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Effect of Korean Medical Treatment on Patients with Insomnia and Analysis of Correlation among Psychological Scale Changes: A Retrospective Chart Review (불면장애 환자의 한의치료 효과 및 심리척도 변화간 상관성 분석: 후향적 관찰 연구)

  • Sang-Il Seo;Geun-Woo Kim;Jong-Ho Yoo
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.3
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    • pp.151-161
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    • 2023
  • Objectives: To examine effect of Korean medical treatment on patients with insomnia and correlations among changes in psychological scales before and after treatment. Methods: Medical records of 38 patients diagnosed with insomnia based on DSM-V who received Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 8 weeks were retrospectively reviewed. Psychological scales including Insomnia Severity Scale (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI) were measured every four weeks and analyzed. Results: After eight weeks of treatment, ISI, BDI-II, BAI, STAI-X-1/2, and STAXI-S/T showed statistically significant decreases. Psychological scale pairs that showed a statistically significant correlation were ISI and BDI-IIㆍSTAI-X-1ㆍSTAI-X-2ㆍTA, BDI-II and BAIㆍSTAI-X-1ㆍSTAI-X-2ㆍAX-I, BAI and STAI-X-1ㆍSTAI-X-2ㆍSAㆍTA, STAI-X-1 and STAI-X-2, SA and TA, and TA and AX-I. In women, the improvement of AX-C was high. The improvement in AX-I score was significant when the disease duration was more than one year. A lower pretreatment BAI value predicted a greater decrease in ISI score after treatment. Conclusions: Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy was effective in improving insomnia symptoms and accompanying symptoms such as depression, anxiety, and anger. In the future, more in-depth follow-up research is needed on the mechanisms by which various psychological problems (depression, anxiety, anger, etc) cause and worsen insomnia and the psychological symptoms secondary to insomnia.

Interrelations Among Fast Food Intake, Food Behavior, and Personality in Adolescents (패스트푸드 섭취가 청소년의 식행동 및 인성에 미치는 영향)

  • Her, Eun-Sil;Lee, Kyung-Hea;Bae, Eun-Young;Lyu, Eun-Soon
    • Korean Journal of Community Nutrition
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    • v.12 no.6
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    • pp.714-723
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    • 2007
  • Especially, the teenage period, an important lifetime to develop both physically and mentally, needs to be helpful to promote the growth of the body and to keep a well-balanced mind through a balanced and nourishing diet. It is well known that the western style fast food is the most liked meal by teenagers. Wrong recognition about fast food and its frequent intake by adolescents can lead to unbalanced diet and food behaviors which may also connect with a poor impact on their personalities as well as their physical health. In this study, therefore, relationships between fast food intake frequency and food behavior, sociability, and personality, such as anger expression, were surveyed from 1,295 adolescents (666 in Seoul, 316 in Changwon, and 313 in rural communities), and then analyzed using SPSS program. The results are shown as follows. The fast food preference score and the fast food intake frequency score showed no differences between male students (22.9/30, 14.4/30 respectively) and female students (23.0/30, 14.0/30 respectively). But, the fast food preference score correlated positively with the intake frequency score (r=0.304) significantly (p<0.001). The more frequently eating of fast food group showed significantly lower scores (r=-0.233, p<0.001) in food behaviors. The frequency of fast food intake had no relationships with sociability, but it had a significantly effect on anger expression (r=0.213, p<0.001) and control (r=-0.l47, p<0.001). From these results, we could see the necessity of various nutrition education programs to build proper eating-out habits and also more studies are needed to find the relationships between fast food intake and growth and personality.

Comparison between Major Depressive Disorder & Hwabyung (Culture Bound Syndrome) using the SCL-90-R (SCL-90-R을 이용한 화병과 주요우울장애의 비교)

