본문 바로가기
KERD
논문KCI 등재

소화기 소증 분석과 사상체질 진단을 위한 사상소화기능검사(SDFI)의 타당화 연구

Study on the Validation of Sasang Digestive Function Inventory (SDFI) for Analyzing Pathophysiological Digestive Symptoms and Diagnosing Sasang Types

이용재|이미숙|채한
사상체질면역의학회 (The Society of Sasang Constitution and Immune Medicine)|2021.09|사상체질면역의학회지 (Journal of Sasang Constitution and Immune Medicine)|제33권 제3호|pp. 1-15|DOI https://doi.org/10.7730/JSCM.2021.33.3.1

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

Sasang typologySasang Digestive Function Inventory (SDFI)Sasang type-specific pathophysiological symptomDutch Eating Behavior Questionnaire (DEBQ)Nepean Dyspepsia Index-Korean (NDIK)
주제분류한의학

초록

Introduction The clinical usefulness of Sasang Digestive Function Inventory (SDFI) for analyzing Sasang type-specific pathophysiological symptom was illustrated repeatedly. It was revised to enhance its validity, reliability and clinical usefulness, however its clinical studies supporting these were not sufficient yet. Methods 193 healthy university students responded once to Nepean Dyspepsia Index-Korean (NDIK), Functional Dyspepsia-Related Quality of Life (FDQOL), and Dutch Eating Behavior Questionnaire (DEBQ), and twice to SDFI with four weeks of interval. The Body Mass Index (BMI) and Ponderal Index (PI) were also calculated. The 4-week test-retest reliability and correlation coefficients between NDIK, FDQOL, DEBQ, and SDFI were examined using Pearson’s correlation. The significant differences between Sasang types in SDFI and its subscales were examined using ANCOVA with the age as covariate. Results The range of test-retest reliability for SDFI and its subscales was from 0.801 to 0.887. The SDFI-total correlated positively with BMI (r=0.323) and DEBQ-External Eating (r=0.433), while the SDFI-Digestion negatively with NDIK (r=-0.472) and FDQOL-total (r=-0.364). The SDFI-Habit correlated positively with BMI (r=0.310) and DEBQ-total (r=0.481), and the SDFI-Appetite with DEBQ-total (r=0.322). The SDFI-total, SDFI-Digestion, and SDFI-Habit scores of Tae-Eum type (35.6±6.25, 12.38±3.24 and 9.89±3.38, respectively) were significantly bigger than those of So-Eum type (29.84±8.31, 9.93±4.28 and 7.66±3.96). Discussion The SDFI was found to be an objective clinical measure with sufficient concurrent validity for measuring eating behavior and quality of life related to overeating and dyspepsia, and illustrated distinctive differences between Sasang types. It might be useful for the effective medical education and integrative medical practice.

Abstract

Introduction The clinical usefulness of Sasang Digestive Function Inventory (SDFI) for analyzing Sasang type-specific pathophysiological symptom was illustrated repeatedly. It was revised to enhance its validity, reliability and clinical usefulness, however its clinical studies supporting these were not sufficient yet. Methods 193 healthy university students responded once to Nepean Dyspepsia Index-Korean (NDIK), Functional Dyspepsia-Related Quality of Life (FDQOL), and Dutch Eating Behavior Questionnaire (DEBQ), and twice to SDFI with four weeks of interval. The Body Mass Index (BMI) and Ponderal Index (PI) were also calculated. The 4-week test-retest reliability and correlation coefficients between NDIK, FDQOL, DEBQ, and SDFI were examined using Pearson’s correlation. The significant differences between Sasang types in SDFI and its subscales were examined using ANCOVA with the age as covariate. Results The range of test-retest reliability for SDFI and its subscales was from 0.801 to 0.887. The SDFI-total correlated positively with BMI (r=0.323) and DEBQ-External Eating (r=0.433), while the SDFI-Digestion negatively with NDIK (r=-0.472) and FDQOL-total (r=-0.364). The SDFI-Habit correlated positively with BMI (r=0.310) and DEBQ-total (r=0.481), and the SDFI-Appetite with DEBQ-total (r=0.322). The SDFI-total, SDFI-Digestion, and SDFI-Habit scores of Tae-Eum type (35.6±6.25, 12.38±3.24 and 9.89±3.38, respectively) were significantly bigger than those of So-Eum type (29.84±8.31, 9.93±4.28 and 7.66±3.96). Discussion The SDFI was found to be an objective clinical measure with sufficient concurrent validity for measuring eating behavior and quality of life related to overeating and dyspepsia, and illustrated distinctive differences between Sasang types. It might be useful for the effective medical education and integrative medical practice.

