Lee Jieun, Wachholtz Amy, Choi Keum-Hyeong
Pohang University of Science and Technology, Pohang, South Korea.
University of Massachusetts Medical School, Worcester, MA, USA.
Asia Taepyongyang Sangdam Yongu. 2014 Jan;4(1):49. doi: 10.18401/2014.4.1.4.
The purpose of this paper is to review Hwa-Byung, a cultural syndrome specific to Koreans and Korean immigrants. Hwa-Byung is a unique diagnosis and differs from other disorders. However, Hwa-Byung has frequent comorbidity with other disorders such as anger disorders, generalized anxiety disorder, and major depressive disorder. There are several risk factors for Hwa-Byung including psychosocial stress caused by marital conflicts and conflicts with their in-laws. Previous interventions of the Hwa-Byung syndrome were based primarily on the medical model. Therefore, based on previous research, we present a new ecological model of Hwa-Byung. We also recommend some areas of future research as well as present some limitations of our ecological model. Finally, we discuss some treatment issues, particularly for Korean women in the United States.
本文旨在综述“火病”,这是一种韩国人和韩裔移民特有的文化综合征。“火病”是一种独特的诊断,与其他疾病不同。然而,“火病”常与其他疾病共病,如愤怒障碍、广泛性焦虑障碍和重度抑郁症。“火病”有多种风险因素,包括婚姻冲突和与姻亲的冲突所导致的心理社会压力。以往对“火病”综合征的干预主要基于医学模式。因此,基于以往的研究,我们提出了一种新的“火病”生态模型。我们还推荐了一些未来研究的领域,并指出了我们生态模型的一些局限性。最后,我们讨论了一些治疗问题,特别是针对美国的韩国女性。