화병에 대한 사암침 심포정격의 치료 효과 : 환자-평가자 눈가림, 무작위배정 대조군 임상시험
The effects of Sa-am Acupuncture Simpojeongkyeok Treatment on Hwa-byung : Randomized, patient-assessor blind, placebo-controlled acupuncture, pilot clinical trial
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Objectives :The purpose of this research is to examine the effects of Sa-am acupuncture Simpojeongkyeok treatment on Hwa-byung. Methods :The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collector and analyst were unaware of individuals which were receiving the treatment. Fifty volunteers were divided into a trial and a control group, each of which consisted of 25 subjects. The trial group was treated with Sa-am acupuncture Simpojeongkyeok, while needle insertion at non-acupoints was given to the control group. The Likert scale for major symptoms of Hwa-byung was measured as the 1st evaluative instrument, and then a comparative analysis was conducted by comparing the results with those measured by of STAXI-K, STAI-K and BDI-K. Results :In the Likert scale comparison of major symptoms, total scores in both groups were decreased after treatment. However, a more significant decrease was found in those of trial group compared to those of the control group from a statistical perspective. The results measured by BDI scores also decreased significantly in the trial group after treatment. In comparison of STAXI and STAI scores, there were no significant differences found between the groups. Conclusions :The results suggest that Sa-am Acupuncture Simpojeongkyeok treatment is effective in the treatment of Hwa-byung.
Abstract
Objectives :The purpose of this research is to examine the effects of Sa-am acupuncture Simpojeongkyeok treatment on Hwa-byung. Methods :The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collector and analyst were unaware of individuals which were receiving the treatment. Fifty volunteers were divided into a trial and a control group, each of which consisted of 25 subjects. The trial group was treated with Sa-am acupuncture Simpojeongkyeok, while needle insertion at non-acupoints was given to the control group. The Likert scale for major symptoms of Hwa-byung was measured as the 1st evaluative instrument, and then a comparative analysis was conducted by comparing the results with those measured by of STAXI-K, STAI-K and BDI-K. Results :In the Likert scale comparison of major symptoms, total scores in both groups were decreased after treatment. However, a more significant decrease was found in those of trial group compared to those of the control group from a statistical perspective. The results measured by BDI scores also decreased significantly in the trial group after treatment. In comparison of STAXI and STAI scores, there were no significant differences found between the groups. Conclusions :The results suggest that Sa-am Acupuncture Simpojeongkyeok treatment is effective in the treatment of Hwa-byung.
