• 동의신경정신과학회지
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• 제28권3호
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• pp.217-230
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• 2017

Objectives: This study was conducted to review studies on somatization disorder in traditional Chinese medicine. Methods: We reviewed studies in the China National Knowledge Infrastructure (CNKI) to 2017. Keywords were 軀體化障碍, Somatization disorder, somatic symptom disorder. We included Randomized Controlled Trial (RCT), and excluded non-Randomized Controlled Trial (nRCT), non-related somatization disorder or traditional Chinese medicine, non-clinical trials, dissertations for degrees. Jadad scale and Cochrane Library's Risk of Bias (RoB) were used for assessment of the quality of studies. Results: Twelve studies were selected. The Chinese Classification of Mental Disorders-3 (CCMD-3) was most frequently used as diagnostic criteria for somatization disorder. As for outcome measurement, Hamilton Rating Scale for Depression (HAMD) was used most commonly. Meta-analysis of 10 studies revealed effective rate of Chinese Herbal Medicine groups (CHM) was significantly higher than Western Medicine groups (WM) (RR: 1.14, 95% CI: 1.02 to 1.27, p=0.02, $I^2=40%$). There was no significant difference in effective rate of CHM+WM and WM (RR: 1.12, 95% CI: 0.84 to 1.49, p=0.46, $I^2=83%$). And also, effective rate of Acupuncture group (Acu) revealed no significant difference compared to that of WM (RR: 1.17, 95% CI: 0.95 to 1.44, p=0.13, $I^2=84%$). For HAMD, there was significant difference in CHM vs, WM group and Acu vs. WM group. Quality of selected 12 RCTs was low. Conclusions: Therapies practiced in traditional Chinese medicine may be effective options for somatization disorder. treatment. For further clinical studies in Korean medicine, this study could be groundwork for development of diagnosis and treatment on somatization disorder.

• 대한한방소아과학회지
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• 제20권3호
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• pp.75-85
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• 2006

Objectives : The somatization is various physical symptoms that have no pathologic manifestation. It is very common to Korean children and adolescents as well as adults, because cultural background and immature verbal expression. DSM-Ⅳ(Diagnostic and Statistical Manual of Mental Disorders Fourth Edition) presented diagnostic criteria for Somatization disorder by grouping some symptoms out of somatization. This report is on a case of somatization disorder patient. The patient is 13-year-old female. She has been suffered from various physical symptoms those are coincided with diagnostic criteria for Somatization disorder by DSM-Ⅳ. Methods : The authors treated her by acupuncture and 3 kinds of herb medicine-Bunsimgium, Hyungbangdojuksan, Yangguksanwhatang. Results : Bunsimgium was showed a little improvement but could not solved chief complaint. Hyungbangdojuksan was not given a help. After her taking Yangguksanwhatang, most symptoms were subsided. Conclusions : A patient with the somatization disorder was improved by herbal medication and acupuncture. But the Somatization disorder repeats to take a good turn and a bad turn and continues for long time, so we need to follow up her condition.

• 동의신경정신과학회지
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• 제23권2호
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• pp.85-98
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• 2012

Objectives : The histrionic personality disorder(HPD) is characterized by a pattern of excessive emotion and attention-seeking behavior, including a seductive behavior. It is known that HPD is closely related to a somatization disorder. The somatization disorder is characterized with various physical symptoms that have no pathologic manifestation. This report is on a case of 55 years old woman with HPD, who has been suffering from various physical symptoms that are coincided with diagnostic criteria for somatization disorder by DSM-IV. Methods : The patient was treated with oriental medical treatments (acupuncture, moxibustion, cupping therapy, and herb-medication), hypnotic therapy, and emotional freedom techniques. The effects of treatment were measured by VAS. Results : Chest pain was improved by hypnotic therapy and oriental medical treatments. But the patient's pantalgia and abdominal discomfort were controlled effectively by emotional freedom techniques. Conclusions : This result suggests that EFT might be effective for the defensive and dependent somatization disorder patient with HPD.

• 대한정형도수물리치료학회지
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• 제23권2호
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• pp.75-81
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• 2017

Background: The purpose of this study is to examine the effects of myofascial release technique (MFR) on psychological and physical symptom in somatization with post traumatic stress disorder (PTSD). Based on this, proceed to present an effective physical treatments. Methods: In this study, three subjects were applied ABA design for a total of 12 weeks. Intervention was performed three times per week, and only MFR for 6 weeks was applied to the patient for 60 minutes. General physical therapy consisted of a total of 60 minutes including hot pack, electric therapy, and ultrasound. In this study, we measured three times in the second baseline stage at the initial evaluation before the commencement of intervention, somatization, depression, anxiety, sleep disorder, and pain after 6 weeks and 12 weeks. Results: In this study, the application of MFR showed significant differences in somatization symptoms, sleep disturbance, and headache. There was no significant difference in depression and anxiety. Conclusions: As a result, the application of MFR in PTSD patients with somatization can be suggested as a useful intervention to resolve the psychosomatic problem.

• 동의신경정신과학회지
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• 제18권3호
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• pp.249-260
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• 2007

Recently, usual minor stress is getting more important in somatization disorder. This study is a clinical report of a patient with somatization disorder induced by stress treated with typical orintal medical therapy reinforcing the weakness of heart and gall blaader(Herb-med, acupunture, etc.) in combination with EFT. STAI, BDI were compared between before and after treatment. The results show the typical onntal medical therapy reinforcing the weakness of heart and gall blaader in combination with EFT is efficient in the treatment of Somatization disorder.

