Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Reliability and Validity Analysis of the Instrument of Oriental Medical Evaluation for Hwa-Byung

화병 한의 평가도구의 신뢰도, 타당도 평가

  • Lee, Hun-Soo (Department of Oriental Neuropsychiatry, College of Oriental Medicine, Daejeon University) ;
  • Choi, Woo-Chang (Department of Oriental Neuropsychiatry, College of Oriental Medicine, Daejeon University) ;
  • Yu, Yun-Seon (Department of Oriental Neuropsychiatry, College of Oriental Medicine, Daejeon University) ;
  • Kang, Wee-Chang (Department of Business and Information Statistics, College of Business Administration, Daejeon University) ;
  • Jung, In-Chul (Department of Oriental Neuropsychiatry, College of Oriental Medicine, Daejeon University)
  • 이헌수 (대전대학교 한의과대학 신경정신과학교실) ;
  • 최우창 (대전대학교 한의과대학 신경정신과학교실) ;
  • 유윤선 (대전대학교 한의과대학 신경정신과학교실) ;
  • 강위창 (대전대학교 경영대학 비즈니스정보통계학과) ;
  • 정인철 (대전대학교 한의과대학 신경정신과학교실)
  • Received : 2014.11.21
  • Accepted : 2014.12.08
  • Published : 2014.12.30
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Abstract

Objectives: This study was performed to evaluate the reliability and validity of the instrument of oriental medical evaluation for Hwa-byung. Methods: 97 participants diagnosed with Hwa-byung divided into 5 pattern identifications by the instrument on pattern identifications for Hwa-byung were tested by the instrument of oriental medical evaluation for Hwa-byung twice a week. Results: The intraclass correlation coefficient of the test-retest analysis of oriental medical evaluation for Hwa-byung had over moderate agreement. The intraclass correlation coefficient of test-retest analysis of evaluation index of symptoms had moderate agreement for the total symptoms, and fair agreement for the physical and mental symptoms. The validity analysis of the instrument represented a positive correlation in the pattern identification of stagnation of liver Gi, malfunction of gallbladder due to phlegm stagnation, and disharmony between heart and kidneys. Conclusions: The results showed that the reliability analysis of the instrument of oriental medical evaluation for Hwa-byung showed over moderate agreement, and validity analysis represented a positive correlation except for the pattern identification of flare-up of liver fire and deficiency of both Gi and blood.

