• Journal of Oriental Neuropsychiatry
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• v.19 no.2
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• pp.133-139
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• 2008

Objective : The purpose of this research was to investigate the prevalence rate of Hwa-Byung for the whole population in a local community. Method : Hwa-Byung Diagnostic Interview Schedule(HBDIS) was carried out for 671 participants in Wonju Cohort study. HBDIS is objective questionnaire for diagnose Hwa-Byung. Collected data was analyzed by the chi-square test. Result: Prevalence rate of Hwa-Byung was 5.4% in the whole population. Prevalence rate of Hwa-Byung in male participants was 2.5%, 1.5% in 40s, 3.2% in 50s, 2.5% in 60s. Prevalence rate of Hwa-Byung in female participants was 7.4%, 7.6% in 40s, 5.5% in 50s, 8.7% in 60s. Conclusion : There was significant difference on the prevalence rate of Hwa-Byung according to sex.

• Journal of Oriental Neuropsychiatry
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• v.22 no.1
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• pp.25-35
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• 2011

Objectives : This case series was conducted to report the efficacy of traditional Korean medicine treatments for Hwa-Byung. Methods : Patients were diagnosed with Hwa-byung through Hwa-Byung diagnostic interview schedule(HBDIS). instrument of pattern identification for Hwa-Byung was applied to develop an individualized traditional Korean medicine treatment plan. SCL-90-R, STAI, STAXI, BDI, and instrument of oriental medical evaluation for Hwa-Byung were measured. After 2 weeks of tradiational Korean medicine treatments and K-MBSR practice, STAI, STAXI, BDI, and instrument of oriental medical evaluation for Hwa-Byung were re-assessed to determine the progress of Hwa-Byung. Results : After treatments, chief complaints have improved. STAI, STAXI, BDI and instrument of oriental medical evaluation for Hwa-Byung score have decreased. Conclusions : According to the study, traditional Korean medicine treatments using instrument of pattern identification for Hwa-Byung have shown positive results in managing Hwa-Byung symptoms evaluated by instrument of oriental medical evaluation for Hwa-Byung.

• Journal of Oriental Neuropsychiatry
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• v.23 no.4
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• pp.183-198
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• 2012

Objectives : This case series aims to report the efficacy of using oriental medical treatment with Melonis Calyx Vomiting Therapy for Hwa-Byung. Methods : Patients were diagnosed with Hwa-Byung through Hwa-Byung Diagnostic interview schedule (HBDIS). They were treated with Oriental medical treatment (Acupncture, Herb-medication) and Melonis Calyx Vomiting Therapy (MCVT). MCVT is a traditional treatment, which induces vomiting by eating Melonis Calyx powder with water. We used VAS score and Scott scale for the symptoms of patients and IOMEHB (instrument of oriental medical evaluation for Hwa-Byung), BDI, STAI for the psychological conditions of the patients. Results : After treatment, the chief complaint and other symptoms of Hwa-Byung have improved. The scores of IOMEHB, BDI, and STAI have decreased. Conclusions : This result suggests that using MCVT with Oriental medical treatment have a positive efficacy for Hwa-Byung.

• Journal of Oriental Neuropsychiatry
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• v.23 no.1
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• pp.49-58
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• 2012

Objectives : The purpose of this research is to investigate the effects of acupuncture on the anxiety symptoms regarding Hwa-Byung. Methods : Acupuncture was applied on 15 participants, 4 males and 11 females. Hwa-Byung was diagnosed by Hwa-Byung Diagnostic Interview Schedule(HBDIS). Then clinical research STAI, BDI, VAS, HRV was carried out for investigation to analyze the change of each symptom between pre-acupuncture and post-acupuncture. Results : STAI, VAS were all significantly decreased. BDI decreased, but the decrease was not significant. All physical and psychological scores of HBDIS were significantly decreased excluding A2, B2, B3, B5, C1, C5. Subjects of HRV were different between pre-acupuncture and post-acupuncture, but the difference was not significant. Conclusions : The results suggest that acupuncture has positive effects on anxiety and other symptom of Hwa-Byung.

• Journal of Oriental Neuropsychiatry
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• v.15 no.2
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• pp.221-228
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• 2004

Many literature-based researches have been thus far reported of Hwa-Byung in oriental medicine and Hwa-Byung is considered as culture-bound syndrome of Korea. It is showed practically middle-aged women and connected with emotion of Han(恨)and its progress generally chronic. But this case described a 36-year old man who diagnosed as Hwa-Byung by HBDIS. He complained chiefly headache and suffered from chest discomfort and sleep disorder. After acupuncture teatment, herbal medication and oriental psychotherapy, his condition got improved. This report is for better understanding of this disease, that Hwa-byung can be seen in male according to changes of social environment.

• Journal of Oriental Neuropsychiatry
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• v.19 no.3
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• pp.171-178
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• 2008

Objective: The purpose of this study is investigation of relationship between HRV(Heart Rate Variability) and Hwa-Byung in general population. Methods: HBDIS(Hwa-Byung Diagnostic Interview Schedule) was carried out for 658 participants in Wonju Cohort study that include short term electrode HRV test. We also classified whole participants into sex. Collected data was analyzed by the Mann-Whitney U test. Result: SDNN(Standard Deviation of NN interval) was significant different in HRV between Normal and Hwa-Byung of male participants. Conclusion: In the findings of this study, Hwa-Byung is not closely related to the autonomic nerve system.

