• 동의신경정신과학회지
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• 제33권4호
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• pp.485-495
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• 2022

The purpose of this study is to report a case of a patient with pattern identification of liver fire flaming upward and metabolic syndrome improved by Korean medicine. The patient felt completely lost. She was treated for headache, insomnia, and metabolic syndrome with Korean medicine and psychotherapy. Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Pattern Identification Tool for Insomnia (PIT-Insomnia), Minnesota multiphasic personality inventory-2 (MMPI-2), and bioelectrical impedance analysis (BIA) were used for assessment. During treatment for six months, the patient stopped taking headache pills. Her blood pressure was stabilized. Her body weight, body fat, body mass index (BMI), and visceral fat decreased significantly. The sum of ISI, PSQI, PIT-insomnia also decreased significantly. Her Ego strength increased in the MMPI-2 supplementary scale. We assume that Korean medicine treatment through acupuncture, herbal medicine, and psychotherapy is effective in treating pattern identification of liver fire flaming upward and metabolic syndrome.

• 대한한의학회지
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• 제36권1호
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• pp.86-92
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• 2015

불면을 동반한 건선(乾癬) 환자(患者)에게 불면과 건선(乾癬)의 경중이 비례하는 양상을 보인 환자(患者)에게 불면을 치료(治療)하면 건선(乾癬)이 회복될 것으로 판단되었다. 이와 관련하여 심혈부족(心血不足)이 불면의 원인(原因)이라고 판단되는 건선(乾癬) 환자(患者)에게 귀비탕(歸脾湯)을 투약해서 불면과 건선(乾癬)이 동시에 회복되는 결과(結果)를 확인했다. 아직 명확한 건선(乾癬) 치료(治療) 지침이 확립되지 않은 상황에서 건선(乾癬) 자체를 보고 접근해야 하는 경우도 있지만 건선(乾癬)과 동반된 기저 질환이 건선(乾癬)의 경중과 비례한다면 동반된 질환을 치료(治療)해서 건선(乾癬)을 치료(治療)할 수 있다는 가능성을 얻었다. 앞으로 건선(乾癬) 환자(患者)가 다른 기저 질환을 동반하고 이러한 질환의 경중이 건선(乾癬)과 비례한다면 이 질환의 치료(治療)를 시도하는 것이 건선(乾癬)의 회복에 도움을 줄 수 있을 것으로 보인다.

• 대한한방내과학회지
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• 제45권2호
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• pp.131-139
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• 2024

In this case report, we describe the effects of Korean Medicine therapies, including Bunshimgi-eum, on a patient hospitalized with insomnia due to fibromyalgia in a Korean Medicine Hospital. We treated the patient with Bunshimgi-eum for 21 of 27 hospital days. Post-treatment, we used the Insomnia Severity Index (ISI) to measure the severity of insomnia. To determine the severity of multiple pain, including neck, low back, Lt. shoulder, Lt. elbow, Rt. knee, and hand, we used the Numerical Rating Scale (NRS). For evaluation of generic health status, we used the European Quality of Life-5 Dimensions (EQ-5D) scale. After the treatment, the patient's clinical symptoms improved, according to the ISI, NRS, and EQ-5D. The results of this case study suggest that Korean Medicine therapies, including Bunshimgi-eum, may have positive effects as a treatment for insomnia related to fibromyalgia.

• 정신신체의학
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• 제25권2호
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• pp.193-199
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• 2017

연구목적 불면은 자살사고의 위험요인으로 알려져 있으나 아직 어떻게 자살의 위험에 영향을 미치는지 그 기전은 명확하지 않다. 이에 불면 증상이 회복탄력성과 자살사고와 상관이 있는 지를 살펴보고, 회복탄력성이 불면증상과 자살사고의 매개요소가 될 수 있을지 알아보고자 한다. 방 법 432명의 대학생을 대상으로 자기보고식 설문지를 통하여 일반적 특성 및 관련 검사를 수행하였다. 불면증 심각성 척도, 한국판 코너-데이비드슨 회복탄력성척도, 벡 자살사고 척도 및 벡 무망감 척도를 활용하여 불면증상, 자살사고, 회복탄력성, 무망감에 대해 조사하였으며, 각 요소간의 상관분석 및 경로분석을 수행하였다. 결 과 불면증상이 심할수록 회복탄력성이 낮았고, 자살사고가 증가되는 것을 알 수 있었다. 이는 무망감, 연령, 성별, 동거가족, 가정 내 월수입을 통제하여도 유의하였다. 더불어 입면의 어려움과 유지의 어려움을 겪는 불면증상이 자살사고와 연관됨을 확인하였다. 경로분석을 통하여 불면증상이 자살사고에 직접적, 간접적으로 영향을 미침을 확인할 수 있었으며, 회복탄력성도 유의하게 자살사고에 영향을 주는 것으로 평가되었다. 이에 회복탄력성이 불면과 자살사고와의 관계에 유의미한 중재자가 됨을 확인하였다. 결 론 수면상태와 회복탄력성에 대한 평가 및 개입이 자살사고를 낮추어 자살을 예방하는데 기여할 수 있을 것으로 기대한다.

