Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Development of Korean Medical Psychotherapy and Preliminary Clinical Trial for Post Traumatic Stress Disorder

외상 후 스트레스 장애에 대한 한방정신요법 기반 심리치료 개발 및 예비적 임상시험

  • Kim, Jin-Hyung (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Sue, Joo-Hee (Department of Korean Neuropsychiatry, National Medical Center) ;
  • Lee, Go-Eun (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Kim, Nam-Kwen (Department of Opthalmology and Otolaryngology and Dermatology, School of Korean Medicine, Pusan National University) ;
  • Choi, Sung-Youl (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Lyu, Yeoung-Su (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Kang, Hyung-Won (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University)
  • 김진형 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 서주희 (국립중앙의료원 한방신경정신과) ;
  • 이고은 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 김남권 (부산대학교 한의학전문대학원 한방안이비인후피부과교실) ;
  • 최성열 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 유영수 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 강형원 (원광대학교 한의과대학 한방신경정신과교실)
  • Received : 2015.02.27
  • Accepted : 2015.03.12
  • Published : 2015.03.30
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Abstract

Post traumatic stress disorder (PTSD) is an anxiety disorder that usually occurs after suffering from a psychological trauma that can not threatening events, which is one of the individual's subjective pain and their families and the larger society due to the chronic disease burden results. Treatment with a medication, as well as cognitive behavioral therapy (CBT), exposure therapy, prolonged exposure therapy (PE), eye-movement desensitizing, and reprocessing (EMDR) are preferentially performed, including psychotherapy. Korean medical psychotherapy consists of a wide range of manual therapy, but it does not have systematically screening limits. This study was developed by Korean medical psychotherapy program for PTSD, and it was carried out as a preliminary clinical trial for validity. The Korean medical psychotherapy program for PTSD consists of four stages as follows: building chapter of safety, flow and send, accept, and integration. Based on this preliminary clinical study of PTSD, seven patients were treated for 2 hours per week for 5 weeks. We report the meaningful results gained by observing the changes in IES-RK points, questionnaire on five-faceted mindfulness, quality of life, anxiety, depression, insomnia, hwabyung scale, HRV, and EEG, before and after the Korean medical psychotherapy program.

