Journal of Sasang Constitutional Medicine (사상체질의학회지)

The Society Of Sasang Constitutional Medicine (사상체질의학회)
권호 표지
DOI QR코드

DOI QR Code

Study on the Revision and Clinical Validation of the Sasang Digestive Function Inventory

사상소화기능검사의 개정 및 임상 타당화 연구

  • Lee, Yong-jae (Dept. of Sasang Constitutional Medicine, Div. of Clinical Medicine 4, School of Korean Medicine, Pusan National University) ;
  • Lee, Seul (School of Korean Medicine, Pusan National University) ;
  • Kim, So-hyung (Dosol Korean Medicine Hospital) ;
  • Lee, Jeongyun (Dept. of Sasang Constitutional Medicine, Div. of Clinical Medicine 4, School of Korean Medicine, Pusan National University) ;
  • Chae, Han (School of Korean Medicine, Pusan National University)
  • 이용재 (부산대학교 한의학전문대학원 임상의학4교실 사상체질의학과) ;
  • 이슬 (부산대학교 한의학전문대학원) ;
  • 김소형 (도솔한방병원) ;
  • 이정윤 (부산대학교 한의학전문대학원 임상의학4교실 사상체질의학과) ;
  • 채한 (부산대학교 한의학과)
  • Received : 2021.09.09
  • Accepted : 2021.09.23
  • Published : 2021.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives The purpose of this study was to revise Sasang Digestive Function Inventory (SDFI) and improve its validity and reliability using clinical data. Methods The Sasang type and Cold-Heat pattern differentiation by certified clinical specialist and responses to SDFI items were acquired from 419 hospital patients. The revision of SDFI was performed using item analysis and Explorative Factor Analysis (EFA). Furthermore, the validity and reliability of the revised SDFI (rSDFI) were investigated using Confirmatory Factor Analysis (CFA), Internal Consistency and Item Response Theory (IRT). And, clinical significance of the rSDFI was examined for the differentiation of Sasang types and Cold-Heat patterns. Results The number of the SDFI items were modified from 21 to 15. And, the validity and reliability of the rSDFI subscale structure were found to be acceptable. The scores of rSDFI-total and rSDFI-E significantly decreased in the order of Tae-Eum (TE), So-Yang (SY), So-Eum (SE) types, and the rSDFI score of SE type was significantly lower than that of TE and SY types. The rSDFI-total score could differentiate Cold-Heat pattern in both SY and SE types. And the difference of digestive function between Cold and Heat pattern of SE type could be explained with the rSDFI-D score. The rSDFI-total score in Cold pattern significantly decreased in the order of TE, SY, and SE types, and the rSDFI-total score of TE type is significantly higher than that of SE type in Heat pattern. Conclusions Current results demonstrated the reliability, validity and clinical usefulness of the rSDFI in clinical patients. Therefore, rSDFI can be utilized as an objective clinical measure supporting the differential diagnosis of Sasang typology.

