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불면장애 환자의 한의치료 효과 및 심리척도 변화간 상관성 분석: 후향적 관찰 연구

Effect of Korean Medical Treatment on Patients with Insomnia and Analysis of Correlation among Psychological Scale Changes: A Retrospective Chart Review

김근우|유종호|서상일
대한한방신경정신과학회 (The Korean Society Of Oriental Neuropsychiatry)|2023.09|동의신경정신과학회지 (The Korean Society of Oriental Neuropsychiatry)|제34권 제3호|pp. 151-161|DOI 10.7231/jon.2023.34.3.151

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InsomniaKorean medicinePsychological scales.
주제분류한의학

초록

Objectives: To examine effect of Korean medical treatment on patients with insomnia and correlations among changes in psychological scales before and after treatment. Methods: Medical records of 38 patients diagnosed with insomnia based on DSM-V who received Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 8 weeks were retrospectively reviewed. Psychological scales including Insomnia Severity Scale (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI) were measured every four weeks and analyzed. Results: After eight weeks of treatment, ISI, BDI-Ⅱ, BAI, STAI-X-1/2, and STAXI-S/T showed statistically significant decreases. Psychological scale pairs that showed a statistically significant correlation were ISI and BDI-IIㆍSTAI-X-1ㆍSTAI-X-2ㆍTA, BDI-II and BAIㆍSTAI-X-1ㆍSTAI-X-2ㆍAX-I, BAI and STAI-X-1ㆍSTAI-X-2ㆍSAㆍTA, STAI-X-1 and STAI-X-2, SA and TA, and TA and AX-I. In women, the improvement of AX-C was high. The improvement in AX-I score was significant when the disease duration was more than one year. A lower pretreatment BAI value predicted a greater decrease in ISI score after treatment. Conclusions: Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy was effective in improving insomnia symptoms and accompanying symptoms such as depression, anxiety, and anger. In the future, more in-depth follow-up research is needed on the mechanisms by which various psychological problems (depression, anxiety, anger, etc) cause and worsen insomnia and the psychological symptoms secondary to insomnia.

Abstract

Objectives: To examine effect of Korean medical treatment on patients with insomnia and correlations among changes in psychological scales before and after treatment. Methods: Medical records of 38 patients diagnosed with insomnia based on DSM-V who received Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 8 weeks were retrospectively reviewed. Psychological scales including Insomnia Severity Scale (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI) were measured every four weeks and analyzed. Results: After eight weeks of treatment, ISI, BDI-Ⅱ, BAI, STAI-X-1/2, and STAXI-S/T showed statistically significant decreases. Psychological scale pairs that showed a statistically significant correlation were ISI and BDI-IIㆍSTAI-X-1ㆍSTAI-X-2ㆍTA, BDI-II and BAIㆍSTAI-X-1ㆍSTAI-X-2ㆍAX-I, BAI and STAI-X-1ㆍSTAI-X-2ㆍSAㆍTA, STAI-X-1 and STAI-X-2, SA and TA, and TA and AX-I. In women, the improvement of AX-C was high. The improvement in AX-I score was significant when the disease duration was more than one year. A lower pretreatment BAI value predicted a greater decrease in ISI score after treatment. Conclusions: Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy was effective in improving insomnia symptoms and accompanying symptoms such as depression, anxiety, and anger. In the future, more in-depth follow-up research is needed on the mechanisms by which various psychological problems (depression, anxiety, anger, etc) cause and worsen insomnia and the psychological symptoms secondary to insomnia.

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우울, 불안 척도를 통해 살펴본 우울증 환자에 대한 한의학적 치료 효과에 대한 연구김락형, 안윤영, 유종호대한한방신경정신과학회 · 동의신경정신과학회지2022 · 제33권 제3호수면장애에 대한 한방통합프로그램의 적용 연구이재은, 조성훈대한한방신경정신과학회 · 동의신경정신과학회지2013 · 제24권 제1호불면증 변증도구 신뢰도와 타당도 평가 및 심리검사와의 상관성에 대한 초기연구강위창, 김보경, 김시연, 김주연, 이지윤, 임정화, 정인철, 정진형대한한방신경정신과학회 · 동의신경정신과학회지2020 · 제31권 제1호한양방 협진치료를 받은 불면증 환자에 대한 후향적 의무기록 분석김근정, 김남권, 김린애, 노희정, 박젬마, 설재욱, 송시영한의병리학회 · 동의생리병리학회지2024 · 제38권 제6호불면증 환자의 핵심감정평가도구를 활용한 정서적 특성 연구류영수, 최성열대한한방신경정신과학회 · 동의신경정신과학회지2015 · 제26권 제2호溫膽湯加味 투여 후 수면의 질이 개선된 환자 치험 3례박대명, 이상룡, 정인철대한한방신경정신과학회 · 동의신경정신과학회지2011 · 제22권 제4호

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