• 동의신경정신과학회지
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• 제20권3호
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• pp.297-307
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• 2009

Objectives : Insomnia, depression and anxiety disorder are widespread in elderly patients. Mood disorder and insomnia share complex theoretical and clinical relationships. We investigated if traditional Korean medical treatment and breathing meditation are effective in patient with insomnia, depression and anxiety disorder. Methods : We treated one patient with traditional Korean medical treatment such as accupuncture, herb-medication, moxa and breathing meditation Results : After Treatment, the chief complaint and accompanying symptoms were improved, and the score of BAI, SADS, BDI, PSQI, IQ were decresed. Conclusions : According to this study traditional Korean medical treatment is effective for the cure of insomnia, depression and anxiety disorder and breathing meditation forifies the traditional Korean medical treatment.

• 대한한방소아과학회지
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• 제18권2호
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• pp.251-261
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• 2004

Objective : The purpose of this study is to report a Tic-disorder child with insomnia. Methods : The patient suffered from Tic-disorder and insomnia and presenting symptom of Tic-disorder was eye blinking. We estimated by Yale Global Tic Severity Scale (YGTSS) and treated him with Yangsintangkamibang, acupuncture, auriculo-acupuncture and hand acupuncture. Result : After this treatment, symptoms of Tic-disorder and insomnia disappeared and The patient was emotionally stable. Conclusion : We had good effects in oriental medical treatments on Tic-disorder. And so this study requires further studies about Tic-disorders.

• 동의신경정신과학회지
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• 제17권3호
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• pp.117-129
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• 2006

Insomnia is one of the most common clinical symptom those almost patients with neuropsychiatric disorder complain. and the most common cause of insomnia in neuropsychiatric disorder is the major depressive disorder. We experienced a 59 year-old male who complained of recurrent insomnia in spite of taking medicines(nervines, antidepressants, etc,) during 30 years. We had given herbal medicine, acupuncture treatment and aroma therapy with continuing medications. The patient had several sypmtoms as anxiety, agitation, feeling thirsty, chronic constipation, and etc. beside the insomnia. After the patient took the herbal medicine, especially Sam-Hwang-Sa-Sim-Tang, he could have a sound sleep and be relaxed. In this case, we concluded that oriental medical treatment can be an effective remedy of chronic insomnia that responds to neuropsychiatric medications incompletely and Sam-Hwang-Sa-Sim-Tang is effective to a kind of insomnia with agitation, anxiety, thirsty, constipation, and etc.

• 동의신경정신과학회지
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• 제24권1호
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• pp.103-108
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• 2013

Objectives : Korea's average life expectancy is getting longer and longer and the pace of change in society has increased every year as people experience stress more easily. Under this situation, chronic sleep disorder is increasing, but there is no specific program for the treatment of sleep disorder in Korean medicine. Therefore, we studied a Korean medical treatment program for sleep disorder to apply to outpatient clinic patients. Methods : For this study, we evaluated the Insomnia Severity Index (ISI), BDI, STAI, FSS on 29 insomnia patients who visited Kyunghee Korean medical hospital from July 2010 to May 2012. Herbal medicine, acupuncture, herbal acupuncture, moxibustion, sleep hygiene, and medical qigong were applied. We compared ISI scores before treatment and after 4 weeks of treatment. Results : ISI score was improved after Korean medical treatment for sleep disorder. Before the treatment ISI score was 18.1, which means clinical insomnia. After the Korean medical treatment, the score was 7.5, which means no clinically significant insomnia. Conclusions : The study showed a significant effect on the Korean medical treatment program for sleep disorder to apply to outpatient clinic patients. ISI score was improved and the patients were satisfied with the treatment, so it would be more helpful to apply in sleep clinics.

• 수면정신생리
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• 제26권2호
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• pp.104-110
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• 2019

