• Journal of Oriental Neuropsychiatry
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• v.21 no.1
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• pp.159-172
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• 2010

Objectives: The purpose of this research is to investigate correlationship between Hwa-Byung and various factors, including Sasang Constitution. Methods: The research about Hwa-Byung, various factors and Sasang Constitution were carried out for 649 Participants, male was 272 and female was 377. Hwa-Byung diagnosed by Hwa-Byung Diagnostic Interview Schedule(HBDIS). Sasang Constitution was diagnosed by a Sasang Constitutional specialist with recorded voices, face pictures, tongue pictures and researched data about Sasang Constitution. Collected data were analyzed by the qui-square test and t-test. Results: 1. The prevalence of Hwa-Byung in Taeeumin and Soeumin were higher than that of Soyangin but it was not significant. 2. In the case of meeting frequency of friends, Hwa-Byung group was higher than none Hwa-Byung group and it was significant. 3. In the case of existence of negative influencing people, the rate of Hwa-Byung group was higher than that of none Hwa-Byung group. Among them, Interfere, Blame, Discomfort and Indifferent were significant. Conclusions: Hwa-Byung may have correlationship with Sasang Constitution, meeting frequency of friends and existence of negative influencing people.

• Journal of Oriental Neuropsychiatry
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• v.34 no.1
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• pp.13-21
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• 2023

Objectives: The aim of this study was to analyze correlations among searches of hwa-byung, depression, and suicide using big data. Methods: Keywords searches were performed using both Google Trends and Naver Data Lab on December 13, 2022. From 2016 to 2022, search results for keywords 'hwa-byung', 'depression', and 'suicide' were extracted with a score between 0 and 100 in terms of relative search popularity (RSP). Monthly time analysis, correlation analysis, and regional analysis were then conducted for these scores. Results: Regardless of the search period, RSP for both portal sites was in the order of 'suicide', 'depression', and 'hwa-byung'. Over time, search for 'depression' tended to increase in Google (slope: 0.0092), whereas search for 'hwa-byung' showed a slight increase in Naver (slope: 0.0024). Correlation coefficient for search terms 'depression' and 'suicide' was 0.3969 in Google Trends and 0.4459 in Naver Data Lab, showing clear positive correlations. On the other hand, there was little correlation between search results of 'hwa-byung' and 'depression' or between 'hwa-byung' and 'suicide'. However, compared to males, females showed higher positive associations between search results of 'hwa-byung' and 'depression' and between 'hwa-byung' and 'suicide'. Search terms 'depression' and 'suicide' showed high RSPs in most regions in South Korea. However, 'hwa-byung' had distinct regional differences in terms of RSP. Conclusions: Results of this study will help us understand Korean public's perception of the relevance of hwa-byung, depression, and suicide and plan future research in this topic. In addition, findings of this study may provide future public health implications for reducing the high suicide rate in Korea.

• Journal of Oriental Neuropsychiatry
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• v.18 no.3
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• pp.23-41
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• 2007

Objective: The objectives of this preliminary study was to develop cost-effective and accessible self-intervention program and to assess the effects of music listening self intervention program for Hwa-byung patients, who had undergone conflicts with family and economical problems, in quantity and quality. Subjects: Seven middle age women who bad been diagnosed with Hwa-byung by Hwa-Byung Diagnotic interview Schedule participated in this program. Method: Participants learned music listening techniques and visited hospital three times a week during 2 weeks. Music-listening self intervention for Hwa-byung patients was consisted of three sad musics(in minor) and three sedative musics(in major) and perlO1med at home for 2 weeks. Patient's somatic symptoms and self awareness (of Hwa-byung scale), anxiety(STAD, anger(STAXD, depressive mood(BDD were evaluated before and after intervention and 6 weeks later after study completed. And various and subjective responses of Music-listening self intervention for Hwa-byung patients were collected by semi- structured interview made for this study. Results: Their Somatic symptoms(especially insomnia), self-awareness of Hwa-byung and depressive mood were improved except anxiety, anger. This improvement had maintained over a 6-week follow-up period. Patients had used constantly the music-listening program for Hwa-byung patients after the study completed. Conclusion: The music-listening program will be an effective for Hwa-byung patient's somatic symptoms and depressive mood and had been used constantly by them. But, much methodological supplementation will be needed to assess clinical effects on this program.

