Seo Sang-Il, Choi Sung-Youl, Kim Eun-Jung, Koo Byung-Soo, Won-Jung Hyo, Lee Gun-Hee, Kim Geun-Woo
Department of Neuropsychiatry, Dong-Guk University Bundang Korean Medicine Hospital, 268, Buljeong-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 13601, Republic of Korea.
Department of Neuropsychiatry, College of Korean Medicine, Gachon University, 1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do 13120, Republic of Korea.
Evid Based Complement Alternat Med. 2020 Oct 5;2020:3140764. doi: 10.1155/2020/3140764. eCollection 2020.
Anxiety disorder is known as the most common disease among psychiatric disorders. However, many studies have not been conducted in the Korean medicine area. This study explores the current state of anxiety disorder treatments of Korean medicine through a survey research. The survey for Korean medicine doctors (KMDs) on Korean medicine (KM) diagnosis and treatments for anxiety disorder was conducted online from December 21, 2016, to December 29, 2016. The results were divided into two groups, KMDs and Korean medicine neuropsychiatric specialists (KMNPS), and comparatively analyzed. Self-evaluation and counseling were the most common in both diagnostic methods and evaluation of treatment effects, and KMNPS tended to make extensive use of objective indicators. There was no difference in the rate of psychiatric medication use among the patients between KMD and KMNPS. The main reason for patients wanting KM treatment was the tapering cessation of psychiatric medications. The most common treatments were acupuncture, herbal medicine, and moxibustion, in addition to dry cupping in KMD and psychotherapy in KMNPS. The most important factor for treatment was herbal medicine treatment, followed by rapport formation in KMD and patient's temperament in KMNPS. Opinions on various items were presented as treatment barriers, and KMNPS tended to think more importantly about the patient's family problems. For the items to be additionally trained in the future, KMD chose the diagnostic tools and KMNPS chose psychotherapies. This study is the first study to analyze the clinical patterns for anxiety disorder in KMDs. KMD and KMNPS showed similar patterns in the perception, diagnosis, and treatment of anxiety disorders, but KMNPS tended to use objective indicators and psychotherapy more actively. Further clinical studies for the development of clinical guidelines should be additionally required.
焦虑症被认为是精神疾病中最常见的疾病。然而，在韩医学领域尚未开展许多研究。本研究通过一项调查研究探讨韩医学对焦虑症的治疗现状。2016年12月21日至2016年12月29日对韩医（KMD）进行了关于韩医学对焦虑症的诊断和治疗的在线调查。结果分为两组，韩医和韩医神经精神科专家（KMNPS），并进行了比较分析。在诊断方法和治疗效果评估中，自我评估和咨询最为常见，并且韩医神经精神科专家倾向于广泛使用客观指标。韩医和韩医神经精神科专家的患者中使用精神科药物的比例没有差异。患者希望接受韩医学治疗的主要原因是逐渐停用精神科药物。最常见的治疗方法是针灸、草药和艾灸，此外韩医还包括拔罐，韩医神经精神科专家还包括心理治疗。治疗最重要的因素在韩医中是草药治疗，其次是建立融洽关系；在韩医神经精神科专家中是患者的气质。针对各种项目提出了作为治疗障碍的意见，并且韩医神经精神科专家倾向于更重视患者的家庭问题。对于未来需要额外培训的项目，韩医选择诊断工具，韩医神经精神科专家选择心理治疗方法。本研究是第一项分析韩医对焦虑症临床模式的研究。韩医和韩医神经精神科专家在焦虑症的认知、诊断和治疗方面表现出相似的模式，但韩医神经精神科专家倾向于更积极地使用客观指标和心理治疗。还需要进一步开展临床研究以制定临床指南。
