• Title/Summary/Keyword: psychosomatic

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Clinical Case Report of a Patient with a Psychosomatic Disorder Complaining of Hyperventilation (과호흡을 호소하는 심신증 환자 증례 보고)

  • Kim, Eun-seo;Son, Jong-seok;Bae, In-suk;Seo, Sang-il;Shin, Gil-cho
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.876-884
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    • 2016
  • Objective: To report a case of a patient with a psychosomatic disorder who complained of hyperventilation and was treated with oriental medical treatments and emotional freedom techniques (EFTs). Methods: The patient was diagnosed as having a psychosomatic disorder through an interview and several psychological tests, such as the house-tree-person (HTP) and the person in the rain (PITR) tests. We treated the patient with oriental medical treatments that included herbal medications, western medications, moxibustion, cupping, and EFT. Results: After the treatments, the clinical symptoms of the patient were improved. Conclusions: Oriental medical treatments and EFT may be effective treatments for psychosomatic disorders.

Strategies for Coping with Stress -Cognitive-behavioral Approaches- (스트레스 대응전략 -인지행동적 접근-)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.3 no.1
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    • pp.64-71
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    • 1995
  • Cognitive-behavioral approach can be clinically applied to coping with stress, because cognitions are playing a central mediating role in the occurances of stress and stress reactions. In other words, cognitive distortions can be associated with causing and/or maintaining psychopathology. The goal of cognitive-behavioral approach is to help the patients identify and alter cognitive distortions and maladaptive assumptions. This approach is aimed not at curing but rather at helping the patients to develop better coping strategies to deal with their life and work. The cognitive-behavioral techniques often used in this approach include problem solving, hypothesis-testing, self-monitoring, cognitive challenges, generating alternatives to automatic cognitive distortions, self-instruction, attribution and reattribution, and techniques to control or suppress thoughts. This approach is considered to be helpful for treatment and prevention of psychiatric disorders including psychosomatic disorders, in which stress can greatly affect their onset and course.

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A Clinical Report: Two Cases of Psychosomatic Disease Treated by Hwa-acupuncture (오행화침법(五行和針法)을 응용한 마목(麻木)환자 치험 2례)

  • Kim, Ju-Won;Shin, Hyun-Kwen;Chu, Ching-Nai;Kim, Hyo-Ju;Park, Se-Jin;Kong, Hyun-Woo
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.2
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    • pp.245-254
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    • 2006
  • Symptoms of Psychosomatic disease are various. Mamok(麻木), one of that symptoms, is a kind of sensory disorder and similar to numbness but more complicated. In this report, we described two men diagnosed as psychosomatic disease and undifferentiated somatoform disorder. One complained Mamok of his tongue and the other complained it of his right arm and leg. And both of their symptoms were disappeared quickly after treated by Hwa-acupuncture.

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A Comparison of Perceived Family Support among Patients with Somatoform Disorders, Psychosomatic Disorders and Depressive Disorders (신체형장애, 정신신체장애 및 우울장애 환자들간의 가족지지도지각의 비교)

  • Koh, Kyung-Bong;Woo, Yong-Il
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.79-86
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    • 1999
  • A comprison was made regarding perceived family support among patients with somatoform disorders, psychosomatic disorders and depressive disorders. The subjects included 49 patients with somatoform disorders, 43 patients with psychosomatic disorders, and 50 patients with depressive disorders. Perceived social support-family scale was used to measure the extent of family support. The patients with somatoform disorders were significantly lower in family support than the patients with psychosomatic disorders. However, no significant differences were found between patients with somatoform disorders and those with depressive disorders, as well as between patients with psychosomatic disorders and those with depressive disorders. Patients with older age had significantly higher scores on family support than those with younger age. Married patients were significantly higher in family support than unmarried ones. These results suggest that low family support may be associated with either the etiology or the sequelae of somatization. Thus, it is emphasized that the role of family support is essential in evaluation and treatment of somatization. In addition, longitudinal studies will be required to investigate the causative role of low family support in somatization.

