• 대한중풍순환신경학회지
• /
• 제24권1호
• /
• pp.67-76
• /
• 2023

Post-stroke aggression refers to aggressive behaviors and languages which are occurred after stroke. In stroke patients, over 15% suffer from the anger and the symptom lowers the quality of life of the patients, family, and caregivers. After diagnosing post-stroke aggression, selective serotonin re-uptake inhibitor(SSRI) and beta-blocker, beta adrenergic agonist treatment usually underwent to treat the anger and anxiety of the patient. In the present case, a 81-year-old female patient with post-stroke aggression underwent Korean medical treatment by Jodeungsan and Ukgansan for 49 days. The effect of the treatment was assessed with State-Trait Anger Expression Inventory(STAXI) per a week, roaming time per a week and roaming frequency per a week. After the treatment, STAXI score, roaming time, and roaming frequecy decreased, and the patient could successfully cease to take beta-blocker, which she started to take for treating her aggression, without any side-effects. This case report suggests that Ukgansan might be an effective option with post-stroke aggression patients taking medication including beta-blocker.

• 인간행동과 음악연구
• /
• 제2권1호
• /
• pp.1-15
• /
• 2005

음악치료 연구에 있어 치료 세팅 내 적용 가능한 임상전략기법들을 개발한 연구는 다른 음악치료 관련 주제들에 비해 부족한 실정이다. 음악 감상을 이용한 부적 정서 조절은 계속 해서 연구되어 온 분야이기도 하나 실질적으로 임상 대상에게 적용되어 지지 않았다. 본 연구는 음악 감상을 이용한 음악치료기법인 동시에 부적 정서를 경감시키는 정서 조절 기제의 한 방안으로서 음악회상기법(Music Recall Technique)을 고안하고, 이것의 치료적 중재 과정과 효용성을 보는 데에 그 목적을 두었다. 더 나아가 음악치료사의 부재 시나 음악치료세션 외, 그리고 물리적 음악이 부재한 상황에서 대상자가 이 기법을 스스로 활용할 수 있는지를 보았다. 본 연구의 음악회상기법은 대상자의 강도 높은 부적 정서에 음악적 공감(musical empathy)을 부여하기 위하여 현대 음악(contemporary music) 중심의 높은 자극성 음악이 사용되었다. 또한 부적 정서의 경감 및 조절을 위하여 자극성-진정성 음악을 이용한 음악회상기법이 중점적으로 적용되었고, 자극성-진정성-격양성 음악을 이용한 음악회상기법은 부가적으로 적용되었다. 음악회상기법에는 이미 지각되어 있는 기존의 음악을 현재에 그대로 재현하여 회상하는 '음악회상(Music Recall, MR)'과 기존 음악을 변형 또는 조합하거나 기존 음악이 아닌 새로운 음악을 대상자가 스스로 생각하여 머리 속에서 현재화시키는 '창조적 음악회상(Creative Music Recall, CMR)'이 있다. 본 연구에서는 음악회상을 중심으로 하되 창조적 음악회상을 부가적으로 적용하였다. 연구는 단일 사례 연구로, 신경성 식욕부진증 환자의 불안, 분노, 우울의 부적 정서에 대한 부적 상황 목록을 작성하여 이에 대한 부적 정서를 회기 시간 내에 경감시켜나가고, 회기 시간 외 음악회상기법을 통해 실생활에 대한 실제 부적 정서를 경감시켜나갔다. 총 10회에 거쳐 음악회상기법이 적용되었고, 음악회상기록지를 제작하여 자극성-진정성, 또는 격양성 음악회상 내 부적 정서 변화 과정을 회기 시간 내와 회기 시간 외에 자기보고 하도록 하였다. 부적 상황에 관여된 부적 정서를 회기 시간 내와 전체회기에 대해 VAS 사전사후 검사를 통해 측정하고, 상태-특성 불안척도, 상태-특성 분노 표현 척도, 무망감 우울증 검사지를 통해 일반적인 부적 정서에 대한 사전사후 검사를 실시하였다. 연구 결과, 자극성-진정성 음악회상 과정 내 불안, 분노, 우울의 부적 정서가 모두 감소하였다. 불안, 분노, 우울 모두 자극성 음악회상에서 가장 많은 감소를 보였으며, 특히, 자극성 음악회상의 초-중반부에 가장 많은 감소를 보였다. 부적 상황에 대한 부적 정서의 VAS 측정에서도 회기 시간 내와 전체회기를 통한 사전사후 결과에서 모두 부적 정서가 감소하였다. 상태-특성 불안척도, 상태-특성 분노 표현 척도, 무망감 우울증 검사지의 검사 결과에서도 모두 부적 정서가 감소하였다. 본 연구는 강한 자극의 정도를 갖는 현대 음악 중심의 자극성 음악이 분노, 불안, 우울과 같은 부적 정서의 감소에 효과적으로 작용가능하며, 자극성 음악회상의 초-중반부가 부적 정서의 경감을 위해 중요한 자극 변수로 작용함을 시사한다. 결론적으로, 본 연구에서 고안된 음악회상기법은 부적 정서의 경감 및 정서 조절에 효과적인 하나의 대응 방안이 될 수 있다.