• Journal of Oriental Neuropsychiatry
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• v.31 no.3
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• pp.135-147
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• 2020

Objectives: Hwa-byung is a mental illness. It is also known as a Korean culture-related syndrome. In traditional Korean medicine, Sihogayonggolmoryeo-tang is used to treat Hwa-byung related neuropsychiatric symptoms. The purpose of this research was to examine the effect of Sihogayonggolmoryeo-tang on Hwa-byung. Methods: A multicenter, randomized, double-blinded, placebo-controlled study was performed for 160 patients with Hwa-byung. Patients were divided into a Sihogayonggolmoryeo-tang group and a placebo group. Treatment period was 8 weeks. Hamilton Rating Scale for Anxiety (HAM-A), Likert scale for major symptoms of Hwa-byung, Hwa-byung Scale (HBS), Korean Beck Depression Inventory (K-BDI), Korean State-Trait Anxiety Inventory (K-STAI), Korean State-Trait Anger Expression Inventory (K-STAXI), and Korean WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF) were used to evaluate the effect of Sihogayonggolmoryeo-tang on Hwa-byung. We also used an Instrument of Pattern Identification for Hwa-Byung to evaluate different responses for six patterns of patients. Results: Scores of all the measurements improved significantly for each group, showing no significant differences between the two groups. In the case of deficiency of both Qi and blood pattern, the Sihogayonggolmoryeo-tang group showed a significant decrease in the HAM-A score compared to the placebo group. Conclusions: The effect of Sihogayonggolmoryeo-tang on Hwa-byung did not exceed that of the placebo. Further studies involving more elaborate pattern identification are needed.

• Journal of Oriental Neuropsychiatry
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• v.23 no.4
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• pp.183-198
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• 2012

Objectives : This case series aims to report the efficacy of using oriental medical treatment with Melonis Calyx Vomiting Therapy for Hwa-Byung. Methods : Patients were diagnosed with Hwa-Byung through Hwa-Byung Diagnostic interview schedule (HBDIS). They were treated with Oriental medical treatment (Acupncture, Herb-medication) and Melonis Calyx Vomiting Therapy (MCVT). MCVT is a traditional treatment, which induces vomiting by eating Melonis Calyx powder with water. We used VAS score and Scott scale for the symptoms of patients and IOMEHB (instrument of oriental medical evaluation for Hwa-Byung), BDI, STAI for the psychological conditions of the patients. Results : After treatment, the chief complaint and other symptoms of Hwa-Byung have improved. The scores of IOMEHB, BDI, and STAI have decreased. Conclusions : This result suggests that using MCVT with Oriental medical treatment have a positive efficacy for Hwa-Byung.

• Journal of Oriental Neuropsychiatry
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• v.22 no.2
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• pp.27-37
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• 2011

Objectives : The purpose of this research is to investigate the corelationship between Hwa-Byung and type A behavior pattern (TABP), cardiovascular disease. Methods : 637 people participated in the community based cohort study in Wonju City of South Korea from July 2nd to August 30th in 2006. Educated investigators checked up EKG and surveyed Hwa-Byung Diagnostic Interview Schedule(HBDIS), Framingham Type A Pattern Score(FTA score). Collected data were analyzed by the chi-square test & t-test. Results : 1. TABP, Hwa-Byung group was 24(70.6%), non Hwa-Byung group was 288(27.8%) p-value was 0.016. Difference of the two group was valid. 2. FTA score, Hwa-Byung group was $5.77{\pm}2.25$, non Hwa-Byung group was $4.41{\pm}2.30$, p-value was 0.002. Difference of the two group was valid. Conclusions : TABP ratio, FTA score was high in Hwa-Byung group compared with non Hwa-Byung group.

• Journal of Oriental Neuropsychiatry
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• v.24 no.4
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• pp.331-342
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• 2013

Objectives: The purpose of this study is to examine the validity, the test-retest reliability and to provide guidelines for the Instrument on Pattern Identifications for Hwa-byung. Methods: Participants are 97 patients with Hwa-byung who were diagnosed by Hwa-Byung Diagnostic Interview Schedule. Participants were tested twice within one week. Results: The test-retest reliability of the Instrument on Pattern Identifications for Hwa-byung was examined for 97 patients and calculated to be 0.3146. The reliability of the Instrument on Pattern Identifications for Hwa-byung was 0.605 with a difference of 5% or more for the first and the second. To confirm the validity of the Instrument on Pattern Identifications for Hwa-byung, we analyzed the relevance between symptoms, Pattern Identifications that belong to the group and other Pattern Identifications that do not belong. Conclusions: It can be diagnosed in the first pattern identification by the Instrument of Pattern Identifications for Hwa-byung when there is a difference of 5% or more in the first and second pattern identification. Based on this result, we derived an Instrument for Pattern Identifications of Hwa-byung that has been further modified through additional studies.

