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불면환자의 수면의 질 척도, 우울척도, 한방진단시스템과의 연관성 연구(1)

Study on the Association of PSQI, IQ, BDI and DSOM in the Insomnia Patients(1)

김보경|오경민
대한한방신경정신과학회 (The Korean Society Of Oriental Neuropsychiatry)|2009.09|동의신경정신과학회지 (The Korean Society of Oriental Neuropsychiatry)|제20권 제3호|pp. 89-119

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참고문헌

키워드

IQInsomniaDSOMBDIPSQI
주제분류한의학

초록

Objectives : This study was to investigate the association of Pittsburgh Sleep Quality Index(PSQI), Insomnia Questionaire(IQ), Beck Depression Inventory(BDI) and Diagnos system of oriental medicine (DSOM) in the Insomnia Patients. Methods : For this study, we carried out PSQI, IQ, BDI and DSOM of 37 patients with insomnia who have come to Donguei oriental hospital of Donguei university from November 2008 to May 2009. And Using cross tabulation analysis, verified the association of PSQI, IQ, BDI and DSOM. Results : 1. The most Frequent Pathogenic Factor is blood-deficiency(血虛) in total patients. 2. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛), damp(濕), kidney(腎) in total patients. 3. The score of PSQI has positive correlation with zp of liver(肝) in total patients. 4. The score of PSQI has positive correlation with sc10 and zp of insufficiency of Yin(陰虛), and the score of BDI has positive correlation with sc10 of blood stasis(血瘀) and zp of liver(肝) in female patients. 5. The score of PSQI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of heart(心), and the score of IQ has positive correlation with sc10 of liver(肝) in male patients. 6. The duration from onset in the group of 22-59years are longer than the group of 60-80 years and the duration of using hypnotics have positive correlation with total sleep time in 22-59years group. 7. The score of PSQI has positive correlation with zp of liver(肝) in 22-59years group. 8. The score of PSQI has positive correlation with the score of BDI in 60-80years group. 9. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of blood-deficiency(血虛), and the score of IQ has positive correlation with zp of coldness(寒) in 60-80years group. 10. The score of IQ has positive correlation with sc10 and zp of dryness(燥) in below 6 Months Group. 11. The score of PSQI has positive correlation with the score of BDI in over 6 Months Group. 12. The score of PSQI has positive correlation with zp of liver(肝) in over 6 Months Group. 13. The score of IQ has positive correlation with sc10 of dryness(燥) in BDI 2nd Grade Group. 14. The score of BDI has positive correlation with sc10 of kidney(腎) and the age has positive correlation with zp of heart(心) in BDI 3rd Grade Group. 15. The age has positive correlation with sc10 of damp(濕) in BDI 4th Grade Group. Conclusions : This study provides insights into the complicated associations of the pattern of insomnia with depression and Diagnos system of oriental medicine. And especially this study showed apparent correlation between insomnia and depression in 60-80years group and over 6 months group.

Abstract

Objectives : This study was to investigate the association of Pittsburgh Sleep Quality Index(PSQI), Insomnia Questionaire(IQ), Beck Depression Inventory(BDI) and Diagnos system of oriental medicine (DSOM) in the Insomnia Patients. Methods : For this study, we carried out PSQI, IQ, BDI and DSOM of 37 patients with insomnia who have come to Donguei oriental hospital of Donguei university from November 2008 to May 2009. And Using cross tabulation analysis, verified the association of PSQI, IQ, BDI and DSOM. Results : 1. The most Frequent Pathogenic Factor is blood-deficiency(血虛) in total patients. 2. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛), damp(濕), kidney(腎) in total patients. 3. The score of PSQI has positive correlation with zp of liver(肝) in total patients. 4. The score of PSQI has positive correlation with sc10 and zp of insufficiency of Yin(陰虛), and the score of BDI has positive correlation with sc10 of blood stasis(血瘀) and zp of liver(肝) in female patients. 5. The score of PSQI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of heart(心), and the score of IQ has positive correlation with sc10 of liver(肝) in male patients. 6. The duration from onset in the group of 22-59years are longer than the group of 60-80 years and the duration of using hypnotics have positive correlation with total sleep time in 22-59years group. 7. The score of PSQI has positive correlation with zp of liver(肝) in 22-59years group. 8. The score of PSQI has positive correlation with the score of BDI in 60-80years group. 9. The score of BDI has positive correlation with sc10 of deficiency of qi(氣虛) and zp of blood-deficiency(血虛), and the score of IQ has positive correlation with zp of coldness(寒) in 60-80years group. 10. The score of IQ has positive correlation with sc10 and zp of dryness(燥) in below 6 Months Group. 11. The score of PSQI has positive correlation with the score of BDI in over 6 Months Group. 12. The score of PSQI has positive correlation with zp of liver(肝) in over 6 Months Group. 13. The score of IQ has positive correlation with sc10 of dryness(燥) in BDI 2nd Grade Group. 14. The score of BDI has positive correlation with sc10 of kidney(腎) and the age has positive correlation with zp of heart(心) in BDI 3rd Grade Group. 15. The age has positive correlation with sc10 of damp(濕) in BDI 4th Grade Group. Conclusions : This study provides insights into the complicated associations of the pattern of insomnia with depression and Diagnos system of oriental medicine. And especially this study showed apparent correlation between insomnia and depression in 60-80years group and over 6 months group.

