Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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A Review on Treatment of Somatization Disorder in Traditional Chinese Medicine

신체화 장애에 대한 중의학 연구동향

  • Kim, Hyo-seop (School of Korean Medicine, Pusan National University) ;
  • Bae, Jin-soo (School of Korean Medicine, Pusan National University) ;
  • Lee, Seung-Hwan (Department of Neuropsychiatry, Pusan National University Korean Medical Hospital) ;
  • Lim, Jung-Hwa (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University) ;
  • Seong, Woo-Yong (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University)
  • 김효섭 (부산대학교 한의학전문대학원) ;
  • 배진수 (부산대학교 한의학전문대학원) ;
  • 이승환 (부산대학교 한방병원 한방신경정신과) ;
  • 임정화 (부산대학교 한의학전문대학원 한방신경정신과교실) ;
  • 성우용 (부산대학교 한의학전문대학원 한방신경정신과교실)
  • Received : 2017.08.31
  • Accepted : 2017.09.18
  • Published : 2017.09.30
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Abstract

Objectives: This study was conducted to review studies on somatization disorder in traditional Chinese medicine. Methods: We reviewed studies in the China National Knowledge Infrastructure (CNKI) to 2017. Keywords were 軀體化障碍, Somatization disorder, somatic symptom disorder. We included Randomized Controlled Trial (RCT), and excluded non-Randomized Controlled Trial (nRCT), non-related somatization disorder or traditional Chinese medicine, non-clinical trials, dissertations for degrees. Jadad scale and Cochrane Library's Risk of Bias (RoB) were used for assessment of the quality of studies. Results: Twelve studies were selected. The Chinese Classification of Mental Disorders-3 (CCMD-3) was most frequently used as diagnostic criteria for somatization disorder. As for outcome measurement, Hamilton Rating Scale for Depression (HAMD) was used most commonly. Meta-analysis of 10 studies revealed effective rate of Chinese Herbal Medicine groups (CHM) was significantly higher than Western Medicine groups (WM) (RR: 1.14, 95% CI: 1.02 to 1.27, p=0.02, $I^2=40%$). There was no significant difference in effective rate of CHM+WM and WM (RR: 1.12, 95% CI: 0.84 to 1.49, p=0.46, $I^2=83%$). And also, effective rate of Acupuncture group (Acu) revealed no significant difference compared to that of WM (RR: 1.17, 95% CI: 0.95 to 1.44, p=0.13, $I^2=84%$). For HAMD, there was significant difference in CHM vs, WM group and Acu vs. WM group. Quality of selected 12 RCTs was low. Conclusions: Therapies practiced in traditional Chinese medicine may be effective options for somatization disorder. treatment. For further clinical studies in Korean medicine, this study could be groundwork for development of diagnosis and treatment on somatization disorder.

Keywords

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