• Journal of Oriental Neuropsychiatry
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• v.24 no.1
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• pp.75-92
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• 2013

Objectives : The objective of this study is to investigate various factors concerning Hwa-byung Methods : The research for various factors of Hwa-Byung was carried out for 686 female Participants. Hwa-Byung was diagnosed by Hwa-Byung Diagnostic Interview Schedule (HBDIS). Results : The rate of Past History about Chronic Bronchitis, Peptic Ulcer, Chronic Hepatitis/Hepatic Cirrhosis, Allergy, Arthritis, Hyperlipidemia is high in the Hwa-Byung group compared with the Control group. In the study of external environments, Hwa-Byung has tendency diagnosed in monthly income under 2,000,000 won, doing regular occupation, marriage, below graduation from high school. In the study of personal relationship, Hwa-Byung has tendency more influenced by negative influencing people than by positive influencing people. In the study of personal factors, Hwa-Byung has a short sleeping time, does not exercise regularly, feels more overburdened, and understimates their own condition to do easy tasks. Conclusions : According to the below results, in the study of Past History, the rate of Chronic Bronchitis, Peptic Ulcer, Chronic Hepatitis/Hepatic Cirrhosis, Allergy, Arthritis, and Hyperlipidemia is high in the Hwa-Byung group compared with the Control. Hwa-Byung has a tendency to be diagnosed by various factors such as the external environment, personal relationships, and personal factors.

• Journal of Oriental Neuropsychiatry
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• v.21 no.1
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• pp.159-172
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• 2010

Objectives: The purpose of this research is to investigate correlationship between Hwa-Byung and various factors, including Sasang Constitution. Methods: The research about Hwa-Byung, various factors and Sasang Constitution were carried out for 649 Participants, male was 272 and female was 377. Hwa-Byung diagnosed by Hwa-Byung Diagnostic Interview Schedule(HBDIS). Sasang Constitution was diagnosed by a Sasang Constitutional specialist with recorded voices, face pictures, tongue pictures and researched data about Sasang Constitution. Collected data were analyzed by the qui-square test and t-test. Results: 1. The prevalence of Hwa-Byung in Taeeumin and Soeumin were higher than that of Soyangin but it was not significant. 2. In the case of meeting frequency of friends, Hwa-Byung group was higher than none Hwa-Byung group and it was significant. 3. In the case of existence of negative influencing people, the rate of Hwa-Byung group was higher than that of none Hwa-Byung group. Among them, Interfere, Blame, Discomfort and Indifferent were significant. Conclusions: Hwa-Byung may have correlationship with Sasang Constitution, meeting frequency of friends and existence of negative influencing people.

• Journal of Oriental Neuropsychiatry
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• v.22 no.2
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• pp.27-37
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• 2011

Objectives : The purpose of this research is to investigate the corelationship between Hwa-Byung and type A behavior pattern (TABP), cardiovascular disease. Methods : 637 people participated in the community based cohort study in Wonju City of South Korea from July 2nd to August 30th in 2006. Educated investigators checked up EKG and surveyed Hwa-Byung Diagnostic Interview Schedule(HBDIS), Framingham Type A Pattern Score(FTA score). Collected data were analyzed by the chi-square test & t-test. Results : 1. TABP, Hwa-Byung group was 24(70.6%), non Hwa-Byung group was 288(27.8%) p-value was 0.016. Difference of the two group was valid. 2. FTA score, Hwa-Byung group was $5.77{\pm}2.25$, non Hwa-Byung group was $4.41{\pm}2.30$, p-value was 0.002. Difference of the two group was valid. Conclusions : TABP ratio, FTA score was high in Hwa-Byung group compared with non Hwa-Byung group.

• Journal of Oriental Neuropsychiatry
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• v.24 no.4
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• pp.331-342
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• 2013

Objectives: The purpose of this study is to examine the validity, the test-retest reliability and to provide guidelines for the Instrument on Pattern Identifications for Hwa-byung. Methods: Participants are 97 patients with Hwa-byung who were diagnosed by Hwa-Byung Diagnostic Interview Schedule. Participants were tested twice within one week. Results: The test-retest reliability of the Instrument on Pattern Identifications for Hwa-byung was examined for 97 patients and calculated to be 0.3146. The reliability of the Instrument on Pattern Identifications for Hwa-byung was 0.605 with a difference of 5% or more for the first and the second. To confirm the validity of the Instrument on Pattern Identifications for Hwa-byung, we analyzed the relevance between symptoms, Pattern Identifications that belong to the group and other Pattern Identifications that do not belong. Conclusions: It can be diagnosed in the first pattern identification by the Instrument of Pattern Identifications for Hwa-byung when there is a difference of 5% or more in the first and second pattern identification. Based on this result, we derived an Instrument for Pattern Identifications of Hwa-byung that has been further modified through additional studies.