• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.705-715
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• 2001

This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clinical studies are definitely dominant. As for the fields of research, the concept of Hwabyung was studied more frequently than the others. As for the authorship. psychiatrists prevailed but nursing professionals are on the increase. Research subject in clinical and survey study, patient was definitely dominant and the place of study was almost always a hospital (75%), data collection was higher on interview (58.3%). Hwabyung was considered unique culture bounded syndrome related to Korean culture. Frequent etiologic factor of Hwabyung were a husband's extra-marital affair, conflicts between houses wives and mothers-in-laws, and financial loss and suffering. From the incidence of Hwabyung, a greater number of patients with Hwabyung were middle aged women in the low economic and educational classes, and these were connected with the culture and the family system. The symptoms of Hwabyung included psychological and physical symptom, neurological disorder and disease behavior. Defense mechanisms and coping strategies for Hwabyung were somatization, suppression, orality, withdrawal, isolation, regression, help-seeking, complaining, and wreaking anger. Treatment of Hwabyung were medication, effort by herself, communication with families, consultation with psychologist, acupuncture, negative therapy, moxa, and Qi-kong. Psychiatric therapy, behavior therapy, nursing intervention on multi-interdisciplinary approach and psychiatric nursing approach were recommended for the nursing care of a Hwabyung patient.

• Journal of Oriental Neuropsychiatry
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• v.8 no.2
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• pp.63-84
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• 1997

The questionnaire which was based on the characteristics of psychological and physiological symptoms of Hwabyung patients was distributed to Hwabyung patients and normal control group. The following results were obtained. 1. It was observed in this study that the rate of occurrence of Hwabyung was higher in female and the people with lower economical and educational background. And this result was in accordance with the previous studies. 2. The personality, defense mechanism and coping strategy of Hwabyung patients was found to be inclined to yin(陰) disposition in this study. 3. Family life of Hwabyung patients was found to be worse than that of normal control group in every respect. 4. In terms of evaluation of their lives, the emotion of Hwabyung patients was characterized as Hahn(恨). And it is postulated that this emotional complex falsifies the reaction of Ki(氣) to the seven emotions(七情).

• The Journal of Internal Korean Medicine
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• v.19 no.2
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• pp.81-87
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• 1998

BACKGROUND : Hwabyung is a culturally-related syndrome of Korea diagnostically confounded with somatization, depressive and generalized anxiety disorders, representing typical clinical manifestations of wide range in their severity. METHODS : This clinical study was carried out on 200 inward stroke patients who had stable vital signs and had stayed at least for 10 days after admission. The patients were devided into two groups, hwabyung and non hwabyung group after an interview with an oriental neuropychiatrist. Than we compared the two groups with general characteristics, past history, stroke type, clinical manifestations and serum lipid levels. Also we investigated recent stressors in hwabyung group. RESULTS : The results showed that the incidence of hwabyung was about 28.5% in stroke patients. The greater number of subjects with hwabyung were women in lower educational level. Aphagia were observed more frequently in hwabyung group and verbal disturbance in non-hwabyung group. The most recent stressor of male in hwabyung group was finantial difficulties due to dishonor, unemployment, cheated and so on. As to female, the conflicts with husband or his family were the most recent stressor. As a whole, finantial difficulties were highly ranked as a recent stress in hwabyung group.

• Journal of Oriental Medical Thermology
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• v.1 no.1
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• pp.13-19
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• 2002

Objectives : This study was performed to apply thermography as an method in diagnosis of hwabyung patients. We studied 11 Hwabyung patients who visited to chronic diseases center and circulatory oriental internal medicine of Kangnam oriental medicine hospital and 11 patients control group. Methods : Diagnosis of Hwabyung was based on the dignostic criteria of Hwabyung. The temperature was measured on Chonjung(CV17) Shimsu(B15), Kansu(B18), Kyonjong(G21) in each group. The ${\Delta}T$ was measured between Chonjung(CV17) and Chungjong(CV16), left and right Chungjong(CV16), Shimsu(B15), Kansu(B18), Kyonjong(G21) in each group. We compared the ${\Delta}T$ and DITI types between patients and control group. Results : The ${\Delta}T$ between left and right Chungjong(CV16), Shimsu(B15), Kansu(B18), Kyonjong(G21) were not statistically significant. But the ${\Delta}T$ between Chonjung(CV17) and Chungjong(CV16) was statistically significant(P<0.05) in each group. In control group, DITI type was straight 36%, diamond 27%, multiple small spot 18%, others 18%. In Hwabyung patients group, DITI type was inverse triangle 64%, multiple small spot 9.1%, round 9.1%. Conclusions : The ${\Delta}T$ between Chonjung(CV17) and Chungjong(CV16) and DITI type is considered useful diagnostic methods on Hwabyung patients.

