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대한한방신경정신과학회> 동의신경정신과학회지> 정신과 환자의 한의의료 이용경험 및 인식에 대한 질적 분석 - 예비연구

KCI등재

정신과 환자의 한의의료 이용경험 및 인식에 대한 질적 분석 - 예비연구

A Qualitative Analysis of Psychiatric Patients’ Experiences and Perceptions of Korean Medicine Utilization - Preliminary Study

문승환 ( Seung-hwan Moon ) , 장보형 ( Bo-hyoung Jang ) , 서효원 ( Hyo-weon Suh ) , 김종우 ( Jong Woo Kim ) , 정선용 ( Sun-yong Chung )
  • : 대한한방신경정신과학회
  • : 동의신경정신과학회지 33권2호
  • : 연속간행물
  • : 2022년 06월
  • : 123-131(9pages)
동의신경정신과학회지

DOI


목차

Ⅰ. 서론
Ⅱ. 연구대상 및 방법
Ⅲ. 결과
Ⅳ. 고찰
Ⅴ. 결론
REFERENCES

키워드 보기


초록 보기

Objectives: The purpose of this study was to investigate the experience and perception of using Korean medicine treatments for patients with mental disorders.
Methods: The method of a qualitative analysis was used, and semi-structured interviews were conducted. The researchers developed the survey questionnaires with consultation from psychiatrists from various university hospitals. Before conducting interviews, an IRB was approved KHSIRB-21-131 (RA), and the Hankook Research Company managed the interviews. The question composition comprised 11 questions based on symptoms and treatment situations accompanying treatment due to mental distress, perception of Korean medicine, awareness of treatment costs, and awareness of treatment costs.
Results: A total of six patients were interviewed. Each interviewee took 90 minutes to answer questions. Through the analysis of the data, the patients comprised four categories: characteristics, awareness of Korean medicine, awareness of Western treatment, and daily life due to mental disorder. The experience and perception of patients using Korean medicine showed positive attitudes. There was an opinion among patients that Korean medicine treatment was less dependent on drugs, and had fewer side effects, than Western medicine. Some patients said that Korean medical treatment is expensive and burdensome medical expenses. Some patients were not aware of the application of insurance to mitigate medical expenses.
Conclusions: Based on the findings of the study, it is urgent to expand the application of insurance benefits to Korean medicine.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 기초한의학
  • : KCI등재
  • :
  • : 계간
  • : 1226-6396
  • : 2234-4942
  • : 학술지
  • : 연속간행물
  • : 1990-2022
  • : 1041


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33권3호(2022년 09월) 수록논문
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KCI등재

1오지상승위치료법의 표준매뉴얼 개발을 위한 타당화 연구

저자 : 정문주 ( Moon Joo Cheong ) , 이도은 ( Do-eun Lee ) , 김지수 ( Jeesu Kim ) , 강성현 ( Sunghyun Kang ) , 유영수 ( Yeoung Su Lyu ) , 정인철 ( In Chul Jung ) , 강형원 ( Hyung Won Kang )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 227-239 (13 pages)

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Objectives: The purpose of this study was to develop a standardization manual for Emotion To Emotion therapy. In this study, the processes and categories derived through literature search related to the Emotion To Emotion treatments, were revised and supplemented by the expert FGI (Focus Group Interview). Afterwards, the expert Delphi was conducted, to develop a standard manual for the disease types, purpose, and method of Emotion To Emotion therapy.
Methods: In this study, literature analysis and expert Delphi, as a quantitative research method, were conducted, and the expert Focus Group Interview (FGI) was conducted as a qualitative study. The manual was completed by leading the consensus, on the standardization manual for Emotion To Emotion therapy. After that, a clinical expert Delphi was conducted to test the reliability as well as validity of the manual, through quantitative consensus on the manual of the Emotion To Emotion therapy.
Results: First, as a result of literature studies, to date, studies related to Emotion To Emotion therapy have been qualitatively and quantitatively limited, as comparative literature related to clinical cases. Second, through expert FGI, the manual was structured with eight sub-factors for the indication diagnosis, six sub-factors for the implementation method, and 13 detailed factors. Third, through an expert Delphi, the consensus did the factor of indication, implementation methods, and implementation process, and developed a standardization manual for Emotion To Emotion therapy ver 1.0.
Conclusions: Through literature analysis, expert FGI, and expert Delphi, the Emotion To Emotion therapy standardization manual ver 1.0 was completed, and will proceed with the revision and improvement report.