  • Chung, Sun-Yong;Park, Jong-Hoon;Kim, Sang-Ho;Whang, Wei-Wan;Kwon, Jung-Hye;Kim, Jong-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.15 no.2
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    • pp.45-51
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    • 2004
  • Hwabyung is a Korean culture bound syndrome and translated as anger syndrome at DSM-IV. And it is caused by the suppression of anger and has characteristics of chest discomfort, burning up as physical symptoms, and mortification, chagrin as psychological symptoms. It is very common in the field of psychiatry in Korea with Major Depressive Disorder (MDD). * Objective : 95 patients with MDD or Hwabyung, who visited the department of psychiatry in Korea University Medical Center or oriental medical hospital of Kyunghee Medical Center from May 2003 to August 2003, were selected for the study to compare between Major Depressive Disorder and Hwabyung. * Methods : The Structured Clinical Interview Schedule for DSM-IV (SCID) and Hwa-Byung Diagnostic Interview Schedule (HBDIS) were conducted for diagnosis. And Symptom Check List-90-Revised (SCL-90-R) was carried out for comparison between MDD and Hwabyung. * Result : Among the 95 patients, MDD group was 23 persons, Hwabyung group was 36 persons, and MDD plus Hwabyung group was 36 persons and it occupied 37.9%. MDD plus Hwabyung group had higher scores than any other groups in the whole dimensions of SCL-90-R. Hwabyung group had higher scores than MDD group in somatization, anxiety, hostility, Global Severity Index(GSI) and positive symptom total (p<.05) of SCL-90-R, but two groups had no difference in obsessive-compulsive, interpersonal-sensitivity, depression, phobic anxiety, paranoid ideation, psychoticism, positive symptom distress index of SCL-90-R. * Conclusion : These result showed that Hwabyung is similar to MDD at the point of depression and psychoticism but more severe at somatization, anxiety and anger than MDD.

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The Case Study of a patient with Yùzhèng(鬱證) who has treated by Oh-Ji-Sang-Seung(五志相勝) Therapy based on Forgiveness Program (울증(鬱證)환자에게 용서프로그램을 활용한 오지상승요법(五志相勝療法)을 시행하여 호전된 1례)

  • Lee, Sang-Eon;No, Dong-Jin;Park, Jang-Ho;Lee, Go-Eun;Park, In-Sook;Lyu, Yeong-Su;Ahn, Min-Seob;Jung, Ji-Ho
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.2
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    • pp.201-214
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    • 2010
  • Y$\grave{u}$zh$\grave{e}$ng(鬱證) comes from obstruction of qi by stress. The patient has depressed mood, irritable sign, chest discomfort, costal pain, angry state or some strange feeling on the throat. Oh-Ji-Sang-Seung(五志相勝) therapy is base on the theory of interrelation in five elements in oriental medicine. The contents of Oh-Ji-Sang-Seung(五志相勝) therapy include five subjugations of five emotions. Anxiety subjugates fear(思勝恐), fear subjugates joy(恐勝喜), joy subjugates pity(喜勝悲), pity subjugates anger(悲勝怒), and anger subjugates anxiety(怒勝思). Forgiveness program is a kind of psychological therapies to decrease the degree of anger and it is included in Oh-Ji-Sang-Seung(五志相勝) therapy. In this case, a female patient, 50 years old, who suffered from Y$\grave{u}$zh$\grave{e}$ng(鬱證) with chest discomfort, irritable sign, easily angry state, depressed mood, hot flush, insomnia. We used Oh-Ji-Sang-Seung(五志相勝) therapy besides herbal medication, acupuncture to her condition got improved. Therefore we reported it for the treatment.

The Effect of Emotional Intelligence on Organizational Performance in Clinical Nurses - A Preliminary Study for an Education Program of Organizational Performance - (임상간호사의 감성지능이 조직성과에 미치는 영향 - 조직성과 증진 교육프로그램을 위한 기초연구 -)

  • Kim, Joo-Hyung;Song, Ju-Eun;Lee, Soon-Kyu;Heo, Su-Kyoung;Sung, Young-Hee;Lee, Jung-Eun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.1
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    • pp.80-89
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    • 2011
  • Purpose: The purpose of this study was to discover the effect of emotional intelligence on organizational performance in clinical nurses regarding anger expression, job satisfaction, job commitment, and turnover intention. Methods: Data were collected by self-administered questionnaires from 162 clinical nurses in three university hospitals in 2008, and analyzed by the SPSS 14.0 Window program, using descriptive statistics, pearson correlation, and stepwise multiple regression. Results: Emotional intelligence showed a statistically significant association with each of anger expression-in, anger expression-control, job satisfaction, job commitment, turnover intention, and organizational performance. The multiple regression analysis also showed that organizational performance was statistically significant with job satisfaction, job commitment, and emotional intelligence respectively. 38.0% of the variation of organizational performance was explained by these variables. Conclusion: Emotional intelligence significantly affected organizational performance together with job satisfaction and job commitment. From this result, it could be concluded that nursing interventions for emotional intelligence have a positive effect on improving organizational performance. Further studies are needed to develop nursing intervention programs for emotional intelligence and test its effects on organizational performance.

