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- 저자 : Heike Staudte (검색결과 2 건)
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Acupuncture treatment of a male patient suffering from long-term schizophrenia and sleep disorders
Bosch, Peggy,Staudte, Heike,Yeo, Sujung,Lee, Sook-Hyun,Lim, Sabina,van den Noort, Maurits Elsevier 2017 Journal of traditional Chinese medicine Vol.37 No.6
<P><B>Abstract</B></P> <P><B>Objective</B></P> <P>To investigate the effectiveness of acupuncture in the treatment of chronic schizophrenia and co-morbid sleep disorders.</P> <P><B>Methods</B></P> <P>A 42-year-old German male outpatient, suffering from long-term schizophrenia and sleep disorders, entered the study. Acupuncture was used as a non-pharmacological intervention. In addition to his ongoing Western Medicine (pharmacological) treatment, the patient received 12 weekly (non-standardized) acupuncture treatments in the clinic. The Traditional Chinese Medicine (TCM) diagnosis, the psychological assessment and the actiwatch data were compared before and after the acupuncture treatment.</P> <P><B>Results</B></P> <P>The TCM diagnosis revealed a Liver Fire pattern before the acupuncture treatment, which was still present, although to a lesser degree, after the treatment. The psychological assessment revealed no change in the positive symptoms, but a small decrease in the negative symptoms and the general psychopathology of the patient. This was further illustrated by the small decrease in the number of depressive symptoms. The subjective sleep disorders improved markedly after acupuncture treatment, but the daytime sleepiness did not. The actiwatch results showed that after acupuncture treatment, the patient was moving less during sleep, but no significant results were found for the other sleep parameters.</P> <P><B>Conclusion</B></P> <P>Acupuncture was found to be an effective non-pharmacological add-on method for treating subjective sleep disorders, and, to a lesser degree, objective sleep disorders and the negative symptoms of chronic schizophrenia. Future larger clinical trials with follow-up measurements are needed in order to replicate the present preliminary beneficial acupuncture findings and in order to determine whether the observed effects can be sustained.</P>
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Schizophrenia, Depression, and Sleep Disorders: Their Traditional Oriental Medicine Equivalents
Peggy Bosch,Peter de Rover,Heike Staudte,임사비나,Maurits van den Noort 사단법인약침학회 2015 Journal of Acupuncture & Meridian Studies Vol.8 No.1
Psychiatric disorders can be described and treated from both a Western (allopathic) and an Eastern perspective, which should be taken into account when conducting research. Patients with schizophrenia or depression are likely to be undergoing Western treatment when they are referred to an acupuncturist for (add-on) treatment, and knowledge of both types of treatments is necessary to integrate them successfully. In this study, the different traditional Oriental medicine (TOM) diagnostic patterns in patients with a Western diagnosis of schizophrenia, depression, or sleep disorders are described from a literature and a clinical perspective. The data on 30 depression and 30 schizophrenia patients from a German study are presented. Our results show that if a psychiatric group, sorted in accordance to Western diagnostic principles, is diagnosed on the basis of TOM diagnostic patterns, it can be categorized into different groups of patients with psychiatric disorders; this finding has far-reaching consequences in scientific research on acupuncture. Moreover, we found a high prevalence of sleep disorders in patients with both schizophrenia and depression, which could be explained from the perspective of a TOM diagnostic pattern. Finally, we discuss sleep quality as a treatment objective that may play a crucial role in mediating acupuncture-induced treatment effects in patients with schizophrenia and depression.
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