참고문헌 (40)

  1. Lee JM, "Longevity and life preservation in Eastern Medicine" (1894), Jae Ma Lee
  2. Soo Jin Lee, "Biopsychological traits of Sasang typology based on Sasang personality questionnaire and body mass index", BMC Complementary and Alternative Medicine, 14(1) (2014), Springer Science and Business Media LLC[DOI]
  3. 채한, "Personalized acupuncture treatment with Sasang typology", Integrative Medicine Research, 6(4), pp.329~336 (2017), 한국한의학연구원[DOI]
  4. 임수혜, "Pharmacognostic outlooks on medical herbs of Sasang typology", Integrative Medicine Research, 6(3), pp.231~239 (2017), 한국한의학연구원[DOI]
  5. 한지한, "사상의학의 심리학적 연구에 대한 체계적 고찰", 사상체질의학회지, 31(1), pp.36~63 (2019), 사상체질의학회[DOI]
  6. 이미숙, "Digestive system-related pathophysiological symptoms of Sasang typology: Systematic review", Integrative Medicine Research, 2(2), pp.39~48 (2013), 한국한의학연구원[DOI]
  7. 한유리, "Systematic review of type-specific pathophysiological symptoms of Sasang typology", Integrative Medicine Research, 5(2), pp.83~98 (2016), 한국한의학연구원[DOI]
  8. Kyungwoo Sohn, "Genetic Characteristics of Sasang Typology: A Systematic Review", Journal of Acupuncture & Meridian Studies, 5(6), pp.271~289 (2012), 사단법인약침학회[DOI]
  9. 리연화, "소증의 개념에 대한 고찰", 사상체질의학회지, 28(1), pp.19~26 (2016), 사상체질의학회[DOI]
  10. 이수경, "『東醫壽世保元』 太少陰陽人의 「病證論」에 關한 硏究", 사상체질의학회지, 11(2), pp.1~26 (1999), 사상체질의학회
  11. Lee YJ, "Revision and Clinical Validation of Sasang Digestive Function Inventory", pp.2021
  12. 김정주, "太陽少陽人과 太陰少陰人의 睡眠, 大便, 小便에 관한 임상적 고찰", 사상체질의학회지, 17(3), pp.82~90 (2005), 사상체질의학회
  13. 김선민, "『東醫壽世保元四象草本卷』과 『東武遺稿』에서의 素證에 관한 考察", 사상체질의학회지, 12(2), pp.67~77 (2000), 사상체질의학회
  14. 박유경, "사상 체질별 대소변 소증에 대한 체계적 고찰 연구", 사상체질의학회지, 30(3), pp.24~39 (2018), 사상체질의학회[DOI]
  15. Lee MS, "Development and validation of the digestive function assessment instrument for traditional Korean medicine : Sasang Digestive Function Inventory", Evid Based Complementary Altern Med, 2013, pp.263752~ (2013)[DOI]
  16. 이한별, "사상체질별 수면 소증(素證)에 대한 체계적 고찰연구", 동의신경정신과학회지, 26(4), pp.337~348 (2015), 대한한방신경정신과학회
  17. Min Kyung Hyun, "Association between digestive symptoms and sleep disturbance: a cross-sectional community-based study", BMC Gastroenterology, 19(1) (2019), Springer Science and Business Media LLC[DOI]
  18. 채한, "객관적인 생리심리 지표를 사용한 사상체질 진단 연구", 사상체질의학회지, 33(2), pp.1~13 (2021), 사상체질의학회
  19. 이미숙, "Biopsychological and pathophysiological features of Cold-Heat subgroup of Sasang typology with Sasang Digestive Function Inventory, Sasang Personality Questionnaire and Body Mass Index", Integrative Medicine Research, 7(1), pp.68~76 (2018), 한국한의학연구원[DOI]
  20. Lee SY, "Validation of the Nepean Dyspepsia Index-Korean version", Kor J Neurogastroenterol Motil, 15, pp.48~48 (2003)
  21. Eun-Hyun Lee, "Development and validation of a Functional Dyspepsia-Related Quality of Life (FD-QOL) scale in South Korea", Journal of Gastroenterology and Hepatology, 21(1), pp.268~274 (2006), Wiley[DOI]
  22. Kim HJ, "A Study of the Reliability and Validity of the Korean Version of the Eating Behavior Questionnaire", Korean Journal of Clinical Psychology, 15(1), pp.141~150 (1996)
  23. 성안젤라동민, "한의학에서 근거중심진료와 표준화의 필요성 - 2008, 2011, 2014년 한방의료이용실태조사(보건복지부)중 소비자의견을 중심으로", 대한예방한의학회지, 20(3), pp.31~43 (2016), 대한예방한의학회
  24. Han Chae, "An Alternative Way to Individualized Medicine: Psychological and Physical Traits of Sasang Typology", The Journal of Alternative and Complementary Medicine, 9(4), pp.519~528 (2003), Mary Ann Liebert Inc[DOI]
  25. 김선호, "四象體質分類檢査紙(QSCC)II에 對한 妥當化 硏究 -각 체질집단의 군집별 Profile 분석을 중심으로-", 사상체질의학회지, 8(1), pp.247~294 (1996), 사상체질의학회
  26. 김선호, "四象體質分類檢査紙(QSCC)II의 標準化 硏究 - 각 체질집단의 군집별 Profile 분석을 중심으로 -", 사상체질의학회지, 8(1), pp.187~246 (1996), 사상체질의학회
  27. Tatjana van Strien, "The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior", International Journal of Eating Disorders, 5(2), pp.295~315 (1986), Wiley[DOI]
  28. 이명은, "의원급 임상에서 SPQ와 SDFI를 이용한 사상체질별 특징 연구", 동의생리병리학회지, 30(6), pp.426~431 (2016), 한의병리학회[DOI]
  29. 이수진, "소증과 성정을 이용한 사상체질 특성 연구", 동의생리병리학회지, 28(3), pp.359~364 (2014), 한의병리학회
  30. 채한, "사상 소화기능 소증에 따른 체질별 생리심리 특성 연구", 동의생리병리학회지, 28(4), pp.417~424 (2014), 한의병리학회
  31. 채한, "Cloninger의 이론을 활용한 사상체질 생리심리 지표 연구", 사상체질의학회지, 31(3), pp.34~47 (2019), 사상체질의학회[DOI]
  32. Ayako Maeda-Minami, "Discrimination of prediction models between cold-heat and deficiency-excess patterns", Complementary Therapies in Medicine, 49, pp.102353~ (2020), Elsevier BV[DOI]
  33. 윤여진, "Analysis of seven animation characters in Pororo the Little Penguin with Sasang typology", Integrative Medicine Research, 6(2), pp.156~164 (2017), 한국한의학연구원[DOI]
  34. Chae H, "Can the biopsychological feature of Overwatch characters be perceived differently depending on the gamer", eSports Studies, 3(1), pp.1~14 (2021)
  35. Junyeop Lee, "Teaching Yin-Yang biopsychology using the animation, “Pororo the Little Penguin”", European Journal of Integrative Medicine, 33, pp.101037~ (2020), Elsevier BV[DOI]
  36. Chae H, "Comment on"Manifestations of Sasang Typology according to Common Chronic Diseases in Koreans"", Evid Based Complementary Altern Med, 2020, pp.8706183~ (2020)[DOI]
  37. Lee S, "Urinary Function of the Sasang Type and Cold-Heat Subgroup Using the Sasang Urination Inventory in Korean Hospital Patients", Evid Based Complement Alternat Med, 2020, pp.7313581~ (2020)[DOI]
  38. Yu Gyeong Park, "Development and validation of Sasang Urination and Defecation Inventory (SUDI) for pathophysiological symptoms of Sasang typology", Integrative Medicine Research, 8(2), pp.82~88 (2019), 한국한의학연구원[DOI]
  39. 채한, "The Yin-Yang personality from biopsychological perspective using revised Sasang Personality Questionnaire", Integrative Medicine Research, 10(1), pp.1~8 (2021), 한국한의학연구원[DOI]
  40. 채한, "소아 허약 검사의 개발과 타당화 연구", 대한한방소아과학회지, 33(3), pp.30~41 (2019), 대한한방소아과학회[DOI]

