Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Acute Insomnia in Post-Traffic Accident Patients Treated with M&L Psychotherapy Combined with Traditional Korean Medicine: Three Case Reports

교통사고 후 발생한 급성 수면장애 환자에 대한 M&L 심리치료와 한방 복합치료 치험 3례

  • KANGMOO GOO (Department of Oriental Neuropsychiatry, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Ji-Won Park (Department of Oriental Neuropsychiatry, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Jeong-Hyo Ji (Department of Oriental Neuropsychiatry, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Na-young Kim (Korean Internal Medicine, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Dong-Hwan Lee (Acupuncture & Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Hyo-Rim Kim (Acupuncture & Moxibustion, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Yu-Ra Im (Korean Medicine Ophthalmology & Otolaryngology & Dermatology, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Ja-Yean Son (Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Seok Gyu Yang (Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine)
  • 구강모 (해운대 자생한방병원 한방신경정신과) ;
  • 박지원 (해운대 자생한방병원 한방신경정신과) ;
  • 지정효 (해운대 자생한방병원 한방신경정신과) ;
  • 김나영 (해운대 자생한방병원 한방내과) ;
  • 이동환 (해운대 자생한방병원 침구과) ;
  • 김효림 (해운대 자생한방병원 침구과) ;
  • 임유라 (해운대 자생한방병원 한방안이비인후피부과) ;
  • 손자연 (해운대 자생한방병원 한방재활의학과) ;
  • 양석규 (해운대 자생한방병원 한방재활의학과)
  • Received : 2024.03.29
  • Accepted : 2024.06.24
  • Published : 2024.06.30
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Abstract

Objectives: To evaluate the effectiveness of Mindfulness & Loving Beingness (M&L) psychotherapy combined with traditional Korean medicine in treating acute sleep disorders in patients hospitalized following traffic accidents. Methods: We applied traditional Korean medicine treatments in conjunction with various mindfulness meditation techniques from M&L therapy, including Resource Mindfulness and Nourishment Brief Therapy. This study was conducted on three patients who reported acute sleep disorder symptoms on the first day of hospitalization following a traffic accident. The effectiveness of these interventions was assessed using the PTSD Checklist for DSM-5 (PCL-5-K), Insomnia Severity Index (ISI), EuroQol 5-Dimension (EQ-5D), Numerical Rating Scale (NRS), and Patient Global Impression of Change (PGIC). Results: ISI and PCL-5-K scores showed significant improvements after treatment, indicating reduced sleep disturbances and stress symptoms. Additionally, EQ-5D and PGIC scores were enhanced, reflecting an overall improvement in quality of life. Conclusions: This study suggests that integrating M&L therapy with traditional Korean medicine could significantly improve symptoms in patients with acute sleep disorders following traffic accidents.

