symptoms and signs of depression into 11 pattern identifications. 2) We ob-tained the mean weights which reflected the standard deviations from each symptoms of the 11 pat-tern identifications which were scored on a 100-point scale by 15 experts. 3) We designed the Korean medicine pattern identification tool for depression. It was composed of 66 questions in the ques-tion-and-answer format.Conclusions: There are some points which should be considered in this study. First, we couldn't reach a complete agreement on the concept of 11 patterns. Second, each pattern identification has a differ-ent number of symptoms and signs. In addition, the items of symptoms and signs of each pattern iden-tification are unequal. Third, as we did not set any clinical trials when using this tool, it was not possible to test its validity and reliability. Although there are some limits in this study, the development of pat-tern identification tools for depression through discussions with the advisor committee is meaningful. If the validity and reliability of the Korean Medicine pattern identification tools for depression are con-firmed through clinical trial,s this tool is expected to be applied to the subsequent researches in the future.

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