The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

Poststroke Depression : A Review of the Latest Oriental Medicine Articles

뇌졸중 후 우울증 : 한방 치료에 대한 국내외 최신 문헌 고찰

  • Lee, Je-Won (Dept. of Oriental Internal Medicine, Daegu Haany University Daegu Oriental Hospital) ;
  • Lee, Bo-Mae-Na (Kyungpook National University Chinese) ;
  • Jang, Woo-Seok (Dept. of Oriental Internal Medicine, Daegu Haany University Daegu Oriental Hospital) ;
  • Hwang, Ha-Yeon (Dept. of Oriental Internal Medicine, Daegu Haany University Daegu Oriental Hospital) ;
  • Baek, Kyung-Min (Dept. of Oriental Internal Medicine, Daegu Haany University Daegu Oriental Hospital)
  • 이제원 (대구한의대학교 부속 대구한방병원 심계내과학교실) ;
  • 이보매나 (경북대학교 중어중문학과) ;
  • 장우석 (대구한의대학교 부속 대구한방병원 심계내과학교실) ;
  • 황하연 (대구한의대학교 부속 대구한방병원 심계내과학교실) ;
  • 백경민 (대구한의대학교 부속 대구한방병원 심계내과학교실)
  • Published : 2012.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study reviews the latest articles in Korea and other countries that studied oriental medicine treatment on poststroke depression. Methods : Korean articles were retrieved from the 9 major Korean web article search engines. Foreign articles were retrieved from PubMed. Article published date was from 2000 up to September 2012. There were no restrictions on the types of publication, but articles not available in full text were excluded. The methodological quality was assessed according to Cochrane's assessment of risk of bias and Newcastle-Ottawa quality assessment scale. Results : Twenty-two articles were included in this study. Eleven articles were published in Korea, the rest were published in China. Nine articles were randomized controlled trials (RCT), one article was a non-randomized study (NRS), four articles were case reports, three articles were cross-sectional studies, two articles were comparative studies. In RCT articles, risk of selection bias and performance bias were generally high, risk of detection bias was unclear. The NRS article took four stars in Newcastle-Ottawa quality assessment. Comparison Hamilton rating scale for depression score between oriental medicine treated group and western medicine treated group revealed that there was no remarkable difference in mean score changes after treatment on PSD. Conclusions : The results of this study suggest that oriental medicine treatment is as effective as western medicine treatment for PSD. In the future, more rigorous oriental medicine treatment studies should be conducted.