참고문헌 (32)
- 전국한의과대학 신경정신과 교과서편찬위원회, "한의신경정신과학", pp.215~762 (2007), 집문당
- 민성길, "홧병(火病)에 대한 임상적 연구", 대한의학협회지, 30(2), pp.187~198 (1987)
- 미국정신의학회, "정신장애의 진단 및 통계편람 제4판", pp.1083~ (1995), 하나의학사
- 김종우, "한의학에서 본 홧병의 해석", 동의신경정신과학회지, 5(1), pp.9~15 (1994)
- 민성길, "홧병의 개념에 대한 연구", 신경정신의학, 28(4), pp.604~615 (1989)
- 김종우, "화병의 기원에 대한 고찰", 동의신경정신과학회지, 10(1), pp.205~215 (1999)
- 민성길, "정신과 의사 및 한의사들의 홧병에 대한 개념", 신경정신의학, 28(1), pp.146~154 (1989)
- 민성길, "홧병에 있어서의 방어기제와 대응전략", 신경정신의학, 32(4), pp.506~516 (1993)
- 노종영, "불안, 우울, 분노 척도를 이용한 홧병환자의 임상양태에 관한 연구", 동의신경정신과학회지, 9(2), pp.97~110 (1998)
- 정선용, "SCL-90-R을 이용한 화병과 주요우울장애의 비교", 동의신경정신과학회지, 15(2), pp.45~51 (2004), 대한한방신경정신과학회
- 김지훤, "화병환자의 MMPI 프로파일과 성격특성 연구", 동의신경정신과학회지, 20(3), pp.189~203 (2009), 대한한방신경정신과학회
- 이승기, "홧병환자 1例의 임상보고", 동의신경정신과학회지, 7(1), pp.173~180 (1996)
- 안병수, "사암침법 중 심승격에 의한 화병 2례에 대한 증례보고", 대전대학교 한의학연구소 논문집, 11(1), pp.151~162 (2002)
- 김진우, "火病을 紫河車 藥鍼을 使用하여 治療한 1例", 동의신경정신과학회지, 16(1), pp.211~220 (2005), 대한한방신경정신과학회
- 정인철, "화병의 핵심증상에 대한 사암침 치료의 효과 : 예비연구", 동의신경정신과학회지, 18(1), pp.79~94 (2007), 대한한방신경정신과학회
- 정인철, "화병의 핵심증상에 대한 사암침 심정격 치료의 효과", 동의신경정신과학회지, 19(1), pp.1~18 (2008), 대한한방신경정신과학회
- 임현주, "화병 핵심증상 중 흉민에 대한 분심기음의 효능 : 무작위배정, 이중맹검, 위약대조군연구의 중간보고 - 피험자 특성을 중심으로", 동의신경정신과학회지, 20(3), pp.169~188 (2009), 대한한방신경정신과학회
- 이희영, "화병의 진단 및 변증유형에 관한 연구", 동의신경정신과학회지, 16(1), pp.1~17 (2005), 대한한방신경정신과학회
- 김종우, "화병면담검사의 신뢰도와 타당도", 한국심리학회지: 건강, 9(2), pp.321~332 (2004), 한국건강심리학회
- 김종우, "화병 임상진료지침 개발 연구 (1) - 목적과 개발 전략 및 절차 -", 동의신경정신과학회지, 20(2), pp.143~152 (2009), 대한한방신경정신과학회
- 정선용, "화병 임상진료지침 개발 연구 (2) - 지침 개발에 활용되는 도구 -", 동의신경정신과학회지, 20(2), pp.153~162 (2009), 대한한방신경정신과학회
- 이경우, "編注譯解 黃帝內經素問 1", pp.231~ (1995), 여강
- 김광중, "臟腑學의 이론과 임상", pp.297~302 (1996), 일중사
- 이향숙, "STRICTA(침 임상연구에서 중재 보고를 위한 표준) 개정판 : CONSORT Statement의 확충안", Korean Journal of Acupuncture, 27(3), pp.1~23 (2010), 경락경혈학회
- Drinkwater BL, "A comparison of the direction -of-perception technique with the Likert method in the measurement of atitudes", J SocPsychol, 67(2), pp.189~196 (1965)
- 전겸구, "한국판 STAXI 척도 개발:분노와 혈압", 한국심리학회지:건강, 2(1), pp.60~78 (1997)
- 한덕웅, "Spielberger의 상태-특성 불안검사 Y형의 개발", 한국심리학회지:건강, 1(1), pp.1~14 (1996)
- 이민규, "한국판 Beck 우울척도의 표준화연구Ⅱ:타당화연구", 정신병리학, 4(1), pp.96~104 (1995)
- 김종우, "홧병환자의 한의학적 치료에 대한 임상적 연구", 대한한의학회지, 19(2), pp.5~16 (1998)
- 정유옹, "舍岩鍼法의 醫史學的 考察" (2010), 경희대학교 대학원
- 김종우, "홧병에 대한 임상적 연구:한의학적 홧병모델을 중심으로", 대한스트레스학회지, 4(2), pp.23~32 (1996)
- 조현춘, "한국판 분노행동척도의 타당화 연구", 한국심리학회지: 상담 및 심리치료, 19(2), pp.489~503 (2007), 한국상담심리학회