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대한한방신경정신과학회> 동의신경정신과학회지

동의신경정신과학회지 update

Journal of Oriental Neuropsychiatry

  • : 대한한방신경정신과학회
  • : 의약학분야  >  기초한의학
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수록정보
수록범위 : 1권1호(1990)~30권3호(2019) |수록논문 수 : 958
동의신경정신과학회지
30권3호(2019년 09월) 수록논문
최근 권호 논문
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KCI등재

1한의학 임상현장에서의 철학 상담의 적용: 제언과 사례분석

저자 : 김종우 ( Jong-woo Kim ) , 곽희용 ( Hui-yong Kwak ) , 정선용 ( Sun-yong Chung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 119-128 (10 pages)

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Objectives: This study suggests the application of philosophical counseling in the clinical field of Korean medicine and analyze the specific case.
Methods: Through the analysis of coexisting factors of Korean medicine and philosophical counseling, we establish the area of philosophical counseling that Korean medicine practitioner can apply in the medical field. We described effects of philosophical counseling on the patient's symptom and the progress after discharge through a counseling approach based on philosophical questions.
Results: During philosophical counseling, the Korean medical doctor asks questions about the nature of suffering and encourages patients to gain insight into their problems. In answering the vital philosophical questions, the patient leads to a creative interpretation of future life directions. We described the method of specific approaches through the description of the two cases.
Conclusions: The philosophical counseling is compatible with the concept of Korean medicine, therefore, a Korean medicine practitioner can induce the recovery of mind and body through the creative interpretation of the patient by asking the patient the appropriate question which causes reflective thinking.

KCI등재

2철학상담을 적용한 여성화병환자 사례보고 - 자아정체성에 기반한 철학상담을 중심으로 -

저자 : 배은주 ( Eun-joo Bae ) , 서효원 ( Hyo-weon Suh ) , 김종우 ( Jong Woo Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 129-140 (12 pages)

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Objectives: The purpose of this paper is to report the results of applying philosophical counseling to Hwabyung.
Methods: At the time of the medical examination, 15 minutes or more of philosophical counselling method based on self-identity was conducted if possible. Additionally, We applied Hwabyung treatment guidelines (acupuncture, herbal medicine, etc.) to the patient If diagnosed as necessary. We evaluated visual Analogue Scale (VAS), Hwabyung scale, and Symptom Checklist 90-Revision (SCL 90-R) at baseline, and reassessed VAS and Hwabyung scale after about two weeks of treatments.
Results: After about two weeks of treatment and philosophical counselling, VAS was between 10 to 1-2 and Hwabyung scale from 59 to 48. Also, the problem of fragmentation in the patient's life process was insighted, and the viewpoint was changed.
Conclusions: It is useful to combine Korean traditional medical treatment with philosophical counselling method based on self identity for patients suffering from the Hwabyung. To Hwabyung patient, the view of philosophical counselling of feminism which understands women in political and cultural contexts is helpful.

KCI등재

3국내 학술지에 보고된 철학상담 사례의 대화 분석

저자 : 서효원 ( Hyo-weon Suh ) , 권찬영 ( Chan-young Kwon ) , 김종우 ( Jong Woo Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 141-152 (12 pages)

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Objectives: We analyzed the reports of philosophical counseling and derived the characteristics of the questions that were administered in philosophical counseling. We also wanted to discuss if philosophical questions are necessary and applicable in Oriental medicine counseling.
Methods: A systematic search of three Korean databases were performed. Case reports or case series that apply philosophical counseling to clients were included in this study (through June 27, 2019). We extracted questions and answers from the dialogue of each case. Extracted conversations between counselor and client were analyzed qualitatively.
Results: Seven published articles with 17 cases were included and were analyzed for philosophical counseling. Philosophical questions have the following characteristics to help clients: (1) To clarify the phenomenon, (2) To identify subject and object, (3) To consider other people's perspective, (4) To review the premise, (5) To review the association relationship (6) To allow opportunities to think differently, and (7) To think of identity and values. Philosophical counseling and Korean medical counseling have commonalities in improving patients' resilience through logical conversation. The use of philosophical counseling in Korean medical counseling will maximize clients' philosophical resilience and the reparative power of nature. Thus, it is desirable to apply philosophical counseling to the practice of Korean medicine (KM).
Conclusions: Through the qualitative analysis, we analyzed and categorized major characteristics of philosophical counseling. In the future, the possibility of using philosophical counseling should be explored in the KM practice.

