[논문]스트레스와 소화기능을 활용한 체질별 맞춤 수면관리

이슬; 채한; 박지은; 김국화; 이정윤

doi:10.7730/jscm.2024.36.1.13

스트레스와 소화기능을 활용한 체질별 맞춤 수면관리
Individualized Sleep Management for Each Sasang Type Using Stress and Digestive Function 원문보기

JSCM : Journal of Sasang constitutional medicine, v.36 no.1, 2024년, pp.13 - 30

이슬 (함소아한의원) , 채한 (부산대학교 한의학과) , 박지은 (부산대학교 한의학전문대학원) , 김국화 (부산대학교 한의학전문대학원) , 이정윤 (부산대학교 한의학전문대학원 임상의학 4교실 사상체질의학과)

Abstract ▼ AI-Helper

Objectives This study aimed to analyze the influence of various sleep-related factors that affect sleep quality by each Sasang type. Methods A total of 400 subjects were included for this study, 108 males and 292 females. Sasang type was diagnosed using the SCAT. Then, the characteristics of each Sasang type were analyzed using HRV, DITI, and PSQI, PSS, and SDFI questionnaires. Logistic regression analysis was used to predict sleep-related factors that affect sleep disorders by Sasang types. Results This study shows that the pathophysiological characteristics for stress and digestive function of each Sasang type can differentiate sleep management through a logistic regression model including subscales of PSS and SDFI. Stress had no effect on the occurrence of sleep disturbance within only So-Eum, since the stress level is originally high in the So-Eum regardless of sleep quality. Rather, decreased appetite and poor eating habits had a significant impact on the decline in sleep quality. In addition, poor digestion and eating habits in So-Yang had a greater impact and poor digestion in Tae-Eum had a greater impact on the decline in sleep quality. Conclusion The stress and subscales of digestive function provide differentiated sleep management in So-Yang, Tae-Eum, and So-Eum types. The individualized sleep management for each Sasang type with statistically validated PSS and SDFI would be useful for sleep-related experts planning safe and effective person-centered health care as well as for Western clinicians who want to incorporate Sasang typology into their treatments as integrative medical technique in the future.

주제어

표/그림 (10)

표 Table 1. Demographic Characteristics of the Participants
표 Table 2. Internal Consistency of PSQI, PSS, and SDFI
표 Table 3. Correlation Coefficients between PSQI, Age, BMI, PSS, HRV, SDFI, and Skin Temperature
표 Table 4. Demographic Characteristics and Adjusted Anthropometric Features of Each Sasang Type
표 Table 5. Adjusted PSQI, PSS, HRV, SDFI, and Skin Temperature of Each Sasang Type
표 Table 6. Distributions of Sleep Disturbance by Sasang Types
표 Table 7. Demographic Characteristics, Adjusted PSS, HRV, SDFI, and Skin Temperature between Sleep Disturbance and Non-Sleep Disturbance Groups among Sasang Types
표 Table 8. Logistic Regression Analysis for the Associations of Variables with Sleep Disturbance in So-Yang Type
표 Table 9. Logistic Regression Analysis for the Associations of Variables with Sleep Disturbance in Tae-Eum Type
표 Table 10. Logistic Regression Analysis for the Associations of Variables with Sleep Disturbance in So-Eum Type

참고문헌 (38)

Chae H, Park SH, Lee SJ, Kim M, Wedding D,？Kwon YK. Psychological profile of sasang typology:？a systematic review. Evid Based Complementary Altern？Med. 2009;6(S1):21-29. DOI: 10.1093/ecam/nep079

상세보기
Kim JJ, Lee Y, Park SS, A Clinical Study of？Sleeping, Stool, Urine According to Taeyangsoyangin(Yangin) and Taeumsoeumin(Eumin). J？Sasang Constitut Med. 2005;17(3):82-90. (Korean)
Lee JH. The Study on the Ordinary Symptoms？based on Sasang Constitution. Seoul: School of？Korean Medicine, Kyung-Hee University;2007. (Korean)
Lee YJ, Lee S, Kim SH, Lee JY, Chae H. Study？on the Revision and Clinical Validation of the？Sasang Digestive Function Inventory. J Sasang？Constitut Med. 2021;33(3):54-71. (Korean) DOI:？https://doi.org/10.7730/JSCM.2021.33.3.54

