• Sleep Medicine and Psychophysiology
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• v.16 no.2
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• pp.85-90
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• 2009

Introduction: There has been an increasing interest in the relationship between sleep and suicidality. In addition, suicidal patients habitually report their sleep problems. Although sleep-related complaints and electroencephalographic changes are generally encountered in psychiatric disorders, sleep complaints such as insomnia, hypersomnia and nightmares are more common in suicidal patients. In current study, we aimed at investigating the relationship between self-reported sleep duration and suicidality in general population. Methods: One thousand general population (male:female=500:500, mean age=$39.6{\pm}11.6$ years, ranged age=20-77 years) completed Center for Epidemiologic Study-Depression (CES-D), Beck Suicide Intent scale (BSI), Spielberger State-Trait Anger Expression Inventory (STAXI), Barratt Impulsiveness Scale (BIS), Morningness-Eveningness Scale (MES) and brief questionnaire of sleep habits. Results: After controlling for age and sex, score of BSI was correlated positively with the score of CES-D, STAXI and BIS on partial correlation analysis ($r_p$=0.251; p<0.001, $r_p$=0.352; p<0.001, and $r_p$=0.175; p<0.001, respectively). In addition, score of BSI was inversely correlated with the score of MES (rp=-0.066; p=0.037). However, score of BSI showed no significant correlation with sleep duration. However, regression analysis revealed that short (<6 hrs) or long (>10 hrs) sleep duration, the family history of psychiatric illness, the score of CES-D, and the score of STAXI predicted higher score of BSI significantly in total subjects (F=17.837, adjusted $R^2$=0.166; p=0.003, p=0.003, p<0.001, and p=0.003, respectively). This model was explained better in depressed subjects with 16 or higher score of CES-D (F=9.920, adjusted $R^2$=0.298). Conclusion: Current result suggested that not only short sleep duration (<6 hrs) but also long sleep duration (>10 hrs) might be related to suicidality.

• Journal of Oriental Neuropsychiatry
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• v.23 no.3
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• pp.63-76
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• 2012

Objectives : The aim of this study was to investigate the value and efficacy of BDI, STAI, STAXI, ISI, and SCL-90-R in correlation with depression, anxiety, and insomnia patients. Methods : A total of 39 patients, who were diagnosed with depression, anxiety, and insomnia were evaluated using BDI, STAI, STAXI, ISI, and SCL-90-R. They were then statistically analyzed. Results : 1. BDI scores of depression patients were significantly different from other patients. 2. BDI scores of depression patients had strong positive correlation with STAI-S, and STAI-T scores. 3. STAI-S scores of anxiety patients had positive correlation with BDI, and ISI scores. 4. SCL-90-R depression subscale scores of depression patients had strong positive correlation with somatization, obsessive compulsive, interpersonal sensitivity, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, global severity index, and positive symptom total subscale scores. 5. SCL-90-R anxiety subscale scores of anxiety patients had strong positive correlation with somatization, obsessive compulsive, depression, phobic anxiety, and global severity index subscale scores. Phobic anxiety subscale scores had strong positive correlation with anxiety, global severity index, and positive symptom total subscale scores. Conclusions : The result findings are expected to serve as a useful resource in future stress-related depression, anxiety, and insomnia case reports and clinical research in oriental neuropsychiatry.

• Journal of Oriental Neuropsychiatry
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• v.22 no.2
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• pp.15-25
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• 2011

Objectives : The aim of this study was to find correlations between characteristics of Four constitution and Hwa-byung. Methods : Clinical data were collected from Hwa-byung Epidemiologic study data. we selected 130 self-labelled Hwa-byung patients data and 83 of them were diagnosed as Hwa-byung by SCID. We used Hwa-byung SCID, Hwa-byung scale, CES-D, STAI, STAXI and Personality and Physiological Symptom Questionnaire(PPSQ) as evaluation tools. We performed statistical analysis of each 2 groups, self-labelled Hwa-byung group(N=130) and diagnosed Hwa-byung group(N=83). Results : 1. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with 3 indices of Hwa-byung scale and significant positive correlation with 1 index. Lesser yin score showed significant positive correlation with 6 indices. In diagnosed Hwa-byung group, Greater yin score showed significant negaitive correlation with 5 indices. In both groups, Lesser yang score showed no significant correlation with any indices of Hwa-byung scale. 2. In self-labelled Hwa-byung group, Greater yin score showed significant negative correlation with both trait anger score and state anger score of STAXI. Lesser yin score showed significant positive correlation with trait anxiety score, state anxiety score and CES-D score self-labelled Hwa-byung group. Lesser yang score showed significant positive correlation with anger-out score of STAXI. But Lesser yin score showed significant negative correlation with same index diagnosed Hwa-byung group. Conclusions : 1. The higher Greater yin score, suppression or denial, psychological defense mechanism, become more stronger. 2. The higher Lesser yin score, anger-out tendency become more weakened and increased prevalence of Hwa-byung symptoms. 3. The higher Lesser yang score, anger-out tendency become more stronger.

