DOI QR코드

DOI QR Code

불안에 대한 태극권 치료의 해외 임상연구 동향

A Review on Clinical Research Trends in the Treatment of Tai Chi on Anxiety

  • 김주영 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 홍민호 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 구병수 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 김근우 (동국대학교 한의과대학 한방신경정신과학교실)
  • Kim, Ju-Young (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Hong, Min-Ho (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Koo, Byung-Su (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Kim, Geun-Woo (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University)
  • 투고 : 2019.08.24
  • 심사 : 2019.09.23
  • 발행 : 2019.09.30

초록

Objectives: This study was performed to review the research trends in the treatment of Tai Chi on anxiety. Methods: We searched for articles in Pubmed and China National Knowledge Infrastructure (CNKI) from January 2009 to December 2018. The selected studies were evaluated by Jadad Scale. Results: One pre-post comparison study and seven controlled clinical trials were selected. HAMA (Hamilton Rating Scale for Anxiety) and STAI (State Anxiety Inventory) were the most frequently used diagnostic criteria. For outcome measurement, STAI was again the most commo. From Jadad Quality Assessment Scale of 8 articles, the overall quality of the studies was low. Conclusions: According to this study, it seemed that Tai Chi treatment on anxiety disorder is an effective and safe intervention. Therefore, based on this study, more clinical research on diverse forms of treatments of anxiety disorder should be performed in Korean medicine in the near future.

키워드

참고문헌

  1. Hong JP. 2016 The Survey of Mental Disorders in Korea. Ministry of Health and Welfare, Samsung Medical Center. 2016. 14-5.
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders Fifth edition. Seoul. Hakjisa. 2015:199-247, 289-300.
  3. Korean NeuroPsychiatric Association. Textbook of Neuropsychiatry. Seoul. iMiS company. 2016:309-36, 357-66.
  4. Korea neuropsychiatry association. Textbook of Neuropshychiatry. 2nd. Seoul:Joongang. 2005:202-3.
  5. Min SG. Modern Psychiatry. Seoul. Iljogak. 2015:344-70, 389-95.
  6. Reinecke A, Hoyer J, Rinck M, Becker ES. Cognitive-behavioural therapy reduces unwanted thought intrusions in generalized anxiety disorder. Journal of Behavior Therapy and Experimental Psychiatry. 2013;44(1):1-6. https://doi.org/10.1016/j.jbtep.2012.06.003
  7. Wang WC, Zhang AL, Rasmussen B, Lin LW, Dunning T, Kang SW, Park BJ, Lo SK. The effect of Tai Chi on psychosocial well-being: a systematic review of randomized controlled trials. Journal of Acupuncture & Meridian Studies. 2009;2(3):171-81. https://doi.org/10.1016/S2005-2901(09)60052-2
  8. Park YJ, Kim MS. Effect of Tai Chi Exercise Program on Anxiety, Powerlessness, and Self-esteem in Elderly Women. Journal of Muscle and Joint Health. 2011;18(2):147-57. https://doi.org/10.5953/JMJH.2011.18.2.147
  9. Ahn YJ, Jo SH, Lee SH, Lim JH. The Review Study on Yoga, Qigong, and Taichi Interventions for Anxiety: Based on Korean Journal Articles from 2009 to 2015. Jounral of Oriental Neuropsychiatry. 2016;27(1):23-31. https://doi.org/10.7231/jon.2016.27.1.023
  10. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, McQuay HJ. Assessing the quality of reports of randomized clinical trials: Is blinding necessary. Controlled Clinical Trials. 1996;17(1):1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  11. Field T, Diego M, Hernandez-Reif M. Tai chi/yoga effects on anxiety, heartrate, EEG and math computations. Complementary Therapies in Clinical Practice. 2010;16(4):235-8. https://doi.org/10.1016/j.ctcp.2010.05.014
  12. Song QH, Shen GQ, Xu RM, Zhang QH, Ma M, Guo YH, Zhao XP, Han YB. Effect of Tai Chi exercise on the physical and mental health of the elder patients suffered from anxiety disorder. International Journal of Physiology, Pathophysiology and Pharmacology. 2014;6(1):55-60.
  13. Caldwell KL, Bergman SM, Collier SR, Triplett NT, Quin R, Bergquist J, Pieper CF. Effects of tai chi chuan on anxiety and sleep quality in young adults: lessons from a randomized controlled feasibility study. Nature and Science of Sleep. 2016;8:305-14. https://doi.org/10.2147/NSS.S117392
  14. Zheng S, Kim C, Lal S, Meier P, Sibbritt D, Zaslawski C. The Effects of Twelve Weeks of Tai Chi Practice on Anxiety in Stressed But Healthy People Compared to Exercise and Wait-List Groups-A Randomized Controlled Trial. Journal of Clinical Psychology. 2018;74(1):83-92. https://doi.org/10.1002/jclp.22482
  15. Rawtaer I, Mahendran R, Yu J, Fam J, Feng L, Kua EH. Psychosocial interventions with art, music, Tai Chi and mindfulness for subsyndromal depression and anxiety in older adults: A naturalistic study in Singapore. Asia-Pacific Psychiatry. 2015;7(3):240-50. https://doi.org/10.1111/appy.12201
  16. Field T, Diego M, Delgado J, Medina L. Tai chi/yoga reduces prenatal depression, anxiety and sleep disturbances. Complementary Therapies in Clinical Practice. 2013;19(1):6-10. https://doi.org/10.1016/j.ctcp.2012.10.001
  17. Zhang XA. The observation to the efficacy of Tai Chi chuan training in the treatment of generalized anxiety disorder. Medical Jounral of Chinese People's Health. 2001;23(8):929,938.
  18. Li W, Yang T, Zhou HT, Cao JM. Evaluation of long-term Tai Chi exercise in the consolidation treatment of elderly anxiety patients. Chinese Journal of Gerontology. 2017;37(8):1992-4.
  19. Kim KM, Kim MK, Lee SH. Neurobiological Basis of Anxiety Related Disorders. Korean Journal of Biological Psychiatry 2014:21(4).
  20. McNaughton N. Cognitive dysfunction resulting from hippocampal hyperactivity-a possible cause of anxiety disorder?. Pharmacology Biochemistry and Behavior 1997;56(4):603-11. https://doi.org/10.1016/S0091-3057(96)00419-4
  21. Nemeroff CB, The role of GABA in the pathophysiology and treatment of anxiety disorders. Psychopharmacology Bulletin. 2003;37(4):133-46.
  22. Barlow DH. Unraveling the mysteries of anxiety and its disorders from the perspective of emotion theory. American Psychologist Journal. 2000;55(11);1247-63. https://doi.org/10.1037/0003-066X.55.11.1247
  23. Judith AR. Approaches to art therapy: Theory and technique. Routledge, 2012;171-177, 210-6.