• Journal of Korean Medicine for Obesity Research
• /
• v.20 no.2
• /
• pp.131-137
• /
• 2020

Objectives: Korean Medicine Doctors (KMDs) have treated patients with obesity using a holistic approach with a multicomponent approach on counseling. However, there is currently no data regarding KMDs' counseling practices for weight loss. We conducted a retrospective chart review to better understand the Korean medicine counseling practice for weight loss. Methods: Twenty-one KMDs were involved in this project as practitioners. The contents of counseling were categorized based on patterns according to the counseling manual for the standardized management of obesity in Korean Medicine. Results: The counseling was conducted based on the theory of Korean medicine and the contents of counseling were different from patterns. However, the quality of the counseling were different from each KMD, and the counseling were focused on evaluating patient conditions and not on providing specific recommendations for lifestyle changes. Conclusions: Therefore, specific guidance of counseling for healthier lifestyle and dietary habits, and the training of the standardized manual training are needed.

• The Journal of Korean Medicine
• /
• v.44 no.4
• /
• pp.1-13
• /
• 2023

Objectives: Weight counseling is an inevitable process for patients with obesity who intend to lose weight; however, the contents of real-world counseling practices remain uncertain in Korean medicine (KM) practice. This study aimed to explore the structure and constituents of obesity counseling in KM. Methods: Qualitative methods were used to explore the structure of weight counseling and clinicians' approaches to weight counseling, particularly the advice and main constituents of weight counseling in KM. Nine KM clinicians (4 women, 5 men) from nine clinics completed face-to-face, individual and semi-structured interviews from September 2019 to February 2020 in Seoul, Daejeon, Cheonan, Seongnam, Asan, and Hwaseoug. The interviews were digitally recorded, transcribed verbatim, and categorized based on their constituents. Results: During weight loss counseling, the six principal constituents of KM identified were: planning with patients, motivation, correcting misinformation on weight loss, dietary and exercise advice, medication guidance, and customized guides for each type. Conclusion: Clinicians with in-depth knowledge about obesity prescribed personalized guidance for exercise, diet, and medication through an integrative approach. The study results provide an in-depth understanding of weight counseling in KM. These six constituents could guide the counseling provided by clinicians in obesity care.

• Journal of Korean Medicine for Obesity Research
• /
• v.19 no.2
• /
• pp.113-118
• /
• 2019

A counseling manual for the standardized management of obesity in Korean Medicine was developed. Four specialist for obesity and ten advisors participated in the development. The development process was conducted in order to investigate the needs of clinical doctors for obesity, search for related books and references, determine the contents of the manual, produce the manual, and review of the advisors. The contents of the manual were written in order of goal of obesity counseling, assessment of obesity and health risk factors, assessment of obesity-related lifestyles, counseling for weight management, and counseling for Korean Medical treatment. This manual is the first standardized counseling manual developed, and it is meaningful to provide a counseling method for comprehensive Korean Medicine obesity care. Although there were various limitations in the review of the advisory committee, it is expected that this study will be used as a basic data for the establishment of obesity-related health care policy. We hope that obesity counseling of Korean Medicine will be settled as one of the certified korean medical treatment.

• Journal of Oriental Neuropsychiatry
• /
• v.30 no.3
• /
• pp.119-128
• /
• 2019

Objectives: This study suggests the application of philosophical counseling in the clinical field of Korean medicine and analyze the specific case. Methods: Through the analysis of coexisting factors of Korean medicine and philosophical counseling, we establish the area of philosophical counseling that Korean medicine practitioner can apply in the medical field. We described effects of philosophical counseling on the patient's symptom and the progress after discharge through a counseling approach based on philosophical questions. Results: During philosophical counseling, the Korean medical doctor asks questions about the nature of suffering and encourages patients to gain insight into their problems. In answering the vital philosophical questions, the patient leads to a creative interpretation of future life directions. We described the method of specific approaches through the description of the two cases. Conclusions: The philosophical counseling is compatible with the concept of Korean medicine, therefore, a Korean medicine practitioner can induce the recovery of mind and body through the creative interpretation of the patient by asking the patient the appropriate question which causes reflective thinking.

