• Title/Summary/Keyword: Insomnia symptoms

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A Case Report on the Use of Korean Medicine Treatment of a Patient with Post Covid-19 Syndrome of Fatigue and Headache (피로, 두통을 호소하는 COVID-19 감염 후유증 환자에 대한 한의복합치료 1례)

  • So-Jung, Park;Hee-kyung, Kang;So-yeon, Kim;Young-ju, Yun;In, Lee;Chang-woo, Han;Jin-woo, Hong;Jung-nam, Kwon;Jun Yong, Choi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.6
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    • pp.242-246
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    • 2022
  • The purpose of this study is to report on the clinical improvement of a patient treated with Korean medicine for Post COVID-19 syndrome. A 52-year-old male patient with headache and chronic fatigue was diagnosed with post-acute COVID-19 syndrome. He had clinical symptoms such as headache, sweating, fatigue, and insomnia and was treated with acupuncture and herbal medicines such as Sasammaekmoondong-tang. To assess the treatment outcomes, the authors used the Fatigue Severity Scale (FSS) and the Numeral Rating Scale (NRS). Following treatment, fatigue improved, with the FSS score dropping from 48 at the first visit to 18 at the final visit, and clinical symptoms such as headache and insomnia disappeared. According to the findings of this study, Korean Medicine could be used in the clinic to treat post-COVID-19 complications.

Relationship between Psychosocial Factor and Positive Health Behavior Change after Diagnosis in Breast Cancer Patients (유방암 환자에서 심리사회적 요인과 암 진단 후 건강행동 변화의 관계)

  • Jung, Dooyoung;Shim, Eun-Jung;Hwang, Jun-Won;Hahm, Bong-Jin
    • Korean Journal of Psychosomatic Medicine
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    • v.20 no.2
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    • pp.91-97
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    • 2012
  • Objectives : With the increase in cancer prevalence, the health behavior of cancer survivors has become an important issue. This study was conducted to examine the psychosocial correlates of behavior changes after cancer diagnosis. Methods : 95 patients completed questionnaires assessing depression, anxiety, insomnia, posttraumatic stress symptoms, social constraints, personal beliefs about cancer cause and health-related behavior changes after cancer diagnosis. Results : In the multiple logistic regression analysis, insomnia was the only significant predictor of positive change in physical behavior : normal sleep group(Odds ratio=9.462, 95% CI 1.738-51.509) and subthreshold insomnia group(Odds ratio=10.529, 95% CI 1.701-65.161) showed a larger increase compared to the insomnia group. In psychosocial behavior, low age, religion and causal belief in hormonal factors were independent factors that predicted increase in positive change. Conclusions : This study showed a difference between predictors of physical and psychosocial health behavior change after breast cancer diagnosis. Multi-faceted approaches are required to promote positive change in health behavior in cancer patients.

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Utilization of Psychological Tools for Critical Pathway Based Mental Evaluation and Diagnosis (CP 기반 정신 평가 및 진단을 위한 심리검사의 활용)

  • Sunggyu, Hong;Hyun Woo, Lee;Sun-Yong, Chung;Jong-Woo, Kim
    • Journal of Oriental Neuropsychiatry
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    • v.33 no.4
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    • pp.377-388
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    • 2022
  • Objectives: For diagnosis and evaluation, evaluation tools are needed. Various tools can be used to diagnose and evaluate mental disorders. Among them, psychological tests are widely used. For Korean Standard Classification of Diseases (KCD) diagnosis, psychological tests are also required. Currently developed critical pathway (CP) presented tools for diagnosis and evaluation of mental disorders. The CP suggests the use of tools based on the Clinical Practice Guideline (CPG). Therefore, CPG-based tools should be able to be used in the clinical scene of Korean Medicine for diagnosing and evaluating mental disorders according to CP. Methods: Tools suggested by CPs are summarized. The degree of utilization of tools in CPGs is also summarized. A review was conducted by Korean Medicine neuropsychiatrist experts on tools and user's usage plan. Results: As a result, developed CPs suggested using 19 tools for anxiety disorder, 13 tools for insomnia), 12 tools for Hwabyeong, and 9 tools for dementia. In CPG, 48, 34, 44, and 44 tools were used for anxiety disorder, insomnia, Hwabyeong, and dementia, respectively. Among tools presented in CP, HAM-A, HAM-D, CGI, SAS, and TESS for anxiety disorder, CPG, ISI, and PSQI for insomnia disorder, CPG, STAI, and STAXI for Hwabyeong were frequently used in CPG. For dementia CPG, MoCA, MMSE, HDS, ADL, and ADAS-cog were frequently used. Among them, MoCA, ADL, and ADAS-cog were suggested tools in CP. Conclusions: As a result of analyzing tools suggested and used in the developed CPs and CPGs, it was verified that various tools were used in each study. Most of them were symptom and behavioral evaluation scales. Therefore, symptoms and behavior evaluation scales used more frequently should be able to be used in the clinical scene of Korean Medicine.

