Journal of Sasang Constitutional Medicine (사상체질의학회지)

The Society Of Sasang Constitutional Medicine (사상체질의학회)
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Individualized Sleep Management for Each Sasang Type Using Stress and Digestive Function

스트레스와 소화기능을 활용한 체질별 맞춤 수면관리

  • Seul Lee (Hamsoa Korean Medicine Clinic) ;
  • Han Chae (School of Korean Medicine, Pusan National University) ;
  • Jieun Park (Department of Sasang Constitutional Medicine, Division of Clinical Medicine 4, School of Korean Medicine, Pusan National University) ;
  • Kukhwa Kim (Department of Sasang Constitutional Medicine, Division of Clinical Medicine 4, School of Korean Medicine, Pusan National University) ;
  • Jeongyun Lee (Department of Sasang Constitutional Medicine, Division of Clinical Medicine 4, School of Korean Medicine, Pusan National University)
  • 이슬 (함소아한의원) ;
  • 채한 (부산대학교 한의학과) ;
  • 박지은 (부산대학교 한의학전문대학원) ;
  • 김국화 (부산대학교 한의학전문대학원) ;
  • 이정윤 (부산대학교 한의학전문대학원 임상의학 4교실 사상체질의학과)
  • Received : 2024.02.21
  • Accepted : 2024.03.21
  • Published : 2024.03.29
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Abstract

Objectives This study aimed to analyze the influence of various sleep-related factors that affect sleep quality by each Sasang type. Methods A total of 400 subjects were included for this study, 108 males and 292 females. Sasang type was diagnosed using the SCAT. Then, the characteristics of each Sasang type were analyzed using HRV, DITI, and PSQI, PSS, and SDFI questionnaires. Logistic regression analysis was used to predict sleep-related factors that affect sleep disorders by Sasang types. Results This study shows that the pathophysiological characteristics for stress and digestive function of each Sasang type can differentiate sleep management through a logistic regression model including subscales of PSS and SDFI. Stress had no effect on the occurrence of sleep disturbance within only So-Eum, since the stress level is originally high in the So-Eum regardless of sleep quality. Rather, decreased appetite and poor eating habits had a significant impact on the decline in sleep quality. In addition, poor digestion and eating habits in So-Yang had a greater impact and poor digestion in Tae-Eum had a greater impact on the decline in sleep quality. Conclusion The stress and subscales of digestive function provide differentiated sleep management in So-Yang, Tae-Eum, and So-Eum types. The individualized sleep management for each Sasang type with statistically validated PSS and SDFI would be useful for sleep-related experts planning safe and effective person-centered health care as well as for Western clinicians who want to incorporate Sasang typology into their treatments as integrative medical technique in the future.

