• 생물정신의학
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• 제5권2호
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• pp.278-282
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• 1998

Various neurotransmitters have been proposed as possible mediators of penile erection. Especially, norepinephrine and serotonin might have a important role in sexual arousal and penile erection. And it could be hypothesized that the psychogenic impotence is associated with the depletion or imbalance of norepinephrine and serotonin from evidences, such as the symptomatic manifestation of depression and the antidepressantinduced sexual dysfunction. The authors investigates the association of norepienphrine and serotonin with psychogenic impotence. The psychogenic impotent group(PIG) consisted of twenty-three patients with psychogenic impotence and the controlled group(CG) consisted of twenty-seven patients without psychogenic impotence. PIG had no organic cause accounting for their erectile dysfunction. The Beck Depression Inventory(BDI) and the State-Trait Anxiety Inventory(STAI) were applied to each subject to assess mood, state anxiety(SA) and trait anxiety(TA). Plasma norepinephrine level from systemic blood and 5-hydroxyindoleacetic acid(HIAA) levels from 24-hours urine were measured in each subject. The mean score of BDI of PIG was significantly higher than that of CG(p=0.015). PIG had a tendency of higher TA compared with CG(p=0.054). And also SA was higher in PIG, but did not show significant difference(p=0.193). The level of norepinephrine was significantly lower in patient with psychogenic impotence(p=0.000). And the level of 24-hours urine 5-HIAA was lower in PIG but did not show significant difference(p=0.494). Although the authors did not exclude depressive disorders in PIG, the present findings suggest that psychogenic impotence might have higher depressive mood and trait anxiety, and be associated with the depletion of norepinephrine in systemic blood.

• 동의신경정신과학회지
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• 제21권3호
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• pp.95-103
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• 2010

가족 간의 갈등으로 인해 발생한 두부진전이 4-5년간 지속된 환자에게 한약물과 한방정신요법을 시행하여 증상의 유발과 악화인자에 대한 통찰을 하고 조절할 수 있는 통제력을 가지게하여 증상을 완화되었고, 수개월이 지난 지금까지 호전상태가 지속되는 것을 경험하였다. 심인성 운동장애는 전체 운동장애 중 2-3% 정도로 드물게 일어나며, 진전이 가장 흔한 형태이기는 하나 상하지에 많이 발생하고, 두부에만 국한적으로 일어나는 경우는 드물다. 이에 상기 증례는 다른 신경학적 증상을 동반하지 않고 두부에만 국한적으로 진전이 발생한 환자에게 한의학적 치료를 하여 유효한 결과를 얻었기에 보고하는 바이다.

• 동의신경정신과학회지
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• 제17권3호
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• pp.131-141
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• 2006

Psychogenic vomiting (七情吐) is the disease of vomiting due to seven emotions that joy, anger, melancholy, anxiety, grief, fear and terror being the response of the mind to the environmental stimuli. We experienced a 21year-old man who had a psychogenic vomiting due to maladjustment in a military life, and whose condition was improved through oriental medical treatment. We treated the patient with Herbal medications and Giungoroen (至言高論)-wise saying and lofty opinion). Giungoroen is psychological therapy that promotes patient's recognition of disease and will to cure it through conversation. After being treated, the patient showed that symptoms (vomiting, nausea, abdominal discomfort, insomnia, a depressed mood, a feeling of uneasiness) was improved considerably. Tills result suggests that oriental medical treatment bas good effect on psychogenic vomiting due to adjustment disorder.

• 동의신경정신과학회지
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• 제32권3호
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• pp.275-284
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• 2021

Objectives: To propose Korean medicine treatments based on effects of Yanshimtang-Gamibang on three patients diagnosed with psychogenic dizziness. Methods: Korean medicine treatments based on Yanshimtang-Gamibang were applied to three patients diagnosed with psychogenic dizziness after experiencing a traffic accident. Effects of Korean medicine treatments based on Yanshimtang-Gamibang were evaluated using DHI (Dizziness Handicap Inventory), BAI (Beck Anxiety Inventory), NRS (Numerical rating scale), NDI (Neck Disability Index), ODI (Oswestry Disability Index), and EQ-5D (EuroQol-Five Dimensions). Quality of sleep was assessed with total sleep time and number of times waking up during sleep. Results: After the treatment, there were significant decreases in DHI and BAI scores as well as values of NRS, NDI, ODI, EQ-5D. The sleep quality of three patients also showed improvement. Conclusions: Korean medicine treatments based on Yanshimtang-Gamibang might be effective in people with psychogenic dizziness.

• 정신신체의학
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• 제6권1호
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• pp.85-89
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• 1998

심인성기침은 반복적으로 지속되는 마른 기침, 개짓는 듯한 소리의 기침, 수면시 증상의 중단, 증상에 대한 무관심, 뚜렷한 이차적 이득, 객관적, 방사선학적, 다른 실험실검사에서의 정상소견, 내과적 약물치료에 대해 반응을 보이지 않는 것, 정신치료후 증상의 호전, 갑작스러운 증상의 호전등이 특징적이다. 저자는 지속적인 마른 기침을 주소로 정신과에 자문의뢰된 심인성 기침 환자 2례를 경험하였으므로 이를 문헌고찰과 함께 보고 하는 바이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제11권1호
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• pp.144-149
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• 2000

심인성 발작은 신경과 및 정신과 임상에서 가끔씩 접하게 되는 질환으로서 진성 간질성 발작과의 감별진단이 가장 중요하다고 하겠다. 특히 정신과의사는 면밀한 환자의 병력청취, 임상양상 관찰 등을 통하여 확진 전 단계에서 심인성 발작을 어느 정도 진단내릴 수 있다고 생각된다. 저자들은 11세 여아의 심인성 발작 증례를 경험했는데, 심리환경적 스트레스가 명확했고, 임상특징이 일치 했으며, 신속한 검사와 정신과적 중재에 의해서 좋은 결과를 얻었다. 본 증례로 볼 때 소아기 심인성 발작의 진단과 치료에 있어서 뇌파 검사 외에도 철저한 가족배경 조사 및 병력청취와 정신교육학적 중재가 중요하다고 생각된다.

