공황장애 환자에 대한 복합한의진료 및 M&L 심리치료 적용 경과: 증례보고 = Application of Complex Korean Medicine Therapy and M&L Psychotherapy to Patient with Panic Disorder: A Case Report

다국어 초록 (Multilingual Abstract)

Objectives: The objective of this study was to report the clinical effectiveness of the complex Korean medicine therapy and M&L (Mindfulness & Loving presence) psychotherapy on the patient with panic disorder.
Methods: The subject for this study was the patient diagnosed with panic disorder who complained about intermittent panic attack and accompanying insomnia. During the treatment period, the patient received complex Korean therapy and M&L psychotherapy. The clinical effects were evaluated through Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HDRS), State-Trait Anxiety Inventory (STAI), Panic Disorder Severity Scale (PDSS), and Pittsburgh Sleep Quality Index (PSQI).
Results: After the complex Korean medicine therapy and M&L psychotherapy, the overall symptoms of depression, anxiety, panic disorder and insomnia of the patient were lessened in a relatively short period. No specificities or adverse effects were reported during the treatment period.
Conclusions: This study established that the complex Korean medicine therapy and M&L psychotherapy was effective in treating patients with panic disorder.

참고문헌 (Reference)

1 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구" 대한신경정신의학회 44 (44): 456-465, 2005

2 이성용, "마음챙김 명상과 이정변기요법을 이용한 공황장애 그룹치료 효과에 대한 임상적 고찰" 대한한방신경정신과학회 25 (25): 319-332, 2014

3 유수양, "마음의 방 그리기에 관한 양적, 질적 분석 연구" 대한한방신경정신과학회 28 (28): 275-286, 2017

4 이상원, "공황장애 환자에게 EFT요법과 한방치료를 병행하여 치료한 치험 3례" 대한한방신경정신과학회 25 (25): 13-28, 2014

5 Wu F, "Wen-dan decoction improves negative emotions in sleep-deprived rats by regulating orexin-a and leptin expression" 2014 : 872547-, 2014

6 Xiaojia Ni, "Traditional Use of Chinese Herbal Medicine for Insomnia and Priorities Setting of Future Clinical Research" Mary Ann Liebert Inc 25 (25): 8-15, 2019

7 Sohn SI, "The reliability and validity of the Korean version of the Pittsburgh Sleep Quality Index" 16 (16): 803-812, 2012

8 Buysse DJ, "The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research" 28 (28): 193-213, 1989

9 Michael B. First, "Structured Clinical Interview for Dsm-5disorders Clinician Version" Hakjisa 63-66, 2017

10 Zimmerman M, "Severity classification on the Hamilton Depression Rating Scale" 150 (150): 384-388, 2013

11 Lee MK, "Reliability and Factor Analysis – A Standardization Study of Beck Depression Inventory 1-Korean Version(K-BDI)" 4 (4): 77-95, 1995

12 Kang EH, "Panic disorder and health-related quality of life: the predictive roles of anxiety sensitivity and trait anxiety" 225 (225): 157-163, 2015

13 Julian LJ, "Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A)" 63 (63): S467-S472, 2011

14 Cao JX, "Hypnotic effect of jujubosides from Semen Ziziphi Spinosae" 130 (130): 163-166, 2010

15 Liu L, "Herbal Medicine for Anxiety, Depression and Insomnia" 13 (13): 481-493, 2015

16 Furukawa TA, "Evidence-based guidelines for interpretation of the Panic Disorder Severity Scale" 26 (26): 922-929, 2009

17 Yuan Q, "Effect of Jin-3-needling therapy on plasma corticosteroid, adrenocorticotrophic hormone and platelet 5-HT levels in patients with generalized anxiety disorder" 13 (13): 264-268, 2007

18 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" American Psychiatric Association 208-214, 2013

19 Locke AB, "Diagnosis and management of generalized anxiety disorder and panic disorder in adults" 91 (91): 617-624, 2015

20 Kim JB, "Development of the Korean Version of the Panic Disorder Severity Scale" 10 (10): 140-151, 2001

21 de Jonge P, "Cross-national epidemiology of panic disorder and panic attacks in the world mental health surveys" 33 (33): 1155-1177, 2016

22 Berko EH, "Behavioral Health Consult: Ensuring prompt recognition and treatment of panic disorder" 66 (66): 750-753, 2017

23 Han H, "Anxiolytic-like effects of sanjoinine A isolated from Zizyphi Spinosi Semen: possible involvement of GABAergic transmission" 92 (92): 206-213, 2009

24 Amorim D, "Acupuncture and electroacupuncture for anxiety disorders: A systematic review of the clinical research" 31 : 31-37, 2018

25 Williams JB, "A structured interview guide for the Hamilton Depression Rating Scale" 45 (45): 742-747, 1988

26 Chen JL, "42 cases of Shiwei Wendan Decoction for Premature beat" 23 (23): 461-, 1996

27 Zhang CL, "40 Cases of Generalized Anxiety Disorder Treated with Shiwei Wendan Decoction" 34 (34): 1343-, 2014

28 Zhu YX, "30 cases of Shiwei Wendan Decoction for Insomnia of Heart, Gallbladder and Qi Deficiency and Phlegm Disturbance Type" 33 (33): 48-, 2011