KCI등재

2핵심칠정척도 단축형을 활용한 건강한 성인의 정서적 특성 및 핵심칠정척도 단축형과 스트레스 한국판 자가척도와의 상관관계

저자 : 임미홍 ( Mi Hong Yim ) , 박정환 ( Jeong Hwan Park ) , 이상훈 ( Sanghun Lee )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 241-257 (17 pages)

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Objectives: To investigate emotional characteristics of healthy adults using the Core Seven Emotions Inventory-Short Form (CSEI-s) and to investigate the correlation between the CSEI-s and Korean version of the Perceived Stress Scale (K-PSS).
Methods: Overall, 2,178 healthy adults aged ≥19 years who completed the CSEI-s and K-PSS in a nationwide multicenter study were included in this study. One-way analysis of variance was performed to identify associations of seven emotions with sociodemographic characteristics. Bonferroni corrected post-hoc tests were performed for multiple comparisons. Pearson's correlation analyses were conducted to examine the correlation between each emotion and stress.
Results: Scores of all emotions except for joy (喜) and stress were significantly greater in women than in men. However, the score of joy (喜) in women was significantly less than that in men. There were significant differences in joy (喜), thought (思), depression (憂), fear (恐), and fright (驚) according to age groups in both men and women. The score of depression (憂) was significantly lower in women attending or graduating from graduate school than in those attending or graduating from undergraduate school. Significantly lower scores in joy (喜), thought (思), depression (憂), sorrow (悲), fear (恐), and fright (驚) were observed in married men than in single men. There were significant positive correlations between depression (憂) and stress and between sorrow (悲) and stress in both men and women.
Conclusions: There were significant associations of seven emotions with sociodemographic characteristics in healthy adults.

KCI등재

3클로닌저의 생리심리사회 모델에서 위험회피-자율성 프로파일에 따른 다면적 정신건강 특성

저자 : 채한 ( Han Chae ) , 이수진 ( Soo Jin Lee )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 259-266 (8 pages)

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Objectives: The combination of Harm-Avoidance (HA) and Self-Directedness (SD) of Temperament and Character Inventory (TCI) has been reported pivotal for mental health; however its clinical usefulness in integrative medicine has not sufficiently reported. The purpose of this study was to illustrate multi- phasic mental health of subjective satisfaction with life, emotional well-being, and psychopathology, following the HA-SD profile groups.
Methods: A total of 527 Korean university students reported HA and SD scores as to render their HA-SD profile, and multi-phasic mental health characteristics using Satisfaction with Life Scale (SWLS), Positive Affect and Negative Affect Schedule (PANAS), and Beck Depression Inventory (BDI) with composite well-being scales of SC (Sum of Self-Directedness and Cooperativeness score) and HI (Happiness Index, subtraction of Negative Affect (NA) score from Positive Affect (PA) score) as standardized. Pearson's correlation was used to report correlation coefficient, and the ANCOVA with age and sex as covariates, to show significant differences in mental health and well-being between the HA-SD profile groups.
Results: The HA-SD profile groups showed distinctive multi-phasic mental health characteristics; health related scores of SWLS, PA, SC and HI decreased following the order of hS (low HA and high SD), HS (high HA and high SD), hs (low HA and low SD) and Hs (high HA and low SD) profile groups; however the non-health related scores of NA and BDI showed contrasting order.
Conclusions: The HA-SD profile was found to be clinically useful for examining multi-phasic mental health and well-being status, and the TCI may be an imperative personality inventory for integrative medicine.