원문보기 상세보기
Choi JY, Choi JR, Lee YS, Park SS. A study on？the clinical features of ordinary sleeping patterns？based on the Sasang constitution, using the logistic regression. J Korean Med. 2004;25(4):171-179. (Korean)
Lee SK, Yoon DW, Yi HY, Lee SW, Kim JY,？Shin C. Tae-eum type as an independent risk factor for obstructive sleep apnea. Evid Based Complementary Altern Med. 2013;2013:1-7. DOI:？10.1155/2013/910382

상세보기
Owens JF, Matthews KA. Sleep disturbance in？healthy middle-aged women. Maturitas. 1998;30(1):41-50. DOI: 10.1016/s0378-5122(98)00039-5

상세보기
Ohayon MM, Partinen M. Insomnia and global？sleep dissatisfaction in Finland. J Sleep Res, 2002;11(4):339-346. DOI: 10.1046/j.1365-2869.2002.00317.x

상세보기
Park JH. Association of Health Behavior, Physical？Activity, Health Related Quality of Life and Sleep？Duration in Korean Adults: Based on The 8th？2019-2020 Korea National Health and Nutrition？Examination Survey. J of Korean Society of Oral？Health Science. 2022;10(2):78-85. (Korean) DOI:？https://doi.org/10.33615/jkohs.2022.10.2.78

상세보기
Yuksel D, Baker FC, Goldstone A, Claudatos SA,？Forouzanfar M, Prouty DE, et al. Stress, sleep,？and autonomic function in healthy adolescent？girls and boys: Findings from the NCANDA？study. Sleep Health. 2021;7(1):72-78. DOI: 10.1016/j.sleh.2020.06.004.

상세보기
Vgontzas AN, Bixler EO, Papanicolaou DA, Kales？A, Stratakis CA, Vela-Bueno, et al. Rapid eye？movement sleep correlates with the overall activities of the hypothalamic-pituitary-adrenal axis？and sympathetic system in healthy humans. J of？Clinical Endocrinology & Metabolism, 1997;82(10):3278-3280.
Harvey CJ, Gehrman P, Espie CA. Who is predisposed to insomnia: a review of familial aggregation,？stress-reactivity, personality and coping style. Sleep？Med Rev, 2014;18(3):237-47. DOI: 10.1016/j.smrv.2013.11.004

상세보기
Rodrigues GD, Fiorelli EM, Furlan L, Montano？N, Tobaldini E. Obesity and sleep disturbances:？The "chicken or the egg" question. Eur J Intern？Med, 2021;92:11-16. DOI: 10.1016/j.ejim.2021.04.017

상세보기
Kim HA. Autonomic Dysfunction in Sleep Disorders.？J of Pain and Autonomic Disorders. 2012;1(1):32-36.
Nano MM, Fonseca P, Vullings R, Aarts RM.？Measures of cardiovascular autonomic activity in？insomnia disorder: A systematic review. PLoS？One. 2017;12(10):e0186716. DOI: https://doi.org/10.1371/journal.pone.0186716

상세보기
Lee MS, K. Sohn KW, Kim YH, Hwang MW,？Kwon YK, Bae NY, et al. Digestive system-related pathophysiological symptoms of Sasang typology: Systematic review. Integr Med Res.？2013;2(2):39-48. DOI: 10.1016/j.imr.2013.04.001

상세보기
Shin SW, Kim YH, Hwang MW. Diagnosis and？treatment principle in Sasang medicine: original？symptom. Integr Med Res. 2016;5(2):99-104. DOI:？10.1016/j.imr.2016.03.005

상세보기
Romeijn N, Raymann RJEM, Most E, Lindert？BT, Meijden WPVD, Fronczek R, et al. Sleep,？vigilance, and thermosensitivity. Pflugers Arch.？2012;463(1):169-76. DOI: 10.1007/s00424-011-1042-2

상세보기
Bart HW, Lindert T, Someren EJWV. Skin temperature, sleep, and vigilance. Handb Clin Neurol.？2018;156:353-365. DOI: https://doi.org/10.1016/B978-0-444-63912-7.00021-7
So JH, Kim JW, Nam JH, Lee BJ, Kim YS, Kim？JY, et al. The Web Application of Cons- titution？Analysis System - SCAT (Sasang Constitution Analysis？Tool) -. J Sasang Constitut Med. 2016;28(1):1-10. (Korean) DOI: 10.7730/JSCM.2016.28.1.1

원문보기 상세보기
Do JH, Nam JH, Jang ES, Jang JS, Kim JW,？Kim YS, et al. Comparison between Diagnostic？Results of the Sasang Constitutional Analysis Tool？(SCAT) and a Sasang Constitution Expert. J Sasang？Constitut Med. 2013;25(3):158-166. (Korean) DOI:？http://dx.doi.org/10.7730/JSCM.2013.25.3.158？

