Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Predictors of Clinical Efficacy of Oriental Medical Treatment in Patients with Panic Disorder

공황장애의 한의학적 치료 효과 및 예측 인자 연구

  • Yoo, Jong-Ho (Haneum Neuropsychiatry Clinic of Korean Medicine) ;
  • Heo, Eun-Jung (Department of Neuropsychiatry Medicine, College of Korean Medicine, Won-Kwang University) ;
  • Kim, Nam-Yeol (Department of Neuropsychiatry Medicine, College of Korean Medicine, Dong-Guk University) ;
  • Lee, Yu-Jin (Haneum Neuropsychiatry Clinic of Korean Medicine) ;
  • Kim, Geun-Woo (Department of Neuropsychiatry Medicine, College of Korean Medicine, Dong-Guk University)
  • 유종호 (한음 한방신경정신과 한의원) ;
  • 허은정 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 김남열 (동국대학교 한의과대학 한방신경정신과교실) ;
  • 이유진 (한음 한방신경정신과 한의원) ;
  • 김근우 (동국대학교 한의과대학 한방신경정신과교실)
  • Received : 2015.05.19
  • Accepted : 2015.09.07
  • Published : 2015.09.30
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Abstract

Objectives: The purpose of this study is to identify predictors of clinical efficacy of oriental medical treatment for patients with panic disorder. Methods: We analyzed medical records of 41 patients who were diagnosed with panic disorder through DSM-IV or ICD-10 by 2 oriental medical neuro-psychiatrists. We performed frequency analysis of demographic characteristics in patients with panic disorder, and assessed the correlation between the psychological scales by Pearson correlation. Repeated measures ANOVA were used to compare the psychological scales during the treatment; and Single regression analysis was used to analyze the factors that have correlation to improvement of panic disorder by oriental medical treatment. Psychological scales used in the study were STAI-X-1/2, STAXI-S/T, BDI2, BAI, BSQ, PAS, ASI, LOT-R, SWLS, LSES and LSMS. Results: Patients' demographic characteristics indicated that there were twice more female than male patients; furthermore, there was a high ratio of patients in their 20s and 30s, with the highest percentage of onset-age in the 20s and average duration of panic disorder from 1~5 years. More than half of the total patient cohort comprised of those who had panic disorder with agoraphobia and major depressive disorder; in addition, major accompanied symptoms were dyspepsia, chest discomfort and headache. After treatment, most scores of psychological scales were significantly reduced, and correlation between the psychological scales was significant. Furthermore, we identified some factors that were significantly correlated to improvement of panic disorder by oriental medical treatment. Conclusions: In conclusion, treatment of panic disorder with oriental medicine was clinically efficient and improved the quality of life.

