The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis of factors related to the use of Korean medicine treatment in adult patients with depressed mood: Based on the Korea Health Panel Annual Data 2019

우울감이 있는 성인 환자에서 한방치료 이용과 관련된 요인분석: 제2기 한국의료패널 자료를 중심으로

  • Tae-Hyeon Lee (Department of Biomedical Health Science, Dong-eui University Graduate School) ;
  • Il-Su Park (Department of Healthcare Management, Dong-eui University College of Nursing, Healthcare Sciences and Human Ecology) ;
  • Chan-Young Kwon (Department of Oriental Neuropsychiatry, Dong-eui University College of Korean Medicine)
  • 이태현 (동의대학교 대학원 보건의과학과) ;
  • 박일수 (동의대학교 의료.보건.생활대학 의료경영학과) ;
  • 권찬영 (동의대학교 한의과대학 한방신경정신과)
  • Received : 2024.04.19
  • Accepted : 2024.05.07
  • Published : 2024.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study analyzed the factors related to outpatient service to Western medicine (WM) and Korean medicine (KM) of Korean adults with depressed mood using data from the 2019 Korea Health Panel Study. Methods: The general characteristics according to group of 827 individuals, and the factors influencing the use of integrative medicine (IM) medical service were identified using the Chi-square test and binary logistic regression results. The factors were classified based on the Andersen healthcare utilization model. The results of regression analysis were presented as odds ratio (OR) and 95% confidence interval (CI). Results: Among the individuals of the study, 658 (79.6%) were in the WM group and 169 (20.4%) were in the IM group. In the WM group and the IM group, the presence of suicidal ideation was common at 37.7% and 43.2%, respectively. As a result of regression analysis, the living in Busan/Daegu/Ulsan/Gyeongsang compared to living in Seoul/Gyeonggi/Incheon [OR = 0.522 (95% CI = 0.328 to 0.830)], and presence of musculoskeletal [OR = 1.686 (95% CI = 1.071 to 2.653)] and mood disorders [OR = 1.737 (95% CI = 1.106 to 2.726)] were the most influential factors on the use of IM medical service. Conclusions: This study is the first in Korea to analyze the patterns of medical institution use and factors used in KM treatment among adults with depressed mood. The results of this study provide preliminary evidence for the contribution of KM to national mental health in the context of depression.

Keywords

Acknowledgement

This work was supported by Innovative Human Resource Development for Local Intellectualization program through the Institute of Information & Communications Technology Planning & Evaluation (IITP) grant funded by the Korea government (MSIT) (IITP-2024-2020-0-01791). This study used the Korea Health Panel Annual Data 2019 (Version 2.0.1) jointly hosted by the Korea Institute for Health and Social Affairs and the National Health Insurance Service.

