• Journal of Oriental Neuropsychiatry
• /
• v.24 no.spc1
• /
• pp.23-36
• /
• 2013

Objectives : The purpose of this guideline is to show the evidence-based guidelines of diagnosis and evaluation of Hwabyung by the synthesis and organization of existing research contents. Methods : We investigated the existing research on the concept of Hwabyung. Further, we investigated the diagnostic tools, self-diagnostic method, symptoms assessment tools, oriental medical diagnostic methods, treatment evaluation tools and other testing methods of Hwabyung. Results : There was a Hwabyung diagnostic interview schedule (HIBDS) in the standardized measure for the diagnosis of Hwabyung. In the symptoms assessment tools of Hwabyung, there was a self-report measurement tool of Hwabyung and measurement tool of Hwabyung to be evaluated by the interviewer. In the oriental medical diagnostic method, there was an instrument of pattern identification for Hwabyung. In the treatment assessment tool, there was an instrument of oriental medical evaluation for Hwabyung. In addition, MMPI, SCL-90R, Zung's self-rating anxiety scale (SAS), Zung's self-rating depression scale (SDS), State-Trait Anger Expression Inventory (STAXI) and etc. can be used for the diagnosis and assessment of Hwabyung. Conclusions : We expect 'Clinical Guidelines for the Treatment of Hwabyung' to be useful for the diagnosis and assessment of Hwabyung.

• Korean Journal of Adult Nursing
• /
• v.21 no.2
• /
• pp.199-211
• /
• 2009

Purpose: The purpose of this study was to develop a program for anger management based on self-efficacy. Methods: In this study, four types of approaches to enhance anger control were developed; 1) a role play for vicarious experiences; 2) an assertive training for anger expression; 3) a 30-minute long education program & a 20-minute long telephone call coaching for verbal persuasion; and 4) a booklet for anger management and self care behaviors. One group pretest-posttest design was used for evaluating the program. Study subjects were 6 cancer patients undergoing chemotherapy. The group were received a 4-week intervention, 60 ~ 90 minutes a day weekly, and measured the variables at baseline, 4 weeks later. Anger-in, anger-out, and anger-control were measured by STAXI-K. Data was analysed by Wilcoxon using SPSS/WIN 12.0 program. Anger situation was analysed according to primary anger-thoughts and secondary anger-thoughts based on cognitive theories of anger. Results: The program for anger management consisted of a role play, assertive training, education, telephone call coaching and a booklet. The program revealed significantly less Anger-in (Z = -1.997, p = .046), anger-out (Z = -2.207, p = .027). No difference, however, was found in anger control (Z= -1.826, p=.068). Conclusion: This evaluation suggested that more assertive training and longer intervention may be needed to maximize anger control.

• Journal of Oriental Neuropsychiatry
• /
• v.27 no.2
• /
• pp.119-130
• /
• 2016

Objectives The Purpose of this study was to conduct a characteristic study on cancer patients using the Core Seven Emotions Inventory (CSEI) followed by a correlation analysis with STAI, STAXI and BDI.Methods This study was conducted by analyzing the medical records of 21 patients who had visited ○○ University Oriental hospital and completed the Core Seven Emotions Inventory (CSEI), BAI, and BDI. A total of 21 patients diagnosed with Cancer were analyzed using SPSS (Statistical Package for the Social Science, IBM, United States of America, Version 22.0). Frequency Analysis, independent t-test, one-sample t-test, and correlation analysis were conducted.Results 1. The Seven Emotion Characteristics of the Cancer patients showed a fairly stable emotional Distribution. The Gong (恐) and Kyeong (驚) emotions were relatively higher than U (憂), Bi (悲), Sa (思), Hui (喜), No (怒). 2. According to Gender, Female patients exhibited higher Sa (思) and Kyeong (驚) emotions while male patients exhibited higher Bi (悲) Emotion. 3. No (怒), U (憂), Bi (悲), Sa (思), Gong (恐), and Kyeong (驚) emotions showed a high correlation with the BDI and BAI scores of cancer patients.