• Journal of Society of Preventive Korean Medicine
• /
• v.21 no.1
• /
• pp.19-30
• /
• 2017

Objectives : The purpose of this study was to examine the changes of health perception, satisfaction survey and lifestyle in Korean medicine counseling for Daejeon University faculty members. Methods : In this study, the demographic questionnaire, lifestyle habit questionnaire, Mibyeong questionnaire, quality of life questionnaire(SF-12, EQ5D), pattern-based questionnaire, constitutional questionnaire(KS-15) and instrumental examination were performed on the first and second visit. We carried out 1:1 consultation at every visit. Results : A total of 189 participants participated in this study. 66% of respondents answered that they felt the change in health perception and more than 93% of the respondents felt satisfaction due to the Korean medicine health counseling. In the demographic characteristics, it was found that women were more satisfied with the Korean medicine health counseling than men(p <.05), the higher the education level(p <.05) and the higher the age(p <.05), managed their health continuously after receiving Korean medicine health counseling.(p <.05) In addition, in the change of lifestyle habit, the group who smoked and drank in the past answered that the consciousness to manage and improve health was higher than other group after Korean medicine health counseling.(p <.05) Conclusions : Korean medicine health counseling had a positive effect on overall health perception change and satisfaction was high. Since the Korean medicine health counseling has different effects on lifestyle and health perception change and the satisfaction of Korean medicine health counseling is different according to demographic characteristics and existing lifestyle habits. In the future, it will be expected that the effect of Korean medicine health counseling program on health care and disease prevention will be further enhanced if the Korean medicine health counseling program reflecting such characteristics is implemented.

• Journal of Sasang Constitution and Immune Medicine
• /
• v.30 no.1
• /
• pp.43-49
• /
• 2018

Objectives In modern psychiatry, psychological counseling is important to mental curing. Although there are so many methods for mental curing, but counseling is known as the most efficient methods for mental curing. So, we are going to study about psychological counseling methods according to sasang constitution. Methods We analysed the characters of each constitution, and tried to find out which kind of counseling is suitable for each constitution. Results and Conclusions Soeumin is passive and tend to be depressive. So the self-esteem of soeumin is lower than that of other constitution. So, they mainly need social support and supportive counseling. Soyangin is tend to be extrovert group and easy to have fear. It is mainly caused by cognitive distortion, so they mainly need cognitive therapy. Taeumin is very stable and don't like to move. Taeumin Jeongchung(怔忡) is similar to panic disorder. So they need cognitive therapy and exercise counseling to exercise regularly. Taeyangin is tend to be angry, so they need meditation therapy to quell anger.

• Journal of Society of Preventive Korean Medicine
• /
• v.17 no.1
• /
• pp.51-63
• /
• 2013

Objectives : This study aimed to investigate the current situation of Internet health counseling in Korean Medicine by analyzing the contents and pattern of the questions and answers in NAVER Jisik-iN. Methods : 1,121 questions answered by Korean Medicine doctors in NAVER Jisik-iN from January 2012 to June 2012 were extracted and analyzed. The contents and pattern of the questions and answers were classified. Then statistical analysis was performed and the research findings were compared with other studies. Results : Korean Medicine (KM) accounted for 1.73 percent of health counseling in NAVER Jisik-iN. Analyzing the questions and answers of KM counseling, questions about symptoms and answers providing medical knowledge were most common. The most frequently asked symptom was digestive disorder. Applying to Suchman's "Stage of Illness and Medical Care" model, 'the symptom-experience' stage took the first place. Conclusions : KM counseling in NAVER Jisik-iN has served as guidance for potential Korean Medicine consumers by providing medical knowledge about symptoms. For more effective guidance there should be a systematic Internet counseling system offering reliable information by KM doctors to meet the needs of medical consumers.

