동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제35권2호
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  • Pages.163-175
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  • 2024
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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뇌졸중 환자의 재활치료 중 정서 상태와 회복 탄력도와의 관련성 연구

Correlation of Mental State with Resilience of Stroke Patients during Rehabilitation

  • 고경진 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 오지은 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 이하민 (원광대학교 전주 한방병원) ;
  • 강형원 (원광대학교 한의과대학 한방신경정신과교실) ;
  • 신선호 (원광대학교 전주 한방병원) ;
  • 유영수 (원광대학교 한의과대학 한방신경정신과교실)
  • Kyeong-Jin Ko (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Ji-Eun Oh (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Ha-Min Lee (Wonkwang University Jeonju Oriental Medicine Hospital) ;
  • Hyung-Won Kang (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University) ;
  • Sun-Ho Shin (Wonkwang University Jeonju Oriental Medicine Hospital) ;
  • Yeoung-Su Lyu (Department of Neuropsychiatry, College of Korean Medicine, Wonkwang University)
  • 투고 : 2024.05.24
  • 심사 : 2024.06.24
  • 발행 : 2024.06.30
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초록

Objectives: To investigate the relationship between rehabilitation treatment, mental state and resilience of stroke patients undergoing rehabilitation by examining the correlation between The Core Seven Emotions Inventory-Short Form (CSEI-s) and the Korean version of the Connor-Davidson Resilience Scale (K-CD-RISC). Methods: All 104 participants (44 diagnosed with stroke who were receiving rehabilitation and 60 without stroke or psychiatric history) completed the CSEI-s, K-CD-RISC, and Questionnaire for stroke symptoms. All data were analyzed using by Statistical Package for the Social Sciences (SPSS) ver. 27.0. Descriptive statistics, chi-square test, t-test, Mann-Whitney U test, Kruskal-Wallis H test, and Pearson correlation coefficient were used for data analysis. Results: As a result of the CSEI-s, compared to the control group, the stroke group showed significantly lower Joy (喜) scores and significantly higher scores for Depression (憂) and Sorrow (悲). With a morbidity period of 12 months or less, the Thought (思) score was significantly higher. The Fear (恐) score was significantly higher when the rehabilitation was initiation more than 4~8 weeks after than that when the treatment was started immediately. Meanwhile, the K-CD-RISC score was significantly higher when rehabilitation was started immediately. In the stroke group, the K-CD-RISC score was positively correlated with Joy (喜) but negatively correlated with Depression (憂) and Fear (恐). In the control group, K-CD-RSIC showed a positive correlation with Joy (喜) but negative correlations with Depression (憂), Sorrow (悲), and Fear (恐). Conclusions: In addition to early rehabilitation treatment, mental approach through Korean medicine psychotherapy is crucial for enhancing the resilience of stroke patients.

키워드

과제정보

This study was supported by grant of the Wonkwang University in 2023.

