DOI QR코드

DOI QR Code

자살생각과 자살행동을 동반한 청소년 주요우울장애 환자의 한의정신요법 활용 1례 보고

A Case Report on Korean Medicine Psychotherapy in an Adolescent Patient with Major Depressive Disorder Accompanied by Suicidal Ideation and Behavior

  • 장에스더 (동신대학교 한방병원 한방신경정신과) ;
  • 조수민 (동신대학교 한방병원 한방신경정신과) ;
  • 김경옥 (동신대학교 한방병원 한방신경정신과)
  • Esther Jang (Department of Neuropsychiatry, Dongshin University Korean Medicine Hospital) ;
  • Soomin Jo (Department of Neuropsychiatry, Dongshin University Korean Medicine Hospital) ;
  • Kyeong-Ok Kim (Department of Neuropsychiatry, Dongshin University Korean Medicine Hospital)
  • 투고 : 2023.11.23
  • 심사 : 2023.12.23
  • 발행 : 2023.12.30

초록

Objectives: Major depressive disorder is a severe disease that is associated with suicidal ideation and behavior. In this case, Korean medicine psychotherapy and Korean medicine treatment were used to treat an adolescent patient with major depressive disorder. Methods: The Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale were used as psychological evaluation scales. Korean medicine psychotherapy focuses on Giungoroen-therapy and IiGyeungByunQi-therapy and Korean medicine treatment combined with acupuncture, moxa, and herbal medicine. Results: Comparison before and after treatment showed improvement in clinical symptoms, Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale. Conclusions: As a result of applying Korean medicine, psychotherapy and Korean medicine treatment reduces to an adolescent patient with major depressive disorder, depression, suicidal thoughts, and suicidal behavior.

키워드

참고문헌

  1. Lee JY. Differences in Emotion Regulation as a Function of age From Adolescence to Adulthood. Korean J Psychol Gen. 2012;31:783-808.
  2. Health Insurance Review & Assessment Service. Analysis of treatment status for depression and anxiety disorders over the past 5 years (2017-2021).
  3. Bae SM, Kim BS. Development and validity study of the daily stress response inventory for adolescent. Korean Journal of School Psychology. 2014;11:19-32.4. https://doi.org/10.16983/kjsp.2014.11.1.19
  4. Kang KH, Yang KH. Path Analysis on Variables of Suicide Ideation in the Adolescent: Focusing on Depression and Self-concept. Korea Journal of Counseling. 2013;14:539-54. https://doi.org/10.15703/kjc.14.1.201302.539
  5. Statistics Korea. Cause-of-death statistics in the Republic of Korea 2015-2022.
  6. The Textbook Complication Committee of Neuropsychiatry of Oriental Medical Schools in Nation. The Neuropsychiatry of Oriental Medicine. 1st ed. Gyung-gi Paju:Jipmoondang Publishing Co. 2018:715-20.
  7. Kim SW, Kim SY, Kim JM, Suh TW, Kim SJ, Shin IS, Na GW, Kim SH, Yoon JS. A Survey on Attitudes Toward Suicide and Suicidal Behavior in Korea. J Korean Soc Biol Ther Psychiatry. 2008;14:43-8.
  8. Cheon SM, Ham KA. A Qualitative Study on the Suicide and Recovery Experiences of Adolescents. The Korean Journal of Rehabilitation Psychology. 2015;22:59-79.
  9. Beck AT, Wark CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
  10. Hahn HM, Yum TH, Shin YW, Kim KH, Yoon DJ, Chung KJ. A Standardization Study of Beck Depression Inventory in Korea. Journal of the Korean Neuropsychiatric Association. 1986;25:487-500.
  11. Lee EJ, Kim JB, Shin IH, Lim KH, Lee SH, Cho GA, Sung HM, Jung SW, Zmimmerman M, Lee YH. Current use of depression rating scales in mental health setting. Psychiatry Investigation. 2010;7:170-6. https://doi.org/10.4306/pi.2010.7.3.170
  12. Reynolds WM. Suicidal ideation questionnaire (SIQ). Odessa FL. Psychological Assessment Resources. 1987.
  13. Bengelsdorf H, Levy LE, Emerson RL, Barile FA. A crisis triage rating scale. Brief dispositional assessment of patients at risk for hospitalization. J Nerv Ment Dis. 1984; 172:424-30. https://doi.org/10.1097/00005053-198407000-00009
  14. Lee KS. Risk for Self-Harm or Harm to Others: Definition and Assessment of Dangerousness. Korean J Schizophr Res. 2023;26(1):12-7. https://doi.org/10.16946/kjsr.2023.26.1.12
  15. Turner PM, Turner TJ. Validation of the Crisis Triage Rating Scale for Psychiatric Emergencies. Can J Psychiatry. 1991;36:651-4. https://doi.org/10.1177/070674379103600905
  16. Chung YI. A Comparative Study on the Response Characteristics of S-HTP and K-HTP Drawing Tests. Korean Journal of Art Therapy. 2015;22:1247-67. https://doi.org/10.35594/kata.2015.22.5.002
  17. Kim GW, Gu 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;12:29-45.
  18. Lee RD, Ko IS, Lee SW, Hwang SH, Park SJ, Kang HW. A Study on The Oriental-medical Understanding of Suicide - Within Donguibogam Book -. J of Oriental Neuropsychiatry. 2015;26:171-180. https://doi.org/10.7231/jon.2015.26.2.171
  19. Crowe M, Ward N, Dunnachie B, Roberts M. Characteristics of adolescent depression. Int J Ment Health Nurs. 2006; 15:10-18. https://doi.org/10.1111/j.1447-0349.2006.00399.x
  20. Heo J. Donguibogam. 5th ed. Gyeongnam Hadong: Donguibogam Publishing Co. 2016:66-67, 1261-4.
  21. Wang H, Liu J, He J, Huang D, Xi Y, Xiao T, Quyang Q, Zhang S, Wan S, Chen X. Potential mechanisms underlying the therapeutic roles of sinisan formula in depression: Based on network pharmacology and molecular docking study. Front Psychiatry. 2022;13.
  22. Lee SE, Lee EJ, Ham KO. Effects of Suicidal Attitudes, Perception of Life, and Depression on Adolescents' Suicide. Journal of the Korea Convergence Society. 2021;12:305-15.