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http://dx.doi.org/10.7231/jon.2019.30.1.001

Development of Pattern Identification Questionnaire for Attention-Deficit/Hyperactivity Disorder (ADHD) in Korean Medicine  

An, Yunyoung (Department of Neuropsychiatry, College of Korean Medicine, Woosuk University)
Jeong, Minjeong (Department of Pediatrics, College of Korean Medicine, Woosuk University)
Kim, Miyeon (Department of Pediatrics, College of Korean Medicine, Woosuk University)
Kim, Lakhyung (Department of Neuropsychiatry, College of Korean Medicine, Woosuk University)
Publication Information
Journal of Oriental Neuropsychiatry / v.30, no.1, 2019 , pp. 1-11 More about this Journal
Abstract
Objectives: Attention-Deficit/Hyperactivity Disorder (ADHD) is characterized by a persistent pattern of inattention and/or hyperactivity impulsivity that interferes with function or development in children. In traditional Korean medicine (TKM) and traditional Chinese medicine (TCM), ADHD is classified by several patterns based on symptoms and signs. However, currently, there is no objective diagnostic tool for ADHD in traditional medicine. The objective of this study was to develop the Pattern Identification Questionnaire for ADHD (parents-survey style) to be used in Korean medicine, through a literature review and consultation with groups of experts. Methods: The types of pattern identifications of ADHD mentioned in 13 pieces of Korean and Chinese literatures and their symptoms and signs were analyzed. The advisory committee (15 Neuropsychiatrist and 11 Pediatrist in Korean Medicine) assessed the appropriateness of the literature selection and the types of pattern identification selection and their symptoms and signs, and weighed the significance of the symptoms and signs. The Pattern Identification Questionnaire for ADHD was developed using the calculated weights by evaluated significance. The translation of symptoms and signs to the Korean language was achieved through consultation with expert translators. Results: 1. Four pattern identification types and their symptoms and signs were selected according to frequency of appearance in the Korean and Chinese literatures, and were reviewed by the advisory committee: Kidney yin deficiency and liver yang ascendant hyperactivity (腎虛肝亢), Dual deficiencies in the heart and spleen (心脾兩虛), Phlegm-fire harassing the heart (痰火擾心), and Spleen weakness and liver energy preponderance (脾虛肝旺). 2. The weights of all the symptoms and signs in the four patterns were calculated using the means and standard deviations of the symptoms and signs' importance that were obtained from specialists' significance weighting. 3. The Pattern Identification Questionnaire for ADHD (parents-survey style) in Korean medicine composed of 38 questions was suggested. Conclusions: Using a review of the literature and expert advice, Pattern Identification Questionnaire for ADHD (parents-survey style) in Korean medicine was developed. Further clinical study is required to develop a final version of the questionnaire through the evaluation of reliability and validity.
Keywords
ADHD; Pattern Identification; Korean Medicine; Questionnaire;
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Times Cited By KSCI : 23  (Citation Analysis)
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1 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. (Kwon JS, et al., Trans). Seoul: Hakjisa. 2017 (Original work published 2013):61-8.
2 Hong KE. Korean Textbook of Child Psychiatry. Seoul: Hakjisa. 2016:180-201.
3 Park JH, Park JH, Kim JH, Kim TH, Lyu YS, Kang HW. A Study on the Oriental-medical Understanding about Inattention, Hyperactivity symptom in ADHD (Attention Deficit Hyperactivity Disorder) - Within Don yui bo gam Book-. Journal of Oriental Neuropsychiatry. 2004;15(1):9-25.
4 Sung WY, Yoo JH, Hwang MY, Kim NY. 3 Case Reports of Patients with ADHD Treated with the Oriental Medical Therapy and Art Therapy. Journal of Oriental Neuropsychiatry. 2014;25(3):253-62.   DOI
5 Wy YM, Kang HW. A Case Report of Various Oriental Medical Therapy in Combination with Learning Therapy on School Underachievement Child caused by ADHD. Journal of Oriental Neuropsychiatry. 2009;20(4):197-209.
6 Byun KW, Kim JH, Kim JW, Chung SY. Effects of Oriental Medical Treatment on ADHD - A retrospective clinical survey -. Journal of Korean Oriental Medicine. 2011;32(4):75-82.
7 Kim LH, Song BY, Yu G. 3 Case Reports of ADHD Children treated with Acupuncture and Herbal Medicine. Journal of Oriental Neuropsychiatry. 2004;15(1):239-46.
8 Kim JH, Oh YL, Lee JH, Kim TH, Lyu YS, Kang HW. A Case Report of Typical Oriental Medical Therapy in Combination with Neurofeedback on ADHD Child. Journal of Oriental Neuropsychiatry. 2006;17(3):157-64.
9 Jung MS, Kang HC, Lee SG. A Clinical Report of ADHD child treated with Neurofeedback therapy. Journal of Oriental Neuropsychiatry. 2008;19(3):289-97.