KCI등재

4현직 한의사의 열등감 경험에 대한 내러티브 탐구: 질적연구

저자 : 배진수 ( Jin-soo Bae ) , 김경옥 ( Kyeong-ok Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 267-276 (10 pages)

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Objectives: The purpose of this study was to explore the vivid and in-depth stories, of inferiority experienced in the lives of current Korean medicine doctors.
Methods: In-depth interviews were conducted, with two participants. Collected research data were analyzed, using the narrative inquiry method suggested by Clandinin and Connelly.
Results: Common themes found in participants' narrative were summarized, by 'comparison with others' and 'various attempts to overcome inferiority feeling'.
Conclusions: This study is meaningful at three levels: personal, social, and practical. Also, it provides readers with an opportunity to reflect on the way they cope with their inferiority complex, which various people experience in different contexts.

KCI등재

5LPS에 의해 유도된 인지기능 손상모델에 대한 천마 추출물의 방어효과

저자 : 권강범 ( Kang-beom Kwon ) , 김하림 ( Ha-rim Kim ) , 김예슬 ( Ye-seul Kim ) , 박은희 ( Eun-hee Park ) , 강형원 ( Hyung-won Kang ) , 류도곤 ( Do-gon Ryu )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 277-285 (9 pages)

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Objectives: Gastrodia elata (GE) has been used to treat cognition impairment, including Alzheimer's disease (AD) in Korea. The purpose of this study was to investigate the effects of GE water extracts (GEE) on the lipopolysaccharide (LPS)-induced AD model in mice. (Aβ).
Methods: We classified six groups as follow; group 1: control (CON), group 2: LPS (0.5 mg/kg/day, four times), group 3: 4 mg/kg donepezil (DP), group 4: 100 mg/kg GEE+LPS, group 5: 200 mg/kg GEE+LPS, group 6: 500 mg/kg GEE+LPS.
Results: We found that GEE has an effect that inhibits decrease of discrimination index in object recognition test, as well as spontaneous alteration in the Y-maze test by LPS. Treatment with LPS increased amlyloid-β (Aβ) concentration, and decreased brain-derived neurotrophic factor (BDNF) in cerebral cortex of mice. However, GEE significantly protected against LPS-induced Aβ and BDNF changes. Our findings also showed that the inflammatory cytokines 〔tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6) and interleukin-1β (IL-1β)〕 mRNA and protein were up-regulated by the LPS injection. But GEE significantly suppressed LPS-induced inflammatory cytokines increase in a dose-dependent manner.
Conclusions: This study suggests that the GEE may be an effective AD therapeutic agent, in treating neurodegenerative diseases including AD.

KCI등재

6불면증 관련 천연물 추출물의 특허 동향 분석

저자 : 이정경 ( Jung-gyung Lee ) , 강성현 ( Sung-hyun Kang ) , 권찬영 ( Chan-young Kwon )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 287-299 (13 pages)

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Objectives: The purpose of this study was to analyze the trend of natural product-based products for sleep improvement in Korean patents, to enhance the development and application of natural-products for sleep disorder in terms of Korean medicine.
Methods: We collected patent data using the KIPRIS database and ScienceON database. Two authors independently screened patents that potentially met the criteria, and assessed full texts of screened patents for eligibility. Included patents were analyzed, quantitatively as well as qualitatively.
Results: A total of 60 patents were selected 2008-July 2022. The number of patents have been on the rise since 2017, and reached 12 in 2018. Companies have registered the most patents, followed by the Industry-University Cooperation Foundation. Zizyphi semen (n=6), Lactuca sativa L. (n=5), Valeriana fauriei/officinalis (n=4), Poria cocos (n=4) were frequently used herbs among 60 patents. Twenty-one patents (35%) included medicinal herbs with sleep improving effects. Among 60 patents, alcohol extraction (70%) was mostly used, followed by water immersion (50%), and hot water extraction (48.3%).
Conclusions: Analysis results showed that various Korean medicine herbs, are being used for natural-products for sleep disorder. The results will be helpful towards inventing new patents using Korean medicine, developing natural product extracts for sleep improvement, and extending the range of these products in clinical use.

