Qualitative Analysis of the Hwa-byung Recovery Process and Influencing Factors
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Objectives: To describe the progress and influencing factors of Hwa-byung. Methods: Data were collected from semi-structured interviews. The progress of and recovery from Hwa-byung were examined using the collected experiences of eight middle-aged women who suffered from Hwa-byung. For analysis of the data collected, a Consensual Qualitative Research (CQR) methodology was used. Results: Of the eight participants who thought they had Hwa-byung, six were actually Hwa-byung patients and two were non-Hwa-byung patients. Four years later, four of the six Hwa-byung patients recovered, while the Hwa-byung of one patient persisted, and the remaining patient had circular Hwa-byung. Over time, the symptoms of Hwa-byung declined substantially. However, the patients recognized that their disease continuously persisted. Moreover, they thought their symptoms had worsened. Many types of changes were observed during the recovery period, including environmental, physical, cognitive, and emotional changes, as well as changes in attitudes toward others. Recovery factors included the reduction of stimuli, social support, exercise, treatment, control of rumination, and some cognitive changes. Conclusions: To recover from Hwa-byung, it is necessary for patients to experience changes in environment, cognition, and emotion, and to employ self-management in everyday life.
Abstract
Objectives: To describe the progress and influencing factors of Hwa-byung. Methods: Data were collected from semi-structured interviews. The progress of and recovery from Hwa-byung were examined using the collected experiences of eight middle-aged women who suffered from Hwa-byung. For analysis of the data collected, a Consensual Qualitative Research (CQR) methodology was used. Results: Of the eight participants who thought they had Hwa-byung, six were actually Hwa-byung patients and two were non-Hwa-byung patients. Four years later, four of the six Hwa-byung patients recovered, while the Hwa-byung of one patient persisted, and the remaining patient had circular Hwa-byung. Over time, the symptoms of Hwa-byung declined substantially. However, the patients recognized that their disease continuously persisted. Moreover, they thought their symptoms had worsened. Many types of changes were observed during the recovery period, including environmental, physical, cognitive, and emotional changes, as well as changes in attitudes toward others. Recovery factors included the reduction of stimuli, social support, exercise, treatment, control of rumination, and some cognitive changes. Conclusions: To recover from Hwa-byung, it is necessary for patients to experience changes in environment, cognition, and emotion, and to employ self-management in everyday life.
참고문헌 (18)
- Kim JW, "A Study on the Origin of Hwabyung(Fire Syndrome)", Journal of Oriental Neuropsychiatry, 10(1), pp.208~216 (1999)
- American Psychiatric A, "American Psychiatric Association Task Force on D-I. Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Association
- 정선용, "화병 임상진료지침 II. (화병의 실태)", 동의신경정신과학회지, 24(special 1), pp.15~22 (2013), 대한한방신경정신과학회
- Kim HK, "Prevalence and Related Factors of Hwabyung for the Aged Woman in Rural Community", Journal of Korean Public Health Nursing, 18(2), pp.234~242 (2004)
- 이진규, "HBDIS를 이용한 강원도 지역주민의 화병 유병률에 대한 연구", 동의신경정신과학회지, 19(2), pp.133~140 (2008), 대한한방신경정신과학회
- Hill CE, "A Guide to Conducting Consensual Qualitative Research", The Counseling Psychologist, 25(4), pp.517~572 (1997)
- Min SG, "A Study of the Concept of Hwabyung", Journal of the Korean Neuropsychiatric Association, 28(4), pp.604~616 (1989)
- Min SK, "An Epidemiological study on Hwabyung", J Korean Neuropsychiatry Association, 29(4), pp.867~874 (1990)
- Lee SH, "A study of Hwabyung", Journal Koryo General Hospital, 1(2), pp.63~69 (1977)
- Min SK, "Defense Mechanisms and Coping Strategies in Hwabyung", Journal of the Korean Neuropsychiatric Association, 32(4), pp.506~516 (1993)
- Chon KK, "Emotional Stress and Hwabyung(An Anger Syndrome)", Korean Journal of Health Psychology, 2(1), pp.168~185 (1997)
- Kim JW, "Exploration of Hwabyung(Anger syndrome)from the perspective of Korean constitutional medicine", Journal of Oriental Neuropsychiatry, 12(2), pp.193~203 (2001)
- Cobb S, "Social support as a moderator of life stress", Psychosom Med, 38(5), pp.300~314 (1976)
- Kim SO, "A Study of Self-Efficacy, Social Support, Health Promoting Lifestyle Profile for Middle Aged Men", Bulleun of Dongnam Health College, 18(2), pp.177~186 (2000)
- Lee JW, "Life Events, Coping Styles, Social Support, and Family Relationships of Middle-Aged Depressed Women", Journal of The Korean Neuropsychiatric Association, 36(4), pp.620~629 (1997)
- Gratz K, "Multidimensional Assessment of Emotion Regulation and Dysregulation : Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale", Journal of Psychopathology and Behavioral Assessment, 26(1), pp.41~54 (2004)
- Hohn P, "Moment-to-Moment Transfer of Positive Emotions in Daily Life Predicts Future Course of Depression in Both General Population and Patient Samples", PLoS One, 8(9), pp.1~11 (2013)
- Eisner LR, "Positive affect regulation in anxiety disorders", J Anxiety Disord, 23(5), pp.645~649 (2009)