• Journal of Oriental Neuropsychiatry
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• v.26 no.3
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• pp.235-250
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• 2015

Objectives: The purpose was to conduct a characteristic study on panic disorder patients through The Core Emotional Assessmental Questionnaire (CEAQ), followed by a correlation analysis with STAI, STAXI and BDI. Methods: We analyzed medical records of 62 patients who had visited ${\bigcirc}{\bigcirc}$ University hospital, oriental neuropsychiatric department and completed the The Core Emotional Assessmental Questionnaire (CEAQ), STAI, STAXI, and BDI. Finally, 20 patients who were diagnosed as Panic Disorder according to DSM-V (2013) were included in the study. Patient data was analyzed by Chi-Square test, frequency analysis, independent t-test, one-sample t-test, and correlation analysis using the SPSS (Statistical Package for the Social S 21.0 Version). Results: 1. Panic disorder patients experienced less Hui, and more Sa (思), Gong (恐), Kyeong (驚), and Bi (悲). 2. Female Panic disorder patients experienced more Hui (喜), as compared to male patients; whereas, male patients experienced more No (怒). 3. U (憂), Bi (悲), Sa (思), Gong (恐), and Kyeong (驚) emotions of Panic disorder patients were correlated to STAI-S, STAI-T, and BDI.

• Journal of Oriental Neuropsychiatry
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• v.19 no.1
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• pp.1-18
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• 2008

The purpose of this research is to examine the effect of Simjeongkyeok Sa-am acupuncture treatment for major symptoms of Hwa-byung. Method : In this randomized, single blind, placebo-controlled study, we compared Simjeongkyeok acupuncture with Sham acupuncture in the treatment for major symptoms of Hwa-byung. Likert scale for major symptom of Hwa-byung was measured as the 1st evaluative instrument, and STAXI-K, STAI-K, BDI-K and HRV were also measured as the 2nd evaluative instrument at the before treatment and after treatment. Results : In comparison of Likert scale for major symptoms, total score of after treatment decreased significantly at each point on both groups, but there was no significant difference between both groups. In comparison of STAXI-K, STAI-K, BDI-K, there was no significant difference in variation of score between both groups. But Simjeongkyeok group showed higher ratio variation of STAXI expression than that of Sham group, Also on subjects whose main complaint symptom were burning sensation and whose pattern identification were Qizhi, Simjeongkyeok group showed higher variation of Likert scale score and BDI-K than that of Sham group. The significance was border line around. Conclusion : We considered that Shimjeongkeok treatment will he likely to he recommended for treating Hwa-byung, especially on subjects in each group whose main complaint symptom were burning sensation or whose pattern identification were Qizhi. Also it may also be effective on the management of anger expression.

• Journal of Oriental Neuropsychiatry
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• v.20 no.3
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• pp.133-147
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• 2009

Objectives : This study has the object to evaluate the effect of meditation at the clinical field and to classify the profer meditation by the emotional states of patients. Methods : Thirty volunteers have been recruited using local advertisement. They devided into two groups(patient group, normal group). Emotional states and stressors (STAI, STAXI, BDI, SCL-90-R, Stress Response inventory, Life event stress) have been evaluated. After that test HRV(Heart Rate Variability) has been tested and subjects took a 5-minute rest. After that, one of meditation has been chosed and has been demonstrated for 10 minutes by practiced trainer(Autogenic Training, Fruit Imaginary Meditation, Random assignment). After 5 minutes resting time, HRV has been measured again with meditation that had been administered. Results : 1. The higher the scale of emotional index, the more sensitively react has been occured according to the meditation. 2. The rate of HRV index that means stable state is higher in Fruit Imaginary Meditation group who thought to be administered meditation well. 3. The Fruit Imaginary Meditation is more effective immediately than Autogenic Training assessed by HRV scale and VAS scale of well-administered meditation especially in patients group. 4. Subjects of Highly suffered emotional problem have more effect in Fruit Imaginary Meditation Group compared to Autogenic Training Group. Conclusions : Suitable beginner meditation course considered patient's emotional problem needs to be programmed.