References

  1. Constant, A.Hesp, C.Davey, C. G.Friston, K. J. & Badcock, P. B. (2021). Why depressed mood is adaptive: A numerical proof of principle for an evolutionary systems theory of depression. Comput Psychiatr. 5(1). 60-80. 10.5334/cpsy.70 
  2. Association, A. P. (2013). Diagnostic and statistical manual of mental disorders (dsm-5®). American Psychiatric Publishing. 
  3. Sarris, J., Thomson, R., Hargraves, F., Eaton, M., de Manincor, M., Veronese, N., et al. (2020). Multiple lifestyle factors and depressed mood: A cross-sectional and longitudinal analysis of the uk biobank (n = 84,860). BMC Med. 18(1). 354. 10.1186/s12916-020-01813-5 
  4. Lee, S. M., Song, J. Y., Seol, A., Lee, S., Cho, H. W., Min, K. J., et al. (2023). Depressed mood as a significant risk factor for gynecological cancer aggravation. Int J Environ Res Public Health. 20(19). 6874. 10.3390/ijerph20196874 
  5. Tsai, S. J.Hsiao, Y. H.Liao, M. Y. & Lee, M. C. (2022). The influence of depressive mood on mortality in elderly with different health status: Evidence from the taiwan longitudinal study on aging (tlsa). Int J Environ Res Public Health. 19(11). 6922. 10.3390/ijerph19116922 
  6. Kim, K. A.Kim, Y. E. & Yoon, S. J. (2021). Descriptive epidemiology on the trends and sociodemographic risk factors of disease burden in years of life lost due to suicide in south korea from 2000 to 2018. BMJ Open. 11(2). e043662. 10.1136/bmjopen-2020-043662 
  7. OECD (2024), suicide rates (indicator). Doi: 10.1787/a82f3459-en (accessed on 05 may 2024). 
  8. Favril, L.Yu, R.Uyar, A.Sharpe, M. & Fazel, S. (2022). Risk factors for suicide in adults: Systematic review and meta-analysis of psychological autopsy studies. Evid Based Ment Health. 25(4). 148-155. 10.1136/ebmental-2022-300549 
  9. Schlagbaum, P.Ruch, D. A.Tissue, J. L.Sheftall, A. H. & Bridge, J. A. (2020). Depressed mood prior to death. Crisis. 41(6). 445-452. 10.1027/0227-5910/a000660 
  10. Horowitz, L. M., Ryan, P. C., Wei, A. X., Boudreaux, E. D., Ackerman, J. P. & Bridge, J. A. (2023). Screening and assessing suicide risk in medical settings: Feasible strategies for early detection. Focus (Am Psychiatr Publ). 21(2). 145-151. 10.1176/appi.focus.20220086 
  11. An, J. H., Jeon, H. J., Cho, S. J., Chang, S. M., Kim, B. S., Hahm, B. J., et al. (2022). Subthreshold lifetime depression and anxiety are associated with increased lifetime suicide attempts: A korean nationwide study. J Affect Disord. 302. 170-176. 10.1016/j.jad.2022.01.046 
  12. GH, L. (2013). Interrelationship between body and mind from eastern and western medicine. The Korean Society of Body.Mind.Spirit Science Conference Proceedings. 2013(10). 148-155. 
  13. Kim, D., Shih, C. C., Cheng, H. C., Kwon, S. H., Kim, H. & Lim, B. (2021). A comparative study of the traditional medicine systems of south korea and taiwan: Focus on administration, education and license. Integr Med Res. 10(3). 100685. 10.1016/j.imr.2020.100685 
  14. Lee K, K. C. (2023). Analysis of factors related to the use of korean medicine treatment in patients with mood disorders: Based on 2019 korea health panel annual data. J of Oriental Neuropsychiatry. 34(4). 349-358. 10.7231/jon.2023.34.4.349 
  15. Lee, B.Yang, C. & Yim, M. H. (2022). Factors affecting korean medicine health care use for functional dyspepsia: Analysis of the korea health panel survey 2017. Healthcare (Basel). 10(7). 1192. 10.3390/healthcare10071192 
  16. Park, E., Jeong, Y., Seo, J., Bae, J., Lee, N., Kim, E., et al. (2019). A study of strategies for the 2nd korea health panel project. Korea Institute for Health and Social Affairs. 
  17. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? J Health Soc Behav. 36(1). 1-10.  https://doi.org/10.2307/2137284