• Journal of Korean Medicine for Obesity Research
• /
• v.21 no.1
• /
• pp.22-31
• /
• 2021

Objectives: We conducted a retrospective chart review to investigate the effects of Korean Medicine (KM) treatment on weight loss in patients with morbid obesity (body mass index [BMI]≥30 kg/m²) and to compare the effects of KM counseling and non-counseling on weight loss. Methods: We performed a retrospective chart review of patients with morbid obesity who received KM treatment for at least 1 month. We evaluated the effects of KM treatment on body weight, BMI, body fat, fat mass, EuroQol-5D, and the Korean version of the obesity-related quality of life scale (KOQOL). We also assessed the liver and kidney functions, and adverse events. We performed a comparative analysis between the counseling and non-counseling groups. Results: A total of 37 patients who underwent 4 weeks of KM treatment involving Wolbi-tang, electroacupuncture, and KM counseling were included in this study. Twenty-one patients were assigned to the counseling group and sixteen patients to the non-counseling group. There was a significant decrease in weight, BMI, fat mass, and KOQOL (P<0.05) with improvements in total cholesterol, low-density lipoprotein, and triglycerides. The counseling group had a greater reduction in body weight, BMI, body fat, and fat mass compared to the non-counseling group, although it was not significant. In the BMI below 35 (n=25), the reduction ratio of body weight, body fat mass, and body fat was higher in the counseling group than in the non-counseling group; additionally, body fat decreased significantly in counseling group (P<0.05). No severe adverse effects were observed. Conclusion: KM treatment could be effective for weight loss, especially in patients with morbid obesity, KM counseling could also be a good tool for weight loss, typically in patients with BMI<35 kg/m².

• Journal of Oriental Neuropsychiatry
• /
• v.30 no.3
• /
• pp.141-152
• /
• 2019

Objectives: We analyzed the reports of philosophical counseling and derived the characteristics of the questions that were administered in philosophical counseling. We also wanted to discuss if philosophical questions are necessary and applicable in Oriental medicine counseling. Methods: A systematic search of three Korean databases were performed. Case reports or case series that apply philosophical counseling to clients were included in this study (through June 27, 2019). We extracted questions and answers from the dialogue of each case. Extracted conversations between counselor and client were analyzed qualitatively. Results: Seven published articles with 17 cases were included and were analyzed for philosophical counseling. Philosophical questions have the following characteristics to help clients: (1) To clarify the phenomenon, (2) To identify subject and object, (3) To consider other people's perspective, (4) To review the premise, (5) To review the association relationship (6) To allow opportunities to think differently, and (7) To think of identity and values. Philosophical counseling and Korean medical counseling have commonalities in improving patients' resilience through logical conversation. The use of philosophical counseling in Korean medical counseling will maximize clients' philosophical resilience and the reparative power of nature. Thus, it is desirable to apply philosophical counseling to the practice of Korean medicine (KM). Conclusions: Through the qualitative analysis, we analyzed and categorized major characteristics of philosophical counseling. In the future, the possibility of using philosophical counseling should be explored in the KM practice.

• Journal of Genetic Medicine
• /
• v.18 no.1
• /
• pp.38-43
• /
• 2021

Purpose: Demand for genetic counseling on cancer predisposition syndrome is increasing. We evaluated the psychological effect on counselees after genetic counseling at a clinic in a single center. Materials and Methods: We surveyed a total of 72 enrolled participants who visited a genetic counseling clinic at the Samsung Medical Center (SMC). The initial survey was conducted before the first genetic counseling session, and the second survey was conducted after the second genetic counseling session. A total of 43 participants completed both the initial and second surveys. Results: The initial survey of 72 participants indicated higher feelings of guilt in the group with religion, higher depression and anxiety in the group with a diagnosis of self, and higher anxiety in the group on self-referral to the genetic counseling clinic. In the completed survey of 43 participants, overall decreased depression was observed after the second genetic counseling session (P=0.013). Risk perception and anxiety decreased in the group diagnosed with benign variant/variant of uncertain significance (BV/VUS, 25/3) and increased in the group diagnosed with pathogenic variant (PV, 15). Risk perception and anxiety differed between the BV/VUS and PV groups (P<0.001 and P=0.03, respectively). Conclusion: The genetic counseling clinic at the SMC was effective in ameliorating the depression score. Assessment of survey results revealed different depression scores, feelings of guilt and anxiety, and different effects of the genetic counseling clinic, depending on the subgroups. Understanding the needs and psychological characteristics of different groups is necessary for improving genetic counseling services.