• Journal of Oriental Neuropsychiatry
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• v.26 no.1
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• pp.39-48
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• 2015

Objectives: This study was conducted to analyze the hwa-byung, self-perceived health, life-stress, social support, depression, and factors affecting on suicidal ideation in community dwelling elders. Methods: This study was a cross-sectional descriptive study. The subjects were 165 elderly in I city. The data was collected from November $21^{st}$ to December $5^{th}$ of 2014 by using structured questionnaire. T-test, Pearson's correlation coefficients, and stepwise multiple regression were performed by SPSS/PC 17.0. Results: There were more females than males in hwa-byung (t=.-3.068, p=.003). In the visit parent, more than once a month was a significantly higher in social support (t=.3.333, p=.001). Hwa-byung (t=.-2.577, p=.011), life-stress (t=.-3.800, p=.001), depression (t=.-2.776, p=.006), and suicidal ideation (t=.-4.316, p<.001) were shown to be high in the elders with lower level of living. Subjects with health insurance had high self-perceived health (t=-3.800, p=.001) and low hwa-byung (t=-4.102, p<.001), life-stress (t=-4.482, p<.001), depression (t=-5.296, p<.001), and suicidal ideation (t=.-2.152, p=.036), according to the type of insurance. In the correlation, sleeping hours (r=-.180, p=.020), self-perceived health (r=-.364, p,.001), and suicidal ideation had negative correlation; hwa-byung (r=.404, p<.001), life-stress (r=.300, p<.001), social support (r=-.310, p<.001), depression (r=.423, p<.001) and suicidal ideation had positive correlation. Factors affecting the suicidal ideation in community dwelling elders were depression (${\beta}$=.42, p<.001), hwa-byung (${\beta}$=.23, p=.004), social support (${\beta}$=-.18, p=.012), and level of living (${\beta}$=.24, p=.001). Discussion: For the prevention of elderly suicide, it is necessary to care for psychosocial status and solve economic difficulties through social support.

• Journal of Korean Academy of Nursing
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• v.34 no.6
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• pp.1035-1046
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• 2004

Purpose: This one group experimentation was designed to develop a program for relieving 'Hwa-Byung'(HB) symptoms and examine its effects on HB symptoms, pain threshold emotions like anger, anxiety and depression. Method: The program consisted of three components the change of the cognitive thoughts, the formation of a supportive network, and induction of mind-body relaxation. Sixteen middle-aged women with HB were divided into three groups for group dynamics according to the time of the recruitment. Data was collected for nine months at three time points, before, immediately after, and one month later of its application. Result: There were statistically significant differences in the severity level of state anger, state anxiety, depression, and HB symptoms according to the time interval. The means of state anger and state anxiety were reduced after the intervention, but it was slightly increased one month later. The means of depression and HB symptoms were continuously reduced after the intervention and one month later. Conclusion: This was the first management program for HB women in Korea. A future study must be done with the research design formethodological strength revision of the program.

• Journal of Society of Preventive Korean Medicine
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• v.21 no.1
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• pp.31-39
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• 2017

Objectives : This study was conducted to identify the effects of the program for preventing dementia on Korean medicine on the Knowledge of dementia, Preventive behavior, Depression and Hwa-Byung for elderly. Methods : A non-equivalent control group pretest-posttest design was used with 41 elderly who were assigned to the experimental and control group. Study outcomes were measured by structured questionnaires from August to November 2016. For data analysis, the Chi-square test, the Fisher's exact probability test, t-test, the Mann-Whitney U test, were performed using SPSS version 20.0. Results : There were significant differences in Knowledge of dementia(U=112.500, p <.010), Preventive behavior (U=124.000, p =<.024), and Hwa-Byung (U=129.000, p =<.034) between the two groups in pretest and posttest. Conclusions : The findings have confirmed that the program for preventing dementia on Korean medicine is effective to improve Knowledge of dementia, Preventive behavior, and Hwa-Byung of community elderly. It can be recommended as a public health program for the elderly in communities.

