동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제33권4호
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  • Pages.473-484
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  • 2022
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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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후각 감퇴 등의 신체적 증상을 동반한 경도 우울에피소드 환자의 실존주의 심리치료를 포함한 한방정신요법 활용 1례 보고

Use of Korean Medicine Psychotherapy Including Existential Psychotherapy in a Patient with a Mild Depressive Episode Accompanied by Physical Symptoms Such as Hyposmia: A Case Report

  • 이형우 (동서한방병원 한방신경정신과) ;
  • 김상범 (동서한방병원 한방신경정신과) ;
  • 조주연 (동서한방병원 한방신경정신과) ;
  • 김종민 (동서한방병원 한방신경정신과) ;
  • 이가현 (동서한방병원 한방신경정신과) ;
  • 박세진 (동서한방병원 한방신경정신과)
  • Hyung-Woo, Lee (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Sang-Beom, Kim (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Ju-Yeon, Cho (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Jong-Min, Kim (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Ga-Hyun, Lee (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center) ;
  • Se-Jin, Park (Department of Oriental Neuropsychiatry, Dong-Seo Medical Center)
  • 투고 : 2022.11.25
  • 심사 : 2022.12.24
  • 발행 : 2022.12.30
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초록

Objectives: To report a case of a patient with a mild depressive episode accompanied by physical symptoms such as hyposmia visiting a Korean medicine hospital who was treated with oriental psychotherapy in parallel with existentialism-based psychotherapy showing improvement. Methods: For this patient, Korean medicine Psychotherapy was mainly used for treatment. In parallel, existential Psychotherapy, acupuncture treatment, and self-relaxation training were implemented. For estimating this treatment, changes in results of Beck Depression Index (BDI), Beck Anxiety Index (BAI), Numeric Rating Scale (NRS), Korean Version of Sniffin' Sticks Test (KVSS), Butanol Threshold Test (BTT), Cross-Cultural Smell Identification Test (CC-SIT), and somatic symptoms that the patient subjectively expressed were determined. Results: After the comprehensive treatment, it was confirmed that changes in BDI, BAI, KVSS, BTT, CC-SIT, NRS, and subjective somatic symptoms expressed by the patient all showed improvements. Conclusions: We propose that a comprehensive treatment using Korean medicines Psychotherapy in parallel with existential psychotherapy can be used for patients who complain of physical symptoms accompanied by depression and hyposmia.