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References

  1. Korea Road Traffic Authority. 2023 Traffic Accident Statistical Analysis (Based on 2022 Statistics). Source: [https://taas.koroad.or.kr/web/bdm/srs/selectStaticalRe portsDetail.do], Accessed on: February 27, 2024.
  2. Im SH, Lee SH, Lee SM, Nam DW, Kim YS. A qualitative study on the treatment process experiences of patients with whiplash associated disorder treated with traditional Korean medicine-based on the grounded theory approach. Journal of Acupuncture Research. 2016;33(4):73-92. https://doi.org/10.13045/acupunct.2016056
  3. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Washington, DC: American Psychiatric Association; 2013. https://doi.org/10.1176/appi.books.9780890425596
  4. Edinger JD, Arnedt JT, Bertisch SM, Carney CE, Harrington JJ, Lichstein KL, et al. Behavioral and psychological treatments for chronic insomnia disorder in adults: an American Academy of Sleep Medicine clinical practice guideline. Journal of Clinical Sleep Medicine. 2021;17(2):255-62. https://doi.org/10.5664/jcsm.6470
  5. Lee EJ, Jeoun TD, Yoon IJ, Oh MS. The clinical effects of cupping therapy at bedtime for sleep disorder induced by traffic accidents. Journal of Korean Medicine Rehabilitation. 2010;20(1):193-208.
  6. Kang SB, Kim YJ, Woo CH. The Effect of Gamiondamtang on Sleep Disorder after Traffic Accident: a Clinical Case Report. The Journal of East-West Medicines. 2020;45(2):13-20.
  7. Song JY, Kong GS, Kim SW. Yangshimtang-gamibang Therapy for Sleep Disorder Caused by a Traffic Accident: A Case Report. The Journal of Internal Korean Medicine. 2021;42(5):1020-6. https://doi.org/10.22246/jikm.2021.42.5.1020
  8. Lee YJ, Kim JS, Ko KS, Sue JH, Oh JR, Kim MY, Kang HW. The study on effects of M&L self-growth meditation program. Journal of Oriental Neuropsychiatry. 2014;25(3):225-34.
  9. Lee DH, Sung HK, Jung DS. A longitudinal validation study of the Korean version of PCL-5 (Posttraumatic stress disorder checklist for DSM-5). Korean Journal of Psychology:General (Korean J Psychol Gen). 2022;28:187-217. https://doi.org/10.20406/kjcs.2022.5.28.2.187
  10. Manzar MD, Jahrami HA., Bahammam AS. Structural validity of the Insomnia Severity Index: A systematic review and meta-analysis. Sleep medicine reviews, 60, 2021;101531. https://doi.org/10.1016/j.smrv.2021.101531
  11. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. Korean Journal of Acupunct. 2007;24(2):77-97.
  12. Kim SH, Ahn J, Ock M, Shin S, Park J, Luo N, et al. The EQ5D-5L valuation study in Korea. Qual Life Res. 2016;25:1845-52. https://doi.org/10.1007/s11136-015-1205-2
  13. Farrar JT, Young Jr JP, LaMoreaux L, Werth JL, Poole RM. Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94(2):149-58. https://doi.org/10.1016/s0304-3959(01)00349-9
  14. Kim J, Cheong MJ, Lee GW, Lyu YS, Kang HW. A Case Report on Panic Disorder Patient Using the 'MRM (Mentalizing the Rooms of Mind)'and Korean Medicine Therapy. Journal of Oriental Neuropsychiatry. 2020;31(3):197-211. https://doi.org/10.7231/jon.2020.31.3.197
  15. Kang JH, Jang SG, Lee H, Lee BR. The clinical study on 37 cases of whiplash injury patients which caused by traffic accident. Journal of Acupuncture Research. 2002;19(3):180-91.
  16. Lee YJ, Lee SJ, Cheong MJ, Lim JH, Jo HG, Kim BM, et al. An Analysis of the Prevalence and Pattern Identification of Korean Medicine for Acute Stress Disorder and Post Traumatic Stress Disorder in Patients with Traffic Injuries. Journal of Oriental Neuropsychiatry. 2021;32(1):1-11. https://doi.org/10.7231/jon.2021.32.1.001
  17. Ahn DJ, Wang DJ, Lee SE, Kang HW, Kim JW. Clinical study on 20 cases of insomnia patients with auricular acupuncture therapy. Journal of Oriental Neuropsychiatry. 2004;15(1):219-30.
  18. Kim HW, Kim HJ, Park YH, Keum DH, Lee MJ. Review of post traumatic stress disorder (PTSD) symptoms in traffic accident patients. J Oriental Rehab Med. 2006;16(1):35-47.
  19. Cho JY, Kang HW. A Case Report on the Application of M&L Psychotherapy to a Hwa-Byung Patient in Her 60s due to Her Spouse's Affair. Journal of Oriental Neuropsychiatry. 2022;33(4):463-71. https://doi.org/10.7231/jon.2022.33.4.463
  20. Yang M, Morin CM, Schaefer K, Wallenstein GV. Interpreting score differences in the Insomnia Severity Index: using health-related outcomes to define the minimally important difference. Current Medical Research and Opinion. 2009;25(10):2487-94. https://doi-org-ssl.eproxy.pusan.ac.kr/10.1185/03007990903167415