• Journal of Oriental Neuropsychiatry
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• v.8 no.1
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• pp.183-200
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• 1997

I got the following result from the bibliographic study about the meaning of Hwa(火) and Hwa- byung(火病) at the concept and the aspect of pathological and etiological factors.The results are as follows.1. The pathological characteristics of Hwa(火) mean the inflammed state, the excited mental condition and perinervous hyperfunction caused by exopathy produced by any of the six extermal etiological factors(外感六淫) and Hwa caused by interior injury(內傷火熱).2. Hwa caused by the fire emotions(五志之火); anger, gladness, contemplation, sadress, fear by menta complications brings to Hwa caused by the five viscera(五臟之火) and Hwa caused by the stagnation of the liver - energy(肝鬱之火) is the rpresentive Hwa caused by the five viscera and the six hollow organs(贓腑之火).3. A symptom caused by a pathogenic Hwa(火證) is understood in a pathological sense involved an inflammed disease and is considered as a pathological state of excess syndrome(實證) caused by exterior Hwa( 外火).4. The pathologic process of Hwa-byung(火病) as the mental disease is based upon our people's emotion; Han(恨) to be pathologized without being overcome and can be considered as the process of Hwa caused by long-term(鬱久而火化).5. Hwa-byung(火病) means a psychosomatic disorder resulting from stress reaction caused by personal relations in the climacterium.Form the above mentioned study, the meaning of Hwa(火) and Hwa-byung(火病) is set theoretically and it also needs to be maintained reserching and studying about Hwa-byung(火病) consistantly.

• Journal of East-West Nursing Research
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• v.7 no.1
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• pp.61-67
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• 2002

Purpose : The purpose of study was to extend the understanding and knowledge of hwa-byung by identify the relationship between anger and depression level in hwa-byung patients. Method : The subjects in this study were 69 hwa-byung patients who hwa-byung clinic in oriental hospital. The data were collected through the personal interviews with questionnaires and the period for data collection was from March. to June. 2001. The tools of the measurement were the anger scale that developed by Spielberg and translated by June, et al. The tools of the measurement were the Epidemiologic Studies Depression Scale(CES-D) that developed by Radloff and translated by Shin. The data was analyzed by the SPSS computer program that included the descriptive statistics, $X^2$-test, t-test, ANOVA and pearson correlation. Result : 1. The mean score for anger was 17.4, 24.9, and the mean score of depression was 20.3. 2. There was the significant difference in the score for anger according to the age(t=7.02, p=.000), the marital status(t=3.34, p=.001), the average monthly income(t=5.48, p=.000), the occupation (t=2.18, p=.031). 3. There was the significant difference in the score for depression according to the age(t=3.58, p=.016), education(t=6.35, p=.002), the average monthly income(t=11.37, p=.000), 4. Anger in Hwa-byung patients showed significant correlation with depression level(r=.405, p=.000). Conclusion : From this study, a relationship between anger and depression in hwa-byung patients was identified. Therefore, nursing interventions are needed to assessment anger and depression level with hwa-byung patients.

• Journal of Physiology & Pathology in Korean Medicine
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• v.22 no.5
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• pp.1071-1077
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• 2008

Hwa-byung is a form of psychogenic illness among people in Korea and is listed as a culture-bound syndrome of Korea in the DSM-IV. Despite increased clinical researches for Hwa-byung in the oriental medicine of Korea, there has been no agreement of pattern identification for Hwa-byung. The purpose of this study is to develop a standard instrument of pattern identification for Hwa-byung which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 15 neuropsychiatry professors of 11 oriental medical colleges nationwide. The experts attended 2 consultation meetings and discussed developing the instrument. and we also took professional advices by e-mail. The results were as follows; First, we divided the symptoms and signs of Hwa-byung into five pattern identification - stagnation of liver Qi, flare-up of the liver fire, disharmony between heart and kidney, deficiency of both Qi and blood, malfunction of gallbladder due to phlegm stagnation. Second, we got the mean weights to each symptom of five pattern identification which had been scored on a 5-point scale - ranging from 0 to 4 by the 15 experts. Third, we made out the Korean instrument of the pattern identification for Hwa-byung. It was composed of 34 questions and decided on question-and-answer form. Though there are some limits in this study, the instrument of pattern identification for Hwa-byung is meaningful and expected to be applied to the subsequent research. And also, we hope to improve the instrument and make up for this study through various research and discussion.