• 한국보건간호학회지
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• 제32권2호
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• pp.263-274
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• 2018

Purpose: This study examined the correlation of insomnia, sleep quality, depression, and circadian rhythm in nursing students. Methods: A total of 213 subjects completed a questionnaire consisting of their general characteristics, Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), Center for Epidemiologic Studies Depression (CES-D), and Composite Scale of Morningness (CSM). The collected data were analyzed by descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient using the SPSS 23.0 program. Results: The subjects' mean scores were ISI 7.18; PSQI 11.18; CES-D 16.00; and CSM 30.18. In insomnia, there were significant differences according to caffeine, perceived health status and major satisfaction. In sleep quality, there were significant differences according to perceived health status and major satisfaction. Significant differences in depression were observed according to gender, caffeine, subjective health status, major satisfaction, and circadian rhythm by drinking and exercise. A significant positive correlation was observed among ISI, PSQI, and CES-D. ISI and CES-D were negatively correlated. Conclusion: Tailored health care programs should be developed and applied to prevent and manage sleep-related and emotion-related problems in nursing students by considering the health status, major satisfaction, and gender.

• Journal of Korean Biological Nursing Science
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• 제13권3호
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• pp.211-219
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• 2011

Purpose: The study compared the rest-activity rhythm and sleep pattern of elderly with young group. Methods: The subjects were 22 over than 65 years old and 23 under 65 years old. An actigraph, sleep diary, Pittsburgh Sleep Quality Index and Insomnia Severity Index scale were used as measurement tools for this study. The data were analyzed with $x^2$, Lamda test, t-test and correlation with SPSS 15.0 program. Results: The elderly had lower curve than the young group in rest-activity rhythm on each time zone. In particular, the elderly group had lower rest-activity rhythm curve of 8, 9, 14, 18, 19, 20, 21, 22 and 23 time zone than those of young group. Sleep pattern had statistical difference in the total sleep time, PSQI and insomnia. Total sleep time of elderly had lower score and PSQI and Insomnia had higher score than young group. Age had correlation with rest-activity rhythm, sleep efficiency, PSQI and insomnia. Conclusion: Rest-activity rhythm of the elderly showed an increase in activity in the early morning because of earlier get up than the young group and an decrease in activity in the afternoon because of taking a nap at this time. Elderly sleep was that total sleep time increased but sleep efficiency decreased and insomnia intensified. This sleep pattern was related to age and rest-activity rhythm.

• 한국직업건강간호학회지
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• 제33권2호
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• pp.47-54
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• 2024

Purpose: This study aims to identify the level of subjective noise perception among School Meal Facility Workers and analyze the relationship between subjective noise perception and insomnia, as well as the factors affecting insomnia. Methods: School meal facility workers were surveyed from November 1 to December 31, 2021, and 717 people were selected as participants for the study. Using SPSS/WIN 25.0, t-test, x² test, and multiple logistic regression analysis were conducted. The Korean Insomnia Severity Index (ISI-K) was used to evaluate insomnia. Results: The variables that showed significant differences in insomnia in general characteristics, health-related characteristics, subjective health perception, and subjective noise perception of the study participants were mental disorders such as subjective health perception, work stress, depression, etc., gastrointestinal disorders, and subjective noise perception, among which subjective health perception, mental disorders such as depression, and subjective noise perception were analyzed as factors influencing insomnia. Conclusion: To improve the quality of insomnia and sleep among school meal facility workers, there is a need to improve healthcare, emotional management, and noisy work environments.

• 대한한방내과학회지
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• 제44권5호
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• pp.846-854
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• 2023

Objectives: The purpose of this study is to report the case of a patient with Parkinson's disease experiencing anxiety and insomnia treated with Korean medicine therapies. Methods: A patient diagnosed with Parkinson's disease with anxiety and insomnia was treated with Korean medicine therapies, including herbal medication (Gyejigayonggolmolye-tang), acupuncture, electro-acupuncture, and moxibustion, for 18 days. To evaluate the therapeutic effect, we checked the Beck Anxiety Inventory (BAI) and Insomnia Severity Index (ISI) scores to monitor anxiety and insomnia. Results: After treatment, the patient's BAI and ISI scores for anxiety and insomnia decreased. Further, the patient and her protector mentioned that their quality of life had improved. Conclusion: These results suggest that Korean medicine therapies with Gyejigayonggolmolye-tang have a beneficial effect on anxiety and insomnia in patients with Parkinson's disease.