KCI등재

4핵심감정척도와 다면성 인성검사의 상관성연구

저자 : 허은정 ( Eun-jung Heo ) , 이가원 ( Ga-won Lee ) , 이나현 ( Na-hyun Lee ) , 정문주 ( Moon-ju Cheong ) , 유영수 ( Yeoung-su Lyu ) , 강형원 ( Hyung-won Kang )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 153-164 (12 pages)

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Objectives: The purpose of this study was to examine the correlation between CSEI (The Core Seven- Emotions Inventory) and MMPI-2 (Minnesota Multiphasic Personality Inventory-2).
Methods: We analyzed the correlation between students' demographic characteristics, blood type, MMPI-2, and CSEI using the SPSS (Statistical Package for the Social Science) 24.0. Descriptive Statistical Analysis, independent t-test, analysis of variance (ANOVA), subsequent analysis duncan (post hoc multiple comparison), and correlation analysis were conducted.
Results: 1. According to the demographic characteristics of 91 participants in this study: 60 males (65.9%), 88 unmarried (96.7%), 58 without religion (63.7%), 54 who have experienced stress in the last three months (59.4%), and 82 in their 20s (90.1%) comprised the majority. 2. As a result of verifying correlation by subfactors of CSEI, Hui (喜) showed statistically significant negative correlation with U (憂), Bi (悲), and Gong (恐). Six emotions except Hui (喜) showed statistically significant positive correlation, except for the relationship between U (憂) and Kyeong (驚). 3. Hui (喜) of CSEI had negative correlation with eight factors of MMPI-2 Clinical Scales except Pa (Paranoia) and Ma (Hypomania), whereas Bi (悲) had positive correlation with nine factors of MMPI-2 clinical scales except Mf (Masculinity- Femininity). Sa (思), Bi (悲), and Gong (恐) had similar tendency of positive correlation with six factors of MMPI-2 Restructured Clinical Scales.
Conclusions: Based on the above results, we concluded that CSEI's sub factors had consistent correlations with MMPI-2. Thus, CSEI could contribute to psychiatry clinical use.

KCI등재

5발병기간 1년 이내 뇌졸중 환자의 핵심 감정척도 단축형을 활용한 정서적 특성 연구

저자 : 손성은 ( Sung Eun Son ) , 이가원 ( Ga Won Lee ) , 이나현 ( Na Hyun Lee ) , 채한나 ( Han Nah Chae ) , 정문주 ( Moon Ju Cheong ) , 강형원 ( Hyung Won Kang ) , 유영수 ( Yeoung Su Lyu )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 165-175 (11 pages)

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Objectives: This study was conducted to investigate the emotional characteristics of the patients within one year after stroke using the Core Seven Emotions Inventory-Short Form.
Methods: It analyzed the medical records of 39 stroke patients who had visited W University hospital and completed the Core Seven-Emotions Inventory-Short Form (CSEI-S), the K-MBI, the PWI-SF, and the HADS. Patients data were analyzed by descriptive analysis, frequency analysis, the Mann-Whitney U test, and the nonparametric test of the CSEI according to the period of stroke onset in patients and Spearman's correlation analysis using the SPSS (Statistical Package for the Social Science, IBM, United States of America) Version 23.0.
Results: First, in the case of depression, all subjects were in the danger group, although more than half of the joy, anger, thinking, sadness and fear were included in the normal group in the shortening of the key seven-point scale. Secondly, in measuring the social and psychological stress and hospital anxiety and depression, social and psychological stress were indicated to be a potential danger group, while anxiety and depression were shown to be a healthy group. Thirdly, the emotional characteristics were explored according to the sub-factor of the shortening of the key seven-figure emotional scale after being classified within two months, between two and six months and over six months depending on the duration of the outbreak. As a result, statistically significant, Joy was the highest score over six months and the lowest score between two and six months. On the other hand, the case of depression was depicted to be significantly lower at over six months, and was highest between two and six months. Finally, the correlations on each scale were statistically significant.
Conclusions: This study provided that the CSEI-S can be used to simply to measure the emotions of patients according to the period of the onset of stroke in the clinical scene.