Keywords

References

  1. The Textbook Compilation Committee of Neuropsychiatry of Oriental Medical schools in nation. The Neuropsychiatry of Oriental Medicine. Seoul. Jip Moon Dang. 2010; 235-42, 509-10, 676-724.
  2. Korean NeuroPsychiatric Association. Textbook of Neuropsychiatry. 2nd EDITION. Seoul:Chungang Munhwasa. 2011;222-34.
  3. Kim, W., Pae, C. U., Chae, J. H., Jun, T. Y., Bahk, W. M.. The Effectiveness of mirtazapine in the treatment of posttraumatic stress disorder: A 24-week continuation treatment. Psychiatry and Clinical Neuroscience (in press). 2005.
  4. Won-Myong Bahk, Kyoung-Uk Lee. Pharmaeotherapy of Posttraumatic Stress Disorder.The Korean journal of psychopharmacology. 2004;15:22-9.
  5. Golier, J. A., K. Caramanica, R. Demaria and R. Yehuda. "A Pilot Study of Mifepristone in Combat-Related PTSD" Depress Res Treat. 2012;251-393.
  6. National Institute for Clinical Excellence. Posttraumatic Stress Disorder (PTSD):The Management of Adults and Children in Primary and Secondary Care. London:NICE Guidelines. 2005.
  7. Kim MS. The Cognitive Behavioral Therapy for Posttrumatic Stress Disorder. Korea Journal of Psychotherapy. 2009;1(1):45-61.
  8. Kwon HI, Kwon JH. Prolonged Exposure for Post-Traumatic Stress Disorder: A Case Report. Cognitive behavioral therapy. 2005;5:11-23.
  9. Chae JH, Kim HG. Prolonged Exposure for Post-Traumatic Stress Disorder: A Case Report. Cognitive behavioral therapy. 2005;5:1-10.
  10. Kim DH. Eye Movement Desensitization and Reprocessing (EMDR) for Post-traumatic Stress Disorder. Journal of the Korean Neuropsychiatric Association. 2005;44:147-51.
  11. Hyun Nie Ahn. An Empirical Review of Complex Trauma. Korean Journal of Psychology: General. 2007;26(1):105-19.
  12. Ji Eun Shin, Boo Jin Park. The Effects of Mindfulness-Based Expressive Arts Therapy on Reducing PTSD Symptoms in Industrial Accident Victims. Korean journal of counseling and psychology. 2014;26(3):683-713.
  13. Valente, S. M.. Evaluating and Managing Adult PTSD in Prima Care. The Nurse Practitioner. 2010;35(11):41-7. https://doi.org/10.1097/01.NPR.0000388940.54617.99
  14. Min SG. The newest Psychiatry. The 5th Edition. Iljogak. 2008;346-51.
  15. Jeong Hyun Hwang, Jae Sang Ko, Jae Ik Bae, Byung Soo Koo, Geun Woo Kim. A Clinical Report of Three Patients with Acute Stress Disorder, Post-Traumatic Stress Disorder Treated by Oriental Medical Treatments. The Korean Society of Oriental Neuropsychiatry. 2011;22(3):75-85. https://doi.org/10.7231/JON.2011.22.3.075
  16. Sun Hong Kim, Yun Seub Sim. A Case With Traffic Accident Related Post-traumatic Stress Disorder. The Korean Society of Oriental Neuropsychiatry. 2003;14(1):175-81.
  17. Dongil Kim, Chanam Kwon, Taekyun Lee. A study about chronic pelvic pain as a post traumatic stress disorder which produced by rape. the Journal of Oriental Obstetrics & Gynecology. 2003;16(2):200-14.
  18. Hyun Woo Kim, Ho Jun Kim, Young Hoi Park, Dong Ho Keum, Myeong Jong Lee. Review of Post Traumatic Stress Disorder (PTSD) Symptoms in Traffic Accident Patients. Journal of Oriental Rehabilitation Medicine. 2006;16(1):35-47.
  19. Ji Eun Lee, Hea Sun Cheon, Chung Ryul Ryu, Myoung Rae Cho, Mi Seon Ryu. Comparative Study of General Oriental Medical Treatment and Damjeonggyeok Acupuncture on Pain and Post-Traumatic Stress Disorder due to Trafiic Accident. Journal of Korean acupuncture & moxibustion medicine society. 2009;26(6):151-9.
  20. Kyoung Mo Ko, Sung Hun Choi, Jae Su Kim, Seo Young Park, Yun Kyu Lee, Yoon Kyoung Lee, Kyung Min Lee, Bong Hyo Lee, Seong Chul Lim, Hong Sik Choi, Eun Kyung Lee, Tae young Chung, Jung Chul Seo. Original Article: The Clinical Study On Posttraumatic Stress Disorder Patients due to a Serise of Traffic Accidents-SCL-90-R-. Journal of Korean acupuncture & moxibustion medicine society. 2007;24(6):63-8.
