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Can Data-Driven Analysis Demonstrate the Plausibility of Traditional Medical Typology?

  • Chae, Han (School of Korean Medicine, Pusan National University) ;
  • Lee, Siwoo (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Lee, Soo Jin (Department of Psychology, Kyungsung University)
  • Received : 2021.11.15
  • Accepted : 2021.12.02
  • Published : 2021.12.30

Abstract

Objectives: Although medical typologies based on indigenous biopsychological ideas have been described, their integrity has been questioned due to its theory-driven nature in categorization. Therefore, studies on the Sasang typology, a temperament-based traditional Korean medicine, are needed to examine whether it is possible to classify types of specific biopsychological profiles using data-driven analysis. Methods: Psychological measures of the Eastern Sasang Personality Questionnaire (SPQ) and Western NEO-Personality Inventory (NEO-PI) along with physical measures and Sasang types were acquired from 2,049 participants. Latent groups based on the SPQ and NEO-PI subscale scores were extracted using Latent Profile Analysis. Their psychosomatic features were then compared with those of Sasang types. Results: Three SPQ-based latent groups showed distinctive psychological and physical features consistent with those of Sasang types. However, four NEOPI-based latent groups presented only psychological features. Furthermore, SPQ-High and SPQ-Low latent groups demonstrated similar psychosomatic profiles to those of So-Yang and So-Eum Sasang types, respectively. Conclusions: This study illustrates that biopsychological profiles of Sasang types are supported by psychosomatic features of latent groups based on SPQ of Eastern psychology, signifying that the categorization of Sasang typology have acceptable validity and reliability.

Keywords

Acknowledgement

This study was conducted with the support of BIG project of KIOM, grant no. KSN2022120.