A Case Report of Korean Medicine Treatment for a Patient with Early Dumping Syndrome with Diarrhea and Abdominal Pain after Gastrectomy (위절제술 후 발생한 설사, 복통 등을 주소로 하는 조기 덤핑증후군 환자의 한방 치험 1례)

  • Kim, Dong-won;Park, Jin-seo;Kil, Bong-hun;Jo, Hye-mi;Jung, Da-hae;Won, Jee-yeong;Cho, Jun-ho;Lee, Jung-eun
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.868-876
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    • 2020
  • The purpose of this study was to report the clinical effects of Korean medicine on a patient who suffered from Early Dumping Syndrome with diarrhea, abdominal pain, anorexia, and insomnia after gastrectomy. The patient was treated with herbal medicine, acupuncture and moxibustion use in combination with Western medicine for 4 weeks. Though anorexia was maintained at a similar level, other clinical symptoms (diarrhea, abdominal pain, and insomnia) were improved after Korean medicine treatment. Therefore, Korean medicine may be effective for treatment of Early Dumping Syndrome after gastrectomy.

A Case Report of Skin Scale Treated with Hyulbuchukeotang (어혈(瘀血)로 변증된 피부갑착(皮膚甲錯) 환자에 혈부축어탕(血府逐瘀湯)을 사용한 치험1례 보고)

  • Yoon, Hyeon-Duck;Shin, Oh-Chul;Park, Chi-Sang;Lee, So-Yeon
    • The Journal of Internal Korean Medicine
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    • v.26 no.3
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    • pp.720-724
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    • 2005
  • Objective : Skin scale(皮膚甲錯) refers to an excessive dryness of skin which can be found under such conditions as blood deficiency(血虛), blood heat(血熱), damp heat(濕熱), the weakness of stomach(脾胃虛) and blood stasis(瘀血). Method : A sensitive and nervous patient showed symptoms of insomnia and chest discomfort as well as skin scale. He had great anxiety over his illness. He, therefore, was diagnosed as blood stasis caused by outburst of emotions and was prescribed Hyulbuchukeotang(血府逐瘀湯) to remove blood stasis in chest. Result and Conclusion : After taking Hyulbuchukeotang, insomnia, chest discomfort and skin scale eased off. Since not only blood stasis but also other factors may cause skin scale, more research on such cases must be done to determine the efficacy of Hyulbuchukeotang for skin scale.

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A clinical report on the Byun-jo had grown worse after cerebral infarction of patient treated with Soyangin-yanggueksanwha-tang (번조증환자(煩躁證患者)의 중풍이후(中風以後) 악화(惡化)된 번조증(煩躁證)에 소양인(少陽人) 양격산화탕(凉膈散火湯)을 통한 증례(證例))

  • Park, Mee-Yeon;Kim, Seong-Mo;Kwak, Min-Ah;Kim, Jong-Dae;Choi, Hae-Youn;Kim, Dae-Jun
    • The Journal of Internal Korean Medicine
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    • v.22 no.4
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    • pp.749-754
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    • 2001
  • In oriental medicine, Byun-jo(煩躁) is including in insomnia, restless, uneasiness, chest discomfort, irritation et all. Byun-jo is one of symptom in Soyangin(少陽人)(one of human type in Sasang constitutional medicine(四象醫學) the lower chest-overheated disease(胸膈熱證). In the book 'dongyi soose bowon(東醫壽世保元)', Soyangin Yanggueksanwha-tang(凉膈散火湯) is used at Soyangin the lower chest-overheated disease. One patient usually who had suffered from chest discomfort, insomnia of Byun-jo, after cerebral infarction the symptom of Byun-jo had grown worse, the patient was classified as Soyangin by somatotype, personality, therefore the patient treated with Soyangin Yanggueksanwha-tang for 10days, and the patient improved in clinical symptoms. so we report it for the better treatment.

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Pattern Analysis of High-caffeine Energy Drink Consumption and Adverse Effects among College Students in a University (대학생들의 고카페인 에너지음료 소비실태 및 부작용 분석)

  • Lee, Jieun;Huh, Wan;Choi, Eun Joo
    • YAKHAK HOEJI
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    • v.57 no.2
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    • pp.110-118
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    • 2013
  • High-caffeine energy drink consumption has been increasing in young adults, frequently causing the most common symptoms such as tremor, insomnia, anxiety, and nervousness and rarely leading to serious adverse effects like seizure, acute mania, and stroke due to caffeine overdose. There have been little current studies regarding analysis of high-caffeine energy drink consumption and its adverse effects in Korea. This study was to examine high-caffeine consumption patterns, associated factors, and adverse effects based on responses from 231 college students in a University through survey. About 88.3% (n=204) of total respondents reported that they had energy drinks. College students mostly consumed energy drinks to keep awake (46%) when studying and to recover fatigue (27%). Approximately 44% respondents mainly reported palpitation (73.9%) and insomnia (72.8%) regarding adverse effect questionnaire. Current reports on the risk of recreational use, co-ingestion of alcohol and energy drink as well as energy drink consumption among children and adolescents are increasing, requiring further long-term research and awareness of these issues.