Keywords

Acknowledgement

본 연구는 2023년도 부산대학교병원 임상연구비 지원으로 이루어졌음

References

  1. Chae H, Park SH, Lee SJ, Kim M, Wedding D, Kwon YK. Psychological profile of sasang typology: a systematic review. Evid Based Complementary Altern Med. 2009;6(S1):21-29. DOI: 10.1093/ecam/nep079
  2. Kim JJ, Lee Y, Park SS, A Clinical Study of Sleeping, Stool, Urine According to Taeyangsoyangin(Yangin) and Taeumsoeumin(Eumin). J Sasang Constitut Med. 2005;17(3):82-90. (Korean)
  3. Lee JH. The Study on the Ordinary Symptoms based on Sasang Constitution. Seoul: School of Korean Medicine, Kyung-Hee University;2007. (Korean)
  4. Lee YJ, Lee S, Kim SH, Lee JY, Chae H. Study on the Revision and Clinical Validation of the Sasang Digestive Function Inventory. J Sasang Constitut Med. 2021;33(3):54-71. (Korean) DOI: https://doi.org/10.7730/JSCM.2021.33.3.54
  5. Choi JY, Choi JR, Lee YS, Park SS. A study on the clinical features of ordinary sleeping patterns based on the Sasang constitution, using the logistic regression. J Korean Med. 2004;25(4):171-179. (Korean)
  6. Lee SK, Yoon DW, Yi HY, Lee SW, Kim JY, Shin C. Tae-eum type as an independent risk factor for obstructive sleep apnea. Evid Based Complementary Altern Med. 2013;2013:1-7. DOI: 10.1155/2013/910382
  7. Owens JF, Matthews KA. Sleep disturbance in healthy middle-aged women. Maturitas. 1998;30(1):41-50. DOI: 10.1016/s0378-5122(98)00039-5
  8. Ohayon MM, Partinen M. Insomnia and global sleep dissatisfaction in Finland. J Sleep Res, 2002;11(4):339-346. DOI: 10.1046/j.1365-2869.2002.00317.x
  9. Park JH. Association of Health Behavior, Physical Activity, Health Related Quality of Life and Sleep Duration in Korean Adults: Based on The 8th 2019-2020 Korea National Health and Nutrition Examination Survey. J of Korean Society of Oral Health Science. 2022;10(2):78-85. (Korean) DOI: https://doi.org/10.33615/jkohs.2022.10.2.78
  10. Yuksel D, Baker FC, Goldstone A, Claudatos SA, Forouzanfar M, Prouty DE, et al. Stress, sleep, and autonomic function in healthy adolescent girls and boys: Findings from the NCANDA study. Sleep Health. 2021;7(1):72-78. DOI: 10.1016/j.sleh.2020.06.004.
  11. Vgontzas AN, Bixler EO, Papanicolaou DA, Kales A, Stratakis CA, Vela-Bueno, et al. Rapid eye movement sleep correlates with the overall activities of the hypothalamic-pituitary-adrenal axis and sympathetic system in healthy humans. J of Clinical Endocrinology & Metabolism, 1997;82(10):3278-3280. https://doi.org/10.1210/jcem.82.10.4307
  12. Harvey CJ, Gehrman P, Espie CA. Who is predisposed to insomnia: a review of familial aggregation, stress-reactivity, personality and coping style. Sleep Med Rev, 2014;18(3):237-47. DOI: 10.1016/j.smrv.2013.11.004
  13. Rodrigues GD, Fiorelli EM, Furlan L, Montano N, Tobaldini E. Obesity and sleep disturbances: The "chicken or the egg" question. Eur J Intern Med, 2021;92:11-16. DOI: 10.1016/j.ejim.2021.04.017
  14. Kim HA. Autonomic Dysfunction in Sleep Disorders. J of Pain and Autonomic Disorders. 2012;1(1):32-36.
  15. Nano MM, Fonseca P, Vullings R, Aarts RM. Measures of cardiovascular autonomic activity in insomnia disorder: A systematic review. PLoS One. 2017;12(10):e0186716. DOI: https://doi.org/10.1371/journal.pone.0186716
  16. Lee MS, K. Sohn KW, Kim YH, Hwang MW, Kwon YK, Bae NY, et al. Digestive system-related pathophysiological symptoms of Sasang typology: Systematic review. Integr Med Res. 2013;2(2):39-48. DOI: 10.1016/j.imr.2013.04.001
  17. Shin SW, Kim YH, Hwang MW. Diagnosis and treatment principle in Sasang medicine: original symptom. Integr Med Res. 2016;5(2):99-104. DOI: 10.1016/j.imr.2016.03.005
  18. Romeijn N, Raymann RJEM, Most E, Lindert BT, Meijden WPVD, Fronczek R, et al. Sleep, vigilance, and thermosensitivity. Pflugers Arch. 2012;463(1):169-76. DOI: 10.1007/s00424-011-1042-2