• 아동학회지
• /
• 제31권2호
• /
• pp.197-207
• /
• 2010

The aim of this study was to examine the effectiveness of a Laughter Therapy Group Counseling Program on overcoming anxiety, depression, and improving the self-esteem of mothers. The State-Trait Anger Scale, the Beck Depression Inventory, and the Self-Esteem Scale were used as a pre-test, post-test, and follow-up test respectively. The test results were analyzed using a t-test, a one-way analysis of variance. Twelve mothers suffering from anxiety and depression participated in eight sessions of the program, and were then compared with twelve mothers in the control group who did not receive the treatment. The treatment group showed statistically significant improvements in self-esteem, and reduced levels of anxiety and depression, in comparison to the control group. It was concluded that the program was effective in overcoming anxiety, depression, and improving self-esteem in mothers.

• 동의신경정신과학회지
• /
• 제25권1호
• /
• pp.1-12
• /
• 2014

Objectives: In this study, the meditation programs (${\alpha}$ version), which are properly coordinated according to the motion, breathing, and relaxation, are evaluated and researched upon to have positive effects on stress and in the area of psychology. Methods: Approved by the Clinical Trials Deliberation Committee in Oriental Medicine, Dongguk University, Ilsan Hospital, this study collected data according to the applicant's consents, demographic information and anthropometry for the Sasang Constitutional diagnosis. Sasang Constitutional diagnosis measured the beta tools by Institute of Oriental Medicine and a decision tree was made for the Sasang Constitutional questionnaires. The STAI, STAXI, BDI, and HRV were measured before and after the meditation in order to compare the effects of meditation according to Sasang Constitution. The HRV was used as a ProComP KM Tech (co). Results: 1) The positive changes available in the Time-domain analysis of heart rate variability assessment showed that the peace of mind is increased. By analyzing the Sasang constitution, So-eum In's peace of mind included a physical stability of the autonomic nervous system. 2) According to the psychological scale evaluation, each depression scale, trait anger, anger-in, state anxiety and trait anxiety index proved significantly positive effects. By analyzing the Sasang constitution, Eun-In which involved So-eum In and Tae-eum In, had positive effects. 3) The psychological scale changed the group of diagnosed depression or anxiety, it did not mean that the psychological scale changes in the depression group, but the index of the anxiety group had been significantly reduced. This program had clinical effects for anxious patients and Eum-In which involved Tae-eum In and So-eum In according to the analysis of Sasang constitution. 4) Correlations between the gender of each psychological scale showed that women have overall low correlations, but, there were no significant changes. Conclusions: The meditation program developed by adequately mixing Action, relaxation and breathing shows that it is effective for overall Eum-in physical and mental relaxation and concentration. In the future, It will have to be developed Meditation program to show the same effect for all people.

• 동의신경정신과학회지
• /
• 제31권2호
• /
• pp.63-76
• /
• 2020

Objectives: The purpose of this study was to verify the clinical effects of herbal medicines on patients with depressive disorder. Methods: A prospective observational study on patients with depressive disorder was conducted. The patients were treated with herbal medicines for eight weeks. The Korean Hamilton Depression Rating Scale (K-HDRS) was evaluated as the primary outcome and the Korean Beck's Depression Inventory (K-BDI), Instrument on Pattern Identification for Depression, Korean Symptom Checklist-95 (KSCL-95), Insomnia Severity Index (ISI), Korean State-Trait Anxiety Inventory (STAI-K), Korean State-Trait Anger Expression Inventory (STAXI-K), EuroQol five-dimensional Questionnaire (EQ-5D), Minnesota Multiphasic Personality Inventory-2 (MMPI-2), Heart Rate Variability (HRV) were measured as the secondary outcome. Adverse events were assessed for safety. Results: A total of 35 participants were observed for 12 weeks. The K-HDRS improved significantly in four, eight, and 12 weeks and the K-BDI showed significant differences in four, and eight weeks. There were no significant improvements in other evaluation scales. Gyejibongnyeong-hwan was the most frequently and continuously prescribed, showing significant improvements of K-HDRS after eight weeks of treatment. Conclusions: In our observational study, herbal medicine was effective for relieving the depression of patients with depressive disorder and Gyejibongnyeong-hwan showed the most significant effectiveness.