• Journal of Korean Medical classics
• /
• v.30 no.3
• /
• pp.133-141
• /
• 2017

Objectives : As of 2013, South Korea ranked number one in the world in smartphone penetration rate with 67.6%. Unfortunately, with the rise of smart phone use, side effects such as fraud, loss of personal information, identity theft, formation and widening of a mobile information gap, and last, but not least, smart phone addiction, also increased. Methods : Seventh (7th)graders from a girls' junior high school in Seoul, the capital of South Korea, we reevaluated the Smart phone Addiction Proneness Scale (S-scale). Among the 9 students classified as high risk users, 5 were randomly selected for a study group, and the remaining 4 students, meanwhile, were designated as a control group. The study group received Korean medicine music therapy (KMMT) in a total of 8 sessions, each session lasting 50 minutes. Both pre- and post-interventions, the two groups completed the S-scale, Harris and Harris' concentration grid exercise, STAI, and STAXI-K. We analyzed the data by t-test and paired t-test using IBM SPSS Statistics. Results : KMMT had a significant influence on proneness to smart phone addiction (t=3.130, p=.035). KMMT had positive effects on concentration improvement (t=-2.935, p=.043), trait-anxiety symptoms improvement (t=2,992, p=.040), and anger-expression control (t=4.416, p=.012). Conclusions : KMMT had positive, improving effects on trait anxiety and anger expression, which in turn enhanced the improvement of concentration as well as the decrease of smart phone-addiction proneness.

• Journal of Oriental Neuropsychiatry
• /
• v.26 no.3
• /
• pp.293-306
• /
• 2015

Objectives: The purpose of this study is to identify predictors of clinical efficacy of oriental medical treatment for patients with panic disorder. Methods: We analyzed medical records of 41 patients who were diagnosed with panic disorder through DSM-IV or ICD-10 by 2 oriental medical neuro-psychiatrists. We performed frequency analysis of demographic characteristics in patients with panic disorder, and assessed the correlation between the psychological scales by Pearson correlation. Repeated measures ANOVA were used to compare the psychological scales during the treatment; and Single regression analysis was used to analyze the factors that have correlation to improvement of panic disorder by oriental medical treatment. Psychological scales used in the study were STAI-X-1/2, STAXI-S/T, BDI2, BAI, BSQ, PAS, ASI, LOT-R, SWLS, LSES and LSMS. Results: Patients' demographic characteristics indicated that there were twice more female than male patients; furthermore, there was a high ratio of patients in their 20s and 30s, with the highest percentage of onset-age in the 20s and average duration of panic disorder from 1~5 years. More than half of the total patient cohort comprised of those who had panic disorder with agoraphobia and major depressive disorder; in addition, major accompanied symptoms were dyspepsia, chest discomfort and headache. After treatment, most scores of psychological scales were significantly reduced, and correlation between the psychological scales was significant. Furthermore, we identified some factors that were significantly correlated to improvement of panic disorder by oriental medical treatment. Conclusions: In conclusion, treatment of panic disorder with oriental medicine was clinically efficient and improved the quality of life.

• Journal of Oriental Neuropsychiatry
• /
• v.31 no.2
• /
• pp.63-76
• /
• 2020

Objectives: The purpose of this study was to verify the clinical effects of herbal medicines on patients with depressive disorder. Methods: A prospective observational study on patients with depressive disorder was conducted. The patients were treated with herbal medicines for eight weeks. The Korean Hamilton Depression Rating Scale (K-HDRS) was evaluated as the primary outcome and the Korean Beck's Depression Inventory (K-BDI), Instrument on Pattern Identification for Depression, Korean Symptom Checklist-95 (KSCL-95), Insomnia Severity Index (ISI), Korean State-Trait Anxiety Inventory (STAI-K), Korean State-Trait Anger Expression Inventory (STAXI-K), EuroQol five-dimensional Questionnaire (EQ-5D), Minnesota Multiphasic Personality Inventory-2 (MMPI-2), Heart Rate Variability (HRV) were measured as the secondary outcome. Adverse events were assessed for safety. Results: A total of 35 participants were observed for 12 weeks. The K-HDRS improved significantly in four, eight, and 12 weeks and the K-BDI showed significant differences in four, and eight weeks. There were no significant improvements in other evaluation scales. Gyejibongnyeong-hwan was the most frequently and continuously prescribed, showing significant improvements of K-HDRS after eight weeks of treatment. Conclusions: In our observational study, herbal medicine was effective for relieving the depression of patients with depressive disorder and Gyejibongnyeong-hwan showed the most significant effectiveness.