• Journal of Oriental Neuropsychiatry
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• v.9 no.2
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• pp.97-109
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• 1998

This study was designed and undertaken to identify objectively the degree and relationship of anxiety, depression, & anger which are chief essential elements of emotional status in Hwabyung patients.The subjects in this study were 35 Hwabyung patients and 40 Non-Hwabyung persons, and for the assessment of anxiety, depression, & anger. We used Zung's Self-Rating Anxiety Scale(SAS), Zung's Self-Rating Depression Scale(SDS) & State-Trait Anger Expression Inventory(STAXI).The results of this study are as follows:1. There were significant differences in the 18 items of SAS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).2. There were significant differences in the 13 items of SDS among 20 items between Hwabyung patients and the control group(p＜0.05 respectively).3. There were significant differences in the mean scores of SAS and SDS between Hwabyung patients and the control group(p＜0.001 respectively).4. There were significant differences in the mean scores of State Anger, Trait Anger, Trait Anger/Temperament, Anger-in & Anger-out counted by STAXI between Hwabyung patients and the control group (p＜0.001, p＜0.01, p＜0.001, p＜0.001, p＜0.05 respectively).5. There were significant relationships between State Anger & Anxiety, Anger-out & Trait Anger/Temperament, Depression & Anxiety(r=.43, r=.37, r=.64).

• The Journal of the Korea Contents Association
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• v.11 no.4
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• pp.458-467
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• 2011

The purpose of this study was examine the effects of dance / movement therapy on anger and anger expression, depression and anxiety, and positive as well as negative symptoms in in-patient with schizophrenia. Among inpatients with schizophrenia in J Dajeon psychiatric hospital, 38 patients were allocated to either dance and movement therapy (DMT) group (n=18), which included 24 sessions of DMT and medical treatment over 12 weeks, or a control group (n=20), which included only medical treatment. State anger and anger control of DMT group were improved after 12 weeks, and there was a significant difference in anger control after 12 weeks between two groups. Depression of DMT group was improved, and there was significant difference in depression after 12 weeks between DMT and control group. There was a significant difference in negative symptoms after 12 weeks between DMT and control group. These finding demonstrates that DMT has benefit on the reduction of state anger by increasing anger control and depression as well as may improve negative symptoms in in-patient with schizophrenia.

• Journal of Oriental Neuropsychiatry
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• v.22 no.2
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• pp.1-13
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• 2011

Objectives : The purpose of this research is to examine the effects of Sa-am acupuncture Simpojeongkyeok treatment on Hwa-byung. Methods : The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collector and analyst were unaware of individuals which were receiving the treatment. Fifty volunteers were divided into a trial and a control group, each of which consisted of 25 subjects. The trial group was treated with Sa-am acupuncture Simpojeongkyeok, while needle insertion at non-acupoints was given to the control group. The Likert scale for major symptoms of Hwa-byung was measured as the 1st evaluative instrument, and then a comparative analysis was conducted by comparing the results with those measured by of STAXI-K, STAI-K and BDI-K. Results : In the Likert scale comparison of major symptoms, total scores in both groups were decreased after treatment. However, a more significant decrease was found in those of trial group compared to those of the control group from a statistical perspective. The results measured by BDI scores also decreased significantly in the trial group after treatment. In comparison of STAXI and STAI scores, there were no significant differences found between the groups. Conclusions : The results suggest that Sa-am Acupuncture Simpojeongkyeok treatment is effective in the treatment of Hwa-byung.

• Journal of Oriental Neuropsychiatry
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• v.23 no.1
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• pp.31-48
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• 2012

Objectives: The purpose of this research is to examine the effects of acupuncture treatment on Hwa-byung patient's insomnia. Methods: The study was performed through a patient-assessor blind, randomized, placebo-controlled trial in which the volunteers, data collectors and analysts were unaware of individuals who were receiving the treatment. A total of thirty-seven volunteers were divided into 2 groups. 18 subjects were placed into a trial group and 19 subjects into a control group by a randomization table. The trial group was treated on bilateral Shigu, Ahnmyun, B62 (Shinmaek), and K6 (Chohae), while the control group was not given any other treatment. The ISI(Insomnia Severity Scale) was measured as the 1st evaluative instrument, and then a comparative analysis was conducted by comparing the results with those measured by a Likert scale for major symptoms of Hwa-byung, PSQI, Hwa-byung scale, BDI, STAI, and STAXI. Results: In the ISI, PSQI, and the Likert scale regarding major symptoms of Hwa-byung, Hwa-byung scale, BDI, and STAI, more significant decreases were found in those concerning the trial group compared to those of the control group from a statistical perspective. However, in the STAXI, regarding the trial group, there was no significant decrease compared to the control group. Conclusions: The results suggest that acupuncture treatment is effective in the treatment regarding Hwa-byung patients who suffer from insomnia.