사상체질의학회지 (Journal of Sasang Constitutional Medicine)

  • 제21권1호
  • /
  • Pages.197-216
  • /
  • 2009
  • /
  • 1226-4075(pISSN)
  • /
  • 2287-786X(eISSN)
사상체질의학회 (The Society Of Sasang Constitutional Medicine)
권호 표지

사상체질에서 A형 행동유형과 당뇨병에 관한 연구

Relationship between Type A Behavior Pattern and Diabetes According to Sasang Constitution

  • 이상준 (상지대학교 한의과대학) ;
  • 유준상 (상지대학교 한의과대학) ;
  • 고상백 (연세대학교 원주의과대학 예방의학교실) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실)
  • Lee, Sang-Jun (Dept. of Sasang Constitutional Medicine College of Oriental Medicine, Sangji University) ;
  • Yoo, Jun-Sang (Dept. of Sasang Constitutional Medicine College of Oriental Medicine, Sangji University) ;
  • Koh, Sang-Baek (Dept. of Preventive Medicien Wonju College of Medicine, Yonsei University) ;
  • Park, Jong-Ku (Dept. of Preventive Medicien Wonju College of Medicine, Yonsei University)
  • 발행 : 2009.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

1. Objectives This study is to investigate the relationship between type A behavior pattern(TABP) and diabetes according to Sasang Constitution. 2. Methods 162 persons(81 IGM persons vs 81 normal persons) out of 666 persons, more than 40 years old, who participated the community based cohort in Wonju City of South Korea from July 2nd to August 30th in 2006, were randomly selected and analyzed. Framingham Type A score, Social Support index, glucose related laboratory results were measured and analyzed according to Sasang Constitution. 3. Results Soeumin in IGM group had significantly high scores in FTA scales compared with Soyangin and Taeeumin, bur in female IGM group and normal group there was no significant difference in FTA scales and TABP frequency by Sasang Constitution. There was no significant difference in social support index in IGM and normal group by Sasang Constitution. There was no significant difference in glucose-related values between TABP/TBBP in IGM group and normal group. Soyangin in female IGM group had significantly high values in insulin(fasting) and HOMA-IR in TABP group, Soeumin group had significantly high values in FBS in TABP group. According to binary logistic regression analysis for IGM, Sasang Constitution was a significant risk factor and the ORs of Taeeumin and Soyangin were significantly higher than that of Soeumin. Social Support index was significantly higher only in female group. 4. Conclusions Adequate questionnaire of TABP for our country or a research of another subjects are needed. And Sasang Constitution is thought to be the reasonable intervention to control diabetes in terms of prevention, treatment and regimen.