KCI등재

7불안에 대한 한의정신요법과 중의정신요법의 비교고찰: 임상연구를 중심으로

저자 : 이지원 ( Ji-won Lee ) , 황인준 ( In-jun Hwang ) , 박민령 ( Min-ryeong Park ) , 권찬영 ( Chan-young Kwon )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 301-316 (16 pages)

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Objectives: To compare Korean medicine (KM) and traditional Chinese medicine (TCM) psychotherapy for anxiety.
Methods: Databases including MEDLINE (via PubMed), EMBASE (via Elsevier), Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, and Oriental Medicine Advanced Searching Integrated System were comprehensively searched. Prospective clinical studies on KM or TCM psychotherapy for patients with anxiety disorder or individuals with elevated anxiety levels published up to August 3, 2022 were reviewed. Psychotherapy was divided into counselling, art therapy, and meditation according to its characteristics.
Results: A total of 12 clinical studies were reviewed, including nine randomized controlled trials. The most common disorder investigated was post-traumatic stress disorder. Ten studies used TCM psychotherapy and two used KM psychotherapy. As for differences between TCM psychotherapy and KM psychotherapy, TCM psychotherapy utilized pattern identification in the procedure more actively than KM psychotherapy. In addition, some TCM studies have attempted to directly converge Western psychotherapy (i.e., hypnosis) and Eastern psychotherapy (i.e., Taoin qigong therapy). In the case of KM psychotherapy, there was an attempt to incorporate psychotherapy with Sasang constitutional medicine. Reported effects of TCM psychotherapy and KM psychotherapy on anxiety were positive.
Conclusions: Research status of KM psychotherapy and TCM psychotherapy for anxiety was investigated, revealing some of their characteristics, commonalities, and differences. Findings of this review have the potential to provide a clue to the development of conventional KM psychotherapy and new medical technology for KM psychotherapy.

KCI등재

8우울, 불안 척도를 통해 살펴본 우울증 환자에 대한 한의학적 치료 효과에 대한 연구

저자 : 안윤영 ( Yunyoung An ) , 김락형 ( Lakhyung Kim ) , 유종호 ( Jongho Yoo )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 317-327 (11 pages)

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Objectives: To examine clinical effects of Korean medical treatment on depressive disorder.
Methods: Medical records of 102 patients diagnosed with depressive disorder who were treated with Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 12 weeks and measured psychological scales (Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI)) every 4 weeks were analyzed.
Results: After 12 weeks of treatment, BDI-II, STAI-X-1/2, BAI, and STAXI-S/T all decreased statistically significantly. STAI-X-1 and BAI were significantly decreased throughout the treatment interval (comparisons every 4 weeks). The other four scales decreased significantly from 0 to 4 weeks and from 8 to 12 weeks.
Conclusions: Treatment for depressive disorder with Korean Medicine was effective not only in improving overall symptoms of depressed patients, but also in improving accompanying anxiety, anger, and physical symptoms. In addition, since all scores were gradually decreased, continuous treatment would be important.

KCI등재

9강박장애 환자의 한방치료 효과에 대한 후향적 연구

저자 : 최강의 ( Kang-eah Choi ) , 이유진 ( Yu-jin Lee ) , 김연주 ( Yeonju Kim ) , 유종호 ( Jong-ho Yoo )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 329-337 (9 pages)

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Objectives: To examine effects of traditional Korean medical treatment on obsessive-compulsive disorder (OCD).
Methods: Effects of Korean medical treatment on patients with OCD who visited the neuropsychiatric clinic of Korean medicine were examined. Patients were treated with acupuncture, herbal medication, and oriental psychotherapy. Padua-ICMA, Y-BOCS, BDI-2, STAI-X1/X2, BAI were compared before and after 8 and 12 weeks of treatment to determine whether symptoms of patients were improved.
Results: After 8 weeks treatment (n=19), Padua-ICMA, Y-BOCS, BDI-2, STAI-X1/X2, and BAI scores were significantly decreased. After 12 weeks treatment (n=12), Padua-ICMA, Y-BOCS, BDI-2, STAI-X1/X2, and BAI scores were also significantly decreased.
Conclusions: Traditional Korean medicine is clinically effective in treating OCD.

