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A Comparative Study of Symptoms in Patients with Hwabyung according to Yin-Yang Personality Types

음양 성격 유형에 따른 화병 환자의 증상 비교 연구

  • Seok-In Yoon (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University) ;
  • Han Chae (School of Korean Medicine, Pusan National University) ;
  • Hui-Yeong Park (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University) ;
  • Hyun Woo Lee (Department of Neuropsychiatry, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Chan Park (Department of Neuropsychiatry, Kyung Hee University Korean Medicine Hospital at Gangdong) ;
  • Sun-Yong Chung (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University) ;
  • Jong Woo Kim (Department of Neuropsychiatry, College of Korean Medicine, Kyung Hee University)
  • 윤석인 (경희대학교 한의과대학 한의학과) ;
  • 채한 (부산대학교 한의학전문대학원) ;
  • 박희영 (경희대학교 한의과대학 한의학과) ;
  • 이현우 (강동경희대학교한방병원 한방신경정신과) ;
  • 박찬 (강동경희대학교한방병원 한방신경정신과) ;
  • 정선용 (경희대학교 한의과대학 한의학과) ;
  • 김종우 (경희대학교 한의과대학 한의학과)
  • Received : 2024.03.11
  • Accepted : 2024.06.20
  • Published : 2024.06.30

Abstract

Objectives: To compare symptoms and characteristics among patients diagnosed with Hwabyung according to their yin-yang personality types. Methods: A structured clinical interview was conducted to diagnose Hwabyung, followed by a cross-sectional study involving a total of 118 Hwabyung patients (95 females). Various measures including the Sasang Personality Questionnaire (SPQ), Hwabyung Comprehensive Test (HCT), HwaByung Scale (HBS), State-Trait Anger Expression Inventory (STAXI), Beck Depression Inventory-II (BDI-II), Beck Anxiety Inventory (BAI), Eogul Scale (ES), and Patient Health Questionnaire-15 (PHQ-15) were administered. Results: SPQ-total showed significant negative correlations with HBS-personality and STAXI-control, and a significant positive correlation with STAXI-out. SPQ-behavior showed significant positive correlations with HBS-symptom, STAXI-trait, STAXI-in, STAXI-out, BDI-II, BAI, ES, and PHQ-15. SPQ-cognition exhibited significant negative correlations with HBS-personality, STAXI-control, and ES. SPQ-emotion had significant negative correlations with HBS-personality and STAXI-in and a significant positive correlation with STAXI-out. SPQ-Yin demonstrated a significantly higher HBS-personality than SPQ-Yang. SPQ-Yang exhibited significantly higher STAXI-out than SPQ-Yin, whereas SPQ-Yin showed significantly higher STAXI-control and STAXI-in than SPQ-Yang. Although differences in depression, anxiety, resentment, and physical symptoms between yin and yang were not statistically significant, variations in interpretation criteria were observed. Conclusions: Anger expression patterns and physical/psychological symptoms among Hwabyung patients are different based on their yin-yang personality types. These findings can inform the prediction of symptoms in Hwabyung patients according to their yin-yang personality types and aid in establishing appropriate treatment plans.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, South Korea (grant number RS-2020-KH087934).

