• Title/Summary/Keyword: Psychosomatic Medicine

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A Case Report of Psychosomatic Disease (발작적(發作的) 탄식(歎息).흉민(胸悶).구고(口苦)를 주소증으로 한 심신증(心身證) 환자 치험 1례)

  • Choi, Geum-Ae;Kim, Woo-Chul;Kim, Kyeong-Su;Kim, Kyeong-Ok
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.3
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    • pp.105-114
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    • 2010
  • Objectives : This case report presents a 77-year-old female patient, who was suffered from fitful sigh, chest discomport and bitter taste diagnosed with psychosomatic disease improved by application of korean traditional treatments. Methods : The patient in this case had been suffered from severe stress by her family. Therefore, she diagnosed heart eum deficiency(心陰虛), heart qi stagnation(心氣鬱滯) and since then she had received herbal treatments. These treatments were successful and reduced the level of symptoms. Results : After treatment, her chief complains that fitful sigh, chest discomport and bitter taste were almost reduced. Conclusions : This result suggests that our korean traditional treatments was effective on psychosomatic disease caused by stress.

Antidepressants in the Psychosomatic Disorders (정신신체 질환에서 항우울제)

  • Seo, Jeong-Seok;Moon, Seok-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.7-13
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    • 2007
  • Antidepressants are used by substantial number of physicians as well as psychiatrists. Antidepressants are the mainstay of treatment of depression combined with physical illness, neuropathic pain, and various psychosomatic disorders. Antidepressants, especially TCA and SSRI, are superior to placebo in treating comorbid depression and pain of physical illness. Although it has been controversial whether the influence of depression on the risk and outcome of physical illness is true, antidepressants would provide more favorable prognosis and better quality of life for the patients with physical illness.

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Can Data-Driven Analysis Demonstrate the Plausibility of Traditional Medical Typology?

  • Chae, Han;Lee, Siwoo;Lee, Soo Jin
    • Journal of Oriental Neuropsychiatry
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    • v.32 no.4
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    • pp.303-320
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    • 2021
  • Objectives: Although medical typologies based on indigenous biopsychological ideas have been described, their integrity has been questioned due to its theory-driven nature in categorization. Therefore, studies on the Sasang typology, a temperament-based traditional Korean medicine, are needed to examine whether it is possible to classify types of specific biopsychological profiles using data-driven analysis. Methods: Psychological measures of the Eastern Sasang Personality Questionnaire (SPQ) and Western NEO-Personality Inventory (NEO-PI) along with physical measures and Sasang types were acquired from 2,049 participants. Latent groups based on the SPQ and NEO-PI subscale scores were extracted using Latent Profile Analysis. Their psychosomatic features were then compared with those of Sasang types. Results: Three SPQ-based latent groups showed distinctive psychological and physical features consistent with those of Sasang types. However, four NEOPI-based latent groups presented only psychological features. Furthermore, SPQ-High and SPQ-Low latent groups demonstrated similar psychosomatic profiles to those of So-Yang and So-Eum Sasang types, respectively. Conclusions: This study illustrates that biopsychological profiles of Sasang types are supported by psychosomatic features of latent groups based on SPQ of Eastern psychology, signifying that the categorization of Sasang typology have acceptable validity and reliability.

Consultation - Liaison Psychiatry and Psychodynamics (자문조정 정신의학과 정신 역동)

  • Kim, Hyun-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.10 no.1
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    • pp.3-7
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    • 2002
  • The author reviewed the historical background of development of consultation-liaison psychiatry along with the psychosomatic medicine. Historically consultation-liaison psychiatry has developed over the past 70 years as an outgrowth of general hospital psychiatric units, and the psychodynamic approach including psychoanalysis has influenced to the development of the consultation-liaison psychiatry. Through the review, the author suggested psychodynamic understandings as a basic tool for the practicing of medical psychotherapy.

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Clinical Study for Tremor in 30 Admission Cases (진전(震顫)을 주(主) 증상(症狀)으로 입원(入院)한 환자(患者) 30례(例)에 대(對)한 임상적(臨床的) 고찰(考察))

  • Park, Ji-un;Lee, Sang-ryong
    • Journal of Haehwa Medicine
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    • v.10 no.1
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    • pp.437-451
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    • 2001
  • The clinical study was carried out the 30 patients with tremor who were treated in Daejeon University Oriental Hospital from 1 April 1997 to 31 March 2001. The results were summarized as follows. 1. The ratio of female was higher, especially in the psychosomatic tremor, the ratio of female was higher and in the age distribution the aged over 50 were higher frequence. 2. The case without past history was most, the most ordinary preceding disease was hypertention and the next was diabetes, drinking history had no concern with tremor, first visit was most, in the psychosomatic tremor complication by relation was the most inducing factor and both parkinson tremor and essential tremor were no inducing factor. 3. Tremor appeared to be busy in extremities, parkinson tremor appeared to be accompanied with musculoskeletal system symptoms and they were in descending order lower limb weakness, extremities numbness, general body weakness e.t.c. both essential tremor and psychosomatic tremor appeared to be accompanied with psychosomatic symptoms and they were in descending order dizziness, headache e.t.c. 4. In classification of Four Human coporeal constitution the number of patients, Tae-Eum-In(太陰人) was most, the prescription drugs of tranquillizing the liver and relieving anxiety such as GYEJIYONGGOLMORYETANG(桂枝加龍骨牡蠣湯) and nourishing Yin, blood and relieving anxiety such as SAMULANSINTANG(四物安神湯) were used to be busy. 5. The rate of treatment was collectively improved and was higher in the yaung age than in the old age, the period of the clinical history was the shorter within one month, the rate of improvement was the better.