KCI등재

10수술 후 섬망 치험 1례를 통해 본 지언고론요법의 활용

저자 : 강동훈 ( Dong Hoon Kang ) , 김주연 ( Ju Yeon Kim ) , 정인철 ( In Chul Jung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 3호 발행 연도 : 2022 페이지 : pp. 339-349 (11 pages)

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Objectives: The purpose of this study was to report the effectiveness of the combination of Giungoroen-therapy, as well as other Korean medicine therapy on postoperative delirium.
Methods: The patient was diagnosed with postoperative delirium, that occurred after arthroscopic debridement two months before hospitalization. The patient received Giungoroen-therapy in addition to conventional Korean Medicine treatment, including acupuncture, herbal medicine, and moxibustion. The evaluation variables to check the effectiveness of the interventions, were the Korean Nursing Delirium Screening Scale (Korean Nu-DESC) and the Korean Version of the Delirium Rating Scale-Revised-98 (K-DRS-R-98).
Results: During the hospitalization period, the Korean Nu-DESC score decreased from 5 to 1, and the K-DRS-R-98 score decreased from 36 to 23. The subjective expression of anxiety had been reduced.
Conclusions: The combination of Giungoroen-therapy, as well as other Korean medicine therapy including acupuncture, moxibustion, and herbal medicine may be useful in alleviating postoperative delirium.

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KCI등재

1정신과 환자의 한의의료 이용경험 및 인식에 대한 질적 분석 - 예비연구

저자 : 문승환 ( Seung-hwan Moon ) , 장보형 ( Bo-hyoung Jang ) , 서효원 ( Hyo-weon Suh ) , 김종우 ( Jong Woo Kim ) , 정선용 ( Sun-yong Chung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 2호 발행 연도 : 2022 페이지 : pp. 123-131 (9 pages)

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Objectives: The purpose of this study was to investigate the experience and perception of using Korean medicine treatments for patients with mental disorders.
Methods: The method of a qualitative analysis was used, and semi-structured interviews were conducted. The researchers developed the survey questionnaires with consultation from psychiatrists from various university hospitals. Before conducting interviews, an IRB was approved KHSIRB-21-131 (RA), and the Hankook Research Company managed the interviews. The question composition comprised 11 questions based on symptoms and treatment situations accompanying treatment due to mental distress, perception of Korean medicine, awareness of treatment costs, and awareness of treatment costs.
Results: A total of six patients were interviewed. Each interviewee took 90 minutes to answer questions. Through the analysis of the data, the patients comprised four categories: characteristics, awareness of Korean medicine, awareness of Western treatment, and daily life due to mental disorder. The experience and perception of patients using Korean medicine showed positive attitudes. There was an opinion among patients that Korean medicine treatment was less dependent on drugs, and had fewer side effects, than Western medicine. Some patients said that Korean medical treatment is expensive and burdensome medical expenses. Some patients were not aware of the application of insurance to mitigate medical expenses.
Conclusions: Based on the findings of the study, it is urgent to expand the application of insurance benefits to Korean medicine.

KCI등재

2브레인스포팅의 이해와 한의학적 적용

저자 : 이도은 ( Do-eun Lee ) , 서주희 ( Joohee Seo )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 2호 발행 연도 : 2022 페이지 : pp. 133-141 (9 pages)

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Objectives: Brainspotting is a relatively new type of brain-body psychotherapeutic approach discovered and developed by David Grand. The objective of this study was to introduce possible clinical application of Brainspotting in Korean medicine.
Methods: The background, basic tools, standard processes, and principles of Brainspotting are presented mainly in reference to “Brainspotting: The revolutionary new therapy for rapid and effective change” published by David Grand.
Results: There are many similarities between Brainspotting and Korean medicine, such as Mind-Body holism, non-prejudiced attitude of therapist like Tao and wu-wei, and the importance of the eyes to the mind. They also share similarities in methods such as Iijungbyunqi and Qigong.
Conclusions: Brainspotting is expected to be applied to Korean medicine in various forms. It needs to be researched more in the future.