  21. Jae Uk Sul, Se Jin Kim, Il Moon Chung, Su Youn Kim, Kyeong Ok Kim, Ha Jeong Jang, Jin Bong Choi. Minnesota Multiphasic Personality Inventory Responses of Traffic Accidental Patients-Followed the Type of Traffic Accident, Posttraumatic Stress Disorder and Sex-. Journal of Oriental Rehabilitation Medicine. 2006;16(3):137-48.
  22. Yong Ju Kwon, Sung Hun Cho. Oriental medical Intervention Research for Post traumatic stress disorder-A Model of Oriental medicine for Disaster Mental Health-. The Korean Society of Oriental Neuropsychiatry. 2011; 22(4):77-86. https://doi.org/10.7231/JON.2011.22.4.077
  23. Ha, Sang Kyu. Prevention of stress induced behavioral phenotypes by Radix Polygalae in post-traumatic stress disorder mice. Department of East-West Medical Science. Graduate School of East-West Medical Science Kyung Hee University. Seoul. Korea. Doctoral Dissertation. 2013.
  24. Park JM, Lee GE, Joo-Hee Sue, Dal-Bit Bae, Sung-youl Choi, Hyung-won Kang. A case report for PTSD patients based on Mindfulness & Ii-Gyeung-Byun-Qi therapy. The Korean Society of Oriental Neuropsychiatry. 2014;25(1):73-84. https://doi.org/10.7231/jon.2014.25.1.073
  25. Sue JH, Ryu CG, Cho AR, Lee GE, Lyu YS, Kang HW. Research Status on Psychotherapy in Korean Medicine. J of Oriental Neuropsychiatry. 24(special 1):63-88. 2013.
  26. Kim YD, Heo In, Shin BC, Cindy Crawford, Kang HW, Lim JH. Acupuncture for Posttraumatic Stress Disorder: A Systematic Review of Randomized Controlled Trials and Prospective Clinical Trials. Evidence-Based Comloementary and Alternaive Medicine. 2013.
  27. Sue JH, Kang HW. An Introduction of Hakomi Therapy and Its Application to Korean Medicine. J of Oriental Neuropsychiatry. 24(special 1):101-18. 2013. https://doi.org/10.7231/jon.2013.24.Spc1.101
  28. Porges, S.W. The polyvagal theory:New insights into adaptive reactions of the autonomic nervous system. CLEVELAND CLINIC JOURNAL OF MEDICINE. 76(SUP2):86-90. 2009. https://doi.org/10.3949/ccjm.76.s2.17
  29. Hayes, S. C., Strosahl, K. & Wilson, K. G.. Acceptance and commitment therapy:An experiential approach to behavior change. New York:Guilford Press. 1999.
  30. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A Study on Reliability and Validity of the Korean Version of Impact of Event Scale-Revised. Journal of the Korean Neuropsychiatric Association. 2005; 44(3):303-10.
  31. Bo Ra Nam, Ho In Kwon, Jung Hye Kwon. Psychometric Qualities of the Korean Version of the Posttraumatic Diagnosis Scale(PDS-K). The Korean Journal of Clinical Psychology. 2010;29(1):147-67. https://doi.org/10.15842/kjcp.2010.29.1.009
  32. Mimeault V, Morin CM. Self-help treatment for insomnia : bibliotherapy with and without professional guidance. J Consult Clin Psychol. 1999;67(4):511-9. https://doi.org/10.1037/0022-006X.67.4.511
  33. Lee YH, Song JY. A Study of the Reliability and the Validity of the BDI, SDS, and MMPI-D Scales. The Korean Journal of Psychology. 1991;10(1):98-113.
  34. Kim CY. Psychiatric Assessment Instruments. Seoul; Hanauihaksa.2010;120-3, 223-5.
  35. Jung Hye Kwon, Jong Woo Kim, Dong Gun Park, Min Soo Lee, Sung Gil Min, Ho In Kwon. Development and validation of the Hwa-Byung Scale. The Korean Journal of Clinical Psychology. 2008;27(1):237-52. https://doi.org/10.15842/kjcp.2008.27.1.014
  36. Dae Myung Park, Sang Ryong Lee, Wee Chang Kang, In Chul Jung. Preliminary Study to Develop the Instrument of Pattern Identification for Jing Ji and Zheng Chong. The Korean Society of Oriental Neuropsychiatry. 2010;21(2):1-15.
  37. GukYukpyunju Euihakyipmun I (國譯編註 醫學入門 I). Namsandang. pp.13-4. 1988.
  38. Yang you-gul (compile). Hwangjaenaegyung haesuk So-mun(黃帝內經解釋 素問). Seoul: Sungbosa. p.35, 304, 664. pp.108-12, 1980.
  39. Song Seungyeon, Cho Hyunju, Kim Sangyoung, Kim Jongwoo. Qualitative Analysis of the Experiences in Mindfulness-Based Stress Reduction (MBSR) on Hwa-Byung Patients. The Korean Society of Oriental Neuropsychiatry. 2012;23(4):153-68. https://doi.org/10.7231/jon.2012.23.4.153

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