• Journal of Yeungnam Medical Science
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• 제40권1호
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• pp.91-95
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• 2023

Psychogenic dysphagia is a deglutition disorder characterized by a fear of swallowing, with no structural or functional causes. This report presents the case of a young male patient who had severe malnutrition due to psychogenic dysphagia and was provided visual biofeedback using fiberoptic endoscopic evaluation of swallowing (FEES). A healthy 25-year-old man presented to our clinic with a complaint of throat discomfort when swallowing that had started 6 months prior. As the symptoms worsened, he became fearful of food spreading to his lungs after swallowing and the development of respiratory difficulties. His food intake gradually decreased, resulting in a weight loss of 20 kg within 2 months. Evaluation of organic and other functional causes of dysphagia was performed, but no abnormalities were detected. The sensation of a lump in his throat, fear of swallowing, and anxiety were transformed into somatic symptoms. The patient was diagnosed with psychogenic dysphagia. After visual biofeedback by a physician who performed FEES, the patient resumed eating normally and increased his food intake. If routine tests do not reveal structural or functional causes of dysphagia, assessment of a psychogenic swallowing disorder should be considered. FEES can help in the diagnosis and management of psychogenic dysphagia.

• 정신신체의학
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• 제24권1호
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• pp.9-19
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• 2016

어지럼을 호소하는 환자들 중 많은 환자에서 신경 이과적 검사에서는 이상이 없고 정신의학적으로 문제가 있는 경우가 있다. 이런 경우에 심인성 어지럼증이란 진단을 붙이는데, 이는 대개 정신의학적 문제로 인하여 어지럼이 발생한다. 어지럼증 환자의 2-4명 중 1명일 정도로 많은 편이다. 그러나 한국에서는 심인성 어지럼에 대한 진료, 연구 등이 부족한 편이다. 이에 저자는 한국 정신건강의학과 의사들이 심인성 어지럼에 대하여 많은 관심을 가지고 적극적인 동참을 하도록 하기위하여 이 논문을 발표하였다. 이 논문은 정신질환 특히 불안과 어지럼의 생물학적, 심리적 연관성을 포함한 심인성 어지럼의 원인 및 진단, 심인성 어지럼과 관련된 정신질환 및 각 정신질환에서의 어지럼의 특성, 그리고 심인성 어지럼의 치료에 대하여 고찰하였다. 또한 정신건강의학과 의사를 대상으로 하였기에 신경 이과와의 협진에 필수적인 중추성 및 말초성 어지럼에 대해서도 간략히 고찰하였다. 치료에서는 특정치료, 증상치료, 전정재활치료 뿐만이 아니라 심인성 어지럼의 치료에 필수적인 약물치료 및 인지행동치료에 대해서도 고찰하였다. 어지럼 환자에게 신경 이과적 검사 및 진료 시 기질적 문제가 없거나, 기질적 문제가 있을지라도 다른 정신과적 증상이 상당히 동반된 심인성 어지럼 환자라면 정신의학적 치료를 적용하여 치료성공률을 높이고 나은 귀결을 보일 것이다. 어지럼의 치료에는 다학제적 접근을 통한 환자-중심의 치료적 접근이 환자들의 고통 경감과 삶의 질의 향상을 도모할 수 있다. 이를 위해서 한국 정신건강의학과 의사들의 심인성 어지럼증에 대한 관심 증가 및 적극적인 참여가 필요하다고 제시한다.

• 동의신경정신과학회지
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• 제19권3호
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• pp.299-307
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• 2008

In this study, we treated a patient with psychogenic chronic low back pain for 2 years with herbal medication treatment and psychotherapy. The case was a 17 years old female patient complained chronic low back pain for a long time. She received the spine operation, epidural injection, many kind of oriental medicine treatment about low back pain, but there was no improvement. We diagnosed her pain as a psychogenic pain disorder, and treated her with herbal medication for decrease her stress, and did a psychotherapy such as the progressive muscle relaxation, and counseled about trouble with her family. After treatment, her chronic low back pain was improved so much. We think that the herbal medication treatment and psychotherapy can be helpful to treat patients who have psychic and physical disorders.

• 동의신경정신과학회지
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• 제22권2호
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• pp.61-69
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• 2011

Objectives : The purpose of this study was to investigate the clinical application of Korean Traditional treatment to psychogenic torticollis patient who has panic disorder as underlying disease. Methods : Herb medicine used in this study are Heosu-san(Huishou-san) which is previously used for torticollis in several studies, Guibi-tang(Guipi-tang) and Gamiondam-tang(Jiaweiwendan-tang) which are frequently used for phychological disease. Also, physical therapy and aroma therapy were practiced which basically stretches and relaxes muscles around cervical muscles. Self exercise of cervical muscles was carried out during acupuncture. Results : After the comprehensive treatment, the clinical symptoms of the patient were improved. Conclusions : It is suggested that oriental medical treatment are effective in psychogenic torticollis.