[논문]후각 감퇴 등의 신체적 증상을 동반한 경도 우울에피소드 환자의 실존주의 심리치료를 포함한 한방정신요법 활용 1례 보고

이형우; 김상범; 조주연; 김종민; 이가현; 박세진

doi:10.7231/jon.2022.33.4.473

후각 감퇴 등의 신체적 증상을 동반한 경도 우울에피소드 환자의 실존주의 심리치료를 포함한 한방정신요법 활용 1례 보고
Use of Korean Medicine Psychotherapy Including Existential Psychotherapy in a Patient with a Mild Depressive Episode Accompanied by Physical Symptoms Such as Hyposmia: A Case Report 원문보기

동의신경정신과학회지 = Journal of oriental neuropsychiatry, v.33 no.4, 2022년, pp.473 - 484

이형우 (동서한방병원 한방신경정신과) , 김상범 (동서한방병원 한방신경정신과) , 조주연 (동서한방병원 한방신경정신과) , 김종민 (동서한방병원 한방신경정신과) , 이가현 (동서한방병원 한방신경정신과) , 박세진 (동서한방병원 한방신경정신과)

Abstract ▼ AI-Helper

Objectives: To report a case of a patient with a mild depressive episode accompanied by physical symptoms such as hyposmia visiting a Korean medicine hospital who was treated with oriental psychotherapy in parallel with existentialism-based psychotherapy showing improvement. Methods: For this patient, Korean medicine Psychotherapy was mainly used for treatment. In parallel, existential Psychotherapy, acupuncture treatment, and self-relaxation training were implemented. For estimating this treatment, changes in results of Beck Depression Index (BDI), Beck Anxiety Index (BAI), Numeric Rating Scale (NRS), Korean Version of Sniffin' Sticks Test (KVSS), Butanol Threshold Test (BTT), Cross-Cultural Smell Identification Test (CC-SIT), and somatic symptoms that the patient subjectively expressed were determined. Results: After the comprehensive treatment, it was confirmed that changes in BDI, BAI, KVSS, BTT, CC-SIT, NRS, and subjective somatic symptoms expressed by the patient all showed improvements. Conclusions: We propose that a comprehensive treatment using Korean medicines Psychotherapy in parallel with existential psychotherapy can be used for patients who complain of physical symptoms accompanied by depression and hyposmia.

주제어

표/그림 (5)

그림 Fig. 1. Counceling schedule.
그림 Fig. 2. Timeline symptom change of Korean medicine Psychotherapy.
그림 Fig. 3. Main conversations process during Korean medicine Psychotherapy period.
그림 Fig. 4. Follow-up results of olfactoty function test and depressive, anxiety index. *( / )=(Right nostril/Left nostril) *VAS: 0 score is completely faillure of olfactory function, 5 score is mid-point, 10 score is normal. *CC-SIT: Score 12 means completely correct and high score means high function of olfactory sense.
그림 Fig. 5. Follow-up results of NRS score.

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