10 Kang JW, Park JG, Cheon YW, Han G, Park HC, Kim LH, Yoo G, Jeong EH. A Case Report of ADHD Child treated with Neurofeedback. Journal of Oriental Neuropsychiatry. 2005;16(2):243-9.
11 Hwang YJ, Kim KB, Min SY, Kim JH. A Clinical Study on 3 Cases of ADHD Children Treated with Neurofeedback. Journal of Korean Oriental Pediatrics. 2007;21(3):85-95.
12 The Textbook Compilation Committee of Oriental Pathology. Oriental Pathology. Seoul: Hanimunhwasa. 2012:286-8,581
13 Jang ES, Lee EJ, Yun YG, Park YC, Jung IC. Suggestion of Standard Process in Developing Questionnaire of Pattern Identification. Journal of Physiology & Pathology in Korean Medicine. 2016;30(3):190-200.   DOI
14 Kim JB, Kim JH, Son CG, Kang WC, Cho JH. Development of Instrument of Pattern Identification for Functional Dyspepsia. Korean Journal of Oriental Physiology & Pathology. 2016;24(6):1094-8.
15 Park EJ, Jang SB, Baek SE, Kim SK, Yoo HR, Yoo JE, Jung IC. Preliminary Study on Development of Pattern Identification Instrument for Polycystic Ovarian Syndrome. Journal of Korean Obstetrics and Gynecology. 2017;30(1):68-84.   DOI
16 Jeon DH, Lee EJ, So HW, Hwang MS, Yoo JE, Park YC, Jung IC, Oh MS. Preliminary Study to Develop the Instrument on Pattern Identifications Knee Osteoarthritis. Journal of Korean Medicine Rehabilitation. 2017;27(2):77-91.   DOI
17 Kim KI, Shin SW, Lee NL, Lee BJ, Jung HJ, Jung SK, Lee JH. Preliminary Study for Development of Pattern Identification Tool of Chronic Cough. Journal of Internal Korean Medicine. 2015:36(1):22-39.
18 Han GJ, Leem JT, Lee NL, Kim JS, Park JW, Lee JH. Development of a Standard Tool for Pattern Identification of Gastroesophageal Reflux Disease (GERD). Journal of Internal Korean Medicine. 2015:36(2):122-52.
19 Jeong HY, Lee JY, Park YC, Jung IC, Cho CS. Development of a Basic Standard Tool for Pattern Identification of Benign Prostatic Hyperplasia (BPH). Journal of Internal Korean Medicine. 2017;38(3):301-18.   DOI
20 Kim JM, Jeon HJ, Park SJ, Kim SY, Cho CK, Jung IC, Yoo HS. Preliminary Study to Develop the Instrument on Pattern Identification for Lung Cancer. Journal of Physiology & Pathology in Korean Medicine. 2014;28(6):585-92.   DOI
21 Yim HJ, Kim SH, Lee SR, Jung IC. Study to Develop the Instrument of Pattern Identification for Hwa-byung. Korean Journal of Oriental Physiology & Pathology. 2008;22(5):1071-7.
22 Kim KK, Soe BN, Kang WC, Jung IC. Guidelines for the Reliability and Validity of the Instrument on Pattern Identifications for Hwa-byung. Journal of Oriental Neuropsychiatry. 2013;24(4):331-42.   DOI
23 Park DM, Lee SR, Kang WC, Jung IC. Preliminary Study to Develop the Instrument on Pattern Identification for Jing Ji and Zheng Chong. Journal of Oriental Neuropsychiatry. 2010;21(2):1-15.
24 Kim H, Lee HS, Lee EJ, Park JH, Kang WC, Jung IC. Correlation between Instrument on Pattern Identification for Depression and Psychological Tests by Statistical Analysis. Journal of Oriental Neuropsychiatry. 2016; 27(3):131-46.   DOI
25 Choi WC, Lee HS, Soe BN, Kang WC, Jung IC. A Study to Assess the Reliability and Improvement of the Instrument of Pattern Identification for Jing Ji and Zheng Chong. Journal of Oriental Neuropsychiatry. 2014;25(4):371-82.   DOI
26 Lee EH, Choi WC, Jung IC. Preliminary Study to Develop the Instrument on Pattern Identifications for Depression. Journal of Oriental Neuropsychiatry. 2013;24(4):435-50.   DOI
27 Lee HS, Kang WC, Jung IC. Reliability and Validity Analysis of the Instrument on Pattern Identifications for Depression. Journal of Oriental Neuropsychiatry. 2015; 26(4):407-16.   DOI
28 Lee HS, Kim H, Yun YG, Lee SJ, Jeon JH, Kim BK, Lee EJ, Jung IC. Preliminary Study to Develop the Instrument on Pattern Identifications for Insomnia. Journal of Oriental Neuropsychiatry. 2016;27(4):223-34.   DOI
29 Wei YM, Lee GE, Jung SH, Lee HK, Lyu YS, Kang HW. A Study on the Reliability and Factor analysis of Pattern Identification for Tic Disorders in children. Journal of Oriental Neuropsychiatry. 2012;23(1):59-83.   DOI
30 Lee GE, Moon KS, Kim NK, Chung SY, Jung IC, Kang HW. Preliminary Study to Develop the Korean Medical Pathologic Aging Scale and Korean Medical Pattern Identification for Dementia. Journal of Korean Medicine. 2017;38(3):111-23.   DOI
31 The Textbook Compilation Committee of Neuropsychiatry of Oriental Medical Schools in Nation. The Neuropsychiatry of Oriental Medicine. Seoul: Jipmoon-Dang. 2016:645.
