화병환자의 불면증상에 대한 침치료 유효성 평가연구: 환자-평가자 눈가림, 무작위배정, 일반대조군 임상시험
The Effects of Acupuncture Treatment on Hwa-byung patient's Insomnia: Patient-assessor blind, Randomized, Placebo-controlled Clinical trial
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Objectives:The purpose of this research is to examine the effects of acupuncture treatment on Hwa-byung patient's insomnia. Methods:The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collectors and analysts were unaware of individuals who were receiving the treatment. A total of thirty-seven volunteers were divided into 2 groups. 18 subjects were placed into a trial group and 19 subjects into a control group by a randomization table. The trial group was treated on bilateral Shigu, Ahnmyun, B62(Shinmaek), and K6 (Chohae), while the control group was not given any other treatment. The ISI(Insomnia Severity Scale) was measured as the 1st evaluative instrument, and then a comparative analysis was conducted by comparing the results with those measured by a Likert scale for major symptoms of Hwa-byung, PSQI, Hwa-byung scale, BDI, STAI, and STAXI. Results:In the ISI, PSQI, and the Likert scale regarding major symptoms of Hwa-byung, Hwa-byung scale, BDI, and STAI,more significant decreases were found in those concerning the trial group compared to those of the control group from a statistical perspective. However, in the STAXI, regarding the trial group, there was no significant decrease compared to the control group. Conclusions:The results suggest that acupuncture treatment is effective in the treatment regarding Hwa-byung patients who suffer from insomnia.
Abstract
Objectives:The purpose of this research is to examine the effects of acupuncture treatment on Hwa-byung patient's insomnia. Methods:The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collectors and analysts were unaware of individuals who were receiving the treatment. A total of thirty-seven volunteers were divided into 2 groups. 18 subjects were placed into a trial group and 19 subjects into a control group by a randomization table. The trial group was treated on bilateral Shigu, Ahnmyun, B62(Shinmaek), and K6 (Chohae), while the control group was not given any other treatment. The ISI(Insomnia Severity Scale) was measured as the 1st evaluative instrument, and then a comparative analysis was conducted by comparing the results with those measured by a Likert scale for major symptoms of Hwa-byung, PSQI, Hwa-byung scale, BDI, STAI, and STAXI. Results:In the ISI, PSQI, and the Likert scale regarding major symptoms of Hwa-byung, Hwa-byung scale, BDI, and STAI,more significant decreases were found in those concerning the trial group compared to those of the control group from a statistical perspective. However, in the STAXI, regarding the trial group, there was no significant decrease compared to the control group. Conclusions:The results suggest that acupuncture treatment is effective in the treatment regarding Hwa-byung patients who suffer from insomnia.
참고문헌 (30)
- The Neuropsychiatry of Oriental medicine, "The Testbook Compilation Comm ittee of Neuropsychiatry of oriental medical schools in nation. Revised edition" (2010), Jipmoon-Dong
