회원학회

회원학회

번호 연구제목 연구자 연구기간 발표실적
내용
158 틱장애 아동 보호자의 일상 및 한의치료 이용 경험에 대한 질적 연구 윤석인, 서효원, 이미선, 홍성규, 정선용 2022-10-01 ~ 학회지
Objectives: To understand experiences of daily life and Korean medicine treatment process and perspectives of caregivers caring for children with tic disorder.
Methods: A semi-structured interview was conducted with caregivers of patients under 13 years who
were experiencing Korean medicine treatment for tic disorder. A total of five participants were
interviewed. The analysis was performed according to a four-step phenomenological method.
Results: The following four components were derived from the experience of caring for children with
tic disorder: general perception of tics, negative emotions caused by tics, social deprivation, and living
with a child with tics. The following four components were derived from Korean medicine treatment
experience for tic disorders: criteria for selecting treatment, awareness of Korean medicine, treatment
experience in Korean medicine, and what needs to be improved.
Conclusions: According to results of this study, caregivers caring for children with tic disorder experienced negative emotions such as frustration, guilt, and anxiety. They also experienced social deprivation such as stigma and prejudice. Korean medicine treatment can be an effective alternative for improving symptoms of tic disorders. The application of insurance benefits to Korean medicine is needed
for patients and caregivers to autonomously choose treatment.
157 CP 기반 정신 평가 및 진단을 위한 심리검사의 활용 홍성규, 이현우, 정선용, 김종우 2022-10-01 ~ 학회지
Objectives: For diagnosis and evaluation, evaluation tools are needed. Various tools can be used to diagnose and evaluate mental disorders. Among them, psychological tests are widely used. For Korean
Standard Classification of Diseases (KCD) diagnosis, psychological tests are also required. Currently developed critical pathway (CP) presented tools for diagnosis and evaluation of mental disorders. The CP
suggests the use of tools based on the Clinical Practice Guideline (CPG). Therefore, CPG-based tools
should be able to be used in the clinical scene of Korean Medicine for diagnosing and evaluating mental
disorders according to CP.
Methods: Tools suggested by CPs are summarized. The degree of utilization of tools in CPGs is also
summarized. A review was conducted by Korean Medicine neuropsychiatrist experts on tools and
user’s usage plan.
Results: As a result, developed CPs suggested using 19 tools for anxiety disorder, 13 tools for insomnia),
12 tools for Hwabyeong, and 9 tools for dementia. In CPG, 48, 34, 44, and 44 tools were used for anxiety
disorder, insomnia, Hwabyeong, and dementia, respectively. Among tools presented in CP, HAM-A,
HAM-D, CGI, SAS, and TESS for anxiety disorder, CPG, ISI, and PSQI for insomnia disorder, CPG, STAI,
and STAXI for Hwabyeong were frequently used in CPG. For dementia CPG, MoCA, MMSE, HDS, ADL,
and ADAS-cog were frequently used. Among them, MoCA, ADL, and ADAS-cog were suggested tools
in CP.
Conclusions: As a result of analyzing tools suggested and used in the developed CPs and CPGs, it was
verified that various tools were used in each study. Most of them were symptom and behavioral evaluation scales. Therefore, symptoms and behavior evaluation scales used more frequently should be able
to be used in the clinical scene of Korean Medicine
156 Efficacy and Safety of Banhahubak-Tang for Depression Treatment: Study Protocol for a Randomized, Waitlist-Controlled Trial Seung-Ho Lee. Yunna Kim. Seung-Hun Cho Dohyung Kwon, 2022-10-01 ~ 학회지
Objectives:
Depression is a highly prevalent disease, and the market for antidepressant drugs continues to grow at a steady rate. Although current antidepressants are reported to be effective, because of their low remission rate and side effects, new antidepressants are needed. The use of Banhahubak-tang (BHT) to treat the symptoms of depression is supported by experimental evidence. The proposed study will evaluate the efficacy and safety of BHT in treating depression.
Methods:
A randomized, waitlist-controlled, parallel clinical trial will be conducted to assess the efficacy of BHT in depression. A total of 84 participants with depression will be randomized into the intervention group or waitlist-control group at a 1:1 ratio. Patients in the intervention group will be administered BHT three times a day for four weeks and followed up for four more weeks after therapy completion. Patients in the waitlist-control group will undergo the same intervention and follow-up after a four-week waiting period. The primary outcome is change in the Korean version of the Hamilton Depression Rating Scale (K-HDRS) scores for major depressive disorders after four weeks. The secondary outcomes include scores on the K-HDRS, Korean Symptom Check List 95 (KSCL-95), Insomnia Severity Index (ISI), State-Trait Anxiety Inventory-Korean version (STAI-K), State-Trait Anger Expression Inventory-Korean version (STAXI-K), and the Instrument on Pattern Identifications for Depression and EuroQol-5 Dimension (EQ-5D).
Conclusions:
This trial will provide high-quality clinical evidence of the efficacy and safety of BHT in the management of depression
155 The Effect of Alternative Medicine on Quality-of-Life Outcomes for Dementia Patients: A Systematic Review and Meta-Analysis So Young Lee, In Chul Jung, Eun Cho 2022-10-01 ~ 학회지
Objectives: As effective treatments for dementia are lacking in Western medicine, complementary and
alternative medicine (CAM) is considered a useful option. While the quality of life (QoL) is a vital outcome for patients with dementia, the QoL of patients receiving CAM for dementia remains ambiguous.
This study aimed to determine the effect of CAM on QoL outcomes in dementia patients.
Methods: A search was performed using the keywords “dementia,” “Alzheimer’s,” “cognitive impairment,” “Chinese,” “Korean,” “oriental,” “herbal,” “acupuncture,” and “quality of life”. All quantitative data were synthesized using R version 4.1.1.
Results: Twenty-five randomized controlled trials (RCTs), 16 pre-post trials, and two cohort studies
were selected for the systematic review. QoL in Alzheimer’s disease (QOL-AD) (n=11, 25.6%) and geriatric QoL in dementia (GQOL-D, n=9, 20.9%) were the most utilized QoL instruments. Significant benefits in QoL were observed after receiving mind, body, combined mind and body, nursing, oriental medicine, and acupuncture therapies. In the meta-analysis, the combined effect was shown to significantly
increase QOL-AD compared to before CAM interventions (standardized mean difference, SMD: 0.507;
95% confidence interval (CI), 0.191∼0.824; p<0.01). The overall synthesized estimates in the GQOL-D
showed a significantly improved QoL (SMD: 0.537, 95% CI: 0.238∼0.837 p<0.01; one group; SMD:
1.465, 95% CI: 0.934∼1.996, p<0.01). The seven studies assessing the cost-effectiveness of CAM reported uncertain outcomes.
Conclusions: This study showed that CAM interventions benefited patients with dementia by improving their QoL. While additional standardized research is required, CAMs are suggested as effective clinical management for patients with dementia. They are also suggested as complementing therapies for
these patients.