Keywords

References

  1. Lee SK, Hong SC, Song IB. Charateristics of Pathology of Sasang Constitutional Medicine Based on Medical Circumstance of 19 Century - Focused on Taeeumin Disease. J Sasang Constitut Med. 1997;9(2):57-66. (Korean)
  2. Choi BJ, Ha KT, Choi DY, Kim JK. Study on the 'Dispositional Symptoms(Dispositional diseases)' in Dongyi Suse Bowon The Discourse on the Constitutional Symptoms and Disease. J Oriental Physiology & Pathology. 2007;21(1):1-9. (Korean)
  3. Jang ES, Kim HS, Lee HJ, Baek YH, Lee SW. The Clinical Study on the Ordinary and Pathological Symptoms according to Sasang Constitution. J Sasang Constitut Med. 2007;19(3):144-55. (Korean)
  4. Park HJ, Lee YS, Park SS. A Comparative Study on the Characteristics(Sweat, Stool, Urine, Digestion) of Soyang_Soeumin and Taeyang_Taeumin in Sasang Constitution. J Sasang Constitut Med. 2006; 18(1):107-17. (Korean)
  5. Baek YH, Choi JR, Park SS. A Correlation Research of Digestion According to Sasang Constitution. J Sasang Constitut Med. 2004;16(1): 112-9. (Korean)
  6. Jang ES, Baek YH, Park KH, Lee SW. The Difference of Digestion, Sweat, Stool, Urination, Drinking, Coldness and Hotness Characteristics according to Sasang Constitutional Exterior and Interior Diagnosis. J Sasang Constitut Med. 2012; 24(1):43-53. DOI : 10.7730/JSCM.2012.24.1.043(Korean)
  7. Lee MS, Bae NY, Hwang MW, Chae H. Development and Validation of the Digestive Function Assessment Instrument for Traditional Korean Medicine: Sasang Digestive Function Inventory. Evidence-Based Complementary Alternative Medicine. 2013 |Article ID 263752. DOI : 10.1155/2013/263752
  8. Lee MS, Sohn KW, Kim YH, Hwang MW, Kwon YK, Bae NY et al. Digestive System-related Pathophysiological Symptoms of Sasang Typology: Systematic Review. Integrative medicine research. 2013;2(2):39-48. DOI : 10.1016/j.imr.2013.04.001
  9. Ham TI, Hwang MW, Lee TK, Kim SB, Lee SK, Koh BH et al. The Clinical Study on Ordinary Symtoms and Pathological Symptoms of Stroke In-patients based on Sasang Constitutional Medicine. J Sasang Constitut Med. 2004;16(3):34-45. (Korean)
  10. Lee YO, Kim JW. A Clinical Study of the Type of Disease and Symptom according to Sasang Constitution Classification. J Sasang Constitut Med. 2002;14(3):74-84. (Korean)
  11. Baek TH, Park SS. A Correlation Research of Appetite and Dining Habits According to Sasang Constitution. J Korean Oriental Medicine. 2004; 25(2):77-86. (Korean)
  12. Jin YH, Son YJ, Kim EH, Lee WK. A Study on the Differences in Eating Habits by Sasang Constitution Types. Korean J Culinary Research. 2009;15(1):1-15. DOI : 10.20878/cshr.2009.15.1.001 (Korean)
  13. Park GS, Kim HK. A Study on Eating Habits by Body Constitution Types of the Sasang Constitutional Medicine Among Female College Students. J Korean Soc Food Sci Nutr. 2003;32(2):302-6. DOI : 10.3746/jkfn.2003.32.2.302 (Korean)
  14. Lee ME, Seo HG, Kim PJ, Chae H, Kwon YK. Study on Sasang Constitutional Characteristics using Sasang Personality Questionnaire and Sasang Digestive Function Inventory in Clinical Level. J Oriental Physiology & Pathology. 2016;30(6): 426-31. DOI : 10.15188/kjopp.2016.12.30.6.426(Korean)
  15. Lee MS. Study on the Sasang Type-specific Pathological Symptoms using SDFI and SPQ. Busan: Pusan National University; 2016. (Korean)
  16. Lee SJ, Chae H. Study on Sasang Typology Based on the Type-Specific Characteristics with Type-Specific Pathophysiological Symptom and Temperament. J Oriental Physiology & Pathology. 2014;28(3): 359-64. (Korean)
  17. Chae H, Kim SH, Han SY, Lee SJ, Kim BJ, Kwon YK et al. Study on the Psychobiological Characteristics of Sasang Typology Based on the Type- Specific Pathophysiological Digestive Symptom. J Oriental Physiology & Pathology. 2014;28(4): 417-24. DOI : 10.15188/kjopp.2014.08.28.4.417 (Korean)
  18. Han SY, Kim HY, Lim JH, Cheon JH, Kwon YK, Kim HW, et al. The Past, Present, and Future of Traditional Medicine Education in Korea. Integrative medicine research. 2016;5(2):73-82. DOI : 10.1016/j.imr.2016.03.003