목 적 : 본 연구의 목적은 불면을 주소로 대학병원 정신건강의학과 외래를 내원한 환자들 중 불면 장애를 단독으로 진단 받은 환자 군과 불면 장애와 함께 우울 장애 또는 불안 장애를 진단 받은 환자 군들의 인구학적 특성 및 State-Trait Anxiety Inventory (STAI) 결과 차이를 살펴봄으로써, 그들의 특징들을 조사하는 것이다. 방 법 : 2006년 1월 1일부터 2018년 12월 31일까지 불면을 주소로 대학병원 정신건강의학과 외래를 내원한 환자들 중 DSM-IV-TR의 불면 장애 진단기준을 만족하는 것과 동시에 STAI를 시행했던 환자들의 기록들을 후향적으로 분석하였다. 불면 장애를 진단 받은 환자들은 주로 해당 질환만 진단받은 군, 불안 장애를 같이 진단 받은 군, 우울 장애를 함께 진단 받은 군으로 분류되었는데, 각 군들 간의 인구학적 특성 및 STAI 결과에 대하여 비교 분석하고자 하였다. 결 과 : 해당기간 동안 불면을 주소로 정신건강의학과를 방문하여 불면 장애를 진단받고, STAI를 시행한 환자는 총 329명이고, 그 중 99명은 우울 장애를, 61명은 불안 장애를 동시에 진단받았다. 세 환자 군들 사이에서 나이, 성비와 같은 인구학적 특성의 차이는 없었으며, 공통적으로 50대부터 70대의 환자들의 비율이 불면 장애만 진단받은 환자 군에서는 71.8% 우울장애 또는 불안장애를 함께 진단받은 군들은 각각 77.1%, 73.8%로 높았다. STAI-I의 평균 점수는 불면 장애와 불안장애를 함께 진단받은 군은 51.85 ± 10.16, 우울장애를 함께 진단받은 군은 54.18 ± 10.32로 불면 장애를 단독으로 진단 받은 환자 군의 평균인 44.55 ± 8.89 보다 높았으나, 불안 장애 또는 우울 장애를 함께 진단 받은 군들 사이의 차이는 통계적으로 유의하지 않았다. 이와 유사하게 STAI-II의 평균점수는 불면 장애와 불안 장애를 함께 진단받은 군은 49.98 ± 8.31, 우울 장애를 함께 진단받은 군은 53.19 ± 10.13으로 불면 장애만을 진단받은 환자들의 평균(42.71 ± 8.84) 보다 높았으나, 두 군들 간의 차이는 통계적으로 유의하지 않았다. 결 론 : 불면을 주소로 방문한 환자들 중 불면 장애 만을 진단받은 환자 군과 우울 장애 또는 불안 장애를 함께 진단 받은 환자 군들의 인구학적 특성은 유사하지만, STAI-I과 STAI-II 평균은 낮았다. 추후 이를 기반으로 동반질환 등을 포함한 다른 인구학적 특성을 반영하고, 더 많은 수의 불면장애 환자들을 대상으로 STAI-I와 II의 차이를 비교하는 것이 필요할 것 이다.

• 동의신경정신과학회지
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• 제34권3호
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• pp.163-179
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• 2023

Objectives: The purpose of this study was to provide evidence for the clinical effects of foot bath therapy for insomnia disorder through a systematic review and meta-analysis. Methods: Studies were selected from seven domestic and international literature databases. Data on diagnostic tools, pattern identification, sample size, intervention methods, outcome measurements, results, and adverse events were extracted. The quality of the selected literature was assessed using Cochrane's risk of bias (RoB) assessment tool. Results: A total of 11 studies were included in this study. The primary diagnostic tool for insomnia dis- order was the criteria for the diagnosis and therapeutic effect of diseases and syndromes in traditional Chinese medicine (CDTDSTCM), along with the Chinese classification of mental disorders-3 (CCMD-3). Treatment effects were mainly evaluated by the effective rate and the Pittsburgh Sleep Quality Index (PSQI). The meta-analysis results showed statistically higher effectiveness rates for treating insomnia disorder in the experimental groups receiving herbal medicine foot bath therapy with sleeping or herbal medication compared to the control group. The PSQI was lower in the treatment group receiving herbal medicine foot bath therapy with sleeping medication. The herbal materials used in herbal medicine foot bath therapy mainly included Radix Angelicae Sinensis, Polygonum Multiflorum, Ziziphi Spinosae Semen, Rhizoma Coptidis, Radix Salviae Miltiorrhizae, and Cortex Albizziae. The quality of the included studies was generally poor. Conclusions: This study found that foot bath therapy had clinical efficacy for treating insomnia disorder. The research findings could provide foundational evidence for establishing the clinical basis of foot bath therapy in the treatment of insomnia.