- 김종우, "화병면담검사의 신뢰도와 타당도", 한국심리학회지: 건강, 9(2), pp.321~332 (2004), 한국건강심리학회
- 정인철, "화병의 핵심증상에 대한 사암침 치료의 효과 : 예비연구", 동의신경정신과학회지, 18(1), pp.79~94 (2007), 대한한방신경정신과학회
- 정인철, "화병의 핵심증상에 대한 사암침 심정격 치료의 효과", 동의신경정신과학회지, 19(1), pp.1~18 (2008), 대한한방신경정신과학회
- 최우진, "화병에 대한 사암침 심포정격의 치료 효과 : 환자-평가자 눈가림, 무작위배정 대조군 임상시험", 동의신경정신과학회지, 22(2), pp.1~13 (2011), 대한한방신경정신과학회
- Oh SJ, "clinical study on B62 ( Shinmaek ) K6 ( Chohae ) acupunture for 40 insomnia cases", Journal of Clinical Thesis Korean Acupuncture & Moxibustion Society, pp.80~89 (2003)
- Jang HH, "The Case of regulation of Insomnia with Jahageo Herbal acupuncture", Journal of Oriental Neuropsychiatry, 14(155), pp.155~160 (2003)
- 김진우, "불면증에 이침 시술을 한 환자 20례 임상고찰", 동의신경정신과학회지, 15(1), pp.219~230 (2004), 대한한방신경정신과학회
- Lee JA, "A clinical study of acupuncture and auricular acupuncture effect on insomnia", Journal of OrientalNeuropsychiatry, 12, pp.135~145 (2001)
- Jo MS, "effects of scalp acupuncture on insomnia", 석사, pp.1991
- 이향숙, "STRICTA(침 임상연구에서 중재 보고를 위한 표준) 개정판 : CONSORT Statement의 확충안", Korean Journal of Acupuncture, 27(3), pp.1~23 (2010), 경락경혈학회
- "the Text book of Acupuncture and Moxibustion1, 2, In Korean Acupuncture & Moxibustion Society", pp.159~172 (2008), Jipmoondang
- 임현주, "화병변증도구 개발 연구", 동의생리병리학회지, 22(5), pp.1071~1077 (2008), 대한동의병리학회
- Célyne H Bastien, "Validation of the Insomnia Severity Index as an outcome measure for insomnia research", 2(4), pp.297~307 (2001)
- Mimeault V, "Self-help treatment for insomnia: bibliotherapy with and without professional guidance", J Consult Clin Psychol, 67(4), pp.511~519 (1999)
- Drinkwater BL, "A comparison of the direction-of-perception technique with the Likert method in the measurement of atitudes", J SocPsychol, 67(2), pp.189~96 (1965)
- 권정혜, "화병척도의 개발과 타당도 연구", 한국심리학회지 임상, 27(1), pp.237~252 (2008), 한국임상심리학회
- Psychiatric assessment instruments, "Psychiatric assessment instruments", pp.72~76 (2001), Hana medical publishing company
- Park JH, "A Study on the Diagnosis of Hwabyung", TJournal of the Korean Neuropsychiatric association, 29, pp.653~61 (1986)
- Min SK, "A Study of the Concept of Hwabyung", Journal of the Korean Neuropsychiatric association, 28, pp.604~616 (1989)
- 민성길, "화병척도와 연구용 화병진단기준 개발", 신경정신의학, 48(2), pp.77~85 (2009), 대한신경정신의학회
- 권호인, "화병환자의 MMPI-2 프로파일 특성", 한국심리학회지:여성, 13(3), pp.379~395 (2008), 한국여성심리학회
- 이승기, "화병의 비약물요법에 관한 전문가집단 설문 연구", 동의신경정신과학회지, 20(2), pp.133~141 (2009), 대한한방신경정신과학회
- Choi SH, "A Study on the Sleep Patterns of the General Adult Population in S e o u l", JO U R N A L O F T H E K O R E A N NEUROPSYCHIATRIC ASSOCIATION, 32, pp.289~310 (1992)
- 이미정, "불면을 호소하는 정신과 입원 환자에게 제공한 이완요법의 효과", 정신간호학회지, 17(1), pp.35~45 (2008), 정신간호학회
- Ham B J, "Personality Characteristics of Chronic Insomniacs", Journal of the korean neuropsychiatric association, 37(2), pp.234~42 (1998)
- James W kalat, "Psychophysiology", pp.490~540 (2011), Cengage Learning
- 임현주, "화병 핵심증상 중 흉민에 대한 분심기음의 효능 : 무작위배정, 이중맹검, 위약대조군연구의 중간보고 - 피험자 특성을 중심으로", 동의신경정신과학회지, 20(3), pp.169~188 (2009), 대한한방신경정신과학회
- 이희영, "화병의 진단 및 변증유형에 관한 연구", 동의신경정신과학회지, 16(1), pp.1~17 (2005), 대한한방신경정신과학회
- Kim JW, ""HWABYUNG" in the view o f O rien tal M ed icin e", Jo u rn al o f O rien tal Neuropsychiatry, 5(1), pp.9~15 (1994)
