DOI QR코드

DOI QR Code

Framingham Coronary Risk Score를 이용한 화병과 심혈관계 질환과의 관련성 연구

Corelationship Study between Hwa-Byung and Coronary Heart Disease, by using Framingham Coronary Risk Score

  • 정하룡 (세명대학교 한의과대학 한방신경정신과학교실) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실) ;
  • 유준상 (상지대학교 한의과대학 사상체질의학교실) ;
  • 이재혁 (세명대학교 한의과대학 한방신경정신과학교실)
  • Jeong, Ha-Ryong (Dept. of Neuropsychiatry, College of Oriental Medicine, Se-Myung University) ;
  • Koh, Sang-Baek (Dept. of Preventive Medicine, Wonju College of Medicine, Yon-Sei University) ;
  • Park, Jong-Ku (Dept. of Preventive Medicine, Wonju College of Medicine, Yon-Sei University) ;
  • Yu, Jun-Sang (Dept. of Sasang Constitutional Medicine, College of Oriental Medicine, Sang-Ji University) ;
  • Lee, Jae-Hyok (Dept. of Neuropsychiatry, College of Oriental Medicine, Se-Myung University)
  • 투고 : 2010.08.12
  • 심사 : 2010.09.16
  • 발행 : 2011.09.30

초록

Objectives : This study was to research the relationship between Hwa-Byung and Framingham coronary risk score(FRS), cardiovascular disease. Methods : 649 people participated in the community based cohort study in Wonju City of South Korea from July 2nd to August 30th in 2006. Educated investigators checked up systolic & diastolic blood pressure and surveyed Hwa-Byung Diagnostic Interview Schedule(HBDIS), cohort questionnaire about gender, age, smoking, diabetes. Blood sample was collected from participants to analyze total cholesterol, HDL-cholesterol. FRS was calculated from collected data. 10-year prediction of coronary heart disease was determined from FRS by using score sheet that is estimated by Wilson et al. Collected data were analyzed by the chi-square test. Results : 1. Low risk number of people was 18(52.9%) in Hwa-Byung group, 263(42.8%) in non Hwa-Byung group. p-value was 0.472. Difference of the two group was invalid. 2. The number of people below or equal to average 10-year prediction of coronary heart disease as gnder & age, Hwa-Byung group was 19(55.9%), non Hwa-Byung group was 412(67.0%). p-value was 0.251. Difference of the two group was invalid. Conclusions : There was no correlationship Between Hwa-Byung and 10-year prediction of coronary heart disease.

