동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제35권1호
  • /
  • Pages.115-140
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  • 2024
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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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M&L 심리치료가 불안장애를 가진 취약계층 청소년의 건강한 성장에 미치는 영향 - 단일증례의 양적, 질적 분석

The Impact of M&L Psychotherapy on the Growth and Development of a Socially Disadvantaged Adolescent with Anxiety Disorders - Quantitative and Qualitative Analysis of a Single Case

  • 신재욱 (도솔한방병원) ;
  • 신혜규 (원광대학교 한의과대학 한방신경정신과학교실) ;
  • 이민주 (도솔한방병원) ;
  • 김동욱 (도솔한방병원) ;
  • 서효원 (한국보건의료연구원) ;
  • 강형원 (원광대학교 한의과대학 한방신경정신과학교실)
  • Jae-Wook Shin (Dosol Korean Medicine Hospital) ;
  • Haegue Shin (Department of Korean Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Min-Joo Lee (Dosol Korean Medicine Hospital) ;
  • Dong-Uk Kim (Dosol Korean Medicine Hospital) ;
  • Hyo-Weon Suh (National Evidence-based Healthcare Collaborating Agency) ;
  • Hyung Won Kang (Department of Korean Neuropsychiatry, College of Korean Medicine, Wonkwang University)
  • 투고 : 2024.02.24
  • 심사 : 2024.03.28
  • 발행 : 2024.03.30
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초록

Objectives: This study investigates the impact of M&L psychotherapy on an adolescent with anxiety disorders transitioning into adulthood, using a retrospective mixed-method approach. Methods: An adolescent with Diagnostic Statistical Manual of Mental Disorders (DSM)-5-diagnosed anxiety disorders underwent combined treatment with M&L psychotherapy and complex Korean medicine therapy over a period of approximately two years. Patient records tracked the diagnosis, treatments, and progress. In-depth interviews were also conducted. The study used a convergent parallel mixed-method approach, integrating quantitative analysis from psychological assessments, including the State-Trait Anxiety Inventory (STAI-X), the Core Seven Emotions Inventory-short form (CSEI-s), and the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), with qualitative analyses of traditional Korean medicine counseling session notes, interviews, and other qualitative psychological assessments. Results: State anxiety decreased from 40 to 36, and trait anxiety decreased from 42 to 34. MMPI-2 L scale scores decreased slightly to 64T, whereas S scale scores increased to 62T, and FRS scores decreased to 70T from an initial score of 78T. Qualitative analysis revealed an increase in the MMPI-2 Es scale, identified as "subjectivity." Joy (喜) emerged as the highest emotional profile score in the CSEI-S. Scores for anger (怒), thought (思), fear (恐), and fright (驚) decreased, indicating improved negative emotions. Qualitatively, expressions of determination to "move forward" and "strengthen the mind" were noted, suggesting enhanced "lower danjeon (下丹田)." Conclusions: Integrating traditional Korean medicine treatment with M&L psychotherapy for a vulnerable adolescent with anxiety disorders demonstrated efficacy. Further research is warranted to substantiate the effectiveness of M&L psychotherapy and advocate for its wider adoption in mainstream practice.

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