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR. Arlington, VA: American Psychiatric Press Inc. 2000.
  2. The Korean Society of Oriental Neuropsychiatry. Korean Medicine Clinical Practice Guideline for Hwabyung. Seoul: National Institute for Korean Medicine Development Clinical Practice Guideline of Korean Medicine Development Project Group. 2021.
  3. Kim JW, Kwon JH, Lee MS, Park DG. Development of Hwa-Byung diagnostic interview schedule (HBDIS) and its validity test. Korean Journal of Health Psychology. 2004;9:321-31.
  4. Min SK. Study of Hwa-Byung. Seoul: ML communications. 2009.
  5. Min SK, Kim JH. A study on Hwabyung in Bokil island. Journal of the Korean Neuropsychiatric Association. 1986;25:459-66.
  6. Kim HK, Park JY. Prevalence and related factors of Hwabyung for the aged woman in rural community. Journal of Korean Public Health Nursing. 2004;18:234-42.
  7. Lee JG, Lee JH. Study on the prevalence of Hwa-Byung diagnosed by HBDIS in general population in Kang-won province. Journal of Oriental Neuropsychiatry. 2008;19:133-9.
  8. Korean Health Insurance Review and Assessment Service. https://opendata.hira.or.kr/op/opc/olap4thDsInfoTab3.do. [Accessed Feb 26, 2024].
  9. Choi SW, Kim J, Park SA. Hwabyung Comprehensive Test (HCT) guidebook. Seoul: Pakyoungsa. 2023.
  10. Kim JW, Jung IC, Kang HW, Kim GW, Lee SG, Chung SY, Suh JW. Hwa-Byung 100 questions and 100 answers. Seoul: Jipmoondang. 2013. p. 77-78.
  11. Jang ES, Lee SJ, Park SH, Lee SW, Joo JC, Lee MS, Kim YH, Chae H. Clinical validation of the Sasang personality questionnaire. Journal of Oriental Neuropsychiatry. 2012;23:23-32. https://doi.org/10.7231/JON.2012.23.3.023
  12. Chae H, Cho YI, Lee SJ. The Yin-Yang personality from biopsychological perspective using revised Sasang Personality Questionnaire. Integrative Medicine Research. 2021;10:100455. https://doi.org/10.1016/j.imr.2020.100455
  13. Chae H, Lee SW, Park SH, Jang ES, Lee SJ. Development and Validation of a Personality Assessment Instrument for Traditional Korean Medicine: Sasang Personality Questionnaire. Evidence-Based Complementary and Alternative Medicine. 2012;2012;657013. https://doi.org/10.1155/2012/657013
  14. Chae H, Lee SJ. Personality construct of Sasang Personality Questionnaire in an adolescent sample. Integrative Medicine Research. 2015;4:29-33. https://doi.org/10.1016/j.imr.2014.11.002
  15. Lee SJ, Han SY, Kim HY, Choi MH, Chae H. Yin-Yang temperament and psychopathological behavior in middle school students. Journal of Oriental Neuropsychiatry. 2017;28:61-72. https://doi.org/10.7231/jon.2017.28.2.061
  16. Choi MH, Chae H, Lee SJ. Analysis of the association between problem behaviors and Sasang typology in high school students. Integrative Medicine Reserch. 2016;5:110-7. https://doi.org/10.1016/j.imr.2016.03.002
  17. Lee SJ, Hwang JH, Lee YD, Park EY, Chae H. The Relationships between Yin-Yang temperament, personality and behavior problems in middle school students. The Journal of Pediatrics of Korean Medicine. 2018;32:13-23. https://doi.org/10.7778/jpkm.2018.32.4.013
  18. First MB, Williams JBW, Karg RS, Spitzer RL. Structured Clinical Interview for DSM-5, Clinician Version (SCID-5-CV). Arlington, VA: American Psychiatric Association. 2015.
  19. Chae H, Lee SJ. Sasang Personality Questionnaire Manual. Daegu: Koera Psychology Co., Ltd. 2020.
  20. Kim MS, Hwang Y, Park SJ, Lee J, Kim J, Lee SJ, Chae H. Systematic review on the use of Sasang Personality Questionnaire in traditional Korean medicine. Journal of Oriental Neuropsychiatry. 2021;32:167-184. https://doi.org/10.7231/jon.2021.32.3.167
  21. Kwon JH, Kim JW, Park DG, Lee MS, Min SG, Kwon HI. Development and validation of the Hwa-Byung Scale. The Korean Journal of Clinical Psychology. 2008;27:237-252. https://doi.org/10.15842/kjcp.2008.27.1.014
  22. Chon KK. Kim DY, Yi JS. Development of the STAXI-K: IV. Korean Journal of Art Therapy. 2000;7:33-50.
  23. Sung HM, Kim JB, Park YN, Bai DS, Lee SH, Ahn HN. A study on the reliability and the validity of Korean version of the Beck Depression Inventory-II (BDI-II). Journal of Korean Society of Biological Therapies in Psychiatry. 2008;14:201-12.
  24. Beck AT, Steer RA, Ball R, Ranieri WF. Comparison of Beck Depression Inventories-IA and-II in psychiatric out-patients. Journal of Personality Assessment. 1996;67:588-97. https://doi.org/10.1207/s15327752jpa6703_13
  25. Lim SY, Lee EJ, Jeong SW, Kim HC, Jeong CH, Jeon TY, Yi MS, Kim JM, Jo HJ, Kim JB. The validation study of Beck Depression Scale 2 in Korean version. Anxiety and Mood. 2011;7:48-53.
  26. Yook SP, Kim JS. Comparative study of patient and non-patient: A clinical study on the Korean version of Beck Anxiety Inventory. The Korean Journal of Clinical Psychology. 1997;16:185-97.
  27. Jeon Y, Kim E. Development and Validation of the Eogul Scale for Younger Adults on their 20th and 30th. The Korean Journal of Counseling and Psychotherapy. 2021;33:219-41. https://doi.org/10.23844/KJCP.2021.02.33.1.219
  28. Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine. 2002;64: 258-66. https://doi.org/10.1097/00006842-200203000-00008
  29. Kim EH, Kim HR. The Relationship between Life Stresses on Hwa-Byung among Married Women: A Mediated Moderation Effect of Beliefs in a Just World through Internal-External Locus of Control. Korean Journal of Counseling. 2015;16:39-53. https://doi.org/10.15703/kjc.16.5.201510.39