KCI등재

6역할극의 참여방식에 따른 한의대생의 의사소통 및 진료기술 수준에 대한 연구

저자 : 김경수 ( Kyung-soo Kim ) , 정서윤 ( Seo-yun Jeong ) , 김경옥 ( Kyeong-ok Kim )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 177-184 (8 pages)

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Objectives: This purpose of this study was to examine the level of communication and clinical skills of Korean medical students according to the participatory method of role playing during medical education.
Methods: A total of 100 fourth grade students from the Korean Medical College of Dongshin University in 2018 and 2019 were divided into two groups: Role players and scenario writers. After performing their role-playing, they were asked to complete questionnaires regarding two categories- communication and clinical skills-, consisting of 10 items.
Results: 1. Communication skills were measured at approximately 80% of the expected level, and the level difference was shown in detail. 2. Clinical skills were measured at approximately 75% of the expected level, and the level difference was shown in detail. 3. The level of communication skills and the level of clinical skills according to the participatory method did not differ significantly.
Conclusions: Writing scenarios in role playing can be observed as having the same effect on communication and clinical skill levels as acting.

KCI등재

7지역사회 거주 경도인지장애 노인들을 대상으로 시행한 한의치료의 보고: 인지기능을 중심으로

저자 : 김윤나 ( Yun-na Kim ) , 배준상 ( Joon-sang Bae ) , 엄윤지 ( Yoon-ji Eom ) , 이경석 ( Kyung-seok Lee ) , 윤현민 ( Hyun-min Yoon ) , 조성훈 ( Seung-hun Cho )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 185-198 (14 pages)

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Objectives: The purpose of this study was to identify the effectiveness of Korean medicine treatment in mild cognitive impairment (MCI) among a group of community dwelling elderly.
Methods: Two-hundred and twenty-nine elderly living in a community and diagnosed with MCI were recruited. Participants were evaluated with various instruments such as the Korean version of Mini- Mental State Examination for Dementia Screening (MMSE-DS) and the Korean version of Montreal Cognitive Assessment (MoCA-K). Korean medicine treatment consisted of herbal medicine, acupuncture, and pharmacoacupuncture. The change in cognitive ability was assessed by using the MMSE-DS and the MoCA-K. Data were analyzed by SPSS/WIN 22.0 using the paired t-test, and the ANOVA.
Results: The MMSE-DS and the MoCA-K score generally increased after six months of Korean medicine treatment and the differences in both instruments were statistically significant. Additionally, some consecutive participants maintained long-term cognitive improvement. When analyzed specifically by herbal medicine group based on syndrome differentiation and pharmacoacupuncture group, most showed improvement in the MMSE-DS and the MoCA-K but not all data were statistically significant. The satisfaction score was mostly high and most participants were willing to re-participate in the program.
Conclusions: Korean medicine treatment may contribute to the improvement and prevention of cognitive decline in the elderly. However, further systematic research based on large scale sample data and standardized protocols is needed to uplift the welfare and mental health of the elderly.

KCI등재

8SH-SY5Y 세포에서 도네페질과 병용투여시 신경보호 효과를 나타내는 한약재의 in vitro 선별 연구

저자 : 송수진 ( Sue-jin Song ) , 류천봉 ( Quan Feng Liu ) , 홍민호 ( Min-ho Hong ) , 김근우 ( Geun-woo Kim ) , 구병수 ( Byung-soo Koo )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 199-207 (9 pages)

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Objectives: The purpose of this study was to evaluate the neuroprotective effects of donepezil and 33 kinds of herbal extract combinations in SH-SY5Y cells with Aβ 25-35 treatment.
Methods: MTT assay was performed to measure the cell viability of each herbal extract combined with donepezil against Aβ-induced neurotoxicity. The most active extracts were then subjected to assess the effects on CREB phosphorylation and COX-2 expressions through the western blot analysis.
Results: There were eight herbal extracts representing significant increase on the cell viability: 1) Erycibe obtusifolia, 2) Polygonum multiflorum, 3) Polygala tenuifolia, 4) Illicium verum, 5) Santalum album, 6) Loranthus parasticus, 7) Platycladus orientalis, and 8) Zanthoxylum piperitum. Especially, when Santalum album and donepezil were treated together, the phosphorylation of CREB significantly increased and COX-2 protein expression was significantly inhibited.
Conclusions: Among the screened herbal extracts, combination treatment of each of the eight herbs and donepezil showed neuroprotective effects in SH-SY5Y cells. Additionally, the combination of Santalum album and donepezil suggested cognitive improvement by up-regulation of p-CREB and down-regulation of COX-2.

