• 정신신체의학
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• 제4권2호
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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.

• 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.

• 동의신경정신과학회지
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• 제18권3호
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• pp.237-247
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• 2007

People with somatoform disorder have a number of different symptoms that typically last for several years. Their symptoms can't be traced to a specific physical cause. In people with somatoform disorder, medical test results are either normal or don't explain the person's symptoms. The symptoms of somatoform disorder are similar to the symptoms of other illnesses. People with this disorder may have several medical evaluations and tests to be sure that they don't have another illness. In this case, we described a 56-year old man who was diagnosed as R/O) ALS, because he has many similar symptoms of ALS (amyotrophic lateral sclerosis) such as gait disturbance, dysarthria, dyspnea. But we diagnosed his case as somatoform disorder and treated with herbal medication, acupuncure treatment ,negative cupping and relaxation training. Through these treatment, the patient showed improvement of chief complains and accessory symptoms.

• 동의신경정신과학회지
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• 제13권2호
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• pp.41-56
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• 2002

The Analysis of MMPI and Clinical Study was carried out the 28 patients with somatoform disorder and depressive disorder who were treated in Daejeon University Oriental Hospital from 19 June 2001 to 17 April 2002. The results were summarized as follows. 1. The ratio of female was higher, especially in the depressive disorder, the ratio of female was higher and in the age distribution, the 40 aged were higher frequence. 2. In the somatoform disorder, symptoms appeared to be busy in physical symptoms, and they were in descending order the digestive organs system, head and face portion and musculoskeletal system symptoms, in the depressive disorder, appeared to be busy in psychosomatic system symptoms and in the prescription drugs, soyosan(逍遙散), punsimkiyyin(分心氣飮) were used to be busy. 3. In the scales of L, F, K, somatoform disorder showed ${\wedge}$ typed graph, and depressive disorder showed ${\vee}$ typed graph. 4. In the somatoform disorder, scales of Hs, Hy, D, Pa were higher, and in the depressive disorder, scales of Hy, Hs, Pd, D were higher. 5. In the scales of Hs, D, Hy, somatoform disorder showed ${\vee}$ typed graph, and depressive disorder showed/typed graph. 6. the average of T-scores and the ratio over 65 score and 70 score showed common distribution.

• 대한한방소아과학회지
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• 제15권2호
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• pp.201-208
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• 2001

The somatoform disorder are distinguished by physical symptoms suggesting a medical condition, yet the symptoms are not fully explained by the medical condition, by substance use, or by another mental disorder. This is that an unconscious intrapsychic conflict, wish, or need is converted to a somatic symptom and clinically express various symptoms such as headache, dizziness, nausea, vomiting dyspepsia, diarrhea and constipation, etc. We report a case of somatoform disorder patient, who was 9 years old female and complained of nausea, vomiting and dysdipsia. She had her case diagnosed as somatoform disorder in Yong-dong severance hospital and took anti-depressant (chlomipramine) with counseling for 2 months. After treatment, her emotional instability and depression were improved, yet the somatic symptoms remain same. We diagnosed her case as vomiting induced by deficiency of the stomach(胃虛嘔吐) and administered Bihe-yin(比和飮) to her. After administration of Bihe-yin(比和飮) for one month, her somatic symptoms of nausea, vomiting and dysdipsia were almost disappeared and she got acquired her confidence in school life.

• 동의신경정신과학회지
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• 제24권3호
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• pp.251-256
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• 2013

Objectives : Qi gong is generally considered to be safe in most people when learned from a qualified instructor. But abnormal psychosomatic responses or mental disorder may be induced when Qigong is practiced inappropriately, excessively, or when practiced unguided in predisposed individuals. Here we reported a case of Qigong-induced Mental Disorder (QIMD). A woman who had not had a psychiatric disease, by chance started Qigong practice, and felt raising- Qisymptoms, including headache. Methods : We identified the unique characteristics of QIMD and discusses differences with other diseases such as somatoform disorder and schizophrenia. Results : To conclude, QIMD does not come under current somatoform disorder subtypes and schizophrenia. Conclusions : It has distinct characters that occurring after Qigong practice, symptoms of upper body, feeling that something to rise up.

• 정신신체의학
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• 제7권2호
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• pp.203-212
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• 1999