Keywords

References

  1. Bogousslavsky J, Caplan LR, eds. Stroke syndromes. 2nd ed. Cambridge: Cambridge university press; 2001, p. 285-301.
  2. 대한뇌졸중학회. 뇌졸중. 1판. 서울: 이퍼블릭; 2009, p. 417-20.
  3. Parikh RM, Robinson RG, Lipsey JR, Starkstein SE, Fedoroff JP, Price TR. The impact of poststroke depression on recovery in activities of daily living over a 2-year follow-up. Arch Neurol 1990;47:785-9. https://doi.org/10.1001/archneur.1990.00530070083014
  4. Sinyor D, Amato P, Kaloupek DG, Becker R, Goldenberg M, Coopersmith H. Post-stroke depression: relationships to functional impairment, coping strategies, and rehabilitation outcome. Stroke 1986;17:1102-7. https://doi.org/10.1161/01.STR.17.6.1102
  5. Robinson RG, Bolla-Wilson K, Kaplan E, Lipsey JR, Price TR. Depression influences intellectual impairment in stroke patients. Br J Psychiatry 1986;148:541-7. https://doi.org/10.1192/bjp.148.5.541
  6. Anderson CS, Linto J, Stewart-Wynne EG. A population-based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke 1995;26:843-9. https://doi.org/10.1161/01.STR.26.5.843
  7. House A, Knapp P, Bamford J, Vail A. Mortality at 12 and 24 months after stroke may be associated with depressive symptoms at 1 month. Stroke 2001;32:696-701. https://doi.org/10.1161/01.STR.32.3.696
  8. Morris PL, Robinson RG, Andrzejewski P, Samuels J, Price TR. Association of depression with 10-year poststroke mortality. Am J Psychiatry 1993;150:124-9. https://doi.org/10.1176/ajp.150.1.124
  9. Robinson RG. Poststroke depression: Prevalence, Diagnosis, Treatment, and disease progression. Biol Psychiatry 2003;54:376-87. https://doi.org/10.1016/S0006-3223(03)00423-2
  10. Bleuler EP. Textbook of psychiatry. New york: Macmillan; 1924, p. 27-30.
  11. Robinson RG, Kubos KG, Starr LB, Krishna R, Price TR. Mood disorders in stroke patients: Importance of location of lesion. Brain 1984; 107:81-93. https://doi.org/10.1093/brain/107.1.81
  12. Robinson RG, Starkstein SE. Current research in affective disorders following stroke. J Neuropsychiatry Clin Neurosci 1990;2:1-14. https://doi.org/10.1176/jnp.2.1.1
  13. Sinyor D, Jacques P, Kaloupek DG, Becker R, Goldenberg M, Coopersmith H. Poststroke depression and lesion location: an attempted replication. Brain 1986;109:537-46. https://doi.org/10.1093/brain/109.3.537
  14. Primeau F. Post-stroke depression: a critical review of the literature. Can J Psychiatry 1988;33:757-65. https://doi.org/10.1177/070674378803300816
  15. Johnson GA. Research into psychiatric disorder after stroke: the need for further studies. Aust N Z J Psychiatry 1991;25:358-70. https://doi.org/10.3109/00048679109062637
  16. Burvill P, Johnson G, Jamrozik K, Anderson C, Stewart-wynne E. Risk factors for post-stroke depression. Int J Geriatr Psychiatry 1997;12 :219-26. https://doi.org/10.1002/(SICI)1099-1166(199702)12:2<219::AID-GPS581>3.0.CO;2-E
  17. Whyte EM, Mulsant BH. Post stroke depression: epidemiology, pathophysiology, and biological treatment. Biol Psychiatry 2002;52:253-64. https://doi.org/10.1016/S0006-3223(02)01424-5
  18. 박동희, 연병길, 석재호. 뇌졸중후 우울증에서 병변 부위에 따른 우울증의 정도와 Dexamethasone 억제의 차이. 신경정신의학회지 1995;34(1):139-47.
  19. 이승환, 정한용. 노인에서의 뇌신경계 질환과 우울증. 노인정신의학회지 2003;7(2):131-42.
  20. 김세주, 김도훈, 최낙경, 김현철, 문유선, 김흥철 등. 급성 뇌졸중 환자에서 우울 및 불안 증상에 영향을 미치는 요인. 대한노인병학회지 2003; 7(30):230-42.
  21. 구정희, 이정우, 김성윤, 여진영, 유승돈, 전민호. 뇌졸중 입원 환자의 우울증과 기능적 회복의 상관관계 대한노인병학회지 2004;8(1):14-9.
  22. 전국한의과대학 신경정신과 교과서편찬위원회. 증보판 한의신경정신과학. 1판. 경기도: 집문당; 2010, p. 264-73, 366-78.
  23. 임선미, 신인순, 이선희, 서경화, 정유민, 장지은. 근거수준별 문헌의 질평가도구. 대한의사협회지 2011;54(4):419-29.
  24. Higgins JP, Greens S, eds. Cochrane handbook for systemic reviews of interventions. Ver.5.1.0. The Cochrane Collaboration:2011[cited 2012 sep 27]. Available from: http://www.cochrane -handbook.org.