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9만성구속스트레스 동물모델에 대한 JG02의 항우울 효과

저자 : 유동근 ( Dong Keun You ) , 서영경 ( Young Kyung Seo ) , 이지윤 ( Ji-yoon Lee ) , 김주연 ( Ju Yeon Kim ) , 정진형 ( Jin-hyeong Jung ) , 최정준 ( Jeong June Choi ) , 정인철 ( In Chul Jung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 209-220 (12 pages)

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Objectives: As a general emotion, everyone can temporarily experience depression, but depressive disorder is a disease that excessively affects daily life. Among the various causes of depression, the deficiency of monoamine-based neurotransmitters such as serotonin and epinephrine are considered significant. Thus, antidepressants that target monoamines are used frequently. However, side effects such as nausea, vomiting, insomnia, anxiety, and sexual dysfunction are observed. Thus, it is necessary to develop a new therapeutic agent with fewer side effects. In this study, we investigated the antidepressant effect of JG02, used to treat depression by normalizing the flow of qi (氣) in Korean medicine.
Methods: C57BL/6 mice were selected and randomly divided into six groups: normal, control, amitriptyline, and JG02 (50, 125, 250 ㎎/㎏), respectively. Except for normal, depression was induced by applying restraint stress at the same time for six hours daily for 14 consecutive days. Saline, amitriptyline or JG02 samples were orally administered two hours before applying the stress. After that, a forced swimming test and an open field test were performed. Additionally, serum corticosterone, serotonin mRNA, BDNF mRNA, and protein in the hippocampal region were measured and compared.
Results: JG02 decreased immobility time rate in the FST and increased the zone transition number and travel distance in the OFT. Also, JG02 inhibited the release of serum corticosterone, and increased serotonin, BDNF gene expression, and BDNF protein in the hippocampus.
Conclusions: In this study, JG02 showed significant antidepressant effects on the chronic restraint stress mice model. When further research is performed based on JG02, the development of a new antidepressant is considered highly possible.

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10Scopolamine 유발 기억력 손상 마우스 모델에서 분심기음의 항산화 및 기억력 감퇴 억제 효과

저자 : 한다영 ( Da-young Han ) , 유옥철 ( Ok-cheol Yu ) , 김상호 ( Sang-ho Kim ) , 정대규 ( Dae-kyoo Chung )

발행기관 : 대한한방신경정신과학회 간행물 : 동의신경정신과학회지 30권 3호 발행 연도 : 2019 페이지 : pp. 221-235 (15 pages)

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Objectives: The purpose of this study was to confirm the anti-amnesic effects of Bunsimgieum (BSGE) through its favorable acetylcholine (ACh) and, acetylcholinesterase (AChE) activity, choline acetyltransferase (ChAT) mRNA expressions, and antioxidant effect on scopolamine (Sco)-induced memory impairment in C57BL/6 mice.
Methods: Six groups, a total of 20 intact or 100 Sco-induced mice were used in this study, based on their body weight. Half of each group underwent passive avoidance tests and the measurement of hippocampus AChE activity, ACh content, and ChAT mRNA expression, The remaining half of each group underwent a Morris water-maze test and antioxidant defense system measurement as well.
Results: Significant reductions in the step-through latency times from the passive avoidance test and reductions in the escape latency times from the Morris water-maze test were observed with increases of hippocampal AChE activities and, reductions in ACh contents and ChAT mRNA expression in hippocampus, as a result of Sco intraperitoneal treatment, in this study. Additionally, the increases in cerebral cortical MDA levels and, reductions in GSH contents, SOD activities, and CAT activities were demonstrated in the Sco control mice compared with the intact vehicle control mice, respectively. However, 28 days of consecutive oral pre-treatment of BSGE hot water extracts of 400, 200, and 100 mg/kg, respectively, markedly and dose-dependently inhibited Sco treatment-related amnesia.
Conclusions: The results demonstrate that the oral administration of BSGE hot water extracts reduces Sco-induced memory impairment, through preserving ACh, related to ChAT mRNA expressions, causes AChE inhibition, and enhances the cerebral antioxidant defense system.

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