KCI등재

3CARE 지침에 따른 2018∼2021년 동의신경정신과학회지 증례 보고의 질 평가

저자 : 최성열 ( Sung-youl Choi )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 2호 발행 연도 : 2022 페이지 : pp. 143-156 (14 pages)

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Objectives: The purpose of this study was to evaluate the quality of reporting for case reports published in Journal of Oriental Neuropsychiatry from year 2018 to 2021 compared with year 2013 to 2017 in order to recommend ways to improve the quality of case reports published in the future.
Methods: To evaluate the quality of case reports identified by electronic searching in Oriental medicine Advanced Searching Integrated System (OASIS) and by hand searching from archives on peer review system of Journal of Oriental Neuropsychiatry using CAse REport (CARE) guideline. The researcher assessed the quality of reporting based on the CARE guideline as 'Sufficient', 'Not-Sufficient', 'Not- Applicable', and 'Not-Reported' for case reports published from 2018 to 2021 in Journal of Oriental Neuropsychiatry. In addition, it was compared with previous case reports published from 2013 to 2017.
Results: Finally, 17 case reports were included for the assessment. General quality of reporting for case reports published from year 2018 to 2021 was improved compared with that of previous case reports published in 2018. The maximum value (46.4%→60.7%, 14.3% increase), the minimum value (22.2%→32.1%, 9.9% increase), and the median value (39.3%→50.0%, 10.7% increase) of the report rate evaluated as 'Sufficient' were generally improved. The maximum value (53.6%→50.0%, 3.6% decrease), minimum value (25.9%→21.4%, 4.5% decrease), and median value (35.7%→32.1%, 3.6% decrease) of the report rate evaluated as 'Not-Sufficient', the maximum value of the report rate evaluated as 'Not-reported' (40.7%→25.9%, 14.8% decrease), the minimum value (14.7%→10.7% decrease), and the intermediate value (14.7% decrease) were also generally improved. Four items (8b, 8d, 10c, and 13) were evaluated as 'Not-Reported'. These items seem to be items that need urgent improvement along with 8c, which showed a significant decrease in reporting rate.
Conclusions: There are needs to improve the quality of case reports in Journal of Oriental Neuropsychiatry by comparing case reports published from year 2013 to 2017 with case reports published from year 2018 to 2021. To improve the quality of case reporting, sufficient education at the academic level should be provided on thesis preparation methods. It is also necessary to develop a tool for evaluating the quality of case reporting that reflects characteristics of Korean Medicine.

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4자하거 약침의 신경정신과 임상 응용에 관한 체계적 문헌 고찰

저자 : 신혜규 ( Haegue Shin ) , 이재혁 ( Jae-hyok Lee ) , 강형원 ( Hyung Won Kang )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 2호 발행 연도 : 2022 페이지 : pp. 157-180 (24 pages)

