동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제31권1호
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  • Pages.1-12
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  • 2020
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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불면증 변증도구 신뢰도와 타당도 평가 및 심리검사와의 상관성에 대한 초기연구

A Pilot Study of Evaluating the Reliability and Validity of Pattern Identification Tool for Insomnia and Analyzing Correlation with Psychological Tests

  • 정진형 (대전대학교 한의과대학 한방신경정신과) ;
  • 이지윤 (대전대학교 한의과대학 한방신경정신과) ;
  • 김주연 (대전대학교 한의과대학 한방신경정신과) ;
  • 김시연 (대전대학교 둔산한방병원 임상연구센터) ;
  • 강위창 (대전대학교 리버럴아츠칼리지 통계학과) ;
  • 임정화 (부산대학교 한의학전문대학원 한방신경정신과) ;
  • 김보경 (부산대학교 한의학전문대학원 한방신경정신과) ;
  • 정인철 (대전대학교 둔산한방병원 임상연구센터)
  • Jeong, Jin-Hyung (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Lee, Ji-Yoon (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Kim, Ju-Yeon (Department of Oriental Neuropsychiatry, College of Korean Medicine, Daejeon University) ;
  • Kim, Si-Yeon (Clinical Trial Center, Dunsan Korean Medicine Hospital, Daejeon University) ;
  • Kang, Wee-Chang (Department of Statistics, H-Liveral Arts College, Daejeon University) ;
  • Lim, Jung Hwa (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University) ;
  • Kim, Bo Kyung (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University) ;
  • Jung, In Chul (Clinical Trial Center, Dunsan Korean Medicine Hospital, Daejeon University)
  • 투고 : 2020.03.06
  • 심사 : 2020.03.16
  • 발행 : 2020.03.30
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초록

Objectives: The purpose of this study was to evaluate the reliability and validity of the instrument on pattern identification for insomnia (PIT-Insomnia) and verify the correlation between PIT-Insomnia and psychological tests. Methods: Two evaluators examined the pattern identification of the participants who met insomnia disorder diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition (DSM-5) and took the Insomnia Severity Index (ISI) score over 15 once manually and twice using the PIT-Insomnia to measure the inter-rater and test-retest reliability. We also conducted the following surveys: the Pittsburgh Sleep Quality Index (PSQI), the Korean version of Beck's depression inventory (K-BDI), the Korean version of the State-Trait Anxiety Inventory (STAI-K), the Korean Symptom checklist-95 (KSCL-95), and the EuroQol-5 dimension (EQ-5D), to measure concurrent validity and correlation between the PTI-Insomnia and psychological tests. Results: 1. The test-retest reliability analysis of the pattern identification results showed moderate agreement, and test-retest reliability analysis of each pattern identification score showed agreements from poor to moderate. 2. The inter-rater reliability analysis of the pattern identification results via manual showed slight agreement, when analysis was performed with calibration, the inter-rater reliability analysis of the pattern identification results via manual showed fair agreement. 3. The concordance analysis between results via manual and the PIT-Insomnia showed poor agreement, when the analysis was performed with calibration, concordance analysis showed fair agreement. 4. The concordance analysis between the PIT-Insomnia and the PSQI showed positive linear correlation. 5. The concordance analysis between the PIT-Insomnia and the PSQI, K-BDI, STAI-K, KSCL-95, and EQ-5D showed that non-interaction between the heart and kidney have positive linear correlation with the K-BDI, anxiety item of KSCL-95, dual deficiency of the heart-spleen have positive linear correlation with somatization item of KSCL-95, paranoia item of KSCL-95, heart deficiency with timidity have positive linear correlation with stress vulnerability item of KSCL-95, parania item of KSCL-95, phlegm-fire harassing the heart have positive linear correlation with K-BDI, paranoia item of KSCL-95, depressed liver qi transforming into fire have positive linear correlation with the anxiety item of KSCL-95, parania item of KSCL-95, all pattern identification have negative linear correlation with EQ-5D. Conclusions: The PIT-Insomnia has moderate agreement of reliability and reflects the severity of insomnia since it has some concurrent validity with the PSQI. There are some correlations between the PTI-Insomnia with specific psychological tests, so we could suggest it can be used appropriately in the clinical situation.

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