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Comparison of Alexithymia among Patients with Psychosomatic Disorders, Anxiety Disorders and Depressive Disorders (정신신체장애, 불안장애 및 우울장애 환자들 간의 Alexithymia의 비교)

  • Koh, Kyung-Bong
    • Korean Journal of Psychosomatic Medicine
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    • v.2 no.1
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    • pp.59-68
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    • 1994
  • A comparison was made regarding the degree of alexithymia among patients with psychosomatic disorders, anxiety disorders and depressive disorders. The author examined the degree of alexithymia in three groups : 100 psychosomatic patients(including 47 patients with tension headache), 52 outpatients with anxiety disorden, and 50 outpatients with depressive disorders. Alexithymia was assessed by Alexithymia provoked Response Questionnaires(APRQ) developed as a semi-structured interview form. No significant difference was found in the degree of alexithymia among Patients with Psychosomatic disorders, anxiety disorders, and depressive disorders. On the other hand, patients with tension headache were significantly more alexithymic than patients with anxiety disorders and depressive disorders, respectively. However, there was no significant difference in degree of alexithymia between patients with anxiety disorders and those with depressive disorders. Multiple regression analysis revealed that demographic variables such as set age, education level, and marital status did not make a significant influence on alexithymia scores. These results suggest a greater degree of alexithymia in patients with a specific group of psychosomiatic disorders such as tension headache than in patients with emotional disorders, unlike the previous report that in general, psychosomatic patients are alexithymic. Thus, it is necessary to develop special forms of interview which can induce and encourage expression of emotion as a therapeutic strategy for patients with tension headache.

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Study of Health Status of Dental Technicians by Todai Health Index (동대식(東大式) 건강조사표(健康調査票)에 의(依)한 치과기공사(齒科技工士)의 건강실태(健康實態)에 관한 조사(調査) 연구(硏究))

  • Kim, Won-Soo
    • Journal of Technologic Dentistry
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    • v.13 no.1
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    • pp.37-51
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    • 1991
  • In order to evaluate health status of dental technicians as an individual and a group, this study was conducted with Todai Health Index Questionaire on randomly sampled 277 persons(236 males and 41 females) from Aug. 20 to Oct. 6, in 1990 obtained Following conclusions were drawn. 1. Age composition of the subjects was 136 males(57.6%) in the age of 20$\sim$29 and 28 females(68.3%) in the age of 20$\sim$24. As for working places, 215 males(91.1%) and 38 females (92.7%) were working for dental laboratories and rest of them were at clinics and hospitals. In working years, male technicians who have been working for 5$\sim$10 years amounted to 80 (33.8%) and 12 females(29.3%) were working for 1$\sim$3years. 2. Responses to psychosomatic subjective symptom complaints rated as the highest in multiple subjective symptom(males : 40.00%, females : 41.98%) and those in physical items and mental irritability(male : 24%, female : 25%) and in mental items came next in order. The rate of complaint in depression was higher in female group than in male group (p<0.05). 3. Resonses to psychosomatic subjective symptom complaints in male group were high in the age of 20$\sim$29 and in the age of 20$\sim$24 in female group. The rates of complaint were higher in multiple subjective symptom, respiratory, eye and skin(p<0.05) and digestives(p<0.01) complaints. 4. Responses to psychosomatic subjective symptom complaints were higher among persons working at dental laboratories than at other working places : dental clinics and hospitals in all the items except for respiratory, depression and aggressiveness. Rates of complaints in eye and skin showed significant difference between working places(p<0.05). 5. Those who are engaged in polishing part tended to complain more about psychosomatic subjective symptoms. 6. The higher the level of education is the more they complained the psychosomatic subjective symptoms both in male and female group. In the difference of complaint respones, male group showed high rates of complaint in depression and female group in aggressiveness(p<0.05). 7. Responses to psychosomatic complaints by the length of working service were moderate in males who were working less than 10 years, and they decreased after 10 years of service. Females showed the highest response rate in the group of 3$\sim$5 years service and the lowest response in the group of 5 years service. Male complained more in aggressiveness and female in respiratory and aggressiveness(p<0.05). 8. Responses to psychosomatic subjective symptom complaint varied according to working hours of a day both in male and female group, showing high complaint rates in multiple subjective symptom, respiratory, eye and skin, mouth and anus, digestive, mental irritability and irregular life in male group(p<0.05).