원문보기 상세보기
Lee JY, Yim MH, Kim JY. Test-retest reliability？of the questionnaire in the Sasang constitutional？analysis tool (SCAT). Integr Med Res. 2018;7(2):136-140. DOI: 10.1016/j.imr.2018.02.001

상세보기
Buysse DJ, Reynolds 3rd CF, Monk TH, Berman？SR, Kupfer DJ. The Pittsburgh Sleep Quality Index:？a new instrument for psychiatric practice and？research. Psychiatry Res. 1989;28(2):193-213.

상세보기
Sohn SI, Kim DH, Lee MY, Cho YW. The reliability and validity of the Korean version of the？Pittsburgh Sleep Quality Index. Sleep Breath. 2012;16(3):803-812. DOI: 10.1007/s11325-011-0579-9

상세보기
Lee JH, Shin CM, Ko YH, Lim JH, Joe SH, Kim？SH, et al. The Reliability and Validity Studies？of the Korean Version of the Perceived Stress Scale.？Korean Journal of Psychosomatic Medicine. 2012;20(2):127-134. (Korean)
Lee MS. Study on the Sasang Type-Specific Pathological？Symptoms Using SDFI and SPQ. Pusan: School？of Korean Medicine, Pusan National University; 2016. (Korean)
van den Heuvel CJ, Ferguson SA, Dawson D,？Gilbert SS. Comparison of digital infrared thermal imaging (DITI) with contact thermometry:？pilot data from a sleep research laboratory. Physiol？Meas. 2003;24(3):717-725. DOI: 10.1088/0967-3334/24/3/308

상세보기
Tak JG. Psychological Testing-Understanding？development and evaluation methods. Vol 2. seoul:？Hakjisa. 2007:416 (Korean)
Yoo JH, Lee H, Lee YJ. Perception and Ways？of Coping with Stress of Sasangin. Kor J of Adult？Nursing. 2003;15(2):173-182. (Korean)
Choi EY, Chang BS. A Study on the Differences？of Stress Responses According to Sasang Constitutions.？Kor J Oriental Preventive Medical Society. 2008;12(3):175-183. (Korean)
Zhao W, Jin H, Xu M, Wang D, Liu Y, Tan Y,？et al. Sleep quality of functional gastrointestinal？disorder patients in class-three hospitals: a cross-sectional study in Tianjin, China. BioMed research？international. 2018;Article ID 3619748:5p. DOI:？https://doi.org/10.1155/2018/3619748

상세보기
Lindam A, Ness-Jensen E, Jansson C, Nordenstedt？H, Akerstedt T, Hveem K, et al. Gastroesophageal？reflux and sleep disturbances: a bidirectional association in a population-based cohort study, the？HUNT study. Sleep. 2016;39(7):1421-1427. DOI:？https://doi.org/10.5665/sleep.5976

상세보기
Muhlhans BK, Olbrich K, Zwaan MD, Night eating syndrome and nocturnal eating-what is it all？about? Psychother Psychosom Med Psychol. 2009;？59(2):50-56. DOI: 10.1055/s-2008-1067344

상세보기
The Korean Society of Oriental Neuropsychiatry.？Clinical Practice Guideline of Korean Medicine:？Insomnia Disorder. Seoul: National Institute for？Korean Medicine Development. 2021:234 (Korean)
de Zambotti M, Cellini N, Baker FC, Colrain？IM, Sarlo M, Stegagno L. Nocturnal cardiac autonomic profile in young primary insomniacs and？good sleepers. Int J Psychophysiol. 2014;93(3):332-9. DOI: 10.1016/j.ijpsycho.2014.06.014

상세보기
Vinkers CH, Penning R, Hellhammer J, Verster？JC, Klaessens JH, Olivier B, et al. The effect of？stress on core and peripheral body temperature？in humans. Stress. 2013;16(5):520-530. DOI: 10.3109/10253890.2013.807243

상세보기
Murphy PJ, Campbell SS. Sex hormones, sleep, and？core body temperature in older postmenopausal？women. Sleep. 2007;30(12):1788-1794. DOI: 10.1093/sleep/30.12.1788

상세보기
Fealey RD. Thermoregulation in neuropathies. Handb？Clin Neurol. 2018;157:777-787. DOI: 10.1016/b978-0-444-64074-1.00048-3？

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증