  19. Bart HW, Lindert T, Someren EJWV. Skin temperature, sleep, and vigilance. Handb Clin Neurol. 2018;156:353-365. DOI: https://doi.org/10.1016/B978-0-444-63912-7.00021-7
  20. So JH, Kim JW, Nam JH, Lee BJ, Kim YS, Kim JY, et al. The Web Application of Cons- titution Analysis System - SCAT (Sasang Constitution Analysis Tool) -. J Sasang Constitut Med. 2016;28(1):1-10. (Korean) DOI: 10.7730/JSCM.2016.28.1.1
  21. Do JH, Nam JH, Jang ES, Jang JS, Kim JW, Kim YS, et al. Comparison between Diagnostic Results of the Sasang Constitutional Analysis Tool (SCAT) and a Sasang Constitution Expert. J Sasang Constitut Med. 2013;25(3):158-166. (Korean) DOI: http://dx.doi.org/10.7730/JSCM.2013.25.3.158 
  22. Lee JY, Yim MH, Kim JY. Test-retest reliability of the questionnaire in the Sasang constitutional analysis tool (SCAT). Integr Med Res. 2018;7(2):136-140. DOI: 10.1016/j.imr.2018.02.001
  23. Buysse DJ, Reynolds 3rd CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4
  24. Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index. Sleep Breath. 2012;16(3):803-812. DOI: 10.1007/s11325-011-0579-9
  25. Lee JH, Shin CM, Ko YH, Lim JH, Joe SH, Kim SH, et al. The Reliability and Validity Studies of the Korean Version of the Perceived Stress Scale. Korean Journal of Psychosomatic Medicine. 2012;20(2):127-134. (Korean)
  26. Lee MS. Study on the Sasang Type-Specific Pathological Symptoms Using SDFI and SPQ. Pusan: School of Korean Medicine, Pusan National University; 2016. (Korean)
  27. van den Heuvel CJ, Ferguson SA, Dawson D, Gilbert SS. Comparison of digital infrared thermal imaging (DITI) with contact thermometry: pilot data from a sleep research laboratory. Physiol Meas. 2003;24(3):717-725. DOI: 10.1088/0967-3334/24/3/308
  28. Tak JG. Psychological Testing-Understanding development and evaluation methods. Vol 2. seoul: Hakjisa. 2007:416 (Korean)
  29. Yoo JH, Lee H, Lee YJ. Perception and Ways of Coping with Stress of Sasangin. Kor J of Adult Nursing. 2003;15(2):173-182. (Korean)
  30. Choi EY, Chang BS. A Study on the Differences of Stress Responses According to Sasang Constitutions. Kor J Oriental Preventive Medical Society. 2008;12(3):175-183. (Korean)
  31. Zhao W, Jin H, Xu M, Wang D, Liu Y, Tan Y, et al. Sleep quality of functional gastrointestinal disorder patients in class-three hospitals: a cross-sectional study in Tianjin, China. BioMed research international. 2018;Article ID 3619748:5p. DOI: https://doi.org/10.1155/2018/3619748
  32. Lindam A, Ness-Jensen E, Jansson C, Nordenstedt H, Akerstedt T, Hveem K, et al. Gastroesophageal reflux and sleep disturbances: a bidirectional association in a population-based cohort study, the HUNT study. Sleep. 2016;39(7):1421-1427. DOI: https://doi.org/10.5665/sleep.5976
  33. Muhlhans BK, Olbrich K, Zwaan MD, Night eating syndrome and nocturnal eating-what is it all about? Psychother Psychosom Med Psychol. 2009; 59(2):50-56. DOI: 10.1055/s-2008-1067344
  34. The Korean Society of Oriental Neuropsychiatry. Clinical Practice Guideline of Korean Medicine: Insomnia Disorder. Seoul: National Institute for Korean Medicine Development. 2021:234 (Korean)
  35. de Zambotti M, Cellini N, Baker FC, Colrain IM, Sarlo M, Stegagno L. Nocturnal cardiac autonomic profile in young primary insomniacs and good sleepers. Int J Psychophysiol. 2014;93(3):332-9. DOI: 10.1016/j.ijpsycho.2014.06.014
  36. Vinkers CH, Penning R, Hellhammer J, Verster JC, Klaessens JH, Olivier B, et al. The effect of stress on core and peripheral body temperature in humans. Stress. 2013;16(5):520-530. DOI: 10.3109/10253890.2013.807243
  37. Murphy PJ, Campbell SS. Sex hormones, sleep, and core body temperature in older postmenopausal women. Sleep. 2007;30(12):1788-1794. DOI: 10.1093/sleep/30.12.1788
  38. Fealey RD. Thermoregulation in neuropathies. Handb Clin Neurol. 2018;157:777-787. DOI: 10.1016/b978-0-444-64074-1.00048-3