• 동의신경정신과학회지
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• 제34권3호
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• pp.181-212
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• 2023

Objectives: To examine the efficacy and safety of cupping therapy for insomnia disorder and provide clinical evidence that could contribute to further research. Methods: We searched randomized controlled trials (RCTs) that verified effects of cupping therapy for insomnia disorder from 11 domestic and foreign databases. Included studies were evaluated using Risk of Bias (RoB). Results: Nineteen RCTs were selected. Wet cupping was more frequently used than dry cupping. Moving cupping was mostly used among dry cupping methods. Dry cupping was mainly performed in Bladder Meridian on the back. Wet cupping was mainly performed on BL18, LR14, and BL15. The most common treatment period was 4 weeks. The average number of treatments per week was about 2.4 times for all types of cupping, about 3.2 times for dry cupping and about 1.9 times for wet cupping. All selected studies showed a significant sleep improvement compared to the control group. As a result of the meta-analysis, in terms of effective rate, SAS score, and SDS score, the wet cupping in combination with acupuncture was significantly more effective than acupuncture alone, although the quality of selected RCTs was low. Conclusions: Cupping therapy is effective for insomnia disorder. Based on results of this study, it is reasonable to use wet cupping two times per week on BL18, LR14, and BL15 or use moving cupping three times per week in Bladder Meridian on the back for 4 weeks to treat insomnia disorder.

• 동의신경정신과학회지
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• 제23권4호
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• pp.11-36
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• 2012

Objectives : Sleep Disorders are very common in clinical stages and there are many reports and papers regarding this subject. I try to understand the present state of sleep research in JON (The Journal of Oriental Neuropsychiatry) for the benefits of clinical practice. Methods : We searched and read every article on JON from 1990 to 2012 and selected ones that are related to Sleep Disorder; then analyzed the data to 5 categories, like literature study, case study, Clinical Data-Analysis study, experimental study, and clinical trial. Results : 1. We Found 41 articles relating to sleep disorder in JON form 1999 to 2012, and there were 9 literature studies, 13 case studies, 13 Clinical Data-Analysis studies, 4 experimental studies, and 2 clinical trials. 2. There were Sa-Am Acupuncture Method, Pharmacopuncture, electroacupuncture, and Auricular acupuncture to treat Sleep Disorder. 3. There were many additional treatments like Purgative Therapy, etc. 4. They reported the ordinary sleep pattern of Soeumin and Soyangin, too. 5. In the experimental study, they reported several herbs, herbal prescription on the expression of melatonin receptors, and Punsimgeimgamibang on insomnia, anxiety, emotionality in rats. 6. There were 2 clinical trials, one for Hwabyung-patient with insomnia by acupuncture treatment and another for insomnia in the elderly by ETF-I program. 7. There were 2 case of other sleep disorder (enuresis, sleepwalking) and 2 literature study of dream. Conclusions : In JON regarding sleep disorder, the majority was due to insomnia. Therefore, we also have to expand our sight into other sleep diseases. We need more clinical trials and experimental researches for the construction of EBM Sleep Disorder in Oriental Neuropsychiatry.

• 대한한의정보학회지
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• 제19권2호
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• pp.29-37
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• 2013

Objectives: This case report presents a 29-years-old male patient. His chief complaint was insomnia, anxiety and chest discomfort. We diagnosed him with sleep disorder. During the therapeutic period, he experienced temporary improvement. Methods: We treated him with emotional freedom techniques(EFT), giungoren-therapy. Also, acupuncture and chuna therapy were accessorily practiced. The effects of treatment were measured by Beck depression inventory(BDI), state-trait anxiety inventory(STAI), insomnia severity index(ISI). Results: After treatment, the chief complaint have been subsided and improved. But, BDI, STAI, ISI score were not remarkably decreased. Conclusions: This result suggests that EFT and giungoren-therapy might be effective for sleep disorder patient with anxiety.

• 수면정신생리
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• 제25권1호
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• pp.9-14
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• 2018

연구목적 : 만성불면증은 흔하고 가장 환자들을 괴롭히는 수면장애들 중 하나이다. 본 예비연구는 불면장애 환자들과 수면을 잘 취하는 건강인 간에 공간인지기능을 비교하기 위해 수행되었다. 연구대상 및 방법 : DSM-5상 불면장애의 진단기준을 만족하는 22명의 만성 불면장애 환자와 27명의 수면을 잘 취하는 정상대조군이 연구에 참여하였다. 전산화신경인지기능검사인 Cambridge Neuropsychological Test Automated Battery (CANTAB)를 시행하여 불면장애 환자와 정상대조군 간에 공간인지기능(spatial planning function)을 비교하였다. 결 과 : CANTAB 결과 상 Stockings of Cambridge test에서 더 저조한 problems solved in minimum moves 결과를 보였다(t = -2.499, p = 0.017) 이 항목은 나이, 성별, beck depression index 비수면점수를 통제한 ANCOVA 분석에서도 유의한 결과를 보였다(F = 5.631, p = 0.017)의 유의한 차이가 관찰되었다. 결 론 : 본 연구의 결과는 불면장애 환자들의 저조한 공간계획기능을 시사한다.