연구목적 : Alexithymia(감정표현불능증)는 내면적 감정을 올바로 인식하거나 언어적으로 표현하기 어려운 상태를 뜻하는 용어이다. 최근에는 말로 표현하는데 장애가 있는 것만이 아니라 인지과정에서의 결함도 강조하고 있다. 그리고 감정은 신체증상과 전반적인 건강상태에 영향을 준다는 점에서 정신신체연구에 매우 중심적인 역할을 하고 있다. 이에 본 연구는 신체형 장애 환자와 정신신체장애의 하나로 알려져 있는 당뇨병 환자를 대상으로 alexithymia의 척도를 비교하고 이 환자들에서의 정신병리와 성격특성을 알아 보고자하였다. 방법 : 본 연구는 만 18세 이상의 신체형장애 환자 20명, 당뇨병 환자 20명 그리고 정상 대조군 20명을 대상으로 세 군의 alexithymia의 정도, 정신병리 및 성격특성을 알아보기 위하여 각각 Toronto Alexithymia Scale(TAS), 한국판 Symptoms Check List 9G-R(SCL-90-R) 및 Sixteen Personality Factor Questionnaire(16-PF)를 이용하여 세 군간의 차이를 분석하고 TAS와 SCL-90-R 및 TAS와 16-PF와의 상관관계를 분석하였다. 결과 : 1) TAS에 따른 세 군간의 비교에서는 신체형장애 환자군이 당뇨병 환자군과 정상 대조군보다 유의하게 높은 수치를 나타냈다. 2) SCV90-R에 의한 비교에서는 신체화증상과 불안증상 척도에서 신체형장애 환자군이 당뇨병 환자군과 정상 대조군보다 유의하게 높게 나타났다. 강박증상, 우울증상, 공포증상 및 정신증상 척도에서는 선체형장애 환자군이 정상 대조군보다 유의하게 높게 나타났다. 전체지표 중 전체심도지수는 신체형장애 환자군과 당뇨병 환자군이 정상 대조군보다 높았고, 표출증상심도지수는 신체형장애 환자군과 당뇨병 환자군이 정상 대조군보다 높았으며 표출증상합계에서는 신체형장애 환자군이 정상 대조군보다 유의하게 높은 결과를 보였다. 3) 16-PF에 의한 비교에서는 지능요인에서만 정상 대조군이 신체형장애 환자군보다 높게 나타났고 다른 요인에서는 차이가 없었다. 4) TAS와 SCL-90-R과의 상관관계분석에서는 신체형장애 환자군에서 표출증상심도지수를 제외한 모든 척도에서 정적 상관관계를 보였다. 그러나 다른 두 군에서는 유의한 상관관계를 보이지 않았다. 5) TAS와 16-PF와의 상관관계분석에서는 모든 대상군에서 유의한 상관관계를 보이지 않았다. 결론 : 신체형장애 환자군이 당뇨병 환자군이나 정상 대조군에 비하여 높은 alexithymia 척도와 많은 정신병리를 보였다. 그리고 신체형 환자군에서의 높은 alexithymia 척도는 정신병리와 유의한 정적 상관관계를 보이고 있었다. 당뇨병환자들은 정상 대조군과 유의한 차이를 보이지 않았다. 그러므로 신체형장애 환자들에게는 감정을 표현하고 그들의 정신병리를 완화하거나 해소할 수 있는 치료적 접근이 도움이 되겠고, 당뇨병환자들에게는 우선적으로 신체질환의 상태를 호전시킬 수 있는 치료가 더욱 필요로 하겠다.

• 사상체질의학회지
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• 제20권3호
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• pp.199-207
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• 2008

1. Objectives Sasang Constitutional Medicine is Mind-Body medicine and it is based on difference of Nature & Emotion(性情) & real purpose(恒心). The purpose of this study is to evaluate the effect of Hyangbujapalmul-tang for somatoform disorders and is to drive the importance of psychiatric approach home. 2. Method The subject is about 49-year-old Soeumin patient presumed by Undifferentiated somatoform disorder based on his nature & emotion, physical characteristics, symptoms, and we have prescribed Soeumin Hyangsayangyui-tang, Ceongunggyegi-tang, Hyangbujapalmul-tang. Soeumin Hyangsayangyui-tang was prescribed based on oridinary symptoms(素症), Soeumin Ceongunggyegi-tang was prescribed based on real symptoms(病症), Soeumin Hyangsayangyui-tang was prescribed based on Nature & Emotion(性情) & real purpose(恒心). 3. Result and conclusions In result, Hyangbujapalmul-tang based on Nature & Emotion(性情) & real purpose(恒心) showed best positive response. It is necessary to approach to somatoform disorders not only in clinical view but also in psychiatric view based on Nature & Emotion(性情) & real purpose(恒心)

• Journal of Acupuncture Research
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• 제30권5호
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• pp.193-201
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• 2013

Objectives : This is a case report about undifferentiated somatoform disorder, Wei symptom patient Methods : The patient was treated using acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy. The recovery of this patient had measured in physical examination, gait condition test, body surface temperature, body perimeter and sensory test by dermatome. Results : Through this treatment, the patient's leg elevation angle, body surface tempreature, body perimeter was raised, Rt. lower limb numbness and gait condition had improved. Conclusions : Korean medical therapy including acupuncture, electroacupuncture, pharmacopuncture, herbal medication and Korean medical physical therapy was effective to improve undifferentiated somatoform disorder, Wei symptom patient.

• 정신신체의학
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• 제2권1호
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• pp.107-112
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• 1994

The authors tried to look into the process of the individual psychotherapeutic experience of a 18-year-old male diagnosed as somatoform pain disorder or chronic pain syndrome. The patient had showed strong resistance to acceptance of his psychological problems. Some issues such as indications of psychotherapy for chronic pain, changing the mode of the treatment some problems around changing the therapist secondary gain and parents' attitude were discussed considering their relatedness to the outcome. The psychotherapy had lasted about 2 years and the result was estimated as fair.