ADHD 변증 유형별 부주의 및 과잉행동-충동성 증상 특징 연구
Pattern Characteristics of Symptoms for ADHD in Korean Medicine
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives The purpose of this study was to investigate the pattern characteristics of symptoms for ADHD, the relationship between pattern identifications in TKM and TCM and three presentations of ADHD defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Methods The pattern characteristics of symptoms for ADHD from the 13 Korean and Chinese literatures were analyzed. ADHD symptoms of each pattern were classified into 3 categories; symptoms of inattention, hyperactivity-impulsivity and others. The characteristics of patterns for ADHD in Traditional Medicine were compared with three presentations of ADHD defined in DSM-5. Results 1. The pattern of dual deficiency of the heart and spleen (心脾兩虛) showed predominant symptoms of inattention and rarely showed those of severe hyperactivity and impulsivity. This characteristic of ADHD can be related to the predominantly inattentive presentation in DSM-5. 2. The pattern of phlegm-fire harassing the heart (痰火擾心), and the pattern of deficiency of liver-yin and kidney-yin (肝腎陰虛), frequently showed symptoms of hyperactivity-impulsivity compared with those of inattention. This characteristic of ADHD can be related to the predominantly hyperactive-impulsive presentation in DSM-5. 3. The pattern of spleen weakness and liver energy preponderance (脾虛肝旺) frequently showed both symptoms of hyperactivity, and this characteristic of ADHD can be related to the combined presentation in DSM-5. Conclusions This study showed the relationship between three presentations of ADHD defined in DSM-5 and the pattern identifications of ADHD in TKM and TCM.
Abstract
Objectives The purpose of this study was to investigate the pattern characteristics of symptoms for ADHD, the relationship between pattern identifications in TKM and TCM and three presentations of ADHD defined in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Methods The pattern characteristics of symptoms for ADHD from the 13 Korean and Chinese literatures were analyzed. ADHD symptoms of each pattern were classified into 3 categories; symptoms of inattention, hyperactivity-impulsivity and others. The characteristics of patterns for ADHD in Traditional Medicine were compared with three presentations of ADHD defined in DSM-5. Results 1. The pattern of dual deficiency of the heart and spleen (心脾兩虛) showed predominant symptoms of inattention and rarely showed those of severe hyperactivity and impulsivity. This characteristic of ADHD can be related to the predominantly inattentive presentation in DSM-5. 2. The pattern of phlegm-fire harassing the heart (痰火擾心), and the pattern of deficiency of liver-yin and kidney-yin (肝腎陰虛), frequently showed symptoms of hyperactivity-impulsivity compared with those of inattention. This characteristic of ADHD can be related to the predominantly hyperactive-impulsive presentation in DSM-5. 3. The pattern of spleen weakness and liver energy preponderance (脾虛肝旺) frequently showed both symptoms of hyperactivity, and this characteristic of ADHD can be related to the combined presentation in DSM-5. Conclusions This study showed the relationship between three presentations of ADHD defined in DSM-5 and the pattern identifications of ADHD in TKM and TCM.
참고문헌 (37)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" (2013), Hakji Publishing Co
- World Health Organization, "The ICD-10 classification of mental and behavioral disorders: clinical descriptions and diagnostic guidelines", The Organization, ~ (1993)
- The Textbook Compilation Committee of Neuropsychiatry of Oriental Medical Schools in Nation, "The neuropsychiatry of oriental medicine" (2016), Jip Moon Dang Publishing Co
