Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Effect of Korean Medical Treatment on Patients with Insomnia and Analysis of Correlation among Psychological Scale Changes: A Retrospective Chart Review

불면장애 환자의 한의치료 효과 및 심리척도 변화간 상관성 분석: 후향적 관찰 연구

  • Sang-Il Seo (Haneum Neuropsychiatry Clinic of Korean Medicine) ;
  • Geun-Woo Kim (Department of Neuropsychiatry, College of Korean Medicine, Dongguk University) ;
  • Jong-Ho Yoo (Haneum Neuropsychiatry Clinic of Korean Medicine)
  • 서상일 (한음한방신경정신과한의원) ;
  • 김근우 (동국대학교 한의과대학 한방신경정신과학교실) ;
  • 유종호 (한음한방신경정신과한의원)
  • Received : 2023.08.18
  • Accepted : 2023.09.14
  • Published : 2023.09.30
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Abstract

Objectives: To examine effect of Korean medical treatment on patients with insomnia and correlations among changes in psychological scales before and after treatment. Methods: Medical records of 38 patients diagnosed with insomnia based on DSM-V who received Korean medical treatment (herbal-medication, acupuncture, Korean psychotherapy) for at least 8 weeks were retrospectively reviewed. Psychological scales including Insomnia Severity Scale (ISI), Beck Depression Inventory-II (BDI-II), State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and State-Trait Anger Expression Inventory (STAXI) were measured every four weeks and analyzed. Results: After eight weeks of treatment, ISI, BDI-II, BAI, STAI-X-1/2, and STAXI-S/T showed statistically significant decreases. Psychological scale pairs that showed a statistically significant correlation were ISI and BDI-IIㆍSTAI-X-1ㆍSTAI-X-2ㆍTA, BDI-II and BAIㆍSTAI-X-1ㆍSTAI-X-2ㆍAX-I, BAI and STAI-X-1ㆍSTAI-X-2ㆍSAㆍTA, STAI-X-1 and STAI-X-2, SA and TA, and TA and AX-I. In women, the improvement of AX-C was high. The improvement in AX-I score was significant when the disease duration was more than one year. A lower pretreatment BAI value predicted a greater decrease in ISI score after treatment. Conclusions: Korean medical treatment including herbal medicine, acupuncture, and Korean psychotherapy was effective in improving insomnia symptoms and accompanying symptoms such as depression, anxiety, and anger. In the future, more in-depth follow-up research is needed on the mechanisms by which various psychological problems (depression, anxiety, anger, etc) cause and worsen insomnia and the psychological symptoms secondary to insomnia.

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