• Journal of Oriental Neuropsychiatry
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• v.10 no.1
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• pp.133-146
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• 1999

First I chose a patient group and a comparative group composed of 23 members each. Then the body temperature differences in these groups was taken with D.I.T.I. The results are as follows. 1. Average body temperature of the Hwa-Byung patient group is $36.6^{\circ}C$ and that of the comparative group is $36.4^{\circ}C$. So there is no meaningful body temperature difference. 2. The hwa-Byung patient group has higher temperature than the comparative group by ${\triangle}T>1.0^{\circ}C$ at the following acupunture points in these body parts upper and lower, left and right, anterior and posterior, trunk and limb. Especially, the body temperature difference was clear in the CV-17 (jun-Joong) and the GV-4(Myung-moon). 3. When the body temperature was compared in the upper and lower part of the back, it had meaningful differences at the upper and lower acupunture points of the back in the Hwa-Byung patient group but not in the comparative group. 4. When the body temperature was compared in the left and right part of the body, its average difference was ${\triangle}T>1.0^{\circ}C$ in the two groups and the result were meaningless. 5. When body temperature was compared in the anterior and posterior part of the body, its average difference was ${\triangle}T>1.0^{\circ}C$ in the two groups and the result were meaningless. 6. When body temperature was compared in the trunk and limb part of the body, its difference in the patient group was meaningful compared with the non-patient group. From the above results, I think that D.I.T.I. could be used to objectively visualize heat sensation of the Hwa-Byung patients and make an objective concept of Han Yul in oriental medicine.

• 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.27 no.4
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• pp.207-214
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• 2016

Objectives: This study was conducted to identify the effects of the Qi-gong Exercise program on the physical health status, the fear of falling, balance efficacy, and Hwa-Byung in the elderly. Methods: A non-equivalent control group pretest-posttest design was used in 52 elderly subjects who were assigned to the experimental group and the control group (26 subjects in each group). Study out-comes were measured by structured questionnaires from July 2015 to October 2015. For data analysis, the Chi-square test, the Fisher's exact probability test, the Mann-Whitney U test, the paired t-test, and the Wilcoxon signed rank test were performed using SPSS version 20.0. Results: There were significant differences in the physical health status (Z=12.000, p<.001), balance efficacy (Z=60.500, p=<.001), and Hwa-Byung (Z=20.500, p=<.001) between the two groups in pretest and posttest. Conclusions: The findings confirmed that the Qi-gong Exercise program is effective in improving the physical health status, balance efficacy, and Hwa-Byung in the elderly subjects in the community. It can be recommended as a public health program for the elderly population in the community.

• Journal of Oriental Neuropsychiatry
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• v.24 no.4
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• pp.363-372
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• 2013

Objectives: The purpose of this study is to investigate the usefulness of psychological measurements in depression symptoms as compared with non-depressions and hwabyung. Methods: A total of 21 patients, who were diagnosed with depression and hwabyung, were evaluated by using the SCL-90-R, BDI, STAI, STAXI, ISI, HRSD, 20-Item Alexithymia Scale, BSDS and NEO-PI. Thereafter, they were statistically analyzed. Results: 1) In the results of SCL-90-R, the PST score group of hwa-byung group without depression was significantly higher when compared to the score from the depression group without hwa-byung. 2) In the results of NEO-PI, the NEO-PI-O score of hwa-byung group without depression was significantly higher when compared to the score from the depression group without hwa-byung. 3) In the results of 20-Item Alexithymia Scale, the total score and score of difficulty for identifying feelings scale from the depression group was significantly higher when compared to the score of non depression group. Conclusions: The results found are expected to serve as a useful resource for future studies when developing the instruments of oriental medical evaluations for hwa-byung.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.2
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• pp.1304-1317
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• 2015

