Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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An Analysis of the Prevalence and Pattern Identification of Korean Medicine for Acute Stress Disorder and Post Traumatic Stress Disorder in Patients with Traffic Injuries

교통사고 상해증후군 환자의 급성 스트레스 장애와 외상 후 스트레스 장애의 유병률과 한의변증유형 분석

  • Lee, Yu Jin (Haneum Neuropsychiatry Clinic of Korean Medicine) ;
  • Lee, Sung Joon (Madibareum Korean Medicine Clinic) ;
  • Cheong, Moon Joo (Wonkwang University Jangheung Integrative Medical Hospital Rare Disease Treatment Research Center) ;
  • Lim, Jung Hwa (Department of Neuropsychiatry, School of Korean Medicine, Pusan National University) ;
  • Jo, Hee Geun (Chung-Yeon Central Institute) ;
  • Kim, Bo Min (Chung-Yeon Central Institute) ;
  • Chung, Sun-Yong (Department of Korean Neuropsychiatry, Gangdong Kyung Hee University Hospital) ;
  • Kwak, Hui-Yong (Department of Korean Neuropsychiatry, Gangdong Kyung Hee University Hospital) ;
  • Park, Bo Ra (Wonkwang University Gwangju Medical Center) ;
  • Park, Tae-Yong (Institute for Intergrative Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Shin, Byung-Cheul (3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Kang, Hyung Won (Department of Korean Neuropsychiatry Medicine & Inam Neuroscience Research Center, Wonkwang University Sanbon Hospital)
  • 이유진 (한음한방신경정신과한의원) ;
  • 이성준 (마디바름한의원) ;
  • 정문주 (원광대학교 장흥통합의료병원 난치질환치료연구소) ;
  • 임정화 (부산대학교 한의학전문대학원 한방신경정신과) ;
  • 조희근 (청연중앙연구소) ;
  • 김보민 (청연중앙연구소) ;
  • 정선용 (강동경희대학교한방병원 한방신경정신과) ;
  • 곽희용 (강동경희대학교한방병원 한방신경정신과) ;
  • 박보라 (원광대학교 광주한방병원) ;
  • 박태용 (가톨릭관동대학교 국제성모병원 한의학과) ;
  • 신병철 (부산대학교 한의학전문대학원 임상의학3부) ;
  • 강형원 (원광대학교 산본병원 한방신경정신과 & 인암뇌신경연구센터)
  • Received : 2021.02.18
  • Accepted : 2021.03.26
  • Published : 2021.03.30
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Abstract

Objectives: To investigate the prevalence of acute stress disorder (ASD) and post-traumatic stress disorder (PTSD) in patients with traffic injuries. In addition, PTSD patients was classified using 'pattern identification for jing ji and zheng chong'. Methods: Questionnaires such as the primary care PTSD screen for DSM-5(PC-PTSD-5), Korean version of PTSD checklist-5 (PCL-5-K), and the instrument of pattern identification for jing ji and zheng chong were conducted on 195 patients within 3 days to 1 year after traffic accidents. Patients were recruited from six medical institutions. Collected data were used to determine the prevalence of acute stress disorder and post-traumatic stress disorder. Results: On PC-PTSD-5, the prevalence was 39.1% for ASD and 50% for PTSD. On PCL-5-K, the prevalence was 20.4% for ASD and 29.3% for PTSD. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. As a result of pattern identification for jing ji and zheng chong, 'weakness of heart and gall bladder type' accounted for the highest proportions in both ASD and PTSD groups. Conclusions: In this study, the prevalence was 39.1% for ASD and 50% for PTSD by PC-PTSD-5. Satisfying both PC-PTSD-5 and PCL-5-K, the prevalence was 18.2% for ASD and 25.8% for PTSD. Further large-scale prospective studies are needed to analyze the prevalence of ASD and PTSD, the rate of progression from ASD to PTSD, and the type of pattern identification.

Keywords

References

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