참고문헌

  1. Son SE, Lee GW, Lee NH, Chae HN, Cheong MJ, Kang HY, Lyu YS. A Study on the Emotional Characteristics of Patients within One Year of Stroke Using Core Seven Emotions Inventory-Short Form. J of Oriental Neuropsychiatry. 2019;30(3):165-175. https://doi.org/10.7231/jon.2019.30.3.165
  2. Lee SH, Kin EJ, Park YC, Koh YJ, Nam DW. Effect of Acupuncture Stimulation on Heart Rate Variability in Stroke Patients. The Journal of Korean Acupuncture & Moxibustion Society. 2006;23(1):135-143.
  3. Jeong SW, Lee MJ, Yoo SY. Machine Learning-based Stroke Risk Prediction using Public Big Data. J. Adv. Navig. Technol. 2021;25(1):96-101. https://doi.org/10.12673/jant.2021.25.1.96
  4. Lee MH, Oh SY. The Mediating Effects of Self-efficacy on Depression and Rehabilitation Motivation in Stroke Patients. The Journal of Humanities and Social Sciences 21. 2020;11(3):927-939. https://doi.org/10.22143/HSS21.11.3.66
  5. Jo OH, Choi SY, Song JH. The effect of Functional Dependency and Stress on Health-related Quality of Life in Patients under Rehabilitation after Stroke. J. Muscle Joint Health. 2013;20(2):81-90. https://doi.org/10.5953/JMJH.2013.20.2.81
  6. Baune BT, Aljeesh Y. The association of psychological stress and health related quality of life among patients with stroke and hypertension in Gaza Strip. Annals of General Psychiatry. 2006;5(6):1-8.
  7. Ha BY, Jung EJ, Choi SY. Effects of Resilience, Post-traumatic Stress Disorder on the Quality of Life in Patients with Breast Cancer. Korean J. Women Health Nurs. 2014;20(1):83-91. https://doi.org/10.4069/kjwhn.2014.20.1.83
  8. Kim DE, Yoo DH, Kim SY, Cha TH. The effect of Occupation Based Empowerment Enhancement Program on Resilience and Life Satisfaction in Stroke Patient. The Journal of Korean Society of Assistive Technology. 2021;13(1):1-11.
  9. Kang SJ, Lee YJ. J The Association of Resilience and Perceived Social Support on Health Behavior Compliance in Stroke Patients. Korean Acad Soc Home Care Nurs. 2021;28(1):36-48. https://doi.org/10.22705/jkashcn.2021.28.1.36
  10. Choi HJ, Chang HK. Psychosocial Factors Affecting Post-acute Stroke Patients' Rehabilitation Adherence. Korean J Rehabil Nurs. 2022;25(2):49-60. https://doi.org/10.7587/kjrehn.2022.49
  11. Song SI, Lee JM. The Effect of Game Program on Depression and Self-efficacy, Rehabilitation Motivation for Stroke Patients. Journal of Special Education & Rehabilitation Science. 2014;53(3):133-153.
  12. Lee DY, Lee MS, Na BJ, Kim KY, Lee DJ, Kim DK. Related Factors of the Motivation for Rehabilitation in Stroke Patients. Physical Therapy Korea. 2006;13(1):16-23.
  13. Cho BH, Ko MH, Kim SY. A Study on Stroke Patients' ADL, Depression, Self-Efficacy and Quality of Life. The Korean Journal of Rehabilitation Nursing. 2003;6(1):51-60.
  14. Ghika-Schmid F, Bogousslavsky, J. Affective disorders following stroke. European Neurology. 1997;38(2):75-81. https://doi.org/10.1159/000113164
  15. Lee SJ. The Effect of Sports Trainer's Communication Style on the Rehabilitation Period and Resilience of Injured Athletes. The Korea Journal of Sport Science. 2023;32(1):849-864.
  16. Shin HG, Lee JH. A Study on the Correlation between CSEI-S (Core Seven-Emotions Inventory-Short Form) and MMPI-2 (Minnesota Multiphasic Personality Inventory-2) Subscales. J of Oriental Neuropsychiatry. 2021;32(3):155-166. https://doi.org/10.7231/jon.2021.32.3.155
  17. Lee NH, Kim GW, Lyu YS. A Study on the Emotional Characteristics of Adult with Fatigue Using The Core Seven Emotions Inventory-Short Form. J of Oriental Neuropsychiatry. 2021;32(1):13-23. https://doi.org/10.7231/jon.2021.32.1.013
  18. Jung YE. The Korean Version of the Connor-Davidson Resilience Scale: An Extended Validation. Stress and Health. 2012;33:319-326. https://doi.org/10.1002/smi.1436
  19. Jung WS, Park JM, Choi BO. The Effectiveness of Combination Therapy of Oriental Medicine and Western Medicine on Acute Stroke: a controlled study. Korean J. Orient.Int. Med. 2001;22(3):393-396.
  20. Rhee IG, Han HY, Kim HS, Nah YS, Ahn KH. Emotinal Disorder of Stroke Patients. J. of Korean Acad. of Rehab. Med. 1988;12(1):33-38.
  21. Choi SM. Post-stroke fatigue, depression, emotional incontinence, and anger-proneness. Perspectives in Nursing Science. 2005;2(1):76-91.
  22. Ahn YP, Lee SJ, Yang SH, Bae KW. Frame of Consciousness in Stroke Hemiplegic Patient. J. of Korean Acad. of Rehab. Med. 1984;8(2):92-98.
  23. Lee HJ, Yi MS. Adjustment of Middle-aged People with Hemiplegia after a Stroke. J. Korean Acad Nurs. 2006;36(5):792-802.
  24. Kim KS, Seo HM, Kang JY. The Effects of Community Based Self-help Management Program on the Activity of Daily Life, Muscle Strength, Depression and Life Satisfaction of Post-stroke Patients. The Korean Journal of Rehabilitation Nursing. 2000;3(1):108-117.
  25. Oh SY, Hwang SY. Effect of Depression on the Rehabilitation Motivation of Middle-Aged Stroke Patients - Focus on the Mediating Effects of Resilience. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(4):58-66. https://doi.org/10.5762/KAIS.2017.18.4.58
  26. Min JA, Lee WH, Jung YE, Hong HM, Chae JH. Associations Between Resilience and Gratitude in Patients With Depression and/or Anxiety Disorders. Anxiety and Mood. 2022:18(1):26-31. https://doi.org/10.24986/anxmod.2022.18.1.004
  27. Jung HY, Kwon HK, Hie Ch. The Study on the Initial Evaluation in the Beginning of Rehabilitation and the Functional Outcome in Stroke. J. of Korean Acad. of Rehab. Med. 1991;15(4):398-404.
  28. Lee GE, Park BY, Kim HY, Lyu YS, Kang HY. A Preliminary Study on the Development of the Core Emotion Assessment Instrument Based on the Chiljeong. J of Oriental Neuropsychiatry. 2014;25(1):109-122. https://doi.org/10.7231/jon.2014.25.1.109
  29. Seong WY. A Study of Chiljeong in the Cannon of Internal Medicine. J of Oriental Neuropsychiatry. 2013;24(4):451-468. https://doi.org/10.7231/jon.2013.24.4.451
  30. Heo J, Donguibogam. Intenal Bodily Elemets Chapter, Namsandang Publishing Co (2014), 94.
  31. Park EY, Lee JI. Positive and Negative Effects of Anger Expression in Workplace: Differences between when expressing and receiving anger. Korean Journal of Counseling and Psychotherapy. 2018;31(3):767-794. https://doi.org/10.24230/kjiop.v31i3.767-794
  32. Kim HN, Kim KO. Statistical Considerations of Pathological Symptoms Derived from Chiljeong. Journal of Oriental Neuropsychiatry. 2015;26(1):11-22. https://doi.org/10.7231/jon.2015.26.1.011
  33. Choi SE, Kim DJ. Effects of Korean Mindfulness Based Stress Program Applied to Acute Stroke Patients: Mixed-Methods Research. Journal of the Korea Entertainment Industry Association. 2023;17(2):133-147. https://doi.org/10.21184/jkeia.2023.2.17.2.133
  34. Kim JJ, Choi EY. The Effects of Group Art Therapy to Psychological Rehabilitation of Patients with Stroke. Transactional Analysis and Psychosocial Therapy. 2005;3:30-54.
  35. Min SJ, Yang HS, Jang HH, Ahn DJ, Kang HW, Lyu YS. Sturdy of MMPI on the Somatic Disorder of CVA Patients. Journal of Oriental Neuropsychiatry. 2002;13(2):75-92.