Application of Complex Korean Medicine Therapy and M&L Psychotherapy to Patient with Panic Disorder: A Case Report (공황장애 환자에 대한 복합한의진료 및 M&L 심리치료 적용 경과: 증례보고)

  • Kim, Jong Hwan;Jo, Hee Geun;Shin, Hyun Kwon
    • Journal of Oriental Neuropsychiatry
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    • v.29 no.4
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    • pp.305-314
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    • 2018
  • Objectives: The objective of this study was to report the clinical effectiveness of the complex Korean medicine therapy and M&L (Mindfulness & Loving presence) psychotherapy on the patient with panic disorder. Methods: The subject for this study was the patient diagnosed with panic disorder who complained about intermittent panic attack and accompanying insomnia. During the treatment period, the patient received complex Korean therapy and M&L psychotherapy. The clinical effects were evaluated through Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory (STAI), Panic Disorder Severity Scale (PDSS), and Pittsburgh Sleep Quality Index (PSQI). Results: After the complex Korean medicine therapy and M&L psychotherapy, the overall symptoms of depression, anxiety, panic disorder and insomnia of the patient were lessened in a relatively short period. No specificities or adverse effects were reported during the treatment period. Conclusions: This study established that the complex Korean medicine therapy and M&L psychotherapy was effective in treating patients with panic disorder.

EFT and Korean Medicine Treatment for ASD Induced by a Traffic Accident: A Case Report (교통사고 상해증후군 환자의 급성 스트레스 장애에 시행한 한의치료와 EFT 치료 치험 1례)

  • Chaewon Son;Jinyoug Kang;Backjun Kim;Wonjeong Ha;Hwan Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.2
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    • pp.115-124
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    • 2023
  • Objectives: To report the efficacy of using EFT and Korean medicine treatment for ASD induced by a traffic accident. Methods: We treated ASD symptoms with Korean medicine (acupuncture, cupping, interferential current therapy, herbal acupuncture therapy). To evaluate results of this treatment, Korean version of PTSD Checklist-5 (PCL-5-K), Beck Depression Inventory (BDI), Insomnia Severity Index (ISI), and Numeric rating scale (NRS) at first visit, 5 weeks, and 12 weeks were used. Results: Korean version of PTSD Checklist-5 (PCL-5-K), Beck Depression Inventory (BDI), Insomnia Severity Index (ISI), and Numeric rating scale (NRS) showed improvements after treatments. Conclusions: This study suggests that Korean medicine and EFT treatment might be effective for ASD.

Computer Game Addiction and Physical Health of Korea Children : Mediating Effects of Anxiety (아동의 컴퓨터 게임 중독과 신체 증상: 불안의 매개효과)

  • Kwon, Sun-Jung;Kim, Kyo-Heon;Lee, Hong-Seock
    • Survey Research
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    • v.6 no.2
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    • pp.33-50
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    • 2005
  • The purpose of this study was to investigate whether Korean children's being addiction to computer game had an effect on physical health(headache, insomnia, indigestion, cardivascular). We considered both direct effects of that addiction and indirect effects which caused an negative emotion(anxiety). For this study, we collected data from 800 students of grades and 6 in Daejeon, Korea. Among them, we analyzed the data of 572 students[408 boys(71.3%) and 164 girls(28.7%) respectively] who had played computer games for a long period of time(two years or more). Reliability of the scale used on this study was a proper level by $.64{\sim}.91$ and we operated an analysis of structural equation pattern to make relationships of variable causes clear. As a result of examining an index of fitness of each model, it was proved for the fitness of every model(all GFI >.931, all CFI >.939, all NNFI >.929, all RMSEA <.046) to be acceptable. Not only the computer game addiction affected(all ps<.001) directly on physical symptoms(headache ${\beta}$=.211, insomnia ${\beta}$=.289, indigestion ${\beta}$ =.214, cardivascular ${\beta}$=.349), but also it affected(${\beta}$=.458, p<.001) on anxiety. In addition, the effect of anxiety on physical symptoms(headache ${\beta}$=.419, insomnia ${\beta}$=.375, indigestion ${\beta}$=.498, cardivascular ${\beta}$=.328) was significant. As a result of yielding the indirect effects of computer game abuse mediated by anxiety, headache was measured up ${\beta}$=.192, insomnia ${\beta}$=.172, indigestion ${\beta}$ =.228 and cardivascular ${\beta}$=.151. The computer game addiction caused 21% of anxiety and this mediate model proved that the computer game addiction caused 30% of headache, 32% of insomnia, 39% of indigestion, and 34% of cardivascular symptom. As a result of this study, the computer game addiction has a negative effect on physical health both directly and indirectly. Especially, cardivascular was influenced most extremely, then insomnia, indigestion, and headache in order. The implications gleaned from this study were discussed with considerations for future study and practical aspect.

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