  25. Wells GA, Shea B, O'Connell D, Peterson J, Welch V, Losos M, et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses [internet]. Ottawa: Ottawa Hospital Research Institude. c1996-2010 [cited 2012 Sep 27]. Available at: http://www. ohri.ca/programs/clinical_epidemiology/oxford.asp.
  26. 이정아, 이재혁, 임승만, 박상동. 뇌졸중 후 우울증과 일상생활 수행능력과의 상관관계. 동의신경정신과학회지 2000;11(2):149-54.
  27. 최정은, 김용석, 이경섭. 폐경 후 발병한 뇌졸중에 의한 2차성 우울증 치험 2례. 대한한방부인과학회지 2001;14(1):433-42.
  28. 김형도, 여인영, 서알안, 양태규, 박정미. 뇌졸중 아급성기에 발생한 우울증에 대한 한방치료의 효과. 대한한방내과학회 추계학술대회 2002:177-81.
  29. 이정훈, 박세진, 박상동. 뇌졸중후 우울증의 정도와 운동기능의 회복과의 상관관계에 대한 연구. 동의신경정신과학회지 2002;13(2):101-6.
  30. 나병조, 정재한, 최창민, 홍진우, 김태훈, 이준우, 등. 중풍후우울증에 대한 반하후박탕의 유효성 및 적응증 평가. 대한한방내과학회지 2005; 26(3):563-74.
  31. 장하정, 서주희, 김자영, 성우용, 임호제, 김진원, 등. 뇌졸중 환자의 우울과 수용간의 관계. 동의신경정신과학회지 2006;17(2):167-77.
  32. 선종주, 정세연, 황재웅, 김석민, 정재한, 최창민, 등. 중풍후우울증 환자에 대한 향기침요법의 임상적 연구. 대한한방내과학회지 2006;27(2) :480-7.
  33. 권소연, 허래경, 성기문, 제준태, 김동웅. 뇌교 경색 후 치매를 동반한 우울증 환자의 치험 1례. 대한한방내과학회 춘계학술대회 2010:241-9.
  34. 최지혜, 장석오, 이동엽, 방창호, 나란희, 김래희, 등. 뇌졸중후 우울증 환자에 대한 한방치료 호전 2례. 대한한방내과학회 추계학술대회 2010: 167-73.
  35. 제준태, 이상관. 뇌졸중 후 우울증에 대한 황련 해독탕 약침의 안전성 및 유효성 평가를 위한 임상 시험. 대한약침학회지 2010;13(2):67-73.
  36. 김진이, 이진환, 김수정, 서주희, 윤인애, 박은 영, 등. 한방치료와 Rogers의 인간중심적 상담 요법으로 호전된 뇌졸중 후 우울증 치험 2례. 동의신경정신과학회지 2010;21(4):187-206.
  37. Zhang C. The brain-resuscitation acupuncture method for treatment of post wind-stroke mental depression-a report of 45 cases. J Tradit Chin Med 2005;25(4):243-6.
  38. Liu SK, Zhao XM, Xi ZM. Incidence rate and acupuncture-moxibustion treatment of post-stroke depression. Chinese Acupuncture & Moxibustion 2006;26(7):472-4.
  39. He J, Shen PF. Clinical study on the therapeutic effect of acupuncture in the treatment of poststroke depression. Acupuncture Research 2007; 32(1):58-61.
  40. Tang QS. Progress and commentary on research of integrated Chinese and Western medicine on post-stroke depression. Chinese Journal of Integrated Traditional and Western Medicine 2007;27(9) :776-7.
  41. Fu JL, Zhao YW, Sun XJ. Efficacy and safety of Deanxit combined with Wuling Capsule in treating post-stroke depression: a randomized controlled trial. Journal of Chinese Integrative Medicine 2008;6(3):258-61. https://doi.org/10.3736/jcim20080307
  42. Li LT, Wang SH, Ge HY, Chen J, Yue SW, Yu M. The beneficial effects of the herbal medicine Free and Easy Wanderer Plus (FEWP) and fluoxetine on post-stroke depression. J Altern Complement Med 2008;14(7):841-6. https://doi.org/10.1089/acm.2008.0010
  43. Guo RY, Su L, Liu LA, Wang CX. Effects of Linggui Bafa on the therapeutic effect and quality of life in patients of post-stroke depression. Chinese Acupuncture & Moxibustion 2009;29(10) :785-90.
  44. Han H, Wu LM, Yang WM, Wang MX, Tang JJ, Wang H et al. Characteristics of traditional Chinese medicine syndromes in post-stroke depression. Journal of Chinese Integrative Medicine 2010;8(5):427-31. https://doi.org/10.3736/jcim20100505
  45. Wu JP. Clinical observation on acupuncture treatment of 150 cases of post-stroke depression according to syndrome differentiation. Acupuncture Research 2010;35(4):303-6.
  46. Li HJ, Zhong BL, Fan YP, Hu HT. Acupuncture for post-stroke depression: a randomized controlled trial. Chinese Acupuncture & Moxibustion 2011; 31(1):3-6.
  47. Nie RR, Huang CH, Fu WB. Observation of therapeutic effect on post stroke depression treated by differentiation of spleen and stomach. Chinese Acupuncture & Moxibustion 2011;31(4) :325-8.
  48. Zhang GC, Fu WB, Xu NG, Liu JH, Zhu XP, Liang ZH, et al. Meta analysis of the curative effect of acupuncture on post-stroke depression. J Tradit Chin Med 2012;32(1):6-11. https://doi.org/10.1016/S0254-6272(12)60024-7