Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
권호 표지
DOI QR코드

DOI QR Code

Qualitative Analysis of the Hwa-byung Recovery Process and Influencing Factors

  • Song, Seung-Yeon (Department of Neuropsychiatry, College of Korean Medicine, Kyung-Hee University) ;
  • Kim, Jong-Woo (Department of Neuropsychiatry, College of Korean Medicine, Kyung-Hee University) ;
  • Chung, Sun-Yong (Department of Neuropsychiatry, College of Korean Medicine, Kyung-Hee University)
  • Received : 2014.11.18
  • Accepted : 2014.12.04
  • Published : 2014.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: To describe the progress and influencing factors of Hwa-byung. Methods: Data were collected from semi-structured interviews. The progress of and recovery from Hwa-byung were examined using the collected experiences of eight middle-aged women who suffered from Hwa-byung. For analysis of the data collected, a Consensual Qualitative Research (CQR) methodology was used. Results: Of the eight participants who thought they had Hwa-byung, six were actually Hwa-byung patients and two were non-Hwa-byung patients. Four years later, four of the six Hwa-byung patients recovered, while the Hwa-byung of one patient persisted, and the remaining patient had circular Hwa-byung. Over time, the symptoms of Hwa-byung declined substantially. However, the patients recognized that their disease continuously persisted. Moreover, they thought their symptoms had worsened. Many types of changes were observed during the recovery period, including environmental, physical, cognitive, and emotional changes, as well as changes in attitudes toward others. Recovery factors included the reduction of stimuli, social support, exercise, treatment, control of rumination, and some cognitive changes. Conclusions: To recover from Hwa-byung, it is necessary for patients to experience changes in environment, cognition, and emotion, and to employ self-management in everyday life.

Keywords

References

  1. Kim JW, Hyun KC, Whang WW. A Study on the Origin of Hwabyung (Fire Syndrome). Journal of Oriental Neuropsychiatry. 1999;10(1):208-16.
  2. American Psychiatric A, American Psychiatric Association Task Force on D-I. Diagnostic and statistical manual of mental disorders. Washington, DC: American Psychiatric Association. 1994.
  3. Chung SY, Song SY, Kim JW. Clinical guidelines for Hwabyung II. (Research on the Status of Hwabyung in Korea). Journal of Oriental Neuropsychiatry. 2013;24(special 1): 15-22. https://doi.org/10.7231/jon.2013.24.Spc1.015
  4. Kim HK, Park JY. Prevalence and Related Factors of Hwabyung for the Aged Woman in Rural Community. Journal of Korean Public Health Nursing. 2004;18(2): 234-42.
  5. Lee JG, Lee JH. Study on the Prevalence of Hwa-Byung Diagnosed by HBDIS in General Population in Kang-won Province. Journal of Oriental Neuropsychiatry. 2008; 19(2):133-9.
  6. Hill CE, Thompson BJ, Williams EN. A Guide to Conducting Consensual Qualitative Research. The Counseling Psychologist. 1997;25(4):517-72. https://doi.org/10.1177/0011000097254001
  7. Min SG. A Study of the Concept of Hwabyung. Journal of the Korean Neuropsychiatric Association. 1989;28(4): 604-16.
  8. Min SK, Namkoong K, Lee HY. An Epidemiological study on Hwabyung. J Korean Neuropsychiatry Association. 1990;29(4):867-74.
  9. Lee SH. A study of Hwabyung. Journal Koryo General Hospital. 1977;1(2):63-9.
  10. Min SK, Park CS, Han JO. Defense Mechanisms and Coping Strategies in Hwabyung. Journal of the Korean Neuropsychiatric Association.1993;32(4):506-16.
  11. Chon KK, Whang WW, Kim JW, Park HK. Emotional Stress and Hwabyung (An Anger Syndrome). Korean Journal of Health Psychology. 1997;2(1):168-85.
  12. Kim JW, Chon KK, Lim JH. Exploration of Hwabyung (Anger syndrome) from the perspective of Korean constitutional medicine. Journal of Oriental Neuropsychiatry. 2001;12(2):193-203.
  13. Cobb S. Social support as a moderator of life stress. Psychosom Med. 1976;38(5):300-14. https://doi.org/10.1097/00006842-197609000-00003
  14. Kim SO. A Study of Self-Efficacy, Social Support, Health Promoting Lifestyle Profile for Middle Aged Men. Bulleun of Dongnam Health College. 2000;18(2):177-86.
  15. Lee JW, Kim Y, Yi SM, Eun HJ, Kim DI. Life Events, Coping Styles, Social Support, and Family Relationships of Middle-Aged Depressed Women. Journal of The Korean Neuropsychiatric Association. 1997;36(4):620-9.
  16. Gratz K, Roemer L. Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment. 2004;26(1):41-54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94
  17. Hohn P, Menne-Lothmann C, Peeters F, Nicolson NA, Jacobs N, Derom C, Thiery E, van Os J, Wichers M. Moment-to-Moment Transfer of Positive Emotions in Daily Life Predicts Future Course of Depression in Both General Population and Patient Samples. PLoS One. 2013;8(9):1-11.
  18. Eisner LR, Johnson SL, Carver CS. Positive affect regulation in anxiety disorders. J Anxiety Disord. 2009;23(5): 645-9. https://doi.org/10.1016/j.janxdis.2009.02.001

Cited by

  1. Analysis on Reports of Qualitative Research Published in Domestic Korean Medicine Journals vol.27, pp.2, 2016, https://doi.org/10.7231/jon.2016.27.2.077
  2. Attitudes toward Women’s Roles, Marital Satisfaction, and Hwa-Byung among Korean Married Couples vol.41, pp.2, 2014, https://doi.org/10.1007/s10447-018-9370-y