Ok Ji-Myung, Park Young-Jae
Department of Human Informatics of Korean Medicine, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
Department of Biofunctional Medicine and Diagnostics, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea.
Evid Based Complement Alternat Med. 2020 Sep 19;2020:9614574. doi: 10.1155/2020/9614574. eCollection 2020.
Dysfunctional breathing (DB) is characterized by abnormal breathing patterns and often results from psychogenic causes in the absence of organic diseases. Although acupuncture and herbal treatments have been suggested as alternative therapies for DB, few studies have addressed the relationship between DB and pathological patterns from a diagnostic perspective. We asked 237 college students (130 men aged 21.4 ± 1.9 years; 107 women aged 21.4 ± 3.0 years) to complete the Korean version of the General Health Questionnaire-30 (K-GHQ-30) and four validated pathological pattern questionnaires regarding qi and yin deficiencies, phlegm, and cold-heat patterns. The Korean version of the Nijmegen Questionnaire was used to classify participants into DB and non-DB groups. Effects of age, gender, and DB on pathological patterns were examined using simple regression and two-way MANCOVA models. Age had an effect on all pattern scores except heat pattern scores (: 0.154-0.098). DB group showed a moderate main effect ( = 0.167) on pathological patterns, while gender showed a minimal main effect ( = 0.096); qi and yin deficiencies, phlegm, and cold-heat pattern scores in DB and female groups were higher than those in non-DB and male groups. The K-GHQ-30 scores showed significant positive correlations with the pathological pattern scores (: 0.243-0.533), indicating that disruption of pathological patterns could be associated with patients' psychological disturbance. In conclusion, these questionnaires may help to identify pathological patterns related to DB and determine individually tailored alternative therapies.
功能性呼吸障碍(DB)的特征是呼吸模式异常,通常由心理因素引起,且不存在器质性疾病。尽管针灸和草药治疗已被提议作为DB的替代疗法,但从诊断角度探讨DB与病理模式之间关系的研究较少。我们让237名大学生(130名男性,年龄21.4±1.9岁;107名女性,年龄21.4±3.0岁)完成韩国版一般健康问卷-30(K-GHQ-30)以及四份关于气虚、阴虚、痰湿和寒热证型的有效病理证型问卷。使用韩国版奈梅亨问卷将参与者分为DB组和非DB组。采用简单回归和双向协方差分析模型检验年龄、性别和DB对病理证型的影响。年龄对除热证型评分外的所有证型评分均有影响(范围:0.154 - 0.098)。DB组在病理证型上显示出中度主效应(F = 0.167),而性别显示出最小主效应(F = 0.096);DB组和女性组的气虚、阴虚、痰湿和寒热证型评分高于非DB组和男性组。K-GHQ-30评分与病理证型评分呈显著正相关(范围:0.243 - 0.533),表明病理证型的紊乱可能与患者的心理障碍有关。总之,这些问卷可能有助于识别与DB相关的病理证型,并确定个性化的替代疗法。