Zhang Jiebin(張介賓)'s Discussion and Treatment of the Depressive Pattern (장개빈(張介賓) 울증론치(鬱證論治) 연구)

  • Bae, Jeong-woon;Bak, Gi-ho;Lyu, Jeong-ah
    • Journal of Korean Medical classics
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    • v.35 no.4
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    • pp.77-96
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    • 2022
  • Objectives : This paper examines the medical treatise and treatment methods of Zhang Jiebin on the depressive pattern, for clinical application today. Methods : The Zazhengmo/Yuzheng chapter of the Jingyue Quanshu, related texts and annotations of the Huangdineijing, and related contents among the medical texts of the JinYuan masters were analyzed. Developmental process of the medical theories were compared and examined. Results : Zhang focused on the mechanism in which emotion affects Qi leading to a disease state, and categorized Yu[鬱, depressed state] into three: anger depression, contemplative depression and comprehensive depression. The concept of the Five Depressive Patterns and its treatment from the Huangdineijing·Suwen which was considered as excess pattern was expanded to include deficiency pattern based on comparison with annotations of Wangbing, Hwashou, and Wang Andao. Treatment methods centered on purging was also expanded to include tonifying to restore the damaged Jing Qi. The depressive patterns anger depression, contemplative depression and comprehensive depression were subdivided according to excess and deficiency, for which formulas such as Shenxiangsan, Shoupijian, Guipitang were suggested. As the depressive pattern is caused by emotions and thus the Heart, the Yiqingbianqi method that directly deals with emotions was suggested. Zhang adopted Zhu Zhenheng's opinion which expands the category of Yu, and in the perspective of excess/deficiency, it is most similar to that of Li Dongyuan. Conclusions : Before Zhang, the depressive pattern was discussed in terms of it being excess pattern. However, Zhang's discussion on depressive pattern based on anger depression, contemplative depression and comprehensive depression focuses on emotional stagnation while suggesting the possibility of deficient stagnation, expanding previous understanding. In terms of treatment, tonifying methods for deficiency pattern was added, while consideration of emotion itself became necessary in treatment.

Psychological benefits of bench-step aerobics program in overweight or obese adult women: its effects on anger, exercise self-efficacy, exercise-related affect, and body image (과체중 및 비만 성인 여성 대상 스텝운동 프로그램의 심리적 효과: 분노, 운동관련 자기 효능감, 운동관련 정서 및 신체상에 미치는 효과)

  • Lee, Mi-Ra;Kim, Wan-Soo
    • Korean Journal of Health Education and Promotion
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    • v.24 no.5
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    • pp.119-135
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    • 2007
  • Objectives: The efficacy, feasibility, and safety of bench-step aerobics (BSA) program in overweight or obese Korean adult women have been implied. However, there has been almost no evidence for its psychological benefits. As such, the purpose of this study was to investigate the psychological benefits of BSA program in overweight or obese (body mass index ${\geq}\;23\;kg/m^2$) Korean adult women. Method: Anger, exercise self-efficacy, exercise-related affect, and body image of overweight or obese women who participated in a 12-week BSA program (n=15) were compared with those of their counterparts in the control group (n=13). Subjects were selected among public health center visitors and those recruited by putting an advertisement in local newspapers and the public health center homepage. Data from the exercise and control groups were collected before and after the 12-week BSA program (from August to November in 2006) at the public health centers. The exercise program consisted of 45 to 60 min moderate-intensity (40/50 to 50/60% of their hear rate reserve) BSA performed for 3 days a week. Results: After the BSA program, body image of the subjects in the exercise group was significantly improved and there was a significant difference between the exercise and control groups. Anger, exercise self-efficacy, and exercise-related affect were improved after the BSA program but the changes did not reach the level of statistical significance and there were no significant differences between the exercise and control groups. Conclusions: In conclusion, BSA appears to significantly enhance body image in overweight or obese Korean adult women but its effects on anger, exercise self-efficacy, and exercise-related affect do not appear to be statistically significant. Further studies involving different subjects, particularly whose levels of anger are high or whose levels of exercise-related affect are low to exclude the influence of the ceiling or floor effect, are warranted in a randomized controlled design.

A Study on The Principles and Philosophical Basis of 'Sa Sang Medicine' (사상의학(四象醫學)의 원리(原理)와 철학적(哲學的) 배경(背景)에 대(對)한 고찰(考察))