- Polanczyk G, "The worldwide prevalence of ADHD : a systematic review and metaregression analysis", Am J Psychiatry, 164(6), pp.942~948 (2007)
- Kim BN, "Epidemiology of mental health problem in children and adolescents in Seoul" (2006), Seoul Child Adolescent Mental Health Center
- Park JH, "A study on the oriental medical understanding about inattention hyperactivity symptom in ADHD(attention deficit hyperactivity disorder)within Dongyui-bo-gam", J Orient Neuropsychiatr, 15(1), pp.9~25 (2004)
- 위영만, "ADHD로 인한 학습부진아동 치험 1례", 동의신경정신과학회지, 20(4), pp.197~209 (2009), 대한한방신경정신과학회
- 변기원, "ADHD에 대한 한방치료의 효과에 대한 후향적 관찰 연구", 대한한의학회지, 32(4), pp.75~82 (2011), 대한한의학회
- 성원영, "ADHD 환자에게 미술치료와 한방치료를 병행하여 치료한 치험 3예", 동의신경정신과학회지, 25(3), pp.253~262 (2014), 대한한방신경정신과학회
- 김진형, "뉴로피드백과 한방치료를 병행한 주의력결핍 과다행동장애 치료 1례", 동의신경정신과학회지, 17(3), pp.157~164 (2006), 대한한방신경정신과학회
- 김락형, "주의력결핍-과잉행동장애 아동 한방치료 3례", 동의신경정신과학회지, 15(1), pp.239~246 (2004), 대한한방신경정신과학회
- 황영준, "뉴로피드백을 이용한 주의력결핍 과잉행동장애의 치료 3례", 대한한방소아과학회지, 21(3), pp.85~95 (2007), 대한한방소아과학회
- 강준원, "뉴로피드백을 이용한 주의력결핍 과잉행동장애 치료 1例", 동의신경정신과학회지, 16(2), pp.243~249 (2005), 대한한방신경정신과학회
- 정문주, "뉴로피드백 훈련 프로그램(생기능자기조절 훈련) 효과에 대한 메타분석 - 국내 연구를 중심으로", 동의신경정신과학회지, 27(3), pp.157~167 (2016), 대한한방신경정신과학회
- Chang GT, "Oriental medical approach to attention-deficit", hyperactivity disorder(ADHD), 2001, pp.15(2), 141~165
- Lee TH, "A review of attention deficit hyperactivity disorder in traditional Chinese medicine", J Orient Neuropsychiatr, 14(1), pp.161~174 (2003)
- 강문수, "주의력결핍·과잉행동장애의 침치료에 대한 최신 연구동향- 2011-2013년 중국 논문 중심으로 -", 대한한방소아과학회지, 27(4), pp.10~16 (2013), 대한한방소아과학회
- 박현철, "주의력결핍·과잉행동장애의 한의학 치료동향 (2005-2006년 중국 임상 논문 중심으로)", 동의신경정신과학회지, 18(2), pp.35~44 (2007), 대한한방신경정신과학회
- 유춘길, "ADHD의 한약물 치료에 대한 최신 임상연구 동향 -2007년부터 2012년까지 중국 논문을 중심으로-", 동의신경정신과학회지, 24(1), pp.1~11 (2013), 대한한방신경정신과학회
- The Textbook Compilation Committee of Oriental Pathology, "Oriental pathology", pp.172~ (2008), Hanimunhwasa
- Kim KB, "Hanbangsoacheongsonyeonuihak", pp.47~ (2015), Ui Sung Dang Publishing Co
- Ma R, "Zhongyierkexue", pp.143~147 (2016), Zhongguozhongyiyao Publishing Co
- Wang XF, "Zhongxiyijieheerkexue", pp.178~183 (2016), Zhongguozhongyiyao Publishing Co
- Xu RQ, "Zhongyierkexue", pp.210~217 (2013), Zhongguozhongyiyao Publishing Co
- Wang SC, "Zhongyierkexue", pp.742~750 (2016), Renminweisheng Publishing Co
- Zhang QW, "Shiyongzhongyierkexue", pp.953~957 (2016), Zhongguozhongyiyao Publishing Co
- Zhang HG, "Zhongxiyijiehejingshenbingxue", pp.291~296 (2005), Zhongguozhongyiyao Publishing Co
- Huang TK, "Zhongyishenjingjingshenbingxue", pp.298~305 (2000), Zhongguoyiyaokeji Publishing Co
- Wang Y, "Changjianzhongyiyoushibingzhongzhifajicui", pp.399~407 (2009), Renminweisheng Publishing Co
- Zhonghuazhongyiyaoxuehui, "Zhongyierkechangjianbingzhenliaozhinan", pp.69~72 (2012), Zhongguozhongyiyao Publishing Co
- China Guo, "Criteria of diagnosis and therapeutic effect of diseases and syndromes in traditional Chinese medicine", ~ (2016)
- China Guo, "ADHD zhongyizhenliaofangan", 417~452 (2011)
- The Korean Medical Dictionary Compilation Committee, "The Korean medical dictionary", pp.540~ (2010), Chungdam Publishing Co
- Hong KE, "Korean textbook of child psychiatry", pp.180~201 (2014), Hakji Publishing Co
- Clarke AR, "EEG-defined subtypes of children with attention-deficit", hyperactivity disorder, 2001, pp.112(11), 2098~2105
- Karalunas SL, "Subtyping attention-deficit", hyperactivity disorder using temperament dimensions : toward biologically based nosologic criteria, 2014, pp.71(9), 1015~1024
- Clarke AR, "Behavioural differences between EEG-defined subgroups of children with attention-deficit", hyperactivity disorder, 2011, pp.122(7), 1333~1341