• 대한한의학회지
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• 제45권1호
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• pp.127-138
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• 2024

Objectives: Cold extremities have been suggested to correlate with sleep disturbances. This study aims to explore the relationship between thermal sensations in body, encompassing both cold and heat sensations, with sleep quality and insomnia. Methods: Self-administered questionnaires were utilized to assess thermal sensations in body, sleep quality and symptoms of insomnia in middle-aged women. A multiple logistic regression analysis was performed to ascertain the association between thermal sensations in body and both sleep quality and insomnia symptoms. Results: Among 899 participants, 255 (28.4%) were categorized in the cold sensation group, 95 (10.6%) in the heat sensation group, 70 (7.8%) in the group with both cold and heat sensations, and 479 (53.3%) in the no-sensation group. Pittsburgh Sleep Quality Index and Insomnia Severity Index were notably higher in the group experiencing both sensations when compared to the no-sensation group. After adjustments for covariates, the odds ratios for poor sleep quality, moderate/severe insomnia, and long sleep latency were significantly elevated in the group with both sensations when compared to the no-sensation group. The odds ratios for poor sleep quality in the cold sensation group and for moderate/severe insomnia and low sleep efficiency in the heat sensation group were significantly higher when compared to the no-sensation group. Conclusions: The risk for sleep disturbances varied depending on the presence of thermal sensations in body, with the greatest risk observed for low sleep quality and insomnia in individuals experiencing both cold and heat sensations.

• 정신신체의학
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• 제27권1호
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• pp.50-59
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• 2019

연구목적 2형 당뇨병을 지닌 환자의 다수에서 수면문제가 동반되며, 이들에서 불면증의 비율은 일반 인구에 비해서 높다고 알려져 있다. 본 연구의 목적은 2형 당뇨병 환자에서 불면증의 발생빈도, 불면증의 임상적 특징 및 이에 연관되는 변인을 알아보기 위함이다. 방 법 2형 당뇨병으로 진단받은 18세에서 80세 이하의 99명(남자 65명, 여자 34명)을 대상으로 연구자 1인(제1저자)가 면담을 시행하였다. 면담으로 수면 잠복기, 총 수면시간을 조사하였고, 한국판 불면증 심각도 지수(Korean Version of Insomnia Severity Index, ISI-K) 평가하고, 우울증상의 심각도는 한국판 Hamilton 우울증 평가 척도(Korean Version of the Hamilton Depression Rating Scale, K-HDRS)로 평가하였다. ISI-K의 절취점 15.5점을 기준으로 불면증 있는 군(N=34명)과 불면증 없는 군(N=65)으로 양분하여 불면증군과 대조군의 여러 변인과의 연관성을 상관분석하고 다중 로지스틱 회귀분석을 사용하여 검토하여 다음의 결과를 얻었다. 결 과 2형 당뇨병 환자의 34.34%(N=34)에서 불면증이 있었다. 불면증이 있는 2형 당뇨병 환자군은 불면증이 없는 2형 당뇨병 환자군보다 유의하게 미혼(11.8%)이나 이혼(11.8%)이많았고(p<0.05), K-HDRS 총점($11.76{\pm}5.52$점)이 높았으며(p<0.001), 총수면시간($5.35{\pm}2.00$시간)이 짧았고(p<0.001), 수면잠복기($50.29{\pm}33.80$분)가 길었다(p<0.001). 불면증이 있는 2형 당뇨병 환자군은 불면증이 없는 2형 당뇨병 환자군보다 ISI-K 검사상 합계($18.38{\pm}2.69$점), A1 (입면)($2.97{\pm}0.76$점), A2 (수면유지)($3.06{\pm}0.69$점), A3 (일찍 깸)($2.76{\pm}0.61$점), B (수면만족도)($3.18{\pm}0.72$점), C (수면장애로 인한 기능방해)($2.09{\pm}0.97$점), D (남이 알아차림)($2.12{\pm}1.09$점), E (수면장애에 대한 걱정)($2.21{\pm}0.81$점) 등 모든 항목의 점수가 유의하게 높았다(각각 p<0.001). 2형 당뇨병 환자에서 불면증에 영향을 미치는 요인들은 다음과 같다. 나이는 ISI-K A3 항목과 유의한 역상관관계가 있었고 (${\beta}=-0.241$, p<0.05), K-HDRS 총점은 ISI-K 모든 항목과 유의한 순상관관계가 있었으며(각각 p<0.05), 총 수면시간은 ISI-K 모든 항목과 유의한 역상관관계가 있었다(각각 p<0.05). 수면잠복기는 ISI-K 합계, A1, B, E 항목과 유의한 순상관관계가 있었다(각각 p<0.05). 결 론 2형 당뇨병 환자의 약 1/3에서 불면증이 존재하며, 불면증이 없는 2형 당뇨병 환자군과 수면의 양적 및 질적 차이가 있음을 시사한다. 우울증상의 심각도는 2형 당뇨병 환자의 불면증과 상관관계가 있으므로 우울증의 조기 발견과 치료가 요구된다.