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References

  1. The Textbook Compilation Committee of Neuropsychiatry of Oriental Schools in Nation. The Neuropsychiatry of Oriental Medicine. Seoul: Jipmoon-Dang; 2007:215-26
  2. Min SG, Nam KK, Lee HY. An Epidemiological Study on Hwabyung. J Korean Neuropsychiatry Assoc. 1990;29(4): 867-74.
  3. Kim JS, Stressful company, in Healthmedi; 2008.
  4. American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorder, Fourth Edition. 1997
  5. Min SK. A study of the Concept of Hwabyung. Journal of the Korean Neuropsychiatric Association. 1989;28(4): 604-16.
  6. Munhwa ilbo. Men Hwabyung Increased. 2013.11.26.
  7. Chung SY, Song SY, Kim JW. Clinical Guidelines for Hwabyung II. (Research on the Status of Hwabyung in Korea). J of Oriental Neuropsychiatry. 2013;24(Special 1):15-22 https://doi.org/10.7231/jon.2013.24.Spc1.015
  8. Kim JW, Hyun KC, Whang WW. A Study on the Origin of Hwabyung (Fire Syndrome). Journal of Oriental Neuropsychiatry. 1999;10(1):205-16.
  9. Kim JW, Whang WW. ''HWABYUNG'' in the View of Oriental Medinine. Journal of Oriental Neuropsychiatry. 1994;5(1):9-15.
  10. Min SK, Soh EH, Byun YU. The Concept of Hwabyung of Korean Psychiatrists and Herb Physicians. Journal of the Korean Neuropsychiatric Association. 1989;28(1):146-54.
  11. Lee SK, Kim JW, Whang WW. A Case Study on Hwabyung. Journal of Oriental Neuropsychiatry. 1996;7(1):173-80.
  12. Ji SE, Kim JW, Whang WW, Cho HS. The Study on the Clinical Aspects of Hwabyung Patients. Journal of Oriental Neuropsychiatry. 1997;8(2):63-84.
  13. Kim TH, Ryu YS. The clinical study of Digital Infrared Thermographic Imaging on Hwa-byung patients. 1999; 10(1):133-46.
  14. An BS, Lee BR. A Casuistics of Two Whabyong Cases by Simseunggyok of the Saam Acupuncture. Journal of Research Institute of Oriental Medicine in Daejeon University. 2002;11(1):151-62.
  15. Kim JW, An DJ, Lee SY, Wang DJ, Lee JY, Kang HW. A clinical report of Hwa-byeong with Jahageo Herbal acupuncture therapy. Journal of Oriental Neuropsychiatry. 2005;16(1):211-20.
  16. Choi WJ, Lee SK, Son IB, Sun SH. The effects of Sa-am Acupuncture Simpojeongkyeok Treatment on Hwa-byung : Randomized, patient-assessor blind, placebo-controlled acupuncture, pilot clinical trial. Journal of Oriental Neuropsychiatry. 2011;22(2):1-13
  17. Lee GE, Kim NK, Kim HY, Kang HW. The Effects of Acupuncture Treatment on Hwa-byung patient's Insomnia: Patient-assessor blind, Randomized, Placebo-controlled Clinical trial. Journal of Oriental Neuropsychiatry. 2012; 23(1):31-48. https://doi.org/10.7231/JON.2012.23.1.031
  18. Song SY, Cho HJ, Kim SY, Kim JW. Qualitative Analysis of the Experiences in Mindfulness-Based Stress Reduction (MBSR) on Hwa-Byung Patients. Journal of Oriental Neuropsychiatry. 2012;23(4):153-68. https://doi.org/10.7231/jon.2012.23.4.153
  19. Choi WC, Park DM, Lee SR, Kang WC, Jung IC. Interim Report about The Effect of Sihogayonggolmoryeo-tang on the Anxiety of Hwa-byung. Journal of Oriental Neuropsychiatry. 2012;23(4):133-52. https://doi.org/10.7231/jon.2012.23.4.133
  20. Jung DJ, Lee JH. The clinical trial for the significant effects of acupuncture on decreasing anxiety symptom of Hwa-Byung in a single institute- single-arm with Hwa- Byung, open lable. Journal of Oriental Neuropsychiatry. 2012;23(1):49-58. https://doi.org/10.7231/JON.2012.23.1.049
  21. Lim JH, Kim JW, Whang WW. A comparative study on the changes of the clinical appearances and stress perception of Hwabyung patients, according to the oriental medical therapy. Journal of Oriental Neuropsychiatry. 2000; 11(1):47-57.
  22. Jung SY, Kim JW, Park JH, Kim SH, Whang WW, Kwon JH. Comparison between Major Depressive Disorder & Hwabyung (Culture Bound Syndrome) using the SCL-90-R. Journal of Oriental Neuropsychiatry. 2004;15(2):45-52.
  23. Kim JW, Kwon JH, Lee MS, Park DG. Development of Hwa-Byung Diagnostic Interview Schedule (HBDIS) and Its Validity Test. Korean journal of health psychology. 2004;9(2):321-31.
  24. Lee HY, Kim JW, Park JH, Whang WW. A study for diagnosis and pattern identification of Hwa-Byung. Journal of Oriental Neuropsychiatry. 2005;16(1):1-17.
  25. Yim HJ, Kim SH, Lee SR, Jung IC. Study to Develop the Instrument of Pattern Identification for Hwa-byung. Korean J. Oriental Physiology & Pathology. 2008;22(5): 1071-7.
  26. Kwon JH, Kim JW, Park DJ, Lee MS, Min SG, Kwon HI. Development and validation of the Hwa-Byung Scale. The Korean Journal of Clinical Psychology. 2008;27(1): 237-52. https://doi.org/10.15842/kjcp.2008.27.1.014
  27. Jung IC, Lee SR, Park YC, Hong KE, Koo YS, Cho JH, An JJ, Kang WC, Kim JW, Choi SM. The Effect of Sa-am Acupuncture Treatment for Major Symptom of Hwa-byung: A Preliminary Study, Journal of Oriental Neuropsychiatry. 2007;18(1):79-94.
  28. Jung IC, Lee SR, Park YC, Hong KE, Lee YK, Kang WC, Choi SM, Kim JW, Choi KW, Oh DS, Park JE. The Effect of Sa-am Acupuncture Simjeongkyeok Treatment for Major Symptom of Hwa-byung. Journal of Oriental Neuropsychiatry, 2008;19(1):1-18.
  29. Kim SH, Park YC, Hong KE, Kang WC, Lee SR, Jung IC. The effect of Bunsimgi-eum on Hwa-byung: Randomized, double blind, placebo controlled trial. Journal of ethnopharmacology. 2012;144(2):402-7. https://doi.org/10.1016/j.jep.2012.09.029
  30. Kim JW, Kim SY. Clinical Guidelines for Hwabyung I. (Overview). Journal of Oriental Neuropsychiatry. 2013; 24(1):3-14 https://doi.org/10.7231/jon.2013.24.Spc1.003
  31. Jung IC, Choi WC, Lee SR. Clinical Guidelines for Hwabyung III. (Diagnosis and Assessment of Hwabyung). Journal of Oriental Neuropsychiatry. 2013;24(1):23-36 https://doi.org/10.7231/jon.2013.24.Spc1.023
  32. Kang HW, Lee SG, Lee JH, Park BR, Lyu YS. Clinical Guidelines for Hwabyung IV. (Medications & Acupuncture and Moxibustion). Journal of Oriental Neuropsychiatry. 2013;24(1):37-46 https://doi.org/10.7231/jon.2013.24.Spc1.037
  33. Lee SG, Kang HW. Clinical Guidelines for Hwabyung V. (Oriental Psychotherapy and Management). Journal of Oriental Neuropsychiatry. 2013;24(1);47-54 https://doi.org/10.7231/jon.2013.24.Spc1.047
  34. Cheong MH, Lee SR, Kang WC, Jung IC. Preliminary Study to Develop the Instrument of Oriental Medical Evaluation for Hwa-Byung. Journal of Oriental Neuropsychiatry. 2010;21(2):141-55
  35. Kim KK, Seo BN, Kang WC, Jung IC. Guidelines for the Reliability and Validity of the Instrument on Pattern Identifications for Hwa-byung. Journal of Oriental Neuropsychiatry. 2013;24(4):331-42 https://doi.org/10.7231/jon.2013.24.4.331
  36. The Textbook Compilation Committee of Oriental Pathology. Oriental Pathology. Seoul: Hanimunhwasa. 2008:286, 288, 579.
  37. Byun JS, Yang SY, Kang WC, Park YC. Primary Study to Develop the Instrument of Pattern Identification for Common Cold. Korean J. Oriental Physiology & Pathology. 2009;23(6):1226-31.
  38. Portney LG, Watkins MP. Foundations of clinical research Applications to practice. New Jersey: Prentice Hall Inc, 2000;p.560-7.

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