• Journal of Oriental Neuropsychiatry
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• v.8 no.1
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• pp.141-150
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• 1997

A clinic study was carried out on 83 neuropsychiatric outpatients who visited 'Hwabyung Clinic' in Oriental Hospital of Kyung Hee University from July 1 in 1996, in order to study clinical research and the aspect of 'Hwa'. 1. Onset of stress that causes of Hwabyung was 14.23 years ago and onset of symptoms were 6.39 years ago. Hwabyung patients were maintaining their marital state and were under the same stress that was thought to be the chief causes of the Hwabyung..3. Familiar troubles including their spouse were the main cause of the Hwabyung, which suggested that prolonged trobles were more important rather than sudden emotional shock, and it was obvious that the patients were recognizing the predisposing factors of Hwabyung.5. The emotional state which led to Hwabyung and the present state caused by Heabyung were complicated very much. Feeling being mortified, anger and resentment were gradually changed into anxiety, irritability, depression and loss of interest.6. The somatic symptoms of Hwabyung were flushing, insomnia, hradache, dizziness, and oppressed.7. The feeling of flushing were whole body, front of the body and upper of the body.

• Journal of Oriental Neuropsychiatry
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• v.11 no.2
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• pp.141-148
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• 2000

This study was done on 57 women whose family was the student of KOMC by the Rosenberg self esteem scale. They were stratified into Percieving Hwabyung group and normal group.The result of the study were summerized as follows.1. Self esteem is low in Percieving Hwabyung gruop but there was no statistical significance.2. In low self esteem group. there were more women percieving Hwabyung than the other group(p=0.05).3. There was no statistical significanc relationship between age adn self esteem. In conclusion, it was considered that we should consider self esteem in treatment on Hwabyung patients.

• Journal of Oriental Neuropsychiatry
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• v.7 no.1
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• pp.173-180
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• 1996

Generally, Hwabyung is more commen in older women, in low educational group. Many psychiatrists explain it as the illness originated from a series of psychological stresses. And they think that Hwabyung patients have somatization disorder, anxiety disorder, and, major depression. But, many of oriental medical doctors explain it as symptoms having the character of fire. In order to investigate the clinical aspects of Hwabyung, this study was carried out in department of oriental neuropsychiatry at Kyung Hee Medical Center. The subject was 34 year old female who was an inpatient in K.M.C from Aug. 14 Aug 26, 1996.The results of the study showed that familial problem and long-termed(about 10 years) stressed situation drove her to Hwabyung. This seems to be related to Korean traditional culture. That is, Korean women were exposured to familial problem(related to mother-in-law, and, her husband), and, poverty, etc. But they had to be patient of this situation. Nowadays, though this situation is rather improved, Hwabyung remains a problem with us, because many people still suffer from Hwabyung.

• Journal of Oriental Neuropsychiatry
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• v.9 no.2
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• pp.97-109
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• 1998

This study was designed and undertaken to identify objectively the degree and relationship of anxiety, depression, & anger which are chief essential elements of emotional status in Hwabyung patients.The subjects in this study were 35 Hwabyung patients and 40 Non-Hwabyung persons, and for the assessment of anxiety, depression, & anger. We used Zung's Self-Rating Anxiety Scale(SAS), Zung's Self-Rating Depression Scale(SDS) & State-Trait Anger Expression Inventory(STAXI).The results of this study are as follows:1. There were significant differences in the 18 items of SAS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).2. There were significant differences in the 13 items of SDS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).3. There were significant differences in the mean scores of SAS and SDS between Hwabyung patients and the control group(p＜0.001 respectively).4. There were significant differences in the mean scores of State Anger, Trait Anger, Trait Anger/Temperament, Anger-in & Anger-out counted by STAXI between Hwabyung patients and the control group (p＜0.001, p＜0.01, p＜0.001, p＜0.001, p＜0.05 respectively).5. There were significant relationships between State Anger & Anxiety, Anger-out & Trait Anger/Temperament, Depression & Anxiety(r=.43, r=.37, r=.64).