Keywords

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders(4th ed). Washington DC: American Psychiatric Association. 1994:393-444.
  2. Van Balkom AJ, van Boeijen CA, Boeke AJ, van Oppen P, Kempe PT, van Dyck R. Comorbid depression, but not comorbid anxiety disorders, predicts poor outcome in anxiety disorders. Depress Anxiety. 2008;25:408-15. https://doi.org/10.1002/da.20386
  3. Zhang ZJ, Jung Kyung Jeon Seo. Seoul: Daesungmunhwasa. 1984:592-3.
  4. Korea Bio Medical Science Institute. Dictionary of Oriental Medicine. Seoul: Seongbosa. 2000:2022.
  5. Lou SQ, Ui Hak Gang Mok. Tainan: Buk Il Publishing Co. 1977:1-2.
  6. Kessler RC, et al. The epidemiology of panic attacks, panic disorder and agoraphobia in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2006; 63:415-24. https://doi.org/10.1001/archpsyc.63.4.415
  7. Seoul National University college of Medicine. The epidemiological survey of mental disorders in Korea. Seoul: Seoul National University college of Medicine. 2011: 18-20, 252-69.
  8. National Health Insurance Corporation. Benefits by Classification of 22 Disease Categories (2004-2011). National Health Insurance Service. 2012.
  9. Park HS, Lee CI, Kin YC, Kim JW. A survey on the cognitive characteristics of panic disorder. The Korean Journal of Clinical Psychology. 1997;16(2):1-13.
  10. Lee JE, Lee HS. A comparison of the psychological characteristics of anxiety disorder patients with and without panic disorder - focusing on MMPI and Rorschach responses-. The Korean Journal of Clinical Psychology. 2009;28(2):437-58. https://doi.org/10.15842/kjcp.2009.28.2.007
  11. Won HT, Park YS, Kwon SM. A Study on the development of the Korean versions of Panic Scales. The Korean Journal of Clinical Psychology. 1995;14:95-110.
  12. Won HT, Park YS, Kwon SM. Characteristics of Patients with Anxiety Disorders in Thought Contents. Psychology. 1996;5(1)1-12.
  13. Kim JH, Gug YJ, Choi SY, Kim TH, Lyu YS, Kang HW. The study on characteristics of panic disorder through clinical and personality scales in MMPI of patients with panic disorder. J of Orinetal Neuropsychiatry. 2005;16(1):129-42.
  14. American Psychiatric Association. Practice guideline for the treatment for patients with panic disorder. Am J Psychiatry. 1998;155:1-34. https://doi.org/10.1176/ajp.155.1.1
  15. Baldwin DS, et al. Evidence-based guidelines for the pharmacological treatment of anxiety disorders. J Psychopharmacol. 2005;19:567-96. https://doi.org/10.1177/0269881105059253
  16. Canadian Psychiatric Association. Clinical practice guidelines. Management of anxiety disorders. Can J Psychiatry. 2006;51:9-91.
  17. Hahn DW, Lee CH, Chon KK. Korean Adaptation of Spielberger's STAI (K-STAI). Korean journal of health psychology. 1996;1:1-14.
  18. Kim MS, Lee IS, Lee CS. The validation study I of Korean BDI-II: In female university students. The Korean Journal of Clinical Psychology. 2007;26(4):997-1014. https://doi.org/10.15842/kjcp.2007.26.4.011
  19. Chon KK, Hahn DW, Lee CH. Anger and Blood Pressure: Korean Adaptation of the State-Trait Anger Expression Inventory. Korean journal of health psychology. 1997; 2(1):60-78.
  20. Yook SP, KIM JS. Comparative study of patient and non-patient: A clinical study on the Korean version of Beck Anxiety Inventory. The Korean Journal of Clinical Psychology. 1997;16(1):185-97.
  21. Eom YM. Effects of Hypnosis-Cognitive Behavioral Therapy Program on Panic Attack and Agoraphobia, Anxiety and Depression With Panic Disorder Clients. Hongik University Graduate School. 2009.
  22. Lee TS. The Effects of Mindfulness Meditation on Reduce the Musculoskeletal Pain of Female High School Students. Duksung Women's University Graduate School. 2008.
  23. Kim JH. The Relationship between Life Satisfaction/Life Satisfaction Expectancy and Stress/Well-Being: An Application of Motivational States Theory. Korean journal of health psychology. 2007;12:325-45. https://doi.org/10.17315/kjhp.2007.12.2.003
  24. Jung DG, et al. Neuropsychiatry of Korean medicine. Seoul: Jipmundang. 2012:242, 272, 644-54, 676-724.
  25. Korean Neuro Psychiatric Association. Neuropsychiatry. Seoul; Hanauihaksa. 1998:415-9.
  26. Katsching H, et al. The long-term course of panic disorder and its predictor. J Clin Psychopharmacol. 1998; 18:6-11. https://doi.org/10.1097/00004714-199812001-00003
  27. Suh HS. Evidence-based pharmacotherapy for panic disorder. J Kor Med Assoc. 2010;53(10):913-21. https://doi.org/10.5124/jkma.2010.53.10.913
  28. Pollack MH, et al. WCA recommendations for the longterm treatment of panic disorder. CNS Spectrums 2003; 8:17-30.
  29. Executive Committee for Korean Medication Algorithm for Panic Disorder. Korean medication algorithm project for panic disorder 2008. Seoul:ML Communication. 2008.
  30. Marchesi C, et al. Predictors of symptom resolution in panic disorder after one year of pharmacological treatment: a naturalistic study. Pharmacopsychiatry. 2006;39: 60-5. https://doi.org/10.1055/s-2006-931543
  31. Min SG. Modern Psychiatry. Seoul: Iljogak. 2004:301-8.
  32. Yoon DR, Lee JS, Noh HI, Yi SR, Ryu JH. Single Hospitalbased Clinical Analysis of 1,119 Patients visited Oriental Medical Hospital Emergency Room. Korean J of Oriental Intenal Medicine. 2012;33(2)188-96.
  33. Suh HU, Hwang EY, Jung SY, Kim JW. A case of a panic disorder (with agoraphobia) patient improved by herbal extracts - Gyejigayouggolmoryo-tang and Jakyakgamcho-tang. J of Ori Neuropsychiatry. 2010;21(4):207-18.

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