관련 논문AI추천

사상소화기능검사의 개정 및 임상 타당화 연구이슬, 채한, 김소형, 이미숙, 이용재사상체질면역의학회 · 사상체질면역의학회지2021 · 제33권 제3호소증과 성정을 이용한 사상체질 특성 연구채한, 이수진한의병리학회 · 동의생리병리학회지2014 · 제28권 제3호사상 소화기능 소증에 따른 체질별 생리심리 특성 연구채한, 권영규, 김병주, 김성혜, 이상재, 이수진, 한승윤한의병리학회 · 동의생리병리학회지2014 · 제28권 제4호의원급 임상에서 SPQ와 SDFI를 이용한 사상체질별 특징 연구채한, 권영규, 김판준, 서한길, 이명은한의병리학회 · 동의생리병리학회지2016 · 제30권 제6호과민성장증후군 환자의 사상체질별 소증 특성에 대한 연구이슬, 채한, 김국화, 박지은, 이미숙사상체질면역의학회 · 사상체질면역의학회지2023 · 제35권 제2호소음인 진단지표로서 소화 관련 항목에 대한 고찰- 음식불선화는 소음인의 진단지표인가김상혁사상체질면역의학회 · 사상체질면역의학회지2022 · 제34권 제2호

이 간행물의 다른 논문 (11건)

배뇨 소증 분석과 사상체질 진단을 위한 사상소변기능검사(SUI)의 타당화 연구채한, 이미숙, 박유경, 이슬pp. 16-28사상체질별 운동요법 관련 연구 문헌 고찰- 데이터베이스 검색을 통해 -신소이, 이준희pp. 29-53사상소화기능검사의 개정 및 임상 타당화 연구채한, 김소형, 이미숙, 이용재, 이슬pp. 54-71유전학을 이용한 사상의학 임상연구 동향 분석이미숙, 박지은, 이슬, 박준형, 이용재pp. 72-86소음인의 口中和, 口中不和의 의미에 대한 고찰김태영, 박성식pp. 87-94
원문 보기