• 동의신경정신과학회지
• /
• 제31권3호
• /
• pp.135-147
• /
• 2020

Objectives: Hwa-byung is a mental illness. It is also known as a Korean culture-related syndrome. In traditional Korean medicine, Sihogayonggolmoryeo-tang is used to treat Hwa-byung related neuropsychiatric symptoms. The purpose of this research was to examine the effect of Sihogayonggolmoryeo-tang on Hwa-byung. Methods: A multicenter, randomized, double-blinded, placebo-controlled study was performed for 160 patients with Hwa-byung. Patients were divided into a Sihogayonggolmoryeo-tang group and a placebo group. Treatment period was 8 weeks. Hamilton Rating Scale for Anxiety (HAM-A), Likert scale for major symptoms of Hwa-byung, Hwa-byung Scale (HBS), Korean Beck Depression Inventory (K-BDI), Korean State-Trait Anxiety Inventory (K-STAI), Korean State-Trait Anger Expression Inventory (K-STAXI), and Korean WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF) were used to evaluate the effect of Sihogayonggolmoryeo-tang on Hwa-byung. We also used an Instrument of Pattern Identification for Hwa-Byung to evaluate different responses for six patterns of patients. Results: Scores of all the measurements improved significantly for each group, showing no significant differences between the two groups. In the case of deficiency of both Qi and blood pattern, the Sihogayonggolmoryeo-tang group showed a significant decrease in the HAM-A score compared to the placebo group. Conclusions: The effect of Sihogayonggolmoryeo-tang on Hwa-byung did not exceed that of the placebo. Further studies involving more elaborate pattern identification are needed.

• 동의신경정신과학회지
• /
• 제33권4호
• /
• pp.389-400
• /
• 2022

Objectives: Depression is a highly prevalent disease, and the market for antidepressant drugs continues to grow at a steady rate. Although current antidepressants are reported to be effective, because of their low remission rate and side effects, new antidepressants are needed. The use of Banhahubak-tang (BHT) to treat the symptoms of depression is supported by experimental evidence. The proposed study will evaluate the efficacy and safety of BHT in treating depression. Methods: A randomized, waitlist-controlled, parallel clinical trial will be conducted to assess the efficacy of BHT in depression. A total of 84 participants with depression will be randomized into the intervention group or waitlist-control group at a 1:1 ratio. Patients in the intervention group will be administered BHT three times a day for four weeks and followed up for four more weeks after therapy completion. Patients in the waitlist-control group will undergo the same intervention and follow-up after a four-week waiting period. The primary outcome is change in the Korean version of the Hamilton Depression Rating Scale (K-HDRS) scores for major depressive disorders after four weeks. The secondary outcomes include scores on the K-HDRS, Korean Symptom Check List 95 (KSCL-95), Insomnia Severity Index (ISI), State-Trait Anxiety Inventory-Korean version (STAI-K), State-Trait Anger Expression Inventory-Korean version (STAXI-K), and the Instrument on Pattern Identifications for Depression and EuroQol-5 Dimension (EQ-5D). Conclusions: This trial will provide high-quality clinical evidence of the efficacy and safety of BHT in the management of depression.

