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배우자 외도로 인한 60대 화병 환자의 M&L 심리치료 프로그램 적용 치험례

A Case Report on the Application of M&L Psychotherapy to a Hwa-Byung Patient in Her 60s due to Her Spouse's Affair

  • 조주연 (동서한방병원 한방신경정신과) ;
  • 김상범 (동서한방병원 한방신경정신과) ;
  • 김다담 (동서한방병원 침구과) ;
  • 강형원 (원광대학교 한의과대학 신경정신과학교실)
  • Ju Yeon, Cho (Department of Korean Neuropsychiatry, Dong-Seo Korean Medical Center) ;
  • Sang Beom, Kim (Department of Korean Neuropsychiatry, Dong-Seo Korean Medical Center) ;
  • Da Dam, Kim (Department of Acupuncture and Moxibustion, Dong-Seo Korean Medical Center) ;
  • Hyung Won, Kang (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University)
  • 투고 : 2022.10.24
  • 심사 : 2022.12.27
  • 발행 : 2022.12.30

초록

Objectives: The purpose of this study is to introduce the progress of treatment and improve clinical use after the application of Mindfulness & Loving Beingness psychotherapy, for a patient with Hwa-Byung. Methods: The patient was diagnosed with Hwa-Byung which arose as a result of their spouse's affair. The patient mainly reported chest pains, breathing difficulties, fear, and anxiety as symptoms. To address these, we administered a combination of M&L psychotherapy and Korean therapy including Herbal medicine, acupuncture, and moxibustion. Beck's Depression Inventory(BDI), Beck's Anxiety Inventory(BAI), and Hwa-Byung scale were evaluated before and after the treatment, to assess the clinical effect. Results: Following treatment, the patient's overall clinical symptoms of chest pain, breathing discomfort, fear, and anxiety were significantly reduced. Additionally, their scores on the BDI, BAI, and Hwa-Byung scales decreased. Conclusions: M&L psychotherapy and Korean therapy can be effective in treating Hwa-Byung.

키워드

과제정보

This study was supported by grant of the Won-kwang University in 2021.

참고문헌

  1. The Society of Korean Medicine Neuropsychiatry. 2021. Clinical Practice Guidelines for Hwabyung. National Institute for Korean Medicine Development Guideline center for Korean Medicine. 4-11,32-63.
  2. Min SK. Modern Psychiatry. 6th ed. Seoul: Ilchokak. 2016:388-96.
  3. Kim SH, Park JH, Park SJ, Byun SI, Kim JW, Hwang WW. One case Report with a Amyotrophic Lateral sclerosis( ALS) patient who has Hwabyung and Major Depressive Disorder. Journal of Oriental Neuropsychiatry. 2005;16(2):159-69.
  4. Park SH, Hwang JH, Yun YK, Kim KW, Koo BS, Kim BR. A Case Study of Hwa-Byung Has treated by Autogen Training. Journal of Oriental Neuropsychiatry. 2010;21(3):139-49.
  5. Song SY, Cho HJ, Kim SY, Kim JW. Qualitative Analysis of the Experiences in Mindfulness-Based Stress Reduction (MBSR) on Hwa-Byung Patients. Journal of Oriental Neuropsychiatry. 2012;23(4):153-68. https://doi.org/10.7231/JON.2012.23.4.153
  6. Park SH, Kim JH, Kim GW, Koo BS. A Case Report of Hwa-Byung with Menopausal Symptoms. Journal of Oriental Neuropsychiatry. 2009;20(4):149-59.
  7. Song SY, Lee JH, Suh JW, Kwon CY, Kim JW. Qualitative Analysis for the Influences of Emotion Freedom Techniques (EFT) Group Treatment Program for Hwa-Byung Patients. Journal of Oriental Neuropsychiatry. 2014;25(1):29-38. https://doi.org/10.7231/JON.2014.25.1.029
  8. Kim JH, Sue JH, Lee GE, Kim NK, Choi SY, Lyu YS, Kang HW. Development of Korean Medical Psychotherapy and Preliminary Clinical Trial for Post Traumatic Stress Disorder. Journal of oriental neuropsychiatry. 2015;26(1):49-61. https://doi.org/10.7231/JON.2015.26.1.049
  9. Hwang SH, Park AR, Song GE, Lim GM, Mo MJ, Park SJ. A Case Report of 2 Patients Taking Antidepressants who were Treated by Korean Medical Treatments and M&L Psychotherapy. Journal of oriental neuropsychiatry. 2017;28(2):73-81. https://doi.org/10.7231/JON.2017.28.2.073
  10. Kim JS, Cheong MJ, Lee GW, Lyu YS, Kang HW. A Case Report on Panic Disorder Patient Using the 'MRM (Mentalizing the Rooms of Mind)' and Korean Medicine Therapy. Journal of oriental neuropsychiatry. 2020;31(3):197-211. https://doi.org/10.7231/JON.2020.31.3.197
  11. Lee HJ, Min BK, Jin JS, Seo JH. A Case Report of Conversion Disorder Treated with Psychotherapy of Korean Medicine and M&L Psychotherapy. ournal of oriental neuropsychiatry. 2018;29(3):197.
  12. Kim JW, Kwon JH, Lee MS, Pak DK. Reliability and Validity of HBDIS. The Korean Journal of Clinial Psychology. 2004;9(2):321-31.
  13. Chung YC, Rhee MK, Lee YH, Park SH, Sohn CH, Hong SK, Lee BK, Chang PL, Yoon AR. A Standardization Study of Beck Depression Inventory 1 - Korean Version (K - BDI): Reliability and Factor Analysis. The Korean Journal of Psychopathology. 1995;4(1):77-95.
  14. Yook SP, Kim ZS. A clinical study on the Korean version of Beck Anxiety Inventory: comparative study of patient and non-patient. Korean Journal of Clinical Psychology. 1997;16(1):185-97.
  15. Kwon JH, Kim JW, Park DG, Lee MS, Min SK, Kwon HI. Development and Validity of the Hwa-Byung Scale. The Korean Journal of Clinial Psychology. 2008;27(1):237-52. https://doi.org/10.15842/kjcp.2008.27.1.014
  16. Ko HS, Han CS, Chae JH. Understanding of Posttraumatic Embitterment Disorder (PTED). Anxiety and Mood. 2014;10(1):3-9.
  17. Kim KN, Choi MJ, Ji SE, Cho SH. The study on the Difference of EEG Results between Anger Syndrom and Major Depressive Disorder. Journal of Oriental Neuropsychiatry. 2013;24(Special 1):55-62. https://doi.org/10.7231/jon.2013.24.Spc1.055
  18. Lee YJ. The study on Effects of M&L Self-Growth Meditation Program. J of Oriental Neuropsychiatry. 2014;2(3):225-34. https://doi.org/10.7231/jon.2014.25.3.225