The purpose of this study was to make an extensive analysis of middle-aged women's awareness of Hwa-byung in an effort to shed light on their understanding of it. Method: A descriptive study was performed to make content analysis of middle-aged women's awareness of Hwa-byung. Results: The interview data with the selected middle-aged women who were in their 40s and 50s were classified to determine their knowledge on the concept, cause and symptoms of Hwa-byung and their coping methods. As a result, there were 261 significant statements and 33 categories. Conclusion: This study is expected to provide useful information on middle-aged women's awareness of Hwa-byung, on the development of easily accessible educational programs geared toward helping them to overcome it, and on how to prevent it and offer effective intervention.

• The Journal of Korean Obstetrics and Gynecology
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• v.29 no.4
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• pp.80-90
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• 2016

Objectives: The purpose of this study is to evaluate the effects of Korean traditional treatments for Climacteric Syndrome Patients with Hwa-Byung. Methods: From February 2015 to May 2015, We treated 5 Cases Patients with Korean traditional treatments for a month. We measured treatment effects by Menopause Rating Scale (MRS), Beck's Depression Inventory (BDI), Visual Analogue Scale (VAS) and Digital Infrared Thermal Imaging (DITI). Results: After treatment, First, the scores of MRS, BDI were decreased. Second, the symptoms such as hot flush, pantalgia, palpitation, insomnia, fatigue were significantly improved. Also, the difference of 膻中 (CV17, Danjung) and 關元 (CV4, Guanyuan) temperatures were significantly decreased after treatment. Conclusions: This study suggests that Korean traditional treatments such as Gamicheonglijagam-hwan, acupuncture, moxibustion are effective on Climacteric Syndrome Patients with Hwa-Byung.

• Journal of East-West Nursing Research
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• v.13 no.2
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• pp.160-169
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• 2007

Background: Hwa-Byung is known as a specific Korean cultural syndrome which corresponds to DSM-IV(MMPI). Some Korean women who have experienced heart aching anger(Hwa-Byung) complain physical pains as well as psychological problems. As for these physical pains, upper limb arthropathy(e.g. golf elbow pains, tennis elbow pains, or shoulder-joint pains) have not been paid attentions. In spite of not having done her excessive physical endeavor or exercise, some Korean middle aged women complain those arthropathy pains. And they go round orthopedics, pain clinics, and oriental medicine clinics. Purpose: This study was practiced in Severance Oriental Medicine Clinic. The oriental medicine doctor had a question about the major origin of upper limb pains which were not caused by excessive physical endeavor. To answer the question, this study has been practiced. In the process of interview with some those women, the major cause of those syndromes has been revealed as Hwa-Byung. The purpose of this study is to discover the meanings of the women's life who have been experienced Hwa-Byung with upper limb arthropathy. Results: These upper limb arthropathy can be explained by meridian theory. Shoulder-joint pain and golf elbow with Hwabyung can be explained by Heart meridian of hand-shoyin and the points of these pains are in the flow of this meridian. Tennis elbow with Hwabyung can be explained by Small intestine meridian of hand-taiyang and this point is in the flow of this meridian. The results of interview with 9 middle aged women was analyzed and interpreted according to Spradley's method of ethnography. The analysis revealed three core cultural themes : 1) There are certainly external cause to provoke Hwa-Byung. A patricentric family system, husband's playing around with another woman, cruel treatment by husband's family, or financial failure may be present anteriorly. 2) The chief existing condition is the discord between husband and wife. The stoppage of mutual communication, lacking in understanding, unfeeling, heartless, or unsympathetic is an major phenomenon of married life. So the important factor is not the sexual relations or problems but the discords of communication. 3) The feeling of anger, the sense of nihility, the desire to escape, and the effort to forgiveness coexist together. At a glance, they seemed to be a process. For example, anger seemed to present at first, then nihility seemed at second, then escape seemed at third, and then forgiveness seemed at last. But at point of visiting clinic to be treated, they are mixed up together as if in a jumble.