• Korean Journal of Culture and Social Issue
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• v.21 no.2
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• pp.205-225
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• 2015

This study is performed to fine a way to illuminate the direction of depression study suitable to Korean culture. To do so, it is found that from when we started to use the term of 'depression' and how we Koreans conceptualize depression. And cultural psychological perspectives to psychopathology including depression are reviewed. Finally, based on these findings, the ways to study depression with the perspective of cultural psychology are suggested. Specifically speaking, at the first, it is found that the term of depression has not been used before colonialized times by Japan, but terms of 'Ul-Uep', 'Kwang-Zeung', and 'Jun-Kwanng' are used from at least times of King SeJong. Term of depression was actually used after liberation from Japan and spread after introduction of DSM to Korea via Japan. Second, the way to compromise universalist and relativist perspectives is recommended and the perspective of absolutist is not recommended. Lastly, in Korea depression shares with 'HwaByung' in some area, but not with 'Han'. In conclusion, it is desirable to combine etic factors(universal perspective) and emic factors(culture-relative perspective) to study depression suitable for Korean culture.

• The Journal of Korean Medicine
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• v.19 no.2
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• pp.5-16
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• 1998

Hwabyung is a common emotional disorder which has symptoms expressed like firt's explosion in middle-aged after long period of emotional suppression among Koreans. It is similar in its characteristics such as neurosis, anxiety, panic attacks in Western Medicine, though the treatment method was not effective. So we have done a clinical research on Oriental Medical Method, especially on Acupuncture Therapy, and obtained following results. 1. Patients with Hwabyung complained of pressure pain around the Chunjung(?中, CV-17) point distinctively. About 70% of those were located on the CV-17 point, 25% were 1cm upper than the CV-17 point and 5% of those were 1cm lower point than the CV-17 point. 2. Degrees of pressure pain were divided into 5 grades from ade 1(feeling pain with slight pressure) to grade 5(feeling no pain with severe pressure), respectively. 3. Patients with Hwabyung showed various symptoms compared to fire's explosion such as anger, chest discomfort, difficulty in breathing. tachycardia. and feeling of epigasfric mass etc., and the degrees were divided into 5 grades according to the severities from grade 1(can't keep their usual living) to grade 5(no complaints with heavy stresses), respectively. 4. For the treatment of Hwabyung in this study, we had given Acupuncture therapy on some points such as Chunjung:?中:CV-17, Jungwan:中脘:CV-12) and Chunchu:天樞:S-25, etc. for 15 minutes a time twice a week. And Bunshimkiumgmnihang(分心氣飮加味方) was administered 3 times a day. 5. About 40% of the patients took treatment for more than 2 months, 29% of those took 1 to 2 months and 31% of those took less than 1 month. In this study, we excluded those who stopped treatment within a month without any expected effects. 6. We evaluated the changes of severity of pain according to the following categories such as - for no change, + for 1 grade, ++ for 2 grades, +++ for 3 grades, and ++++ for 4 grades of improvements. Among the patients taken 1 to 2 months of treatment. 48% of the those showed +, 7% of those showed ++, 3% of those showed +++ and 41% of those showed no change. Among the patients taken less than 2 months of treatment, 20%of those showed +, 40% of those showed ++, 28% of those showed +++ and 13% of those showed no change. 7. We evaluate the changes of symptoms according to the following categories such as - for no change, + for 1 grade, ++ for 2 grades, +++ for 3 grades and +++ for 4 grades of improvements. Among the patients taken 1 to 2 months of treatment, 34% of those showed +, 14% of those showed ++ and 52% of those showed no change. Among the patients taken more than 2 months of treatment, 20% of those showed +, 43% of those showed 20% of those showed +++, 3% of those showed +++ and 15% of those showed no change. 8. When we compare the changes of pain and symptoms according to the periods of treatment, the changes in quantity of pain in 1 to 2 months group was $0.72{\pm}0.75$, in more than 2 months group was $1.83{\pm}0.98$, and the changes in quantity of symptoms in 1 to 2 months group was $0.62{\pm}0.73$, in more than 2 months group was $1.75{\pm}1.03$. According to the above results, we have concluded that more than 2 months of treatment is more beneficial than 1 to 2 months of treatment.