키워드

참고문헌

  1. 백세현, 최경묵, 조영직, 김경오, 김동림, 김난희 외 4인. 서울 서남부지역 노인 인구에서 공복혈당 및 경구 당부하 검사(ADA 및 WHO 당뇨병 진단기준)에 의한 당뇨병의 유병률. 당뇨병. 2001;25(2): 125-132.
  2. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 2004;27(Supplement 1):S5-S10. https://doi.org/10.2337/diacare.27.2007.S5
  3. 임정원, 유형준, 최경애, 임성희, 정유선, 서승오 외 7인. 당뇨병환자의 생활사건과 관련된 스트레스의 양과 당뇨병 관리의 연관성. 당뇨병. 2001;25(3): 240-247.
  4. 안유현. 당뇨병과 스트레스 한양의대학술지. 2002;22(2):41-47.
  5. Richard S. Surwit, Miranda A.L. van Tilburg, Nancy Zucker, Cynthia C. McCaskill, Priti Parekh, Mark N. Feinglos, Christopher L. Edwards, Paula Williams, and James D. Lane. Stress Management Improves Long-Term Glycemic Control in Type 2 Diabetes. Diabetes Care. 2002;25(1):30-34. https://doi.org/10.2337/diacare.25.1.30
  6. 원후정. 대학생들의 Type A 성격과 스트레스 취약성에 관한 연구. 인하대학교 학생생활 연구소 1998.
  7. 송병일. A/B 성격이 스트레스 지각, 대처 및 섬리적 긴장에 미치는 영향. 전남대학교 석사학위 논문. 1993.
  8. Pittner MS, Houston BK, Spiridigliozzi G. Control over stress, type A behavior pattern, and response to stress. Journal of Personality and Social Psychology. 1983;44(3):627-637. https://doi.org/10.1037/0022-3514.44.3.627
  9. 고경봉, 이현철. 인슐린비의존형 당뇨병환자들의 스트레스 지각. 신경정신의학. 1992;31(6):1084-1091.
  10. Friedman, M & Rosenman, R. H. Type A behavior and your heart. New york: Knopf. 1974.
  11. 胡傳烽, 李立明, 陸美琪, 李洪危, 周壯月. Case control study of the relationship between type A character and type 2 diabetes mellitus. Natl Med J China. 2001;81(4).
  12. Rosenman RH, Friedman M, Byers SO. Glucose metabolism in subjects with behavior pattern A and hyperlipemia. Circulation. 1966;33(5):704- 707. https://doi.org/10.1161/01.CIR.33.5.704
  13. Stabler B, Surwit RS, Lane JD, Morris MA, Litton J, Feinglos MN. Type A behavior pattern and blood glucose control in diabetic children. Psychosom Med. 1987;49(3):313-316. https://doi.org/10.1097/00006842-198705000-00010
  14. Stabler B., JD Lane, SL Ross, MA Morris, J Litton and RS Surwit. Type A behaviour pattern and chronic glycemic control in individuals with IDDM. Diabetes Care. 1988;11:361-362. https://doi.org/10.2337/diacare.11.4.361
  15. 이태규, 황민우, 이수경, 최봉근, 고병희, 송일병. 사상체질에 따른 대사증후군의 유병률과 위험인자에 대한 연구. 대한한의학회지. 2006;27(2):14-22.
  16. Friedman M, Rosenman RH. Association of specific overt behavior Pattern with blood and cardiovascular findings. JAMA 1961;Nov:1173-1184.
  17. Haynes SG, Levine S. Scotch N, Feinleib M, Kannel W. The relationship of psychosocial factors to coronary heart disease in the Framingham study. Am J Epidemiol. 1978; 107(5): 362-383. https://doi.org/10.1093/oxfordjournals.aje.a112556
  18. Kyeong Ho Yun, Myung Ho Jeong, Kye Hun Kim, Young Joon Hong, Hyung Wook Park, Ju Han Kim et al. The Effect of Insulin Resistance on Prognosis of Non-Diabetic Patients who Underwent Percutaneous Coronary Intervention. J Korean Med Sci 2006;21: 212-216. https://doi.org/10.3346/jkms.2006.21.2.212
  19. 이현철, 안광진, 이은직, 임승길, 김경래, 허갑범. 사람태아 췌장 조직의 인슐린 분비. 당뇨병. 1991;15(2): 197-204.
  20. 허갑범. 인슐린 저항성과 만성 퇴행성 질환. 당뇨병. 1992;16(2):93-99.
  21. Davidson MB. The effect of aging on carbohydrate metabolism: a review of the English literature and a practical approach to the diagnosis of diabetes mellitus in the elderly. Metabolism. 1979;28(6): 688-705. https://doi.org/10.1016/0026-0495(79)90024-6
  22. 박영숙 외 성인간호학 하권. 수문사, 발행지 1983:1068-1077
  23. Lustman PJ. Anxiety disorder in adults with diabetes mellitus. Psychiatr Clin North Am 1988;11:419-482.
  24. Dembroski TM., Weiss JS. Shields SM., et al. Reliability and Validity of methods used to assess coronary-prone behavior. Springer-Verlag, 1978: 95-106.
  25. Matthews, K. A. Psychological perspectives on the Type A behavior pattern. Psychological Bulletin. 1982;91(2):293-323. https://doi.org/10.1037/0033-2909.91.2.293
  26. 성지동. 심혈관계 질환의 사회심리적인 요인. 제8회 심장재활 심포지움. 2004.
  27. Matthews, K. A, Glass, D. C., Rpsem, am. R. W. Competitive drive, pattern A and coronary heart disease: A Further analysis of some data from the western collaborative group study. Journal of Chronic Disease. 1977;30(8):489-498. https://doi.org/10.1016/0021-9681(77)90071-6
  28. 이선영. 당뇨병환자와 정상인의 스트레스 및 대처 방법에 대한 비교 연구. 충남대학교 석사학위 논문. 1984.
  29. 변상희. 제2형 당뇨병환자의 A/B 형 성격 유형에 따른 자기간호 행위, 자기효능 및 건강관련 삶의 질 비교 조사 연구. 인제대학교. 석사학위 논문. 2004
  30. Ganster DC, Victor B. The impactof social support om mental and physical health. Br J Med Psychol. 1988;61(1):17-36. https://doi.org/10.1111/j.2044-8341.1988.tb02763.x
  31. Broadhead WE, Kaplan BH, Shermann SA, et al. The epidemiological evidence for a relationship between social support and health. Am J Epidemiol. 1983;117(5):521-537. https://doi.org/10.1093/oxfordjournals.aje.a113575
  32. Kelsey JL, Thompson WD, Evans AS. Methods in Observational Epidemiology. Oxford New York, University Press. 1986;pp346-350.
  33. 서석권, 이충원, 구은수 .A형 행동양상과 사회적인 지지 및 혈청 총콜레스테롤과의 상관성. 계명의대논문집. 1991;10(1):44-56.
  34. Rosenman R. H., Friedman M. & Straus R. CHD in the western collaborative group study. Journal of American Medical Association. 1966;195: 86-92(이종목. A유형 행동 특성자의 직업성공에 대한 지각과 문제점. 대한스트레스학회지 2003;11(21)에서 재인용) https://doi.org/10.1001/jama.195.2.86
  35. 박성훈, 유길종, 류재근, 최지용, 장성국. 관상동맥 질환과 A형 행동 특성의 관련성-MMPI-2 A형 척도를 이용하여-. 대한내과학회 추계학술대회. 2001:220
  36. 손여진, 양영란, 권혜영. 일부농촌지역 성인의 고혈압 위험요인에 관한 연구-A형 성격을 중심으로 - 서울대학교 보건대학원 보건학논집. 2001;38(1):72-83.
  37. 원익수, 염근상, 정미룡. 의과대학 학생에서의 A형 행동유형이 흡연에 미치는 영향에 관한 연구. 가정의학회지. 1997;18(11):1368-1368.
  38. 박봉숙, 진기남, 신장열, 고장현, 이미영, 정지희, 정춘희. 청장년 당뇨병 환자의 자기관리와 삶의 질. 당뇨병. 2005;29(3):254-261.