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A Case Report of Psychogenic Tremor Patient with Head Tremor  

Hwang, Eun-Young (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung-Hee University)
Chung, Sun-Yong (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung-Hee University)
Kim, Jong-Woo (Dept. of Neuropsychiatry, College of Oriental Medicine, Kyung-Hee University)
Publication Information
Journal of Oriental Neuropsychiatry / v.21, no.3, 2010 , pp. 95-103 More about this Journal
Abstract
Objectives : Abnormal movements are among the most common psychogenic symptoms, and psychogenic movement disorders(PMD) are estimated to account for 2-3% of patients in movement disorders clinics. Psychogenic tremor is the most frequent symptoms among psychogenic movement disorders. There are no treatment studies specific to PMD and lack any generally accepted treatment strategies. Methods : In this case, a 40 years old women had been suffered from head tremor for 4-5 years without any evidence for other neurological disorders and medical problems. Her symptom caused by stress events and severity of symptom had been change the level of by stress. We treated her with korean traditional herbal medicine(Chengsimyeonjatang), Qigong-based Stress Reduction Program(BQSRP), Giungoroen(wise saying and lofty opinion) and Gyeongjapyeongji(desensitizing the unease) for 2 months. Results : After treatment, the severity and frequency of the head tremors were decreased. In addition, anxiety level also decreased. Conclusions : This result suggests that our oriental medical treatments was effective on psychogenic tremor.
Keywords
Psychogenic movement disorders(PMD); Psychogenic tremor; Chengsimyeonjatang; Brief Qigong-based Stress Reduction Program(BQSRP);
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Times Cited By KSCI : 5  (Citation Analysis)
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1 대한한방신경정신과학회 편. 한의신경정신과학. 집문당. 2010.
2 최병만, 최보윤, 정인철, 이상룡. 진전을 주소로 내원한 환자 31례에 대한 임상적 고찰-체질의학적 치료를 중심으로. 동의신경정신과학회지. 2002;13(2):57-74.   과학기술학회마을
3 주종천, 박혜선, 배영춘. 진전환자 24례에 대한 증례보고. 사상체질학회지. 2002;14(2):153-9.   과학기술학회마을
4 박진용, 정명걸, 이운석, 김용찬. 불수의근진전환자 32례에 대한 유형별 임상고찰. 대한한방내과학회지. 2000;21(5):773-80.
5 김수연, 정종진, 이슬희, 선승호. 청심연자탕가미방으로 호전된 진전 환자 치험 7례. 대한한방내과학회지. 2008;29(4):913-21.   과학기술학회마을
6 Lipsitt DR. Challanges of somatization: diagnostic, therapeutic and economic. Psychiatr Me. 1992; 10(3):1-12.
7 Feinstein A, Stergiopoulos V, Fine J, Lang AE. Psychiatric outcome in patients with a psychogenic movement disorder: a prospective study. Neuropsychiatry Neuropsychol Behav Neurol. 2001;14(3):169-76.
8 Griffith JM, Hasley JP, Liu H, Severn DG, Conner LH, Adler LE. Qigong Stress Reduction in Hospital Staff. J Altern Complement Med. 2008;14(8):939-45.   DOI   ScienceOn
9 Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits: A meta-analysis. J Psychosom Res. 2004;57(1):35-43.   DOI   ScienceOn
10 Stetter F, Kupper S. Autogenic Training: A Meta-Analysis of Clinical Outcome Studies. Appl Psychophysiol Biofeedback 2002;27(1):45-98.   DOI   ScienceOn
11 장현갑, 김교헌 역. 명상과 자기치유 상. 서울:학지사. 1998:139-63.
12 Joseph Jankovic. Treatment of hyperkinetic movement disorders. Lancet Neurol. 2009;8: 844-56.   DOI   ScienceOn
13 최선아, 이현정, 이명식. 심인성 운동장애의 임상분석. 대한신경과학회지. 2000;18(4):402-8.
14 Hinson VK, Weinstein S, Bernard B, Leurgans SE, Goetz CG. Single-blind clinical trial of psychotherapy for treatment of psychogenic movement disorders. Parkinsonism Relat Disord. 2006;12(3):177-80.   DOI   ScienceOn
15 Factor SA, Podskanly GD, Molho ES.: Psychogenic movement disorders: frequency, clinical profile, and characteristics. J Neurol Neurosurg Psychiatry. 1995;59(4):406-12.   DOI   ScienceOn
16 김상호, 박소정, 변순임, 김지영, 김종우, 정선용, 황의완, 김지혁. 분노증세를 동반한 심인성 진전환자에 대해 이완요법과 한방치료를 실시한 1례보고. 동의신경정신과학회지. 2006; 17(3):87-96.   과학기술학회마을
17 Gunther D, Bernd K, Carl HL, Carl S. Diagnostic and pathophysiological aspects of psychogenic tremors. Movement disorders. 1998;13(2):294-302.   DOI   ScienceOn
18 황은영, 정선용, 황의완, 김종우. 기질 및 성격에 따른 명상프로그램의 효과. 동의신경정신과학회지. 2010;21(2):45-60.   과학기술학회마을