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참고문헌

  1. Himmelhoch J, Levine J, Gershon S. Historical overview of the relationship between anxiety disorders and affective disorders. Depress Anxiety. 2001;14:53-66. https://doi.org/10.1002/da.1047
  2. Statistics Korea. 2021 Announcement of Mental Health Survey. [Internet] Statistics Korea: 2021. [cited 2021 Dec 27] Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=369088.
  3. Kim SY, Kim EJ, Jeon SW, Shin DW, Shin YC, Oh KS. Comparison of Effectiveness of Psychotherapies for Relieving Depressive Symptoms in Anxiety Disorders : A Systematic Review. Anxiety and Mood. 2019;15(1):20-7. https://doi.org/10.24986/ANXMOD.2019.15.1.003
  4. Na KW, Lee SR. Philological study on the phlegm-retention syndrome related to mental symptoms. Journal of Haehwa Medicine. 1996;4(2):229-36.
  5. The Textbook Complication Committee of Neuropsychiatry of Oriental Medical Schools in Nation. The Neuropsychiatry of Oriental Medicine. 3rd ed. Gyung-gi Paju.Jipmoon Publishing Co. 2016:655.
  6. Yi JN. Identity of Philosophical Counseling and Misunderstanding of Psychological Counseling. Sogang Journal of Philosophy. 2013;34:247-82. https://doi.org/10.17325/sgjp.2013.34..247
  7. Bae EJ, Suh HW, Kim JW. A Case Study of Philosophical Counseling of a Woman with Hwabyung - With a Philosophical Counseling Method Based on Self-Identity -. J of Oriental Neuropsychiatry. 2019;30(3):129-40.
  8. Hong SC, Yoo YS, Kim ES, Kim SC, Park SH, Kim JK, et al. Development of KVSS test(Korean Version of Sniffin's Sticks Test). Korean J Otolaryngol-Head Neck Surg. 1999;42:855-60.
  9. Mun SJ. Testing for Olfactory and Gustatory Disorders. J Clinical Otolaryngol. 2020;31:148-54.
  10. Doty RL, Marcus A, Lee WW. Development of the 12 item cross-cultural smell identification test(CC-SIT). Laryngoscope. 1996;106(3 Pt 1):353-6. https://doi.org/10.1097/00005537-199603000-00021
  11. Moon ES, Sakong JK, Jung SW, Sung HM, Lee JY, Koo BH, Kim YT, Shin IH, Cho HJ, Kim DH, Kim MK, Choi JS, Jung IM, Kim JB. Development of Clinical Guideline for the Diagnosis and Evaluation of Depression : Focused on Evaluation Guideline -. J Korean Neuropsychiatr Assoc. 2014;53:24-31. https://doi.org/10.4306/jknpa.2014.53.1.24
  12. Kwon SM. Contemporary Theories of Psychotherapy and Counceling. Hakjisa. 2012:307-36.
  13. Oh ST. A Study on the philosophical foundation of Rollo May's existential psychotherapy- in connection with Kierkegaard's concept of anxiety -. J. of Korean Philosophical Society. 2014;130:135-59.
  14. Shin HK, Kim JW, Kong HW, Kock KN, Kim HJ, Park SJ, Kim HH, Kim TH. A Clinical Study on 2 Cases of Depression Patients with Autogenes Training. J. of Oriental Neuropsychiatry. 2006;17(3):165-74.
  15. Lee JT, Lim TJ, Kim DK. Risk Assurance for Mental Health in Public and Private Sectors. Insurance Business Report. 2018:9-15.
  16. Lee BY. The ICD-10 Classification of Mental and Behavioural Disorders, Clinical Descriptions and Diagnostic Guidelines. Ilchokak Publishing Co. 1994:150-155, 169-78.
  17. Hunot V, Moore THM, Caldwell DM, Furukawa TA, Davies P, Jones H, et al. "Third wave" cognitive and behavioural therapies versus other psychological therapies for depression. The Cochrane database of systematic reviews [Internet]. 2013 Oct 18 [cited 2022 Nov 4];(10): CD008704. Available from: http://lps3.search.ebscohost.com.kproxy.dongguk.edu/login.aspx?direct=true&db=mnh&AN=24142844&lang=ko&site=ehost-live.
  18. Kang HW, Jang HH, Kang IS, Moon HC, Hwang YJ, Lyu YS. A Study on The Oriental-medical Understanding of Depression. J of Oriental Neuropsychiatry. 2001;12(2):1-15.
  19. Che JY. A Comparision of Philosophy of Traditional Medicine between Hippocrates and the East. J. of The Daegu Historical Association. 2005;81:225-54.
  20. Kim KW, Goo BS. A study of psychotherapy by means of oriental medicine though the Giungoroen(至言高論) : Focusing on Ancient clinical document. J of Oriental Neuropsychiatry. 2001;12(1):29-45.
  21. Choi YM. Existential Psychodynamic approach on Psychodrama. Korean Journal of Psychodrama. 2009;12(2):11-22. https://doi.org/10.17962/KJP.2009.12.2.002
  22. Irvin David Yalom. Existential Psychotherapy. Hakjisa. 2007:25-58.
  23. Emmy van Deurzen, Marin Adams. Techniques of Existential Counseling and Psychotherapy. Hakjisa. 2020:19-38.
  24. Yoon MJ, Kim SY, Park JY. Recent Study Trends of the Liver-tonification and Liver-sedation of Saam Acupuncture. Korean Journal Of Acupuncture. 2018;35(1):1-17. https://doi.org/10.14406/ACU.2018.004
  25. LEE SH, SHIN KH, KIM JU. Effect of seven points of CVA acupuncture on cerebral blood flow. Journal of Acupuncture Research, 2004, 21.3: 83-97.
  26. Moon YK, Kang SH, Park JG, Nam HJ, Kim YB, Kim KS. A case of Postviral Olfactory Disorder Treated with Dangguijakyak-san and Acupuncture. J Korean Med Ophthalmol Otolaryngol Dermatol. 2017;30(1):118-25.
  27. Kim JH, Lee H, Yim YK, Hong KE, Lee BR, Kim YJ. A fMRI study on the cerebral activity induced by Electro-acupuncture on Sp9(Yinlingquan). 2003;20(4):114-33.
  28. Kang HY, Kim KH. A Survey on the Use of Homework Assignment as a Counseling Technique. The Korea Journal of Counseling. 2004;5(3):519-32.
  29. An YY, Kim LH, Yoo JH. Clinical Effects of Korean Medical Treatment on Depressive Disorder using Depression and Anxiety Scales. J. of Oriental Neuropsychiatry. 2022;33(3):317-27.