References

  1. Lee SJ, Park SH, Cloninger CR, Kim YH, Hwang M, Chae H. Biopsychological traits of Sasang typology based on Sasang personality questionnaire and body mass index. BMC Complement Altern Med. 2014;14(1):315. https://doi.org/10.1186/1472-6882-14-315
  2. Pailhez G, Bulbena A. Body shape and psychiatric diagnosis revisited. International Journal of Psychiatry in Clinical Practice. 2010;14(4):236-43. https://doi.org/10.3109/13651501.2010.505344
  3. Chae H, Park SH, Lee SJ, Kim M-g, Wedding D, Kwon Y. Psychological profile of sasang typology: a systematic review. Evid Based Complement Alternat Med. 2009;6(s1):21-9. https://doi.org/10.1093/ecam/nep079
  4. Chae H, Lyoo IK, Lee SJ, Cho S, Bae H, Hong M, Shin M. An alternative way to individualized medicine: psychological and physical traits of Sasang typology. J Altern Complement Med. 2003;9(4):519-28. https://doi.org/10.1089/107555303322284811
  5. Kretschmer E, Sprott W. Physique and Character: An Investigation of the Nature of Constitution and of the Theory of temperament. New Yrok: Harcourt Brace. 1925.
  6. Sheldon WH, Stevens SS, Tucker WB. The varieties of human physique : an introduction to constitutional psychology. New York: Harper. 1940.
  7. Veith I. The Yellow Emperor's Classic of Internal Medicine. Baltimore, Md, USA: Williams & Wilkins Co. 1949.
  8. Sumantran VN, Tillu G. Insights on personalized medicine from Ayurveda. J Altern Complement Med. 2013;19(4):370-75. https://doi.org/10.1089/acm.2011.0698
  9. Chae H, Kown Y. Best-fit index for describing physical perspectives in Sasang typology. Integr Med Res. 2015;4(1):20-8. https://doi.org/10.1016/j.imr.2014.11.001
  10. Lim SH, Jeon ES, Lee J, Han SY, Chae H. Pharmacognostic outlooks on medical herbs of Sasang typology. Integr Med Res. 2017;6(3):231-9. https://doi.org/10.1016/j.imr.2017.06.005
  11. Chae H, Lee J, Jeon ES, Kim JK. Personalized acupuncture treatment with Sasang typology. Integr Med Res. 2017;6(4):329-36. https://doi.org/10.1016/j.imr.2017.07.002
  12. Chae H, Lee S, Park SH, Jang E, Lee S. Development and validation of a personality assessment instrument for traditional Korean medicine: Sasang Personality Questionnaire. Evid Based Complement Alternar Med. 2012;2012:657013.
  13. Chae H, Cho YI, Lee SJ. The Yin-Yang personality from biopsychological perspective using revised Sasang Personality Questionnaire. Integr Med Res. 2021;10(1):100455. https://doi.org/10.1016/j.imr.2020.100455
  14. Chae H, Hwang Y, Kim MS, Baek Y, Jeong KJ, Lee J, Lee S, Lee SJ. Study on the Sasang type diagnosis using objective biopsychological measures. J Sasang Constitut Med. 2021;33(2):1-13. https://doi.org/10.7730/JSCM.2021.33.2.1
  15. Han JH, Lee HS, Lee J, Lee SJ, Chae H. Systematic review of Sasang typology studies from psychological perspective. J Sasang Constitut Med. 2019;31(1):36-64. https://doi.org/10.7730/JSCM.2019.31.1.36
  16. Han YR, Lee HB, Han SY, Kim BJ, Lee SJ, Chae H. Systematic review of type-specific pathophysiological symptoms of Sasang typology. Integr Med Res. 2016;5(2):83-98. https://doi.org/10.1016/j.imr.2015.11.002
  17. Lee MS, Sohn K, Kim YH, Hwang M-W, Kwon Y, Bae NY, Chae H. Digestive system-related pathophysiological symptoms of Sasang typology: Systematic review. Integr Med Res. 2013;2(2):39-48. https://doi.org/10.1016/j.imr.2013.04.001
  18. Song KH, Yu S-G, Kim JY. Prevalence of metabolic syndrome according to Sasang constitutional medicine in Korean subjects. Evid Based Complement Alternat Med. 2012;2012:646794.
  19. Lee J, Lee J, Lee E, Yoo J, Kim Y, Koh B. The Sasang constitutional types can act as a risk factor for hypertension. Clin Exp Hypertens. 2011;33(8):525-32. https://doi.org/10.3109/10641963.2011.561901
  20. Choi K, Lee J, Yoo J, Lee E, Koh B, Lee J. Sasang constitutional types can act as a risk factor for insulin resistance. Diabetes Res Clin Pract 2011;91(3):e57-e60. https://doi.org/10.1016/j.diabres.2010.11.017
  21. Kim Y, Kim T-Y, Park S, Jang E. Sasang constitution may act as a risk factor for post traumatic stress disorder. J Sasang Constitut Med. 2020;32(1):22-9. https://doi.org/10.7730/JSCM.2020.32.1.22
  22. Chae H. Comment on "Manifestations of sasang typology according to common chronic diseases in koreans". Evid Based Complement Alternat Med. 2020;2020:8706183. https://doi.org/10.1155/2020/8706183
  23. Bae N-Y, Lee E-J. Clinical practice guideline for Sasang constitutional medicine: prevention and risk fators of sasangin disease. J Sasang Constitut med. 2015;27(1):82-109. https://doi.org/10.7730/JSCM.2015.27.1.082
  24. Lee SK, Yoon DW, Kim JY, Kim JK, Yi H, Lee S, Abbott Robert D, Shin C. Association of Sasang constitutional type with Bone Mineral Density, Osteopenia, and Osteoporosis. J Sasang Constitut Med. 2020;32(3):33-45. https://doi.org/10.7730/JSCM.2020.32.3.33
  25. Lee SJ, Park SH, Chae H. Biopsychological structure of Yin-Yang using Cloninger's Temperament model and Carver and White's BIS/BAS scale. PeerJ. 2016;4:e2021-e2021. https://doi.org/10.7717/peerj.2021
  26. Kim MS, Hwang Y, Pakr SJ, Lee J, Kim J, Lee SJ, Chae H. Systematic review on the use of Sasang Personality Questionnaire in traditional Korean medicine. J Orient Neuropsychiatry. 2021;32(3):167-84. https://doi.org/10.7231/JON.2021.32.3.167