키워드

참고문헌

  1. 전국한의과대학 신경정신과 교과서편찬위원회. 증보판 한의신경정신과학. 서울:집문당. 2010:223-34.
  2. 손상준. 홧병의 진단적 연구: 홧병 진단에 유용한 증상의 판별. 연세대학교 대학원 의학과. 2007.
  3. 민성길. 김경희. 홧병의 증상. 신경정신의학. 1998;37(6):1138-45.
  4. 김종우, 권정혜, 이민수, 박동건. 화병면담검사의 신뢰도와 타당도. 한국심리학회지:건강. 2004;9(2):321-31.
  5. 민성길. 홧병의 개념에 대한 연구. 신경정신의학. 1989;28(4):604-16.
  6. 민성길, 박청산, 한정옥. 홧병에 있어서의 방어기제와 대응전략. 신경정신의학. 1993;32(4):506-16.
  7. 이시형. 홧병에 대한 연구. 고려병원 잡지. 1997;1:63-9.
  8. Lin, K. Hwa-Byung: A Korean culture-bound syndrome? Americal Journal of Psychiatry. 1983;140(1):105-7. https://doi.org/10.1176/ajp.140.1.105
  9. 전겸구, 황의완, 김종우, 박훈기. 홧병과 정서적 스트레스간의 관계연구. 한국심리학회지:건강. 1997;2(1):170-87.
  10. Henny, JP. Stress, salt and hypertension. Social science & Medicine. 1988;26:293-302. https://doi.org/10.1016/0277-9536(88)90393-0
  11. Vitaliano PP, Scanlan JM, Krenz C, Fujimoto W. Insulin and glucose: relationships with hassles, anger, and hostility in nondiabetic older adults. Psychosomatic medicine. 1996;58(5):489-99. https://doi.org/10.1097/00006842-199609000-00011
  12. Fernandez E, Turk DC. The scope and significance of anger in the experience of chronic pain. Pain. 1995;61(2):165-75. https://doi.org/10.1016/0304-3959(95)00192-U
  13. Haynes SG, Feinleib M, Kannel WB. The relationship of psychosocial factors to coronary heart disease in the Framingham Study III. Eight-year incidence of coronary heart disease. American journal of epidemiology. 1980;111(1):37-58. https://doi.org/10.1093/oxfordjournals.aje.a112873
  14. 이경순. 분노 억제 경향과 문제해결이 분노 정서와 혈압에 미치는 효과. 충남대학교 대학원 심리학과 응용심리학 박사. 1999.
  15. 정하룡, 고상백, 박종구, 유준상, 공경환, 이재혁. 화병과 A형 행동유형 및 심혈관질환과의 관련성 연구. 동의신경정신과학회지. 2011;22(2):27-38.
  16. 이유진, 백경원, 김하경, 연규월, 임원정. 홧병클리닉을 방문한 환자들의 임상 증상과 MMPI 상의 성격 특징에 대한 연구. 정신신체의학. 2008;16(2):120-4.
  17. 정하룡, 고상백, 박종구, 유준상, 공경환, 이재혁. 화병과 A형 행동유형 및 심혈관질환과의 관련성 연구. 동의신경정신과학회지. 2011;22(2):27-38.
  18. Kannel WB, McGee D, Gordon T. A general cardiovascular risk profile: the Framingham Study. American journal of cardiology. 1976;38(1):46-51. https://doi.org/10.1016/0002-9149(76)90061-8
  19. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Prediction of coronary heart disease using risk factor categories. Circulation. 1998;97(18):1837-47. https://doi.org/10.1161/01.CIR.97.18.1837
  20. Anand SS, Razak F, Yi Q, Davis B, Jacobs R, Vuksan V, Lonn E, Teo K, McQueen M, Yusuf S. C-reactive protein as a screening test for cardiovascular risk in a multiethnic population. Arterioscler Thromb Vasc Biol. 2004;24(8):1509-15. https://doi.org/10.1161/01.ATV.0000135845.95890.4e
  21. 미국정신의학회. 정신 장애의 진단 및 통계 편람 제4판. 서울:하나의학사. 1995:1083.
  22. Siegman AW. Cardiovascular consequences of expressing, experiencing, and repressing anger. Journal of behavioral medicine. 1993;16(6):539-69. https://doi.org/10.1007/BF00844719
  23. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106(25):3143-421.
  24. 김기홍. 冠狀動脈 疾患者에서 頸動脈 內中膜 두께는 프래밍햄 危險 點數와 關聯이 있다. 건양대학교 대학원 의학과:내과학 전공. 2007.
  25. Pearson TA. New tools for coronary risk assessment: what are their advantages and limitations? Circulation. 2002;105(7):886-92. https://doi.org/10.1161/hc0702.103727
  26. Menotti A, Puddu PE, Lanti M. Comparison of the Framingham risk function-based coronary chart with risk function from an Italian population study. European heart journal. 2000;21(5):365-70. https://doi.org/10.1053/euhj.1999.1864
  27. 김명보, 박원주, 장근호, 이대광, 채홍재, 문재동. 관상동맥 CT 혈관조영술을 이용한 심혈 관질환 위험도 평가도구 비교. 대한산업의학회지. 2010;22(2):102-13.
  28. Brindle P, Beswick A, Fahey T, Ebrahim S. Accuracy and impact of risk assessment in the primary prevention of cardiovascular disease: a systematic review. Heart(British cardiac society). 2006;92(12):1752-9. https://doi.org/10.1136/hrt.2006.087932
  29. Anderson KM, Odell PM, Wilson PW, Kannel WB. Cardiovascular disease risk profiles. Americal Heart Journal. 1991;121(1 Pt 2):293-8. https://doi.org/10.1016/0002-8703(91)90861-B
  30. 전겸구. 분노의 종합적 이해를 위한 시도. 한국미술치료학회지. 2000;7(1):1-31.
  31. Spielberger CD, Reheiser EC, Sydeman SJ. Measuring the experience, expression, and control of anger. Issues Compr Pediatr Nurs. 1995;18(3):207-32. https://doi.org/10.3109/01460869509087271
  32. 김교헌, 전겸구. 분노, 적대감 및 스트레스가 신체 건강에 미치는 영향. 한국심리학회지:건강. 1997;2(1):79-95.
  33. Lemerise EA, Dodge KA. The development of anger hostile interactions. In M. Lewis & J. M. Haviland (Eds), Handbook of emotion. New York:Guilford. 1993:537.
  34. 김교헌. 분노 억제와 고혈압. 한국심리학회지:건강. 2000;5(2):181-92.
  35. 김지훤. 화병환자의 MMPI 프로파일과 성격 및 방어기제 특성 연구. 원광대학교 대학원 한의학과. 2008.