  18. Kwon, C. Y., Shin, S., Kwon, O. J., Moon, W., Kim, N. & Park, M. (2023). National health insurance data analysis for the second-wave development of korean medicine clinical practice guidelines in south korea. J Pharmacopuncture. 26(2). 198-209. 10.3831/kpi.2023.26.2.198 
  19. You, J.Li, H.Xie, D.Chen, R. & Chen, M. (2021). Acupuncture for chronic pain-related depression: A systematic review and meta-analysis. Pain Res Manag. 2021. 6617075. 10.1155/2021/6617075 
  20. Yan, B.Zhu, S.Wang, Y.Da, G. & Tian, G. (2020). Effect of acupuncture on chronic pain with depression: A systematic review. Evid Based Complement Alternat Med. 2020. 7479459. 10.1155/2020/7479459 
  21. Yi, S., Ngin, C., Tuot, S., Chhoun, P., Fleming, T. & Brody, C. (2017). Utilization of traditional, complementary and alternative medicine and mental health among patients with chronic diseases in primary health care settings in cambodia. Int J Ment Health Syst. 11. 58. 10.1186/s13033-017-0167-x 
  22. Kemper, K. J.Gardiner, P. & Birdee, G. S. (2013). Use of complementary and alternative medical therapies among youth with mental health concerns. Acad Pediatr. 13(6). 540-545. 10.1016/j.acap.2013.05.001 
  23. Chen, B.Wang, C. C.Lee, K. H.Xia, J. C. & Luo, Z. (2023). Efficacy and safety of acupuncture for depression: A systematic review and meta-analysis. Res Nurs Health. 46(1). 48-67. 10.1002/nur.22284 
  24. Wang, Y., Shi, Y. H., Xu, Z., Fu, H., Zeng, H. & Zheng, G. Q. (2019). Efficacy and safety of chinese herbal medicine for depression: A systematic review and meta-analysis of randomized controlled trials. J Psychiatr Res. 117. 74-91. 10.1016/j.jpsychires.2019.07.003 
  25. Cui, J., Song, W., Jin, Y., Xu, H., Fan, K., Lin, D., et al. (2021). Research progress on the mechanism of the acupuncture regulating neuro-endocrine-immune network system. Vet Sci. 8(8). 149. 10.3390/vetsci8080149 
  26. Yang, Y. H., Li, C. X., Zhang, R. B., Shen, Y., Xu, X. J. & Yu, Q. M. (2024). A review of the pharmacological action and mechanism of natural plant polysaccharides in depression. Front Pharmacol. 15. 1348019. 10.3389/fphar.2024.1348019 
  27. Adams, J., Sibbritt, D., Broom, A., Loxton, D., Pirotta, M., Humphreys, J., et al. (2011). A comparison of complementary and alternative medicine users and use across geographical areas: A national survey of 1,427 women. BMC Complement Altern Med. 11. 85. 10.1186/1472-6882-11-85 
  28. Adams, J., Sibbritt, D., Broom, A., Loxton, D., Wardle, J., Pirotta, M., et al. (2013). Complementary and alternative medicine consultations in urban and nonurban areas: A national survey of 1427 australian women. J Manipulative Physiol Ther. 36(1). 12-19. 10.1016/j.jmpt.2012.12.010 
  29. Sheng, J.Liu, S.Wang, Y.Cui, R. & Zhang, X. (2017). The link between depression and chronic pain: Neural mechanisms in the brain. Neural Plast. 2017. 9724371. 10.1155/2017/9724371 
  30. Doan, L.Manders, T. & Wang, J. (2015). Neuroplasticity underlying the comorbidity of pain and depression. Neural Plast. 2015. 504691. 10.1155/2015/504691 
  31. Lee, H. J.Choi, E. J.Nahm, F. S.Yoon, I. Y. & Lee, P. B. (2018). Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases. Korean J Pain. 31(2). 116-124. 10.3344/kjp.2018.31.2.116 
  32. Mitchell, A. J.Yadegarfar, M.Gill, J. & Stubbs, B. (2016). Case finding and screening clinical utility of the patient health questionnaire (phq-9 and phq-2) for depression in primary care: A diagnostic meta-analysis of 40 studies. BJPsych Open. 2(2). 127-138. 10.1192/bjpo.bp.115.001685 
  33. Indu, P. S., Anilkumar, T. V., Pisharody, R., Russell, P. S. S., Raju, D., Sarma, P. S., et al. (2017). Primary care screening questionnaire for depression: Reliability and validity of a new four-item tool. BJPsych Open. 3(2). 91-95. 10.1192/bjpo.bp.116.003053