  27. Gerlach M, Farb B, Revelle W, Nunes Amaral LA. A robust data-driven approach identifies four personality types across four large data sets. Nature Human Behaviour. 2018;2(10):735-42. https://doi.org/10.1038/s41562-018-0419-z
  28. Chae H, Park SH, Garcia D, Lee SJ. Cloninger's TCI associations with adaptive and maladaptive emotion regulation strategies. PeerJ. 2019;7:e7958. https://doi.org/10.7717/peerj.7958
  29. Lanza ST, Flaherty BP, Collins LM. Latent class and latent transition analysis. Handbook of psychology. 2003:663-85.
  30. Lee SJ, Choi YJ, Chae H. The effects of personality traits on academic burnout in Korean medical students. Integr Med Res. 2017;6(2):207-13. https://doi.org/10.1016/j.imr.2017.03.005
  31. Hyun MK, Baek Y, Lee S. Association between digestive symptoms and sleep disturbance: a cross-sectional community-based study. BMC Gastroenterology. 2019;19(1):34. https://doi.org/10.1186/s12876-019-0945-9
  32. Kang K-R, Hwang S-M, Park S-J, Chae H. A comparative study on traditional constitutional medicine in the world. Kor J Orient Med. 2009;15(3):35-43.
  33. Baek Y-H, Jang E-S, Park K, Yoo J, Jin H-J, Lee S-W. Development and Validation of Brief KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) Based on Body Shape, Temperament and Symptoms. J Sasang Constitut Med. 2015;27(2):211-21. https://doi.org/10.7730/JSCM.2015.27.2.211
  34. Park J-E, Shin C, Lee S. Effect of Lifestyle Factors on Hypertension by Constitution Type: A Large Community-Based Study. Evid Based Complement Alternat Med. 2019;2019:3231628.
  35. Bae K-H, Kim S-H, Go H-Y, Park K-H, Lee S, Lee S. One year test-retest reliability of the Korea Sasang constitutional diagnostic questionnaire (KS-15) in university students. J Sasang Constitut Med. 2019;31(2):12-21. https://doi.org/10.7730/JSCM.2019.31.2.12
  36. Kim Y, Jang E. Test-retest reliability of brief KS-15-Korean Sasang constitutional diagnostic questionnaire. Journal of Physiology & Pathology in Korean Medicine. 2016;30(3):177-83. https://doi.org/10.15188/kjopp.2016.06.30.3.177
  37. Lee SJ, Han SY, Kim HY, Choi MH, Chae H. Yin-Yang temperament and psychopathological behavior in middle school students. J Orient Neuropsychiatry. 2017;28(2):61-72. https://doi.org/10.7231/JON.2017.28.2.061
  38. Hwang BK, Yoon Y-J, Han SY, Lee SJ, Chae H. Validity of Yin-Yang temperament in Sasang Personality Questionnaire. Integr Med Res. 2018;7(1):77-84. https://doi.org/10.1016/j.imr.2018.01.001
  39. McCrae R, Costa P. Toward a new generation of personality theories: Theoretical contexts for the five-factor model. In: Wiggins JS editor. The five-factor model of personality: Theoretical perspectives. New York, NY, USA:Guilford Press. 1996, 51-87.
  40. Min B, Lee K, Jeong J. NEO-PI-R. Seoul: PSI Consulting. 1997.
  41. Jang E, Kim JY, Lee H, Kim H, Baek Y, Lee S. A Study on the Reliability of Sasang Constitutional Body Trunk Measurement. Evid Based Complement Alternat Med. 2012;2012:604842.
  42. Rohrer F. The index of corpulence as measure of nutritional state. Munchner Med. 1921;68:580-2.
  43. Seltzer CC. Some re-evaluations of the build and blood pressure study, 1959 as related to ponderal index, somatotype and mortality. New Eng J Med. 1966;274(5):254-9. https://doi.org/10.1056/NEJM196602032740505
  44. World Health Organization tFaAOotUN, or the United Nations University. Energy and protein requirements: report of a joint FAO/WHO/UNU Expert Consultation. Geneva, Switzerland: World Health Organization. 1985.
  45. Muthen LK, Muthen BO. MPlus: statistical analysis with latent variables--User's guide. Los Angeles: Muthen & Muthen. 2012.
  46. Nylund KL, Asparouhov T, Muthen BO. Deciding on the Number of Classes in Latent Class Analysis and Growth Mixture Modeling: A Monte Carlo Simulation Study. Structural Equation Modeling: A Multidisciplinary Journal. 2007;14(4):535-69. https://doi.org/10.1080/10705510701575396
  47. Muthen B. Latent variable analysis. The Sage handbook of quantitative methodology for the social sciences. 2004;345(368):106-9.
  48. Lee SJ, Choi MH, Chae H. Biopsychological structure of the Sasang Personality Questionnaire in elementary school students. J Pediatr Korean Med. 2017;13(1):12-24.
  49. Lee SJ, Kim S-R, Han SY, Lee YJ, Chae H. Is the cognitive emotion regulation strategy related to Yin-Yang personality traits? Eur J Integr Med. 2019;26:24-30. https://doi.org/10.1016/j.eujim.2019.01.004
  50. Leitan ND, Murray G. The mind-body relationship in psychotherapy: grounded cognition as an explanatory framework. Frontiers in Psychology. 2014;5:472. https://doi.org/10.3389/fpsyg.2014.00472
  51. Cheung FM, van de Vijver FJ, Leong FT. Toward a new approach to the study of personality in culture. American Psychologist. 2011;66(7):593-603. https://doi.org/10.1037/a0022389
  52. Lee J, Han SY, Hwang M, Bae N, Chae H. Biopsychological and pathophysiological features of Cold-Heat subgroup of Sasang typology with Sasang Digestive Function Inventory, Sasang Personality Questionnaire and Body Mass Index. Integr Med Res. 2018;7(1):68-76. https://doi.org/10.1016/j.imr.2017.09.005