• 수면정신생리
• /
• 제6권1호
• /
• pp.76-84
• /
• 1999

목 적 : 저자들은 40시간의 전수면박탈을 시행하여 수면 박탈이 정상인의 불안, 기분, 졸리움, 피로감에 어떠한 영향을 주는 지를 평가하고, 동시에 개인의 평소의 불안 성향이 수면박탈에 의한 상태불안, 기분, 졸리움, 피로감에 어떠한 영향을 주는가를 연구하고자 하였다. 방 법 : 대학생 중 정신적, 신체적으로 건강하며 수면각성주기에 이상이 없는 자원자 29명(남:여=22:7, 평균 연령=$24.59{\pm}1.35$)을 대상으로 하였다. 피험자들은 전날 충분한 수면을 취한 후 기상하였으며 이후 다음날 오후 10시까지 총 40시간동안 수면박탈을 시행하였다. 상태-특성불안척도, 일반기분척도, 스텐포드 졸리움 척도, 피로도 설문을 3시간 간격으로 시행하였으며 이의 시간에 따른 변화를 분석하였고, 또한 피험자의 평소 불안성향에 따라서 상태불안, 기분, 졸리움, 피로도의 변화에 어떠한 차이가 있는 지를 살펴보았다. 결 과 : 수면박탈에 따라서 상태불안은 증가하며, 기분은 부정적이 되며, 졸리움과 피로도가 증가하였다(p<.001). 특성불안이 높은 군과 낮은 군을 나누어 비교하였을 때, 상태 불안은 특성불안이 높은 군과 낮은 군간에 차이가 있었으나(p<.05) 상태불안의 증가 양상의 차이가 있는 것은 아니었다. 기분은 특성불안이 높은 군과 낮은 군간에 차이가 없었으나(p>.05) 기분의 변화의 양상과 특성불안사이에는 교호작용이 있어(p<.05), 특성불안이 높은 군에서 수면박탈에 따라서 기분의 악화가 심하였다. 또한 수면박탈에 의한 상태불안, 부정적 정서, 졸리움, 피로도의 변화는 새벽 4시에서 아침 7시 사이에 심한 악화를 보였다. 결 론 : 본 연구의 결과는 수면박탈이 졸리움을 유발하고, 부정적인 기분과 불안감 및 피로도를 증가시킨다는 것을 보여준다. 개인적 특성으로서의 특성불안의 수준에 따라 수면박탈에 의한 일반적 기분상태의 악화가 보여진다. 또한 수면박탈에 의한 상태불안, 부정적 정서, 졸리움, 피로도의 변화는 일주기 리듬의 영향으로 새벽에 심한 악화를 보여 실제생활에서 주의를 요한다.

• 동의신경정신과학회지
• /
• 제24권spc1호
• /
• pp.23-36
• /
• 2013

Objectives : The purpose of this guideline is to show the evidence-based guidelines of diagnosis and evaluation of Hwabyung by the synthesis and organization of existing research contents. Methods : We investigated the existing research on the concept of Hwabyung. Further, we investigated the diagnostic tools, self-diagnostic method, symptoms assessment tools, oriental medical diagnostic methods, treatment evaluation tools and other testing methods of Hwabyung. Results : There was a Hwabyung diagnostic interview schedule (HIBDS) in the standardized measure for the diagnosis of Hwabyung. In the symptoms assessment tools of Hwabyung, there was a self-report measurement tool of Hwabyung and measurement tool of Hwabyung to be evaluated by the interviewer. In the oriental medical diagnostic method, there was an instrument of pattern identification for Hwabyung. In the treatment assessment tool, there was an instrument of oriental medical evaluation for Hwabyung. In addition, MMPI, SCL-90R, Zung's self-rating anxiety scale (SAS), Zung's self-rating depression scale (SDS), State-Trait Anger Expression Inventory (STAXI) and etc. can be used for the diagnosis and assessment of Hwabyung. Conclusions : We expect 'Clinical Guidelines for the Treatment of Hwabyung' to be useful for the diagnosis and assessment of Hwabyung.

• 한국생활과학회지
• /
• 제9권3호
• /
• pp.257-270
• /
• 2000

Poor children are a field of causing of various Issues and become a subject of sympathy, concern and anger, against adult's poor such as sleeper outdoors and unemployed to be made a subject of discussion. This study has theoretically investigated the poverty concept, family trait around poor children. And also for understanding the above status, poverty circumstances have been focused children family and shelter-care children. The conclusions are as follows. First, the family of children head was formed with children under fifteen years of age. It was reported that solo families were 26.4% and living together families with relatives were 64.7%. As status of producing causes, parents death was shown the most rate as 49% and abscondence or missing was 31.9%. Second, In the shelter-care aspect, the highest case is a parents-divorce with 42.5%, while children-head case is just shown 0.5%. Therefore, in a child right viewpoint, it needs more systematical/long-range study on children poverty, and some policies for protecting the poverty-children must be established in social policy.