32 Rong M. Zhong yi er ke xue. Beijing: Zhongguo Zhong yi yao chu ban she. 2016:143-7.
33 Kim KB, Kim DG, Kim YH, Kim JH, Min SY, Park EJ, Baek JH, Sung HK, Yu SA, Lee SY, Lee JY, Lee HJ, Chang GT, Jeong MJ, Chai JW, Cheon JH, Han YJ, Han JK. Hanbangsoacheongsonyeonuihak. Seoul: Ui Sung Dang Publishing Co.. 2015:47.
34 Zang HG. Zhong xi yi jie he jing shen bing xue. Beijing Shi: Zhongguo Zhong yi yao chu ban she. 2005:291-6.
35 Huang TK. Zhong yi shen jing jing shen bing xue. Beijing Shi: Zhongguo yi yao ke ji chu ban she. 2000:298-305.
36 Wang XF. Zhong xi yi jie he er ke xue. Beijing: Zhong guo zhong yi yao chu ban she. 2016:178-83.
37 Xu RQ. Zhong yi er ke xue. Beijing: Zhong guo zhong yi yao chu ban she. 2013:210-7.
38 Wang SC. Zhong yi er ke xue 2nd edition. Beijing: Ren min wei sheng chu ban she. 2016:742-50.
39 Zhang QW. Zhu JS. Shi yong zhong yi er ke xue. Beijing: Zhong guo zhong yi yao chu ban she. 2016:953-7.
40 Wang Y. Sheng ZX. Chang jian zhong yi you shi bing zhong zhi fa ji cui. Beijing: Ren min wei sheng chu ban she. 2009:399-407.
41 Zhong hua zhong yi yao xue hui. Zhong yi er ke chang jian bing zhen liao zhi nan. Beijing: Zhong guo zhong yi yao chu ban she. 2012:69-72.
42 China Guo jia Zhong yi yao guan li ju. Criteria of diagnosis and therapeutic effect of diseases and syndromes in traditional Chinese medicine. Beijing : 2016 (ZY/T001.1-94)
43 China Guo jia Zhong yi yao guan li ju. ADHD zhong yi zhen liao fang an. Beijing : 2011.417-52.
44 Kim JH, Cho SM, Hong CH, Hwang ST. Korean Personality Rating Scale for Children. Daegu: Korea Psychology Co., Ltd.. 2015.
45 The Compilation Committee. The Korean Medical Dictionary. Seoul: Chungdam. 1998.
46 The Chinese-Korean Dictionary Compilation Committee of Research Institute of Korean Studies, Korea University. The Chinese-Korean Dictionary. Seoul: Research Institute of Korean Studies, Korea University. 1989.
47 Park EH, So YK, Kim YS, Choi NK, Kim SJ, Noh JS, Ko YJ. The Reliability and Validity of Korean Conners Parent and Teacher Rating Scale. Korean Journal of Child and Adolescent Psychiatry. 2003;14(2):183-96.
48 Ben-Porath YS, Tellegen A, Minnesota Multiphasic Personality Inventory-2 Restructured Form (Han KH, Trans). Maumsarang Co., Ltd.. 2011.
49 Spielberger CD. Spielberger's State-Trait Anxiety Inventory- form Korean YZ (Hahn DW, Lee CH, Chon KG, Trans). Seoul: Hakjisa Publisher. 2008.
50 Kim AY. Academic Motivation Test. Seoul: Hakjisa Publisher. 2009.
51 Cloninger CR. Temperament and Character Inventory - Revised -Short (Min BB, Oh HS, Lee JY, Trans). Maumsarang Co., Ltd.. 2007.
52 Lee EH. Ennagram Psychological Dynamic Indicator. Seoul: Korea Guidance. 2008.
53 Kim YS, So YK, Noh JS, Choi NK, Kim SJ, Koh YJ. Normative Data on the Korean ADHD Rating Scales (K-ARS) for Parents and Teacher. Journal of Korean Neuropsychiatric Association. 2003;42(3):352-9.
54 Im HC. Parenting Attitude Test. Mindpress Publishing Co.. 2010.
55 Lee BG, Park YB, Kim TH. Korean Medicine Diagnostics. Gyeonggi: Seongbosa. 2012:70-91,161-276.