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http://dx.doi.org/10.7231/jon.2017.28.3.217

A Review on Treatment of Somatization Disorder in Traditional Chinese Medicine  

Kim, Hyo-seop (School of Korean Medicine, Pusan National University)
Bae, Jin-soo (School of Korean Medicine, Pusan National University)
Lee, Seung-Hwan (Department of Neuropsychiatry, Pusan National University Korean Medical Hospital)
Lim, Jung-Hwa (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University)
Seong, Woo-Yong (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University)
Publication Information
Journal of Oriental Neuropsychiatry / v.28, no.3, 2017 , pp. 217-230 More about this Journal
Abstract
Objectives: This study was conducted to review studies on somatization disorder in traditional Chinese medicine. Methods: We reviewed studies in the China National Knowledge Infrastructure (CNKI) to 2017. Keywords were 軀體化障碍, Somatization disorder, somatic symptom disorder. We included Randomized Controlled Trial (RCT), and excluded non-Randomized Controlled Trial (nRCT), non-related somatization disorder or traditional Chinese medicine, non-clinical trials, dissertations for degrees. Jadad scale and Cochrane Library's Risk of Bias (RoB) were used for assessment of the quality of studies. Results: Twelve studies were selected. The Chinese Classification of Mental Disorders-3 (CCMD-3) was most frequently used as diagnostic criteria for somatization disorder. As for outcome measurement, Hamilton Rating Scale for Depression (HAMD) was used most commonly. Meta-analysis of 10 studies revealed effective rate of Chinese Herbal Medicine groups (CHM) was significantly higher than Western Medicine groups (WM) (RR: 1.14, 95% CI: 1.02 to 1.27, p=0.02, $I^2=40%$). There was no significant difference in effective rate of CHM+WM and WM (RR: 1.12, 95% CI: 0.84 to 1.49, p=0.46, $I^2=83%$). And also, effective rate of Acupuncture group (Acu) revealed no significant difference compared to that of WM (RR: 1.17, 95% CI: 0.95 to 1.44, p=0.13, $I^2=84%$). For HAMD, there was significant difference in CHM vs, WM group and Acu vs. WM group. Quality of selected 12 RCTs was low. Conclusions: Therapies practiced in traditional Chinese medicine may be effective options for somatization disorder. treatment. For further clinical studies in Korean medicine, this study could be groundwork for development of diagnosis and treatment on somatization disorder.
Keywords
Somatization Disorder; Somatic Symptom Disorder; Traditional Chinese Medicine;
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