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Alcohol Use Disorder in Consultation-Liaison Psychiatry (자문 조정의학에서의 알코올 사용 장애)

  • Seo, Jeong-Seok
    • Korean Journal of Psychosomatic Medicine
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    • v.19 no.1
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    • pp.15-19
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    • 2011
  • Alcohol is so-called "a magic bullet" affecting on the various organs and central and peripheral nervous systems and causes mental illness as well as physiological and psychological dependence. Also, alcohol problem is related with serious social problems including family violence, suicide, loss of job and crimes. Because alcohol use disorder is a common cause of consultation and liaison in general hospital, we could consider alcohol use disorder of one of psychosomatic disorder. Thus, I reviewed the prevalence, rate of consultation, and general consultant and treatment issues in treating patients with substance use disorder in a psychosomatic medicine.

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A Case Report of Psychosomatic Disease (발작적(發作的) 탄식(歎息).흉민(胸悶).구고(口苦)를 주소증으로 한 심신증(心身證) 환자 치험 1례)

  • Choi, Geum-Ae;Kim, Woo-Chul;Kim, Kyeong-Su;Kim, Kyeong-Ok
    • Journal of Oriental Neuropsychiatry
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    • v.21 no.3
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    • pp.105-114
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    • 2010
  • Objectives : This case report presents a 77-year-old female patient, who was suffered from fitful sigh, chest discomport and bitter taste diagnosed with psychosomatic disease improved by application of korean traditional treatments. Methods : The patient in this case had been suffered from severe stress by her family. Therefore, she diagnosed heart eum deficiency(心陰虛), heart qi stagnation(心氣鬱滯) and since then she had received herbal treatments. These treatments were successful and reduced the level of symptoms. Results : After treatment, her chief complains that fitful sigh, chest discomport and bitter taste were almost reduced. Conclusions : This result suggests that our korean traditional treatments was effective on psychosomatic disease caused by stress.

Antidepressants in the Psychosomatic Disorders (정신신체 질환에서 항우울제)

  • Seo, Jeong-Seok;Moon, Seok-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.7-13
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    • 2007
  • Antidepressants are used by substantial number of physicians as well as psychiatrists. Antidepressants are the mainstay of treatment of depression combined with physical illness, neuropathic pain, and various psychosomatic disorders. Antidepressants, especially TCA and SSRI, are superior to placebo in treating comorbid depression and pain of physical illness. Although it has been controversial whether the influence of depression on the risk and outcome of physical illness is true, antidepressants would provide more favorable prognosis and better quality of life for the patients with physical illness.

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Can Data-Driven Analysis Demonstrate the Plausibility of Traditional Medical Typology?

  • Chae, Han;Lee, Siwoo;Lee, Soo Jin
    • Journal of Oriental Neuropsychiatry
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    • v.32 no.4
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    • pp.303-320
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    • 2021
  • Objectives: Although medical typologies based on indigenous biopsychological ideas have been described, their integrity has been questioned due to its theory-driven nature in categorization. Therefore, studies on the Sasang typology, a temperament-based traditional Korean medicine, are needed to examine whether it is possible to classify types of specific biopsychological profiles using data-driven analysis. Methods: Psychological measures of the Eastern Sasang Personality Questionnaire (SPQ) and Western NEO-Personality Inventory (NEO-PI) along with physical measures and Sasang types were acquired from 2,049 participants. Latent groups based on the SPQ and NEO-PI subscale scores were extracted using Latent Profile Analysis. Their psychosomatic features were then compared with those of Sasang types. Results: Three SPQ-based latent groups showed distinctive psychological and physical features consistent with those of Sasang types. However, four NEOPI-based latent groups presented only psychological features. Furthermore, SPQ-High and SPQ-Low latent groups demonstrated similar psychosomatic profiles to those of So-Yang and So-Eum Sasang types, respectively. Conclusions: This study illustrates that biopsychological profiles of Sasang types are supported by psychosomatic features of latent groups based on SPQ of Eastern psychology, signifying that the categorization of Sasang typology have acceptable validity and reliability.