• Journal of Oriental Neuropsychiatry
• /
• v.26 no.2
• /
• pp.79-88
• /
• 2015

Objectives: The purpose of this study is to investigate the effects of the M&L Trauma Psychotherapy Program on: Impact of Event Scale - Revised (IES-R-K); Euro QOL-5 Dimension (EQ5D); Five-facet Mindfulness Questionnaire (FFMQ); and psychological tests. Methods: Eight middle-aged women subjected to domestic violence participated in the two-day M&L Trauma Psychotherapy Program. The Program was executed 5 times 2 days for about 3 hours. We evaluated IES-R-K, EQ5D, FFMQ, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), State-Trait Anger Expression inventory (STAXI) and SUDS before the Program and for four weeks afterwards, to analyze the effects of the M&L Trauma Psychotherapy Program. Results: The scores of IES-R-K, BDI, STAI-S, STAI-T, Hwa ST and Hwa CT decreased significantly (p<0.05). EQ5D scores increased significantly (p<0.05) and overall physical condition scale (VAS) increased. In the FFMQ scores, all five facet scores increased slightly. Scores of SUDS decreased significantly right after the program, and remained decreased four weeks later, rather than before the Program (p<0.05). Conclusions: The results suggested that the M&L Trauma Psychotherapy Program improved post-traumatic stress, quality of life and mindfulness skills, and had positive responses to psychological problems - depression, anxiety, anger and distress.

• Journal of Oriental Neuropsychiatry
• /
• v.23 no.4
• /
• pp.169-182
• /
• 2012

Objectives : The purpose of this study is to examine the effects of a 3 day Hwa-Byung forests healing program, which consists of helpful contents of Korean medicine. Methods : This study examined the effects of forests healing for Hwa-Byung patients, visited Korean medicine hospital neuropsychiatry clinic for outpatients. The Hwa-Byung forests healing program was run with 20 participants; 4 of them quit in the middle of the program and excluded in data analysis. The Hwa-Byung forests healing program consisted of 3 day helpful Korean medicine contents. The primary outcome measurement was Hwa-Byung symptom score, which measured various symptoms of Hwa-Byung. Results : The results of this study showed that Hwa-Byung symptoms were significantly alleviated. General psychological states, including depression, anxiety, and anger, were significantly improved. Quality of life was also enhanced after 3 day program. These results indicate that the 3 day Hwa-Byung forests healing program was effective for the overall improvements of Hwa-Byung patients. Conclusions : The 3 day Hwa-Byung forests healing program were shown to be an effective intervention in improving the overall aspects of Hwa-Byung patients, including symptoms, depression, anxiety, anger, and Quality of life.

• Journal of Oriental Neuropsychiatry
• /
• v.21 no.4
• /
• pp.207-218
• /
• 2010

Objectives : This case report presents a 33-year-old male patient who complained chest pain and anxiety. diagnosed with panic disorder with agoraphobia improved by Herbal Extracts. SRP(Stress Reduction Program) and Acupuncture treatment. Methods : In early treatment period. we evaluated his general psychological state through interview and self-questionnaires(STAI, SCL-90-R, STAXI, BDI) for treatment planing. And then we had prescribed herbal extracts for 20 weeks with applying SRP and acupuncture treatment. After 20 weeks we assessed his psychological symptoms with same evaluation tools. Results : After 20 weeks. We found that patient's somatic and psychological symptoms(anxiety, depression, anger) were alleviated. Frequency and severity of panic attacks were reduced also. Conclusions : Herbal extracts. especially Gyejigayonggolmoryo-tang(桂枝加龍骨牡蠣湯) and Jakyakgamcho-tang(芍藥甘草湯), may be useful therapeutic tool for control of panic attack symptoms and anxiety.

• Journal of Oriental Neuropsychiatry
• /
• v.21 no.4
• /
• pp.175-185
• /
• 2010

Objectives : The objective of this study was to observe the relationships between neck pain and psychological factors such as stress, anger, anxiety and depression. Methods: Under mental stress. the 31 patients with neck stiffness and 32 control subjects with no neck stiffness were measured by using NDI, BEPSI, GARS, STAXI, STAI, and BDI scales. The psychological scales between the patients and the controls were taken to observe the average results by comparing between the two groups. Also NDI and psychological scales of correlation analysis was performed. Results: 1. The mean scores of NDI, BEPSI, GARS, State-Anger, Trait-Anger, Anger-out, Anger-In, Sate-Anxiety, TraitAnxiety, and BDI under patients group were significantly higher than those in control group. 2. The value of NDI comparing to the values of BEPSI, GARS, State-Anger, Trait-Anger, Anger-out, Anger-In, Sate-Anxiety, Trait-Anxiety, and BDI in this study resulted in high correlation among each others which showed statistically significant. Conclusions : It has the possibility that the neck pain with stress. anxiety. anger and depression might be related highly in correlation. especially in stress and anxiety which showed the most high correlation.