참고문헌 (38)

  1. 송윤미, "불면증의 치료", 가정의학회지, 22(8), pp.1163~1172 (2001)
  2. 李符永, "국제질병 분류.제 10판", pp.225~226 (2005), 일조각
  3. 미국정신의학회, "정신장애의 진단 및 통계 편람 제 4판", pp.713~784 (1995), 하나의학사
  4. 민성길, "최신정신의학", pp.434~450 (2004), 삼신문화사
  5. 민숙, "노인의 자아존중감과 우울과의 관계 연구", 노인간호학회지, 3(2), pp.135~145 (2001)
  6. Ancoli-Israel,S, "Insomniain theelderly:A review fortheprimarycarepractitioner", Sleep, 23, pp.23~30 (2000)
  7. 양동호, "수면장애와 동반된 임상증상에 따른 심박변이도와 수면 관련 설문간의 상관성 연구", 동의신경정신과학회지, 19(3), pp.143~170 (2008), 대한한방신경정신과학회
  8. 류연주, "만성폐쇄성폐질환 환자에서 우울과 불안심리 평가", Tuberculosis and Respiratory Diseases, 82(1), pp.11~18 (2007), 대한결핵및호흡기학회
  9. 김규곤, "한방 통계분석방법에 관한 사례연구", Journal of The Korean Data Analysis Society, 5(4), pp.907~917 (2003), 한국자료분석학회
  10. 배경미, "한방부인과 辨證 診斷 설문지에 대한 評價와 硏究", 대한한방부인과학회지, 15(3), pp.111~127 (2002), 대한한방부인과학회
  11. 이인선, "한방부인과 진단용 설문지의 신뢰도 연구", 동의생리병리학회지, 18(3), pp.701~712 (2004), 대한동의병리학회
  12. 이인선, "한방부인과 진단 설문지에 대한 평가와 硏究(Ⅱ)", 대한한방부인과학회지, 17(1), pp.160~166 (2004), 대한한방부인과학회
  13. 이인선, "한방부인과 진단 설문지의 병기가중치 부여연구", 대한한방부인과학회지, 18(4), pp.119~135 (2005), 대한한방부인과학회
  14. 김미진, "한방진단설문지 DSOM (r) S.1.1의 신뢰도연구", 동의생리병리학회지, 19(5), pp.1146~1153 (2005), 대한동의병리학회
  15. 이인선, "DSOM 변수와 일반혈액검사 및 일반화학검사와의 상관 관계", 동의생리병리학회지, 21(1), pp.308~317 (2007), 대한동의병리학회
  16. 정현호, "정신역동적 수면집단치료가 우울,불안,수면 질에 미치는 효과", 17 (2005)
  17. Ohayon,M.M, "Epidemiologyofinsomnia:Whatweknow andwhatwestillneed to learn", Sleep medicalreview, 6, pp.97~111 (2002)
  18. 김인, "서울 거주 일반인의 수면위생에 대한 인식과 실행", 신경정신의학, 36(4), pp.712~722 (1997)
  19. TaylorDJ, "Epidemiology of insomnia,depressionand anxiety", Sleep, 28(11), pp.1457~1464 (2005)
  20. Hamilton M, "Frequencyofinsomniain melanchoia(depressive illness)", Br J Psychiatry, 154, pp.201~206 (1989)
  21. 전국한의과대학 신경정신과 교과서편찬위원회, "한의신경정신과학", pp.77~78 (2007), 집문당
  22. 裵秉哲譯, "今繹黃帝內經靈樞", pp.513~ (1995), 성보사
  23. Drake,C.L, "Insomnia causes,consequencesand therapeutics:An overview", Depression and Anxiety, 18, pp.163~176 (2003)
  24. 이지행, "韓方診斷시스템 DSOM(r)D.1.1의 信賴度硏究", 대한한의학회지, 27(2), pp.23~35 (2006), 대한한의학회
  25. Dodge R, "The natural history of insomnia and its relationship to respiratory symptoms", ArchInternMed, 155(16), pp.1797~1800 (1995)
  26. Kales,A, "Biopsychobehavioral correlates of insomnia", Psychosomatic Medicine, 45, pp.341~356 (1983)
  27. 이인구, "황제내경에 나타난 불면의 원인에 관한 고찰", 대한한의학원전학회지, 18(1), pp.57~63 (2005)
  28. Kim YH, "Relationship women'sstress andinterventionandsleepingdisturbance. unpublished master's thesis", pp.2000
  29. 서만욱, "수면과 두통", 수면․저인생리, 6(2), pp.106~109 (1999)
  30. BresluN, "Sleep disturbance and psychiatric disorders:alongitudinalepidemological studyofyoungadults", BiolPsychiatry, 39, pp.411~418 (1996)
  31. Nierenberg AA, "Residualsymptomsin depressed patientswhorespondacutelytofluoxetine", JClinPsychiatry, 60, pp.221~225 (1999)
  32. ReynoldsCF, "Which elderly patients with remitted depression remain wellwith continued interpersonalpsychotherapy afterdiscontinuation ofantidepressant medication?", Am JPsychiatry, 154, pp.958~962 (1997)
  33. PerlisML, "Self-reportedsleepdisturbance asa prodormalsymptom in recurrent depression", JAffectDisord, 42, pp.209~212 (1997)
  34. DavidMorawetz, "Insomniaanddepression:Whichcomesfirst?", SleepResearchOnline, 5(2), pp.77~81 (2003)
  35. 한미진, "여성노인의 수면과 인지기능,우울의 관계 연구", 석사, pp.2003
  36. Jensen,D.P, "Sleeplessness", Advanceon ClinicalNursingResearch, 28(2), pp.385~405 (1993)
  37. Giron,M.S, "Sleepproblemsinaveryoldpopulation:drug use and clinical correlates", Neuropsychopharmacologu Biologic Psychiatry, 26(2), pp.249~260 (2002)
  38. DanielJ, "Buysse.Insomnia,depression and aging:Assessing sleep and mood interactionsin olderadults", Geriatrics, 2(59), pp.47~50 (2004)

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