  19. Kang HC. A Guide on the Use of Factor Analysis in the Assessment of Construct Validity. J Korean Academy of Nursing. 2013;43(5):587-94. DOI : 10.4040/jkan.2013.43.5.587 (Korean)
  20. Sung TJ. An Easy Statistical Analysis: From Descriptive Statistics to Structural Equation Model. Seoul:Hakjisa. 2019:402-21, 425. (Korean)
  21. Hong SH. The Criteria for Selecting Appropriate Fit Indices in Structural Equation Modeling and Their Rationales. The Korean Psychol Assoc. 2000;19(1):161-77. (Korean)
  22. Franchignoni F, Giordano A, Ferriero G. Rasch Analysis of the Short Form 8-item Parkinson's Disease Questionnaire (PDQ-8). Quality of Life Research. 2008;17(4):541-8. DOI : 10.1007/s11136-008-9341-6
  23. Lee JS. Psychometric Properties on Short Form of Multidimensional Psychological Test for Injured Workers Using Rasch Rating Scale Modeling. Korean Council of Physical, Multiple & Health Disabilities. 2014;57(4):67-81. (Korean)
  24. Choi CH, You YY. The Study on the Comparative Analysis of EFA and CFA. J Digital Convergence. 2017;15(10):103-11. DOI : 10.14400/JDC.2017.15.10.103 (Korean)
  25. Park HW, Lee EH, Kim DK, Yu BH, Lee DS, Kim JH. The Factor Structure of the Korean Hamilton Depression Rating Scale(K-HDRS): A Confirmatory Factor Analysis. J Korean Neuropsychiatr Assoc. 2009;48(1):21-8. (Korean)
  26. Duncan P, Bode R, Lai S, Perera S. Rasch Analysis of a New Stroke-Specific Outcome Scale: The Stroke Impact Scale. Physical Medicine and Rehabilitation. 2003;84(7):950-63. DOI : 10.1016/S0003-9993(03)00035-2
  27. Lee IS, Hong SH, Shin EK. Rasch Rating Scale Modeling of the Disability Identity Scale. Korean J Social Welfare. 2007;59(4):273-96. DOI : 10.20970/kasw.2007.59.4.011 (Korean)
  28. Song IB. A Study on the Symptomatic-pharmacology(病證藥理) Sasang Constitution. J Sasang Constitut Med. 1998;10(2):1-14. (Korean)
  29. Lee MS, Kim YH, Bae NY, Hwang MW. The Analysis on Clinical Characteristics of Out-Patients with Gastrointestinal Symptoms in a Korean Medicine Hospital. J Sasang Constitut Med. 2015; 27(2):199-210. DOI : 10.7730/JSCM.2015.27.2.199 (Korean)
  30. Lee S, Lee YJ, Han SY, Bae NY, Hwang MW, Lee JY, et al. Urinary Function of the Sasang Type and Cold-Heat Subgroup Using the Sasang Urination Inventory in Korean Hospital Patients. Evidence-Based Complementary and Alternative Medicine. 2020 |Article ID 7313581. DOI : 10.1155/2020/7313581
  31. Jeong KS, Lee SW, Baek YH. Trends of Study on Sasang Constitution and Eating Habits in Recent 20 Years. J Sasang Constitut Med. 2019; 31(2):1-11. DOI : 10.7730/JSCM.2019.31.2.1 (Korean)
  32. Joo JC, Lee SW, Park SJ. Comparison of Health Status and Mibyeong Characteristics between Cold Syndrome and Heat Syndrome by Cold Heat Syndrome Differentiation Score. J Korean Oriental Medicine. 2018;39(1):13-21. DOI : 10.13048/jkm.18002 (Korean)
  33. Baek YH, Kim HS, Lee SW, Ryu JH, Kim YY, Jang ES. Study On the Ordinary Symptoms Characteristics of Gender Difference According to Sasang Constitution. J Oriental Physiology & Pathology. 2009;23(1):251-8. (Korean)
  34. Lee KS, JH Seok., Kim SH, Kim YH, Lee SK, Lee EJ et al. A Case-Control Study on Risk Factors of Obese Patients of Each Sasang Constitution. J Sasang Constitut Med. 2007;19(2):94-112. (Korean)
  35. Kim YK, Cho MR, Chang R, Choue RW. Food Habits, Nutrients Intake, and Disease Distribution according to Sasang Constitutions in the Elderly Aged over 65 Years(II). Korean J Community Nutrition. 2002;7(1):76-85. (Korean)
  36. Hong HJ, Park YG, Kim YH, Hwang MW. A Study about the Distributional Characteristics of Dyspepsia according to Sasang Constitution at a Korean Medical Clinic. J Sasang Constitut Med. 2011;23(2):230-9. (Korean) https://doi.org/10.7730/JSCM.2011.23.2.230
  37. Pham D, Lee JC, Lee MS, Kim JY. Sasang Types May Differ in Eating Rate, Meal Size, and Regular Appetite: A Systematic Literature Review. Asia Pacific J Clinical Nutr. 2012;21(3):327.