DOI QR코드

DOI QR Code

A Case of Korean Medicine Treatment for Pregnant Woman with Panic Disorder - From Early Pregnancy to Delivery

  • Seo, Sang-Il (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Song, Sue-Jin (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Koo, Byung-Su (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Kim, Geun-Woo (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University)
  • Received : 2017.11.17
  • Accepted : 2017.12.06
  • Published : 2017.12.30

Abstract

Objectives: The purpose of this study was to evaluate the efficacy and safety of Korean medicine treatment for pregnant women with panic disorder. Methods: We treated pregnant women with panic disorder with Acupuncture, Herb extract granules, and Korean medicine psychotherapy. PDSS, BAI, and BDI were evaluated every two months. Results: PDSS was reduced from 24 points to 8 points. BAI was reduced from 35 points to 10 points. BDI was reduced from 22 points to 8 points. Mental and body symptoms were also reduced. Both mother and the baby were healthy after delivery. No specificities or adverse effects were reported during the entire treatment. Conclusions: Korean medicine treatment may be effective and safe to control symptoms of pregnant woman with panic disorder.

Keywords

References

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Seoul:Hakjisa. 2015:220-7.
  2. George DT, Ladenheim JA, Nutt DJ. Effect of pregnancy on panic attacks. Am J Psychiatry 1987;144:1078-79. https://doi.org/10.1176/ajp.144.8.1078
  3. Grof P, Robbins W, Alda M, Berghoefer A, Vojtechovsky M, Nilsson A. Protective effect of pregnancy in women with lithium-responsive bipolar disorder. J Affect Disord 2000;61:31-9. https://doi.org/10.1016/S0165-0327(99)00197-4
  4. Halbreich U. Prevalence of mood symptoms and depressions during pregnancy: implications for clinical practice and research. CNS Spectr 2004;9:177-84. https://doi.org/10.1017/S109285290000897X
  5. Freeman MP, Smith KW, Freeman SA, McElroy SL, Kmetz GE, Wright R, et al. The impact of reproductive events on the course of bipolar disorder in women. J Clin Psychiatry 2002;63:284-87. https://doi.org/10.4088/JCP.v63n0403
  6. Andersson L, Sundstrom-Poromaa I, Bixo M, Wulff M, Bondestam K, aStrom M. Point prevalence of psychiatric disorders during the second trimester of pregnancy: a population-based study. Am J Obstet Gynecol 2003;189:148-54. https://doi.org/10.1067/mob.2003.336
  7. Einarson A, Selby P, Koren G. Abrupt discontinuation of psychotropic drugs during pregnancy: fear of teratogenic risk and impact of counselling. J Psychiatry Neurosci 2001;26:44-8.
  8. Viguera AC, Whitfield T, Baldessarini RJ, Newport DJ, Stowe Z, Reminick A, et al. Risk of recurrence in women with bipolar disorder during pregnancy: prospective study of mood stabilizer discontinuation. Am J Psychiatry 2007;164:1817-24. https://doi.org/10.1176/appi.ajp.2007.06101639
  9. Heo JW, Cho JH, JangJB, Lee KS. The Clinical Analysis of 146 patients that using Herbal Medication during Pregnancy at Conmaul Oriental Hospital. The Journal of Oriental Obstetrics & Gynecology 2002;15(3):129-38.
  10. Jo HJ, Gu HJ, Yang SJ, Park KM, Cho SH, Lee HH, Gong GH. A clinical analysis of patients that used herbal medicine during pregnancy for medical treatment. The journal of oriental obstetrics & gynecology 2008;21(4):150-8.
  11. Jung EH, Jang SB, Chou KH, Yoo DY. A retrospective study of patients that used herbal medicine during pregnancy. The journal of oriental obstetrics & gynecology 2014;27(3):79-93. https://doi.org/10.15204/jkobgy.2014.27.3.079
  12. Kim YG, Kim DC, Baek SH. A clinical analysis of 50 fetus that using herbal medicatin during pregnancy. The journal of oriental obstetrics & gynecology 2003;16(4): 136-43.
  13. Chang L, Sohn YJ, Lee JM, Lee HS. A survey on practitioners' and patients' understanding of acupuncture treatment during pregnancy. Journal of Meridian & Acupoint 2008;25(4):187-204.
  14. Ryu SH, Park KI, Kim JW, Park KS, Lee JM. A review study of researches on acupuncture therapy to pregnant women. The journal of oriental obstetrics & gynecology 2013;26(4):107-22. https://doi.org/10.15204/jkobgy.2013.26.4.107
  15. Lee EH, Kim JH, Yu BH. Reliability and validity of the self-report version of the Panic Disorder Severity Scale in Korea. Depression and Anxiety 2009;26:120-3. https://doi.org/10.1002/da.20461
  16. Yook SP, Kim ZS. A Clinical Study on the Korean Version of Beck Anxiety Inventory : Comparative Study of Patient and non-Patient. Korean Journal of Clinical Psychology. 1997;16(1):185-97.
  17. Lee YH, Song JY. A Study of the Reliability and the Validity of the BDI, SDS, and MMPI-D Scales. Korean Journal of Psychology. 1991;10(1):98-113.
  18. The textbook Compilation Committee of Neuropsychiatry of oriental medical school in nation, The Neuropsychiatry of Oriental medicine. 3th ed. Seoul:Jipmoon-Dang. 2016:218-27, 415-6, 709-60, 674-87.
  19. Joo BJ, Lee DN, Seo IB, Kim HJ. Effects of Dangguijakyaksan on the Development of Experimentally-induced Endometriosis and Related Cytokines in Rats. The journal of oriental obstetrics & gynecology. 2008;21(4):104-27.
  20. Jeong HY. Archaeology of psychotherapy in Korea : A study of Korean therapeutic work and professional growth. London:Routledge. 2015:47-9.