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Objectives: To perform a systematic review of placenta pharmacopuncture for treating neuropsychiatric diseases, focusing on its efficacy and the safety so that evidence on its clinical use could be obtained, thus contributing to further studies.
Methods: Through Korean, English, and Chinese databases (OASIS, Korean TK, KISS, RISS, ScienceON, Pubmed, Cochrane, EMBASE, CINAHL, AMED, CNKI, and Wanfang), combinations of keywords (placenta, pharmacopuncture, etc.) were used to select clinical studies published until January 2021 about placenta pharmacopuncture for neuropsychiatric diseases. Interventions included combined treatments. Study design included cases studies, series, and clinical trials. Cohort studies, literature reviews, in vitro and animal experiments were excluded. The primary outcomes involved measurements of symptoms, Visual Analogue Scale, or questionnaires. Data extracted from databases were imported to Endnote X7 to remove duplicates. The quality of the literature was assessed based on CAse REports Guidelines and Cochrane's Risk of Bias (ROB).
Results: Twenty-one studies were selected, including ten case reports, three case series, two onearmed clinical trials, one non-randomized clinical trial, and five randomized clinical trials. There were six studies on sleep disorders, five studies on stroke sequela, two on mood disorders, two on enuresis, two on Guillain-Barré syndrome, two on multiple sclerosis, one on neurocognitive disorder, and one on vertigo. The most frequent combined treatment was acupuncture in both the experimental group (n=10) and the control group (n=3). Acupoints were ST36, SP6, BL23, CV4, GB20, GV20, N-HN54, and so on. All studies reported improvement of symptoms. The quality of case studies was relatively high. Assessment of ROBs resulted in low risks.
Conclusions: Placenta pharmacopuncture is effective for neuropsychiatric diseases such as sleep disorders, mood disorders, enuresis, and neurocognitive disorders. Regarding insomnia, several studies have reported significant improvements with placenta pharmacopuncture. There was no adverse event associated with placenta pharmacopuncture.

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5Herbal Medicine for Pediatric Epilepsy: Clinical Research Trends in Traditional Chinese Medicine

저자 : Sang-ho Kim , Da-woon Kim

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 2호 발행 연도 : 2022 페이지 : pp. 181-214 (34 pages)

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Pediatric epilepsy, a chronic, recurrent brain disorder, is the most common neurological disorder in children. Its prevalence is increasing. Early management is very important since 30∼40% of cases persist into adulthood. To provide basic data for future clinical research on pediatric epilepsy using Korean medicine treatment and cooperation between Western medicine doctors and Korean medicine doctors, we reviewed recent clinical research in traditional Chinese medicine (TCM) using herbal medicine for pediatric epilepsy. A total of 23 articles (1 clinical practice guideline, 3 systematic reviews, 15 randomized controlled trials (RCTs), and 4 non-RCTs) were reviewed in this study. The authors summarized characteristics of included studies regarding study subjects, diagnostic tools, pattern identification tools, treatment period, evaluation tools, detail of herbal medicines, treatment effects, and adverse events. Combination therapy using both herbal medicine (HM) and anti-epileptic drugs (AEDs) was performed more frequently than herbal medicine alone. Liver-pacifying medicinal, water-draining medicine, and orifice-opening medicine were frequently used. The main single HMs were Cheonma, Boglyeong, Jogudeung, and Seogchangpo. Combined therapy using HM and AEDs had significant benefits in improving total effective rate. It also appeared to be safer than AEDs. However, since the quality of clinical trials was poor and only studies in the last 10 years were included, the clinical evidence was uncertain. Finally, the authors provided limitations of this study and several suggestions for future research based on our analysis results.

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6군발 두통 환자의 한방 치료 치험 1례: 증례 보고

저자 : 김만기 ( Man-gi Kim ) , 조한별 ( Han-byul Cho ) , 김근우 ( Geun-woo Kim ) , 구병수 ( Byung-soo Koo )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 33권 2호 발행 연도 : 2022 페이지 : pp. 215-225 (11 pages)

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Objectives: The purpose of this study was to report the effect of Korean medicine (KM) treatment on a patient diagnosed with cluster headache.
Methods: The patient included in this study was diagnosed with cluster headache who received KM therapy (herbal medicine, acupuncture, moxibustion, cupping, and chu-na treatment). The main symptom of the patient was pain in the left occipital region and orbital region. It was diagnosed as a pattern of liver depression and spleen deficiency by oriental medicine. During the hospitalization period, treatment effect was evaluated by NRS. HIT-6. BDI, and STAI were additionally performed to assess depression and anxiety.
Results: After 24 days of treatment, the intensity of headache decreased from NRS7 to NRS3. During follow-up at two weeks, there was no pain. Normal daily activities were possible.
Conclusions: Korean medical approach might be useful for pain relief and restoration of daily living ability for patients with cluster headache.

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