• Journal of Oral Medicine and Pain
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• 제47권2호
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• pp.78-86
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• 2022

An association between psychological factors and temporomandibular disorders (TMD) has been extensively explored for over 40 years, and a high prevalence of depression and somatization has been consistently reported in patients with TMD. Current evidence suggests that patients' somatic awareness can serve as a primer for TMD incidence and further contribute to the transition to chronic pain. However, the current understanding of somatization from a medical perspective is limited. The best way to address patients with TMD pain who have somatization is also unclear. Therefore, this paper aims to provide an overview of somatization in the context of pain psychology and address its clinical implications in the context of TMD pain.

• Journal of Yeungnam Medical Science
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• 제9권1호
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• pp.68-74
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• 1992

신체화 장애의 진단의 간편성을 위해 1991년 3월부터 1992년 2월까지 영남대학교 의과대학 부속병원 정신과에 내원한 여자 환자 135명을 대상으로 7-symptom screening test를 적용한 결과 다음과 같은 결론을 얻었다. 7개증상 모두의 판별 Index는 3.0 이상이었으며, 7개증상중 2개의 증상이 있을때 정확도가 89%(민감도 99%, 특이도 77%), 3개의 증상이 있을때 정확도가 87%(민감도 83% 특이도 90%)로 나타났으며 판별 분석 결과 cut off 점수는 7개증상중 3개 이상일 때 신체화 장애 진단에 속할 확률이 87%로 나타났다. 즉 7개의 screen 증상중 3개 이상 있는 경우 신체화 장애로 진단할 수 있다는 것을 나타낸 것이며 다시말해서 7개중 3개 증상 유무가 판별의 분기점이 되는것을 의미한다. 이는 7-symptom screening test가 신체화 장애 진단에 정확하고 간편한 검사 도구임을 나타내준다 하겠다.

• 정신신체의학
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• 제8권1호
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• pp.122-140
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• 2000

신체화 장애란 명백한 기질적 병리가 없이 다양한 신체 증상을 호소하는 만성 장애를 말한다. 그런데 신체화 장애는 역사적으로 기질적인 이상이 없이 신체적인 증상이 나타나는 히스테리와 연관이 있다고 알려져 왔다. 따라서 신체화와 관련된 대부분의 이론들은 주로 정신역동이나 사회적인 관점에 초점이 맞추어져 왔다. 그러나 감정적인 문제나 정신질환이 신체화로 나타나는 기전에서 신경생물학적인 관점에 대한 관심 또한 적지 않았었다. 이런 신경생물학적인 관점에서 히스테리아의 원형으로 알려져 있는 Anna O 증례조차도 신경심리학적인 관점에서 재조명되기도 하였다. 몇몇 신경생리학적 및 신경심리학적 연구결과들, 히스테리 환자에서 신체화증상 표현의 좌우 반구차이에 대한 연구결과들이 신체화의 생물학적 근거를 뒷받침해 주고 있다. 최근 들어 신체화 장애의 신경영상검사는 신체화 장애에서 뇌의 기능 이상이 존재함을 보여 주고 있다. 이에 저자는 생물학적 관점에서 신체화의 과정을 설명해 줄 수 있는 몇몇 가설들을 고찰하고 이를 바탕으로 신체화에 대한 새로운 신경심리학적 가설을 제시하고자 한다. 이와 함께 이 가설을 신체화 장애의 치료에 어떻게 적용시킬 수 있을까도 논의하고 이 가설의 제한정과 이 영역에 있어 앞으로의 발전 방향에 대해서도 논의하려고 한다.

• 정신신체의학
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• 제4권2호
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• pp.277-285
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• 1996

Somatoform disorders do occur among children and adolescents. Among the seven disorders under the grouping of somatoform disorders of DSM-IV, three disorders, namely somatization disorder, pain disorder and conversion disorder are seen relatively more often than one can expect in childhood and adolescence. Pain disorders are more prevalent among children before adolescence, whereas conversion disorder and somatoform disorder are seen more often during adolescence and early adulthood. Diagnoses of somatofram disorders should not be made by the process of exclusion, but based on positive findings that positive evidence that normal functioning is possible and that a positive history of psychosocial stress and or intrapsychic conflict exists. Treatment strategy should be mindful of including collaboration with primary care health professionals and family therapy staff in addition to all the basic treatment modalities essential for the treatment of children and adolescents.

• Journal of Yeungnam Medical Science
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• 제11권2호
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• pp.332-337
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• 1994

한국여성의 신체화 장애 정도를 평가하기 위하여 1993년 8월 1일 부터 1994년 1월 31일 까지 일반 여성 127명, 일반 남성 99명에게 DSM-III-R의 7-symptoms screening test를 적용한 결과 다음과 같은 결론을 얻었다. 신체화 장애군으로 분류된 여성은 13명(5.8%)으로 남성 3명(3.1%)보다 약 2.8배 많았다. 신체화 장애군으로 분류된 여성들이 많이 보인 증상은 사지의 통증(9명), 월경통(8명), 숨가쁨(7명), 기억상실(7명)등의 순서였다. 사회정신의학적 요인들과 신체화 증상의 빈도 사이의 관계를 살펴본 결과저학력인 경우, 배우자와 이별한 경우, 가족 분위기에 불만인 경우, 과거 현재 미래의 자아상에 대하여 불만인 경우, 현 재의 생활상태에 대하여 불만인 경우등에서 유의 하게 높은 수의 신체화 증상을 보였다.