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Trust and Health: Mind-Body Problem or Integrative Medicine (신뢰와 건강)

  • ChongNak Son
    • Korean Journal of Culture and Social Issue
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    • v.11 no.spc
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    • pp.85-95
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    • 2005
  • The present article explored the studies on the relational mechanisms between trust and health in terms of psychosomatic medicine or integrative medicine. For this, the research findings of the Quantum physics, psychosomatic medicine, and traditional eastern healing methods on the mind-body problem and then a practical guide to greater physical and mental well-being is presented. In the first section of the Quantum mechanical human body, the body has a mind of its own, the mechanism and cause of disease, the body as objective experienced conscious, and the effects of consciousness and information on the body are includes. The second section is psychosomatic medicine. In this, the thought changing brain, placebo, the power of expectancy, achieving health by active endeavor, psychoneuroimmunology, and the several therapies are included. Finally, Dr. Benson and Proctor's practical guide to well-being in presented. It is emphasized that the four trusts (trust in oneself, one's doctor, one's treatment, and one's spiritual trust) are crucial to recovery from serious illness and to achieve better health.

A Comparison of Perceived Family Support among Patients with Somatoform Disorders, Psychosomatic Disorders and Depressive Disorders (신체형장애, 정신신체장애 및 우울장애 환자들간의 가족지지도지각의 비교)

  • Koh, Kyung-Bong;Woo, Yong-Il
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.79-86
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    • 1999
  • A comprison was made regarding perceived family support among patients with somatoform disorders, psychosomatic disorders and depressive disorders. The subjects included 49 patients with somatoform disorders, 43 patients with psychosomatic disorders, and 50 patients with depressive disorders. Perceived social support-family scale was used to measure the extent of family support. The patients with somatoform disorders were significantly lower in family support than the patients with psychosomatic disorders. However, no significant differences were found between patients with somatoform disorders and those with depressive disorders, as well as between patients with psychosomatic disorders and those with depressive disorders. Patients with older age had significantly higher scores on family support than those with younger age. Married patients were significantly higher in family support than unmarried ones. These results suggest that low family support may be associated with either the etiology or the sequelae of somatization. Thus, it is emphasized that the role of family support is essential in evaluation and treatment of somatization. In addition, longitudinal studies will be required to investigate the causative role of low family support in somatization.

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Concept, Evaluation and Differential Diagnosis of Somatoform Disorder (신체형 장애(Somatoform disorder)의 개념, 평가, 감별진단)

  • Kim, Young-Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.2
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    • pp.254-261
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    • 1996
  • Somatoform disorders are a group of syndromes in which patients focus on and complain of physical symptoms when there is no demonstrable underlying organic pathology or when complaints are in excess of what is expected. The author reviewed concept, sociocultural etiology, differential diagnosis and methods of evaluation of somatoform disorder. The symptoms of Korean culture-specific somatizing cluster, so called Wha-Byung, are discussed.

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Experience of Cognitive-Behavioral Treatment for Patients with Chronic Headache (만성두통 환자에 대한 인지행동치료경험)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.4 no.1
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    • pp.85-90
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    • 1996
  • Cognitive-behavioral approach to two cases with chronic headache was presented. Cognitive-behavioral interventions focus on indirectly altering symptom-related physiological activity by changing the way patients cope with headache-eliciting stressors. This treatment focuses directly on the patients' cognitive and behavioral changes. Cognitive-behavioral treatment can be divided into three phases Education, self-monitoring, and problem-solving or coping-skills training. Literature reviews on the follow-up evaluation of therapeutic effectiveness revealed that cognitive-behavioral treatment is effective in the management of chronic headache.

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An Essay on the Introduction of Biofeedback System into Korea : Based on the Experience at the Seoul National University Hospital (바이오피드백의 국내 도입에 관한 소고 : 서울대학교병원의 경험을 중심으로)

  • Jeong, Do-Un
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.1
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    • pp.5-7
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    • 2006
  • The author presents the history of introduction of biofeedback system into Korea, depending on his personal experience at the Seoul National University Hospital. He, as the witness of biofeedback applied to clinical psychiatry and research in Korea, maintains that biofeedback should receive much more attention filled with enthusiasm, particularly because of the rapid development of medical engineering backed up by the unimaginable progress of computer- and neuro-science.

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