  • Song, Jeong-Mo
    • Journal of Sasang Constitutional Medicine
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    • v.4 no.1
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    • pp.5-29
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    • 1992
  • In this study, the author researched the process in which the philosophical basis of 'Sa Sang Medicine (四象醫學)' and its methodology build up the principles of Sa Sang Medicine, and then, examined how the principles were applied to the theoretical system of Sa Sang Medicine. The conclusion would be summarized as follows. 1. 'Nae Kyung Medicine (內經醫學)' was developed under the concept that the cosmos's order and its moving rule could be directly applied to that of human body, which corresponded to the 'Theory of Hwang-No (黃老之學)'. On the contrary, Sa Sang Medicine is a thoroughly human-oriented theory formed in the Confucianism system. 2. Lee Jae-Ma's Substantialism can be briefed into 'Mind 心' (Tae Keuk 太極), 'Mind-Body 心身' (Yang Eui 兩儀) and 'Activity-Mind-Body-Matter 事心身物' (Sa Sang 四象), which respectively represents one-elemented substance, two-elemented substance and four-elemented substance. Especially, Sa Sang was used as a basic framework in which he recognized all the objects and phenomena. So, most critical significance of his substantialism consists in the intention of Sa Sang type classifying. 3. By the method of Sa Sang type classifying, Lee Jae-Ma not only redefined the main concepts of confucianism and developed a unique philosophy of his own, but also, in the field of medical science, resystemized and re-explained the structure and function of human body. 4. From the recognition that Activity-Mind-body-Matter (Sa Sang) are four different existence forms of energy 氣 (or four variation types of energy), Yi Jae-Ma thinks that the viscera of human body have a vertical structure of 'four parts 四焦' (upper, mid-upper, mid-lower and lower parts) and its physiological function is operated by the rising and falling action of four energy presentations (sorrow 哀, anger 怒, joy 喜 and pleasure 樂). 5. In "Gyuk Chi Go 格致藁", Lee Jae-Ma understood the concept of joy, anger, sorrow and pleasure on the basis of nature-emotion theory 性情論 from the philosophical viewpoint. But, from the medical viewpoint of "Dong Eui Su Se Bo Won 東醫壽世保元", he understood them on the basis of vital energy theory. That is, sorrow, anger, joy and pleasure are expression of advance or reverse of nature vital-energy 性氣 and emotion vital-energy 情氣. 6. The rising and falling action principle of four energy presentations (sorrow, anger, joy and pleasure) which produces and helps each other is an identical principles of Sa Sang Medicine, distinguished from the Oh-Haeng 五行 circulating principle in Nae Kyung Medicine. Through this principle, Lee Jae-Ma explained the viscera physiology of human body, pathology & diagnosis and pharmacology.

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The Relationship between Driving Behavior, Driving Anger, and Ambivalence Over Emotional Expressiveness in an Anonymous Situation (익명상황의 운전행동과 운전분노 및 정서표현갈등과의 관계)

  • Bo Young Yun ;Soon Chul Lee
    • Korean Journal of Culture and Social Issue
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    • v.17 no.3
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    • pp.321-341
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    • 2011
  • This study examines how anonymity between drivers affects aggressive driving and why, in an anonymous situation, some drive aggressively and others do not. Two surveys were conducted. The first survey covered 200 participants and found that people are more likely to drive aggressively in an anonymous situation than in a face-to-face situation. The second survey covered 384 participants with a history of aggressive driving and found that these aggressive drivers could be classified into three groups using a two-step cluster analysis. Drivers who often exhibit aggressive driving in anonymous situations were found in the second questionnaire to have a high tendency towards driving anger and towards ambivalence over emotional expressiveness. The tendency towards self-defensive ambivalence factor, one of the factors in the ambivalence over emotional expressiveness questionnaire, was also found to be high. Individuals who tended to drive aggressively in an anonymous situation were found to be susceptible to driving anger, usually faced ambivalence over emotional expressiveness, and typically were indecisive. The results of this study suggest that rather than intensifying the enforcement of traffic regulations, a better remedy for those who drive recklessly would be to have them undertake some candid self-reflection.

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A Study on the Human Sensibility Evaluation Technique Using EEGs of 4 Emotions (4가지 감정의 뇌파를 이용한 감성평가 기술에 관한 연구)

  • Kim, Dong-Jun;Kang, Dong-Kee;Kim, Heung-Hwan;Yi, Sang-Han;Go, Han-Woo;Park, Se-Jin
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.51 no.11
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    • pp.528-534
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    • 2002
  • This paper describes a technique for human sensibility evaluation using EEGs of 4 emotions. The proposed method uses the linear predictor coefficients as EEG feature parameters and a neural network as sensibility pattern classifier. For subject independent system, multiple templates are stored and the most similar template can be selected. EEG signals corresponding to 4 emotions such as relaxation, joy, sadness and anger are collected from 5 armature performers. The states of relaxation and joy are considered as positive sensibility and those of sadness and anger as negative. The classification performance suing the proposed method is about 72.6%. This may be promising performance in the human sensibility evaluation.